Essential results of analyses accompanying the leak rate experiments E22 at HDR

International Nuclear Information System (INIS)

Grebner, H.; Hoefler, A.; Hunger, H.

1997-01-01

During phase III of the HDR Safety Programme (HDR: decommissioned overheated steam reactor in Karlstein, Germany), experiments were performed in test group E22 on small-bore austenitic straight piping and on pipe elbows and branches containing through-wall cracks. The main aim was the determination of crack opening and leak rate behaviour for the cracked components under almost operational pressure and temperature loading conditions, especially including transient bending moments. In addition to machined slits, naturally grown fatigue cracks were also considered to cover the leakage behaviour. The experiments were accompanied by calculations, mainly performed by GRS. The paper describes the most important aspects and the essential results of the calculations and analysis. The main outcome was that the crack opening and initiation of crack growth can be described with the finite element techniques applied with sufficient accuracy. However, the qualification of the leak rate models could not be completed successfully, and therefore more sophisticated experiments of this kind are needed. (orig.)

MR-based source localization for MR-guided HDR brachytherapy

Science.gov (United States)

Beld, E.; Moerland, M. A.; Zijlstra, F.; Viergever, M. A.; Lagendijk, J. J. W.; Seevinck, P. R.

2018-04-01

For the purpose of MR-guided high-dose-rate (HDR) brachytherapy, a method for real-time localization of an HDR brachytherapy source was developed, which requires high spatial and temporal resolutions. MR-based localization of an HDR source serves two main aims. First, it enables real-time treatment verification by determination of the HDR source positions during treatment. Second, when using a dummy source, MR-based source localization provides an automatic detection of the source dwell positions after catheter insertion, allowing elimination of the catheter reconstruction procedure. Localization of the HDR source was conducted by simulation of the MR artifacts, followed by a phase correlation localization algorithm applied to the MR images and the simulated images, to determine the position of the HDR source in the MR images. To increase the temporal resolution of the MR acquisition, the spatial resolution was decreased, and a subpixel localization operation was introduced. Furthermore, parallel imaging (sensitivity encoding) was applied to further decrease the MR scan time. The localization method was validated by a comparison with CT, and the accuracy and precision were investigated. The results demonstrated that the described method could be used to determine the HDR source position with a high accuracy (0.4–0.6 mm) and a high precision (⩽0.1 mm), at high temporal resolutions (0.15–1.2 s per slice). This would enable real-time treatment verification as well as an automatic detection of the source dwell positions.

Viewpoint adaptive display of HDR images

DEFF Research Database (Denmark)

Forchhammer, Søren; Mantel, Claire

2017-01-01

In this paper viewpoint adaptive display of HDR images incorporating the effects of ambient light is presented and evaluated. LED backlight displays may render HDR images, but while at a global scale a high dynamic range may be achieved, locally the contrast is limited by the leakage of light...... through the LC elements of the display. To render high quality images, the display with backlight dimming can compute the values of the LED backlight and LC elements based on the input image, information about the viewpoint of the observer(s) and information of the ambient light. The goal is to achieve...... the best perceptual reproduction of the specified target image derived from the HDR input image in the specific viewing situation including multiple viewers, possibly having different preferences. An optimization based approach is presented. Some tests with reproduced images are also evaluated subjectively...

HDR video synthesis for vision systems in dynamic scenes

Science.gov (United States)

Shopovska, Ivana; Jovanov, Ljubomir; Goossens, Bart; Philips, Wilfried

2016-09-01

High dynamic range (HDR) image generation from a number of differently exposed low dynamic range (LDR) images has been extensively explored in the past few decades, and as a result of these efforts a large number of HDR synthesis methods have been proposed. Since HDR images are synthesized by combining well-exposed regions of the input images, one of the main challenges is dealing with camera or object motion. In this paper we propose a method for the synthesis of HDR video from a single camera using multiple, differently exposed video frames, with circularly alternating exposure times. One of the potential applications of the system is in driver assistance systems and autonomous vehicles, involving significant camera and object movement, non- uniform and temporally varying illumination, and the requirement of real-time performance. To achieve these goals simultaneously, we propose a HDR synthesis approach based on weighted averaging of aligned radiance maps. The computational complexity of high-quality optical flow methods for motion compensation is still pro- hibitively high for real-time applications. Instead, we rely on more efficient global projective transformations to solve camera movement, while moving objects are detected by thresholding the differences between the trans- formed and brightness adapted images in the set. To attain temporal consistency of the camera motion in the consecutive HDR frames, the parameters of the perspective transformation are stabilized over time by means of computationally efficient temporal filtering. We evaluated our results on several reference HDR videos, on synthetic scenes, and using 14-bit raw images taken with a standard camera.

Performance evaluation of objective quality metrics for HDR image compression

Science.gov (United States)

Valenzise, Giuseppe; De Simone, Francesca; Lauga, Paul; Dufaux, Frederic

2014-09-01

Due to the much larger luminance and contrast characteristics of high dynamic range (HDR) images, well-known objective quality metrics, widely used for the assessment of low dynamic range (LDR) content, cannot be directly applied to HDR images in order to predict their perceptual fidelity. To overcome this limitation, advanced fidelity metrics, such as the HDR-VDP, have been proposed to accurately predict visually significant differences. However, their complex calibration may make them difficult to use in practice. A simpler approach consists in computing arithmetic or structural fidelity metrics, such as PSNR and SSIM, on perceptually encoded luminance values but the performance of quality prediction in this case has not been clearly studied. In this paper, we aim at providing a better comprehension of the limits and the potentialities of this approach, by means of a subjective study. We compare the performance of HDR-VDP to that of PSNR and SSIM computed on perceptually encoded luminance values, when considering compressed HDR images. Our results show that these simpler metrics can be effectively employed to assess image fidelity for applications such as HDR image compression.

Traceable calibration of hospital 192Ir HDR sources

International Nuclear Information System (INIS)

Govinda Rajan, K.N.; Bhatt, B.C.; Pendse, A.M.; Kannan, V.

2002-01-01

Presently, no primary standard exists for the standardization of remote afterloading 192 Ir HDR sources. These sources are, therefore, being standardized by a few Secondary Standard Dosimetry Laboratories (SSDLs), in terms of Air Kerma Strength (AKS) or Reference Air Kerma Rate (RAKR) using a 0.6 cc Farmer type chamber, set up as an Interim Standard. These SSDLs offer calibration to well type of ionization chambers that are normally used by the hospitals for calibrating the 192 lr HDR source. Presently, in many countries, including India, well chambers are not commercially available. Nor do these countries offer any calibration service for 192 lr HDR source. With the result users make use of well chambers imported from different countries with their calibration traceable to the country of origin. Since no intercomparisons between these countries have been reported, the measurement consistency between hospitals becomes questionable. The problem is compounded by the fact that these chambers are used for several years without re-calibration since no calibration service is locally available. For instance, in India, the chambers have been in use in hospitals, since 1994, without a second calibration. Not all hospitals use the well chamber for the calibration of the 192 lr HDR source. Many hospitals make use of 0.6 cc chambers, in air, at short source to chamber distances, for measuring the AKS of the source. The latter method is prone to much larger inaccuracy due to the use of very short source to chamber distances without proper calibration jigs, use of 60 Co calibration factor for 192 Ir HDR source calibrations, neglecting correction factors for room scatter, fluence non-uniformity, use of arbitrary buildup factors for the buildup cap of the chamber etc. A comparison of the procedures used at hospitals revealed that various arbitrary methods are in use at hospitals. An indigenously developed well chamber was calibrated against a Reference Standard traceable to the

HDR Image Quality Enhancement Based on Spatially Variant Retinal Response

Directory of Open Access Journals (Sweden)

Horiuchi Takahiko

2010-01-01

Full Text Available There is a growing demand for being able to display high dynamic range (HDR images on low dynamic range (LDR devices. Tone mapping is a process for enhancing HDR image quality on an LDR device by converting the tonal values of the original image from HDR to LDR. This paper proposes a new tone mapping algorithm for enhancing image quality by deriving a spatially-variant operator for imitating S-potential response in human retina, which efficiently improves local contrasts while conserving good global appearance. The proposed tone mapping operator is studied from a system construction point of view. It is found that the operator is regarded as a natural extension of the Retinex algorithm by adding a global adaptation process to the local adaptation. The feasibility of the proposed algorithm is examined in detail on experiments using standard HDR images and real HDR scene images, comparing with conventional tone mapping algorithms.

Quality assurance of Vari-source high dose rate (HDR) brachytherapy- remote after loader and cost effectiveness of Vari-source HDR- brachytherapy: NORI, Islamabad experience

International Nuclear Information System (INIS)

Ahmad, N.; Mahmood, H.; Jafri, S.R.A.

2004-01-01

A quality control of Vari-Source high dose rate (HDR) remote after loading brachytherapy machine was carried out and the cost effectiveness of HDR brachytherapy machine was also evaluated considering the cost of ten Iridium-192 wire sources at Nuclear Medicine, Oncology and Radiotherapy Institute (NORI), Islamabad, Pakistan. A total number of 253 intracavitary insertions were done in 98 patients from October 1996 to May 2001. The results of the quality control tests performed during 1996 to 2001 were within the acceptable limits. The cost effectiveness of Vari-Source HDR brachytherapy machine was also evaluated. The average cost per patient was calculated as US$ 491. Small number of patients was treated as the machine was used for gynecologic malignancies only. The objective was to assess the quality control status of HDR brachytherapy machine on patient treatment day, source exchange day and periodic day (monthly basis). It was found that the cost per patient can be minimized if other type of cancer patients are also treated on Vari-Source HDR machine. (author)

Color sensitivity of the multi-exposure HDR imaging process

Science.gov (United States)

Lenseigne, Boris; Jacobs, Valéry Ann; Withouck, Martijn; Hanselaer, Peter; Jonker, Pieter P.

2013-04-01

Multi-exposure high dynamic range(HDR) imaging builds HDR radiance maps by stitching together different views of a same scene with varying exposures. Practically, this process involves converting raw sensor data into low dynamic range (LDR) images, estimate the camera response curves, and use them in order to recover the irradiance for every pixel. During the export, applying white balance settings and image stitching, which both have an influence on the color balance in the final image. In this paper, we use a calibrated quasi-monochromatic light source, an integrating sphere, and a spectrograph in order to evaluate and compare the average spectral response of the image sensor. We finally draw some conclusion about the color consistency of HDR imaging and the additional steps necessary to use multi-exposure HDR imaging as a tool to measure the physical quantities such as radiance and luminance.

Guidelines for optimization of planar HDR implants

International Nuclear Information System (INIS)

Zwicker, R.D.; Schmidt-Ullrich, R.

1996-01-01

Purpose: Conventional low dose rate (LDR) planar Ir-192 implants are typically carried out using at most a few different source strengths. Remote afterloading offers a much higher degree of flexibility with individually programmable dwell times. Dedicated software is available to generate individual dwell times producing isodose surfaces which contour as closely as possible the target volume. The success of these algorithms in enclosing the target volume while sparing normal tissues is dependent on the positioning of the source guides which constrain the dwell points. In this work we provide source placement guidelines for optimal coverage and dose uniformity in planar high dose rate (HDR) implants. The resulting distributions are compared with LDR treatments in terms of dose uniformity and early and late tissue effects. Materials and methods: Computer studies were undertaken to determine source positions and dwell times for optimal dose uniformity in planar HDR implants, and the results were compared to those obtained using corresponding LDR implant geometries. The improvements in the dose distributions achieved with the remote after loader are expected to help offset the increased late tissue effects which can occur when LDR irradiation is replaced with a few large HDR fractions. Equivalent differential volume-dose (DVD) curves for early and late effects were calculated for different numbers of HDR fractions using a linear-quadratic model and compared to the corresponding curves for the LDR regime. Results: Tables of source placement parameters were generated as guidelines for achieving highly homogeneous planar HDR dose distributions. Differential volume-dose data generated inside the target volume provide a quantitative measure of the improvement in real dose homogeneity obtained with remote afterloading. The net result is a shift of the peak in the DVD curve toward lower doses relative to the LDR implant. The equivalent DVD curves for late effects obtained

MO-B-BRC-00: Prostate HDR Treatment Planning - Considering Different Imaging Modalities

International Nuclear Information System (INIS)

2016-01-01

Brachytherapy has proven to be an effective treatment option for prostate cancer. Initially, prostate brachytherapy was delivered through permanently implanted low dose rate (LDR) radioactive sources; however, high dose rate (HDR) temporary brachytherapy for prostate cancer is gaining popularity. Needle insertion during prostate brachytherapy is most commonly performed under ultrasound (U/S) guidance; however, treatment planning may be performed utilizing several imaging modalities either in an intra- or post-operative setting. During intra-operative prostate HDR, the needles are imaged during implantation, and planning may be performed in real time. At present, the most common imaging modality utilized for intra-operative prostate HDR is U/S. Alternatively, in the post-operative setting, following needle implantation, patients may be simulated with computed tomography (CT) or magnetic resonance imaging (MRI). Each imaging modality and workflow provides its share of benefits and limitations. Prostate HDR has been adopted in a number of cancer centers across the nation. In this educational session, we will explore the role of U/S, CT, and MRI in HDR prostate brachytherapy. Example workflows and operational details will be shared, and we will discuss how to establish a prostate HDR program in a clinical setting. Learning Objectives: Review prostate HDR techniques based on the imaging modality Discuss the challenges and pitfalls introduced by the three imagebased options for prostate HDR brachytherapy Review the QA process and learn about the development of clinical workflows for these imaging options at different institutions

MO-B-BRC-00: Prostate HDR Treatment Planning - Considering Different Imaging Modalities

Energy Technology Data Exchange (ETDEWEB)

NONE

2016-06-15

Brachytherapy has proven to be an effective treatment option for prostate cancer. Initially, prostate brachytherapy was delivered through permanently implanted low dose rate (LDR) radioactive sources; however, high dose rate (HDR) temporary brachytherapy for prostate cancer is gaining popularity. Needle insertion during prostate brachytherapy is most commonly performed under ultrasound (U/S) guidance; however, treatment planning may be performed utilizing several imaging modalities either in an intra- or post-operative setting. During intra-operative prostate HDR, the needles are imaged during implantation, and planning may be performed in real time. At present, the most common imaging modality utilized for intra-operative prostate HDR is U/S. Alternatively, in the post-operative setting, following needle implantation, patients may be simulated with computed tomography (CT) or magnetic resonance imaging (MRI). Each imaging modality and workflow provides its share of benefits and limitations. Prostate HDR has been adopted in a number of cancer centers across the nation. In this educational session, we will explore the role of U/S, CT, and MRI in HDR prostate brachytherapy. Example workflows and operational details will be shared, and we will discuss how to establish a prostate HDR program in a clinical setting. Learning Objectives: Review prostate HDR techniques based on the imaging modality Discuss the challenges and pitfalls introduced by the three imagebased options for prostate HDR brachytherapy Review the QA process and learn about the development of clinical workflows for these imaging options at different institutions.

Seismic investigations of the HDR Safety Program. Summary report

International Nuclear Information System (INIS)

Malcher, L.; Schrammel, D.; Steinhilber, H.; Kot, C.A.

1994-08-01

The primary objective of the seismic investigations, performed at the HDR facility in Kahl/Main, FRG was to validate calculational methods for the seismic evaluation of nuclear-reactor systems, using experimental data from an actual nuclear plant. Using eccentric mass shaker excitation the HDR soil/structure system was tested to incipient failure, exhibiting highly nonlinear response and demonstrating that structures not seismically designed can sustain loads equivalent to a design basin earthquake (DBE). Load transmission from the structure to piping/equipment indicated significant response amplifications and shifts to higher frequencies, while the response of tanks/vessels depended mainly on their support conditions. The evaluation of various piping support configurations demonstrated that proper system design (for a given spectrum) rather than number of supports or system stiffness is important to limiting pipe greens. Piping at loads exceeding the DBE eightfold still had significant margins and failure is improbable inspite of multiple support failures. The mean value for pipe damping, even under extreme loads, was found to be about 4%. Comparison of linear and nonlinear computational results with piping response measurements showed that predictions have a wide scatter and do not necessarily yield conservative responses underpredicting, in particular, peak support forces. For the soil/structure system the quality of the predictions did not depend so much on the complexity of the modeling, but rather on whether the model captured the salient features and nonlinearities of the system

HDR-Clinical Data Service (CDS)

Data.gov (United States)

Department of Veterans Affairs — CDS is a SOAP/REST web service interface that supports Create, Retrieve, Update, and Delete (CRUD) operations against HDR data stores over secure Hypertext Transfer...

Evaluating HDR photos using Web 2.0 technology

Science.gov (United States)

Qiu, Guoping; Mei, Yujie; Duan, Jiang

2011-01-01

High dynamic range (HDR) photography is an emerging technology that has the potential to dramatically enhance the visual quality and realism of digital photos. One of the key technical challenges of HDR photography is displaying HDR photos on conventional devices through tone mapping or dynamic range compression. Although many different tone mapping techniques have been developed in recent years, evaluating tone mapping operators prove to be extremely difficult. Web2.0, social media and crowd-sourcing are emerging Internet technologies which can be harnessed to harvest the brain power of the mass to solve difficult problems in science, engineering and businesses. Paired comparison is used in the scientific study of preferences and attitudes and has been shown to be capable of obtaining an interval-scale ordering of items along a psychometric dimension such as preference or importance. In this paper, we exploit these technologies for evaluating HDR tone mapping algorithms. We have developed a Web2.0 style system that enables Internet users from anywhere to evaluate tone mapped HDR photos at any time. We adopt a simple paired comparison protocol, Internet users are presented a pair of tone mapped images and are simply asked to select the one that they think is better or click a "no difference" button. These user inputs are collected in the web server and analyzed by a rank aggregation algorithm which ranks the tone mapped photos according to the votes they received. We present experimental results which demonstrate that the emerging Internet technologies can be exploited as a new paradigm for evaluating HDR tone mapping algorithms. The advantages of this approach include the potential of collecting large user inputs under a variety of viewing environments rather than limited user participation under controlled laboratory environments thus enabling more robust and reliable quality assessment. We also present data analysis to correlate user generated qualitative

Occurrence Prospect of HDR and Target Site Selection Study in Southeastern of China

Science.gov (United States)

Lin, W.; Gan, H.

2017-12-01

Hot dry rock (HDR) geothermal resource is one of the most important clean energy in future. Site selection a HDR resource is a fundamental work to explore the HDR resources. This paper compiled all the HDR development projects domestic and abroad, and summarized the location of HDR geothermal geological index. After comparing the geological background of HDR in the southeast coastal area of China, Yangjiang Xinzhou in Guangdong province, Leizhou Peninsula area, Lingshui in Hainan province and Huangshadong in Guangzhou were selected from some key potential target area along the southeast coast of China. Deep geothermal field model of the study area is established based on the comprehensive analysis of the target area of deep geothermal geological background and deep thermal anomalies. This paper also compared the hot dry rock resources target locations, and proposed suggestions for the priority exploration target area and exploration scheme.

TU-C-201-01: Clinical Implementation of HDR: A New User’s Perspective

Energy Technology Data Exchange (ETDEWEB)

Al-Hallaq, H. [The University of Chicago (United States)

2015-06-15

Recent use of HDR has increased while planning has become more complex often necessitating 3D image-based planning. While many guidelines for the use of HDR exist, they have not kept pace with the increased complexity of 3D image-based planning. Furthermore, no comprehensive document exists to describe the wide variety of current HDR clinical indications. This educational session aims to summarize existing national and international guidelines for the safe implementation of an HDR program. A summary of HDR afterloaders available on the market and their existing applicators will be provided, with guidance on how to select the best fit for each institution’s needs. Finally, the use of checklists will be discussed as a means to implement a safe and efficient HDR program and as a method by which to verify the quality of an existing HDR program. This session will provide the perspective of expert HDR physicists as well as the perspective of a new HDR user. Learning Objectives: Summarize national and international safety and staffing guidelines for HDR implementation Discuss the process of afterloader and applicator selection for gynecologic, prostate, breast, interstitial, surface treatments Learn about the use of an audit checklist tool to measure of quality control of a new or existing HDR program Describe the evolving use of checklists within an HDR program.

SU-E-T-124: Dosimetric Comparison of HDR Brachytherapy and Intensity Modulated Proton Therapy

Energy Technology Data Exchange (ETDEWEB)

Wu, J [Purdue University, West Lafayette, IN (United States); Wu, H [IUPUI, Indianapolis, IN (United States); Das, I [Indiana University- School of Medicine, Indianapolis, IN (United States)

2014-06-01

Purpose: Brachytherapy is known to be able to deliver more radiation dose to tumor while minimizing radiation dose to surrounding normal tissues. Proton therapy also provides superior dose distribution due to Bragg peak. Since both HDR and Intensity Modulated Proton Therapy (IMPT) are beneficial for their quick dose drop off, our goal in this study is to compare the pace of dose gradient drop-off between HDR and IMPT plans based on the same CT image data-set. In addition, normal tissues sparing were also compared among HDR, IMPT and SBRT. Methods: Five cervical cancer cases treated with EBRT + HDR boost combination with Tandem and Ovoid applicator were used for comparison purpose. Original HDR plans with prescribed dose of 5.5 Gy x 5 fractions were generated and optimized. The 100% isodose line of HDR plans was converted to a dose volume, and treated as CTV for IMPT and SBRT planning. The same HDR CT scans were also used for IMPT plan and SBRT plan for direct comparison. The philosophy of the IMPT and SBRT planning was to create the same CTV coverage as HDR plans. All three modalities treatment plans were compared to each other with a set of predetermined criteria. Results: With similar target volume coverage in cervix cancer boost treatment, HDR provides a slightly sharper dose drop-off from 100% to 50% isodose line, averagely in all directions compared to IMPT. However, IMPT demonstrated more dose gradient drop-off at the junction of the target and normal tissues by providing more normal tissue sparing and superior capability to reduce integral dose. Conclusion: IMPT is capable of providing comparable dose drop-off as HDR. IMPT can be explored as replacement for HDR brachytherapy in various applications.

Simultaneous radiochemotherapy and endoluminal HDR brachytherapy in esophageal cancer; Simultane Radiochemotherapie mit intraluminaler HDR-Brachytherapie des Oesophaguskarzinoms

Energy Technology Data Exchange (ETDEWEB)

Patonay, P.; Naszaly, A.; Mayer, A. [Hauptstaedtisches Zentrum fuer Radioonkologie und Strahlentherapie, Budapest (Hungary)

2007-02-15

Purpose: to study efficacy and toxicity of radiochemotherapy in esophageal cancer including initial endoluminal high-dose-rate brachytherapy (HDR-BT). Patients and methods: between 01/1995 and 06/2005, 61 patients with esophageal cancer were treated preoperatively with definitive and palliative intent. Treatment started with intraluminal HDR-BT for recanalization of the esophagus (single fraction size of 8 Gy in 0.5 cm depth, three times, q7d) followed by external-beam radiation therapy (50 Gy total dose, 5 x 2 Gy/week, 25 fractions in 5 weeks). Chemotherapy was started simultaneously with external irradiation (three courses of cisplatin and 5-fluorouracil, q21d). Results: swallowing function improved in 55/61 patients (dysphagia classification according to the RTOG), and worsened in 6/61 patients, respectively. Median duration of symptomatic improvement was 11 months, median follow-up 12 months (range 3-68 months). Following simultaneous radiochemotherapy, tumor resectability was achieved in 7/25 patients of the neoadjuvant group, and the histological specimen showed complete remission in 6/7 patients. Conclusion: these results indicate a favorable effect of simultaneous radiochemotherapy starting with endoluminal HDR-after-loading-(AL-)BT in esophageal cancer. (orig.)

Radiobiological considerations in gynaecological HDR and LDR brachytherapy

International Nuclear Information System (INIS)

Bauer, M.; Schulz-Wendtland, R.

1989-01-01

In brachytherapy the advantages of high dose rate over low dose rate afterloading therapy were obvious. Out-patient treatment becomes possible, the position of the sources is reproducible and can be observed during the treatment and the patients have to be immobilised for only a short time, giving less psychological stress and a decreased risk of thrombosis and embolism. When changing from LDR to HDR afterloading therapy we are not yet able to evaluate its biological impact. Radiobiological considerations and our experimental data, however, give us the following clinical consequences by using HDR brachytherapy: There is a need for about 15 fractions or more and each increase in dose rate requires higher fractioning. Due to the steep dose rate decline and the inhomogeneous dose distribution, multiple equivalence factors are necessary when fractioning is not sufficiently high. Correction factors to reduce the dose close to the source are low, with increasing distance from the source they increase. If HDR radiation therapy is used, the percutaneous dose in the pelvic wall region should be reduced. The reduction of the dose in HDR brachytherapy is a compromise to limit the side effects caused by the radiation. The drawback is a small therapeutic range and reduced therapeutic effectivity at the tumour. (orig.) [de

Dose rate considerations in brachytherapy: biological equivalence of LDR and HDR

International Nuclear Information System (INIS)

Orton, C.G.

1994-01-01

The linear-quadratic model for cell survival and bioeffect doses is discussed and equations for low dose rate (LDR), high dose rate (HDR) and intermediate situations are presented. The model, when used to define LDR and single fractions of HDR, shows, that these correspond to irradiations lasting longer than about 14 hours or shorter than about 0.7 hours, respectively. It is shown that, for HDR to be as safe and effective as LDR, the dose-rate effect of LDR has to be replaced by the fractionation-effect of HDR. This is necessary in order to take advantage of the differential repair characteristics between late-reacting normal tissue and tumor cells at low doses and low dose rates. Using the linear-quadratic model to simulate repair mathematically, it is shown that the number of fractions required is highly dependent upon what parameters are assumed for normal tissues and tumor, as well as whether or not there is any physical advantage gained by conversion from LDR to HDR. (author). 20 refs., 7 figs

Traceable calibration of hospital 192Ir HDR sources

International Nuclear Information System (INIS)

Govinda Rajan, K.N.; Sharma, S.D.; Palaniselvam, T.; Vandana, S.; Bhatt, B.C.; Vinatha, S.; Patki, V.S.; Pendse, A.M.; Kannan, V.

2004-01-01

A HDR 1000 PLUS well type ionization chamber, procured from Standard Imaging, USA, and maintained by medical Physics and Safety Section (MPSS), Bhabha Atomic Research Centre (BARC), India, as a reference well chamber 1 (RWCH1), was traceably calibrated against the primary standard established by Radiological Standards Laboratory (RSL), BARC for 192 Ir HDR source, in terms of air kerma strength (AKS). An indigenously developed well-type ionization chamber, reference well chamber 2 (RWCH2) and electrometer system, fabricated by CD High Tech (CDHT) Instruments Private Ltd., Bangalore, India, was in turn calibrated against RWCH1. The CDHT system (i.e. RWCH2 and CDHT electrometer system) was taken to several hospitals, in different regions of the country, to check the calibration status of 192 Ir HDR sources. The result of this calibration audit work is reported here. (author)

HDR-Aggregate Read Service (ARS)

Data.gov (United States)

Department of Veterans Affairs — ARS is a SOAP web service exposed over HTTPS that provides an aggregated (report) view of HTH Survey, DMP and Census data stored in the HDR DB. ARS is deployed in...

Axial stability of VVER-1000 reactor with control with minimum standard deviation

International Nuclear Information System (INIS)

Afanas'ev, A.M.; Torlin, B.Z.

1980-01-01

Results are given of investigations on the stability of a reactor which has, in addition to an automatic controller, a height distribution regulator (HDR) based on an auxiliary control rod (CR) or a special shortened absorption rod (SAR). The HDR was controlled by using either a special ionization chamber (IC), generating an imbalance signal which sets the CR in motion, or two ionization chambers whose difference signal causes a displacement of the SAR. Since data from numerous pickups can be used to control the height field of the VVER-1000, it is of interest to analyze how this would affect the stability of the reactor. The analysis was carried out with the improved IRINA programs. 11 refs

SU-F-BRA-04: Prostate HDR Brachytherapy with Multichannel Robotic System

International Nuclear Information System (INIS)

Joseph, F Maria; Podder, T; Yu, Y

2015-01-01

Purpose: High-dose-rate (HDR) brachytherapy is gradually becoming popular in treating patients with prostate cancers. However, placement of the HDR needles at desired locations into the patient is challenging. Application of robotic system may improve the accuracy of the clinical procedure. This experimental study is to evaluate the feasibility of using a multichannel robotic system for prostate HDR brachytherapy. Methods: In this experimental study, the robotic system employed was a 6-DOF Multichannel Image-guided Robotic Assistant for Brachytherapy (MIRAB), which was designed and fabricated for prostate seed implantation. The MIRAB has the provision of rotating 16 needles while inserting them. Ten prostate HDR brachytherapy needles were simultaneously inserted using MIRAB into a commercially available prostate phantom. After inserting the needles into the prostate phantom at desired locations, 2mm thick CT slices were obtained for dosimetric planning. HDR plan was generated using Oncetra planning system with a total prescription dose of 34Gy in 4 fractions. Plan quality was evaluated considering dose coverage to prostate and planning target volume (PTV), with 3mm margin around prostate, as well as the dose limit to the organs at risk (OARs) following the American Brachytherapy Society (ABS) guidelines. Results: From the CT scan, it is observed that the needles were inserted straight into the desired locations and they were adequately spaced and distributed for a clinically acceptable HDR plan. Coverage to PTV and prostate were about 91% (V100= 91%) and 96% (V100=96%), respectively. Dose to 1cc of urethra, rectum, and bladder were within the ABS specified limits. Conclusion: The MIRAB was able to insert multiple needles simultaneously into the prostate precisely. By controlling the MIRAB to insert all the ten utilized needles into the prostate phantom, we could achieve the robotic HDR brachytherapy successfully. Further study for assessing the system�

Development of optimized dosimetric models for HDR brachytherapy

International Nuclear Information System (INIS)

Thayalan, K.; Jagadeesan, M.

2003-01-01

High dose rate brachytherapy (HDRB) systems are in clinical use for more than four decades particularly in cervical cancer. Optimization is the method to produce dose distribution which assures that doses are not compromised at the treatment sites whilst reducing the risk of overdosing critical organs. Hence HDRB optimization begins with the desired dose distribution and requires the calculations of the relative weighting factors for each dwell position with out changing the source activity. The optimization for Ca. uterine cervix treatment is simply duplication of the dose distribution used for Low dose rate (LDR) applications. In the present work, two optimized dosimetric models were proposed and studied thoroughly, to suit the local clinical conditions. These models are named as HDR-C and HDR-D, where C and D represent configuration and distance respectively. These models duplicate exactly the LDR pear shaped dose distribution, which is a golden standard. The validity of these models is tested in different clinical situations and in actual patients (n=92). These models: HDR-C and HDR-D reduce bladder dose by 11.11% and 10% and rectal dose by 8% and 7% respectively. The treatment time is also reduced by 12-14%. In a busy hospital setup, these models find a place to cater large number of patients, while addressing individual patients geometry. (author)

Distribution of hydrogen within the HDR-containment under severe accident conditions. OECD standard problem. Final comparison report

Energy Technology Data Exchange (ETDEWEB)

Karwat, H

1992-08-15

The present report summarizes the results of the International Standard Problem Exercise ISP-29, based on the HDR Hydrogen Distribution Experiment E11.2. Post-test analyses are compared to experimentally measured parameters, well-known to the analysis. This report has been prepared by the Institute for Reactor Dynamics and Reactor Safety of the Technical University Munich under contract with the Gesellschaft fuer Anlagen- und Reaktorsicherheit (GRS) which received funding for this activity from the German Ministry for Research and Technology (BMFT) under the research contract RS 792. The HDR experiment E11.2 has been performed by the Kernforschungszentrum Karlsruhe (KfK) in the frame of the project 'Projekt HDR-Sicherheitsprogramm' sponsored by the BMFT. Ten institutions from eight countries participated in the post-test analysis exercise which was focussing on the long-lasting gas distribution processes expected inside a PWR containment under severe accident conditions. The gas release experiment was coupled to a long-lasting steam release into the containment typical for an unmitigated small break loss-of-coolant accident. In lieu of pure hydrogen a gas mixture consisting of 15% hydrogen and 85% helium has been applied in order to avoid reaching flammability during the experiment. Of central importance are common overlay plots comparing calculated transients with measurements of the global pressure, the local temperature-, steam- and gas concentration distributions throughout the entire HDR containment. The comparisons indicate relatively large margins between most calculations and the experiment. Having in mind that this exercise was specified as an 'open post-test' analysis of well-known measured data the reasons for discrepancies between measurements and simulations were extensively discussed during a final workshop. It was concluded that analytical shortcomings as well as some uncertainties of experimental boundary conditions may be responsible for deviations

Distribution of hydrogen within the HDR-containment under severe accident conditions. OECD standard problem. Final comparison report

International Nuclear Information System (INIS)

Karwat, H.

1992-08-01

The present report summarizes the results of the International Standard Problem Exercise ISP-29, based on the HDR Hydrogen Distribution Experiment E11.2. Post-test analyses are compared to experimentally measured parameters, well-known to the analysis. This report has been prepared by the Institute for Reactor Dynamics and Reactor Safety of the Technical University Munich under contract with the Gesellschaft fuer Anlagen- und Reaktorsicherheit (GRS) which received funding for this activity from the German Ministry for Research and Technology (BMFT) under the research contract RS 792. The HDR experiment E11.2 has been performed by the Kernforschungszentrum Karlsruhe (KfK) in the frame of the project 'Projekt HDR-Sicherheitsprogramm' sponsored by the BMFT. Ten institutions from eight countries participated in the post-test analysis exercise which was focussing on the long-lasting gas distribution processes expected inside a PWR containment under severe accident conditions. The gas release experiment was coupled to a long-lasting steam release into the containment typical for an unmitigated small break loss-of-coolant accident. In lieu of pure hydrogen a gas mixture consisting of 15% hydrogen and 85% helium has been applied in order to avoid reaching flammability during the experiment. Of central importance are common overlay plots comparing calculated transients with measurements of the global pressure, the local temperature-, steam- and gas concentration distributions throughout the entire HDR containment. The comparisons indicate relatively large margins between most calculations and the experiment. Having in mind that this exercise was specified as an 'open post-test' analysis of well-known measured data the reasons for discrepancies between measurements and simulations were extensively discussed during a final workshop. It was concluded that analytical shortcomings as well as some uncertainties of experimental boundary conditions may be responsible for deviations

Robust Estimation of HDR in fMRI using H-infinity Filters

DEFF Research Database (Denmark)

Puthusserypady, Sadasivan; Jue, R.; Ratnarajah, T.

2010-01-01

Estimation and detection of the hemodynamic response (HDR) are of great importance in functional MRI (fMRI) data analysis. In this paper, we propose the use of three H-infinity adaptive filters (finite memory, exponentially weighted, and timevarying) for accurate estimation and detection of the HDR......-1487]. Performances of the proposed techniques are compared to the conventional t-test method as well as the well-known LMSs and recursive least squares algorithms. Extensive numerical simulations show that the proposed methods result in better HDR estimations and activation detections....

Coexistence Mechanism for Colocated HDR/LDR WPANs Air Interfaces

Directory of Open Access Journals (Sweden)

Prasad Ramjee

2010-01-01

Full Text Available This paper addresses the issues of interference management among Low Data Rate (LDR and High Data Rate (HDR WPAN air interfaces that are located in close-proximity (up to 10 cm and eventually on the same multimode device. After showing the noticeable performance degradation in terms of Bit Error Rate (BER and goodput due to the out-of-band interference of an HDR air interface over an LDR air interface, the paper presents a novel coexistence mechanism, named Alternating Wireless Activity (AWA, which is shown to greatly improve the performance in terms of goodput of the most interference vulnerable air interface (i.e., the LDR air interface. The main difference of the proposed mechanism with respect to other collaborative mechanisms based on time-scheduling is that it synchronizes the transmission of the LDR and HDR WPANs at the superframe level instead of packet level. Advantages and limitations of this choice are presented in the paper. Furthermore the functionalities of the AWA mechanism are positioned in a common protocol layer over the Medium Access Control (MAC sublayers of the HDR and LDR devices and it can be used with any standard whose MAC is based on a superframe structure.

Cost modelling of electricity producing hot dry rock (HDR) geothermal systems in the UK

International Nuclear Information System (INIS)

Doherty, P.S.

1992-03-01

A detailed and comprehensive cost model for Hot Dry Rock (HDR) electricity producing systems has been developed in this study. The model takes account of the major aspects of the HDR system, parameterized in terms of the main physical and cost parameters of the resource and the utilization system. A doublet configuration is assumed, and the conceptual HDR system which is defined in the study is based upon the UK Department of Energy (DEn) HDR geothermal R and D programme. The model has been used to calculate the costs of HDR electricity for a UK defined base case which represents a consensus view of what might be achieved in Cornwall in the long term. At 14.2 p/kWh (1988 costs) this cost appears to be unacceptably high. A wide-ranging sensitivity study has also been carried out on the main resource, geometrical, and operational parameters of the HDR system centred around the UK base case. The sensitivity study shows the most important parameters to be thermal gradient and depth. (Author)

Cost modelling of electricity-producing hot dry rock (HDR) geothermal systems in the United Kingdom

International Nuclear Information System (INIS)

Doherty, P.; Harrison, R.

1995-01-01

A detailed and comprehensive cost model for Hot Dry Rock (HDR) electricity producing systems has been developed in this study. The model takes account of the major aspects of the HDR system, parameterized in terms of the main physical and cost parameters of the resource and the utilization system. A doublet configuration is assumed, and the conceptual HDR system which is defined in the study is based upon the UK Department of Energy (DEn) HDR geothermal R and D programme. The model has been used to calculate the costs of HDR electricity for a UK defined base case which represents a consensus view of what might be achieved in Cornwall in the long term. At 14.2 p/kWh (1988 costs) this cost appears to be unacceptably high. A wide-ranging sensitivity study has also been carried out on the main resource, geometrical, and operational parameters of the HDR system centred around the UK base case. The sensitivity study shows the most important parameters to be thermal gradient and depth. The geometrical arrangement and the shape of the reservoir constitute major uncertainties in HDR systems. Their effect on temperature has a major influence on system performance, and therefore a range of theoretically possible geometries have been studied and the importance of geometrical effects on HDR electricity costs assessed. The most cost effective HDR arrangement in terms of optimized volumes and flow rates has been investigated for a world-wide range of thermal settings. The main conclusions from this study suggests that for HDR electricity to be economic, thermal gradients of 55 o C/km and above, well depths of 5 km or less, and production fluid temperatures of 210 o C and above are required. (UK)

HDR ühest kaadrist? / Janno Loide

Index Scriptorium Estoniae

Loide, Janno

2008-01-01

HDR-töötluse (High dynamic range - pildi kõrge dünaamiline ulatus) ja toonide kohandamise (tone mapping) meetodite kasutamisest pildi digitaalsel salvestusel ning sobiva hele-tumeduse leidmisel loodusfotode parema kvaliteedi saamiseks

A dosimetric selectivity intercomparison of HDR brachytherapy, IMRT and helical tomotherapy in prostate cancer radiotherapy

Energy Technology Data Exchange (ETDEWEB)

Hermesse, Johanne; Biver, Sylvie; Jansen, Nicolas; Coucke, Philippe [Dept. of Radiation Oncology, Liege Univ. Hospital (Belgium); Lenaerts, Eric [Dept. of Medical Physics, Liege Univ. Hospital (Belgium); De Patoul, Nathalie; Vynckier, Stefaan [Dept. of Medical Physics, St Luc Univ. Hospital, Brussels (Belgium); Scalliet, Pierre [Dept. of Radiation Oncology, St Luc Univ. Hospital, Brussels (Belgium); Nickers, Philippe [Dept. of Radiation Oncology, Oscar Lambret Center, Lille (France)

2009-11-15

Background and purpose: dose escalation in order to improve the biochemical control in prostate cancer requires the application of irradiation techniques with high conformality. The dosimetric selectivity of three radiation modalities is compared: high-dose-rate brachytherapy (HDR-BT), intensity-modulated radiation radiotherapy (IMRT), and helical tomotherapy (HT). Patients and methods: ten patients with prostate adenocarcinoma treated by a 10-Gy HDR-BT boost after external-beam radiotherapy were investigated. For each patient, HDR-BT, IMRT and HT theoretical treatment plans were realized using common contour sets. A 10-Gy dose was prescribed to the planning target volume (PTV). The PTVs and critical organs' dose-volume histograms obtained were compared using Student's t-test. Results: HDR-BT delivers spontaneously higher mean doses to the PTV with smaller cold spots compared to IMRT and HT. 33% of the rectal volume received a mean HDR-BT dose of 3.86 {+-} 0.3 Gy in comparison with a mean IMRT dose of 6.57 {+-} 0.68 Gy and a mean HT dose of 5.58 {+-} 0.71 Gy (p < 0.0001). HDR-BT also enables to better spare the bladder. The hot spots inside the urethra are greater with HDR-BT. The volume of healthy tissue receiving 10% of the prescribed dose is reduced at least by a factor of 8 with HDR-BT (p < 0.0001). Conclusion: HDR-BT offers better conformality in comparison with HT and IMRT and reduces the volume of healthy tissue receiving a low dose. (orig.)

Preliminary results of study comparing HDR with LDR brachytherapy for IIIb cervical cancer

International Nuclear Information System (INIS)

Trippe, N.; Pellizzon, A.C.A.; Novaes, P.; Salvajoli, J.V.; Fogaroli, R.; Maia, M.A.C.; Baraldi, H.; Ferrigno, R.

1996-01-01

Since 1992 we have been using a Micro-Selectron HDR device, working with Iridium 192 to treat the cervical cancer and some others pathologies. With a minimum follow up of 24 months, 59 patients with cervical cancer were randomizated for one of the following schedule of treatment: EBRT - 45Gy - fx 1,8Gy plus Brachytherapy 1-HDR - 36 (61%) - 4 weekly insertions of 6,0Gy at point A 2-LDR - 29 (39%) - two insertions fifteen days apart of 17,5Gy at point A EBRT was performed with a Linac 4MV, in box arrangement and parametrial complementation of dose with AP-PA fields. For Brachytherapy Fletcher Colpostats are used in association with intrauterine tamdens, in both arms. Brachyterapy starts in HDR group after ten days of the beginning of the treatment. The total time of treatment is shortened here in two weeks. LDR brachytherapy starts only after the end of EBRT. Results - local control was 61% in 12 months and 50% in 24 months for HDR group, versus 52,6% and 47,8% for LDR group. Local failures of 39% and 50% in 12 and 24 months for HDR and 47,8% and 52,8% for LDR groups respectively. Complications were restricted to rectites and cistites - 8,3% for HDR and 13% for LDR. Conclusions - HDR brachytherapy has an equivalent local control when compared to LDR, can treat a larger number of patients in a shorter period, has possibilities of dose optimizations and decrease the radiation exposure to the staff

LDR vs. HDR brachytherapy for localized prostate cancer: the view from radiobiological models.

Science.gov (United States)

King, Christopher R

2002-01-01

Permanent LDR brachytherapy and temporary HDR brachytherapy are competitive techniques for clinically localized prostate radiotherapy. Although a randomized trial will likely never be conducted comparing these two forms of brachytherapy, a comparative radiobiological modeling analysis proves useful in understanding some of their intrinsic differences, several of which could be exploited to improve outcomes. Radiobiological models based upon the linear quadratic equations are presented for fractionated external beam, fractionated (192)Ir HDR brachytherapy, and (125)I and (103)Pd LDR brachytherapy. These models incorporate the dose heterogeneities present in brachytherapy based upon patient-derived dose volume histograms (DVH) as well as tumor doubling times and repair kinetics. Radiobiological parameters are normalized to correspond to three accepted clinical risk factors based upon T-stage, PSA, and Gleason score to compare models with clinical series. Tumor control probabilities (TCP) for LDR and HDR brachytherapy (as monotherapy or combined with external beam) are compared with clinical bNED survival rates. Predictions are made for dose escalation with HDR brachytherapy regimens. Model predictions for dose escalation with external beam agree with clinical data and validate the models and their underlying assumptions. Both LDR and HDR brachytherapy achieve superior tumor control when compared with external beam at conventional doses (LDR brachytherapy as boost achieves superior tumor control than when used as monotherapy. Stage for stage, both LDR and current HDR regimens achieve similar tumor control rates, in agreement with current clinical data. HDR monotherapy with large-dose fraction sizes might achieve superior tumor control compared with LDR, especially if prostate cancer possesses a high sensitivity to dose fractionation (i.e., if the alpha/beta ratio is low). Radiobiological models support the current clinical evidence for equivalent outcomes in localized

Evaluation of a HDR image sensor with logarithmic response for mobile video-based applications

Science.gov (United States)

Tektonidis, Marco; Pietrzak, Mateusz; Monnin, David

2017-10-01

The performance of mobile video-based applications using conventional LDR (Low Dynamic Range) image sensors highly depends on the illumination conditions. As an alternative, HDR (High Dynamic Range) image sensors with logarithmic response are capable to acquire illumination-invariant HDR images in a single shot. We have implemented a complete image processing framework for a HDR sensor, including preprocessing methods (nonuniformity correction (NUC), cross-talk correction (CTC), and demosaicing) as well as tone mapping (TM). We have evaluated the HDR sensor for video-based applications w.r.t. the display of images and w.r.t. image analysis techniques. Regarding the display we have investigated the image intensity statistics over time, and regarding image analysis we assessed the number of feature correspondences between consecutive frames of temporal image sequences. For the evaluation we used HDR image data recorded from a vehicle on outdoor or combined outdoor/indoor itineraries, and we performed a comparison with corresponding conventional LDR image data.

Characteristics of hearing loss in HDR (hypoparathyroidism, sensorineural deafness, renal dysplasia) syndrome

NARCIS (Netherlands)

van Looij, Marjolein A. J.; Meijers-Heijboer, Hanne; Beetz, Rolf; Thakker, Rajesh V.; Christie, Paul T.; Feenstra, Lou W.; van Zanten, Bert G. A.

2006-01-01

Haploinsufficiency of the zinc finger transcription factor GATA3 causes the triad of hypoparathyroidism, deafness and renal dysplasia, known by its acronym HDR syndrome. The purpose of the current study was to describe in detail the auditory phenotype in human HDR patients and compare these to

HDR imaging and color constancy: two sides of the same coin?

Science.gov (United States)

McCann, John J.

2011-01-01

At first, we think that High Dynamic Range (HDR) imaging is a technique for improved recordings of scene radiances. Many of us think that human color constancy is a variation of a camera's automatic white balance algorithm. However, on closer inspection, glare limits the range of light we can detect in cameras and on retinas. All scene regions below middle gray are influenced, more or less, by the glare from the bright scene segments. Instead of accurate radiance reproduction, HDR imaging works well because it preserves the details in the scene's spatial contrast. Similarly, on closer inspection, human color constancy depends on spatial comparisons that synthesize appearances from all the scene segments. Can spatial image processing play similar principle roles in both HDR imaging and color constancy?

Needle displacement during HDR brachytherapy in the treatment of prostate cancer

International Nuclear Information System (INIS)

Damore, Steven J.; Syed, A.M. Nisar; Puthawala, Ajmel A.; Sharma, Anil

2000-01-01

Purpose: We used clinical patient data to examine implant displacement between high dose rate (HDR) brachytherapy fractions for prostate cancer to determine its impact on treatment delivery. Materials and Methods: We analyzed the verification films taken prior to each fraction for 96 consecutive patients treated with HDR brachytherapy boosts as part of their radiation therapy for definitive treatment of organ-confined prostate cancer at our institution. Patients were treated with 18-24 Gy in 4 fractions of HDR delivered in 40 hours followed by 36-39.6 Gy external beam radiation to the prostate. We determined the mean and maximum displacement distances of marker seeds placed in the prostate and of the implanted needles between HDR fractions. Results: Mean and maximum displacement distances between fractions were documented up to 7.6 mm and 28.5 mm, respectively, for the implant needles and 3.6 mm and 11.4 mm, respectively, for the gold marker seeds. All displacement of implant needles occurred in the caudal direction. At least 1 cm caudal displacement of needles occurred prior to 15.5% all fractions. Manual adjustment of needles was required prior to 15% of fractions, and adjustment of the CLP only was required in 24%. Most of the displacement for both the marker seeds and needles occurred between the first and second fractions. Conclusions: There is significant caudal displacement of interstitial implant needles between HDR fractions in our prostate cancer patients. Obtaining verification films and making adjustments in the treatment volume prior to each fraction is necessary to avoid significant inaccuracies in treatment delivery

Quality assurance of HDR prostate plans: Program implementation at a community hospital

International Nuclear Information System (INIS)

Rush, Jennifer B.; Thomas, Michael D.

2005-01-01

Adenocarcinoma of the prostate is currently the most commonly diagnosed cancer in men in the United States, and the second leading cause of cancer mortality. The utilization of radiation therapy is regarded as the definitive local therapy of choice for intermediate- and high-risk disease, in which there is increased risk for extracapsular extension, seminal vesicle invasion, or regional node involvement. High-dose-rate (HDR) brachytherapy is a logical treatment modality to deliver the boost dose to an external beam radiation therapy (EBRT) treatment to increase local control rates. From a treatment perspective, the utilization of a complicated treatment delivery system, the compressed time frame in which the procedure is performed, and the small number of large dose fractions make the implementation of a comprehensive quality assurance (QA) program imperative. One aspect of this program is the QA of the HDR treatment plan. Review of regulatory and medical physics professional publications shows that substantial general guidance is available. We provide some insight to the implementation of an HDR prostate plan program at a community hospital. One aspect addressed is the utilization of the low-dose-rate (LDR) planning system and the use of existing ultrasound image sets to familiarize the radiation therapy team with respect to acceptable HDR implant geometries. Additionally, the use of the LDR treatment planning system provided a means to prospectively determine the relationship between the treated isodose volume and the product of activity and time for the department's planning protocol prior to the first HDR implant. For the first 12 HDR prostate implants, the root-mean-square (RMS) deviation was 3.05% between the predicted product of activity and time vs. the actual plan values. Retrospective re-evaluation of the actual implant data reduced the RMS deviation to 2.36%

Quality assurance of HDR prostate plans: program implementation at a community hospital.

Science.gov (United States)

Rush, Jennifer B; Thomas, Michael D

2005-01-01

Adenocarcinoma of the prostate is currently the most commonly diagnosed cancer in men in the United States, and the second leading cause of cancer mortality. The utilization of radiation therapy is regarded as the definitive local therapy of choice for intermediate- and high-risk disease, in which there is increased risk for extracapsular extension, seminal vesicle invasion, or regional node involvement. High-dose-rate (HDR) brachytherapy is a logical treatment modality to deliver the boost dose to an external beam radiation therapy (EBRT) treatment to increase local control rates. From a treatment perspective, the utilization of a complicated treatment delivery system, the compressed time frame in which the procedure is performed, and the small number of large dose fractions make the implementation of a comprehensive quality assurance (QA) program imperative. One aspect of this program is the QA of the HDR treatment plan. Review of regulatory and medical physics professional publications shows that substantial general guidance is available. We provide some insight to the implementation of an HDR prostate plan program at a community hospital. One aspect addressed is the utilization of the low-dose-rate (LDR) planning system and the use of existing ultrasound image sets to familiarize the radiation therapy team with respect to acceptable HDR implant geometries. Additionally, the use of the LDR treatment planning system provided a means to prospectively determine the relationship between the treated isodose volume and the product of activity and time for the department's planning protocol prior to the first HDR implant. For the first 12 HDR prostate implants, the root-mean-square (RMS) deviation was 3.05% between the predicted product of activity and time vs. the actual plan values. Retrospective re-evaluation of the actual implant data reduced the RMS deviation to 2.36%.

The use of nomograms in LDR-HDR prostate brachytherapy.

Science.gov (United States)

Pujades, Ma Carmen; Camacho, Cristina; Perez-Calatayud, Jose; Richart, José; Gimeno, Jose; Lliso, Françoise; Carmona, Vicente; Ballester, Facundo; Crispín, Vicente; Rodríguez, Silvia; Tormo, Alejandro

2011-09-01

The common use of nomograms in Low Dose Rate (LDR) permanent prostate brachytherapy (BT) allows to estimate the number of seeds required for an implant. Independent dosimetry verification is recommended for each clinical dosimetry in BT. Also, nomograms can be useful for dose calculation quality assurance and they could be adapted to High Dose Rate (HDR). This work sets nomograms for LDR and HDR prostate-BT implants, which are applied to three different institutions that use different implant techniques. Patients treated throughout 2010 till April 2011 were considered for this study. This example was chosen to be the representative of the latest implant techniques and to ensure consistency in the planning. A sufficient number of cases for both BT modalities, prescription dose and different work methodology (depending on the institution) were taken into account. The specific nomograms were built using the correlation between the prostate volume and some characteristic parameters of each BT modality, such as the source Air Kerma Strength, number of implanted seeds in LDR or total radiation time in HDR. For each institution and BT modality, nomograms normalized to the prescribed dose were obtained and fitted to a linear function. The parameters of the adjustment show a good agreement between data and the fitting. It should be noted that for each institution these linear function parameters are different, indicating that each centre should construct its own nomograms. Nomograms for LDR and HDR prostate brachytherapy are simple quality assurance tools, specific for each institution. Nevertheless, their use should be complementary to the necessary independent verification.

The use of nomograms in LDR-HDR prostate brachytherapy

Directory of Open Access Journals (Sweden)

Ma Carmen Pujades

2011-09-01

Full Text Available Purpose: The common use of nomograms in Low Dose Rate (LDR permanent prostate brachytherapy (BT allowsto estimate the number of seeds required for an implant. Independent dosimetry verification is recommended for eachclinical dosimetry in BT. Also, nomograms can be useful for dose calculation quality assurance and they could be adaptedto High Dose Rate (HDR. This work sets nomograms for LDR and HDR prostate-BT implants, which are applied tothree different institutions that use different implant techniques. Material and methods: Patients treated throughout 2010 till April 2011 were considered for this study. This examplewas chosen to be the representative of the latest implant techniques and to ensure consistency in the planning. A sufficientnumber of cases for both BT modalities, prescription dose and different work methodology (depending on theinstitution were taken into account. The specific nomograms were built using the correlation between the prostatevo lume and some characteristic parameters of each BT modality, such as the source Air Kerma Strength, numberof implanted seeds in LDR or total radiation time in HDR. Results: For each institution and BT modality, nomograms normalized to the prescribed dose were obtained andfitted to a linear function. The parameters of the adjustment show a good agreement between data and the fitting.It should be noted that for each institution these linear function parameters are different, indicating that each centreshould construct its own nomograms. Conclusions: Nomograms for LDR and HDR prostate brachytherapy are simple quality assurance tools, specific foreach institution. Nevertheless, their use should be complementary to the necessary independent verification.

The relative efficacy of HDR and LDR interstitial brachytherapy in squamous cell carcinoma of vagina

International Nuclear Information System (INIS)

Demanes, D. J.; Hsu, I-C.; Lin, S.; Ewing, T.; Rodriguez, R.

1996-01-01

Introduction: Beginning in 1982 we performed low dose rate (LDR) interstitial template brachytherapy (ISTB) for carcinoma of the vagina. High dose rate (HDR) remote afterloading has been used exclusively since 1991. We compare the results LDR and HDR brachytherapy. Material and Methods: Between 1982 and 1994, 30 patients with primary squamous cell carcinoma of vagina received external beam radiotherapy (EBRT) and brachytherapy. The AJCC stage distribution was 3 stage I, 25 stage II, and 2 stage III. The average central pelvic EBRT dose was 35 Gy. Pelvic side wall EBRT doses ranged from 45 to 50.4 Gy. Nineteen patients had LDR treatment; 3 intracavitary brachytherapy (ICB) and 16 ISTB. Eleven patients had HDR treatment; 2 ICB and 9 ISB. The average dose delivered by LDR was 41.2 Gy usually in 2 fractions, and by HDR 32.5 Gy in 6 fractions of 500-550 cGy. Local failures were confirmed pathologically. The absolute survival (AS) and relapse-free survival (RFS) were calculated using Kaplan-Meier method and compared with logrank statistics. Results: The mean follow-up was 77 months for LDR and 23 months for HDR. Local and regional control was achieved in 90% (27/30) of the patients. Three year AS was 84% and RFS was 87%. There was no significant difference between LDR and HDR in AS, RFS or local-regional control, (log rank p=0.85, p=0.12 and p=0.35 respectively). The single HDR local failure presented in a patient with extensive stage II disease who declined ISTB. There were fewer complications following HDR. The 1 case of extensive vaginal necrosis and the 3 cases of rectovaginal fistula that required surgery occurred only with LDR brachytherapy. Discussion: Excellent local and regional control of carcinoma of the vagina can be achieved by administering limited doses of external radiation and brachytherapy. Interstitial template implants are the best means of encompassing paravaginal disease while sparing the adjacent uninvolved normal tissues from high doses of

Comparison of radiation shielding requirements for HDR brachytherapy using 169Yb and 192Ir sources

International Nuclear Information System (INIS)

Lymperopoulou, G.; Papagiannis, P.; Sakelliou, L.; Georgiou, E.; Hourdakis, C. J.; Baltas, D.

2006-01-01

169 Yb has received a renewed focus lately as an alternative to 192 Ir sources for high dose rate (HDR) brachytherapy. Following the results of a recent work by our group which proved 169 Yb to be a good candidate for HDR prostate brachytherapy, this work seeks to quantify the radiation shielding requirements for 169 Yb HDR brachytherapy applications in comparison to the corresponding requirements for the current 192 Ir HDR brachytherapy standard. Monte Carlo simulation (MC) is used to obtain 169 Yb and 192 Ir broad beam transmission data through lead and concrete. Results are fitted to an analytical equation which can be used to readily calculate the barrier thickness required to achieve a given dose rate reduction. Shielding requirements for a HDR brachytherapy treatment room facility are presented as a function of distance, occupancy, dose limit, and facility workload, using analytical calculations for both 169 Yb and 192 Ir HDR sources. The barrier thickness required for 169 Yb is lower than that for 192 Ir by a factor of 4-5 for lead and 1.5-2 for concrete. Regarding 169 Yb HDR brachytherapy applications, the lead shielding requirements do not exceed 15 mm, even in highly conservative case scenarios. This allows for the construction of a lead door in most cases, thus avoiding the construction of a space consuming, specially designed maze. The effects of source structure, attenuation by the patient, and scatter conditions within an actual treatment room on the above-noted findings are also discussed using corresponding MC simulation results

SU-D-19A-07: Dosimetric Comparison of HDR Plesiotherapy and Electron Beam Therapy for Superficial Lesions

Energy Technology Data Exchange (ETDEWEB)

Mitchell, A; Jacob, D; Andreou, K; Raben, A; Chen, H; Koprowski, C; Mourtada, F [Christiana Care Hospital, Newark, DE (United States)

2014-06-01

Purpose: Large superficial (skin, soft tissue sarcoma) lesions located on curved areas are hard to treat with electrons. The Freiburg Flap (Nucletron, Netherlands) is a flexible mesh style surface which can be easily shaped to fit curved surfaces for reproducible HDR fraction delivery. To understand the fundamental dosimetric differences, a dosimetric comparison was made between HDR plesiotherapy (Freiburg applicator for lesions over 4cm) and external electron beam radiotherapy over cases with varying target curvature (both stylized and clinical cases). Methods: Four stylized cases with variable complexity were created using artificial DICOM axial CT slices and RT structures (a square and three curved structures on a 4.5cm radius cylinder). They were planned using Oncentra v4.3 and exported to Pinnacle v9.6 for electrons planning. The HDR source dwell positions were optimized for the best coverage of the targets using graphical optimization. Electron treatment plans were created in Pinnacle using the same CT and RT structures of three HDR cases with surface lesions previously treated with the Freiburg flap. The En face electron plans used 6-12 MeV electrons and 0.5–1 cm bolus was added to increase surface dose. The electron plans were prescribed to an isodose line to conform to the target. Results: For all lesions, the average target dose coverage was similar (D90ave of 100% for HDR vs 101% for electrons). For lesions with high curvature, the HDR coverage was better (D90 102% vs D90 97% for electron). For all cases, adjacent structures high dose region was lower for HDR than electrons (D1cc 100% for HDR vs D1cc 111% for electrons). Conclusion: HDR plesiotherapy offers excellent target conformity for superficial targets similar to electrons. However, for lesions with complex curved surfaces, HDR has the advantage to achieve better dose distributions using graphical optimization to spare adjacent normal tissue while maximizing target coverage.

Vibrational experiments at the HDR [Heissdampfreaktor] German/US cooperation

International Nuclear Information System (INIS)

Kot, C.A.; Malcher, L.; Costello, J.F.

1987-04-01

As part of an overall effort on the validation of seismic calculational methods, the US NRC/RES is collaborating with the Kernforschungszentrum Karlsruhe, FRG, in the vibrational/earthquake experiments conducted at the HDR (Heissdampfreaktor) Test Facility in Kahl/Main, FRG. In the most recent experiments (SHAG), high level excitations were produced in the HDR by means of an eccentric-mass coastdown shaker capable of developing 1000 tons of force. The purpose of the experiments was to investigate full-scale structural response, soil-structure interaction, and piping and equipment response. Data obtained in the tests serve to evaluate analysis methods. In the SHAG experiments, loadings of the HDR soil-structure system approached incipient failure levels as evidenced by high peak accelerations and displacements, local damage, nonlinear behavior, soil subsidence, and wall strains which exceeded estimated limit values. Also, the performance of different pipe hanger configurations for the VKL piping system was compared in these tests under high excitation levels. The support configurations ranged from very rigid systems (strut/snubbers) to very flexible configurations (spring and constant force supports). Pretest and post-test analyses for the building/soil and piping response were performed and are being validated with the test data

Developing A Directional High-Dose Rate (d-HDR) Brachytherapy Source

Science.gov (United States)

Heredia, Athena Yvonne

Conventional sources used in brachytherapy provide nearly isotropic or radially symmetric dose distributions. Optimizations of dose distributions have been limited to varied dwell times at specified locations within a given treatment volume, or manipulations in source position for seed implantation techniques. In years past, intensity modulated brachytherapy (IMBT) has been used to reduce the amount of radiation to surrounding sensitive structures in select intracavitary cases by adding space or partial shields. Previous work done by Lin et al., at the University of Wisconsin-Madison, has shown potential improvements in conformality for brachytherapy treatments using a directionally shielded low dose rate (LDR) source for treatments in breast and prostate. Directional brachytherapy sources irradiate approximately half of the radial angles around the source, and adequately shield a quarter of the radial angles on the opposite side, with sharp gradient zones between the treated half and shielded quarter. With internally shielded sources, the radiation can be preferentially emitted in such a way as to reduce toxicities in surrounding critical organs. The objective of this work is to present findings obtained in the development of a new directional high dose rate (d-HDR) source. To this goal, 103Pd (Z = 46) is reintroduced as a potential radionuclide for use in HDR brachytherapy. 103Pd has a low average photon energy (21 keV) and relatively short half -life (17 days), which is why it has historically been used in low dose rate applications and implantation techniques. Pd-103 has a carrier-free specific activity of 75000 Ci/g. Using cyclotron produced 103Pd, near carrier-free specific activities can be achieved, providing suitability for high dose rate applications. The evolution of the d-HDR source using Monte Carlo simulations is presented, along with dosimetric parameters used to fully characterize the source. In addition, a discussion on how to obtain elemental

Transition from LDR to HDR brachytherapy for cervical cancer: Evaluation of tumor control, survival, and toxicity.

Science.gov (United States)

Romano, K D; Pugh, K J; Trifiletti, D M; Libby, B; Showalter, T N

In 2012, our institution transitioned from low-dose-rate (LDR) brachytherapy to high dose-rate (HDR) brachytherapy. We report clinical outcomes after brachytherapy for cervical cancer at our institution over a continuous 10-year period. From 2004 to 2014, 258 women (184 LDR and 74 HDR) were treated with tandem and ovoid brachytherapy in the multidisciplinary management of International Federation of Gynecology and Obstetrics Stages IA-IVB cervical cancer. Clinical and treatment-related prognostic factors including age, stage, smoking status, relevant doses, and toxicity data were recorded. Median followup for the LDR and HDR groups was 46 months and 12 months, respectively. The majority of patients (92%) received external beam radiotherapy as well as concurrent chemotherapy (83%) before the start of brachytherapy. For all stages, the 1-year local control and overall survival (OS) rates were comparable between the LDR and HDR groups (87% vs. 81%, p = 0.12; and 75% vs. 85%, p = 0.16), respectively. Factors associated with OS on multivariate analysis include age, stage, and nodal involvement. On multivariate analysis, severe toxicity (acute or chronic) was higher with HDR than LDR (24% vs. 10%, p = 0.04). Additional prognostic factors associated with increased severe toxicity include former/current smokers and total dose to lymph nodes. This comparative retrospective analysis of a large cohort of women treated with brachytherapy demonstrates no significant difference in OS or local control between the LDR and HDR. Acute and chronic toxicity increased shortly after the implementation of HDR, highlighting the importance of continued refinement of HDR methods, including integrating advanced imaging. Copyright © 2016 American Brachytherapy Society. Published by Elsevier Inc. All rights reserved.

Rendering of HDR content on LDR displays: an objective approach

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Krasula, Lukáš; Narwaria, Manish; Fliegel, Karel; Le Callet, Patrick

2015-09-01

Dynamic range compression (or tone mapping) of HDR content is an essential step towards rendering it on traditional LDR displays in a meaningful way. This is however non-trivial and one of the reasons is that tone mapping operators (TMOs) usually need content-specific parameters to achieve the said goal. While subjective TMO parameter adjustment is the most accurate, it may not be easily deployable in many practical applications. Its subjective nature can also influence the comparison of different operators. Thus, there is a need for objective TMO parameter selection to automate the rendering process. To that end, we investigate into a new objective method for TMO parameters optimization. Our method is based on quantification of contrast reversal and naturalness. As an important advantage, it does not require any prior knowledge about the input HDR image and works independently on the used TMO. Experimental results using a variety of HDR images and several popular TMOs demonstrate the value of our method in comparison to default TMO parameter settings.

Quality assurance of HDR 192Ir sources using a Fricke dosimeter.

Science.gov (United States)

Austerlitz, C; Mota, H; Almeida, C E; Allison, R; Sibata, C

2007-04-01

A prototype of a Fricke dosimetry system consisting of a 15 x 15 x 15 cm3 water phantom made of Plexiglas and a 11.3-ml Pyrex balloon fitted with a 0.2 cm thick Pyrex sleeve in its center was created to assess source strength and treatment planning algorithms for use in high dose rate (HDR) 192Ir afterloading units. In routine operation, the radioactive source is positioned at the end of a sleeve, which coincides with the center of the spherical balloon that is filled with Fricke solution, so that the solution is nearly isotropically irradiated. The Fricke system was calibrated in terms of source strength against a reference well-type ionization chamber, and in terms of radial dose by means of an existing algorithm from the HDR's treatment planning system. Because the system is based on the Fricke dosimeter itself, for a given type and model of 192Ir source, the system needs initial calibration but no recalibration. The results from measurements made over a 10 month period, including source decay and source substitutions, have shown the feasibility of using such a system for quality control (QC) of HDR afterloading equipment, including both the source activity and treatment planning parameters. The benefit of a large scale production and the use of this device for clinical HDR QC audits via mail are also discussed.

Prostate CT segmentation method based on nonrigid registration in ultrasound-guided CT-based HDR prostate brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Yang, Xiaofeng, E-mail: xyang43@emory.edu; Rossi, Peter; Ogunleye, Tomi; Marcus, David M.; Jani, Ashesh B.; Curran, Walter J.; Liu, Tian [Department of Radiation Oncology and Winship Cancer Institute, Emory University, Atlanta, Georgia 30322 (United States); Mao, Hui [Department of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia 30322 (United States)

2014-11-01

Purpose: The technological advances in real-time ultrasound image guidance for high-dose-rate (HDR) prostate brachytherapy have placed this treatment modality at the forefront of innovation in cancer radiotherapy. Prostate HDR treatment often involves placing the HDR catheters (needles) into the prostate gland under the transrectal ultrasound (TRUS) guidance, then generating a radiation treatment plan based on CT prostate images, and subsequently delivering high dose of radiation through these catheters. The main challenge for this HDR procedure is to accurately segment the prostate volume in the CT images for the radiation treatment planning. In this study, the authors propose a novel approach that integrates the prostate volume from 3D TRUS images into the treatment planning CT images to provide an accurate prostate delineation for prostate HDR treatment. Methods: The authors’ approach requires acquisition of 3D TRUS prostate images in the operating room right after the HDR catheters are inserted, which takes 1–3 min. These TRUS images are used to create prostate contours. The HDR catheters are reconstructed from the intraoperative TRUS and postoperative CT images, and subsequently used as landmarks for the TRUS–CT image fusion. After TRUS–CT fusion, the TRUS-based prostate volume is deformed to the CT images for treatment planning. This method was first validated with a prostate-phantom study. In addition, a pilot study of ten patients undergoing HDR prostate brachytherapy was conducted to test its clinical feasibility. The accuracy of their approach was assessed through the locations of three implanted fiducial (gold) markers, as well as T2-weighted MR prostate images of patients. Results: For the phantom study, the target registration error (TRE) of gold-markers was 0.41 ± 0.11 mm. For the ten patients, the TRE of gold markers was 1.18 ± 0.26 mm; the prostate volume difference between the authors’ approach and the MRI-based volume was 7.28% ± 0

Prostate CT segmentation method based on nonrigid registration in ultrasound-guided CT-based HDR prostate brachytherapy

Science.gov (United States)

Yang, Xiaofeng; Rossi, Peter; Ogunleye, Tomi; Marcus, David M.; Jani, Ashesh B.; Mao, Hui; Curran, Walter J.; Liu, Tian

2014-01-01

Purpose: The technological advances in real-time ultrasound image guidance for high-dose-rate (HDR) prostate brachytherapy have placed this treatment modality at the forefront of innovation in cancer radiotherapy. Prostate HDR treatment often involves placing the HDR catheters (needles) into the prostate gland under the transrectal ultrasound (TRUS) guidance, then generating a radiation treatment plan based on CT prostate images, and subsequently delivering high dose of radiation through these catheters. The main challenge for this HDR procedure is to accurately segment the prostate volume in the CT images for the radiation treatment planning. In this study, the authors propose a novel approach that integrates the prostate volume from 3D TRUS images into the treatment planning CT images to provide an accurate prostate delineation for prostate HDR treatment. Methods: The authors’ approach requires acquisition of 3D TRUS prostate images in the operating room right after the HDR catheters are inserted, which takes 1–3 min. These TRUS images are used to create prostate contours. The HDR catheters are reconstructed from the intraoperative TRUS and postoperative CT images, and subsequently used as landmarks for the TRUS–CT image fusion. After TRUS–CT fusion, the TRUS-based prostate volume is deformed to the CT images for treatment planning. This method was first validated with a prostate-phantom study. In addition, a pilot study of ten patients undergoing HDR prostate brachytherapy was conducted to test its clinical feasibility. The accuracy of their approach was assessed through the locations of three implanted fiducial (gold) markers, as well as T2-weighted MR prostate images of patients. Results: For the phantom study, the target registration error (TRE) of gold-markers was 0.41 ± 0.11 mm. For the ten patients, the TRE of gold markers was 1.18 ± 0.26 mm; the prostate volume difference between the authors’ approach and the MRI-based volume was 7.28% ± 0

Intraoperative HDR implant boost for breast cancer (preliminary results)

International Nuclear Information System (INIS)

Rodriguez, I.; Torre, M. de la; Gonzalez, E.; Bourel, V.

1996-01-01

Introduction: In spite of the fact that it is been discussed whether or not a boost is necessary for all conservative treated breast cancer patients, it is a generalized radiotherapy practice. Since september 1993 we developed a breast conservative protocol for early stage breast cancer (T1-T2) with intraoperative HDR implant boost. Side effects, cosmetic results and recurrence rates are reviewed. Method and Material: From September 1993 we treated 55 patients with intraoperative HDR implant boost to the lumpectomy site for clinical T1 or T2 invasive breast cancer, followed by external megavoltage radiotherapy to the entire breast. We used the Nucletron microselectron HDR remote afterloading system with flexible implant tubes. The geometric distribution of the tubes was performed according to the 'Paris' configuration. Each implant was evaluated by calculating the dose-volume natural histograms. The HDR fractionation schedule consists of three fractions of 4.5Gy each given at least 48 hs apart, and starting between 48-72hs from surgical procedure. The external radiotherapy to the entire breast started one week after the completion of brachytherapy, using conventional fractionation of 5 fractions per week, 1,8Gy per fraction up to 45-50Gy. Results: So far there is not any local recurrence, but medium follow up is only 18 months. We did not observe any acute damage and the cosmetic outcome was 60% excellent, 30% good and 10% acceptable. Two patients developed localized fibrosis, in both the implant involved the submamary fold. Conclusion: The intraoperative implant is the most accurate way to localize the lumpectomy site, to define the target volume, decrease the total treatment time and avoid a second anesthetic procedure without delaying the inpatient time or the initial wound healing process

Experience of the first application of HDR brachytherapy in nasopharynx

International Nuclear Information System (INIS)

Vega Hernandez, Manuel I.; Alfonso Laguardia, Rodolfo; Silvestre Patallo, Ileana; Roca Muchuli, Carlos; Garcia Heredia, Gilda

2006-01-01

A research was made by applying boost on the area of the nasopharynx relapse with high dose rate (HDR) in a diagnosis of nasopharynx carcinoma previously treated with telecobalt therapy, at a dose of 70 Gy. There was persistence of the injury. Three sessions were planned, with consecutive fractions of 6.5 Gy in 15 days, with optimization, using a personal mould of autopolymerizable acrylic. The successful possibility to apply the high rate modern brachytherapy was reaffirmed, as a treatment complementary to teletherapy in case of persistence or relapse. A Micro Selectron HDR equipment was used

A segmentation and point-matching enhanced efficient deformable image registration method for dose accumulation between HDR CT images

International Nuclear Information System (INIS)

Zhen, Xin; Chen, Haibin; Zhou, Linghong; Yan, Hao; Jiang, Steve; Jia, Xun; Gu, Xuejun; Mell, Loren K; Yashar, Catheryn M; Cervino, Laura

2015-01-01

Deformable image registration (DIR) of fractional high-dose-rate (HDR) CT images is challenging due to the presence of applicators in the brachytherapy image. Point-to-point correspondence fails because of the undesired deformation vector fields (DVF) propagated from the applicator region (AR) to the surrounding tissues, which can potentially introduce significant DIR errors in dose mapping. This paper proposes a novel segmentation and point-matching enhanced efficient DIR (named SPEED) scheme to facilitate dose accumulation among HDR treatment fractions. In SPEED, a semi-automatic seed point generation approach is developed to obtain the incremented fore/background point sets to feed the random walks algorithm, which is used to segment and remove the AR, leaving empty AR cavities in the HDR CT images. A feature-based ‘thin-plate-spline robust point matching’ algorithm is then employed for AR cavity surface points matching. With the resulting mapping, a DVF defining on each voxel is estimated by B-spline approximation, which serves as the initial DVF for the subsequent Demons-based DIR between the AR-free HDR CT images. The calculated DVF via Demons combined with the initial one serve as the final DVF to map doses between HDR fractions. The segmentation and registration accuracy are quantitatively assessed by nine clinical HDR cases from three gynecological cancer patients. The quantitative analysis and visual inspection of the DIR results indicate that SPEED can suppress the impact of applicator on DIR, and accurately register HDR CT images as well as deform and add interfractional HDR doses. (paper)

A segmentation and point-matching enhanced efficient deformable image registration method for dose accumulation between HDR CT images

Science.gov (United States)

Zhen, Xin; Chen, Haibin; Yan, Hao; Zhou, Linghong; Mell, Loren K.; Yashar, Catheryn M.; Jiang, Steve; Jia, Xun; Gu, Xuejun; Cervino, Laura

2015-04-01

Deformable image registration (DIR) of fractional high-dose-rate (HDR) CT images is challenging due to the presence of applicators in the brachytherapy image. Point-to-point correspondence fails because of the undesired deformation vector fields (DVF) propagated from the applicator region (AR) to the surrounding tissues, which can potentially introduce significant DIR errors in dose mapping. This paper proposes a novel segmentation and point-matching enhanced efficient DIR (named SPEED) scheme to facilitate dose accumulation among HDR treatment fractions. In SPEED, a semi-automatic seed point generation approach is developed to obtain the incremented fore/background point sets to feed the random walks algorithm, which is used to segment and remove the AR, leaving empty AR cavities in the HDR CT images. A feature-based ‘thin-plate-spline robust point matching’ algorithm is then employed for AR cavity surface points matching. With the resulting mapping, a DVF defining on each voxel is estimated by B-spline approximation, which serves as the initial DVF for the subsequent Demons-based DIR between the AR-free HDR CT images. The calculated DVF via Demons combined with the initial one serve as the final DVF to map doses between HDR fractions. The segmentation and registration accuracy are quantitatively assessed by nine clinical HDR cases from three gynecological cancer patients. The quantitative analysis and visual inspection of the DIR results indicate that SPEED can suppress the impact of applicator on DIR, and accurately register HDR CT images as well as deform and add interfractional HDR doses.

A Survey on the Acceptance and the Use of HDR Photography Among Croatian Photographers

Directory of Open Access Journals (Sweden)

Maja Strgar Kurecic

2013-04-01

Full Text Available The emerging field of high dynamic range (HDR imaging is directly linked to diverse existing disciplines such as radiometry, photometry, colorimetry and colour appearance - each dealing with specific aspects of light and its perception by humans. Although the idea is not new, it has not been widely used until just a few years ago when digital cameras gained popularity and the computers processing power increased significantly. Now this photographic technique is widely spread and used, but even more often – misused. A research was conducted by means of a questionnaire in order to get some actual information about how Croatian photographers see the HDR photography and how they employ it. The results of the survey proved that indeed a great interest exists in the technique, but that many photographers are scared away from the HDR photography because of the misconception that the artificial look is an unavoidable side effect of the HDR processing. The fact is, however, that the final HDR image is a result of the tone mapping process and post-corrections and adjustments, entirely dependent on the photographer’s intent and vision, as well as his understanding of various adjustments available. The results of the questionnaire have also pointed out to other widely spread misconceptions which are discussed in this paper.

Highly efficient CRISPR/HDR-mediated knock-in for mouse embryonic stem cells and zygotes.

Science.gov (United States)

Wang, Bangmei; Li, Kunyu; Wang, Amy; Reiser, Michelle; Saunders, Thom; Lockey, Richard F; Wang, Jia-Wang

2015-10-01

The clustered regularly interspaced short palindromic repeat (CRISPR) gene editing technique, based on the non-homologous end-joining (NHEJ) repair pathway, has been used to generate gene knock-outs with variable sizes of small insertion/deletions with high efficiency. More precise genome editing, either the insertion or deletion of a desired fragment, can be done by combining the homology-directed-repair (HDR) pathway with CRISPR cleavage. However, HDR-mediated gene knock-in experiments are typically inefficient, and there have been no reports of successful gene knock-in with DNA fragments larger than 4 kb. Here, we describe the targeted insertion of large DNA fragments (7.4 and 5.8 kb) into the genomes of mouse embryonic stem (ES) cells and zygotes, respectively, using the CRISPR/HDR technique without NHEJ inhibitors. Our data show that CRISPR/HDR without NHEJ inhibitors can result in highly efficient gene knock-in, equivalent to CRISPR/HDR with NHEJ inhibitors. Although NHEJ is the dominant repair pathway associated with CRISPR-mediated double-strand breaks (DSBs), and biallelic gene knock-ins are common, NHEJ and biallelic gene knock-ins were not detected. Our results demonstrate that efficient targeted insertion of large DNA fragments without NHEJ inhibitors is possible, a result that should stimulate interest in understanding the mechanisms of high efficiency CRISPR targeting in general.

Genitourinary Toxicity After High-Dose-Rate (HDR) Brachytherapy Combined With Hypofractionated External Beam Radiotherapy for Localized Prostate Cancer: An Analysis to Determine the Correlation Between Dose-Volume Histogram Parameters in HDR Brachytherapy and Severity of Toxicity

International Nuclear Information System (INIS)

Ishiyama, Hiromichi; Kitano, Masashi; Satoh, Takefumi; Kotani, Shouko; Uemae, Mineko; Matsumoto, Kazumasa; Okusa, Hiroshi; Tabata, Ken-ichi; Baba, Shiro; Hayakawa, Kazushige

2009-01-01

Purpose: To evaluate the severity of genitourinary (GU) toxicity in high-dose-rate (HDR) brachytherapy combined with hypofractionated external beam radiotherapy (EBRT) for prostate cancer and to explore factors that might affect the severity of GU toxicity. Methods and Materials: A total of 100 Japanese men with prostate cancer underwent 192 Ir HDR brachytherapy combined with hypofractionated EBRT. Mean (SD) dose to 90% of the planning target volume was 6.3 (0.7) Gy per fraction of HDR. After 5 fractions of HDR treatment, EBRT with 10 fractions of 3 Gy was administrated. The urethral volume receiving 1-15 Gy per fraction in HDR brachytherapy (V1-V15) and the dose to at least 5-100% of urethral volume in HDR brachytherapy (D5-D100) were compared between patients with Grade 3 toxicity and those with Grade 0-2 toxicity. Prostate volume, patient age, and International Prostate Symptom Score were also compared between the two groups. Results: Of the 100 patients, 6 displayed Grade 3 acute GU toxicity, and 12 displayed Grade 3 late GU toxicity. Regarding acute GU toxicity, values of V1, V2, V3, and V4 were significantly higher in patients with Grade 3 toxicity than in those with Grade 0-2 toxicity. Regarding late GU toxicity, values of D70, D80, V12, and V13 were significantly higher in patients with Grade 3 toxicity than in those with Grade 0-2 toxicity. Conclusions: The severity of GU toxicity in HDR brachytherapy combined with hypofractionated EBRT for prostate cancer was relatively high. The volume of prostatic urethra was associated with grade of acute GU toxicity, and urethral dose was associated with grade of late GU toxicity.

SU-F-T-55: Reproducibility of Interstitial HDR Brachytherapy Plans

Energy Technology Data Exchange (ETDEWEB)

Lee, S; Ellis, R; Traughber, B; Podder, T [University Hospitals Case Medical Center, Cleveland, OH (United States)

2016-06-15

Purpose: Treating gynecological cancers with interstitial high-dose-rate (HDR) brachytherapy requires precise reconstruction of catheter positions to obtain accurate dosimetric plans. In this study, we investigated the degree of reproducibility of dosimetric plans for Syed HDR brachytherapy. Methods: We randomly selected five patients having cervix-vaginal cancer who were recently treated in our clinic with interstitial HDR brachytherapy with a prescription dose of 25–30 Gy in five fractions. Interstitial needles/catheters were placed under fluoroscopic guidance and intra-operative 3T MRI scan was performed to confirm the desired catheter placement for adequate target volume coverage. A CT scan was performed and fused with the MRI for delineating high-risk CTV (HR-CTV), intermediate-risk CTV (IR-CTV) and OARs. HDR treatment plans were generated using Oncentra planning software. A single plan was used for all five fractions of treatment for each patient. For this study, we took the original clinical plan and removed all the reconstructed catheters from the plan keeping the original contours unchanged. Then, we manually reconstructed all the catheters and entered the same dwell time from the first original clinical plan. The dosimetric parameters studied were: D90 for HR-CTV and IR-CV, and D2cc for bladder, rectum, sigmoid and bowel. Results: The mean of absolute differences in dosimetric coverage (D90) were (range): 1.3% (1.0–2.0%) and 2.0% (0.9–3.6%) for HR-CTV and IR-CTV, respectively. In case of OARs, the mean of absolute variations in D2cc were (range): 4.7% (0.7–8.9%) for bladder, 1.60% (0.3–3.2%) for rectum, 1.6% (0–3.9%) for sigmoid, and 1.8% (0–5.1%) for bowel. Conclusion: Overall, the reproducibility of interstitial HDR plans was within clinically acceptable limit. Observed maximum variation in D2cc for bladder. If number of catchers and dwell points were relatively low or any one catheter was heavily loaded, then reproducibility of the plan

Perioperative high dose rate (HDR brachytherapy in unresectable locally advanced pancreatic tumors

Directory of Open Access Journals (Sweden)

Brygida Białas

2011-07-01

Full Text Available Purpose: The aim of the study was to present an original technique of catheter implantation for perioperative HDR-Ir192 brachytherapy in patients after palliative operations of unresectable locally advanced pancreatic tumors and to estimate the influence of perioperative HDR-Ir192 brachytherapy on pain relief in terminal pancreatic cancer patients. Material and methods: Eight patients with pancreatic tumors located in the head of pancreas underwent palliative operations with the use of HDR-Ir192 brachytherapy. All patients qualified for surgery reported pain of high intensity and had received narcotic painkillers prior to operation. During the last phase of the surgery, the Nucletron® catheters were implanted in patients to prepare them for later perioperative brachytherapy. Since the 6th day after surgery HDR brachytherapy was performed. Before each brachytherapy fraction the location of implants were checked using fluoroscopy. A fractional dose was 5 Gy and a total dose was 20 Gy in the area of radiation. A comparative study of two groups of patients (with and without brachytherapy with stage III pancreatic cancer according to the TNM scale was taken in consideration. Results and Conclusions: The authors claim that the modification of catheter implantation using specially designed cannula, facilitates the process of inserting the catheter into the tumor, shortens the time needed for the procedure, and reduces the risk of complications. Mean survival time was 5.7 months. In the group of performed brachytherapy, the mean survival time was 6.7 months, while in the group of no brachytherapy performed – 4.4 months. In the group of brachytherapy, only one patient increased the dose of painkillers in the last month of his life. Remaining patients took constant doses of medicines. Perioperative HDR-Ir192 brachytherapy could be considered as a practical application of adjuvant therapy for pain relief in patients with an advanced pancreatic cancer.

Full-scale HDR blowdown experiments as a tool for investigating dynamic fluid-structural coupling

International Nuclear Information System (INIS)

Krieg, R.; Schlechtendahl, E.G.; Scholl, K.-H.; Schumann, U.

1977-01-01

As an answer to rigorous safety requirements in reactor technology an experimental-theoretical program has been established to investigate safety-relevant mechanical aspects of LWR-blowdown accidents. Part of the program are several full-scale blowdown experiments which will be performed in the former HDR-reactor. As the conceptional study confirms, the primary goal is to find out, how big the safety margins of present LWR's in the case of a blowdown actually are, rather than simply to show that essential parts of the reactor will withstand such an accident. However, to determine the safety margins, the physical phenomena involved in the blowdown process must be understood and appropriate wave of description must be found. Therefore the experimental program is accompanied by the development of theoretical models and computer codes. A survey is given over existing methods for coupled fluid structural dynamics. The following approaches are used: - Specific finite difference-code for integrated treatment of both fluid and structure in 3D-geometry using the fast cyclic reduction scheme for solving Poisson's equation. - Modification of mass and stiffness matrices of FEM-models for shell dynamics by reducing the 3D incompressible fluid problem to 2D with the boundary integral equation method. This presently developed method has the capacity to deal with general problems in fluid-structural coupling. (Auth.)

High dynamic range adaptive real-time smart camera: an overview of the HDR-ARTiST project

Science.gov (United States)

Lapray, Pierre-Jean; Heyrman, Barthélémy; Ginhac, Dominique

2015-04-01

Standard cameras capture only a fraction of the information that is visible to the human visual system. This is specifically true for natural scenes including areas of low and high illumination due to transitions between sunlit and shaded areas. When capturing such a scene, many cameras are unable to store the full Dynamic Range (DR) resulting in low quality video where details are concealed in shadows or washed out by sunlight. The imaging technique that can overcome this problem is called HDR (High Dynamic Range) imaging. This paper describes a complete smart camera built around a standard off-the-shelf LDR (Low Dynamic Range) sensor and a Virtex-6 FPGA board. This smart camera called HDR-ARtiSt (High Dynamic Range Adaptive Real-time Smart camera) is able to produce a real-time HDR live video color stream by recording and combining multiple acquisitions of the same scene while varying the exposure time. This technique appears as one of the most appropriate and cheapest solution to enhance the dynamic range of real-life environments. HDR-ARtiSt embeds real-time multiple captures, HDR processing, data display and transfer of a HDR color video for a full sensor resolution (1280 1024 pixels) at 60 frames per second. The main contributions of this work are: (1) Multiple Exposure Control (MEC) dedicated to the smart image capture with alternating three exposure times that are dynamically evaluated from frame to frame, (2) Multi-streaming Memory Management Unit (MMMU) dedicated to the memory read/write operations of the three parallel video streams, corresponding to the different exposure times, (3) HRD creating by combining the video streams using a specific hardware version of the Devebecs technique, and (4) Global Tone Mapping (GTM) of the HDR scene for display on a standard LCD monitor.

NOTE: Monte Carlo evaluation of kerma in an HDR brachytherapy bunker

Science.gov (United States)

Pérez-Calatayud, J.; Granero, D.; Ballester, F.; Casal, E.; Crispin, V.; Puchades, V.; León, A.; Verdú, G.

2004-12-01

In recent years, the use of high dose rate (HDR) after-loader machines has greatly increased due to the shift from traditional Cs-137/Ir-192 low dose rate (LDR) to HDR brachytherapy. The method used to calculate the required concrete and, where appropriate, lead shielding in the door is based on analytical methods provided by documents published by the ICRP, the IAEA and the NCRP. The purpose of this study is to perform a more realistic kerma evaluation at the entrance maze door of an HDR bunker using the Monte Carlo code GEANT4. The Monte Carlo results were validated experimentally. The spectrum at the maze entrance door, obtained with Monte Carlo, has an average energy of about 110 keV, maintaining a similar value along the length of the maze. The comparison of results from the aforementioned values with the Monte Carlo ones shows that results obtained using the albedo coefficient from the ICRP document more closely match those given by the Monte Carlo method, although the maximum value given by MC calculations is 30% greater.

Dosimetric comparison between the microSelectron HDR 192Ir v2 source and the BEBIG 60Co source for HDR brachytherapy using the EGSnrc Monte Carlo transport code

International Nuclear Information System (INIS)

Anwarul Islam, M.; Akramuzzaman, M.M.; Zakaria, G.A.

2012-01-01

Manufacturing of miniaturized high activity 192 Ir sources have been made a market preference in modern brachytherapy. The smaller dimensions of the sources are flexible for smaller diameter of the applicators and it is also suitable for interstitial implants. Presently, miniaturized 60 Co HDR sources have been made available with identical dimensions to those of 192 Ir sources. 60 Co sources have an advantage of longer half life while comparing with 192 Ir source. High dose rate brachytherapy sources with longer half life are logically pragmatic solution for developing country in economic point of view. This study is aimed to compare the TG-43U1 dosimetric parameters for new BEBIG 60 Co HDR and new microSelectron 192 Ir HDR sources. Dosimetric parameters are calculated using EGSnrc-based Monte Carlo simulation code accordance with the AAPM TG-43 formalism for microSelectron HDR 192 Ir v2 and new BEBIG 60 Co HDR sources. Air-kerma strength per unit source activity, calculated in dry air are 9.698x10 -8 ± 0.55% U Bq -1 and 3.039x10 -7 ± 0.41% U Bq -1 for the above mentioned two sources, respectively. The calculated dose rate constants per unit air-kerma strength in water medium are 1.116±0.12% cGy h -1 U -1 and 1.097±0.12% cGy h -1 U -1 , respectively, for the two sources. The values of radial dose function for distances up to 1 cm and more than 22 cm for BEBIG 60 Co HDR source are higher than that of other source. The anisotropic values are sharply increased to the longitudinal sides of the BEBIG 60 Co source and the rise is comparatively sharper than that of the other source. Tissue dependence of the absorbed dose has been investigated with vacuum phantom for breast, compact bone, blood, lung, thyroid, soft tissue, testis, and muscle. No significant variation is noted at 5 cm of radial distance in this regard while comparing the two sources except for lung tissues. The true dose rates are calculated with considering photon as well as electron transport using

HDR brachytherapy for superficial non-melanoma skin cancers

International Nuclear Information System (INIS)

Gauden, Ruth; Pracy, Martin; Avery, Anne-Marie; Hodgetts, Ian; Gauden, Stan

2013-01-01

Our initial experience using recommended high dose per fraction skin brachytherapy (BT) treatment schedules, resulted in poor cosmesis. This study aimed to assess in a prospective group of patients the use of Leipzig surface applicators for High Dose Rate (HDR) brachytherapy, for the treatment of small non-melanoma skin cancers (NMSC) using a protracted treatment schedule. Treatment was delivered by HDR brachytherapy with Leipzig applicators. 36Gy, prescribed to between 3 to 4mm, was given in daily 3Gy fractions. Acute skin toxicity was evaluated weekly during irradiation using the Radiation Therapy Oncology Group criteria. Local response, late skin effects and cosmetic results were monitored at periodic intervals after treatment completion. From March 2002, 200 patients with 236 lesions were treated. Median follow-up was 66 months (range 25–121 months). A total of 162 lesions were macroscopic, while in 74 cases, BT was given after resection because of positive microscopic margins. There were 121 lesions that were basal cell carcinomas, and 115 were squamous cell carcinomas. Lesions were located on the head and neck (198), the extremities (26) and trunk (12). Local control was 232/236 (98%). Four patients required further surgery to treat recurrence. Grade 1 acute skin toxicity was detected in 168 treated lesions (71%) and grade 2 in 81 (34%). Cosmesis was good or excellent in 208 cases (88%). Late skin hypopigmentation changes were observed in 13 cases (5.5%). Delivering 36Gy over 2 weeks to superficial NMSC using HDR brachytherapy is well tolerated and provides a high local control rate without significant toxicity.

Time to PSA rise differentiates the PSA bounce after HDR and LDR brachytherapy of prostate cancer.

Science.gov (United States)

Burchardt, Wojciech; Skowronek, Janusz

2018-02-01

To investigate the differences in prostate-specific antigen (PSA) bounce (PB) after high-dose-rate (HDR-BT) or low-dose-rate (LDR-BT) brachytherapy alone in prostate cancer patients. Ninety-four patients with localized prostate cancer (T1-T2cN0), age ranged 50-81 years, were treated with brachytherapy alone between 2008 and 2010. Patients were diagnosed with adenocarcinoma, Gleason score ≤ 7. The LDR-BT total dose was 144-145 Gy, in HDR-BT - 3 fractions of 10.5 or 15 Gy. The initial PSA level (iPSA) was assessed before treatment, then PSA was rated every 3 months over the first 2 years, and every 6 months during the next 3 years. Median follow-up was 3.0 years. Mean iPSA was 7.8 ng/ml. In 58 cases, PSA decreased gradually without PB or biochemical failure (BF). In 24% of patients, PB was observed. In 23 cases (24%), PB was observed using 0.2 ng/ml definition; in 10 cases (11%), BF was diagnosed using nadir + 2 ng/ml definition. The HDR-BT and LDR-BT techniques were not associated with higher level of PB (26 vs. 22%, p = 0.497). Time to the first PSA rise finished with PB was significantly shorter after HDR-BT then after LDR-BT (median, 10.5 vs. 18.0 months) during follow-up. Predictors for PB were observed only after HDR-BT. Androgen deprivation therapy (ADT) and higher Gleason score decreased the risk of PB (HR = 0.11, p = 0.03; HR = 0.51, p = 0.01). The higher PSA nadir and longer time to PSA nadir increased the risk of PB (HR 3.46, p = 0.02; HR 1.04, p = 0.04). There was no predictors for PB after LDR-BT. HDR-BT and LDR-BT for low and intermediate risk prostate cancer had similar PB rate. The PB occurred earlier after HDR-BT than after LDR-BT. ADT and higher Gleason score decreased, and higher PSA nadir and longer time to PSA nadir increased the risk of PB after HDR-BT.

The Oryza sativa Regulator HDR1 Associates with the Kinase OsK4 to Control Photoperiodic Flowering.

Directory of Open Access Journals (Sweden)

Xuehui Sun

2016-03-01

Full Text Available Rice is a facultative short-day plant (SDP, and the regulatory pathways for flowering time are conserved, but functionally modified, in Arabidopsis and rice. Heading date 1 (Hd1, an ortholog of Arabidopsis CONSTANS (CO, is a key regulator that suppresses flowering under long-day conditions (LDs, but promotes flowering under short-day conditions (SDs by influencing the expression of the florigen gene Heading date 3a (Hd3a. Another key regulator, Early heading date 1 (Ehd1, is an evolutionarily unique gene with no orthologs in Arabidopsis, which acts as a flowering activator under both SD and LD by promoting the rice florigen genes Hd3a and RICE FLOWERING LOCUST 1 (RFT1. Here, we report the isolation and characterization of the flowering regulator Heading Date Repressor1 (HDR1 in rice. The hdr1 mutant exhibits an early flowering phenotype under natural LD in a paddy field in Beijing, China (39°54'N, 116°23'E, as well as under LD but not SD in a growth chamber, indicating that HDR1 may functionally regulate flowering time via the photoperiod-dependent pathway. HDR1 encodes a nuclear protein that is most active in leaves and floral organs and exhibits a typical diurnal expression pattern. We determined that HDR1 is a novel suppressor of flowering that upregulates Hd1 and downregulates Ehd1, leading to the downregulation of Hd3a and RFT1 under LDs. We have further identified an HDR1-interacting kinase, OsK4, another suppressor of rice flowering under LDs. OsK4 acts similarly to HDR1, suppressing flowering by upregulating Hd1 and downregulating Ehd1 under LDs, and OsK4 can phosphorylate HD1 with HDR1 presents. These results collectively reveal the transcriptional regulators of Hd1 for the day-length-dependent control of flowering time in rice.

Determinación de la distribución de dosis en tratamientos de cáncer de mama con fuentes de 192 Ir HDR / Determination of doses distributions on breast cancer treatments with 192 Ir HDR sources

OpenAIRE

Beltrán Gómez, Cristian Camilo

2010-01-01

La Braquiterapia de alta tasa de dosis HDR es una moderna técnica de tratamiento que ha venido teniendo un rápido crecimiento en su uso clínico, reemplazando a la braquiterapia de baja tasa de dosis LDR. La braquiterapia HDR se caracteriza por utilizar fuentes radiactivas con tasas de dosis mayores a 12 Gy/h, por tanto con propósitos de protección radiológica debe ser realizada con equipos de carga remota, es común en los tratamientos de braquiterapia HDR depositar altas dosis por fracción, c...

Dosimetry experience of 192IR sources used In HDR brachytherapy for cervical cancer

International Nuclear Information System (INIS)

Daci, Lulzime; Myrku, Rodina Cela

2013-01-01

Purpose/Objective: The 192IR Sources are the most commonly used in radiotherapy treatments HDR worldwide. According to international recommendations on quality assurance in HDR brachytherapy, an acceptance test based on the determination of the source strength of any new source shall be carried out before first application to verify the manufacturer’s calibration data. The present paper gives the experimental determination of the source strength for our brachytherapy sources used until now in brachytherapy treatments. Materials/Methods: At Mother Teresa University Hospital we have a cost-effective gynecological brachytherapy unit from Eckert & Ziegler BEBIG named GyneSource® that is a five channel HDR after loader equipped with an 192IR source. The software used is HDR plus™ 2.5 that delivers an optimized treatment plan and makes the process especially fast and we use intracavitary BEBIG applicators. From April 2009 up to December 2012, we have imported nine HDR 192IR Sources. The exchange of the source and acceptance test is done by the physicist of the clinic once the source is imported. The measurements are done with a Well-type ionization chamber HDR1000 Plus and the electrometer used is MAX4000. Only seven sources are compared as we miss the dosimetry data of the first source, and the forth source was not measured and not used because the machine was not working in that time. Results/Conclusions: Eight sources were accepted for clinically use as the measurement were within the tolerance. The source number four with e deviation of -1.92% has been double checked compared with a free in-air measurement with farmer type chamber that gave a deviation to source certificate of 4% that is still inside the tolerance to accept a source for clinical use. The deviations of measured Air Kerma rate to the value of the sources certificates of all our used 192IR sources are less than 2%, which are within the tolerance. The checked value of updated source strength in

Investigation of superstructure damping identification for the HDR containment building

International Nuclear Information System (INIS)

Hsieh, B.J.; Kot, C.A.; Srinivasan, M.G.

1985-01-01

A method for the estimation of first mode structural damping, developed by other investigators, was applied to shaker test data of the HDR containment building. Due to inadequate precision in the experimental phase measurements no valid results could be obtained. Based on modal analysis it was also noted that for systems such as the HDR building, contributions of higher modes are not negligible as was assumed in the original approach. Therefore, the procedure for the determination of superstructure damping using experimental data was extended to include the effects of higher modes. The extended method does not lead to any higher order nonlinear equations than the first mode approximation and was found to be as simple to apply as the original approach

The high dynamic range pixel array detector (HDR-PAD): Concept and design

Energy Technology Data Exchange (ETDEWEB)

Shanks, Katherine S.; Philipp, Hugh T.; Weiss, Joel T.; Becker, Julian; Tate, Mark W. [Laboratory of Atomic and Solid State Physics, Cornell University, Ithaca, NY 14853 (United States); Gruner, Sol M., E-mail: smg26@cornell.edu [Laboratory of Atomic and Solid State Physics, Cornell University, Ithaca, NY 14853 (United States); Cornell High Energy Synchrotron Source (CHESS), Cornell University, Ithaca, NY 14853 (United States)

2016-07-27

Experiments at storage ring light sources as well as at next-generation light sources increasingly require detectors capable of high dynamic range operation, combining low-noise detection of single photons with large pixel well depth. XFEL sources in particular provide pulse intensities sufficiently high that a purely photon-counting approach is impractical. The High Dynamic Range Pixel Array Detector (HDR-PAD) project aims to provide a dynamic range extending from single-photon sensitivity to 10{sup 6} photons/pixel in a single XFEL pulse while maintaining the ability to tolerate a sustained flux of 10{sup 11} ph/s/pixel at a storage ring source. Achieving these goals involves the development of fast pixel front-end electronics as well as, in the XFEL case, leveraging the delayed charge collection due to plasma effects in the sensor. A first prototype of essential electronic components of the HDR-PAD readout ASIC, exploring different options for the pixel front-end, has been fabricated. Here, the HDR-PAD concept and preliminary design will be described.

MO-C-17A-11: A Segmentation and Point Matching Enhanced Deformable Image Registration Method for Dose Accumulation Between HDR CT Images

International Nuclear Information System (INIS)

Zhen, X; Chen, H; Zhou, L; Yan, H; Jiang, S; Jia, X; Gu, X; Mell, L; Yashar, C; Cervino, L

2014-01-01

Purpose: To propose and validate a novel and accurate deformable image registration (DIR) scheme to facilitate dose accumulation among treatment fractions of high-dose-rate (HDR) gynecological brachytherapy. Method: We have developed a method to adapt DIR algorithms to gynecologic anatomies with HDR applicators by incorporating a segmentation step and a point-matching step into an existing DIR framework. In the segmentation step, random walks algorithm is used to accurately segment and remove the applicator region (AR) in the HDR CT image. A semi-automatic seed point generation approach is developed to obtain the incremented foreground and background point sets to feed the random walks algorithm. In the subsequent point-matching step, a feature-based thin-plate spline-robust point matching (TPS-RPM) algorithm is employed for AR surface point matching. With the resulting mapping, a DVF characteristic of the deformation between the two AR surfaces is generated by B-spline approximation, which serves as the initial DVF for the following Demons DIR between the two AR-free HDR CT images. Finally, the calculated DVF via Demons combined with the initial one serve as the final DVF to map doses between HDR fractions. Results: The segmentation and registration accuracy are quantitatively assessed by nine clinical HDR cases from three gynecological cancer patients. The quantitative results as well as the visual inspection of the DIR indicate that our proposed method can suppress the interference of the applicator with the DIR algorithm, and accurately register HDR CT images as well as deform and add interfractional HDR doses. Conclusions: We have developed a novel and robust DIR scheme that can perform registration between HDR gynecological CT images and yield accurate registration results. This new DIR scheme has potential for accurate interfractional HDR dose accumulation. This work is supported in part by the National Natural ScienceFoundation of China (no 30970866 and no

Interactive multiobjective optimization for anatomy-based three-dimensional HDR brachytherapy

Science.gov (United States)

Ruotsalainen, Henri; Miettinen, Kaisa; Palmgren, Jan-Erik; Lahtinen, Tapani

2010-08-01

In this paper, we present an anatomy-based three-dimensional dose optimization approach for HDR brachytherapy using interactive multiobjective optimization (IMOO). In brachytherapy, the goals are to irradiate a tumor without causing damage to healthy tissue. These goals are often conflicting, i.e. when one target is optimized the other will suffer, and the solution is a compromise between them. IMOO is capable of handling multiple and strongly conflicting objectives in a convenient way. With the IMOO approach, a treatment planner's knowledge is used to direct the optimization process. Thus, the weaknesses of widely used optimization techniques (e.g. defining weights, computational burden and trial-and-error planning) can be avoided, planning times can be shortened and the number of solutions to be calculated is small. Further, plan quality can be improved by finding advantageous trade-offs between the solutions. In addition, our approach offers an easy way to navigate among the obtained Pareto optimal solutions (i.e. different treatment plans). When considering a simulation model of clinical 3D HDR brachytherapy, the number of variables is significantly smaller compared to IMRT, for example. Thus, when solving the model, the CPU time is relatively short. This makes it possible to exploit IMOO to solve a 3D HDR brachytherapy optimization problem. To demonstrate the advantages of IMOO, two clinical examples of optimizing a gynecologic cervix cancer treatment plan are presented.

Interactive multiobjective optimization for anatomy-based three-dimensional HDR brachytherapy

International Nuclear Information System (INIS)

Ruotsalainen, Henri; Miettinen, Kaisa; Palmgren, Jan-Erik; Lahtinen, Tapani

2010-01-01

In this paper, we present an anatomy-based three-dimensional dose optimization approach for HDR brachytherapy using interactive multiobjective optimization (IMOO). In brachytherapy, the goals are to irradiate a tumor without causing damage to healthy tissue. These goals are often conflicting, i.e. when one target is optimized the other will suffer, and the solution is a compromise between them. IMOO is capable of handling multiple and strongly conflicting objectives in a convenient way. With the IMOO approach, a treatment planner's knowledge is used to direct the optimization process. Thus, the weaknesses of widely used optimization techniques (e.g. defining weights, computational burden and trial-and-error planning) can be avoided, planning times can be shortened and the number of solutions to be calculated is small. Further, plan quality can be improved by finding advantageous trade-offs between the solutions. In addition, our approach offers an easy way to navigate among the obtained Pareto optimal solutions (i.e. different treatment plans). When considering a simulation model of clinical 3D HDR brachytherapy, the number of variables is significantly smaller compared to IMRT, for example. Thus, when solving the model, the CPU time is relatively short. This makes it possible to exploit IMOO to solve a 3D HDR brachytherapy optimization problem. To demonstrate the advantages of IMOO, two clinical examples of optimizing a gynecologic cervix cancer treatment plan are presented.

A comparison of HDR brachytherapy and IMRT techniques for dose escalation in prostate cancer: A radiobiological modeling study

Energy Technology Data Exchange (ETDEWEB)

Fatyga, M.; Williamson, J. F.; Dogan, N.; Todor, D.; Siebers, J. V.; George, R.; Barani, I.; Hagan, M. [Department of Radiation Oncology, Virginia Commonwealth University Medical Center, 401 College Street, Richmond, Virginia 23298 (United States)

2009-09-15

A course of one to three large fractions of high dose rate (HDR) interstitial brachytherapy is an attractive alternative to intensity modulated radiation therapy (IMRT) for delivering boost doses to the prostate in combination with additional external beam irradiation for intermediate risk disease. The purpose of this work is to quantitatively compare single-fraction HDR boosts to biologically equivalent fractionated IMRT boosts, assuming idealized image guided delivery (igIMRT) and conventional delivery (cIMRT). For nine prostate patients, both seven-field IMRT and HDR boosts were planned. The linear-quadratic model was used to compute biologically equivalent dose prescriptions. The cIMRT plan was evaluated as a static plan and with simulated random and setup errors. The authors conclude that HDR delivery produces a therapeutic ratio which is significantly better than the conventional IMRT and comparable to or better than the igIMRT delivery. For the HDR, the rectal gBEUD analysis is strongly influenced by high dose DVH tails. A saturation BED, beyond which no further injury can occur, must be assumed. Modeling of organ motion uncertainties yields mean outcomes similar to static plan outcomes.

Prediction of HDR quality by combining perceptually transformed display measurements with machine learning

Science.gov (United States)

Choudhury, Anustup; Farrell, Suzanne; Atkins, Robin; Daly, Scott

2017-09-01

We present an approach to predict overall HDR display quality as a function of key HDR display parameters. We first performed subjective experiments on a high quality HDR display that explored five key HDR display parameters: maximum luminance, minimum luminance, color gamut, bit-depth and local contrast. Subjects rated overall quality for different combinations of these display parameters. We explored two models | a physical model solely based on physically measured display characteristics and a perceptual model that transforms physical parameters using human vision system models. For the perceptual model, we use a family of metrics based on a recently published color volume model (ICT-CP), which consists of the PQ luminance non-linearity (ST2084) and LMS-based opponent color, as well as an estimate of the display point spread function. To predict overall visual quality, we apply linear regression and machine learning techniques such as Multilayer Perceptron, RBF and SVM networks. We use RMSE and Pearson/Spearman correlation coefficients to quantify performance. We found that the perceptual model is better at predicting subjective quality than the physical model and that SVM is better at prediction than linear regression. The significance and contribution of each display parameter was investigated. In addition, we found that combined parameters such as contrast do not improve prediction. Traditional perceptual models were also evaluated and we found that models based on the PQ non-linearity performed better.

A gEUD-based inverse planning technique for HDR prostate brachytherapy: Feasibility study

Energy Technology Data Exchange (ETDEWEB)

Giantsoudi, D. [Department of Radiological Sciences, University of Texas Health Sciences Center, San Antonio, Texas 78229 (United States); Department of Radiation Oncology, Francis H. Burr Proton Therapy Center, Boston, Massachusetts 02114 (United States); Baltas, D. [Department of Medical Physics and Engineering, Strahlenklinik, Klinikum Offenbach GmbH, 63069 Offenbach (Germany); Nuclear and Particle Physics Section, Physics Department, University of Athens, 15701 Athens (Greece); Karabis, A. [Pi-Medical Ltd., Athens 10676 (Greece); Mavroidis, P. [Department of Radiological Sciences, University of Texas Health Sciences Center, San Antonio, Texas 78299 and Department of Medical Radiation Physics, Karolinska Institutet and Stockholm University, 17176 (Sweden); Zamboglou, N.; Tselis, N. [Strahlenklinik, Klinikum Offenbach GmbH, 63069 Offenbach (Germany); Shi, C. [St. Vincent' s Medical Center, 2800 Main Street, Bridgeport, Connecticut 06606 (United States); Papanikolaou, N. [Department of Radiological Sciences, University of Texas Health Sciences Center, San Antonio, Texas 78299 (United States)

2013-04-15

Purpose: The purpose of this work was to study the feasibility of a new inverse planning technique based on the generalized equivalent uniform dose for image-guided high dose rate (HDR) prostate cancer brachytherapy in comparison to conventional dose-volume based optimization. Methods: The quality of 12 clinical HDR brachytherapy implants for prostate utilizing HIPO (Hybrid Inverse Planning Optimization) is compared with alternative plans, which were produced through inverse planning using the generalized equivalent uniform dose (gEUD). All the common dose-volume indices for the prostate and the organs at risk were considered together with radiobiological measures. The clinical effectiveness of the different dose distributions was investigated by comparing dose volume histogram and gEUD evaluators. Results: Our results demonstrate the feasibility of gEUD-based inverse planning in HDR brachytherapy implants for prostate. A statistically significant decrease in D{sub 10} or/and final gEUD values for the organs at risk (urethra, bladder, and rectum) was found while improving dose homogeneity or dose conformity of the target volume. Conclusions: Following the promising results of gEUD-based optimization in intensity modulated radiation therapy treatment optimization, as reported in the literature, the implementation of a similar model in HDR brachytherapy treatment plan optimization is suggested by this study. The potential of improved sparing of organs at risk was shown for various gEUD-based optimization parameter protocols, which indicates the ability of this method to adapt to the user's preferences.

Vibrational experiments at the HDR [Heissdampfreaktor]: SHAG results and planning for SHAM

International Nuclear Information System (INIS)

Kot, C.A.; Malcher, L.; Steinhilber, H.

1987-01-01

As part of the second phase of vibrational/earthquake investigations at the HDR (Heissdampfreaktor) Test Facility in Kahl/Main, FRG, high-level shaker tests (SHAG) were performed during June and July 1986 using a coast-down shaker capable of generating 1000 tons of force. The purpose of these experiments was to investigate full-scale structural response, soil/structure interaction, and piping and equipment response under strong excitation conditions. While global safety considerations imposed load limitations, the HDR soil/structure system was nevertheless tested to incipient failure. The performance of pipe support systems in as many as seven different multiple support pipe hanger configurations, ranging from flexible to stiff systems, was evaluated in the tests. Data obtained in the tests are used to validate analysis methods. The vibrational/earthquake investigations at the HDR are continuing with the SHAM experiments, planned for the spring of 1988. In these experiments the VKL piping loop will be subjected to direct multiple-point excitation at extremely high levels. The objective is to investigate different pipe support configurations at extreme loading, to establish seismic margins for piping, and to investigate possible failure/plastification modes in an in situ piping system

Mathematical simulation of biologically equivalent doses for LDR-HDR

International Nuclear Information System (INIS)

Slosarek, K.; Zajusz, A.

1996-01-01

Based on the LQ model examples of biologically equivalent doses LDR, HDR and external beams were calculated. The biologically equivalent doses for LDR were calculated by appending to the LQ model the corrector for the time of repair of radiation sublethal damages. For radiation continuously delivered at a low dose rate the influence of sublethal damage repair time changes on biologically equivalent doses were analysed. For fractionated treatment with high dose rate the biologically equivalent doses were calculated by adding to the LQ model the formula of accelerated repopulation. For total biologically equivalent dose calculation for combine LDR-HDR-Tele irradiation examples are presented with the use of different parameters of the time of repair of sublethal damages and accelerated repopulation. The calculations performed show, that the same biologically equivalent doses can be obtained for different parameters of cell kinetics changes during radiation treatment. It also shows, that during biologically equivalent dose calculations for different radiotherapy schedules, ignorance of cell kinetics parameters can lead to relevant errors

Effectiveness of two different HDR brachytherapy regimens with the same BED value in cervical cancer

Directory of Open Access Journals (Sweden)

Rajesh Vashistha

2010-07-01

Full Text Available Purpose: To analyze the effectiveness of biologically effective dose (BED in two different regimens of HDR brachytherapy keeping the same total BED to point A and to compare the relationship of overall treatment time in terms of local control and bladder and rectal complications.Material and methods: The study included two groups comprising a total of 90 cervical cancer patients who underwent external beam radiotherapy (EBRT followed by HDR intracavitary brachytherapy (ICBT. EBRT treatment was delivered by a Co-60 teletherapy unit to a prescribed dose of 45 Gy with 1.8 Gy per fraction in 25 fractions over a period of five weeks. Parallel opposed anterior–posterior (AP/PA fields with no central shielding were used, followed by the HDR ICBT dose, to point A, of either two fractions of 9.5 Gy with a gap of 10 days, or three fractions of 7.5 Gy with a gap of 7 days between the fractions. Gemcitabine (dose of 150 mg/m2 was given weekly to all the patients as a radiosensitizer. The calculate BED3 to point A was almost the same in both groups to keep the same late complication rates. The doses, and BED10 and BED3, were calculated at different bladder and rectal point as well as at the lymphatictrapezoid points. During and after treatment patients were evaluated for local control and complications for 24 months.Results and Conclusions: Doses and BEDs at different bladder, rectal and lymphatic trapezoid points, local control, and complications in both HDR ICBT groups did not have statistically significant differences (p > 0.05. Both HDR ICBT schedules are well tolerable and equally effective.

Comparative Analysis between LDR and HDR Images for Automatic Fruit Recognition and Counting

Directory of Open Access Journals (Sweden)

Tatiana M. Pinho

2017-01-01

Full Text Available Precision agriculture is gaining an increasing interest in the current farming paradigm. This new production concept relies on the use of information technology (IT to provide a control and supervising structure that can lead to better management policies. In this framework, imaging techniques that provide visual information over the farming area play an important role in production status monitoring. As such, accurate representation of the gathered production images is a major concern, especially if those images are used in detection and classification tasks. Real scenes, observed in natural environment, present high dynamic ranges that cannot be represented by the common LDR (Low Dynamic Range devices. However, this issue can be handled by High Dynamic Range (HDR images since they have the ability to store luminance information similarly to the human visual system. In order to prove their advantage in image processing, a comparative analysis between LDR and HDR images, for fruits detection and counting, was carried out. The obtained results show that the use of HDR images improves the detection performance to more than 30% when compared to LDR.

Acute genitourinary toxicity after high-dose-rate (HDR) brachytherapy combined with hypofractionated external-beam radiation therapy for localized prostate cancer: Correlation between the urethral dose in HDR brachytherapy and the severity of acute genitourinary toxicity

International Nuclear Information System (INIS)

Akimoto, Tetsuo; Ito, Kazuto; Saitoh, Jun-ichi; Noda, Shin-ei; Harashima, Koichi; Sakurai, Hideyuki; Nakayama, Yuko; Yamamoto, Takumi; Suzuki, Kazuhiro; Nakano, Takashi; Niibe, Hideo

2005-01-01

Purpose: Several investigations have revealed that the α/β ratio for prostate cancer is atypically low, and that hypofractionation or high-dose-rate (HDR) brachytherapy regimens using appropriate radiation doses may be expected to yield tumor control and late sequelae rates that are better or at least as favorable as those achieved with conventional radiation therapy. In this setting, we attempted treating localized prostate cancer patients with HDR brachytherapy combined with hypofractionated external beam radiation therapy (EBRT). The purpose of this study was to evaluate the feasibility of using this approach, with special emphasis on the relationship between the severity of acute genitourinary (GU) toxicity and the urethral dose calculated from the dose-volume histogram (DVH) of HDR brachytherapy. Methods and Materials: Between September 2000 and December 2003, 70 patients with localized prostate cancer were treated by iridium-192 HDR brachytherapy combined with hypofractionated EBRT at the Gunma University Hospital. Hypofractionated EBRT was administered in fraction doses of 3 Gy, three times per week; a total dose of 51 Gy was delivered to the prostate gland and the seminal vesicles using the four-field technique. No elective pelvic irradiation was performed. After the completion of EBRT, all the patients additionally received transrectal ultrasonography (TRUS)-guided HDR brachytherapy. The fraction size and the number of fractions in HDR brachytherapy were prospectively changed, whereas the total radiation dose for EBRT was fixed at 51 Gy. The fractionation in HDR brachytherapy was as follows: 5 Gy x 5, 7 Gy x 3, 9 Gy x 2, administered twice per day, although the biologic effective dose (BED) for HDR brachytherapy combined with EBRT, assuming that the α/β ratio is 3, was almost equal to 138 in each fractionation group. The planning target volume was defined as the prostate gland with 5-mm margin all around, and the planning was conducted based on

Near constant-time optimal piecewise LDR to HDR inverse tone mapping

Science.gov (United States)

Chen, Qian; Su, Guan-Ming; Yin, Peng

2015-02-01

In a backward compatible HDR image/video compression, it is a general approach to reconstruct HDR from compressed LDR as a prediction to original HDR, which is referred to as inverse tone mapping. Experimental results show that 2- piecewise 2nd order polynomial has the best mapping accuracy than 1 piece high order or 2-piecewise linear, but it is also the most time-consuming method because to find the optimal pivot point to split LDR range to 2 pieces requires exhaustive search. In this paper, we propose a fast algorithm that completes optimal 2-piecewise 2nd order polynomial inverse tone mapping in near constant time without quality degradation. We observe that in least square solution, each entry in the intermediate matrix can be written as the sum of some basic terms, which can be pre-calculated into look-up tables. Since solving the matrix becomes looking up values in tables, computation time barely differs regardless of the number of points searched. Hence, we can carry out the most thorough pivot point search to find the optimal pivot that minimizes MSE in near constant time. Experiment shows that our proposed method achieves the same PSNR performance while saving 60 times computation time compared to the traditional exhaustive search in 2-piecewise 2nd order polynomial inverse tone mapping with continuous constraint.

An experimental MOSFET approach to characterize (192)Ir HDR source anisotropy.

Science.gov (United States)

Toye, W C; Das, K R; Todd, S P; Kenny, M B; Franich, R D; Johnston, P N

2007-09-07

The dose anisotropy around a (192)Ir HDR source in a water phantom has been measured using MOSFETs as relative dosimeters. In addition, modeling using the EGSnrc code has been performed to provide a complete dose distribution consistent with the MOSFET measurements. Doses around the Nucletron 'classic' (192)Ir HDR source were measured for a range of radial distances from 5 to 30 mm within a 40 x 30 x 30 cm(3) water phantom, using a TN-RD-50 MOSFET dosimetry system with an active area of 0.2 mm by 0.2 mm. For each successive measurement a linear stepper capable of movement in intervals of 0.0125 mm re-positioned the MOSFET at the required radial distance, while a rotational stepper enabled angular displacement of the source at intervals of 0.9 degrees . The source-dosimeter arrangement within the water phantom was modeled using the standardized cylindrical geometry of the DOSRZnrc user code. In general, the measured relative anisotropy at each radial distance from 5 mm to 30 mm is in good agreement with the EGSnrc simulations, benchmark Monte Carlo simulation and TLD measurements where they exist. The experimental approach employing a MOSFET detection system of small size, high spatial resolution and fast read out capability allowed a practical approach to the determination of dose anisotropy around a HDR source.

Towards real-time 3D ultrasound planning and personalized 3D printing for breast HDR brachytherapy treatment

International Nuclear Information System (INIS)

Poulin, Eric; Gardi, Lori; Fenster, Aaron; Pouliot, Jean; Beaulieu, Luc

2015-01-01

Two different end-to-end procedures were tested for real-time planning in breast HDR brachytherapy treatment. Both methods are using a 3D ultrasound (3DUS) system and a freehand catheter optimization algorithm. They were found fast and efficient. We demonstrated a proof-of-concept approach for personalized real-time guidance and planning to breast HDR brachytherapy treatments

Additional androgen deprivation makes the difference. Biochemical recurrence-free survival in prostate cancer patients after HDR brachytherapy and external beam radiotherapy

International Nuclear Information System (INIS)

Schiffmann, Jonas; Tennstedt, Pierre; Beyer, Burkhard; Boehm, Katharina; Tilki, Derya; Salomon, Georg; Graefen, Markus; Lesmana, Hans; Platz, Volker; Petersen, Cordula; Kruell, Andreas; Schwarz, Rudolf

2015-01-01

The role of additional androgen deprivation therapy (ADT) in prostate cancer (PCa) patients treated with combined HDR brachytherapy (HDR-BT) and external beam radiotherapy (EBRT) is still unknown. Consecutive PCa patients classified as D'Amico intermediate and high-risk who underwent HDR-BT and EBRT treatment ± ADT at our institution between January 1999 and February 2009 were assessed. Multivariable Cox regression models predicting biochemical recurrence (BCR) were performed. BCR-free survival was assessed with Kaplan-Meier analyses. Overall, 392 patients were assessable. Of these, 221 (56.4 %) underwent trimodality (HDR-BT and EBRT and ADT) and 171 (43.6 %) bimodality (HDR-BT and EBRT) treatment. Additional ADT administration reduced the risk of BCR (HR: 0.4, 95 % CI: 0.3-0.7, p < 0.001). D'Amico high-risk patients had superior BCR-free survival when additional ADT was administered (log-rank p < 0.001). No significant difference for BCR-free survival was recorded when additional ADT was administered to D'Amico intermediate-risk patients (log-rank p = 0.2). Additional ADT administration improves biochemical control in D'Amico high-risk patients when HDR-BT and EBRT are combined. Physicians should consider the oncological benefit of ADT administration for these patients during the decision-making process. (orig.) [de

SU-E-T-574: Fessiblity of Using the Calypso System for HDR Interstitial Catheter Reconstruction

International Nuclear Information System (INIS)

Li, J S; Ma, C

2014-01-01

Purpose: It is always a challenge to reconstruct the interstitial catheter for high dose rate (HDR) brachytherapy on patient CT or MR images. This work aims to investigate the feasibility of using the Calypso system (Varian Medical, CA) for HDR catheter reconstruction utilizing its accuracy on tracking the electromagnetic transponder location. Methods: Experiment was done with a phantom that has a HDR interstitial catheter embedded inside. CT scan with a slice thickness of 1.25 mm was taken for this phantom with two Calypso beacon transponders in the catheter. The two transponders were connected with a wire. The Calypso system was used to record the beacon transponders’ location in real time when they were gently pulled out with the wire. The initial locations of the beacon transponders were used for registration with the CT image and the detected transponder locations were used for the catheter path reconstruction. The reconstructed catheter path was validated on the CT image. Results: The HDR interstitial catheter was successfully reconstructed based on the transponders’ coordinates recorded by the Calypso system in real time when the transponders were pulled in the catheter. After registration with the CT image, the shape and location of the reconstructed catheter are evaluated against the CT image and the result shows an accuracy of 2 mm anywhere in the Calypso detectable region which is within a 10 cm X 10 cm X 10 cm cubic box for the current system. Conclusion: It is feasible to use the Calypso system for HDR interstitial catheter reconstruction. The obstacle for its clinical usage is the size of the beacon transponder whose diameter is bigger than most of the interstitial catheters used in clinic. Developing smaller transponders and supporting software and hardware for this application is necessary before it can be adopted for clinical use

Additional androgen deprivation makes the difference. Biochemical recurrence-free survival in prostate cancer patients after HDR brachytherapy and external beam radiotherapy

Energy Technology Data Exchange (ETDEWEB)

Schiffmann, Jonas; Tennstedt, Pierre; Beyer, Burkhard; Boehm, Katharina; Tilki, Derya; Salomon, Georg; Graefen, Markus [University Medical Center Hamburg-Eppendorf, Martini-Clinic Prostate Cancer Center, Hamburg (Germany); Lesmana, Hans; Platz, Volker; Petersen, Cordula; Kruell, Andreas; Schwarz, Rudolf [University Medical Center Hamburg-Eppendorf, Department of Radiation oncology, Hamburg (Germany)

2015-04-01

The role of additional androgen deprivation therapy (ADT) in prostate cancer (PCa) patients treated with combined HDR brachytherapy (HDR-BT) and external beam radiotherapy (EBRT) is still unknown. Consecutive PCa patients classified as D'Amico intermediate and high-risk who underwent HDR-BT and EBRT treatment ± ADT at our institution between January 1999 and February 2009 were assessed. Multivariable Cox regression models predicting biochemical recurrence (BCR) were performed. BCR-free survival was assessed with Kaplan-Meier analyses. Overall, 392 patients were assessable. Of these, 221 (56.4 %) underwent trimodality (HDR-BT and EBRT and ADT) and 171 (43.6 %) bimodality (HDR-BT and EBRT) treatment. Additional ADT administration reduced the risk of BCR (HR: 0.4, 95 % CI: 0.3-0.7, p < 0.001). D'Amico high-risk patients had superior BCR-free survival when additional ADT was administered (log-rank p < 0.001). No significant difference for BCR-free survival was recorded when additional ADT was administered to D'Amico intermediate-risk patients (log-rank p = 0.2). Additional ADT administration improves biochemical control in D'Amico high-risk patients when HDR-BT and EBRT are combined. Physicians should consider the oncological benefit of ADT administration for these patients during the decision-making process. (orig.) [German] Der Nutzen einer zusaetzlichen Hormonentzugstherapie (ADT, ''androgen deprivation therapy'') fuer Patienten mit Prostatakarzinom (PCa), welche mit einer Kombination aus HDR-Brachytherapie (HDR-BT) und perkutaner Bestrahlung (EBRT) behandelt werden, ist weiterhin ungeklaert. Fuer diese Studie wurden konsekutive, nach der D'Amico-Risikoklassifizierung in ''intermediate'' und ''high-risk'' eingeteilte Patienten ausgewaehlt, die zwischen Januar 1999 und Februar 2009 in unserem Institut eine kombinierte Therapie aus HDR-BT, EBRT ± ADT erhalten haben. Eine

The effect of split pixel HDR image sensor technology on MTF measurements

Science.gov (United States)

Deegan, Brian M.

2014-03-01

Split-pixel HDR sensor technology is particularly advantageous in automotive applications, because the images are captured simultaneously rather than sequentially, thereby reducing motion blur. However, split pixel technology introduces artifacts in MTF measurement. To achieve a HDR image, raw images are captured from both large and small sub-pixels, and combined to make the HDR output. In some cases, a large sub-pixel is used for long exposure captures, and a small sub-pixel for short exposures, to extend the dynamic range. The relative size of the photosensitive area of the pixel (fill factor) plays a very significant role in the output MTF measurement. Given an identical scene, the MTF will be significantly different, depending on whether you use the large or small sub-pixels i.e. a smaller fill factor (e.g. in the short exposure sub-pixel) will result in higher MTF scores, but significantly greater aliasing. Simulations of split-pixel sensors revealed that, when raw images from both sub-pixels are combined, there is a significant difference in rising edge (i.e. black-to-white transition) and falling edge (white-to-black) reproduction. Experimental results showed a difference of ~50% in measured MTF50 between the falling and rising edges of a slanted edge test chart.

Anatomy-based inverse planning dose optimization in HDR prostate implant: A toxicity study

International Nuclear Information System (INIS)

Mahmoudieh, Alireza; Tremblay, Christine; Beaulieu, Luc; Lachance, Bernard; Harel, Francois; Lessard, Etienne; Pouliot, Jean; Vigneault, Eric

2005-01-01

Background and purpose: The aim of this study is to evaluate the acute and late complications in patients who have received HDR implant boost using inverse planning, and to determine dose volume correlations. Patients and methods: Between September 1999 and October 2002, 44 patients with locally advanced prostate cancer (PSA ≥10 ng/ml, and/or Gleason score ≥7, and/or Stage T2c or higher) were treated with 40-45 Gy external pelvic field followed by 2-3 fraction of inverse-planned HDR implant boost (6-9.5 Gy /fraction). Median follow-up time was 1.7 years with 81.8% of patients who had at least 12 months of follow up (range 8.6-42.5. Acute and late morbidity data were collected and graded according to RTOG criteria. Questionnaires were used to collect prostate related measures of quality of life, and international prostate symptom score (IPSS) before and after treatment. Dose-volume histograms for prostate, urethra, bladder, penis bulb and rectum were analyzed. Results: The median patient age was 64 years. Of these, 32% were in the high risk group, and 61% in the intermediate risk group. 3 patients (7%) had no adverse prognostic factors. A single grade 3 GU acute toxicity was reported but no grade 3-4 acute GI toxicity. No grade 3-4 late GU or GI toxicity was reported. Acute (late) grade 2 urinary and rectal symptoms were reported in 31.8 (11.4%) and 4.6% (4.6%) of patients, respectively. A trend for predicting acute GU toxicity is seen for total HDR dose of more than 18 Gy (OR=3.6, 95%CI=[0.96-13.5], P=0.058). The evolution of toxicity is presented for acute and late GU/GI toxicity. Erectile dysfunction occurs in approximately 27% of patients who were not on hormonal deprivation, but may be taking sildenafil. The IPSS peaked on averaged 6 weeks post-implant and returned to the baseline at a median of 6 months. Conclusions: Inverse-planned HDR brachytherapy is a viable option to deliver higher dose to the prostate as a boost without increasing GU or rectal

A novel GATA3 nonsense mutation in a newly diagnosed adult patient of hypoparathyroidism, deafness, and renal dysplasia (HDR) syndrome.

Science.gov (United States)

Nanba, Kazutaka; Usui, Takeshi; Nakamura, Michikazu; Toyota, Yuko; Hirota, Keisho; Tamanaha, Tamiko; Kawashima, Sachiko-Tsukamoto; Nakao, Kanako; Yuno, Akiko; Tagami, Tetsuya; Naruse, Mitsuhide; Shimatsu, Akira

2013-01-01

Hypoparathyroidism, deafness, and renal dysplasia (HDR) syndrome is an autosomal dominant disorder caused by a GATA3 gene mutation. Here we report a novel mutation of GATA3 in a patient diagnosed with HDR syndrome at the age of 58 with extensive intracranial calcification. A 58-year-old Japanese man showed severe hypocalcemia and marked calcification in the basal ganglia, cerebellum, deep white matter, and gray-white junction on computed tomography (CT). The serum intact parathyroid hormone level was relatively low against low serum calcium concentration. The patient had been diagnosed with bilateral sensorineural deafness in childhood and had a family history of hearing disorders. Imaging studies revealed no renal anomalies. The patient was diagnosed with HDR syndrome, and genetic testing was performed. Genetic analysis of GATA3 showed a novel nonsense mutation at codon 198 (S198X) in exon 3. The S198X mutation leads to a loss of two zinc finger deoxyribonucleic acid (DNA) binding domains and is considered to be responsible for HDR syndrome. We identified a novel nonsense mutation of GATA3 in an adult patient with HDR syndrome who showed extensive intracranial calcification.

HDR IMAGING FOR FEATURE DETECTION ON DETAILED ARCHITECTURAL SCENES

Directory of Open Access Journals (Sweden)

G. Kontogianni

2015-02-01

Full Text Available 3D reconstruction relies on accurate detection, extraction, description and matching of image features. This is even truer for complex architectural scenes that pose needs for 3D models of high quality, without any loss of detail in geometry or color. Illumination conditions influence the radiometric quality of images, as standard sensors cannot depict properly a wide range of intensities in the same scene. Indeed, overexposed or underexposed pixels cause irreplaceable information loss and degrade digital representation. Images taken under extreme lighting environments may be thus prohibitive for feature detection/extraction and consequently for matching and 3D reconstruction. High Dynamic Range (HDR images could be helpful for these operators because they broaden the limits of illumination range that Standard or Low Dynamic Range (SDR/LDR images can capture and increase in this way the amount of details contained in the image. Experimental results of this study prove this assumption as they examine state of the art feature detectors applied both on standard dynamic range and HDR images.

Fricke gel-layer dosimetry in HDR brachytherapy

International Nuclear Information System (INIS)

Gambarini, G.; Negri, A.; Carrara, M.; Marchesini, R.

2008-01-01

Full text: In the last decade, technological improvements in radiotherapy have been significant and consequently the use and importance of radiotherapy in cancer treatment have increased greatly. In brachytherapy, new possibilities have been opened by the impressive progresses in 3D imaging, by the development of sophisticated techniques for modern afterloaders and by the constantly increasing speed and capacity of computers. However, these methodological improvements require corresponding improvements in the dosimetry methods, in order to ensure that the values calculated with computer treatment planning systems, adopted in the clinical praxis, agree with the delivered dose distributions. Fricke gel-layer dosimeters (FGLD) are under study by our group as a reliable alternative to films, semiconductors arrays or thermoluminescent dosimeters (TLDs). In the last years, we have significantly improved this technique by defining the FGLD best chemical composition, by optimizing the image acquisition assessment and by developing a dedicated software for image analysis. In this study, experimental measurements of planar dose distributions of a clinical 192 Ir source (Microselectron HDR, Nucletron) obtained by irradiating a series of piled-up FGL dosimeters in a tissue-equivalent phantom are presented. The obtained results were in accordance to TLD measurements and to treatment planning system (Plato, Nucletron) calculations. FGLD have proven to be a reliable tool to achieve HDR brachytherapy dose distribution measurements

Characterization of HDR Ir-192 source for 3D planning system

International Nuclear Information System (INIS)

Fonseca, Gabriel P.; Yoriyaz, Helio; Antunes, Paula C.G.; Siqueira, Paulo T.D.; Rubo, Rodrigo; Ferreira, Louise A.

2011-01-01

Brachytherapy treatment involves surgical or cavitary insertion of radioactive sources for diseases treatments, such as: lung, gynecologic or prostate cancer. This technique has great ability to administer high doses to the tumor, with adjacent normal tissue preservation equal or better than external beam radiation therapy. Several innovations have been incorporated in this treatment technique, such as, 3D treatment planning system and computer guided sources. In detriment to scientific advances there are no protocols that relate dose with tumor volume, organs or A point, established by ICRU38 and used to prescribe dose in treatment planning system. Several international studies, like as EMBRACE, the multicentre international study, has been trying to correlate the dose volume using 3D planning systems and medical images, as those obtained by CT or MRI, to establish treatment protocols. With the objective of analyzing the 3D dose distribution, a micro Selectron-HDR remote afterloading device for high dose-rate (HDR) was characterized in the present work. Through the data provided by the manufacturer the source was simulated, using the MCNP5 code to calculate American Association of Physicists in Medicine Task Group No. 43 report (AAPM TG43) specified parameters. The simulations have shown great agreement when compared to the ONCENTRA planning system results and those provided by literature. The micro Selectron-HDR remote afterloading device will be utilized to simulate 3D dose distribution through CT images processed by an auxiliary software which process DICOM images. (author)

Characterization of HDR Ir-192 source for 3D planning system

Energy Technology Data Exchange (ETDEWEB)

Fonseca, Gabriel P.; Yoriyaz, Helio; Antunes, Paula C.G.; Siqueira, Paulo T.D., E-mail: gabriel.fonseca@usp.b, E-mail: hyoriyaz@ipen.b, E-mail: ptsiquei@ipen.b [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil); Rubo, Rodrigo [Universidade de Sao Paulo (HC/FMUSP), Sao Paulo, SP (Brazil). Hospital das Clinicas. Servico de Radioterapia; Minamisawa, Renato A., E-mail: renato.minamisawa@psi.c [Paul Scherrer Institut (PSI), Villigen (Switzerland); Ferreira, Louise A. [Universidade Estadual de Maringa (UEM), PR (Brazil). Fac. de Medicina

2011-07-01

Brachytherapy treatment involves surgical or cavitary insertion of radioactive sources for diseases treatments, such as: lung, gynecologic or prostate cancer. This technique has great ability to administer high doses to the tumor, with adjacent normal tissue preservation equal or better than external beam radiation therapy. Several innovations have been incorporated in this treatment technique, such as, 3D treatment planning system and computer guided sources. In detriment to scientific advances there are no protocols that relate dose with tumor volume, organs or A point, established by ICRU38 and used to prescribe dose in treatment planning system. Several international studies, like as EMBRACE, the multicentre international study, has been trying to correlate the dose volume using 3D planning systems and medical images, as those obtained by CT or MRI, to establish treatment protocols. With the objective of analyzing the 3D dose distribution, a micro Selectron-HDR remote afterloading device for high dose-rate (HDR) was characterized in the present work. Through the data provided by the manufacturer the source was simulated, using the MCNP5 code to calculate American Association of Physicists in Medicine Task Group No. 43 report (AAPM TG43) specified parameters. The simulations have shown great agreement when compared to the ONCENTRA planning system results and those provided by literature. The micro Selectron-HDR remote afterloading device will be utilized to simulate 3D dose distribution through CT images processed by an auxiliary software which process DICOM images. (author)

SU-E-J-270: Study of PET Response to HDR Brachytherapy of Rectal Cancer

Energy Technology Data Exchange (ETDEWEB)

Hobbs, R; Le, Y; Armour, E; Efron, J; Azad, N; Wahl, R; Gearhart, S; Herman, J [Johns Hopkins University, Baltimore, MD (United States)

2014-06-01

Purpose: Dose-response studies in radiation therapy are typically using single response values for tumors across ensembles of tumors. Using the high dose rate (HDR) treatment plan dose grid and pre- and post-therapy FDG-PET images, we look for correlations between voxelized dose and FDG uptake response in individual tumors. Methods: Fifteen patients were treated for localized rectal cancer using 192Ir HDR brachytherapy in conjunction with surgery. FDG-PET images were acquired before HDR therapy and 6–8 weeks after treatment (prior to surgery). Treatment planning was done on a commercial workstation and the dose grid was calculated. The two PETs and the treatment dose grid were registered to each other using non-rigid registration. The difference in PET SUV values before and after HDR was plotted versus absorbed radiation dose for each voxel. The voxels were then separated into bins for every 400 cGy of absorbed dose and the bin average values plotted similarly. Results: Individual voxel doses did not correlate with PET response; however, when group into tumor subregions corresponding to dose bins, eighty percent of the patients showed a significant positive correlation (R2 > 0) between PET uptake difference in the targeted region and the absorbed dose. Conclusion: By considering larger ensembles of voxels, such as organ average absorbed dose or the dose bins considered here, valuable information may be obtained. The dose-response correlations as measured by FDG-PET difference potentially underlines the importance of FDG-PET as a measure of response, as well as the value of voxelized information.

Virtual HDR CyberKnife SBRT for Localized Prostatic Carcinoma: 5-year Disease-free Survival and Toxicity Observations

Directory of Open Access Journals (Sweden)

Donald Blake Fuller

2014-11-01

Full Text Available PURPOSEProstate stereotactic body radiotherapy (SBRT may substantially recapitulate the dose distribution of high-dose-rate (HDR brachytherapy, representing an externally delivered Virtual HDR treatment method. Herein we present 5-year outcomes from a cohort of consecutively treated Virtual HDR SBRT prostate cancer patients.METHODSSeventy-nine patients were treated from 2006 - 2009, 40 low-risk and 39 intermediate-risk, under IRB-approved clinical trial, to 38 Gy in 4 fractions. The planning target volume (PTV included prostate plus a 2-mm volume expansion in all directions, with selective use of a 5-mm prostate-to-PTV expansion and proximal seminal vesicle coverage in intermediate-risk patients, to better cover potential extraprostatic disease; rectal PTV margin reduced to zero in all cases. The prescription dose covered > 95% of the PTV (V100 >= 95%, with a minimum 150% PTV dose escalation to create HDR-like PTV dose distribution.RESULTSMedian pre-SBRT PSA level of 5.6 ng/mL decreased to 0.05 ng/mL 5 years out and 0.02 ng/mL 6 years out. At least one PSA bounce was seen in 55 patients (70% but only 3 of them subsequently relapsed, Biochemical-relapse-free survival was 100% and 92% for low-risk and intermediate-risk patients, respectively, by ASTRO definition (98% and 92% by Phoenix definition. Local relapse did not occur, distant metastasis-free survival was 100% and 95% by risk-group, and disease-specific survival was 100%. Acute and late grade 2 GU toxicity incidence was 10% and 9%, respectively; with 6% late grade 3 GU toxicity. Acute urinary retention did not occur. Acute and late grade 2 GI toxicity was 0% and 1%, respectively, with no grade 3 or higher toxicity. Of patients potent pre-SBRT, 65% remained so at 5 years.CONCLUSIONSVirtual HDR prostate SBRT creates a very low PSA nadir, a high rate of 5-year disease-free survival and an acceptable toxicity incidence, with results closely resembling those reported post-HDR brachytherapy.

Management of a HDR brachytherapy system in the Hospital Juarez of Mexico; Gestion de un sistema de braquiterapia HDR een el Hospital Juarez de Mexico

Energy Technology Data Exchange (ETDEWEB)

Serrano F, A.G.; Ramirez R, G.; Gil G, R. [Hospital Juarez de Mexico, Av. l.P.N. 5160, Col. Magdalena de las Salinas, 07760 Mexico D.F. (Mexico); Azorin N, J. [UAM-I, 09340 Mexico D.F. (Mexico); Rivera M, T. [Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada, Unidad Legaria del IPN, Av. Legaria 694, Col. Irrigacion, 11500 Mexico D.F. (Mexico)

2007-07-01

Full text: In the Hospital Juarez of Mexico, it is carried out a project to implement a Brachytherapy system with high dose rate (HDR) through a Management quality program. In our work center this treatment modality in patients with cervicouterine cancer is used (CaCu), and constantly it is necessary to carry out improvements in the procedures, with the purpose of optimizing them and in consequence to complete the principles of the Radiological Protection, guaranteeing this way, an attention with the quality and safety, such that allow to diminish the risks to the patients and to assure that the received dose in critical organs it finds inside the permitted therapeutic limits, without commit the radiosensitive response of healthy organs. In this work an analysis of the implementation of this system is presented, detailing the procedures so much in the technological infrastructure like human and indicating the necessary technical and operative requirements to reach an adequate practice in HDR brachytherapy. (Author)

Balloon-based adjuvant radiotherapy in breast cancer: comparison between 99mTc and HDR 192Ir

Directory of Open Access Journals (Sweden)

Tarcísio Passos Ribeiro de Campos

2016-04-01

Full Text Available Abstract Objective: To perform a comparative dosimetric analysis, based on computer simulations, of temporary balloon implants with 99mTc and balloon brachytherapy with high-dose-rate (HDR 192Ir, as boosts to radiotherapy. We hypothesized that the two techniques would produce equivalent doses under pre-established conditions of activity and exposure time. Materials and Methods: Simulations of implants with 99mTc-filled and HDR 192Ir-filled balloons were performed with the Siscodes/MCNP5, modeling in voxels a magnetic resonance imaging set related to a young female. Spatial dose rate distributions were determined. In the dosimetric analysis of the protocols, the exposure time and the level of activity required were specified. Results: The 99mTc balloon presented a weighted dose rate in the tumor bed of 0.428 cGy.h-1.mCi-1 and 0.190 cGyh-1.mCi-1 at the balloon surface and at 8-10 mm from the surface, respectively, compared with 0.499 and 0.150 cGyh-1.mCi-1, respectively, for the HDR 192Ir balloon. An exposure time of 24 hours was required for the 99mTc balloon to produce a boost of 10.14 Gy with 1.0 Ci, whereas only 24 minutes with 10.0 Ci segments were required for the HDR 192Ir balloon to produce a boost of 5.14 Gy at the same reference point, or 10.28 Gy in two 24-minutes fractions. Conclusion: Temporary 99mTc balloon implantation is an attractive option for adjuvant radiotherapy in breast cancer, because of its availability, economic viability, and similar dosimetry in comparison with the use of HDR 192Ir balloon implantation, which is the current standard in clinical practice.

Independent verification of the delivered dose in High-Dose Rate (HDR) brachytherapy

International Nuclear Information System (INIS)

Portillo, P.; Feld, D.; Kessler, J.

2009-01-01

An important aspect of a Quality Assurance program in Clinical Dosimetry is an independent verification of the dosimetric calculation done by the Treatment Planning System for each radiation treatment. The present paper is aimed at creating a spreadsheet for the verification of the dose recorded at a point of an implant with radioactive sources and HDR in gynecological injuries. An 192 Ir source automatic differed loading equipment, GammaMedplus model, Varian Medical System with HDR installed at the Angel H. Roffo Oncology Institute has been used. The planning system implemented for getting the dose distribution is the BraquiVision. The sources coordinates as well as those of the calculation point (Rectum) are entered into the Excel-devised verification program by assuming the existence of a point source in each one of the applicators' positions. Such calculation point has been selected as the rectum is an organ at risk, therefore determining the treatment planning. The dose verification is performed at points standing at a sources distance having at least twice the active length of such sources, so they may be regarded as point sources. Most of the sources used in HDR brachytherapy with 192 Ir have a 5 mm active length for all equipment brands. Consequently, the dose verification distance must be at least of 10 mm. (author)

Evaluation of water-mimicking solid phantom materials for use in HDR and LDR brachytherapy dosimetry

Science.gov (United States)

Schoenfeld, Andreas A.; Thieben, Maike; Harder, Dietrich; Poppe, Björn; Chofor, Ndimofor

2017-12-01

In modern HDR or LDR brachytherapy with photon emitters, fast checks of the dose profiles generated in water or a water-equivalent phantom have to be available in the interest of patient safety. However, the commercially available brachytherapy photon sources cover a wide range of photon emission spectra, and the range of the in-phantom photon spectrum is further widened by Compton scattering, so that the achievement of water-mimicking properties of such phantoms involves high requirements on their atomic composition. In order to classify the degree of water equivalence of the numerous commercially available solid water-mimicking phantom materials and the energy ranges of their applicability, the radial profiles of the absorbed dose to water, D w, have been calculated using Monte Carlo simulations in these materials and in water phantoms of the same dimensions. This study includes the HDR therapy sources Nucletron Flexisource Co-60 HDR (60Co), Eckert und Ziegler BEBIG GmbH CSM-11 (137Cs), Implant Sciences Corporation HDR Yb-169 Source 4140 (169Yb) as well as the LDR therapy sources IsoRay Inc. Proxcelan CS-1 (131Cs), IsoAid Advantage I-125 IAI-125A (125I), and IsoAid Advantage Pd-103 IAPd-103A (103Pd). Thereby our previous comparison between phantom materials and water surrounding a Varian GammaMed Plus HDR therapy 192Ir source (Schoenfeld et al 2015) has been complemented. Simulations were performed in cylindrical phantoms consisting of either water or the materials RW1, RW3, Solid Water, HE Solid Water, Virtual Water, Plastic Water DT, Plastic Water LR, Original Plastic Water (2015), Plastic Water (1995), Blue Water, polyethylene, polystyrene and PMMA. While for 192Ir, 137Cs and 60Co most phantom materials can be regarded as water equivalent, for 169Yb the materials Plastic Water LR, Plastic Water DT and RW1 appear as water equivalent. For the low-energy sources 106Pd, 131Cs and 125I, only Plastic Water LR can be classified as water equivalent.

HDR brachytherapy in carcinoma of cervix: initial experience at AWARE hospitals

International Nuclear Information System (INIS)

Rajendran, M.; Reddy, K.D.; Reddy, R.M.; Reddy, J.M.; Reddy, B.V.N.; Kiran Kumar; Gopi, S.; Dharaniraj; Janardhanan

2002-01-01

High dose rate (HDR) brachytherapy is well established in the management of gynaecological malignancies. A report on the initial results of one and half year experience with a consistent dose/fractionation schedule and procedure of planning with delivery of treatment schedule is presented

Realistic camera noise modeling with application to improved HDR synthesis

Science.gov (United States)

Goossens, Bart; Luong, Hiêp; Aelterman, Jan; Pižurica, Aleksandra; Philips, Wilfried

2012-12-01

Due to the ongoing miniaturization of digital camera sensors and the steady increase of the "number of megapixels", individual sensor elements of the camera become more sensitive to noise, even deteriorating the final image quality. To go around this problem, sophisticated processing algorithms in the devices, can help to maximally exploit the knowledge on the sensor characteristics (e.g., in terms of noise), and offer a better image reconstruction. Although a lot of research focuses on rather simplistic noise models, such as stationary additive white Gaussian noise, only limited attention has gone to more realistic digital camera noise models. In this article, we first present a digital camera noise model that takes several processing steps in the camera into account, such as sensor signal amplification, clipping, post-processing,.. We then apply this noise model to the reconstruction problem of high dynamic range (HDR) images from a small set of low dynamic range (LDR) exposures of a static scene. In literature, HDR reconstruction is mostly performed by computing a weighted average, in which the weights are directly related to the observer pixel intensities of the LDR image. In this work, we derive a Bayesian probabilistic formulation of a weighting function that is near-optimal in the MSE sense (or SNR sense) of the reconstructed HDR image, by assuming exponentially distributed irradiance values. We define the weighting function as the probability that the observed pixel intensity is approximately unbiased. The weighting function can be directly computed based on the noise model parameters, which gives rise to different symmetric and asymmetric shapes when electronic noise or photon noise is dominant. We also explain how to deal with the case that some of the noise model parameters are unknown and explain how the camera response function can be estimated using the presented noise model. Finally, experimental results are provided to support our findings.

: Light Steering Projection Systems and Attributes for HDR Displays

KAUST Repository

Damberg, Gerwin

2017-06-02

New light steering projectors in cinema form images by moving light away from dark regions into bright areas of an image. In these systems, the peak luminance of small features can far exceed full screen white luminance. In traditional projectors where light is filtered or blocked in order to give shades of gray (or colors), the peak luminance is fixed. The luminance of chromatic features benefit in the same way as white features, and chromatic image details can be reproduced at high brightness leading to a much wider overall color gamut coverage than previously possible. Projectors of this capability are desired by the creative community to aid in and enhance storytelling. Furthermore, reduced light source power requirements of light steering projectors provide additional economic and environmental benefits. While the dependency of peak luminance level on (bright) image feature size is new in the digital cinema space, display technologies with identical characteristics such as OLED, LED LCD and Plasma TVs are well established in the home. Similarly, direct view LED walls are popular in events, advertising and architectural markets. To enable consistent color reproduction across devices in today’s content production pipelines, models that describe modern projectors and display attributes need to evolve together with HDR standards and available metadata. This paper is a first step towards rethinking legacy display descriptors such as contrast, peak luminance and color primaries in light of new display technology. We first summarize recent progress in the field of light steering projectors in cinema and then, based on new projector and existing display characteristics propose the inclusion of two simple display attributes: Maximum Average Luminance and Peak (Color) Primary Luminance. We show that the proposed attributes allow a better prediction of content reproducibility on HDR displays. To validate this assertion, we test professional content on a commercial HDR

Clinical implementation of a new HDR brachytherapy device for partial breast irradiation

International Nuclear Information System (INIS)

Scanderbeg, Daniel J.; Yashar, Catheryn; Rice, Roger; Pawlicki, Todd

2009-01-01

Purpose: To present the clinical implementation of a new HDR device for partial breast irradiation, the Strut-Adjusted Volume Implant (SAVI), at the University of California, San Diego. Methods and materials: The SAVI device has multiple peripheral struts that can be differentially loaded with the HDR source. Planning criteria used for evaluation of the treatment plans included the following dose volume histogram (DVH) criteria: V90 >90%, V150 <50 cc and V200 <20 cc. Results: SAVI has been used on 20 patients to date at UC San Diego. In each case, the dose was modulated according to patient-specific anatomy to cover the tumor bed, while sparing normal tissues. The dosimetric data show that we can achieve greater than 90% coverage with respect to V90 (median of 95.3%) and also keep a low V150 and V200 dose at 24.5 and 11.2 cc, respectively. Complete treatment can be done within a 30-min time slot, which includes implant verification, setup, and irradiation time as well as wound dressing. Conclusion: SAVI has been implemented at UC San Diego for accelerated partial breast irradiation with excellent tumor bed conformance and minimal normal tissue exposure. Patient positioning is the key to identifying any inter-fraction device motion. Device asymmetry or tissue conformance has been shown to resolve itself 24 h after the device implantation. The device can be implemented into an existing HDR program with minimal effort

Photometric and Colorimeric Comparison of HDR and Spctrally Resolved Rendering Images

DEFF Research Database (Denmark)

Amdemeskel, Mekbib Wubishet; Soreze, Thierry Silvio Claude; Thorseth, Anders

2017-01-01

In this paper, we will demonstrate a comparison between measured colorimetric images, and simulated images from a physics based rendering engine. The colorimetric images are high dynamic range (HDR) and taken with a luminance and colour camera mounted on a goniometer. For the comparison, we have ...

Evaluation of the Kerma at the entrance of the labyrin thin in facilities with Co-60 HDR brachytherapy

International Nuclear Information System (INIS)

Pujades, M. C.; Granero, D.; Ballester, F.; Perez-Calatayud, J.; Vijande, J.

2013-01-01

The purpose of this study is to evaluate the kerma's collision at the entrance of the labyrinth adapting the methodology of the NCRP-151 to a bunker of brachytherapy with Co-60, similar to the one carried out in a previous work with HDR Ir-192. To validate the result is simulated using techniques Monte Carlo (MC) two typical designs of HDR with Co-60 bunker. (Author)

Dosimetric study of surface applicators of HDR brachytherapy GammaMed Plus equipment

International Nuclear Information System (INIS)

Reyes-Rivera, E.; Sosa, M.; Reyes, U.; Jesús Bernal-Alvarado, José de; Córdova, T.; Gil-Villegas, A.; Monzón, E.

2014-01-01

The cone type surface applicators used in HDR brachytherapy for treatment of small skin lesions are an alternative to be used with both electron beams and orthovoltage X-ray equipment. For a good treatment planning is necessary to know the dose distribution of these applicators, which can be obtained by experimental measurement and Monte Carlo simulation as well. In this study the dose distribution of surface applicators of 3 and 3.5 cm diameter, respectively of HDR brachytherapy GammaMed Plus equipment has been estimated using the Monte Carlo method, MCNP code. The applicators simulated were placed on the surface of a water phantom of 20 × 20 × 20 cm and the dose was calculated at depths from 0 to 3 cm with increments of 0.25 mm. The dose profiles obtained at depth show the expected gradients for surface therapy

Dosimetric study of surface applicators of HDR brachytherapy GammaMed Plus equipment

Energy Technology Data Exchange (ETDEWEB)

Reyes-Rivera, E., E-mail: eric-1985@fisica.ugto.mx, E-mail: modesto@fisica.ugto.mx, E-mail: uvaldoreyes@fisica.ugto.mx; Sosa, M., E-mail: eric-1985@fisica.ugto.mx, E-mail: modesto@fisica.ugto.mx, E-mail: uvaldoreyes@fisica.ugto.mx; Reyes, U., E-mail: eric-1985@fisica.ugto.mx, E-mail: modesto@fisica.ugto.mx, E-mail: uvaldoreyes@fisica.ugto.mx; Jesús Bernal-Alvarado, José de, E-mail: bernal@fisica.ugto.mx, E-mail: theo@fisica.ugto.mx, E-mail: gil@fisica.ugto.mx; Córdova, T., E-mail: bernal@fisica.ugto.mx, E-mail: theo@fisica.ugto.mx, E-mail: gil@fisica.ugto.mx; Gil-Villegas, A., E-mail: bernal@fisica.ugto.mx, E-mail: theo@fisica.ugto.mx, E-mail: gil@fisica.ugto.mx [División de Ciencias e Ingenierías, Universidad de Guanajuato, 37150 León, Gto. (Mexico); Monzón, E., E-mail: emonzon@imss.gob.mx [Unidad de Alta Especialidad No.1, Instituto Mexicano del Seguro Social, Léon, Gto. (Mexico)

2014-11-07

The cone type surface applicators used in HDR brachytherapy for treatment of small skin lesions are an alternative to be used with both electron beams and orthovoltage X-ray equipment. For a good treatment planning is necessary to know the dose distribution of these applicators, which can be obtained by experimental measurement and Monte Carlo simulation as well. In this study the dose distribution of surface applicators of 3 and 3.5 cm diameter, respectively of HDR brachytherapy GammaMed Plus equipment has been estimated using the Monte Carlo method, MCNP code. The applicators simulated were placed on the surface of a water phantom of 20 × 20 × 20 cm and the dose was calculated at depths from 0 to 3 cm with increments of 0.25 mm. The dose profiles obtained at depth show the expected gradients for surface therapy.

3-D conformal HDR brachytherapy as monotherapy for localized prostate cancer. A pilot study

International Nuclear Information System (INIS)

Martin, T.; Baltas, D.; Kurek, R.; Roeddiger, S.; Kontova, M.; Anagnostopoulos, G.; Skazikis, G.; Zamboglou, N.; Dannenberg, T.; Buhleier, T.; Tunn, U.

2004-01-01

Purpose: pilot study to evaluate feasibility, acute toxicity and conformal quality of three-dimensional (3-D) conformal high-dose-rate (HDR) brachytherapy as monotherapy for localized prostate cancer using intraoperative real-time planning. Patients and methods: between 05/2002 and 05/2003, 52 patients with prostate cancer, prostate-specific antigen (PSA) ≤ 10 ng/ml, Gleason score ≤ 7 and clinical stage ≤ T2a were treated. Median PSA was 6.4 ng/ml and median Gleason score 5. 24/52 patients had stage T1c and 28/52 stage T2a. For transrectal ultrasound-(TRUS-)guided transperineal implantation of flexible plastic needles into the prostate, the real-time HDR planning system SWIFT trademark was used. After implantation, CT-based 3-D postplanning was performed. All patients received one implant for four fractions of HDR brachytherapy in 48 h using a reference dose (D ref ) of 9.5 Gy to a total dose of 38.0 Gy. Dose-volume histograms (DVHs) were analyzed to evaluate the conformal quality of each implant using D 90 , D 10 urethra, and D 10 rectum. Acute toxicity was evaluated using the CTC (common toxicity criteria) scales. Results: median D 90 was 106% of D ref (range: 93-115%), median D 10 urethra 159% of D ref (range: 127-192%), and median D 10 rectum 55% of D ref (range: 35-68%). Median follow-up is currently 8 months. In 2/52 patients acute grade 3 genitourinary toxicity was observed. No gastrointestinal toxicity > grade 1 occurred. Conclusion: 3-D conformal HDR brachytherapy as monotherapy using intraoperative real-time planning is a feasible and highly conformal treatment for localized prostate cancer associated with minimal acute toxicity. Longer follow-up is needed to evaluate late toxicity and biochemical control. (orig.)

IPIP: A new approach to inverse planning for HDR brachytherapy by directly optimizing dosimetric indices

International Nuclear Information System (INIS)

Siauw, Timmy; Cunha, Adam; Atamtuerk, Alper; Hsu, I-Chow; Pouliot, Jean; Goldberg, Ken

2011-01-01

Purpose: Many planning methods for high dose rate (HDR) brachytherapy require an iterative approach. A set of computational parameters are hypothesized that will give a dose plan that meets dosimetric criteria. A dose plan is computed using these parameters, and if any dosimetric criteria are not met, the process is iterated until a suitable dose plan is found. In this way, the dose distribution is controlled by abstract parameters. The purpose of this study is to develop a new approach for HDR brachytherapy by directly optimizing the dose distribution based on dosimetric criteria. Methods: The authors developed inverse planning by integer program (IPIP), an optimization model for computing HDR brachytherapy dose plans and a fast heuristic for it. They used their heuristic to compute dose plans for 20 anonymized prostate cancer image data sets from patients previously treated at their clinic database. Dosimetry was evaluated and compared to dosimetric criteria. Results: Dose plans computed from IPIP satisfied all given dosimetric criteria for the target and healthy tissue after a single iteration. The average target coverage was 95%. The average computation time for IPIP was 30.1 s on an Intel(R) Core TM 2 Duo CPU 1.67 GHz processor with 3 Gib RAM. Conclusions: IPIP is an HDR brachytherapy planning system that directly incorporates dosimetric criteria. The authors have demonstrated that IPIP has clinically acceptable performance for the prostate cases and dosimetric criteria used in this study, in both dosimetry and runtime. Further study is required to determine if IPIP performs well for a more general group of patients and dosimetric criteria, including other cancer sites such as GYN.

Observation and simulation of non-laminar flow phenomena at the HDR site near Soulth-sous-forets; Beobachtung und Simulation von nicht-laminarem Fliessverhalten am HDR-Standort Soultz

Energy Technology Data Exchange (ETDEWEB)

Kohl, T [ETH Hoenggerberg, Zuerich (Switzerland). Inst. fuer Geophysik; Evans, K F; Hopkirk, R J [Polydynamics Engineering, Maennedorf (Switzerland); Jung, R [Bundesanstalt fuer Geowissenschaften und Rohstoffe, Hannover (Germany); Rybach, L [ETH Hoenggerberg, Zuerich (Switzerland). Inst. fuer Geophysik und Radiometrie

1997-12-01

Three independent multi-rate flow experiments were conducted in 1994 and 1995 in the open hole depth interval of a wellbore at the Hot-Dry-Rocks (HDR) test site Soultz. The steady state and transient dowmhole pressure records gave clear indications of non-Darcian flow. A numerical model has been set-up to evaluate these two measurements. An excellent fit of the transient pressure responses of all three flow tests could be achieved by assuming a simple model geometry. The models predict fluid transport along a conduit with substantial surface area in which fully-turbulent flow is occurring. The parameters required by our best-fit simulation all fall into a physically reasonable range. Sensitivity analysis demonstrates a non-Darcian flow regime along highly conductive features. The existence of high capacity far-field faults as postulated in our model confirms earlier characterisations of the Soultz test site. (orig.) [Deutsch] In den Jahren 1994 und 1995 wurden drei unabhaengige Druck- bzw. Fliessratentests in den Bohrungen GPK1 und GPK2 des HDR Standortes Soultz durchgefuehrt. Sowohl die stationaeren wie auch die instationaeren Druckaufzeichnungen gaben bereits klare Hinweise auf nichtlaminare, turbulent-aehnliche Stroemungsverhaeltnisse. Zur genaueren Interpretation dieser Daten wurde das numerische Programm FRACTure erweitert. Unter der Annahme eines geometrisch einfachen Modells konnten die instationaeren Druckantworten sehr gut angepasst werden. Es gelang sogar, die beiden in GPK1 durchgefuehrten Tests durch dieselben Modelle zu erklaeren. Die hierfuer benoetigten Modellparameter liegen in einem physikalisch sinnvollem Rahmen und bestaetigen z.T. fruehere Untersuchungen. Die Existenz grosser Stoerungszonen, welche von den Modellen vorausgesetzt werden, bestaetigt ebenfalls fruehere Charakterisierungen des HDR Standortes Soultz als ein teilweise offenes hydraulisches System. (orig.)

Quality control and performance evaluation of microselectron HDR machine over 30 months

International Nuclear Information System (INIS)

Balasubramanian, N.; Annex, E.H.; Sunderam, N.; Patel, N.P.; Kaushal, V.

2008-01-01

To assess the performance evaluation of Microselectron HDR machine the standard quality control and quality assurance checks were carried out after each loading of new 192 Ir brachytherapy source In the machine. Total 9 loadings were done over a period of 30 months

Impact of using linear optimization models in dose planning for HDR brachytherapy

International Nuclear Information System (INIS)

Holm, Aasa; Larsson, Torbjoern; Carlsson Tedgren, Aasa

2012-01-01

Purpose: Dose plans generated with optimization models hitherto used in high-dose-rate (HDR) brachytherapy have shown a tendency to yield longer dwell times than manually optimized plans. Concern has been raised for the corresponding undesired hot spots, and various methods to mitigate these have been developed. The hypotheses upon this work is based are (a) that one cause for the long dwell times is the use of objective functions comprising simple linear penalties and (b) that alternative penalties, as these are piecewise linear, would lead to reduced length of individual dwell times. Methods: The characteristics of the linear penalties and the piecewise linear penalties are analyzed mathematically. Experimental comparisons between the two types of penalties are carried out retrospectively for a set of prostate cancer patients. Results: When the two types of penalties are compared, significant changes can be seen in the dwell times, while most dose-volume parameters do not differ significantly. On average, total dwell times were reduced by 4.2%, with a reduction of maximum dwell times by 25%, when the alternative penalties were used. Conclusions: The use of linear penalties in optimization models for HDR brachytherapy is one cause for the undesired long dwell times that arise in mathematically optimized plans. By introducing alternative penalties, a significant reduction in dwell times can be achieved for HDR brachytherapy dose plans. Although various measures for mitigating the long dwell times are already available, the observation that linear penalties contribute to their appearance is of fundamental interest.

Balloon-based adjuvant radiotherapy in breast cancer: comparison between {sup 99m}Tc and HDR {sup 192}Ir

Energy Technology Data Exchange (ETDEWEB)

Campos, Tarcisio Passos Ribeiro de; Lima, Carla Flavia de; Cuperschmid, Ethel Mizrahy, E-mail: tprcampos@pq.cnpq.br [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG (Brazil)

2016-03-15

Objective: To perform a comparative dosimetric analysis, based on computer simulations, of temporary balloon implants with {sup 99m}Tc and balloon brachytherapy with high-dose-rate (HDR) {sup 192}Ir, as boosts to radiotherapy. We hypothesized that the two techniques would produce equivalent doses under pre-established conditions of activity and exposure time. Materials and methods: simulations of implants with {sup 99m}Tc-filled and HDR {sup 192}Ir-filled balloons were performed with the Siscodes/MCNP5, modeling in voxels a magnetic resonance imaging set related to a young female. Spatial dose rate distributions were determined. In the dosimetric analysis of the protocols, the exposure time and the level of activity required were specified. Results: the {sup 99m}Tc balloon presented a weighted dose rate in the tumor bed of 0.428 cGy.h{sup -1}.mCi{sup -1} and 0.190 cGyh{sup -1} at the balloon surface and at 8-10 mm from the surface, respectively, compared with 0.499 and 0.150 cGyh{sup -1}.mCi{sup -1}, respectively, for the HDR {sup 192}Ir balloon. An exposure time of 24 hours was required for the {sup 99m}Tc balloon to produce a boost of 10.14 Gy with 1.0 Ci, whereas only 24 minutes with 10.0 Ci segments were required for the HDR {sup 192}Ir balloon to produce a boost of 5.14 Gy at the same reference point, or 10.28 Gy in two 24-minutes fractions. Conclusion: temporary {sup 99m}Tc balloon implantation is an attractive option for adjuvant radiotherapy in breast cancer, because of its availability, economic viability, and similar dosimetry in comparison with the use of HDR {sup 192}Ir balloon implantation, which is the current standard in clinical practice. (author)

Relocation of a nucletron microselectron-HDR brachytherapy system

Energy Technology Data Exchange (ETDEWEB)

Bartrum, T; Tran, T; Freeman, N; Morales, J [St Vincents Hospital, Darlinghurst, NSW (Australia)

2004-12-15

Full text: For a period of four weeks, our clinical Nucletron microSelectron high dose rate (HDR) brachytherapy system was pulled out of clinical use and relocated to a new building. During this period decommission tests, de-wiring of the treatment unit and its associated safety system (such as radiation detector, emergency off circuits and door interlocks), transportation of all equipment, re-wiring of this equipment in the new location and recommission tests were carried out. The decommission and recommission test program was designed upon consultation with the manufacturer's (Nucletron) acceptance test procedures and work carried out by others. The ACPSEM tolerances for remote afterloaders was used as a guideline. In addition to mandatory dosimetry, positional, workstation database and safety tests, two Australian Standard compliance tests were carried out. The compliance tests involved one for remote afterloaders and another for treatment room design. This testing program was designed and implemented with the aim of ensuring ongoing safe delivery of brachytherapy doses to the patient. The testing program consisted of two parts. The first involved a series of decommissioning tests that consisted of dosimetry tests such as source and check cable positional accuracy and source calibration tests. In addition to these tests an inventory of standard plans, patient records and system configuration information was catalogued. The second part involved a series of recommission tests and involved carrying out dosimetry tests on the brachytherapy system (positional accuracy and calibration tests), simulating common treatment scenarios (prostate, cervical, vaginal and bile duct) and checking standard plans; patient records and system configuration had remained unchanged. During this period, other tests were carried out. These included Nucletron acceptance and preventative maintenance tests, Australian Standards compliance testing and integrity of network transfer of

Relocation of a nucletron microselectron-HDR brachytherapy system

International Nuclear Information System (INIS)

Bartrum, T.; Tran, T.; Freeman, N.; Morales, J.

2004-01-01

Full text: For a period of four weeks, our clinical Nucletron microSelectron high dose rate (HDR) brachytherapy system was pulled out of clinical use and relocated to a new building. During this period decommission tests, de-wiring of the treatment unit and its associated safety system (such as radiation detector, emergency off circuits and door interlocks), transportation of all equipment, re-wiring of this equipment in the new location and recommission tests were carried out. The decommission and recommission test program was designed upon consultation with the manufacturer's (Nucletron) acceptance test procedures and work carried out by others. The ACPSEM tolerances for remote afterloaders was used as a guideline. In addition to mandatory dosimetry, positional, workstation database and safety tests, two Australian Standard compliance tests were carried out. The compliance tests involved one for remote afterloaders and another for treatment room design. This testing program was designed and implemented with the aim of ensuring ongoing safe delivery of brachytherapy doses to the patient. The testing program consisted of two parts. The first involved a series of decommissioning tests that consisted of dosimetry tests such as source and check cable positional accuracy and source calibration tests. In addition to these tests an inventory of standard plans, patient records and system configuration information was catalogued. The second part involved a series of recommission tests and involved carrying out dosimetry tests on the brachytherapy system (positional accuracy and calibration tests), simulating common treatment scenarios (prostate, cervical, vaginal and bile duct) and checking standard plans; patient records and system configuration had remained unchanged. During this period, other tests were carried out. These included Nucletron acceptance and preventative maintenance tests, Australian Standards compliance testing and integrity of network transfer of

Results of combined photodynamic therapy (PDT) and high dose rate brachytherapy (HDR) in treatment of obstructive endobronchial non-small cell lung cancer

Science.gov (United States)

Weinberg, Benjamin D.; Allison, Ron R.; Sibata, Claudio; Parent, Teresa; Downie, Gordon

2009-06-01

We reviewed the outcome of combined photodynamic therapy (PDT) and high dose rate brachytherapy (HDR) for patients with symptomatic obstruction from endobronchial non-small cell lung cancer. Methods: Nine patients who received combined PDT and HDR for endobronchial cancers were identified and their charts reviewed. The patients were eight males and one female aged 52-73 at diagnosis, initially presenting with various stages of disease: stage IA (N=1), stage IIA (N=1), stage III (N=6), and stage IV (N=1). Intervention was with HDR (500 cGy to 5 mm once weekly for 3 weeks) and PDT (2 mg/kg Photofrin, followed by 200 J/cm2 illumination 48 hours post infusion). Treatment group 1 (TG-1, N=7) received HDR first; Treatment group 2 (TG-2, N=2) received PDT first. Patients were followed by regular bronchoscopies. Results: Treatments were well tolerated, all patients completed therapy, and none were lost to follow-up. In TG-1, local tumor control was achieved in six of seven patients for: 3 months (until death), 15 months, 2+ years (until death), 2+ years (ongoing), and 5+ years (ongoing, N=2). In TG-2, local control was achieved in only one patient, for 84 days. Morbidities included: stenosis and/or other reversible benign local tissue reactions (N=8); photosensitivity reaction (N=2), and self-limited pleural effusion (N=2). Conclusions: Combined HDR/PDT treatment for endobronchial tumors is well tolerated and can achieve prolonged local control with acceptable morbidity when PDT follows HDR and when the spacing between treatments is one month or less. This treatment regimen should be studied in a larger patient population.

High Brightness HDR Projection Using Dynamic Freeform Lensing

KAUST Repository

Damberg, Gerwin

2016-05-03

Cinema projectors need to compete with home theater displays in terms of image quality. High frame rate and spatial resolution as well as stereoscopic 3D are common features today, but even the most advanced cinema projectors lack in-scene contrast and, more important, high peak luminance, both of which are essential perceptual attributes of images appearing realistic. At the same time, HDR image statistics suggest that the average image intensity in a controlled ambient viewing environment such as the cinema can be as low as 1% for cinematic HDR content and not often higher than 18%, middle gray in photography. Traditional projection systems form images and colors by blocking the source light from a lamp, therefore attenuating between 99% and 82% of light, on average. This inefficient use of light poses significant challenges for achieving higher peak brightness levels. In this work, we propose a new projector architecture built around commercially available components, in which light can be steered to form images. The gain in system efficiency significantly reduces the total cost of ownership of a projector (fewer components and lower operating cost), and at the same time increases peak luminance and improves black level beyond what is practically achievable with incumbent projector technologies. At the heart of this computational display technology is a new projector hardware design using phase modulation in combination with a new optimization algorithm that is capable of on-the-fly computation of freeform lens surfaces. © 2016 ACM.

The Ansel Adams zone system: HDR capture and range compression by chemical processing

Science.gov (United States)

McCann, John J.

2010-02-01

We tend to think of digital imaging and the tools of PhotoshopTM as a new phenomenon in imaging. We are also familiar with multiple-exposure HDR techniques intended to capture a wider range of scene information, than conventional film photography. We know about tone-scale adjustments to make better pictures. We tend to think of everyday, consumer, silver-halide photography as a fixed window of scene capture with a limited, standard range of response. This description of photography is certainly true, between 1950 and 2000, for instant films and negatives processed at the drugstore. These systems had fixed dynamic range and fixed tone-scale response to light. All pixels in the film have the same response to light, so the same light exposure from different pixels was rendered as the same film density. Ansel Adams, along with Fred Archer, formulated the Zone System, staring in 1940. It was earlier than the trillions of consumer photos in the second half of the 20th century, yet it was much more sophisticated than today's digital techniques. This talk will describe the chemical mechanisms of the zone system in the parlance of digital image processing. It will describe the Zone System's chemical techniques for image synthesis. It also discusses dodging and burning techniques to fit the HDR scene into the LDR print. Although current HDR imaging shares some of the Zone System's achievements, it usually does not achieve all of them.

Westinghouse-GOTHIC distributed parameter modelling for HDR test E11.2

International Nuclear Information System (INIS)

Narula, J.S.; Woodcock, J.

1994-01-01

The Westinghouse-GOTHIC (WGOTHIC) code is a sophisticated mathematical computer code designed specifically for the thermal hydraulic analysis of nuclear power plant containment and auxiliary buildings. The code is capable of sophisticated flow analysis via the solution of mass, momentum, and energy conservation equations. Westinghouse has investigated the use of subdivided noding to model the flow patterns of hydrogen following its release into a containment atmosphere. For the investigation, several simple models were constructed to represent a scale similar to the German HDR containment. The calculational models were simplified to test the basic capability of the plume modeling methods to predict stratification while minimizing the number of parameters. A large empty volume was modeled, with the same volume and height as HDR. A scenario was selected that would be expected to stably stratify, and the effects of noding on the prediction of stratification was studied. A single phase hot gas was injected into the volume at a height similar to that of HDR test E11.2, and there were no heat sinks modeled. Helium was released into the calculational models, and the resulting flow patterns were judged relative to the expected results. For each model, only the number of subdivisions within the containment volume was varied. The results of the investigation of noding schemes has provided evidence of the capability of subdivided (distributed parameter) noding. The results also showed that highly inaccurate flow patterns could be obtained by using an insufficient number of subdivided nodes. This presents a significant challenge to the containment analyst, who must weigh the benefits of increased noding with the penalties the noding may incur on computational efficiency. Clearly, however, an incorrect noding choice may yield erroneous results even if great care has been taken in modeling accurately all other characteristics of containments. (author). 9 refs., 9 figs

Evaluation of radiation doses on critical organs in the treatment of cancer of the cervix using HDR-brachytherapy

International Nuclear Information System (INIS)

Soares, Taciana; Jansem, Teresa

2000-01-01

High dose-rate (HDR) brachytherapy is one type of treatment of the cervix carcinoma. During the planning for this therapy, especial attention is given to proximal normal organs such as bladder and rectum. In fact, due to their radiosensibility and localization, bladder and rectum are considered as critical organs. In this work we have studied the influence of the positioning of patient legs in the dose delivered to these critical organs in the treatment of cancer of the cervix using HDR-brachytherapy. (author)

Use of CT or MR dosimetry in high dose rate (HDR) brachytherapy for prostate cancer

International Nuclear Information System (INIS)

Liu, C.; Das, R.; See, A.; Duchesne, G.M.; Van Dyk, S.; Tai, K.H.

2003-01-01

Brachytherapy (BT) has, in recent years, become a well-utilised treatment option for prostate cancer. Tumour control probability relies on accurate dosimetry, which in turn relies on the accurate definition of the prostate gland. In external beam radiotherapy and BT, MRI has been shown to be a superior imaging modality when delineating the prostate gland especially at the apex. To date, data on MRI planning in prostate BT has focussed mainly on permanent interstitial implants. No data currently exists comparing MRI vs CT planning in HDR BT and its subsequent impact on prostate dosimetry. To determine the effects of MRI vs CT in HDR BT with respect to prostatic volumes and normal tissue doses, with the evaluations made using dose-volume histograms (DVH). Dosimetry parameters derived using CT and MRI (T2 weighted) scans of 11 patients who had received TRUS guided implants for HDR BT, were compared using the PlatoTM computer planning system. Treatment plans were generated on volumes marked by the same radiation oncologist for each patient. Comparison was made of the treatment plans (dosimetry) between: 1. CT generated plans; 2. CT generated plans assessed using MRI marked volumes and 3. MRI generated plans. We confirm the previously reported results that CT scans can overestimate prostatic volumes compared with MRI. Variations were noted in CT and MRI based plans that may allow improved sparing of the rectum and urethra when using MRI planning. The main disadvantages of using MRI scans are access to facilities as well as identifying a dummy source to adequately define the tips of our catheters. It is feasible to utilise MRI scans for HDR BT planning. The clearer definition of anatomical structures has added advantages when contouring the prostate

A multicentre audit of HDR/PDR brachytherapy absolute dosimetry in association with the INTERLACE trial (NCT015662405)

Science.gov (United States)

Díez, P.; Aird, E. G. A.; Sander, T.; Gouldstone, C. A.; Sharpe, P. H. G.; Lee, C. D.; Lowe, G.; Thomas, R. A. S.; Simnor, T.; Bownes, P.; Bidmead, M.; Gandon, L.; Eaton, D.; Palmer, A. L.

2017-12-01

A UK multicentre audit to evaluate HDR and PDR brachytherapy has been performed using alanine absolute dosimetry. This is the first national UK audit performing an absolute dose measurement at a clinically relevant distance (20 mm) from the source. It was performed in both INTERLACE (a phase III multicentre trial in cervical cancer) and non-INTERLACE brachytherapy centres treating gynaecological tumours. Forty-seven UK centres (including the National Physical Laboratory) were visited. A simulated line source was generated within each centre’s treatment planning system and dwell times calculated to deliver 10 Gy at 20 mm from the midpoint of the central dwell (representative of Point A of the Manchester system). The line source was delivered in a water-equivalent plastic phantom (Barts Solid Water) encased in blocks of PMMA (polymethyl methacrylate) and charge measured with an ion chamber at 3 positions (120° apart, 20 mm from the source). Absorbed dose was then measured with alanine at the same positions and averaged to reduce source positional uncertainties. Charge was also measured at 50 mm from the source (representative of Point B of the Manchester system). Source types included 46 HDR and PDR 192Ir sources, (7 Flexisource, 24 mHDR-v2, 12 GammaMed HDR Plus, 2 GammaMed PDR Plus, 1 VS2000) and 1 HDR 60Co source, (Co0.A86). Alanine measurements when compared to the centres’ calculated dose showed a mean difference (±SD) of  +1.1% (±1.4%) at 20 mm. Differences were also observed between source types and dose calculation algorithm. Ion chamber measurements demonstrated significant discrepancies between the three holes mainly due to positional variation of the source within the catheter (0.4%-4.9% maximum difference between two holes). This comprehensive audit of absolute dose to water from a simulated line source showed all centres could deliver the prescribed dose to within 5% maximum difference between measurement and calculation.

Consideration of the reservoir by the temperature history at the Hijiori HDR (hot dry rock) wells; Hijiori koon gantai no kokukosei ni okeru ondo rireki wo mochiita choryuso no kosatsu

Energy Technology Data Exchange (ETDEWEB)

Takahashi, W; Shinohara, N; Osato, K; Takasugi, S [GERD Geothermal Energy Research and Development Co. Ltd., Tokyo (Japan)

1997-10-22

Hot dry rock (HDR) power generation has been promoted by NEDO since 1984 at Hijiori, Okura village, Mogami-gun, Yamagata Prefecture. Hydraulic fracture tests and circulation tests have been conducted using four wells named as SKG-2, HDR-1, HDR-2 and HDR-3. Based on these test results, flow models of Hijiori shallow and deep reservoirs have been proposed. Conventional circulation tests have been analyzed only using temperature profile data. In this paper, circulation tests are analyzed by numerical simulation, to discuss individual characteristics of the shallow and deep reservoirs. Injection flow, production flow and circulation days were inputted as past circulation test data, to discuss the characteristics of geological layers, especially the permeability data, by which the features of temperature profiles in each well can be explained. As a result, it was found that the extension of permeable zone affecting the temperature in the SKG-2 well equivalent to the shallow reservoir was larger than that in the HDR-1 well. It was also found that there was a large difference in the permeability between the HDR-2a and HDR-3 wells. 5 refs., 8 figs., 2 tabs.

Management of a HDR brachytherapy system in the Hospital Juarez of Mexico

International Nuclear Information System (INIS)

Serrano F, A.G.; Ramirez R, G.; Gil G, R.; Azorin N, J.; Rivera M, T.

2007-01-01

Full text: In the Hospital Juarez of Mexico, it is carried out a project to implement a Brachytherapy system with high dose rate (HDR) through a Management quality program. In our work center this treatment modality in patients with cervicouterine cancer is used (CaCu), and constantly it is necessary to carry out improvements in the procedures, with the purpose of optimizing them and in consequence to complete the principles of the Radiological Protection, guaranteeing this way, an attention with the quality and safety, such that allow to diminish the risks to the patients and to assure that the received dose in critical organs it finds inside the permitted therapeutic limits, without commit the radiosensitive response of healthy organs. In this work an analysis of the implementation of this system is presented, detailing the procedures so much in the technological infrastructure like human and indicating the necessary technical and operative requirements to reach an adequate practice in HDR brachytherapy. (Author)

On-line conformal HDR dose escalation trial in prostate cancer

International Nuclear Information System (INIS)

Martinez, Alvaro; Stromberg, Jannifer; Edmundson, Gregory; Gustafson, Gary; Vicini, Frank; Brabbins, Donald

1996-01-01

Purpose: To improve treatment results on prostatic adenocarcinoma, we began the first prospective Phase I/II dose-escalating clinical trial of conformal brachytherapy (CB) and concurrent external beam irradiation. Methods and Materials: Fifty-four patients with T2b-T3c prostatic adenocarcinoma received 172 transperineal conformal high-dose rate (HDR) boost implants. All patients received concomitant external beam pelvic irradiation. Dose escalation of the three HDR fractions were: 5.5 Gy (18 patients), 6 Gy (15 patients), and 6.5 Gy (21 patients). The urethra, anterior rectal wall, and prostate boundaries were identified individually and outlined at 5 mm intervals from the base to the apex of the gland. The CB using real-time ultrasound guidance with interactive online isodose distributions was performed on an outpatient basis. As needles were placed into the prostate, corrections for prostate displacement were recorded and the isodose distributions were recalculated to represent the new relationship between the needles, prostate, and normal structures. Results: Craniocaudal motion of the gland ranged from 0.5-2.0 cm (mean=1.0 cm), whereas lateral displacement was 0.1-0.4 cm. With the interactive online planning system, organ motion was immediately detected, accounted for, and corrected prior to each HDR treatment. The rectal dose has ranged from 45 to 87%, and the urethral dose from 97 to 112% of the prostate dose. Negative prostatic biopsies at 18 months were seen in (30(32)) patients. Biochemical (PSA <1.5 ng/ml) control at 36 months is is 89%. It is significant that operator dependence has been completely removed because the interactive online planning system uniformly guides the physicians. Conclusions: With ultrasound guidance and the interactive online dosimetry system, organ motion is insignificant because it can be corrected during the procedure. Common pitfalls of brachytherapy, including operator dependence and difficulty with reproducibility, have been

Acute genitourinary toxicity after high dose rate (HDR) brachytherapy combined with hypofractionated external-beam radiation therapy for localized prostate cancer: Second analysis to determine the correlation between the urethral dose in HDR brachytherapy and the severity of acute genitourinary toxicity

International Nuclear Information System (INIS)

Akimoto, Tetsuo; Katoh, Hiroyuki; Noda, Shin-ei; Ito, Kazuto; Yamamoto, Takumi; Kashiwagi, Bunzo; Nakano, Takashi

2005-01-01

Purpose: We have been treating localized prostate cancer with high-dose-rate (HDR) brachytherapy combined with hypofractionated external beam radiation therapy (EBRT) at our institution. We recently reported the existence of a correlation between the severity of acute genitourinary (GU) toxicity and the urethral radiation dose in HDR brachytherapy by using different fractionation schema. The purpose of this study was to evaluate the role of the urethral dose in the development of acute GU toxicity more closely than in previous studies. For this purpose, we conducted an analysis of patients who had undergone HDR brachytherapy with a fixed fractionation schema combined with hypofractionated EBRT. Methods and Materials: Among the patients with localized prostate cancer who were treated by 192-iridium HDR brachytherapy combined with hypofractionated EBRT at Gunma University Hospital between August 2000 and November 2004, we analyzed 67 patients who were treated by HDR brachytherapy with the fractionation schema of 9 Gy x two times combined with hypofractionated EBRT. Hypofractionated EBRT was administered at a fraction dose of 3 Gy three times weekly, and a total dose of 51 Gy was delivered to the prostate gland and seminal vesicles using the four-field technique. No elective pelvic irradiation was performed. After the completion of EBRT, all the patients additionally received transrectal ultrasonography-guided HDR brachytherapy. The planning target volume was defined as the prostate gland with a 5-mm margin all around, and the planning was conducted based on computed tomography images. The tumor stage was T1c in 13 patients, T2 in 31 patients, and T3 in 23 patients. The Gleason score was 2-6 in 12 patients, 7 in 34 patients, and 8-10 in 21 patients. Androgen ablation was performed in all the patients. The median follow-up duration was 11 months (range 3-24 months). The toxicities were graded based on the Radiation Therapy Oncology Group and the European Organization

Implementation of microsource high dose rate (mHDR) brachytherapy in developing countries

International Nuclear Information System (INIS)

2001-11-01

Brachytherapy using remote afterloading of a single high dose rate 192 Ir microsource was developed in the 1970s. After its introduction to clinics, this system has spread rapidly among developed Member States and has become a highly desirable modality in cancer treatment. This technique is now gradually being introduced to the developing Member States. The 192 Ir sources are produced with a high specific activity. This results in a high dose rate (HDR) to the tumour and shorter treatment times. The high specific activity simultaneously results in a much smaller source (so-called micro source, around I mm in diameter) which may be easily inserted into tissue through a thin delivery tube, the so-called interstitial treatment, as well as easily inserted into body cavities, the so-called intracavitary or endoluminal treatment. Another advantage is the ability to change dwell time (the time a source remains in one position) of the stepping source which allows dose distribution to match the target volume more closely. The purpose of this TECDOC is to advise radiation oncologists, medical physicists and hospital administrators in hospitals which are planning to introduce 192 Ir microsource HDR (mHDR) remote afterloading systems. The document supplements IAEA-TECDOC-1040, Design and Implementation of a Radiotherapy Programme: Clinical, Medical Physics, Radiation Protection and Safety Aspects, and will facilitate implementation of this new brachytherapy technology, especially in developing countries. The operation of the system, 'how to use the system', is not within the scope of this document. This TECDOC is based on the recommendations of an Advisory Group meeting held in Vienna in April 1999

Fast exposure time decision in multi-exposure HDR imaging

Science.gov (United States)

Piao, Yongjie; Jin, Guang

2012-10-01

Currently available imaging and display system exists the problem of insufficient dynamic range, and the system cannot restore all the information for an high dynamic range (HDR) scene. The number of low dynamic range(LDR) image samples and fastness of exposure time decision impacts the real-time performance of the system dramatically. In order to realize a real-time HDR video acquisition system, this paper proposed a fast and robust method for exposure time selection in under and over exposure area which is based on system response function. The method utilized the monotony of the imaging system. According to this characteristic the exposure time is adjusted to an initial value to make the median value of the image equals to the middle value of the system output range; then adjust the exposure time to make the pixel value on two sides of histogram be the middle value of the system output range. Thus three low dynamic range images are acquired. Experiments show that the proposed method for adjusting the initial exposure time can converge in two iterations which is more fast and stable than average gray control method. As to the exposure time adjusting in under and over exposed area, the proposed method can use the dynamic range of the system more efficiently than fixed exposure time method.

Essential results of analyses accompanying the leak rate experiments E22 at HDR

International Nuclear Information System (INIS)

Grebner, H.; Hoefler, A.; Hunger, H.

1994-01-01

Under the E22 test group of phase III of the HDR safety programme, experiments were performed on the crack opening and leak rate behaviour of pipe components of smaller nominal bores. The experiments were complemented by computations, in particular verifications, to qualify the computation models as one of the main aims of the HDR safety programme. Most of the analyses to determine crack openings were performed by means of the finite-element method, including elastic-plastic materials behaviour and, complementarily, assessing engineering methods. The leak rate was calculated by means of separate 2-phase computation models. Altogether, it may be concluded from the structural and fracture mechanical experiments with pipes, elbows and branch pieces, that crack openings and incipient cracks at loading with internal pressure or bending moment can be described with good accuracy by means of the finite-element programme ADINA and the developed FE-models. (orig.) [de

Brachytherapy for Buccal Cancer: From Conventional Low Dose Rate (LDR) or Mold Technique to High Dose Rate Interstitial Brachytherapy (HDR-ISBT).

Science.gov (United States)

Kotsuma, Tadayuki; Yamazaki, Hideya; Masui, Koji; Yoshida, Ken; Shimizutani, Kimishige; Akiyama, Hironori; Murakami, Shumei; Isohashi, Fumiaki; Yoshioka, Yasuo; Ogawa, Kazuhiko; Tanaka, Eiichi

2017-12-01

To examine the effectiveness of newly-installed high-dose-rate interstitial brachytherapy (HDR-ISBT) for buccal cancer. We retrospectively reviewed 36 patients (25 men and 11 women) with buccal cancer treated with curative brachytherapy with or without external radiotherapy with a median follow-up of 99 months. A total of 15 HDR-ISBT (median 48 Gy/ 8 fractions, range=24-60 Gy) patients were compared to conventional 15 cases LDR-ISBT (70 Gy, range=42.8-110 Gy) and 7 molds techniques (15 Gy, range=9-74 Gy). A total of 31 patients also underwent external radiotherapy (30 Gy, range=24-48 Gy). They comprised of 3T1, 23 T2, 8 T3, 3 T4 including 11 node positive cases. HDR-ISBT provided 82% of local control rate at 5 years, whereas conventional brachytherapy showed 72% [p=0.44; LDR-ISBT (65%), mold therapy (85.7%)]. Patients with early lesions (T1-2 or stage I-II) showed better local control rates than those with advanced lesions (T3-4 or stage III-IV). Severe late grade 3 complications developed in two patients treated with LDR-ISBT and EBRT. There is no significant difference in toxicity grade ≤2 between conventional brachytherapy (5/15=33%) and HDR-ISBT (7/32=32%, p=0.92). HDR-ISBT achieved good and comparable local control rates to conventional brachytherapy without elevating the toxicity. Copyright© 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

A study of optimization techniques in HDR brachytherapy for the prostate

Science.gov (United States)

Pokharel, Ghana Shyam

Several studies carried out thus far are in favor of dose escalation to the prostate gland to have better local control of the disease. But optimal way of delivery of higher doses of radiation therapy to the prostate without hurting neighboring critical structures is still debatable. In this study, we proposed that real time high dose rate (HDR) brachytherapy with highly efficient and effective optimization could be an alternative means of precise delivery of such higher doses. This approach of delivery eliminates the critical issues such as treatment setup uncertainties and target localization as in external beam radiation therapy. Likewise, dosimetry in HDR brachytherapy is not influenced by organ edema and potential source migration as in permanent interstitial implants. Moreover, the recent report of radiobiological parameters further strengthen the argument of using hypofractionated HDR brachytherapy for the management of prostate cancer. Firstly, we studied the essential features and requirements of real time HDR brachytherapy treatment planning system. Automating catheter reconstruction with fast editing tools, fast yet accurate dose engine, robust and fast optimization and evaluation engine are some of the essential requirements for such procedures. Moreover, in most of the cases we performed, treatment plan optimization took significant amount of time of overall procedure. So, making treatment plan optimization automatic or semi-automatic with sufficient speed and accuracy was the goal of the remaining part of the project. Secondly, we studied the role of optimization function and constraints in overall quality of optimized plan. We have studied the gradient based deterministic algorithm with dose volume histogram (DVH) and more conventional variance based objective functions for optimization. In this optimization strategy, the relative weight of particular objective in aggregate objective function signifies its importance with respect to other objectives

Presumed atypical HDR syndrome associated with Band Keratopathy and pigmentary retinopathy.

Science.gov (United States)

Kim, Cinoo; Cheong, Hae Il; Kim, Jeong Hun; Yu, Young Suk; Kwon, Ji Won

2011-01-01

This report describes presumed atypical hypoparathyroidism, deafness, and renal dysplasia (HDR) syndrome associated with unexpected ocular findings. The patient had exotropia, bilateral band keratopathy, and pigmentary retinopathy, including attenuated retinal vessels and atrophy of the retinal pigment epithelium. Even though the calcific plaques were successfully removed, visual acuity in both eyes gradually decreased and electroretinography was extinguished. Copyright 2009, SLACK Incorporated.

Comparing subjective and objective quality assessment of HDR images compressed with JPEG-XT

DEFF Research Database (Denmark)

Mantel, Claire; Ferchiu, Stefan Catalin; Forchhammer, Søren

2014-01-01

In this paper a subjective test in which participants evaluate the quality of JPEG-XT compressed HDR images is presented. Results show that for the selected test images and display, the subjective quality reached its saturation point starting around 3bpp. Objective evaluations are obtained...

A rectum shield for the circular applicator system of a selectron unit (HDR and LDR afterloading)

International Nuclear Information System (INIS)

Hetzel, H.; McCoy, M.; Kamleitner, H.; Frommhold, H.

1987-01-01

In order to decrease the morbidity rate after combined radiotherapy of the cervix carcinoma, a tungsten shield 3 and 5 mm thick for the rectum has been developed by the authors which is applied with the ring and pin applicator of the selectron unit (LDR and HDR afterloading). The isodose curves were measured in a plexiglas phantom, and the radiation dose at the reference points was determined by means of a ionization dosemeter. The phantom measurements were performed with the same arrangement of sources as applied in radiotherapy. The measurements showed a dose reduction at point Rmax of 33% (HDR) and 44% (LDR) with the tungsten shield 5 mm thick. (orig.) [de

Palliative interstitial HDR brachytherapy for recurrent rectal cancer. Implantation techniques and results

International Nuclear Information System (INIS)

Kolotas, C.; Roeddiger, S.; Martin, T.; Tselis, N.; Baltas, D.; Zamboglou, N.; Strassmann, G.; Aebersold, D.M.

2003-01-01

Purpose: To report the methods and clinical results of CT-based interstitial high-dose-rate (HDR) brachytherapy procedures for the palliative treatment of recurrent rectal cancer. Patients and Methods: A total of 44 brachytherapy implants were performed in 38 patients. CT-guided catheter implants were performed in 34 patients under local anesthesia and sedation, and four patients were implanted intraoperatively. Of 40 CT-guided implants, 20 were done using metallic needles introduced via the sacrum and 20 were transperineal implants of plastic tubes in the presacral region. Postimplant CT scans were used for three-dimensional (3-D) conformal brachytherapy planning. Patients implanted with metallic needles were given a single fraction of 10-15 Gy using HDR 192 Ir, and those who received transperineal implants of plastic catheters were given fractionated brachytherapy, 5 Gy twice daily to a total dose of 30-40 Gy. The median tumor volume was 225 cm 3 with a range of 41-2,103 cm 3 . Results: After a median follow-up of 23.4 months, a total of 13/38 patients were alive. The median postbrachytherapy survival was 15 months with 18 of the 25 deaths due to distant metastases. Tumor response was as follows: 6/38 partial remission, 28/38 stable disease, and 4/38 local progression. A planning target volume (PTV) coverage > 85% was achieved in 42/44 implants. The treatment was well tolerated, and no acute complications were observed. One patient developed a fistula after 8 months. Pain relief was recorded in 34 patients (89.5%), and the median duration of this palliative effect was 5 months with a range of 1-13 months. Conclusions: Interstitial HDR brachytherapy is a valuable tool for the delivery of high doses and achieves effective palliation in recurrent rectal carcinoma. (orig.)

Palliative interstitial HDR brachytherapy for recurrent rectal cancer. Implantation techniques and results

Energy Technology Data Exchange (ETDEWEB)

Kolotas, C. [Dept. of Radiation Oncology, Offenbach Hospital, Offenbach (Germany); Dept. of Radio-Oncology, Univ. of Bern, Inselspital, Bern (Switzerland); Roeddiger, S.; Martin, T.; Tselis, N.; Baltas, D.; Zamboglou, N. [Dept. of Radiation Oncology, Offenbach Hospital, Offenbach (Germany); Strassmann, G. [Dept. of Radiotherapy, Univ. Hospital, Philipps Univ., Marburg (Germany); Aebersold, D.M. [Dept. of Radio-Oncology, Univ. of Bern, Inselspital, Bern (Switzerland)

2003-07-01

Purpose: To report the methods and clinical results of CT-based interstitial high-dose-rate (HDR) brachytherapy procedures for the palliative treatment of recurrent rectal cancer. Patients and Methods: A total of 44 brachytherapy implants were performed in 38 patients. CT-guided catheter implants were performed in 34 patients under local anesthesia and sedation, and four patients were implanted intraoperatively. Of 40 CT-guided implants, 20 were done using metallic needles introduced via the sacrum and 20 were transperineal implants of plastic tubes in the presacral region. Postimplant CT scans were used for three-dimensional (3-D) conformal brachytherapy planning. Patients implanted with metallic needles were given a single fraction of 10-15 Gy using HDR {sup 192}Ir, and those who received transperineal implants of plastic catheters were given fractionated brachytherapy, 5 Gy twice daily to a total dose of 30-40 Gy. The median tumor volume was 225 cm{sup 3} with a range of 41-2,103 cm{sup 3}. Results: After a median follow-up of 23.4 months, a total of 13/38 patients were alive. The median postbrachytherapy survival was 15 months with 18 of the 25 deaths due to distant metastases. Tumor response was as follows: 6/38 partial remission, 28/38 stable disease, and 4/38 local progression. A planning target volume (PTV) coverage > 85% was achieved in 42/44 implants. The treatment was well tolerated, and no acute complications were observed. One patient developed a fistula after 8 months. Pain relief was recorded in 34 patients (89.5%), and the median duration of this palliative effect was 5 months with a range of 1-13 months. Conclusions: Interstitial HDR brachytherapy is a valuable tool for the delivery of high doses and achieves effective palliation in recurrent rectal carcinoma. (orig.)

Large scale fire experiments in the HDR containment as a basis for fire code development

International Nuclear Information System (INIS)

Hosser, D.; Dobbernack, R.

1993-01-01

Between 1984 and 1991 7 different series of large scale fire experiments and related numerical and theoretical investigations have been performed in the containment of a high pressure reactor in Germany (known as HDR plant). The experimental part included: gas burner tests for checking the containment behaviour; naturally ventilated fires with wood cribs; naturally and forced ventilated oil pool fires; naturally and forced ventilated cable fires. Many results of the oil pool and cable fires can directly be applied to predict the impact of real fires at different locations in a containment on mechanical or structural components as well as on plant personnel. But the main advantage of the measurements and observations was to serve as a basis for fire code development and validation. Different types of fire codes have been used to predict in advance or evaluate afterwards the test results: zone models for single room and multiple room configurations; system codes for multiple room configurations; field models for complex single room configurations. Finally, there exist codes of varying degree of specialization which have proven their power and sufficient exactness to predict fire effects as a basis for optimum fire protection design. (author)

Application of the Monte Carlo integration method in calculations of dose distributions in HDR-Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Baltas, D; Geramani, K N; Ioannidis, G T; Kolotas, C; Zamboglou, N [Strahlenklinik, Stadtische Kliniken Offenbach, Offenbach (Germany); Giannouli, S [Department of Electrical and Computer Engineering, National Technical University of Athens, Athens (Greece)

1999-12-31

Source anisotropy is a very important factor in brachytherapy quality assurance of high dose rate HDR Ir 192 afterloading stepping sources. If anisotropy is not taken into account then doses received by a brachytherapy patient in certain directions can be in error by a clinically significant amount. Experimental measurements of anisotropy are very labour intensive. We have shown that within acceptable limits of accuracy, Monte Carlo integration (MCI) of a modified Sievert integral (3D generalisation) can provide the necessary data within a much shorter time scale than can experiments. Hence MCI can be used for routine quality assurance schedules whenever a new design of HDR or PDR Ir 192 is used for brachytherapy afterloading. Our MCI calculation results are comparable with published experimental data and Monte Carlo simulation data for microSelectron and VariSource Ir 192 sources. We have shown not only that MCI offers advantages over alternative numerical integration methods, but also that treating filtration coefficients as radial distance-dependent functions improves Sievert integral accuracy at low energies. This paper also provides anisotropy data for three new Ir 192 sources, one for microSelectron-HDR and two for the microSelectron-PDR, for which data currently is not available. The information we have obtained in this study can be incorporated into clinical practice.

Salvage prostate HDR brachytherapy combined with interstitial hyperthermia for local recurrence after radiation therapy failure

Energy Technology Data Exchange (ETDEWEB)

Kukielka, A.M.; Hetnal, M.; Dabrowski, T.; Walasek, T.; Brandys, P.; Reinfuss, M. [Centre of Oncology, M. Sklodowska - Curie Institute, Krakow Branch, Department of Radiotherapy, Krakow (Poland); Nahajowski, D.; Kudzia, R.; Dybek, D. [Centre of Oncology, M. Sklodowska - Curie Institute, Krakow Branch, Department of Medical Physics, Department of Radiotherapy, Krakow (Poland)

2014-02-15

The aim of the present retrospective study is to evaluate toxicity and early clinical outcomes of interstitial hyperthermia (IHT) combined with high-dose rate (HDR) brachytherapy as a salvage treatment in patients with biopsy-confirmed local recurrence of prostate cancer after previous external beam radiotherapy. Between September 2008 and March 2013, 25 patients with local recurrence of previously irradiated prostate cancer were treated. The main eligibility criteria for salvage prostate HDR brachytherapy combined with interstitial hyperthermia were biopsy confirmed local recurrence and absence of nodal and distant metastases. All patients were treated with a dose of 30 Gy in 3 fractions at 21-day intervals. We performed 62 hyperthermia procedures out of 75 planned (83 %). The aim of the hyperthermia treatment was to heat the prostate to 41-43 C for 60 min. Toxicity for the organs of the genitourinary system and rectum was assessed according to the Common Terminology Criteria for Adverse Events (CTCAE, v. 4.03). Determination of subsequent biochemical failure was based on the Phoenix definition (nadir + 2 ng/ml). The median age was 71 years (range 62-83 years), the median initial PSA level was 16.3 ng/ml (range 6.37-64 ng/ml), and the median salvage PSA level was 2.8 ng/ml (1.044-25.346 ng/ml). The median follow-up was 13 months (range 4-48 months). The combination of HDR brachytherapy and IHT was well tolerated. The most frequent complications were nocturia, weak urine stream, urinary frequency, hematuria, and urgency. Grade 2 rectal hemorrhage was observed in 1 patient. No grade 3 or higher complications were observed. The 2-year Kaplan-Meier estimate of biochemical control after salvage treatment was 74 %. The PSA in 20 patients decreased below the presalvage level, while 11 patients achieved a PSA nadir < 0.5 ng/ml. All patients are still alive. Of the 7 patients who experienced biochemical failure, bone metastases were found in 2 patients. IHT in combination

Comparison of air-kerma strength determinations for HDR 192Ir sources

International Nuclear Information System (INIS)

Rasmussen, Brian E.; Davis, Stephen D.; Schmidt, Cal R.; Micka, John A.; DeWerd, Larry A.

2011-01-01

Purpose: To perform a comparison of the interim air-kerma strength standard for high dose rate (HDR) 192 Ir brachytherapy sources maintained by University of Wisconsin Accredited Dosimetry Calibration Laboratory (UWADCL) with measurements of the various source models using modified techniques from the literature. The current interim standard was established by Goetsch et al. in 1991 and has remained unchanged to date. Methods: The improved, laser-aligned seven-distance apparatus of University of Wisconsin Medical Radiation Research Center (UWMRRC) was used to perform air-kerma strength measurements of five different HDR 192 Ir source models. The results of these measurements were compared with those from well chambers traceable to the original standard. Alternative methodologies for interpolating the 192 Ir air-kerma calibration coefficient from the NIST air-kerma standards at 137 Cs and 250 kVp x rays (M250) were investigated and intercompared. As part of the interpolation method comparison, the Monte Carlo code EGSnrc was used to calculate updated values of A wall for the Exradin A3 chamber used for air-kerma strength measurements. The effects of air attenuation and scatter, room scatter, as well as the solution method were investigated in detail. Results: The average measurements when using the inverse N K interpolation method for the Classic Nucletron, Nucletron microSelectron, VariSource VS2000, GammaMed Plus, and Flexisource were found to be 0.47%, -0.10%, -1.13%, -0.20%, and 0.89% different than the existing standard, respectively. A further investigation of the differences observed between the sources was performed using MCNP5 Monte Carlo simulations of each source model inside a full model of an HDR 1000 Plus well chamber. Conclusions: Although the differences between the source models were found to be statistically significant, the equally weighted average difference between the seven-distance measurements and the well chambers was 0.01%, confirming that

Comparison of air-kerma strength determinations for HDR (192)Ir sources.

Science.gov (United States)

Rasmussen, Brian E; Davis, Stephen D; Schmidt, Cal R; Micka, John A; Dewerd, Larry A

2011-12-01

To perform a comparison of the interim air-kerma strength standard for high dose rate (HDR) (192)Ir brachytherapy sources maintained by the University of Wisconsin Accredited Dosimetry Calibration Laboratory (UWADCL) with measurements of the various source models using modified techniques from the literature. The current interim standard was established by Goetsch et al. in 1991 and has remained unchanged to date. The improved, laser-aligned seven-distance apparatus of the University of Wisconsin Medical Radiation Research Center (UWMRRC) was used to perform air-kerma strength measurements of five different HDR (192)Ir source models. The results of these measurements were compared with those from well chambers traceable to the original standard. Alternative methodologies for interpolating the (192)Ir air-kerma calibration coefficient from the NIST air-kerma standards at (137)Cs and 250 kVp x rays (M250) were investigated and intercompared. As part of the interpolation method comparison, the Monte Carlo code EGSnrc was used to calculate updated values of A(wall) for the Exradin A3 chamber used for air-kerma strength measurements. The effects of air attenuation and scatter, room scatter, as well as the solution method were investigated in detail. The average measurements when using the inverse N(K) interpolation method for the Classic Nucletron, Nucletron microSelectron, VariSource VS2000, GammaMed Plus, and Flexisource were found to be 0.47%, -0.10%, -1.13%, -0.20%, and 0.89% different than the existing standard, respectively. A further investigation of the differences observed between the sources was performed using MCNP5 Monte Carlo simulations of each source model inside a full model of an HDR 1000 Plus well chamber. Although the differences between the source models were found to be statistically significant, the equally weighted average difference between the seven-distance measurements and the well chambers was 0.01%, confirming that it is not necessary to

Determination of the dose of traffic in HDR brachytherapy with ALANINE/R PE technique

International Nuclear Information System (INIS)

Guzman Calcina, C. S.; Chen, F.; Almeida, A. de; Baffa, O.

2001-01-01

It determines, experimentally, the dose of traffic in brachytherapy for High Dose Rate (HDR), using for the first-time the Electronic Paramagnetic Resonance (EPR) technique with alanine detectors. The value obtained is the published next to obtained using lithium fluoride thermoluminescent dosimeters [es

HDR Pathological Image Enhancement Based on Improved Bias Field Correction and Guided Image Filter

Directory of Open Access Journals (Sweden)

Qingjiao Sun

2016-01-01

Full Text Available Pathological image enhancement is a significant topic in the field of pathological image processing. This paper proposes a high dynamic range (HDR pathological image enhancement method based on improved bias field correction and guided image filter (GIF. Firstly, a preprocessing including stain normalization and wavelet denoising is performed for Haematoxylin and Eosin (H and E stained pathological image. Then, an improved bias field correction model is developed to enhance the influence of light for high-frequency part in image and correct the intensity inhomogeneity and detail discontinuity of image. Next, HDR pathological image is generated based on least square method using low dynamic range (LDR image, H and E channel images. Finally, the fine enhanced image is acquired after the detail enhancement process. Experiments with 140 pathological images demonstrate the performance advantages of our proposed method as compared with related work.

Effect and toxicity of endoluminal high-dose-rate (HDR) brachytherapy in centrally located tumors of the upper respiratory tract

International Nuclear Information System (INIS)

Harms, W.; Wannenmacher, M.; Becker, H.; Herth, F.; Fritz, P.

2000-01-01

Aim: To assess effect an toxicity of high-dose-rate afterloading (HDR) alone or in combination with external beam radiotherapy (EBRT) in centrally located tumors of the upper respiratory tract. Patients and Methods: From 1987 to 1996, 55 patients were treated. Twenty-one patients (group A1: 17 non-small-cell lung cancer [NSCLC], A2: 4 metastases from other malignancies) were treated using HDR alone due to a relapse after external beam irradiation. In 34 previously untreated and inoperable patients (group B1: 27 NSCLC, B2: 7 metastases from other malignancies) HDR was given as a boost after EBRT (30 to 60 Gy, median 50). HDR was carried out with a 192 Ir source (370 GBq). The brachytherapy dose (group A: 5 to 27 Gy, median 20; B: 10 to 20 Gy, median 15) was prescribed to 1 cm distance from the source axis. A distanciable applicator was used in 39/55 patients. Results: In group A1, a response rate (CR, PR) of 53% (group B1: 77%) was reached. The median survival (Kaplan-Meier) was 5 months in group A1 (B1: 20 months). The 1-, 3- and 5-year local progression free survival rates (Kaplan-Meier) were 66% (15%), 52% (0%), and 37% (0%) in group B1 (group A1). Prognostic favorable factors in group B1 were a tumor diameter 70. Grade-1 or 2 toxicity (RTOG/EORTC) occurred in 0% in group A and in 6% in group B. We observed no Grad-3 or 4 toxicity. Complications caused by persistent or progressive local disease occurred in 3 patients in goup A (fatal hemorrhage, tracheomediastinal fistula, hemoptysis) and in 2 patients in group B (fatal hemorrhage, hemoptysis). Conclusions: HDR brachytherapy is an effective treatment with moderate side effects. In combination with external beam irradiation long-term remissions can be reached in one third of the patients. (orig.) [de

Prostate HDR brachytherapy catheter displacement between planning and treatment delivery

International Nuclear Information System (INIS)

Whitaker, May; Hruby, George; Lovett, Aimee; Patanjali, Nitya

2011-01-01

Background and purpose: HDR brachytherapy is used as a conformal boost for treating prostate cancer. Given the large doses delivered, it is critical that the volume treated matches that planned. Our outpatient protocol comprises two 9 Gy fractions, two weeks apart. We prospectively assessed catheter displacement between CT planning and treatment delivery. Materials and methods: Three fiducial markers and the catheters were implanted under transrectal ultrasound guidance. Metal marker wires were inserted into 4 reference catheters before CT; marker positions relative to each other and to the marker wires were measured from the CT scout. Measurements were repeated immediately prior to treatment delivery using pelvic X-ray with marker wires in the same reference catheters. Measurements from CT scout and film were compared. For displacements of 5 mm or more, indexer positions were adjusted prior to treatment delivery. Results: Results are based on 48 implants, in 25 patients. Median time from planning CT to treatment delivery was 254 min (range 81–367 min). Median catheter displacement was 7.5 mm (range −2.9–23.9 mm), 67% of implants had displacement of 5 mm or greater. Displacements were predominantly caudal. Conclusions: Catheter displacement can occur in the 1–3 h between the planning CT scan and treatment. It is recommended that departments performing HDR prostate brachytherapy verify catheter positions immediately prior to treatment delivery.

SU-F-T-28: Evaluation of BEBIG HDR Co-60 After-Loading System for Skin Cancer Treatment Using Conical Surface Applicator

Energy Technology Data Exchange (ETDEWEB)

Safigholi, H; Soliman, A; Song, W Y [Department of Medical Physics, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON (Canada); Meigooni, A S [Department of Radiation Therapy, Comprehensive Cancer Center of Nevada, Las Vegas, NV (United States); Han, D [Departemt of Radiation Oncology, University of California San Francisco, San Francisco, CA (United States)

2016-06-15

Purpose: To evaluate the possibility of utilizing the BEBIG HDR 60Co remote after-loading system for malignant skin surface treatment using Monte Carlo (MC) simulation technique. Methods: First TG-43 parameters of BEBIG-Co-60 and Nucletron Ir-192-mHDR-V2 brachytherapy sources were simulated using MCNP6 code to benchmark the sources against the literature. Second a conical tungsten-alloy with 3-cm diameter of Planning-Target-Volume (PTV) at surface for use with a single stepping HDR source is designed. The HDR source is modeled parallel to treatment plane at the center of the conical applicator with a source surface distance (SSD) of 1.5-cm and a removable plastic end-cap with a 1-mm thickness. Third, MC calculated dose distributions from HDR Co-60 for conical surface applicator were compared with the simulated data using HDR Ir-192 source. The initial calculations were made with the same conical surface applicator (standard-applicator) dimensions as the ones used with the Ir-192 system. Fourth, the applicator wall-thickness for the Co-60 system was increased (doubled) to diminish leakage dose to levels received when using the Ir-192 system. With this geometry, percentage depth dose (PDD), and relative 2D-dose profiles in transverse/coronal planes were normalized at 3-mm prescription-depth evaluated along the central axis. Results: PDD for Ir-192 and Co-60 were similar with standard and thick-walled applicator. 2D-relative dose distribution of Co-60, inside the standard-conical-applicator, generated higher penumbra (7.6%). For thick-walled applicator, it created smaller penumbra (<4%) compared to Ir-192 source in the standard-conicalapplicator. Dose leakage outside of thick-walled applicator with Co-60 source was approximately equal (≤3%) with standard applicator using Ir-192 source. Conclusion: Skin cancer treatment with equal quality can be performed with Co-60 source and thick-walled conical applicators instead of Ir-192 with standard applicators. These conical

HDR and LDR Brachytherapy in the Treatment of Lip Cancer: the Experience of the Catalan Institute of Oncology.

Science.gov (United States)

Ayerra, Arrate Querejeta; Mena, Estefanía Palacios; Fabregas, Joan Pera; Miguelez, Cristina Gutiérrez; Guedea, Ferran

2010-03-01

Lip cancer can be treated by surgery, external radiotherapy, and/or brachytherapy (BT). In recent years, BT has become increasingly favored for this type of cancer. The aim of the present study was to analyze local control and survival of patients treated at our institution between July 1989 and June 2008. We performed a retrospective study of 121 patients (109 males and 12 females) who underwent lip cancer brachytherapy from July 1989 to June 2008. Median age was 67 years and median follow-up was 31.8 months (range 20-188 months). Out of 121 patients, 100 (82.6%) were treated with low dose rate (LDR) BT while the remaining 21 patients (17.4%) received high dose rate (HDR) BT. The most common cell type was squamous cell carcinoma (115 cases; 95%) and most tumors were located on the lower lip (107 patients; 88.4%). Most cases were either stage T1 (62 patients; 51.2%), or T2 (44 cases; 36.4%). After 15 years of follow-up, overall survival was 89.5%, cause-specific survival 97.8%, and disease-free survival 86.6%. Local, regional, and distant control at 15 years were 90%, 92%, and 98.8%, respectively. Grade 3 mucosal toxicity was observed in 23% of patients treated with LDR compared to 33% of HDR patients, and grade 4 mucosal toxicity in 9% versus 0% in the HDR group. Our findings confirm that brachytherapy is an effective treatment for lip cancer. The results from our series are in line with those published elsewhere. Based on our limited data, HDR appears to be equally as good as LDR, although this needs to be confirmed by further studies.

Variability of Marker-Based Rectal Dose Evaluation in HDR Cervical Brachytherapy

International Nuclear Information System (INIS)

Wang Zhou; Jaggernauth, Wainwright; Malhotra, Harish K.; Podgorsak, Matthew B.

2010-01-01

In film-based intracavitary brachytherapy for cervical cancer, position of the rectal markers may not accurately represent the anterior rectal wall. This study was aimed at analyzing the variability of rectal dose estimation as a result of interfractional variation of marker placement. A cohort of five patients treated with multiple-fraction tandem and ovoid high-dose-rate (HDR) brachytherapy was studied. The cervical os point and the orientation of the applicators were matched among all fractional plans for each patient. Rectal points obtained from all fractions were then input into each clinical treated plan. New fractional rectal doses were obtained and a new cumulative rectal dose for each patient was calculated. The maximum interfractional variation of distances between rectal dose points and the closest source positions was 1.1 cm. The corresponding maximum variability of fractional rectal dose was 65.5%. The percentage difference in cumulative rectal dose estimation for each patient was 5.4%, 19.6%, 34.6%, 23.4%, and 13.9%, respectively. In conclusion, care should be taken when using rectal markers as reference points for estimating rectal dose in HDR cervical brachytherapy. The best estimate of true rectal dose for each fraction should be determined by the most anterior point among all fractions.

Neodadjuvante und adjuvante Kurzzeit-Hormontherapie in Kombination mit konformaler HDR-Brachytherapie beim Prostatakarzinom

Directory of Open Access Journals (Sweden)

Martin T

2004-01-01

Full Text Available Zielsetzung: Auswertung der Behandlungsergebnisse der neoadjuvanten und adjuvanten Kurzzeit-Hormontherapie kombiniert mit konformaler HDR-Brachytherapie und externer Radiotherapie beim Prostatakarzinom. Patienten und Methoden: Von 01/97 bis 09/99 behandelten wir 102 Patienten mit Prostatakarzinomen im Stadium T1–3 N0 M0. Im Stadium T1–2 befanden sich 71, im Stadium T3 31 Patienten. Der mediane prätherapeutische PSA-Wert betrug 15,3 ng/ml. Nach ultraschallgesteuerter transrektaler Implantation von vier Afterloadingnadeln erfolgte die CT-gestützte 3D-Brachytherapie- Planung. Alle Patienten erhielten vier HDR-Implantate mit einer Referenzdosis von 5 Gy oder 7 Gy pro Implantat. Die Zeit zwischen jedem Implantat betrug jeweils 14 Tage. Nach der Brachytherapie folgte die externe Radiotherapie bis 39,6 Gy oder 45,0 Gy. Alle Patienten erhielten eine neoadjuvante und adjuvante Kurzzeit-Hormontherapie, die 2–19 Monate vor der Brachytherapie eingeleitet und 3 Monate nach Abschluß der externen Radiotherapie abgesetzt wurde (mediane Dauer: 9 Monate. Ergebnisse: Die mediane Nachbeobachtungszeit war 2,6 Jahre (range: 2,0–4,1 Jahre. Die biochemische Kontrollrate betrug 82 % nach 3 Jahren. Bei 14/102 Patienten registrierten wir ein biochemisches Rezidiv, bei 5/102 Patienten ein klinisches Rezidiv. Das Gesamtüberleben betrug 90 %, das krankheitsspezifische Überleben 98,0 % nach 3 Jahren. Ein Patient entwickelte eine prostato-urethro-rektale Fistel als späte Grad 4-Toxizität. Akute Grad-3 Toxizitäten traten bei 4 %, späte Grad-3 Toxizitäten bei 5 % der Patienten auf. Schlußfolgerung: Die neoadjuvante und adjuvante Kurzzeit-Hormontherapie kombiniert mit konformaler HDR-Brachytherapie und externer Radiotherapie erweist sich als sichere und wirksame Behandlungsmodalität beim Prostatakarzinom mit minimalen behandlungsbedingten Toxizitäten und einer vielversprechenden biochemischen Kontrollrate nach medianer Nachbeobachtungszeit von 2,6 Jahren.

SU-E-T-380: Evaluation of BEBIG HDR 60Co System for AccuBoost Therapy

Energy Technology Data Exchange (ETDEWEB)

Zehtabian, M; Sina, S [Shiraz University, Shiraz, Fars (Iran, Islamic Republic of); Rivard, M [Tufts University School of Medicine, Boston, MA (United States); Meigooni, A Soleimani [Comprehensive Cancer Center of Nevada, Las Vegas, Nevada (United States)

2015-06-15

Purpose: In this project, the possibility of utilizing the BEBIG 60Co HDR system for AccuBoostTM treatment has been evaluated. Methods: Dose distributions in various breast sizes have been calculated for both Co-60 and Ir-192 sources using the MCNP5 code. These calculations were performed in breast tissues with thicknesses of 4cm, 6cm, and 8cm. The initial calculations were performed with the same applicator dimensions as the existing applicators used with the HDR Ir-192 system. The activity of the Co-60 source was selected such that the dose at the breast center was the same as the values from 192Ir. Then, the applicator thicknesses were increased to twice of those used with HDR Ir-192 system, for reducing skin and chest doses by Co-60 system. Dose to breast skin and chest wall were compared for both applicators types, with and without inclusion of a focusing cone at the applicator center. Results: The results showed that loading HDR Co-60 source inside the thin applicators impose higher doses to breast skin and chest wall compared to the 192Ir source. The area of the chest wall covered by 10Gy when treated by Co-60 with the thin and thick applicators, or treated by Ir-192 with thin applicator are 79cm2, 39cm2, and 3.8cm2, respectively. These values are reduced to 34cm2, 0cm2, and 0cm2 by using the focusing cone. It is worth noting that the breast skin areas covered by the 60Gy isodose line are 9.9cm2 and 7.8cm2 for Co-60 with the thin and thick applicators, respectively, while it is 20cm2 for Ir-192 when no focusing cone is present. These values are 0cm2, 0cm2, and 11cm2 in the presence of the focusing cone. Conclusion: The results indicate that using Co-60 with the thicker applicators is beneficial because of the higher half-life of Co-60, and the reduced maximum skin dose when compared with Ir-192.

Comparison of air-kerma strength determinations for HDR {sup 192}Ir sources

Energy Technology Data Exchange (ETDEWEB)

Rasmussen, Brian E.; Davis, Stephen D.; Schmidt, Cal R.; Micka, John A.; DeWerd, Larry A. [Department of Medical Physics, University of Wisconsin-Madison, Madison, Wisconsin 53706 (United States)

2011-12-15

Purpose: To perform a comparison of the interim air-kerma strength standard for high dose rate (HDR) {sup 192}Ir brachytherapy sources maintained by University of Wisconsin Accredited Dosimetry Calibration Laboratory (UWADCL) with measurements of the various source models using modified techniques from the literature. The current interim standard was established by Goetsch et al. in 1991 and has remained unchanged to date. Methods: The improved, laser-aligned seven-distance apparatus of University of Wisconsin Medical Radiation Research Center (UWMRRC) was used to perform air-kerma strength measurements of five different HDR {sup 192}Ir source models. The results of these measurements were compared with those from well chambers traceable to the original standard. Alternative methodologies for interpolating the {sup 192}Ir air-kerma calibration coefficient from the NIST air-kerma standards at {sup 137}Cs and 250 kVp x rays (M250) were investigated and intercompared. As part of the interpolation method comparison, the Monte Carlo code EGSnrc was used to calculate updated values of A{sub wall} for the Exradin A3 chamber used for air-kerma strength measurements. The effects of air attenuation and scatter, room scatter, as well as the solution method were investigated in detail. Results: The average measurements when using the inverse N{sub K} interpolation method for the Classic Nucletron, Nucletron microSelectron, VariSource VS2000, GammaMed Plus, and Flexisource were found to be 0.47%, -0.10%, -1.13%, -0.20%, and 0.89% different than the existing standard, respectively. A further investigation of the differences observed between the sources was performed using MCNP5 Monte Carlo simulations of each source model inside a full model of an HDR 1000 Plus well chamber. Conclusions: Although the differences between the source models were found to be statistically significant, the equally weighted average difference between the seven-distance measurements and the well

Commissioning and clinical implementation of HDR brachytherapy in El Salvador

International Nuclear Information System (INIS)

Morales Lopez, Jorge Luis; Castillo, Luis Frank; Castillo Bahi, Ramon del

2009-01-01

The Gynecologic Cancer is one of the best known malignancies in different countries of the world, with a high incidence in developing countries. In the treatment of this disease have been used multiple treatment arms among which is the high rate brachytherapy (HDR). The IAEA has put much emphasis on supporting all programs to treat this disease and in this context within the project 'Human Resource Development and Nuclear Technology Support', collaborated with the dispatch of experts on mission ELS0006 01 'Assistance to the ICES in HDR brachytherapy initiating Treatments at the Cancer Institute of El Salvador 'Dr. Narciso Diaz Bazan' in San Salvador, El Salvador. The process of commissioning and implementing clinical service Brachytherapy High Dose Rate (HDR BT) is a relatively complex process that begins with the formation of functional and technical service, based on flow patients to be treated, availability of local technological capability to install, and culminates with the preparation and implementation of protocols. Experts involved in the implementation of this service divided this task in stages organized chronologically: 1st. Study of existing infrastructure and level of training of technical personnel available, 2nd. Proposal and application of amendments in order to adapt the facility to the planned patient flow and optimal use of technological infrastructure, 3rd. Establishment of the process of securing the disposable waste materials and not required, 4th. Performance of tests of physical commissioning clinical dosimetry and instrumentation unit, surgical and therapeutic, 5th. Training of technical personnel, 6th. Preparation of clinical protocol and 7th. Initiation and development of treatment for patients. All these steps are carried out with the integration and consensus of the entire multidisciplinary team that makes up the service and with the support of the administration as a prerequisite. Within two weeks the service was modified according to

Source position verification and dosimetry in HDR brachytherapy using an EPID

International Nuclear Information System (INIS)

Smith, R. L.; Taylor, M. L.; McDermott, L. N.; Franich, R. D.; Haworth, A.; Millar, J. L.

2013-01-01

Purpose: Accurate treatment delivery in high dose rate (HDR) brachytherapy requires correct source dwell positions and dwell times to be administered relative to each other and to the surrounding anatomy. Treatment delivery inaccuracies predominantly occur for two reasons: (i) anatomical movement or (ii) as a result of human errors that are usually related to incorrect implementation of the planned treatment. Electronic portal imaging devices (EPIDs) were originally developed for patient position verification in external beam radiotherapy and their application has been extended to provide dosimetric information. The authors have characterized the response of an EPID for use with an 192 Ir brachytherapy source to demonstrate its use as a verification device, providing both source position and dosimetric information.Methods: Characterization of the EPID response using an 192 Ir brachytherapy source included investigations of reproducibility, linearity with dose rate, photon energy dependence, and charge build-up effects associated with exposure time and image acquisition time. Source position resolution in three dimensions was determined. To illustrate treatment verification, a simple treatment plan was delivered to a phantom and the measured EPID dose distribution compared with the planned dose.Results: The mean absolute source position error in the plane parallel to the EPID, for dwells measured at 50, 100, and 150 mm source to detector distances (SDD), was determined to be 0.26 mm. The resolution of the z coordinate (perpendicular distance from detector plane) is SDD dependent with 95% confidence intervals of ±0.1, ±0.5, and ±2.0 mm at SDDs of 50, 100, and 150 mm, respectively. The response of the EPID is highly linear to dose rate. The EPID exhibits an over-response to low energy incident photons and this nonlinearity is incorporated into the dose calibration procedure. A distance (spectral) dependent dose rate calibration procedure has been developed. The

SU-F-T-65: AutomaticTreatment Planning for High-Dose Rate (HDR) Brachytherapy with a VaginalCylinder Applicator

International Nuclear Information System (INIS)

Zhou, Y; Tan, J; Jiang, S; Albuquerque, K; Jia, X

2016-01-01

Purpose: High dose rate (HDR) brachytherapy treatment planning is conventionally performed in a manual fashion. Yet it is highly desirable to perform computerized automated planning to improve treatment planning efficiency, eliminate human errors, and reduce plan quality variation. The goal of this research is to develop an automatic treatment planning tool for HDR brachytherapy with a cylinder applicator for vaginal cancer. Methods: After inserting the cylinder applicator into the patient, a CT scan was acquired and was loaded to an in-house developed treatment planning software. The cylinder applicator was automatically segmented using image-processing techniques. CTV was generated based on user-specified treatment depth and length. Locations of relevant points (apex point, prescription point, and vaginal surface point), central applicator channel coordinates, and dwell positions were determined according to their geometric relations with the applicator. Dwell time was computed through an inverse optimization process. The planning information was written into DICOM-RT plan and structure files to transfer the automatically generated plan to a commercial treatment planning system for plan verification and delivery. Results: We have tested the system retrospectively in nine patients treated with vaginal cylinder applicator. These cases were selected with different treatment prescriptions, lengths, depths, and cylinder diameters to represent a large patient population. Our system was able to generate treatment plans for these cases with clinically acceptable quality. Computation time varied from 3–6 min. Conclusion: We have developed a system to perform automated treatment planning for HDR brachytherapy with a cylinder applicator. Such a novel system has greatly improved treatment planning efficiency and reduced plan quality variation. It also served as a testbed to demonstrate the feasibility of automatic HDR treatment planning for more complicated cases.

SU-F-T-65: AutomaticTreatment Planning for High-Dose Rate (HDR) Brachytherapy with a VaginalCylinder Applicator

Energy Technology Data Exchange (ETDEWEB)

Zhou, Y; Tan, J; Jiang, S; Albuquerque, K; Jia, X [UT Southwestern Medical Center, Dallas, TX (United States)

2016-06-15

Purpose: High dose rate (HDR) brachytherapy treatment planning is conventionally performed in a manual fashion. Yet it is highly desirable to perform computerized automated planning to improve treatment planning efficiency, eliminate human errors, and reduce plan quality variation. The goal of this research is to develop an automatic treatment planning tool for HDR brachytherapy with a cylinder applicator for vaginal cancer. Methods: After inserting the cylinder applicator into the patient, a CT scan was acquired and was loaded to an in-house developed treatment planning software. The cylinder applicator was automatically segmented using image-processing techniques. CTV was generated based on user-specified treatment depth and length. Locations of relevant points (apex point, prescription point, and vaginal surface point), central applicator channel coordinates, and dwell positions were determined according to their geometric relations with the applicator. Dwell time was computed through an inverse optimization process. The planning information was written into DICOM-RT plan and structure files to transfer the automatically generated plan to a commercial treatment planning system for plan verification and delivery. Results: We have tested the system retrospectively in nine patients treated with vaginal cylinder applicator. These cases were selected with different treatment prescriptions, lengths, depths, and cylinder diameters to represent a large patient population. Our system was able to generate treatment plans for these cases with clinically acceptable quality. Computation time varied from 3–6 min. Conclusion: We have developed a system to perform automated treatment planning for HDR brachytherapy with a cylinder applicator. Such a novel system has greatly improved treatment planning efficiency and reduced plan quality variation. It also served as a testbed to demonstrate the feasibility of automatic HDR treatment planning for more complicated cases.

Mixed integer programming improves comprehensibility and plan quality in inverse optimization of prostate HDR Brachytherapy

NARCIS (Netherlands)

Gorissen, B.L.; den Hertog, D.; Hoffmann, A.L.

2013-01-01

Current inverse treatment planning methods that optimize both catheter positions and dwell times in prostate HDR brachytherapy use surrogate linear or quadratic objective functions that have no direct interpretation in terms of dose-volume histogram (DVH) criteria, do not result in an optimum or

Remote Afterloading High Dose Rate (HDR) Endobronchial Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Chang, Hyesook; Choi, Eun Kyung; Yi, Byong Yong; Kim, Won Dong; Kim, Woo Sung; Koh, Youn Suck [Ulsan University College of Medicine, Seoul (Korea, Republic of)

1991-12-15

Authors described the remote afterloading endobronchial brachytherapy (EBBT) technique using the microSelectron HDR Ir-192 and the Asan Medical Center experience. Total 28 EBBT in 9 patients were performed since November 1989 and 24 EBBT in 8 patients were employed for palliation and 3 EBBT in 1 patient was treated curatively. Authors observed a significant relief of obstructive symptom with tumor regression in 7 patients out of 8 who were treated palliatively but one of them died of pulmonary congestion in 3 weeks after EBBT. One patient with prior therapy of extensive electrocautery expired within 1 day after 2nd EBBT procedure with massive hemorrhage from the lesion. EBBT procedure has been tolerable and can be performed as an outpatient.

Remote Afterloading High Dose Rate (HDR) Endobronchial Brachytherapy

International Nuclear Information System (INIS)

Chang, Hyesook; Choi, Eun Kyung; Yi, Byong Yong; Kim, Won Dong; Kim, Woo Sung; Koh, Youn Suck

1991-01-01

Authors described the remote afterloading endobronchial brachytherapy (EBBT) technique using the microSelectron HDR Ir-192 and the Asan Medical Center experience. Total 28 EBBT in 9 patients were performed since November 1989 and 24 EBBT in 8 patients were employed for palliation and 3 EBBT in 1 patient was treated curatively. Authors observed a significant relief of obstructive symptom with tumor regression in 7 patients out of 8 who were treated palliatively but one of them died of pulmonary congestion in 3 weeks after EBBT. One patient with prior therapy of extensive electrocautery expired within 1 day after 2nd EBBT procedure with massive hemorrhage from the lesion. EBBT procedure has been tolerable and can be performed as an outpatient

Quality control of the breast cancer treatments on Hdr brachytherapy with TLD-100

Energy Technology Data Exchange (ETDEWEB)

Torres H, F. [Universidad de Cordoba, Materials and Applied Physics Group, 230002 Monteria, Cordoba (Colombia); De la Espriella V, N. [Universidad de Cordoba, Grupo Avanzado de Materiales y Sistemas Complejos, 230002 Monteria, Cordoba (Colombia); Sanchez C, A., E-mail: franciscotorreshoyos@yahoo.com [Universidad de Cordoba, Departamento de Enfermeria, 230002 Monteria, Cordoba (Colombia)

2014-07-01

An anthropomorphic Phantom, a female trunk, was built with a natural bone structure and experimental material coated, glycerin and water-based material called JJT to build soft tissue equivalent to the muscle of human tissue, and a polymer (styrofoam) to build the lung as critical organ to simulate the treatment of breast cancer, with high dose rate brachytherapy (Hdr) and sources of Ir-192. The treatments were planned and calculated for the critical organ: Lung, and injury of 2 cm in diameter in breast with Micro Selectron Hdr system and the software Plato Brachytherapy V 14.1 of the Nucletron (Netherlands) which uses the standard protocol of radiotherapy for brachytherapy treatments. The dose experimentally measured with dosimeters TLD-100 LiF: Mg; Ti, which were previously calibrated, were placed in the same positions and bodies mentioned above, with less than 5% uncertainty. The reading dosimeters was carried out in a Harshaw TLD 4500. The results obtained for calculated treatments, using the standard simulator, and the experimental with TLD-100, show a high concordance, as they are on average a ± 1.1% making process becomes in a quality control of this type of treatments. (Author)

SU-F-T-63: Dosimetric Relevance of the Valencia and Leipzig HDR Applicators Plastic Cap

Energy Technology Data Exchange (ETDEWEB)

Granero, D [ERESA-Hospital General Universitario, Valencia (Spain); Candela-Juan, C [National Dosimetry Centre (CND), Valencia (Spain); Vijande, J; Ballester, F [University of Valencia, Burjassot (Spain); Perez-Calatayud, J [Hospital La Fe, Valencia (Spain); Jacob, D; Mourtada, F [Helen F. Graham Cancer Center, Christiana Care Health System, Newark, DE (United States)

2016-06-15

Purpose: Utilization of HDR brachytherapy treatment of skin lesions using collimated applicators, such as the Valencia or Leipzig is increasing. These applicators are made of cup-shaped tungsten material in order to focalize the radiation into the lesion and to protect nearby tissues. These applicators have an attachable plastic cap that removes secondary electrons generated in the applicator and flattens the treatment surface. The purpose of this study is to examine the dosimetric impact of this cap, and the effect if the cap is not placed during the HDR fraction delivery. Methods: Monte Carlo simulations have been done using the code Geant4 for the Valencia and Leipzig applicators. Dose rate distributions have been obtained for the applicators with and without the plastic cap. An experimental study using EBT3 radiochromic film has been realized in order to verify the Monte Carlo results. Results: The Monte Carlo simulations show that absorbed dose in the first millimeter of skin can increase up to 180% for the Valencia applicator if the plastic cap is absent and up to 1500% for the Leipzig applicators. At deeper distances the increase of dose is smaller being about 10–15%. Conclusion: Important differences have been found if the plastic cap of the applicators is absent in the treatment producing an overdosage in the skin. The user should have a checklist to remind him check always before HDR fraction delivery to insure the plastic cap is placed on the applicator. This work was supported in part by Generalitat Valenciana under Project PROMETEOII/2013/010, by the Spanish Government under Project No. FIS2013-42156, and by a research agreement with Elekta Brachytherapy, Veenendaal, The Netherlands.

WE-DE-201-02: A Statistical Analysis Tool for Plan Quality Verification in HDR Brachytherapy Forward Planning for Cervix Cancer

Energy Technology Data Exchange (ETDEWEB)

Ma, R; Zhu, X; Li, S; Zheng, D; Lei, Y; Wang, S; Verma, V; Bennion, N; Wahl, A; Zhou, S [University of Nebraska Medical Center, Omaha, NE (United States)

2016-06-15

Purpose: High Dose Rate (HDR) brachytherapy forward planning is principally an iterative process; hence, plan quality is affected by planners’ experiences and limited planning time. Thus, this may lead to sporadic errors and inconsistencies in planning. A statistical tool based on previous approved clinical treatment plans would help to maintain the consistency of planning quality and improve the efficiency of second checking. Methods: An independent dose calculation tool was developed from commercial software. Thirty-three previously approved cervical HDR plans with the same prescription dose (550cGy), applicator type, and treatment protocol were examined, and ICRU defined reference point doses (bladder, vaginal mucosa, rectum, and points A/B) along with dwell times were collected. Dose calculation tool then calculated appropriate range with a 95% confidence interval for each parameter obtained, which would be used as the benchmark for evaluation of those parameters in future HDR treatment plans. Model quality was verified using five randomly selected approved plans from the same dataset. Results: Dose variations appears to be larger at the reference point of bladder and mucosa as compared with rectum. Most reference point doses from verification plans fell between the predicted range, except the doses of two points of rectum and two points of reference position A (owing to rectal anatomical variations & clinical adjustment in prescription points, respectively). Similar results were obtained for tandem and ring dwell times despite relatively larger uncertainties. Conclusion: This statistical tool provides an insight into clinically acceptable range of cervical HDR plans, which could be useful in plan checking and identifying potential planning errors, thus improving the consistency of plan quality.

SU-E-T-169: Characterization of Pacemaker/ICD Dose in SAVI HDR Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Kalavagunta, C; Lasio, G; Yi, B; Zhou, J; Lin, M [Univ. of Maryland School Of Medicine, Baltimore, MD (United States)

2015-06-15

Purpose: It is important to estimate dose to pacemaker (PM)/Implantable Cardioverter Defibrillator (ICD) before undertaking Accelerated Partial Breast Treatment using High Dose Rate (HDR) brachytherapy. Kim et al. have reported HDR PM/ICD dose using a single-source balloon applicator. To the authors knowledge, there have so far not been any published PM/ICD dosimetry literature for the Strut Adjusted Volume Implant (SAVI, Cianna Medical, Aliso Viejo, CA). This study aims to fill this gap by generating a dose look up table (LUT) to predict maximum dose to the PM/ICD in SAVI HDR brachytherapy. Methods: CT scans for 3D dosimetric planning were acquired for four SAVI applicators (6−1-mini, 6−1, 8−1 and 10−1) expanded to their maximum diameter in air. The CT datasets were imported into the Elekta Oncentra TPS for planning and each applicator was digitized in a multiplanar reconstruction window. A dose of 340 cGy was prescribed to the surface of a 1 cm expansion of the SAVI applicator cavity. Cartesian coordinates of the digitized applicator were determined in the treatment leading to the generation of a dose distribution and corresponding distance-dose prediction look up table (LUT) for distances from 2 to 15 cm (6-mini) and 2 to 20 cm (10–1).The deviation between the LUT doses and the dose to the cardiac device in a clinical case was evaluated. Results: Distance-dose look up table were compared to clinical SAVI plan and the discrepancy between the max dose predicted by the LUT and the clinical plan was found to be in the range (−0.44%, 0.74%) of the prescription dose. Conclusion: The distance-dose look up tables for SAVI applicators can be used to estimate the maximum dose to the ICD/PM, with a potential usefulness for quick assessment of dose to the cardiac device prior to applicator placement.

TU-F-BRF-02: MR-US Prostate Registration Using Patient-Specific Tissue Elasticity Property Prior for MR-Targeted, TRUS-Guided HDR Brachytherapy

International Nuclear Information System (INIS)

Yang, X; Rossi, P; Ogunleye, T; Jani, A; Curran, W; Liu, T

2014-01-01

Purpose: High-dose-rate (HDR) brachytherapy has become a popular treatment modality for prostate cancer. Conventional transrectal ultrasound (TRUS)-guided prostate HDR brachytherapy could benefit significantly from MR-targeted, TRUS-guided procedure where the tumor locations, acquired from the multiparametric MRI, are incorporated into the treatment planning. In order to enable this integration, we have developed a MR-TRUS registration with a patient-specific biomechanical elasticity prior. Methods: The proposed method used a biomechanical elasticity prior to guide the prostate volumetric B-spline deformation in the MRI and TRUS registration. The patient-specific biomechanical elasticity prior was generated using ultrasound elastography, where two 3D TRUS prostate images were acquired under different probe-induced pressures during the HDR procedure, which takes 2-4 minutes. These two 3D TRUS images were used to calculate the local displacement (elasticity map) of two prostate volumes. The B-spline transformation was calculated by minimizing the Euclidean distance between the normalized attribute vectors of the prostate surface landmarks on the MR and TRUS. This technique was evaluated through two studies: a prostate-phantom study and a pilot study with 5 patients undergoing prostate HDR treatment. The accuracy of our approach was assessed through the locations of several landmarks in the post-registration and TRUS images; our registration results were compared with the surface-based method. Results: For the phantom study, the mean landmark displacement of the proposed method was 1.29±0.11 mm. For the 5 patients, the mean landmark displacement of the surface-based method was 3.25±0.51 mm; our method, 1.71±0.25 mm. Therefore, our proposed method of prostate registration outperformed the surfaced-based registration significantly. Conclusion: We have developed a novel MR-TRUS prostate registration approach based on patient-specific biomechanical elasticity prior

Implementation of the technique of partial irradiation accelerated the breast with high doses (HDR) brachytherapy

International Nuclear Information System (INIS)

Molina Lopez, M. Y.; Pardo Perez, E.; Castro Novais, J.; Martinez Ortega, J.; Ruiz Maqueda, S.; Cerro Penalver, E. del

2013-01-01

The objective of this work is presents procedure carried out in our Centre for the implementation of the accelerated partial breast irradiation (APBI, accelerated partial-breast irradiation) with high-rate brachytherapy (HDR), using plastic tubes as applicators. Carried out measures, the evaluation of the dosimetric parameters analyzing and presenting the results. (Author)

SU-E-T-785: Using Systems Engineering to Design HDR Skin Treatment Operation for Small Lesions to Enhance Patient Safety

International Nuclear Information System (INIS)

Saw, C; Baikadi, M; Peters, C; Brereton, H

2015-01-01

Purpose: Using systems engineering to design HDR skin treatment operation for small lesions using shielded applicators to enhance patient safety. Methods: Systems engineering is an interdisciplinary field that offers formal methodologies to study, design, implement, and manage complex engineering systems as a whole over their life-cycles. The methodologies deal with human work-processes, coordination of different team, optimization, and risk management. The V-model of systems engineering emphasize two streams, the specification and the testing streams. The specification stream consists of user requirements, functional requirements, and design specifications while the testing on installation, operational, and performance specifications. In implementing system engineering to this project, the user and functional requirements are (a) HDR unit parameters be downloaded from the treatment planning system, (b) dwell times and positions be generated by treatment planning system, (c) source decay be computer calculated, (d) a double-check system of treatment parameters to comply with the NRC regulation. These requirements are intended to reduce human intervention to improve patient safety. Results: A formal investigation indicated that the user requirements can be satisfied. The treatment operation consists of using the treatment planning system to generate a pseudo plan that is adjusted for different shielded applicators to compute the dwell times. The dwell positions, channel numbers, and the dwell times are verified by the medical physicist and downloaded into the HDR unit. The decayed source strength is transferred to a spreadsheet that computes the dwell times based on the type of applicators and prescribed dose used. Prior to treatment, the source strength, dwell times, dwell positions, and channel numbers are double-checked by the radiation oncologist. No dosimetric parameters are manually calculated. Conclusion: Systems engineering provides methodologies to

SU-E-T-149: Brachytherapy Patient Specific Quality Assurance for a HDR Vaginal Cylinder Case

Energy Technology Data Exchange (ETDEWEB)

Barbiere, J; Napoli, J; Ndlovu, A [Hackensack Univ Medical Center, Hackensack, NJ (United States)

2015-06-15

Purpose: Commonly Ir-192 HDR treatment planning system commissioning is only based on a single absolute measurement of source activity supplemented by tabulated parameters for multiple factors without independent verification that the planned distribution corresponds to the actual delivered dose. The purpose on this work is to present a methodology using Gafchromic film with a statistically valid calibration curve that can be used to validate clinical HDR vaginal cylinder cases by comparing the calculated plan dose distribution in a plane with the corresponding measured planar dose. Methods: A vaginal cylinder plan was created with Oncentra treatment planning system. The 3D dose matrix was exported to a Varian Eclipse work station for convenient extraction of a 2D coronal dose plane corresponding to the film position. The plan was delivered with a sheet of Gafchromic EBT3 film positioned 1mm from the catheter using an Ir-192 Nucletron HDR source. The film was then digitized with an Epson 10000 XL color scanner. Film analysis is performed with MatLab imaging toolbox. A density to dose calibration curve was created using TG43 formalism for a single dwell position exposure at over 100 points for statistical accuracy. The plan and measured film dose planes were registered using a known dwell position relative to four film marks. The plan delivered 500 cGy to points 2 cm from the sources. Results: The distance to agreement of the 500 cGy isodose between the plan and film measurement laterally was 0.5 mm but can be as much as 1.5 mm superior and inferior. The difference between the computed plan dose and film measurement was calculated per pixel. The greatest errors up to 50 cGy are near the apex. Conclusion: The methodology presented will be useful to implement more comprehensive quality assurance to verify patient-specific dose distributions.

WE-F-BRD-01: HDR Brachytherapy II: Integrating Imaging with HDR

International Nuclear Information System (INIS)

Craciunescu, O; Todor, D; Leeuw, A de

2014-01-01

In recent years, with the advent of high/pulsed dose rate afterloading technology, advanced treatment planning systems, CT/MRI compatible applicators, and advanced imaging platforms, image-guided adaptive brachytherapy treatments (IGABT) have started to play an ever increasing role in modern radiation therapy. The most accurate way to approach IGABT treatment is to provide the infrastructure that combines in a single setting an appropriate imaging device, a treatment planning system, and a treatment unit. The Brachytherapy Suite is not a new concept, yet the modern suites are incorporating state-of-the-art imaging (MRI, CBCT equipped simulators, CT, and /or US) that require correct integration with each other and with the treatment planning and delivery systems. Arguably, an MRI-equipped Brachytherapy Suite is the ideal setup for real-time adaptive brachytherapy treatments. The main impediment to MRI-IGABT adoption is access to MRI scanners. Very few radiation oncology departments currently house MRI scanners, and even fewer in a dedicated Brachytherapy Suite. CBCT equipped simulators are increasingly offered by manufacturers as part of a Brachytherapy Suite installation. If optimized, images acquired can be used for treatment planning, or can be registered with other imaging modalities. This infrastructure is relevant for all forms of brachytherapy, especially those utilizing multi-fractionated courses of treatment such as prostate and cervix. Moreover, for prostate brachytherapy, US imaging systems can be part of the suite to allow for real-time HDR/LDR treatments. Learning Objectives: Understand the adaptive workflow of MR-based IGBT for cervical cancer. Familiarize with commissioning aspects of a CBCT equipped simulator with emphasis on brachytherapy applications Learn about the current status and future developments in US-based prostate brachytherapy

WE-F-BRD-01: HDR Brachytherapy II: Integrating Imaging with HDR

Energy Technology Data Exchange (ETDEWEB)

Craciunescu, O [Duke University Medical Center, Durham, NC (United States); Todor, D [Virginia Commonwealth University, Richmond, VA (United States); Leeuw, A de

2014-06-15

In recent years, with the advent of high/pulsed dose rate afterloading technology, advanced treatment planning systems, CT/MRI compatible applicators, and advanced imaging platforms, image-guided adaptive brachytherapy treatments (IGABT) have started to play an ever increasing role in modern radiation therapy. The most accurate way to approach IGABT treatment is to provide the infrastructure that combines in a single setting an appropriate imaging device, a treatment planning system, and a treatment unit. The Brachytherapy Suite is not a new concept, yet the modern suites are incorporating state-of-the-art imaging (MRI, CBCT equipped simulators, CT, and /or US) that require correct integration with each other and with the treatment planning and delivery systems. Arguably, an MRI-equipped Brachytherapy Suite is the ideal setup for real-time adaptive brachytherapy treatments. The main impediment to MRI-IGABT adoption is access to MRI scanners. Very few radiation oncology departments currently house MRI scanners, and even fewer in a dedicated Brachytherapy Suite. CBCT equipped simulators are increasingly offered by manufacturers as part of a Brachytherapy Suite installation. If optimized, images acquired can be used for treatment planning, or can be registered with other imaging modalities. This infrastructure is relevant for all forms of brachytherapy, especially those utilizing multi-fractionated courses of treatment such as prostate and cervix. Moreover, for prostate brachytherapy, US imaging systems can be part of the suite to allow for real-time HDR/LDR treatments. Learning Objectives: Understand the adaptive workflow of MR-based IGBT for cervical cancer. Familiarize with commissioning aspects of a CBCT equipped simulator with emphasis on brachytherapy applications Learn about the current status and future developments in US-based prostate brachytherapy.

A multicentre ‘end to end’ dosimetry audit for cervix HDR brachytherapy treatment

International Nuclear Information System (INIS)

Palmer, Antony L.; Diez, Patricia; Gandon, Laura; Wynn-Jones, Andrea; Bownes, Peter; Lee, Chris; Aird, Edwin; Bidmead, Margaret; Lowe, Gerry; Bradley, David; Nisbet, Andrew

2015-01-01

Purpose: To undertake the first multicentre fully ‘end to end’ dosimetry audit for HDR cervix brachytherapy, comparing planned and delivered dose distributions around clinical treatment applicators, with review of local procedures. Materials and methods: A film-dosimetry audit was performed at 46 centres, including imaging, applicator reconstruction, treatment planning and delivery. Film dose maps were calculated using triple-channel dosimetry and compared to RTDose data from treatment planning systems. Deviations between plan and measurement were quantified at prescription Point A and using gamma analysis. Local procedures were also discussed. Results: The mean difference between planned and measured dose at Point A was −0.6% for plastic applicators and −3.0% for metal applicators, at standard uncertainty 3.0% (k = 1). Isodose distributions agreed within 1 mm over a dose range 2–16 Gy. Mean gamma passing rates exceeded 97% for plastic and metal applicators at 3% (local) 2 mm criteria. Two errors were found: one dose normalisation error and one applicator library misaligned with the imaged applicator. Suggestions for quality improvement were also made. Conclusions: The concept of ‘end to end’ dosimetry audit for HDR brachytherapy has been successfully implemented in a multicentre environment, providing evidence that a high level of accuracy in brachytherapy dosimetry can be achieved

High dose rate intraoperative radiation therapy (HDR-IORT) as part of the management strategy for locally advanced primary and recurrent rectal cancer

International Nuclear Information System (INIS)

Harrison, Louis B.; Minsky, Bruce D.; Enker, Warren E.; Mychalczak, Borys; Guillem, Jose; Paty, Philip B.; Anderson, Lowell; White, Carol; Cohen, Alfred M.

1998-01-01

Purpose: Primary unresectable and locally advanced recurrent rectal cancer presents a significant clinical challenge. Local failure rates are high in both situations. Under such circumstances, there is a significant need to safely deliver tumoricidal doses of radiation in an attempt to improve local control. For this reason, we have incorporated a new approach utilizing high dose rate intraoperative radiation therapy (HDR-IORT). Methods and Materials: Between 11/92-12/96, a total of 112 patients were explored, of which 68 patients were treated with HDR-IORT, and 66 are evaluable. The majority of the 44 patients were excluded for unresectable disease or for distant metastases which eluded preoperative imaging. There were 22 patients with primary unresectable disease, and 46 patients who presented with recurrent disease. The histology was adenocarcinoma in 64 patients, and squamous cell carcinoma in four patients. In general, the patients with primary unresectable disease received preoperative chemotherapy with 5-fluorouracil (5-FU) and leucovorin, and external beam irradiation to 4500-5040 cGy, followed by surgical resection and HDR-IORT (1000-2000 cGy). In general , the patients with recurrent disease were treated with surgical resection and HDR-IORT (1000-2000 cGy) alone. All surgical procedures were done in a dedicated operating room in the brachytherapy suite, so that HDR-IORT could be delivered using the Harrison-Anderson-Mick (HAM) applicator. The median follow-up is 17.5 months (1-48 mo). Results: In primary cases, the actuarial 2-year local control is 81%. For patients with negative margins, the local control was 92% vs. 38% for those with positive margins (p = 0.002). The 2-year actuarial disease-free survival was 69%; 77% for patients with negative margins vs. 38% for patients with positive margins (p = 0.03). For patients with recurrent disease, the 2-year actuarial local control rate was 63%. For patients with negative margins, it was 82%, while it was

An Eight-Year Experience of HDR Brachytherapy Boost for Localized Prostate Cancer: Biopsy and PSA Outcome

International Nuclear Information System (INIS)

Bachand, Francois; Martin, Andre-Guy; Beaulieu, Luc; Harel, Francois M.Sc.; Vigneault, Eric

2009-01-01

Purpose: To evaluate the biochemical recurrence-free survival (bRFS), the 2-year biopsy outcome and the prostate-specific antigen (PSA) bounce in patients with localized prostate cancer treated with an inversely planned high-dose-rate (HDR) brachytherapy boost. Materials and methods: Data were collected from 153 patients treated between 1999 and 2006 with external beam pelvic radiation followed by an HDR Ir-192 prostate boost. These patients were given a boost of 18 to 20 Gy using inverse-planning with simulated annealing (IPSA).We reviewed and analyzed all prostate-specific antigen levels and control biopsies. Results: The median follow-up was 44 months (18-95 months). When categorized by risk of progression, 74.5% of patients presented an intermediate risk and 14.4% a high one. Prostate biopsies at 2 years posttreatment were negative in 86 of 94 patients (91.5%), whereas two biopsies were inconclusive. Biochemical control at 60 months was at 96% according to the American Society for Therapeutic Radiology and Oncology and the Phoenix consensus definitions. A PSA bounce (PSA values of 2 ng/mL or more above nadir) was observed in 15 patients of 123 (9.8%). The median time to bounce was 15.2 months (interquartile range, 11.0-17.7) and the median bounce duration 18.7 months (interquartile range, 12.1-29). The estimate of overall survival at 60 months was 97.1% (95% CI, 91.6-103%). Conclusions: Considering that inverse planned HDR brachytherapy prostate boosts led to an excellent biochemical response, with a 2-year negative biopsy rate, we recommend a conservative approach in face of a PSA bounce even though it was observed in 10% of patients

Comparison of high dose rate (HDR) and low dose rate (LDR) brachytherapy in the treatment of stage IIIB cervix cancer with radiation therapy alone. The preliminary results

International Nuclear Information System (INIS)

Trippe, Nivaldo; Novaes, P.E.; Ferrigno, R.; Pellizzon, A.C.; Salvajoli, J.V.; Fogaroli, R.C.; Maia, M.A.C.; Baraldi, H.E.

1996-01-01

Purpose/Objective: To compare the results between HDR and LDR brachytherapy in the treatment of stage IIIB cervix cancer with radiation therapy alone through a prospective and randomized trial. Materials and Methods: From September 1992 to December 1993, 65 patients with stage IIIB cervical cancer were randomized to one of the following treatment schedule according to the brachytherapy used to complement the dose of external beam radiotherapy (EBRT): 1 - High dose rate (HDR) - 36 patients - 4 weekly insertions of 6,0 Gy at point A 2 - Low dose rate (LDR) - 29 patients - 2 insertions two weeks apart of 17,5 Gy at point A The External Beam radiotherapy was performed through a Linac 4MV, in box arrangement for whole pelvis and in AP-PA fields for parametrial complementation of dose. The dose at the whole pelvis was 45 Gy in 25 fractions of 1,8 Gy and the parametrial dose was 16 Gy. The brachytherapy was realized with Fletcher colpostats and intrauterine tandem, in both arms. The HDR brachytherapy was realized through a Micro-Selectron device, working with Iridium-192 with initial activity of 10 Ci and started ten days after the beginning of EBRT. The total treatment time was shortened in two weeks for this group. The LDR brachytherapy started only after the end of EBRT. Results: With the minimum follow up of 24 months and medium of 31 months, the disease free survival was 50% among the 36 patients in HDR group and 47,8% among the 29 patients in LDR group. Local failures occurred in 50% and 52,8% respectively. Grade I and II complications were restricted to rectites and cistites and the incidence of them was 8,3% for HDR group and 13% for LDR group. Until the time of evaluation there were no grade III complications in any group. Conclusions: Although the number of patients is small and the time of follow up still short, these preliminary results suggest that the HDR brachytherapy has an equivalent efficiency in local control as the LDR in the treatment of stage IIIB

A comprehensive study on HDR brachytherapy treatments of cervical cancers: using the first Co-60 BEBIG Multisource Unit in Bangladesh

Directory of Open Access Journals (Sweden)

Naheed Rukhsana

2011-07-01

Full Text Available Purpose: The report presents an extraordinary synthesis of customer acceptance procedures (CAP, quality assurance tests (QA in the treatment of cervical cancer patients, using the first Co-60 Multisource Unit® in Bangladesh. The QA and commissioning required measurements and emergency tests verifying the functional limits of parameters acceptable for the new HDR afterloader. Acceptable limits were: 1 the deviation between specified and measured source strength: ± 3%; 2 the positional accuracy and uniformity: ± 1 mm; 3 the temporal accuracy (i.e. timer error and linearity and end error: ± 1% or 30 sec.; 4 treatment planning system (digitizer and localization software: ± 3% or 1 mm; 5 the distance from line to first dwell position and all the others: 5 mm and 10 mm (± 1 mm. Material and methods: Till February 2011, 47 patients were treated with HDR with more than 140 insertions applied. Amongst them, 12 patients were in stage IIB and IIIB, 22 were postoperative (IA and IB while the remaining 13 patients were with unknown stage. All the cases with stage IIB and IIIB received concurrent chemo-radiation and brachytherapy. Postoperative patients received EBRT (50 Gy and HDR according to the institutional protocol. CT scans were completed before HDR-plus planning with a good reproducibility (± 2% and were documented in repeating the plan for the same set up of a patient. Absorbed dose (Gy to a point P, at a distance of “r” in centimeters from a source of the Reference Air Kerma Rate (RAKR has been utilized for the QA of the source, where source strength measurement was accomplished. Results: All methods and analysis applicable to the QA and commissioning of Co-60 have been investigated and systematically analyzed, measured and documented before the treatment of a patient. Studies and safety requirements of this HDR remote afterloader were carried out. Acceptance and the QA were imperative to justify functionality and dependability in

A comprehensive study on HDR brachytherapy treatments of cervical cancers: using the first Co-60 BEBIG Multisource Unit in Bangladesh.

Science.gov (United States)

Malik, Sadiq R; Banu, Parvin A; Rukhsana, Naheed

2011-06-01

The report presents an extraordinary synthesis of customer acceptance procedures (CAP), quality assurance tests (QA) in the treatment of cervical cancer patients, using the first Co-60 Multisource Unit ® in Bangladesh. The QA and commissioning required measurements and emergency tests verifying the functional limits of parameters acceptable for the new HDR afterloader. Acceptable limits were: 1) the deviation between specified and measured source strength: ± 3%; 2) the positional accuracy and uniformity: ± 1 mm; 3) the temporal accuracy (i.e. timer error and linearity and end error): ± 1% or 30 sec.; 4) treatment planning system (digitizer and localization software): ± 3% or 1 mm; 5) the distance from line to first dwell position and all the others: 5 mm and 10 mm (± 1 mm). Till February 2011, 47 patients were treated with HDR with more than 140 insertions applied. Amongst them, 12 patients were in stage IIB and IIIB, 22 were postoperative (IA and IB) while the remaining 13 patients were with unknown stage. All the cases with stage IIB and IIIB received concurrent chemo-radiation and brachytherapy. Postoperative patients received EBRT (50 Gy and HDR) according to the institutional protocol. CT scans were completed before HDR-plus planning with a good reproducibility (± 2%) and were documented in repeating the plan for the same set up of a patient. Absorbed dose (Gy) to a point P, at a distance of "r" in centimeters from a source of the Reference Air Kerma Rate (RAKR) has been utilized for the QA of the source, where source strength measurement was accomplished. All methods and analysis applicable to the QA and commissioning of Co-60 have been investigated and systematically analyzed, measured and documented before the treatment of a patient. Studies and safety requirements of this HDR remote afterloader were carried out. Acceptance and the QA were imperative to justify functionality and dependability in delivering the treatment. Implications of these studies

Implementation of the technique of partial irradiation accelerated the breast with high doses (HDR) brachytherapy; Puesta en marcha de la tecnica de irradiacion parcial acelerada de la mama con braquterapia de alta tasa de dosis (HDR)

Energy Technology Data Exchange (ETDEWEB)

Molina Lopez, M. Y.; Pardo Perez, E.; Castro Novais, J.; Martinez Ortega, J.; Ruiz Maqueda, S.; Cerro Penalver, E. del

2013-07-01

The objective of this work is presents procedure carried out in our Centre for the implementation of the accelerated partial breast irradiation (APBI, accelerated partial-breast irradiation) with high-rate brachytherapy (HDR), using plastic tubes as applicators. Carried out measures, the evaluation of the dosimetric parameters analyzing and presenting the results. (Author)

Fluid structure interaction studies on acoustic load response of light water nuclear reactor core internals under blowdown condition

International Nuclear Information System (INIS)

Moses Lemuel Raj, G.; Singh, R.K.; Kushwaha, H.S.; Venkat Raj, V.

1998-12-01

Acoustic load evaluation within two phase medium and the related fluid-structure interaction analysis in case of Loss of Coolant Accidents (LOCA) for light water reactor systems is an important inter-disciplinary area. The present work highlights the development of a three-dimensional finite element code FLUSHEL to analyse LOCA induced depressurization problems for Pressurised Water Reactor (PWR) core barrel and Boiling Water Reactor (BWR) core shroud. With good comparison obtained between prediction made by the present code and the experimental results of HDR-PWR test problem, coupled fluid-structure interaction analysis of core shroud of Tarapur Atomic Power Station (TAPS) is presented for recirculation line break. It is shown that the acoustic load induced stresses in the core shroud are small and downcomer acoustic cavity modes are decoupled with the shell multi-lobe modes. Thus the structural integrity of TAPS core shroud for recirculation line break induced acoustic load is demonstrated. (author)

Analysis of the fluid-structure dynamic interaction of reactor pressure vessel internals during blowdown

International Nuclear Information System (INIS)

Schlechtendahl, E.G.; Krieg, R.; Schumann, U.

1977-01-01

The loadings on reactor internal structures (in particular the core barrel) induced during a PWR-blowdown must not result in excessive stresses and strains. The deformations are strongly influenced by the coupling of fluid and structure dynamics and it is necessary, therefore, to develop and apply new coupled analysis tools. In this paper a survey is given over work currently in progress in the Nuclear Research Center Karlsruhe and the Los Alamos Scientific Laboratory which aim towards 'best estimate codes'. The new methods will be verified by means of the HDR-blowdown tests and other experiments. The results of several scoping calculations are presented and illustrated by movie films. (orig.) [de

SU-C-202-02: A Comprehensive Evaluation of Adaptive Daily Planning for Cervical Cancer HDR Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Meerschaert, R; Paul, A; Zhuang, L [Department of Oncology, Radiation Oncology Division, Wayne State University School of Medicine, Detroit, MI (United States); Nalichowski, A [Department of Oncology, Radiation Oncology Division, Karmanos Cancer Institute, Detroit, MI (United States); Burmeister, J; Miller, A [Department of Oncology, Radiation Oncology Division, Wayne State University School of Medicine, Detroit, MI (United States); Department of Oncology, Radiation Oncology Division, Karmanos Cancer Institute, Detroit, MI (United States)

2016-06-15

Purpose: To evaluate adaptive daily planning for cervical cancer patients who underwent high-dose-rate intra-cavitary brachytherapy (HDR-ICBT). Methods: This study included 22 cervical cancer patients who underwent 5 fractions of HDR ICBT. Regions of interest (ROIs) including high-risk clinical tumor volume (HR-CTV) and organs-at-risk (OARs) were manually contoured on daily CT images. All patients were treated with adaptive daily plans, which involved ROI delineation and dose optimization at each treatment fraction. Single treatment plans were retrospectively generated by applying the first treatment fraction’s dwell times adjusted for decay and dwell positions of the applicator to subsequent treatment fractions. Various existing similarity metrics were calculated for the ROIs to quantify interfractional organ variations. A novel similarity score (JRARM) was established, which combined both volumetric overlap metrics (DSC, JSC, and RVD) and distance metrics (ASD, MSD, and RMSD). Linear regression was performed to determine a relationship between inter-fractional organ variations of various similarity metrics and D2cc variations from both plans. Wilcoxon Signed Rank Tests were used to assess adaptive daily plans and single plans by comparing EQD2 D2cc (α/β=3) for OARs. Results: For inter-fractional organ variations, the sigmoid demonstrated the greatest variations based on the JRARM and DSC similarity metrics. Comparisons between paired ROIs showed differences in JRARM scores and DSCs at each treatment fraction. RVD, MSD, and RMSD were found to be significantly correlated to D2cc variations for bladder and sigmoid. The comparison between plans found that adaptive daily planning provided lower EQD2 D2cc of OARs than single planning, specifically for the sigmoid (p=0.015). Conclusion: Substantial inter-fractional organ motion can occur during HDR-BT, which may significantly affect D2cc of OARs. Adaptive daily planning provides improved dose sparing for OARs

Speedup of optimization-based approach to local backlight dimming of HDR displays

DEFF Research Database (Denmark)

Burini, Nino; Nadernejad, Ehsan; Korhonen, Jari

2012-01-01

Local backlight dimming in Liquid Crystal Displays (LCD) is a technique for reducing power consumption and simultaneously increasing contrast ratio to provide a High Dynamic Range (HDR) image reproduction. Several backlight dimming algorithms exist with focus on reducing power consumption, while...... other algorithms aim at enhancing contrast, with power savings as a side effect. In our earlier work, we have modeled backlight dimming as a linear programming problem, where the target is to minimize the cost function measuring the distance between ideal and actual output. In this paper, we propose...

Interactive, multi-modality image registrations for combined MRI/MRSI-planned HDR prostate brachytherapy

Directory of Open Access Journals (Sweden)

Galen Reed

2011-03-01

Full Text Available Purpose: This study presents the steps and criteria involved in the series of image registrations used clinically during the planning and dose delivery of focal high dose-rate (HDR brachytherapy of the prostate. Material and methods: Three imaging modalities – Magnetic Resonance Imaging (MRI, Magnetic Resonance Spectroscopic Imaging (MRSI, and Computed Tomography (CT – were used at different steps during the process. MRSI is used for identification of dominant intraprosatic lesions (DIL. A series of rigid and nonrigid transformations were applied to the data to correct for endorectal-coil-induced deformations and for alignment with the planning CT. Mutual information was calculated as a morphing metric. An inverse planning optimization algorithm was applied to boost dose to the DIL while providing protection to the urethra, penile bulb, rectum, and bladder. Six prostate cancer patients were treated using this protocol. Results: The morphing algorithm successfully modeled the probe-induced prostatic distortion. Mutual information calculated between the morphed images and images acquired without the endorectal probe showed a significant (p = 0.0071 increase to that calculated between the unmorphed images and images acquired without the endorectal probe. Both mutual information and visual inspection serve as effective diagnostics of image morphing. The entire procedure adds less than thirty minutes to the treatment planning. Conclusion: This work demonstrates the utility of image transformations and registrations to HDR brachytherapy of prostate cancer.

Commissioning of a well type chamber for HDR and LDR brachytherapy applications: a review of methodology and outcomes.

Science.gov (United States)

Mukwada, Godfrey; Neveri, Gabor; Alkhatib, Zaid; Waterhouse, David K; Ebert, Martin

2016-03-01

For safe and accurate dose delivery in brachytherapy, associated equipment is subject to commissioning and ongoing quality assurance (QA). Many centres depend on the use of a well-type chamber ('well chamber') for performing brachytherapy dosimetry. Documentation of well chamber commissioning is scarce despite the important role the chamber plays in the whole brachytherapy QA process. An extensive and structured commissioning of the HDR 1000 plus well chamber (Standard Imaging Inc, Middleton WI) for HDR and LDR dosimetry was undertaken at Sir Charles Gairdner Hospital. The methodology and outcomes of this commissioning is documented and presented as a guideline to others involved in brachytherapy. The commissioning tests described include mechanical integrity, leakage current, directional dependence, response, length of uniform response, the influence of insert holders, ion collection efficiency, polarity effect, accuracy of measured air kerma strength (S(K)) or reference air kerma rate (K(R)) and baseline setting (for ongoing constancy checks). For the HDR 1000 plus well chamber, some of the insert holders modify the response curve. The measured sweet length was 2.5 cm which is within 0.5% of that specified by the manufacturer. Correction for polarity was negligible (0.9999) and ion recombination was small (0.9994). Directional dependence was small (less than 0.2%) and leakage current was negligible. The measured K(R) for (192)Ir agreed within 0.11% compared with a second well chamber of similar model and was within 0.5% of that determined via a free-in-air measurement method. Routine constancy checks over a year agreed with the baseline within 0.4%.

HDR flood-water storage-tank modal vibration tests

International Nuclear Information System (INIS)

Gorman, V.W.; Thinnes, G.L.

1983-01-01

Modal vibration tests were conducted by EG and G Idaho on two vessels located at West Germany's Heissdampfreaktor (HDR) facility which is 25 kilometers east of Frankfurt. The tests were performed during May and June 1982 for the US Nuclear Regulatory Commission (NRC) as part of their cooperative effort with Kernforschungszentrum Karlsruhe (KfK) of West Germany. The primary purpose for performing this task was to determine modal properties (frequencies, mode shapes and associated damping ratios) in order to eventually provide guidelines for standards development by the NRC in modeling similar vessels. One of the vessels tested was a flood water storage tank (FWST) for empty, half full and full water conditions. The FWST was excited randomly with an electromagnetic shaker and by impulsive hammer blows. Excitation or input forces together with measured vessel responses were processed by a digital modal analyzer and stored on magnetic disks for subsequent evaluation

SU-E-T-758: To Determine the Source Dwell Positions of HDR Brachytherapy Using 2D 729 Ion Chamber Array

Energy Technology Data Exchange (ETDEWEB)

Kumar, Syam [Malabar Cancer Centre, Kannur, Kerala (India); Sitha [University of Calicut, Calicut, Kerala (India)

2015-06-15

Purpose: Determination of source dwell positions of HDR brachytherapy using 2D 729 ion chamber array Methods: Nucletron microselectron HDR and PTW 2D array were used for the study. Different dwell positions were assigned in the HDR machine. Rigid interstitial needles and vaginal applicator were positioned on the 2D array. The 2D array was exposed for this programmed dwell positions. The positional accuracy of the source was analyzed after the irradiation of the 2D array. This was repeated for different dwell positions. Different test plans were transferred from the Oncentra planning system and irradiated with the same applicator position on the 2D array. The results were analyzed using the in house developed excel program. Results: Assigned dwell positions versus corresponding detector response were analyzed. The results show very good agreement with the film measurements. No significant variation found between the planned and measured dwell positions. Average dose response with 2D array between the planned and nearby dwell positions was found to be 0.0804 Gy for vaginal cylinder applicator and 0.1234 Gy for interstitial rigid needles. Standard deviation between the doses for all the measured dwell positions for interstitial rigid needle for 1 cm spaced positions were found to be 0.33 and 0.37 for 2cm spaced dwell positions. For intracavitory vaginal applicator this was found to be 0.21 for 1 cm spaced dwell positions and 0.06 for 2cm spaced dwell positions. Intracavitory test plans reproduced on the 2D array with the same applicator positions shows the ideal dose distribution with the TPS planned. Conclusion: 2D array is a good tool for determining the dwell position of HDR brachytherapy. With the in-house developed program in excel it is easy and accurate. The traditional way with film analysis can be replaced by this method, as the films will be more costly.

SU-E-T-758: To Determine the Source Dwell Positions of HDR Brachytherapy Using 2D 729 Ion Chamber Array

International Nuclear Information System (INIS)

Kumar, Syam; Sitha

2015-01-01

Purpose: Determination of source dwell positions of HDR brachytherapy using 2D 729 ion chamber array Methods: Nucletron microselectron HDR and PTW 2D array were used for the study. Different dwell positions were assigned in the HDR machine. Rigid interstitial needles and vaginal applicator were positioned on the 2D array. The 2D array was exposed for this programmed dwell positions. The positional accuracy of the source was analyzed after the irradiation of the 2D array. This was repeated for different dwell positions. Different test plans were transferred from the Oncentra planning system and irradiated with the same applicator position on the 2D array. The results were analyzed using the in house developed excel program. Results: Assigned dwell positions versus corresponding detector response were analyzed. The results show very good agreement with the film measurements. No significant variation found between the planned and measured dwell positions. Average dose response with 2D array between the planned and nearby dwell positions was found to be 0.0804 Gy for vaginal cylinder applicator and 0.1234 Gy for interstitial rigid needles. Standard deviation between the doses for all the measured dwell positions for interstitial rigid needle for 1 cm spaced positions were found to be 0.33 and 0.37 for 2cm spaced dwell positions. For intracavitory vaginal applicator this was found to be 0.21 for 1 cm spaced dwell positions and 0.06 for 2cm spaced dwell positions. Intracavitory test plans reproduced on the 2D array with the same applicator positions shows the ideal dose distribution with the TPS planned. Conclusion: 2D array is a good tool for determining the dwell position of HDR brachytherapy. With the in-house developed program in excel it is easy and accurate. The traditional way with film analysis can be replaced by this method, as the films will be more costly

Dose rate effect from the relationship between ICRU rectal dose and local control rate in intracavitary radiotherapy for carcinoma of the uterine cervix. Six fraction HDR and three-fraction LDR in three weeks

International Nuclear Information System (INIS)

Jingu, Kenichi; Akita, Yuzou; Ohmagari, Jyunichi

2001-01-01

The dose rate effect, low dose rate radiotherapy (LDR)/high dose rate radiotherapy (HDR), was calculated using the isoeffect ICRU rectal dose by intracavitary radiotherapy (ICRT) for uterine cervix cancer. The subjects analyzed consisted of 78 LDR and 74 HDR patients whose ICRU rectal dose could be calculated and whose local control as stage II/III cases could be evaluated. The point A dose in ICRT was 45-55 Gy/3 fractions/3 weeks for LDR and 30 Gy/6 fractions/3 weeks for HDR. The dose effect relationships associated with local control at each whole pelvis external radiation dose were calculated using the double integration method and Probit analysis, and the 50% and 90% local control ICRU rectal doses were calculated from this relationship. Finally, the dose rate effect LDR/HDR was determined from 50% and 90% local control doses. The dose rate effect calculated from the 50% local control dose was 1.24 and that from the 90% local control dose was 1.14. (author)

Comparison of the cost between 60Co and 192Ir, as the sources for high-dose-rate remote control afterloading systems (HDR-RALS)

International Nuclear Information System (INIS)

Ogata, Hitoshi

1994-01-01

High-Dose-Rate remote control afterloading systems (HDR-RALS) installing 60 Co sources have been prevailing currently in Japan. The survey conducted by Japan Isotope Association (JIA) reports that 180 machines are at working condition. Although the wide prevalence of the HDR-RALS, the stable supply of 60 Co is becoming difficult because of the short availability of raw materials. The supply of 60 Co is planned to be terminated in March 1996. In place of 60 Co, 192 Ir is going to be produced in 1996. The size of 192 Ir, which is much smaller than that of 60 Co, may facilitate broader clinical usability. On the other hand, for the reason that the half life of 192 Ir (73.8 days) is much shorter than that of 60 Co (5.27 years), several exchanges of the sources in a year are necessary. This report analyses the difference of the cost between 60 Co and 192 Ir as the sources for HDR-RALS. As the cost of the 60 Co sources is dependent on the distance from Tokyo. Radiation activity, etc., the cost-calculation was done on the basis the 60 Co sources were installed for the HDR-RALS systems in Yamanashi Central Hospital. The total cost of 60 Co is 3,377,000 yen on the data from JIA. According to the half life of 5.27 years, the available duration can be thought as 7 years and the monthly cost be calculated as about 40,000 yen. In case of 192 Ir, the prices for Buchler' system and Nucletron's system are 800,000 yen and 990,000 yen respectively. Concerning the shortness of the half life, an exchange in every 3 months is ideal. Therefore the monthly cost of 192 Ir would be 260,000-330,000 yen. Consequently the cost-ratio for 192 Ir and 60 Co would become 6.7-8.3. The cost of intracavitary irradiation is controlled by the government as 10,000 yen per treatment in Japan. If this setting remains the same for HDR-RALS installing 192 Ir, almost all the facilities of radiation therapy would suffer from the cost-income inbalance in the near future. (author)

SU-G-201-01: An Automated Treatment Plan Quality Assurance Program for High-Dose Rate (HDR) Brachytherapy with a VaginalCylinder Applicator

Energy Technology Data Exchange (ETDEWEB)

Zhou, Y; Tan, J; Jiang, S; Albuquerque, K; Jia, X [UT Southwestern Medical Center, Dallas, TX (United States)

2016-06-15

Purpose: Plan specific quality assurance (QA) is an important step in high dose rate (HDR) brachytherapy to ensure the integrity of a treatment plan. The conventional approach is to assemble a set of plan screen-captures in a document and have an independent plan-checker to verify it. Not only is this approach cumbersome and time-consuming, using a document also limits the items that can be verified, hindering plan quality and patient safety. We have initiated efforts to develop a web-based HDR brachytherapy QA system called AutoBrachy QA, for comprehensive and efficient QA. This abstract reports a new plugin in this system for the QA of a cylinder HDR brachytherapy treatment. Methods: A cylinder plan QA module was developed using Python. It was plugged into our AutoBrachy QA system. This module extracted information from CT images and treatment plan. Image processing techniques were employed to obtain geometric parameters, e.g. cylinder diameter. A comprehensive set of eight geometrical and eight dosimetric features of the plan were validated against user specified planning parameter, such as prescription value, treatment depth and length, etc. A PDF document was generated, consisting of a summary QA sheet with all the QA results, as well as images showing plan details. Results: The cylinder QA program has been implemented in our clinic. To date, it has been used in 11 patient cases and was able to successfully perform QA tests in all of them. The QA program reduced the average plan QA time from 7 min using conventional manual approach to 0.5 min. Conclusion: Being a new module in our AutoBrachy QA system, an automated treatment plan QA module for cylinder HDR brachytherapy has been successfully developed and clinically implemented. This module improved clinical workflow and plan integrity compared to the conventional manual approach.

SU-G-201-01: An Automated Treatment Plan Quality Assurance Program for High-Dose Rate (HDR) Brachytherapy with a VaginalCylinder Applicator

International Nuclear Information System (INIS)

Zhou, Y; Tan, J; Jiang, S; Albuquerque, K; Jia, X

2016-01-01

Purpose: Plan specific quality assurance (QA) is an important step in high dose rate (HDR) brachytherapy to ensure the integrity of a treatment plan. The conventional approach is to assemble a set of plan screen-captures in a document and have an independent plan-checker to verify it. Not only is this approach cumbersome and time-consuming, using a document also limits the items that can be verified, hindering plan quality and patient safety. We have initiated efforts to develop a web-based HDR brachytherapy QA system called AutoBrachy QA, for comprehensive and efficient QA. This abstract reports a new plugin in this system for the QA of a cylinder HDR brachytherapy treatment. Methods: A cylinder plan QA module was developed using Python. It was plugged into our AutoBrachy QA system. This module extracted information from CT images and treatment plan. Image processing techniques were employed to obtain geometric parameters, e.g. cylinder diameter. A comprehensive set of eight geometrical and eight dosimetric features of the plan were validated against user specified planning parameter, such as prescription value, treatment depth and length, etc. A PDF document was generated, consisting of a summary QA sheet with all the QA results, as well as images showing plan details. Results: The cylinder QA program has been implemented in our clinic. To date, it has been used in 11 patient cases and was able to successfully perform QA tests in all of them. The QA program reduced the average plan QA time from 7 min using conventional manual approach to 0.5 min. Conclusion: Being a new module in our AutoBrachy QA system, an automated treatment plan QA module for cylinder HDR brachytherapy has been successfully developed and clinically implemented. This module improved clinical workflow and plan integrity compared to the conventional manual approach.

Poster - Thur Eve - 03: LDR to HDR: RADPOS applications in brachytherapy.

Science.gov (United States)

Cherpak, A J; Cygler, J E; Kertzscher, G; E, C; Perry, G

2012-07-01

The RADPOS in vivo dosimetry system combines an electromagnetic positioning sensor and either one or five MOSFET dosimeters. The feasibility of using the system for quality control has been explored for a range of radiotherapy treatment techniques including most recently transperineal interstitial permanent prostate brachytherapy and high dose rate (HDR) treatments. Dose and position information was collected by a RADPOS array detector inside a Foley catheter within patients' urethra during permanent seed implantation. Ten patients were studied, and average displacement during implantation was Δr = (1.4-5.1) mm, with movements up to 9.7 mm due to the removal of the transrectal ultrasound probe. Maximum integral dose in the prostatic urethra ranged from 110-195 Gy, and it was found that the dose can change up to 63 cGy (62.0%) depending on whether the rectal probe is in place. For HDR, a RADPOS detector was first calibrated with an Ir-192 source. A treatment was then simulated using a total of 50 dwell positions in 5 catheters in an acrylic phantom. Dwell positions ranged from 1 to 10 cm away from the RADPOS detector and dose was measured for each source position. An average calibration coefficient of 0.74±0.11 cGy/mV was calculated for the detector and the average absolute difference between measured values and expected dose was 0.7±5.4 cGy (5±20%). The demonstrated accuracy of RADPOS dose measurements along with its ability to simultaneously measure displacement makes it a powerful tool for brachytherapy treatments, where high dose gradients can present unique in vivo dosimetry challenges. © 2012 American Association of Physicists in Medicine.

Fluid-structure-interaction of the pressurized water reactor core internals during blowdown - numerical simulation with a homogenization model

International Nuclear Information System (INIS)

Benner, J.

1984-03-01

A method for the numerical simulation of the Pressurized Water Reactor (PWR) core internal's behaviour during a blowdown accident is described, by which the motion of the reactor core and the interaction of the fuel elements with the core barrel and the coolant medium is calculated. Furthermore, some simple models for the support columns, lower and upper core support and the grid plate are provided. All these models have been implemented into the code Flux-4. For the solution of the very complex, coupled equations of motions for fluid and fuel rods an efficient numerical solution technique has been developed. With the new code-version Flux-5 the PWR-blowdown is parametically investigated. The calculated core barrel loadings are compared with Flux-4 results, simulating the core's inertia by a mass ring of HDR type. (orig.) [de

Pre- and post-calculations for crack opening and leak rate experiments on piping components within the HDR-program

International Nuclear Information System (INIS)

Grebner, H.; Hoefler, A.; Hunger, H.

1991-01-01

In this paper calculations to experiments on leak opening and leak rates of piping components are presented. The experiments are performed at the HDR-facility at Karlstein/Germany and up to now straight pipes and pipe branches were considered. Numerical and experimental results are compared. (author)

SU-F-T-31: Shape and Isodose Distributions in Co60 HDR Brachytherapy for Different Utero-Vaginal Time Ratios

Energy Technology Data Exchange (ETDEWEB)

Gonzalez-Sprinberg, G [Faculty of Sciences, Montevideo, Montevideo (Venezuela, Bolivarian Republic of); Piriz, G [Hospital Pereyra Rossell, Montevideo, Montevideo (Venezuela, Bolivarian Republic of)

2016-06-15

Purpose: To optimize the dose in bladder and rectum and show the different shapes of the isodose volumes in Co60-HDR brachytherapy, considering different utero and vaginal sources dwell ratio times (TU:TV). Methods: Besides Ir192-HDR, new Co60-HDR sources are being incorporated. We considered different TU:TV times and computed the dosis in bladder, rectum and at the reference points of the Manchester system. Also, we calculated the isodose volume and shape in each case. We used a EZAG-BEBIG Co0.A86 model with TPS HDRplus3.0.4. and LCT42-7, LCT42-2(R,L) applicators. A reference dose RA= 1.00 Gy was given to the A-right point. We considered the TU:TV dwell time ratios 1:0.25, 1:0.33, 1:0.5, 1:1, 1:2, 1:3, and 1:4. Given TU:TV, the stop time at each dwell position is fixed for each applicator. Results: Increasing TU:TV systematically results in a decreasing of the dose in bladder and rectum, e.g. 9% and 27% reduction were found in 1:0.25 with respect to 1:1, while 12% and 34% increase were found in 1:4 with respect to 1:1. Also, the isodose volume parameters height (h), width (w), thickness (t) and volume (hwt) increased from the 1:0.25 case to the 1:4 value: hwt is 25% lower and 31% higher than the 1:1 reference volume in these cases. Also w decreased for higher TU:TV and may compromise the tumoral volume coverage, decreasing 17% in the 1:0.25 case compared to the 1:1 case. The shape of the isodose volume was obtained for the different TU:TV considered. Conclusion: We obtained the shape of isodose volumes for different TU:TV values in gynecological Co60-HDR. We studied the dose reduction in bladder and rectum for different TU:TV ratios. The volume parameters and hwt are strongly dependent on this ratio. This information is useful for a quantitative check of the TPS and as a starting point towards optimization.

Estimation of distance error by fuzzy set theory required for strength determination of HDR (192)Ir brachytherapy sources.

Science.gov (United States)

Kumar, Sudhir; Datta, D; Sharma, S D; Chourasiya, G; Babu, D A R; Sharma, D N

2014-04-01

Verification of the strength of high dose rate (HDR) (192)Ir brachytherapy sources on receipt from the vendor is an important component of institutional quality assurance program. Either reference air-kerma rate (RAKR) or air-kerma strength (AKS) is the recommended quantity to specify the strength of gamma-emitting brachytherapy sources. The use of Farmer-type cylindrical ionization chamber of sensitive volume 0.6 cm(3) is one of the recommended methods for measuring RAKR of HDR (192)Ir brachytherapy sources. While using the cylindrical chamber method, it is required to determine the positioning error of the ionization chamber with respect to the source which is called the distance error. An attempt has been made to apply the fuzzy set theory to estimate the subjective uncertainty associated with the distance error. A simplified approach of applying this fuzzy set theory has been proposed in the quantification of uncertainty associated with the distance error. In order to express the uncertainty in the framework of fuzzy sets, the uncertainty index was estimated and was found to be within 2.5%, which further indicates that the possibility of error in measuring such distance may be of this order. It is observed that the relative distance li estimated by analytical method and fuzzy set theoretic approach are consistent with each other. The crisp values of li estimated using analytical method lie within the bounds computed using fuzzy set theory. This indicates that li values estimated using analytical methods are within 2.5% uncertainty. This value of uncertainty in distance measurement should be incorporated in the uncertainty budget, while estimating the expanded uncertainty in HDR (192)Ir source strength measurement.

Development and implementation of a remote audit tool for high dose rate (HDR) Ir-192 brachytherapy using optically stimulated luminescence dosimetry

International Nuclear Information System (INIS)

Casey, Kevin E.; Kry, Stephen F.; Howell, Rebecca M.; Followill, David; Alvarez, Paola; Lawyer, Ann

2013-01-01

Purpose: The aim of this work was to create a mailable phantom with measurement accuracy suitable for Radiological Physics Center (RPC) audits of high dose-rate (HDR) brachytherapy sources at institutions participating in National Cancer Institute-funded cooperative clinical trials. Optically stimulated luminescence dosimeters (OSLDs) were chosen as the dosimeter to be used with the phantom.Methods: The authors designed and built an 8 × 8 × 10 cm 3 prototype phantom that had two slots capable of holding Al 2 O 3 :C OSLDs (nanoDots; Landauer, Glenwood, IL) and a single channel capable of accepting all 192 Ir HDR brachytherapy sources in current clinical use in the United States. The authors irradiated the phantom with Nucletron and Varian 192 Ir HDR sources in order to determine correction factors for linearity with dose and the combined effects of irradiation energy and phantom characteristics. The phantom was then sent to eight institutions which volunteered to perform trial remote audits.Results: The linearity correction factor was k L = (−9.43 × 10 −5 × dose) + 1.009, where dose is in cGy, which differed from that determined by the RPC for the same batch of dosimeters using 60 Co irradiation. Separate block correction factors were determined for current versions of both Nucletron and Varian 192 Ir HDR sources and these vendor-specific correction factors differed by almost 2.6%. For the Nucletron source, the correction factor was 1.026 [95% confidence interval (CI) = 1.023–1.028], and for the Varian source, it was 1.000 (95% CI = 0.995–1.005). Variations in lateral source positioning up to 0.8 mm and distal/proximal source positioning up to 10 mm had minimal effect on dose measurement accuracy. The overall dose measurement uncertainty of the system was estimated to be 2.4% and 2.5% for the Nucletron and Varian sources, respectively (95% CI). This uncertainty was sufficient to establish a ±5% acceptance criterion for source strength audits under a

Development and implementation of a remote audit tool for high dose rate (HDR) Ir-192 brachytherapy using optically stimulated luminescence dosimetry

Energy Technology Data Exchange (ETDEWEB)

Casey, Kevin E.; Kry, Stephen F.; Howell, Rebecca M.; Followill, David [Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030 and The University of Texas Graduate School of Biomedical Sciences at Houston, Houston, Texas 77030 (United States); Alvarez, Paola; Lawyer, Ann [Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030 (United States)

2013-11-15

Purpose: The aim of this work was to create a mailable phantom with measurement accuracy suitable for Radiological Physics Center (RPC) audits of high dose-rate (HDR) brachytherapy sources at institutions participating in National Cancer Institute-funded cooperative clinical trials. Optically stimulated luminescence dosimeters (OSLDs) were chosen as the dosimeter to be used with the phantom.Methods: The authors designed and built an 8 × 8 × 10 cm{sup 3} prototype phantom that had two slots capable of holding Al{sub 2}O{sub 3}:C OSLDs (nanoDots; Landauer, Glenwood, IL) and a single channel capable of accepting all {sup 192}Ir HDR brachytherapy sources in current clinical use in the United States. The authors irradiated the phantom with Nucletron and Varian {sup 192}Ir HDR sources in order to determine correction factors for linearity with dose and the combined effects of irradiation energy and phantom characteristics. The phantom was then sent to eight institutions which volunteered to perform trial remote audits.Results: The linearity correction factor was k{sub L}= (−9.43 × 10{sup −5}× dose) + 1.009, where dose is in cGy, which differed from that determined by the RPC for the same batch of dosimeters using {sup 60}Co irradiation. Separate block correction factors were determined for current versions of both Nucletron and Varian {sup 192}Ir HDR sources and these vendor-specific correction factors differed by almost 2.6%. For the Nucletron source, the correction factor was 1.026 [95% confidence interval (CI) = 1.023–1.028], and for the Varian source, it was 1.000 (95% CI = 0.995–1.005). Variations in lateral source positioning up to 0.8 mm and distal/proximal source positioning up to 10 mm had minimal effect on dose measurement accuracy. The overall dose measurement uncertainty of the system was estimated to be 2.4% and 2.5% for the Nucletron and Varian sources, respectively (95% CI). This uncertainty was sufficient to establish a ±5% acceptance

TU-D-201-06: HDR Plan Prechecks Using Eclipse Scripting API

Energy Technology Data Exchange (ETDEWEB)

Palaniswaamy, G; Morrow, A; Kim, S; Rangaraj, D [Baylor Scott & White Health, Temple, TX (United States)

2016-06-15

Purpose: Automate brachytherapy treatment plan quality check using Eclipse v13.6 scripting API based on pre-configured rules to minimize human error and maximize efficiency. Methods: The HDR Precheck system is developed based on a rules-driven approach using Eclipse scripting API. This system checks for critical plan parameters like channel length, first source position, source step size and channel mapping. The planned treatment time is verified independently based on analytical methods. For interstitial or SAVI APBI treatment plans, a Patterson-Parker system calculation is performed to verify the planned treatment time. For endobronchial treatments, an analytical formula from TG-59 is used. Acceptable tolerances were defined based on clinical experiences in our department. The system was designed to show PASS/FAIL status levels. Additional information, if necessary, is indicated appropriately in a separate comments field in the user interface. Results: The HDR Precheck system has been developed and tested to verify the treatment plan parameters that are routinely checked by the clinical physicist. The report also serves as a reminder or checklist for the planner to perform any additional critical checks such as applicator digitization or scenarios where the channel mapping was intentionally changed. It is expected to reduce the current manual plan check time from 15 minutes to <1 minute. Conclusion: Automating brachytherapy plan prechecks significantly reduces treatment plan precheck time and reduces human errors. When fully developed, this system will be able to perform TG-43 based second check of the treatment planning system’s dose calculation using random points in the target and critical structures. A histogram will be generated along with tabulated mean and standard deviation values for each structure. A knowledge database will also be developed for Brachyvision plans which will then be used for knowledge-based plan quality checks to further reduce

Evaluation of Wall Correction Factor of INER's Air-Kerma Primary Standard Chamber and Dose Variation by Source Displacement for HDR 192Ir Brachytherapy

Directory of Open Access Journals (Sweden)

J. H. Lee

2013-01-01

Full Text Available The aim of the present study was to estimate the wall effect of the self-made spherical graphite-walled cavity chamber with the Monte Carlo method for establishing the air-kerma primary standard of high-dose-rate (HDR 192Ir brachytherapy sources at the Institute of Nuclear Energy Research (INER, Taiwan. The Monte Carlo method established in this paper was also employed to respectively simulate wall correction factors of the 192Ir air-kerma standard chambers used at the National Institute of Standards and Technology (NIST, USA and the National Physical Laboratory (NPL, UK for comparisons and verification. The chamber wall correction calculation results will be incorporated into INER's HDR 192Ir primary standard in the future. For the brachytherapy treatment in the esophagus or in the bronchi, the position of the isotope may have displacement in the cavity. Thus the delivered dose would differ from the prescribed dose in the treatment plan. We also tried assessing dose distribution due to the position displacement of HDR 192Ir brachytherapy source in a phantom with a central cavity by the Monte Carlo method. The calculated results could offer a clinical reference for the brachytherapy within the human organs with cavity.

Dosimetric intercomparison of permanent Ho-166 seed's implants and HDR Ir-192 brachytherapy in breast cancer.

Science.gov (United States)

de Campos, Tarcisio Passos Ribeiro; Nogueira, Luciana Batista; Trindade, Bruno; Cuperschmid, Ethel Mizrahy

2016-01-01

To provide a comparative dosimetric analysis of permanent implants of Ho(166)-seeds and temporary HDR Ir(192)-brachytherapy through computational simulation. Brachytherapy with Ir(192)-HDR or LDR based on temporary wires or permanent radioactive seed implants can be used as dose reinforcement for breast radiation therapy. Permanent breast implants have not been a practical clinical routine; although, I(125) and Pd(103)-seeds have already been reported. Biodegradable Ho(166)-ceramic-seeds have been addressed recently. Simulations of implants of nine Ho(166)-seeds and equivalent with HDR Ir(192)-brachytherapy were elaborated in MCNP5, shaped in a computational multivoxel simulator which reproduced a female thorax phantom. Spatial dose rate distributions and dose-volume histograms were generated. Protocol's analysis involving exposure time, seed's activities and dose were performed. Permanent Ho(166)-seed implants presented a maximum dose rate per unit of contained activity (MDR) of 1.1601 μGy h(-1) Bq(-1); and, a normalized MDR in standard points (8 mm, equidistant to 03-seeds - SP1, 10 mm - SP2) of 1.0% (SP1) and 0.5% (SP2), respectively. Ir(192)-brachytherapy presented MDR of 4.3945 × 10(-3) μGy h(-1) Bq(-1); and, 30% (SP1), and 20% (SP2). Therefore, seed's implant activities of 333 MBq (Ho(166)) and 259 GBq (Ir(192)) produced prescribed doses of 58 Gy (SP1; 5d) and 56 Gy (SP1, 5 fractions, 6 min), respectively. Breast Ho(166)-implants of 37-111 MBq are attractive due to the high dose rate near 6-10 mm from seeds, equivalent to Ir(192)-brachytherapy of 259 GBq (3 fractions, 6 min) providing similar dose in standard points at a week; however, with spatial dose distribution better confined. The seed positioning can be adjusted for controlling the breast tumor, in stages I and II, in flat and deep tumors, without any breast volumetric limitation.

Vaginal HDR-afterloading in the treatment of endometrial carcinoma - analysis of side effects and relapse rates

International Nuclear Information System (INIS)

Weiss, E.; Arnold-Bofinger, H.; Weidner, N.; Hirnle, P.; Bamberg, M.

1996-01-01

Introduction: In a retrospective analysis side effects, relapse rates and the value of in vivo dosimetry for vaginal HDR-brachytherapy (BT) in women with endometrial carcinoma are evaluated. Material and Methods: From 1987 to 1993 124 women received vaginal HDR-BT (Ir-192) only for adjuvant treatment of early endometrial carcinoma. The usual fractionation was 1x7 Gy per week applied to the surface of the vaginal cylinder to a total dose of 21 Gy. During BT we performed in vivo dosimetry using bladder and rectal probes. The measured doses per patient in the bladder ranged from 1.5 to 9.8 Gy, 6.7 Gy in the mean. In the rectum the mean dose was 8.2 Gy (1.7 to 13.8 Gy). Results: The analysis of side effects shows that only 23 of 124 women (18 %) reported any problems at all. 13 women (10 %) noticed dysuria or pollakisuria for a maximum of 6 weeks. The average measured bladder dose in those patients was 5.3 Gy, (below the average bladder dose of 6.7 Gy). Diarrhea was reported in 3 patients (2 %), in those the average measured rectal dose was 6.8 Gy (lower than the average rectal dose of 8.2 Gy). 6 women (5 %) received antibiotic treatment because of bacteriuria. Of all patients 10 (8%) had a pelvic relapse, 3 in the vagina only. 5 women showed distant metastases during follow-up (3 of those having also a local relapse). Discussion and Conclusion: With only 2 % vaginal relapses HDR-BT is a save method to reduce the probability of vaginal metastases of endometrial carcinoma in an adjuvant setting. Moreover the incidence of acute side effects is low, no lasting complications were seen in our patients. There existed no correlation between the incidence of side effects and the measured in vivo doses in bladder and rectum, questioning the future usage in the era of well advanced BT-planning systems

192Ir high dose rate (HDR) interstitial brain implant: optimisation

International Nuclear Information System (INIS)

Tyagi, Anuj; Singh, Dinesh; Chitra, S.; Gupta, J.P.

2001-01-01

The new modality of stepping source dosimetry system (SSDs) illustrates a remarkable improvement in attaining the uniform and homogeneous dose distribution within the target volume. The technique enables the physicist to correct for a certain amount of misplacement or curvature of implant geometry. The short course of brachytherapy provides good palliation in terms of functional improvements with low and acceptable toxicity in high-grade glioma. With continual refinements of the technique, brachytherapy performed by a skilled brachytherapy team offers an opportunity to improve patient survival and quality of life. Since 1997, micro selectron HDR 192 Ir treatments are done including gynecological, oesophageal, breast, surface mould, soft tissue sarcoma (STS) and brain in our hospital. In this paper, procedure of interstitial brain implant in glioma as implant technique, simulation and treatment planning will be discussed

HDR Brachytherapy in the Management of High-Risk Prostate Cancer

Directory of Open Access Journals (Sweden)

Susan Masson

2012-01-01

Full Text Available High-dose-rate (HDR brachytherapy is used with increasing frequency for the treatment of prostate cancer. It is a technique which allows delivery of large individual fractions to the prostate without exposing adjacent normal tissues to unacceptable toxicity. This approach is particularly favourable in prostate cancer where tumours are highly sensitive to dose escalation and to increases in radiotherapy fraction size, due to the unique radiobiological behaviour of prostate cancers in contrast with other malignancies. In this paper we discuss the rationale and the increasing body of clinical evidence for the use of this technique in patients with high-risk prostate cancer, where it is combined with external beam radiotherapy. We highlight practical aspects of delivering treatment and discuss toxicity and limitations, with particular reference to current practice in the United Kingdom.

Enrichment of G2/M cell cycle phase in human pluripotent stem cells enhances HDR-mediated gene repair with customizable endonucleases.

Science.gov (United States)

Yang, Diane; Scavuzzo, Marissa A; Chmielowiec, Jolanta; Sharp, Robert; Bajic, Aleksandar; Borowiak, Malgorzata

2016-02-18

Efficient gene editing is essential to fully utilize human pluripotent stem cells (hPSCs) in regenerative medicine. Custom endonuclease-based gene targeting involves two mechanisms of DNA repair: homology directed repair (HDR) and non-homologous end joining (NHEJ). HDR is the preferred mechanism for common applications such knock-in, knock-out or precise mutagenesis, but remains inefficient in hPSCs. Here, we demonstrate that synchronizing synchronizing hPSCs in G2/M with ABT phase increases on-target gene editing, defined as correct targeting cassette integration, 3 to 6 fold. We observed improved efficiency using ZFNs, TALENs, two CRISPR/Cas9, and CRISPR/Cas9 nickase to target five genes in three hPSC lines: three human embryonic stem cell lines, neural progenitors and diabetic iPSCs. neural progenitors and diabetic iPSCs. Reversible synchronization has no effect on pluripotency or differentiation. The increase in on-target gene editing is locus-independent and specific to the cell cycle phase as G2/M phase enriched cells show a 6-fold increase in targeting efficiency compared to cells in G1 phase. Concurrently inhibiting NHEJ with SCR7 does not increase HDR or improve gene targeting efficiency further, indicating that HR is the major DNA repair mechanism after G2/M phase arrest. The approach outlined here makes gene editing in hPSCs a more viable tool for disease modeling, regenerative medicine and cell-based therapies.

SU-G-201-15: Nomogram as an Efficient Dosimetric Verification Tool in HDR Prostate Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Liang, J; Todor, D [Virginia Commonwealth University, Richmond, VA (United States)

2016-06-15

Purpose: Nomogram as a simple QA tool for HDR prostate brachytherapy treatment planning has been developed and validated clinically. Reproducibility including patient-to-patient and physician-to-physician variability was assessed. Methods: The study was performed on HDR prostate implants from physician A (n=34) and B (n=15) using different implant techniques and planning methodologies. A nomogram was implemented as an independent QA of computer-based treatment planning before plan execution. Normalized implant strength (total air kerma strength Sk*t in cGy cm{sup 2} divided by prescribed dose in cGy) was plotted as a function of PTV volume and total V100. A quadratic equation was used to fit the data with R{sup 2} denoting the model predictive power. Results: All plans showed good target coverage while OARs met the dose constraint guidelines. Vastly different implant and planning styles were reflected on conformity index (entire dose matrix V100/PTV volume, physician A implants: 1.27±0.14, physician B: 1.47±0.17) and PTV V150/PTV volume ratio (physician A: 0.34±0.09, physician B: 0.24±0.07). The quadratic model provided a better fit for the curved relationship between normalized implant strength and total V100 (or PTV volume) than a simple linear function. Unlike the normalized implant strength versus PTV volume nomogram which differed between physicians, a unique quadratic model based nomogram (Sk*t)/D=−0.0008V2+0.0542V+1.1185 (R{sup 2}=0.9977) described the dependence of normalized implant strength on total V100 over all the patients from both physicians despite two different implant and planning philosophies. Normalized implant strength - total V100 model also generated less deviant points distorting the smoothed ones with a significantly higher correlation. Conclusion: A simple and universal, excel-based nomogram was created as an independent calculation tool for HDR prostate brachytherapy. Unlike similar attempts, our nomogram is insensitive to implant

Requirements tests for QC of microSelectron-HDR

International Nuclear Information System (INIS)

Gesheva-Atanasova, N.; Gogova, A.; Peycheva, S.; Constantinov, B.; Ganchev, M.

2000-01-01

The Quality Control (QC) considers checks and measurements with the purpose of reconstruction, maintaining and increasing the quality of medical procedures and equipment. The QC tests for micro Selectron HDR afterloading machine with 192 Ir which allows more precise calculation and realisation of the tumour's dose have been created and introduced regularly in National Oncological Centre, Sofia. This paper has been cover the machine and software performance, source positioning, application equipment and radiation safety. A list of tests, their frequency, tolerance and action levels, as well as the tests' procedures have been worked out. The used methods are based on establishment of QC protocols. The documents have achieved for a certain period of time and they are available at any time. The experience shows drastically reduction of failures during medical treatment, ensuring the reliability of the used equipment and confidence that all the patients have treated adequate. Where some parameter is above the tolerance is it possible to do proper corrections measures immediately. This QA protocols give assurance that specific objectives being successfully met

TU-H-CAMPUS-JeP3-05: Adaptive Determination of Needle Sequence HDR Prostate Brachytherapy with Divergent Needle-By-Needle Delivery

International Nuclear Information System (INIS)

Borot de Battisti, M; Maenhout, M; Lagendijk, J J W; Van Vulpen, M; Moerland, M A; Denis de Senneville, B; Hautvast, G; Binnekamp, D

2016-01-01

Purpose: To develop a new method which adaptively determines the optimal needle insertion sequence for HDR prostate brachytherapy involving divergent needle-by-needle dose delivery by e.g. a robotic device. A needle insertion sequence is calculated at the beginning of the intervention and updated after each needle insertion with feedback on needle positioning errors. Methods: Needle positioning errors and anatomy changes may occur during HDR brachytherapy which can lead to errors in the delivered dose. A novel strategy was developed to calculate and update the needle sequence and the dose plan after each needle insertion with feedback on needle positioning errors. The dose plan optimization was performed by numerical simulations. The proposed needle sequence determination optimizes the final dose distribution based on the dose coverage impact of each needle. This impact is predicted stochastically by needle insertion simulations. HDR procedures were simulated with varying number of needle insertions (4 to 12) using 11 patient MR data-sets with PTV, prostate, urethra, bladder and rectum delineated. Needle positioning errors were modeled by random normally distributed angulation errors (standard deviation of 3 mm at the needle’s tip). The final dose parameters were compared in the situations where the needle with the largest vs. the smallest dose coverage impact was selected at each insertion. Results: Over all scenarios, the percentage of clinically acceptable final dose distribution improved when the needle selected had the largest dose coverage impact (91%) compared to the smallest (88%). The differences were larger for few (4 to 6) needle insertions (maximum difference scenario: 79% vs. 60%). The computation time of the needle sequence optimization was below 60s. Conclusion: A new adaptive needle sequence determination for HDR prostate brachytherapy was developed. Coupled to adaptive planning, the selection of the needle with the largest dose coverage impact

SU-E-T-459: Impact of Source Position and Traveling Time On HDR Skin Surface Applicator Dosimetry

International Nuclear Information System (INIS)

Jeong, J; Barker, C; Zaider, M; Cohen, G

2015-01-01

Purpose: Observed dosimetric discrepancy between measured and treatment planning system (TPS) predicted values, during applicator commissioning, were traced to source position uncertainty in the applicator. We quantify the dosimetric impact of this geometric uncertainty, and of the source traveling time inside the applicator, and propose corrections for clinical use. Methods: We measured the dose profiles from the Varian Leipzig-style (horizontal) HDR skin applicator, using EBT3 film, photon diode, and optically stimulated luminescence dosimeter (OSLD) and three different GammaMed HDR afterloders. The dose profiles and depth dose of each aperture were measured at several depths (up to about 10 mm, depending on the dosimeter). The measured dose profiles were compared with Acuros calculated profiles in BrachyVision TPS. For the impact of the source position, EBT3 film measurements were performed with applicator, facing-down and facing-up orientations. The dose with and without source traveling was measured with diode detector using HDR timer and electrometer timer, respectively. Results: Depth doses measured using the three dosimeters were in good agreement, but were consistently higher than the Acuros dose calculations. Measurements with the applicator facing-up were significantly lower than those in the facing-down position with maximum difference of about 18% at the surface, due to source sag inside the applicator. Based on the inverse-square law, the effective source sag was evaluated to be about 0.5 mm from the planned position. The additional dose from the source traveling was about 2.8% for 30 seconds with 10 Ci source, decreasing with increased dwelling time and decreased source activity. Conclusion: Due to the short source-to-surface distance of the applicator, the small source sag inside the applicator has significant dosimetric impact, which should be considered before the clinical use of the applicator. Investigation of the effect for other applicators

Is there any place for LDR brachytherapy for head and neck carcinomas in HDR era?

OpenAIRE

Fijuth, Jacek

2009-01-01

In Poland, the classical LDR brachytherapy for head and neck carcinomas with Ir-192 wires or hairpins has completely disappeared some time ago after 30 years of successful clinical use. Can this technique be fully and safely replaced by HDR or PDR application? This option seems attractive because of new possibilities of 3D reconstruction and computer real-time treatment planning and optimization. However, in my opinion, long time is needed to get a clinical and scientific experience that has ...

High dose rate (HDR) and low dose rate (LDR) interstitial irradiation (IRT) of the rat spinal cord

International Nuclear Information System (INIS)

Pop, Lucas A.M.; Plas, Mirjam van der; Skwarchuk, Mark W.; Hanssen, Alex E.J.; Kogel, Albert J. van der

1997-01-01

Purpose: To describe a newly developed technique to study radiation tolerance of rat spinal cord to continuous interstitial irradiation (IRT) at different dose rates. Material and methods: Two parallel catheters are inserted just laterally on each side of the vertebral bodies from the level of Th 10 to L 4 . These catheters are afterloaded with two 192 Ir wires of 4 cm length each (activity 1-2.3 mCi/cm) for the low dose rate (LDR) IRT or connected to the HDR micro-Selectron for the high dose rate (HDR) IRT. Spinal cord target volume is located at the level of Th 12 -L 2 . Due to the rapid dose fall-off around the implanted sources, a dose inhomogeneity across the spinal cord thickness is obtained in the dorso-ventral direction. Using the 100% reference dose (rate) at the ventral side of the spinal cord to prescribe the dose, experiments have been carried out to obtain complete dose response curves at average dose rates of 0.49, 0.96 and 120 Gy/h. Paralysis of the hind-legs after 5-6 months and histopathological examination of the spinal cord of each irradiated rat are used as experimental endpoints. Results: The histopathological damage seen after irradiation is clearly reflected the inhomogeneous dose distribution around the implanted catheters, with the damage predominantly located in the dorsal tract of the cord or dorsal roots. With each reduction in average dose rate, spinal cord radiation tolerance is significantly increased. When the dose is prescribed at the 100% reference dose rate, the ED 50 (induction of paresis in 50% of the animals) for the HDR-IRT is 17.3 Gy. If the average dose rate is reduced from 120 Gy/h to 0.96 or 0.49 Gy/h, a 2.9- or 4.7-fold increase in the ED 50 values to 50.3 Gy and 80.9 Gy is observed; for the dose prescribed at the 150% reference dose rate (dorsal side of cord) ED 50 values are 26.0, 75.5 and 121.4 Gy, respectively. Using different types of analysis and in dependence of the dose prescription and reference dose rate, the �

SU-F-T-11: Scintillator Based Quality Assurance Device for HDR Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Jozsef, G [New York University Medical Center, New York, NY (United States)

2016-06-15

Purpose: To build a test device for HDR afterloaders capable of checking source positions, times at positions and estimate the activity of the source. Methods: A catheter is taped on a plastic scintillation sheet. When a source travels through the catheter, the scintillator sheet lights up around the source. The sheet is monitored with a video camera, and records the movement of the light spot. The center of the spot on each image on the video provides the source location, and the time stamps of the images can provide the dwell time the source spend in each location. Finally, the brightness of the light spot is related to the activity of the source. A code was developed for noise removal, calibrate the scale of the image to centimeters, eliminate the distortion caused by the oblique view angle, identifying the boundaries of the light spot, transforming the image into binary and detect and calculate the source motion, positions and times. The images are much less noisy if the camera is shielded. That requires that the light spot is monitored in a mirror, rather than directly. The whole assembly is covered from external light and has a size of approximately 17×35×25cm (H×L×W) Results: A cheap camera in BW mode proved to be sufficient with a plastic scintillator sheet. The best images were resulted by a 3mm thick sheet with ZnS:Ag surface coating. The shielding of the camera decreased the noise, but could not eliminate it. A test run even in noisy condition resulted in approximately 1 mm and 1 sec difference from the planned positions and dwell times. Activity tests are in progress. Conclusion: The proposed method is feasible. It might simplify the monthly QA process of HDR Brachytherapy units.

Dosimetric analysis at ICRU reference points in HDR-brachytherapy of cervical carcinoma.

Science.gov (United States)

Eich, H T; Haverkamp, U; Micke, O; Prott, F J; Müller, R P

2000-01-01

In vivo dosimetry in bladder and rectum as well as determining doses on suggested reference points following the ICRU report 38 contribute to quality assurance in HDR-brachytherapy of cervical carcinoma, especially to minimize side effects. In order to gain information regarding the radiation exposure at ICRU reference points in rectum, bladder, ureter and regional lymph nodes those were calculated (digitalisation) by means of orthogonal radiographs of 11 applications in patients with cervical carcinoma, who received primary radiotherapy. In addition, the doses at the ICRU rectum reference point was compared to the results of in vivo measurements in the rectum. The in vivo measurements were by factor 1.5 below the doses determined for the ICRU rectum reference point (4.05 +/- 0.68 Gy versus 6.11 +/- 1.63 Gy). Reasons for this were: calibration errors, non-orthogonal radiographs, movement of applicator and probe in the time span between X-ray and application, missing connection of probe and anterior rectal wall. The standard deviation of calculations at ICRU reference points was on average +/- 30%. Possible reasons for the relatively large standard deviation were difficulties in defining the points, identifying them on radiographs and the different locations of the applicators. Although 3 D CT, US or MR based treatment planning using dose volume histogram analysis is more and more established, this simple procedure of marking and digitising the ICRU reference points lengthened treatment planning only by 5 to 10 minutes. The advantages of in vivo dosimetry are easy practicability and the possibility to determine rectum doses during radiation. The advantages of computer-aided planning at ICRU reference points are that calculations are available before radiation and that they can still be taken into account for treatment planning. Both methods should be applied in HDR-brachytherapy of cervical carcinoma.

Preliminary results of a phase I/II study of HDR brachytherapy alone for T1/T2 breast cancer

International Nuclear Information System (INIS)

Wazer, David E.; Berle, Lisa; Graham, Roger; Chung, Maureen; Rothschild, Janice; Graves, Theresa; Cady, Blake; Ulin, Kenneth; Ruthazer, Robin; DiPetrillo, Thomas A.

2002-01-01

Purpose: To investigate the feasibility, toxicity, cosmetic outcome, and local control of high-dose-rate (HDR) brachytherapy alone without whole breast external beam irradiation for early-stage breast carcinoma. Methods and Materials: Between June 1997 and August 1999, 32 women diagnosed with a total of 33 AJCC Stage I/II breast carcinomas underwent surgical breast excision and postoperative irradiation using HDR brachytherapy interstitial implantation as part of a multi-institutional clinical Phase I/II protocol. Eligible patients included those with T1, T2, N0, N1 (≤3 nodes positive), and M0 tumors of nonlobular histologic features with negative surgical margins, no extracapsular lymph node extension, and a negative postexcision mammogram. Brachytherapy catheters were placed at the initial excision, reexcision, or either sentinel or full-axillary sampling. Direct visualization, surgical clips, and ultrasound and/or CT scan assisted in the delineation of the target volume, defined as the excision cavity plus a 2-cm margin. High-activity 192 Ir (3-10 Ci) was used to deliver 340 cGy/fraction, 2 fractions/d, for 5 consecutive days, to a total dose of 34 Gy to the target volume. Source position and dwell times were calculated using standard volume optimization techniques. Results: The median follow-up of all patients was 33 months, and the mean patient age was 63 years. The mean tumor size was 1.3 cm, and 55% had an extensive intraductal component. Three patients had positive axillary nodes. Two patients experienced moderate perioperative pain that required narcotic analgesics. No peri- or postoperative infections occurred. No wound healing problems and no significant skin reactions related to the implant developed. The Radiation Therapy Oncology Group late radiation morbidity scoring scheme was applied to the entire 33-case cohort. In the assessment of the skin, 30 cases were Grade 0-1 and 3 cases were Grade 2. Subcutaneous toxicity was scored as 11 patients with

Biological effective dose evaluation in gynaecological brachytherapy: LDR and HDR treatments, dependence on radiobiological parameters, and treatment optimisation.

Science.gov (United States)

Bianchi, C; Botta, F; Conte, L; Vanoli, P; Cerizza, L

2008-10-01

This study was undertaken to compare the biological efficacy of different high-dose-rate (HDR) and low-dose-rate (LDR) treatments of gynaecological lesions, to identify the causes of possible nonuniformity and to optimise treatment through customised calculation. The study considered 110 patients treated between 2001 and 2006 with external beam radiation therapy and/or brachytherapy with either LDR (afterloader Selectron, (137)Cs) or HDR (afterloader microSelectron Classic, (192)Ir). The treatments were compared in terms of biologically effective dose (BED) to the tumour and to the rectum (linear-quadratic model) by using statistical tests for comparisons between independent samples. The difference between the two treatments was statistically significant in one case only. However, within each technique, we identified considerable nonuniformity in therapeutic efficacy due to differences in fractionation schemes and overall treatment time. To solve this problem, we created a Microsoft Excel spreadsheet allowing calculation of the optimal treatment for each patient: best efficacy (BED(tumour)) without exceeding toxicity threshold (BED(rectum)). The efficacy of a treatment may vary as a result of several factors. Customised radiobiological evaluation is a useful adjunct to clinical evaluation in planning equivalent treatments that satisfy all dosimetric constraints.

SU-F-T-37: Dosimetric Evaluation of Planned Versus Decay Corrected Treatment Plans for the Treatment of Tandem-Based Cervical HDR Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Goyal, M [Texas Oncology, PA, Fort Worth, TX (United States); Shobhit University, Meerut, Uttar Pradesh (India); Manjhi, J; Rai, D [Shobhit University, Meerut, Uttar Pradesh (India); Kehwar, T [Pinnacle Health Cancer Center, Mechanicsburg, PA (United States); Barker, J; Heintz, B; Shide, K [Texas Oncology, PA, Fort Worth, TX (United States)

2016-06-15

Purpose: This study evaluated dosimetric parameters for actual treatment plans versus decay corrected treatment plans for cervical HDR brachytherapy. Methods: 125 plans of 25 patients, who received 5 fractions of HDR brachytherapy, were evaluated in this study. Dose was prescribed to point A (ICRU-38) and High risk clinical tumor volume (HR-CTV) and organs at risk (OAR) were, retrospectively, delineated on original CT images by treating physician. First HDR plan was considered as reference plan and decay correction was applied to calculate treatment time for subsequent fractions, and was applied, retrospectively, to determine point A, HR-CTV D90, and rectum and bladder doses. Results: The differences between mean point A reference doses and the point A doses of the plans computed using decay times were found to be 1.05%±0.74% (−2.26% to 3.26%) for second fraction; −0.25%±0.84% (−3.03% to 3.29%) for third fraction; 0.04%±0.70% (−2.68% to 2.56%) for fourth fraction and 0.30%±0.81% (−3.93% to 2.67%) for fifth fraction. Overall mean point A dose difference, for all fractions, was 0.29%±0.38% (within ± 5%). Mean rectum and bladder dose differences were calculated to be −3.46%±0.12% and −2.47%±0.09%, for points, respectively, and −1.72%±0.09% and −0.96%±0.06%, for D2cc, respectively. HR-CTV D90 mean dose difference was found to be −1.67% ± 0.11%. There was no statistically significant difference between the reference planned point A doses and that calculated using decay time to the subsequent fractions (p<0.05). Conclusion: This study reveals that a decay corrected treatment will provide comparable dosimetric results and can be utilized for subsequent fractions of cervical HDR brachytherapy instead of actual treatment planning. This approach will increase efficiency, decrease workload, reduce patient observation time between applicator insertion and treatment delivery. This would be particularly useful for institutions with limited

Interstitial prostate brachytherapy. LDR-PDR-HDR

International Nuclear Information System (INIS)

Kovacs, Gyoergy; Hoskin, Peter

2013-01-01

The first comprehensive overview of interstitial brachytherapy for the management of local or locally advanced prostate cancer. Written by an interdisciplinary team who have been responsible for the successful GEC-ESTRO/EAU Teaching Course. Discusses in detail patient selection, the results of different methods, the role of imaging, and medical physics issues. Prostate brachytherapy has been the subject of heated debate among surgeons and the proponents of the various brachytherapy methods. This very first interdisciplinary book on the subject provides a comprehensive overview of innovations in low dose rate (LDR), high dose rate (HDR), and pulsed dose rate (PDR) interstitial brachytherapy for the management of local or locally advanced prostate cancer. In addition to detailed chapters on patient selection and the use of imaging in diagnostics, treatment guidance, and implantation control, background chapters are included on related medical physics issues such as treatment planning and quality assurance. The results obtained with the different treatment options and the difficult task of salvage treatment are fully discussed. All chapters have been written by internationally recognized experts in their fields who for more than a decade have formed the teaching staff responsible for the successful GEC-ESTRO/EAU Prostate Brachytherapy Teaching Course. This book will be invaluable in informing residents and others of the scientific background and potential of modern prostate brachytherapy. It will also prove a useful source of up-to-date information for those who specialize in prostate brachytherapy or intend to start an interstitial brachytherapy service.

Ir-192 HDR transit dose and radial dose function determination using alanine/EPR dosimetry

International Nuclear Information System (INIS)

Calcina, Carmen S Guzman; Almeida, Adelaide de; Rocha, Jose R Oliveira; Abrego, Felipe Chen; Baffa, Oswaldo

2005-01-01

Source positioning close to the tumour in high dose rate (HDR) brachytherapy is not instantaneous. An increment of dose will be delivered during the movement of the source in the trajectory to its static position. This increment is the transit dose, often not taken into account in brachytherapeutic treatment planning. The transit dose depends on the prescribed dose, number of treatment fractions, velocity and activity of the source. Combining all these factors, the transit dose can be 5% higher than the prescribed absorbed dose value (Sang-Hyun and Muller-Runkel, 1994 Phys. Med. Biol. 39 1181-8, Nath et al 1995 Med. Phys. 22 209-34). However, it cannot exceed this percentage (Nath et al 1995). In this work, we use the alanine-EPR (electron paramagnetic resonance) dosimetric system using analysis of the first derivative of the signal. The transit dose was evaluated for an HDR system and is consistent with that already presented for TLD dosimeters (Bastin et al 1993 Int. J. Radiat. Oncol. Biol. Phys. 26 695-702). Also using the same dosimetric system, the radial dose function, used to evaluate the geometric dose degradation around the source, was determined and its behaviour agrees better with those obtained by Monte Carlo simulations (Nath et al 1995, Williamson and Nath 1991 Med. Phys. 18 434-48, Ballester et al 1997 Med. Phys. 24 1221-8, Ballester et al 2001 Phys. Med. Biol. 46 N79-90) than with TLD measurements (Nath et al 1990 Med. Phys. 17 1032-40)

Is there any place for LDR brachytherapy for head and neck carcinomas in HDR era?

Science.gov (United States)

Fijuth, Jacek

2009-03-01

In Poland, the classical LDR brachytherapy for head and neck carcinomas with Ir-192 wires or hairpins has completely disappeared some time ago after 30 years of successful clinical use. Can this technique be fully and safely replaced by HDR or PDR application? This option seems attractive because of new possibilities of 3D reconstruction and computer real-time treatment planning and optimization. However, in my opinion, long time is needed to get a clinical and scientific experience that has been accumulated for decades with the use of LDR technique.

Heissdampfreaktor (HDR) steel-containment-vessel and floodwater-storage-tank structural-dynamics tests

International Nuclear Information System (INIS)

Arendts, J.G.

1982-01-01

Inertance (vibration) testing of two significant vessels at the Heissdampfreaktor (HDR) facility, located near Kahl, West Germany, was recently completed. Transfer functions were obtained for determination of the modal properties (frequencies, mode shapes and damping) of the vessels using two different test methods for comparative purposes. One of the vessels tested was the steel containment vessel (SCV). The SCV is approximately 180 feet high and 65 feet in diameter with a 1.2-inch wall thickness. The other vessel, called the floodwater storage tank (FWST), is a vertically standing vessel approximately 40 feet high and 10 feet in diameter with a 1/2-inch wall thickness. The FWST support skirt is square (in plan views) with its corners intersecting the ellipsoidal bottom head near the knuckle region

Comparison of leak opening and leak rate calculations to HDR experimental results

International Nuclear Information System (INIS)

Grebner, H.; Hoefler, A.; Hunger, H.

1993-01-01

During the last years a number of calculations of leak opening and leak rate for through cracks in piping components have been performed. Analyses are pre- or mostly post-calculations to experiments performed at the HDR facility under PWR operating conditions. Piping components under consideration were small diameter straight pipes with circumferential cracks, pipe bends with longitudinal or circumferential cracks and pipe branches with weldment cracks. The components were loaded by internal pressure and opening as well as closing bending moment. The finite element method and two-phase flow leak rate programs were used for the calculations. Results of the analyses are presented as J-integral values, crack opening displacements and areas and leak rates as well as comparisons to the experimental results

13. status report of the project HDR safety program of Kernforschungszentrum Karlsruhe. Working report 05.46/89

International Nuclear Information System (INIS)

Katzenmeier, G.

1989-01-01

The programme phase III, which extends to the end of 1991, is divided into the part projects containment behaviour in extreme accidents, long-term damage and monitoring the components in operation, behaviour of damaged components in dynamic accidents and large fires of actual materials. The main aims, state of the HDR safety programme, main points of the programme for 1990 and 8 technical reports on phase II and III are documented. There is a survey of costs. (DG) [de

Accurate assessment of the distortions produced by the transit dose in HDR brachytherapy

International Nuclear Information System (INIS)

Nani, E.K.; Kyere, A.W.K.; Tetteh, K.

2001-01-01

Current polynomial methods used in the modelling of the dose distributions in HDR brachytherapy have been reformulated to improve accuracy. An example is provided to show the effects of the transit dose on the output. The transit dose, which is neglected by current computer software for calculating doses, can result in significant dosimetric errors. These additional unrecognised doses imply over-dosing and distortions in the dose distributions within the irradiated volume. Assessment of dose to critical and radiosensitive organs is therefore inaccurate. These could increase late tissue complications as predicted by the Linear Quadratic Model. Our model works very well for straight catheters and is highly recommended for the evaluation of the transit dose around such catheters. (author)

A national survey of HDR source knowledge among practicing radiation oncologists and residents: Establishing a willingness-to-pay threshold for cobalt-60 usage.

Science.gov (United States)

Mailhot Vega, Raymond; Talcott, Wesley; Ishaq, Omar; Cohen, Patrice; Small, Christina J; Duckworth, Tamara; Sarria Bardales, Gustavo; Perez, Carmen A; Schiff, Peter B; Small, William; Harkenrider, Matthew M

Ir-192 is the predominant source for high-dose-rate (HDR) brachytherapy in United States markets. Co-60, with longer half-life and fewer source exchanges, has piloted abroad with comparable clinical dosimetry but increased shielding requirements. We sought to identify practitioner knowledge of Co-60 and establish acceptable willingness-to-pay (WTP) thresholds for additional shielding requirements for use in future cost-benefit analysis. A nationwide survey of U.S. radiation oncologists was conducted from June to July 2015, assessing knowledge of HDR sources, brachytherapy unit shielding, and factors that may influence source-selection decision-making. Self-identified decision makers in radiotherapy equipment purchase and acquisition were asked their WTP on shielding should a more cost-effective source become available. Four hundred forty surveys were completed and included. Forty-four percent were ABS members. Twenty percent of respondents identified Co-60 as an HDR source. Respondents who identified Co-60 were significantly more likely to be ABS members, have attended a national brachytherapy conference, and be involved in brachytherapy selection. Sixty-six percent of self-identified decision makers stated that their facility would switch to a more cost-effective source than Ir-192, if available. Cost and experience were the most common reasons provided for not switching. The most common WTP value selected by respondents was decision makers to establish WTP for shielding costs that source change to Co-60 may require. These results will be used to establish WTP threshold for future cost-benefit analysis. Copyright © 2017 American Brachytherapy Society. Published by Elsevier Inc. All rights reserved.

The influence of the dwell time deviation constraint (DTDC) parameter on dosimetry with IPSA optimisation for HDR prostate brachytherapy

International Nuclear Information System (INIS)

Smith, Ryan L.; Millar, Jeremy L.; Panettieri, Vanessa; Mason, Natasha; Lancaster, Craig; Francih, Rick D.

2015-01-01

To investigate how the dwell time deviation constraint (DTDC) parameter, applied to inverse planning by simulated annealing (IPSA) optimisation limits large dwell times from occurring in each catheter and to characterise the effect on the resulting dosimetry for prostate high dose rate (HDR) brachytherapy treatment plans. An unconstrained IPSA optimised treatment plan, using the Oncentra Brachytherapy treatment planning system (version 4.3, Nucletron an Elekta company, Elekta AB, Stockholm, Sweden), was generated for 20 consecutive HDR prostate brachytherapy patients, with the DTDC set to zero. Successive constrained optimisation plans were also created for each patient by increasing the DTDC parameter by 0.2, up to a maximum value of 1.0. We defined a “plan modulation index”, to characterise the change of dwell time modulation as the DTDC parameter was increased. We calculated the dose volume histogram indices for the PTV (D90, V100, V150, V200%) and urethra (D10%) to characterise the effect on the resulting dosimetry. The average PTV D90% decreases as the DTDC is applied, on average by only 1.5 %, for a DTDC = 0.4. The measures of high dose regions in the PTV, V150 and V200%, increase on average by less than 5 and 2 % respectively. The net effect of DTDC on the modulation of dwell times has been characterised by the introduction of the plan modulation index. DTDC applied during IPSA optimisation of HDR prostate brachytherapy plans reduce the occurrence of large isolated dwell times within individual catheters. The mechanism by which DTDC works has been described and its effect on the modulation of dwell times has been characterised. The authors recommend using a DTDC parameter no greater than 0.4 to obtain a plan with dwell time modulation comparable to a geometric optimised plan. This yielded on average a 1.5 % decrease in PTV coverage and an acceptable increase in V150%, without compromising the urethral dose.

NPIP: A skew line needle configuration optimization system for HDR brachytherapy

International Nuclear Information System (INIS)

Siauw, Timmy; Cunha, Adam; Berenson, Dmitry; Atamtürk, Alper; Hsu, I-Chow; Goldberg, Ken; Pouliot, Jean

2012-01-01

Purpose: In this study, the authors introduce skew line needle configurations for high dose rate (HDR) brachytherapy and needle planning by integer program (NPIP), a computational method for generating these configurations. NPIP generates needle configurations that are specific to the anatomy of the patient, avoid critical structures near the penile bulb and other healthy structures, and avoid needle collisions inside the body. Methods: NPIP consisted of three major components: a method for generating a set of candidate needles, a needle selection component that chose a candidate needle subset to be inserted, and a dose planner for verifying that the final needle configuration could meet dose objectives. NPIP was used to compute needle configurations for prostate cancer data sets from patients previously treated at our clinic. NPIP took two user-parameters: a number of candidate needles, and needle coverage radius, δ. The candidate needle set consisted of 5000 needles, and a range of δ values was used to compute different needle configurations for each patient. Dose plans were computed for each needle configuration. The number of needles generated and dosimetry were analyzed and compared to the physician implant. Results: NPIP computed at least one needle configuration for every patient that met dose objectives, avoided healthy structures and needle collisions, and used as many or fewer needles than standard practice. These needle configurations corresponded to a narrow range of δ values, which could be used as default values if this system is used in practice. The average end-to-end runtime for this implementation of NPIP was 286 s, but there was a wide variation from case to case. Conclusions: The authors have shown that NPIP can automatically generate skew line needle configurations with the aforementioned properties, and that given the correct input parameters, NPIP can generate needle configurations which meet dose objectives and use as many or fewer

Exclusive radiation therapy of endometrial carcinoma using HDR Co-60 and Cf-252 sources

International Nuclear Information System (INIS)

Inciura, A.; Janulionis, E.; Atkocius, V.

2000-01-01

Although the main treatment of endometrial cancer is surgery, the gross spread of carcinoma in pelvis, elderly age of the patients and serious therapeutical diseases do not allow to operate 20% of the patients. For these patients only radical treatment decision is the combined radiation therapy. However, using various modalities of combined radiotherapy, the treatment results are not satisfying: only 52% of patients survive 5 years. There was implemented a new method of combined radiotherapy, using a three-channel applicator with two-positional locating of HDR Co-60 radioactive sources (group I). A new method of brachytherapy for endometrial carcinoma using a HDR Cf 252 sources (group II) was implemented too. For group I the medium total dose of the point A was 77.6 Gy, point I - 69.6 Gy. point 2 - 84.2 Gy, point B - 52.6 Gy, For group II the medium total dose the points A, 3 and 4 was 50 iGy. For group I 1 year overaII survival rate was 85%, 3 year - 73%. The 3 year survival rate for stage I was 79%, for stage II - 89%, for stage III - 33%. 3 year survival for highly virulent tumours - 56% and for low virulent (adenocarcinoma) - 82% was statistically different. The loss of tumour differentiation correlated with the worse prognosis: 3 year survival for G1 and G2 tumours was 92%, for G3 - 45%. Low hemoglobin level was also associated with low survival rate: 2 year survival for Hb≥120g/l was 85% and Hb<120g/l - 23%. 1 year survival rate was 87%, 3 year - 66%, 5 year - 58% for group II, treated with Cf-252. Radiation complications occurred for 13.8% of the patients for group I and 6.2% for group II. Good survival rates and a small number of complications sufficiently proofed treatment method. (author)

3D workflow for HDR image capture of projection systems and objects for CAVE virtual environments authoring with wireless touch-sensitive devices

Science.gov (United States)

Prusten, Mark J.; McIntyre, Michelle; Landis, Marvin

2006-02-01

A 3D workflow pipeline is presented for High Dynamic Range (HDR) image capture of projected scenes or objects for presentation in CAVE virtual environments. The methods of HDR digital photography of environments vs. objects are reviewed. Samples of both types of virtual authoring being the actual CAVE environment and a sculpture are shown. A series of software tools are incorporated into a pipeline called CAVEPIPE, allowing for high-resolution objects and scenes to be composited together in natural illumination environments [1] and presented in our CAVE virtual reality environment. We also present a way to enhance the user interface for CAVE environments. The traditional methods of controlling the navigation through virtual environments include: glove, HUD's and 3D mouse devices. By integrating a wireless network that includes both WiFi (IEEE 802.11b/g) and Bluetooth (IEEE 802.15.1) protocols the non-graphical input control device can be eliminated. Therefore wireless devices can be added that would include: PDA's, Smart Phones, TabletPC's, Portable Gaming consoles, and PocketPC's.

Video Enhancement and Dynamic Range Control of HDR Sequences for Automotive Applications

Directory of Open Access Journals (Sweden)

Giovanni Ramponi

2007-01-01

Full Text Available CMOS video cameras with high dynamic range (HDR output are particularly suitable for driving assistance applications, where lighting conditions can strongly vary, going from direct sunlight to dark areas in tunnels. However, common visualization devices can only handle a low dynamic range, and thus a dynamic range reduction is needed. Many algorithms have been proposed in the literature to reduce the dynamic range of still pictures. Anyway, extending the available methods to video is not straightforward, due to the peculiar nature of video data. We propose an algorithm for both reducing the dynamic range of video sequences and enhancing its appearance, thus improving visual quality and reducing temporal artifacts. We also provide an optimized version of our algorithm for a viable hardware implementation on an FPGA. The feasibility of this implementation is demonstrated by means of a case study.

Preliminary results of intersticial HDR brachytherapy in association with conservative surgery for soft tissue sarcomas

International Nuclear Information System (INIS)

Pellizzon, A.C.A; Ferrigno, R.; Trippe, N.; Novaes, P.; Salvajoli, J.V.; Fogareli, R.; Maja, M.A.C.; Baraldi, H.

1996-01-01

From january 1994 to january 1995 seven patients were treated with conservative surgery in association to postoperative HDR brachytherapy through Micro-Selectron HDR. Four patients were male and three female, the ages ranged from 20 to 60 years old and the main site of the tumor were at the extremities and just one had a perineal lesion. The follow up ranged from 4 to 24 months. Most of the implants were done through single plane technic. Definition of the treatment volume was based on CT scans and metallic clips inserted during the surgery. The prescribed dose was at 10mm from the implant plane. The patient with perineal lesion had a volumetric implant and the dose prescription was based on Paris System, in which the total volume of the tumor bed must be included in a 85% isodose curve. The number of catheters used ranged from 6 to 14 and the active length from 20 to 150mm, placed intraoperatively. The volumetric implant was performed through perineal template to guide the needles in number of nine and an active length of 60mm. The prescribed dose ranged from 20 to 25Gy when associated with EBRT and 30 to 35Gy when brachytherapy alone was used. Results: All patients had local control. Acute complications were observed only in the skin, limited to mild erytema and dry descanation. Conclusions: Although the number of the patients is small, this procedure has been shown to be effective in local control when associated to conservative surgery, can be easily and safely done and gives the possibilities of dose optimization

Feasibility and early results of interstitial intensity-modulated HDR/PDR brachytherapy (IMBT) with/without complementary external-beam radiotherapy and extended surgery in recurrent pelvic colorectal cancer

International Nuclear Information System (INIS)

Tepel, J.; Bokelmann, F.; Faendrich, F.; Kremer, B.; Schmid, A.; Kovacs, G.; University Hospital of Schleswig-Holstein, Kiel

2005-01-01

Background: A new multimodality treatment concept consisting of extended resection and postoperative fractionated intensity-modulated interstitial brachytherapy (IMBT) was introduced for pelvic recurrence of colorectal carcinoma. Patients and Methods: 46 patients received extended resection and single plastic tubes were sutured directly onto the tumor bed. IMBT was started within 2 weeks postoperatively with a median dose of 24.5 Gy (5-35 Gy). Patients were treated either with high-dose-rate brachytherapy (HDR; n=23) or with pulsed-dose-rate brachytherapy (PDR; n=23). 25 patients received complementary 45-Gy external-beam irradiation (EBRT) to the pelvic region after explanting the plastic tubes. Results: Median follow-up was 20.6 months (7-107 months) and mean patient survival 25.7±25.8 months (median 17, range 1-107 months). After 5 years overall survival, disease-free survival and local control rate were 23%, 20% and 33%, significantly influenced by the resectional state. There was a trend in favor of PDR compared to HDR, which reached statistical significance in patients who had not received additional EBRT. Conclusion: The combination of extended surgery and postoperative interstitial IMBT is feasible and offers effective interdisciplinary treatment of recurrent colorectal cancer. In this small and inhomogeneous cohort of patients PDR seems to be more effective than HDR, particularly when application of complementary EBRT is not possible. None of the patients who required resection of distant metastasis survived >2 years in this study. (orig.)

Development of a TLD mailed system for remote dosimetry audit for 192Ir HDR and PDR sources

International Nuclear Information System (INIS)

Roue, Amelie; Venselaar, Jack L.M.; Ferreira, Ivaldo H.; Bridier, Andre; Dam, Jan van

2007-01-01

Background and purpose: In the framework of an ESTRO ESQUIRE project, the BRAPHYQS Physics Network and the EQUAL-ESTRO laboratory have developed a procedure for checking the absorbed dose to water in the vicinity of HDR or PDR sources using a mailed TLD system. The methodology and the materials used in the procedure are based on the existing EQUAL-ESTRO external radiotherapy dose checks. Materials and methods: A phantom for TLD postal dose assurance service, adapted to accept catheters from different HDR afterloaders, has been developed. The phantom consists of three PMMA tubes supporting catheters placed at 120 degrees around a central TLD holder. A study on the use of LiF powder type DTL 937 (Philitech) has been performed in order to establish the TLD calibration in dose-to-water at a given distance from 192 Ir source, as well as to determine all correction factors to convert the TLD reading into absorbed dose to water. The dosimetric audit is based on the comparison between the dose to water measured with the TL dosimeter and the dose calculated by the clinical TPS. Results of the audits are classified in four different levels depending on the ratio of the measured dose to the stated dose. The total uncertainty budget in the measurement of the absorbed dose to water using TLD near an 192 Ir HDR source, including TLD reading, correction factors and TLD calibration coefficient, is determined as 3.27% (1 s). Results: To validate the procedures, the external audit was first tested among the members of the BRAPHYQS Network. Since November 2004, the test has been made available for use by all European brachytherapy centres. To date, 11 centres have participated in the checks and the results obtained are very encouraging. Nevertheless, one error detected has shown the usefulness of this audit. Conclusion: A method of absorbed dose to water determination in the vicinity of an 192 Ir brachytherapy source was developed for the purpose of a mailed TL dosimetry system. The

Development of a TLD mailed system for remote dosimetry audit for (192)Ir HDR and PDR sources.

Science.gov (United States)

Roué, Amélie; Venselaar, Jack L M; Ferreira, Ivaldo H; Bridier, André; Van Dam, Jan

2007-04-01

In the framework of an ESTRO ESQUIRE project, the BRAPHYQS Physics Network and the EQUAL-ESTRO laboratory have developed a procedure for checking the absorbed dose to water in the vicinity of HDR or PDR sources using a mailed TLD system. The methodology and the materials used in the procedure are based on the existing EQUAL-ESTRO external radiotherapy dose checks. A phantom for TLD postal dose assurance service, adapted to accept catheters from different HDR afterloaders, has been developed. The phantom consists of three PMMA tubes supporting catheters placed at 120 degrees around a central TLD holder. A study on the use of LiF powder type DTL 937 (Philitech) has been performed in order to establish the TLD calibration in dose-to-water at a given distance from (192)Ir source, as well as to determine all correction factors to convert the TLD reading into absorbed dose to water. The dosimetric audit is based on the comparison between the dose to water measured with the TL dosimeter and the dose calculated by the clinical TPS. Results of the audits are classified in four different levels depending on the ratio of the measured dose to the stated dose. The total uncertainty budget in the measurement of the absorbed dose to water using TLD near an (192)Ir HDR source, including TLD reading, correction factors and TLD calibration coefficient, is determined as 3.27% (1s). To validate the procedures, the external audit was first tested among the members of the BRAPHYQS Network. Since November 2004, the test has been made available for use by all European brachytherapy centres. To date, 11 centres have participated in the checks and the results obtained are very encouraging. Nevertheless, one error detected has shown the usefulness of this audit. A method of absorbed dose to water determination in the vicinity of an (192)Ir brachytherapy source was developed for the purpose of a mailed TL dosimetry system. The accuracy of the procedure was determined. This method allows a

Pressure loadings of Soviet-designed VVER [Water-Cooled, Water-Moderated Energy Reactor] reactor release mitigation structures from large-break LOCAs

International Nuclear Information System (INIS)

Sienicki, J.J.; Horak, W.C.

1989-01-01

Analyses have been carried out of the pressurization of the accident release mitigation structures of Soviet-designed VVER (Water-Cooled, Water-Moderated Energy Reactor) pressurized water reactors following large-break loss-of-coolant accidents. Specific VVER systems for which calculations were performed are the VVER-440 model V230, VVER-440 model V213, and VVER-1000 model V320. Descriptions of the designs of these and other VVER models are contained in the report DOE/NE-0084. The principal objective of the current analyses is to calculate the time dependent pressure loadings inside the accident localization or containment structures immediately following the double-ended guillotine rupture of a primary coolant pipe. In addition, the pressures are compared with the results of calculations of the response of the structures to overpressure. Primary coolant system thermal hydraulic conditions and the fluid conditions at the break location were calculated with the RETRAN-02 Mod2 computer code (Agee, 1984). Pressures and temperatures inside the building accident release mitigation structures were obtained from the PACER (Pressurization Accompanying Coolant Escape from Ruptures) multicompartment containment analysis code developed at Argonne National Laboratory. The analyses were carried out using best estimate models and conditions rather than conservative, bounding-type assumptions. In particular, condensation upon structure and equipment was calculated using correlations based upon analyses of the HDR, Marviken, and Battelle Frankfurt containment loading experiments. The intercompartment flow rates incorporate an effective discharge coefficient and liquid droplet carryover fraction given by expressions of Schwan determined from analyses of the Battelle Frankfurt and Marviken tests. 5 refs., 4 figs

Braquiterapia endoluminal HDR no tratamento de tumores primários ou recidivas na árvore traqueobrônquica

Directory of Open Access Journals (Sweden)

Maria Fortunato

2009-03-01

Full Text Available Resumo: Introdução: Tumores localmente avançados como forma de apresentação inicial dos tumores localizados na árvore traqueobrônquica não são um fenómeno raro. A recidiva brônquica é um acontecimento frequente na história natural de algumas neoplasias. As opções terapêuticas são múltiplas, sendo no entanto dependentes de variáveis, como a terapêutica inicial utilizada, o local da recorrência, a sintomatologia e as condições físicas do doente.Objectivos: Demonstrar as principais vantagens terapêuticas da braquiterapia endoluminal (BTE com alta taxa de dose (HDR em tumores primários e na recidiva tumoral localizada na árvore traqueobrônquica.Material e métodos: Avaliámos retrospectivamente sete doentes (dts com tumor primário do cólon, traqueia e pulmão. A recidiva traqueobrônquica (dois dts na traqueia e cinco dts no brônquio ocorreu entre Março de 2003 e Setembro de 2004, os dts foram submetidos a BT HDR como terapêutica primária ou na recidiva, em associação com RTE, laserterapia e quimioterapia (QT, com intuito paliativo/curativo. Na BTE HDR foram utilizadas doses de 5 a 7 Gy em duas a quatro fracções, prescritas a 1 cm do eixo da fonte. O tratamento consistiu na aplicação endoluminal de Ir192, utilizando um cateter 6 French.Resultados: Verificámos o rápido alívio sintomático associado à redução da massa tumoral em seis dos sete doentes submetidos a esta técnica. Em um dos seis doentes estudados observouse uma progressão da doença local entre a 2.ª e a 3.ª fracções de tratamento (obstrução da traqueia. Com um follow-up mediano entre a terapêutica com BT e a avaliação do presente estudo de 17 meses (2-40, três doentes estão vivos, um sem evidência de doença e dois apresentam uma recidiva brônquica; quatro faleceram, um após hemoptise

Increasing Fractional Doses Increases the Probability of Benign PSA Bounce in Patients Undergoing Definitive HDR Brachytherapy for Prostate Cancer

Energy Technology Data Exchange (ETDEWEB)

Hauck, Carlin R.; Ye, Hong; Chen, Peter Y.; Gustafson, Gary S.; Limbacher, Amy; Krauss, Daniel J., E-mail: Daniel.krauss@beaumont.edu

2017-05-01

Purpose: Prostate-specific antigen (PSA) bounce is a temporary elevation of the PSA level above a prior nadir. The purpose of this study was to determine whether the frequency of a PSA bounce following high-dose-rate (HDR) interstitial brachytherapy for the treatment of prostate cancer is associated with individual treatment fraction size. Methods and Materials: Between 1999 and 2014, 554 patients underwent treatment of low- or intermediate-risk prostate cancer with definitive HDR brachytherapy as monotherapy and had ≥3 subsequent PSA measurements. Four different fraction sizes were used: 950 cGy × 4 fractions, 1200 cGy × 2 fractions, 1350 cGy × 2 fractions, 1900 cGy × 1 fraction. Four definitions of PSA bounce were applied: ≥0.2, ≥0.5, ≥1.0, and ≥2.0 ng/mL above the prior nadir with a subsequent return to the nadir. Results: The median follow-up period was 3.7 years. The actuarial 3-year rate of PSA bounce for the entire cohort was 41.3%, 28.4%, 17.4%, and 6.8% for nadir +0.2, +0.5, +1.0, and +2.0 ng/mL, respectively. The 3-year rate of PSA bounce >0.2 ng/mL was 42.2%, 32.1%, 41.0%, and 59.1% for the 950-, 1200-, 1350-, and 1900-cGy/fraction levels, respectively (P=.002). The hazard ratio for bounce >0.2 ng/mL for patients receiving a single fraction of 1900 cGy compared with those receiving treatment in multiple fractions was 1.786 (P=.024). For patients treated with a single 1900-cGy fraction, the 1-, 2-, and 3-year rates of PSA bounce exceeding the Phoenix biochemical failure definition (nadir +2 ng/mL) were 4.5%, 18.7%, and 18.7%, respectively, higher than the rates for all other administered dose levels (P=.025). Conclusions: The incidence of PSA bounce increases with single-fraction HDR treatment. Knowledge of posttreatment PSA kinetics may aid in decision making regarding management of potential biochemical failures.

Increasing Fractional Doses Increases the Probability of Benign PSA Bounce in Patients Undergoing Definitive HDR Brachytherapy for Prostate Cancer

International Nuclear Information System (INIS)

Hauck, Carlin R.; Ye, Hong; Chen, Peter Y.; Gustafson, Gary S.; Limbacher, Amy; Krauss, Daniel J.

2017-01-01

Purpose: Prostate-specific antigen (PSA) bounce is a temporary elevation of the PSA level above a prior nadir. The purpose of this study was to determine whether the frequency of a PSA bounce following high-dose-rate (HDR) interstitial brachytherapy for the treatment of prostate cancer is associated with individual treatment fraction size. Methods and Materials: Between 1999 and 2014, 554 patients underwent treatment of low- or intermediate-risk prostate cancer with definitive HDR brachytherapy as monotherapy and had ≥3 subsequent PSA measurements. Four different fraction sizes were used: 950 cGy × 4 fractions, 1200 cGy × 2 fractions, 1350 cGy × 2 fractions, 1900 cGy × 1 fraction. Four definitions of PSA bounce were applied: ≥0.2, ≥0.5, ≥1.0, and ≥2.0 ng/mL above the prior nadir with a subsequent return to the nadir. Results: The median follow-up period was 3.7 years. The actuarial 3-year rate of PSA bounce for the entire cohort was 41.3%, 28.4%, 17.4%, and 6.8% for nadir +0.2, +0.5, +1.0, and +2.0 ng/mL, respectively. The 3-year rate of PSA bounce >0.2 ng/mL was 42.2%, 32.1%, 41.0%, and 59.1% for the 950-, 1200-, 1350-, and 1900-cGy/fraction levels, respectively (P=.002). The hazard ratio for bounce >0.2 ng/mL for patients receiving a single fraction of 1900 cGy compared with those receiving treatment in multiple fractions was 1.786 (P=.024). For patients treated with a single 1900-cGy fraction, the 1-, 2-, and 3-year rates of PSA bounce exceeding the Phoenix biochemical failure definition (nadir +2 ng/mL) were 4.5%, 18.7%, and 18.7%, respectively, higher than the rates for all other administered dose levels (P=.025). Conclusions: The incidence of PSA bounce increases with single-fraction HDR treatment. Knowledge of posttreatment PSA kinetics may aid in decision making regarding management of potential biochemical failures.

WE-A-17A-10: Fast, Automatic and Accurate Catheter Reconstruction in HDR Brachytherapy Using An Electromagnetic 3D Tracking System

Energy Technology Data Exchange (ETDEWEB)

Poulin, E; Racine, E; Beaulieu, L [CHU de Quebec - Universite Laval, Quebec, Quebec (Canada); Binnekamp, D [Integrated Clinical Solutions and Marketing, Philips Healthcare, Best, DA (Netherlands)

2014-06-15

Purpose: In high dose rate brachytherapy (HDR-B), actual catheter reconstruction protocols are slow and errors prompt. The purpose of this study was to evaluate the accuracy and robustness of an electromagnetic (EM) tracking system for improved catheter reconstruction in HDR-B protocols. Methods: For this proof-of-principle, a total of 10 catheters were inserted in gelatin phantoms with different trajectories. Catheters were reconstructed using a Philips-design 18G biopsy needle (used as an EM stylet) and the second generation Aurora Planar Field Generator from Northern Digital Inc. The Aurora EM system exploits alternating current technology and generates 3D points at 40 Hz. Phantoms were also scanned using a μCT (GE Healthcare) and Philips Big Bore clinical CT system with a resolution of 0.089 mm and 2 mm, respectively. Reconstructions using the EM stylet were compared to μCT and CT. To assess the robustness of the EM reconstruction, 5 catheters were reconstructed twice and compared. Results: Reconstruction time for one catheter was 10 seconds or less. This would imply that for a typical clinical implant of 17 catheters, the total reconstruction time would be less than 3 minutes. When compared to the μCT, the mean EM tip identification error was 0.69 ± 0.29 mm while the CT error was 1.08 ± 0.67 mm. The mean 3D distance error was found to be 0.92 ± 0.37 mm and 1.74 ± 1.39 mm for the EM and CT, respectively. EM 3D catheter trajectories were found to be significantly more accurate (unpaired t-test, p < 0.05). A mean difference of less than 0.5 mm was found between successive EM reconstructions. Conclusion: The EM reconstruction was found to be faster, more accurate and more robust than the conventional methods used for catheter reconstruction in HDR-B. This approach can be applied to any type of catheters and applicators. We would like to disclose that the equipments, used in this study, is coming from a collaboration with Philips Medical.

WE-A-17A-10: Fast, Automatic and Accurate Catheter Reconstruction in HDR Brachytherapy Using An Electromagnetic 3D Tracking System

International Nuclear Information System (INIS)

Poulin, E; Racine, E; Beaulieu, L; Binnekamp, D

2014-01-01

Purpose: In high dose rate brachytherapy (HDR-B), actual catheter reconstruction protocols are slow and errors prompt. The purpose of this study was to evaluate the accuracy and robustness of an electromagnetic (EM) tracking system for improved catheter reconstruction in HDR-B protocols. Methods: For this proof-of-principle, a total of 10 catheters were inserted in gelatin phantoms with different trajectories. Catheters were reconstructed using a Philips-design 18G biopsy needle (used as an EM stylet) and the second generation Aurora Planar Field Generator from Northern Digital Inc. The Aurora EM system exploits alternating current technology and generates 3D points at 40 Hz. Phantoms were also scanned using a μCT (GE Healthcare) and Philips Big Bore clinical CT system with a resolution of 0.089 mm and 2 mm, respectively. Reconstructions using the EM stylet were compared to μCT and CT. To assess the robustness of the EM reconstruction, 5 catheters were reconstructed twice and compared. Results: Reconstruction time for one catheter was 10 seconds or less. This would imply that for a typical clinical implant of 17 catheters, the total reconstruction time would be less than 3 minutes. When compared to the μCT, the mean EM tip identification error was 0.69 ± 0.29 mm while the CT error was 1.08 ± 0.67 mm. The mean 3D distance error was found to be 0.92 ± 0.37 mm and 1.74 ± 1.39 mm for the EM and CT, respectively. EM 3D catheter trajectories were found to be significantly more accurate (unpaired t-test, p < 0.05). A mean difference of less than 0.5 mm was found between successive EM reconstructions. Conclusion: The EM reconstruction was found to be faster, more accurate and more robust than the conventional methods used for catheter reconstruction in HDR-B. This approach can be applied to any type of catheters and applicators. We would like to disclose that the equipments, used in this study, is coming from a collaboration with Philips Medical

Value of palliation and improvement in quality of life in oesophageal cancer patients treated with iridium - 192 HDR fractionated brachytherapy

International Nuclear Information System (INIS)

Biaias, B.; Kaleta, R.; Fijaikowski, M.

1996-01-01

During December 1992 - November 1995 twenty-two patients with oesophageal cancer were treated with palliative HDR brachytherapy. Sixteen patients had local recurrence or progression after external radiotherapy and the remaining six patients were treated with brachytherapy alone. All patients received fractions of 7.5 Gy at the reference point 2 - 4 time weekly. Reference point was calculated at 0.5 cm distance from applicator surface. Microselectron HDR device with Iridium-192 source were used. Criteria for palliative effect were as follow: relive of symptoms time of occurrence and duration of palliative effect. Quality of life during and after treatment were evaluated by patients and staff independently. In majority of patients both palliative effect and significant improvement of quality of life were noted. Detail results include: - improvement in swallowing in 63,6% ((14(22))); - increase in body weight in 45% ((10(22))); - pain relive 70% ((12(17))); - appearance of palliation 1 hour - 8 days; - duration of palliation - 3-12 mo. (median 5 mo.); Quality of live - improvement - 59% ((13(22))); - no improvement - 27.3% ((6(22))); - worsening - 13.7% ((3(22))); No improvement or worsening in quality of life were observed only in patients who obtained radical radiotherapy previously. Brachytherapy is an effective method of palliative treatment for as well primary and recurrent oesophageal cancer

Air kerma standard for calibration of well-type chambers in Brazil using {sup 192}Ir HDR sources and its traceability

Energy Technology Data Exchange (ETDEWEB)

Di Prinzio, Renato; Almeida, Carlos Eduardo de [Laboratorio de Ciencias Radiologicas-Universidade do Estado do Rio de Janeiro (LCR/UERJ), R. Sao Francisco Xavier, 524, Pavilhao Haroldo Lisboa da Cunha, Terreo, Sala 136-Maracana, CEP 20550-900-Rio de Janeiro/RJ-Rio de Janeiro, RJ (Brazil) and Instituto de Radioprotecao e Dosimetria-Comissao Nacional de Energia Nuclear (IRD/CNEN), Av. Salvador Allende, s/n, Jacarepagua-CE22780-160-Rio de Janeiro, RJ (Brazil); Laboratorio de Ciencias Radiologicas-Universidade do Estado do Rio de Janeiro (LCR/UERJ), R. Sao Francisco Xavier, 524, Pavilhao Haroldo Lisboa da Cunha, Terreo, Sala 136-Maracana, CEP 20550-900-Rio de Janeiro/RJ-Rio de Janeiro, RJ (Brazil)

2009-03-15

In Brazil there are over 100 high dose rate (HDR) brachytherapy facilities using well-type chambers for the determination of the air kerma rate of {sup 192}Ir sources. This paper presents the methodology developed and extensively tested by the Laboratorio de Ciencias Radiologicas (LCR) and presently in use to calibrate those types of chambers. The system was initially used to calibrate six well-type chambers of brachytherapy services, and the maximum deviation of only 1.0% was observed between the calibration coefficients obtained and the ones in the calibration certificate provided by the UWADCL. In addition to its traceability to the Brazilian National Standards, the whole system was taken to University of Wisconsin Accredited Dosimetry Calibration Laboratory (UWADCL) for a direct comparison and the same formalism to calculate the air kerma was used. The comparison results between the two laboratories show an agreement of 0.9% for the calibration coefficients. Three Brazilian well-type chambers were calibrated at the UWADCL, and by LCR, in Brazil, using the developed system and a clinical HDR machine. The results of the calibration of three well chambers have shown an agreement better than 1.0%. Uncertainty analyses involving the measurements made both at the UWADCL and LCR laboratories are discussed.

Dwell time modulation restrictions do not necessarily improve treatment plan quality for prostate HDR brachytherapy

International Nuclear Information System (INIS)

Balvert, Marleen; Gorissen, Bram L; Den Hertog, Dick; Hoffmann, Aswin L

2015-01-01

Inverse planning algorithms for dwell time optimisation in interstitial high-dose-rate (HDR) brachytherapy may produce solutions with large dwell time variations within catheters, which may result in undesirable selective high-dose subvolumes. Extending the dwell time optimisation model with a dwell time modulation restriction (DTMR) that limits dwell time differences between neighboring dwell positions has been suggested to eliminate this problem. DTMRs may additionally reduce the sensitivity for uncertainties in dwell positions that inevitably result from catheter reconstruction errors and afterloader source positioning inaccuracies. This study quantifies the reduction of high-dose subvolumes and the robustness against these uncertainties by applying a DTMR to template-based prostate HDR brachytherapy implants. Three different DTMRs were consecutively applied to a linear dose-based penalty model (LD) and a dose-volume based model (LDV), both obtained from literature. The models were solved with DTMR levels ranging from no restriction to uniform dwell times within catheters in discrete steps. Uncertainties were simulated on clinical cases using in-house developed software, and dose-volume metrics were calculated in each simulation. For the assessment of high-dose subvolumes, the dose homogeneity index (DHI) and the contiguous dose volume histogram were analysed. Robustness was measured by the improvement of the lowest D 90% of the planning target volume (PTV) observed in the simulations. For (LD), a DTMR yields an increase in DHI of approximately 30% and reduces the size of the largest high-dose volume by 2–5 cc. However, this comes at a cost of a reduction in D 90% of the PTV of 10%, which often implies that it drops below the desired minimum of 100%. For (LDV), none of the DTMRs were able to improve high-dose volume measures. DTMRs were not capable of improving robustness of PTV D 90% against uncertainty in dwell positions for both models. (paper)

An automated optimization tool for high-dose-rate (HDR) prostate brachytherapy with divergent needle pattern

Science.gov (United States)

Borot de Battisti, M.; Maenhout, M.; de Senneville, B. Denis; Hautvast, G.; Binnekamp, D.; Lagendijk, J. J. W.; van Vulpen, M.; Moerland, M. A.

2015-10-01

Focal high-dose-rate (HDR) for prostate cancer has gained increasing interest as an alternative to whole gland therapy as it may contribute to the reduction of treatment related toxicity. For focal treatment, optimal needle guidance and placement is warranted. This can be achieved under MR guidance. However, MR-guided needle placement is currently not possible due to space restrictions in the closed MR bore. To overcome this problem, a MR-compatible, single-divergent needle-implant robotic device is under development at the University Medical Centre, Utrecht: placed between the legs of the patient inside the MR bore, this robot will tap the needle in a divergent pattern from a single rotation point into the tissue. This rotation point is just beneath the perineal skin to have access to the focal prostate tumor lesion. Currently, there is no treatment planning system commercially available which allows optimization of the dose distribution with such needle arrangement. The aim of this work is to develop an automatic inverse dose planning optimization tool for focal HDR prostate brachytherapy with needle insertions in a divergent configuration. A complete optimizer workflow is proposed which includes the determination of (1) the position of the center of rotation, (2) the needle angulations and (3) the dwell times. Unlike most currently used optimizers, no prior selection or adjustment of input parameters such as minimum or maximum dose or weight coefficients for treatment region and organs at risk is required. To test this optimizer, a planning study was performed on ten patients (treatment volumes ranged from 8.5 cm3to 23.3 cm3) by using 2-14 needle insertions. The total computation time of the optimizer workflow was below 20 min and a clinically acceptable plan was reached on average using only four needle insertions.

1976 scientific progress report. [Fuel and coating materials for HTGR]; Wissenschaftlicher Ergebnisberict 1976

Energy Technology Data Exchange (ETDEWEB)

Nickel, H.

1976-07-01

Activities at the Institute for Reactor Materials in the production and properties of high temperature gas cooled reactor fuel and coating materials are summarized. Major emphasis was placed on investigations of pyrocarbon, BISO and TRISO coatings, uranium and thorium oxides and carbides, and graphite and matrix materials. A list of publications is included. (HDR)

High-level seismic tests of piping at the HDR [Heissdampfreaktor

International Nuclear Information System (INIS)

Kot, C.A.; Srinivasan, M.G.; Hsieh, B.J.; Costello, J.F.

1989-01-01

As part of the second-phase testing at the Heissdampfreaktor (HDR) Test Facility in Kahl/Main, Federal Republic of Germany (FRG), high-level seismic experiments, designated SHAM, were performed on an in-plant piping system during the period of 19 April to 27 May 1988. The objectives of the SHAM experiments were to (1) study the response of piping subjected to seismic excitation levels that exceed design levels manifold and which may result in failure/plastification of pipe supports and pipe elements; (2) provide data for the validation of linear and nonlinear pipe response analyses; (3) compare and evaluate, under identical loading conditions, the performance of various dynamic support system, ranging from very flexible to very stiff support configurations; (4) establish seismic margins for piping, dynamic pipe supports, and pipe anchorages; and (5) investigate the response, operability, and fragility of dynamic supports and of a typical US gate valve under extreme levels of seismic excitation. A brief description of the SHAM tests is provided, followed by highlights of the test results that are given primarily in the form of maximum response values. Also presented are very limited comparisons of experimental data and pretest analytical predictions. 6 refs., 8 figs

Prostate Specific Antigen (PSA) as Predicting Marker for Clinical Outcome and Evaluation of Early Toxicity Rate after High-Dose Rate Brachytherapy (HDR-BT) in Combination with Additional External Beam Radiation Therapy (EBRT) for High Risk Prostate Cancer.

Science.gov (United States)

Ecke, Thorsten H; Huang-Tiel, Hui-Juan; Golka, Klaus; Selinski, Silvia; Geis, Berit Christine; Koswig, Stephan; Bathe, Katrin; Hallmann, Steffen; Gerullis, Holger

2016-11-10

High-dose-rate brachytherapy (HDR-BT) with external beam radiation therapy (EBRT) is a common treatment option for locally advanced prostate cancer (PCa). Seventy-nine male patients (median age 71 years, range 50 to 79) with high-risk PCa underwent HDR-BT following EBRT between December 2009 and January 2016 with a median follow-up of 21 months. HDR-BT was administered in two treatment sessions (one week interval) with 9 Gy per fraction using a planning system and the Ir192 treatment unit GammaMed Plus iX. EBRT was performed with CT-based 3D-conformal treatment planning with a total dose administration of 50.4 Gy with 1.8 Gy per fraction and five fractions per week. Follow-up for all patients was organized one, three, and five years after radiation therapy to evaluate early and late toxicity side effects, metastases, local recurrence, and prostate-specific antigen (PSA) value measured in ng/mL. The evaluated data included age, PSA at time of diagnosis, PSA density, BMI (body mass index), Gleason score, D'Amico risk classification for PCa, digital rectal examination (DRE), PSA value after one/three/five year(s) follow-up (FU), time of follow-up, TNM classification, prostate volume, and early toxicity rates. Early toxicity rates were 8.86% for gastrointestinal, and 6.33% for genitourinary side effects. Of all treated patients, 84.81% had no side effects. All reported complications in early toxicity were grade 1. PSA density at time of diagnosis ( p = 0.009), PSA on date of first HDR-BT ( p = 0.033), and PSA on date of first follow-up after one year ( p = 0.025) have statistical significance on a higher risk to get a local recurrence during follow-up. HDR-BT in combination with additional EBRT in the presented design for high-risk PCa results in high biochemical control rates with minimal side-effects. PSA is a negative predictive biomarker for local recurrence during follow-up. A longer follow-up is needed to assess long-term outcome and toxicities.

Prospective randomized trial of HDR brachytherapy as a sole modality in palliation of advanced esophageal carcinoma--an International Atomic Energy Agency study

International Nuclear Information System (INIS)

Sur, Ranjan K.; Levin, C. Victor; Donde, Bernard; Sharma, Vinay; Miszczyk, Leszek; Nag, Subir

2002-01-01

Background: Previous studies from South Africa have established that fractionated high-dose-rate (HDR) brachytherapy gives the best results in terms of palliation and survival in advanced esophageal cancer. A multicenter, prospective randomized study was therefore conducted under the auspices of the International Atomic Energy Agency to evaluate two HDR regimens. Methods and Materials: Surgically inoperable patients with histologically proven squamous cell cancer of the esophagus, tumor >5 cm in length on barium swallow and/or endoscopy, Karnofsky performance score >50, age 17-70 years, primary disease in the thoracic esophagus, no prior malignancy within the past 5 years, and any N or M status were included in the study. Exclusion criteria included cervical esophagus location, tumor extending 0.05). The overall survival was 7.9 months for the whole group (Group A, 9.1 months; Group B, 6.9 months; p>0.05). On univariate analysis, the presenting weight (p=0.0083), gender (p=0.0038), race (p=0.0105), the presenting dysphagia score (p=0.0083), the treatment center (p=0.0029), and tumor grade (p=0.0029) had an impact on the dysphagia-free survival, and gender (p=0.0011) and performance score (p=0.0060) had an impact on dysphagia-free survival on multivariate analysis. Only age had an impact on overall survival on both univariate (p=0.0430) and multivariate (p=0.0331) analysis. The incidence of strictures (Group A, n=12; Group B, n=13; p>0.05) and fistulas (Group A, n=11; Group B, n=12; p>0.05) was similar in both groups. Conclusion: Fractionated HDR brachytherapy alone is an effective method of palliating advanced esophageal cancers, surpassing the results of any other modality of treatment presently available. Dose fractions of 6 Gy x 3 and 8 Gy x 2 give similar results for dysphagia-free survival, overall survival, strictures, and fistulas and are equally effective in palliation of advanced esophageal cancer

Does HDR Pre-Processing Improve the Accuracy of 3D Models Obtained by Means of two Conventional SfM-MVS Software Packages? The Case of the Corral del Veleta Rock Glacier

Directory of Open Access Journals (Sweden)

Álvaro Gómez-Gutiérrez

2015-08-01

Full Text Available The accuracy of different workflows using Structure-from-Motion and Multi-View-Stereo techniques (SfM-MVS is tested. Twelve point clouds of the Corral del Veleta rock glacier, in Spain, were produced with two different software packages (123D Catch and Agisoft Photoscan, using Low Dynamic Range images and High Dynamic Range compositions (HDR for three different years (2011, 2012 and 2014. The accuracy of the resulting point clouds was assessed using benchmark models acquired every year with a Terrestrial Laser Scanner. Three parameters were used to estimate the accuracy of each point cloud: the RMSE, the Cloud-to-Cloud distance (C2C and the Multiscale-Model-to-Model comparison (M3C2. The M3C2 mean error ranged from 0.084 m (standard deviation of 0.403 m to 1.451 m (standard deviation of 1.625 m. Agisoft Photoscan overcome 123D Catch, producing more accurate and denser point clouds in 11 out 12 cases, being this work, the first available comparison between both software packages in the literature. No significant improvement was observed using HDR pre-processing. To our knowledge, this is the first time that the geometrical accuracy of 3D models obtained using LDR and HDR compositions are compared. These findings may be of interest for researchers who wish to estimate geomorphic changes using SfM-MVS approaches.

SU-C-BRD-02: A Team Focused Clinical Implementation and Failure Mode and Effects Analysis of HDR Skin Brachytherapy Using Valencia and Leipzig Surface Applicators

International Nuclear Information System (INIS)

Sayler, E; Harrison, A; Eldredge-Hindy, H; Dinome, J; Munro, S; Anne, R; Comber, E; Lockamy, V

2014-01-01

Purpose: and Leipzig applicators (VLAs) are single-channel brachytherapy surface applicators used to treat skin lesions up to 2cm diameter. Source dwell times can be calculated and entered manually after clinical set-up or ultrasound. This procedure differs dramatically from CT-based planning; the novelty and unfamiliarity could lead to severe errors. To build layers of safety and ensure quality, a multidisciplinary team created a protocol and applied Failure Modes and Effects Analysis (FMEA) to the clinical procedure for HDR VLA skin treatments. Methods: team including physicists, physicians, nurses, therapists, residents, and administration developed a clinical procedure for VLA treatment. The procedure was evaluated using FMEA. Failure modes were identified and scored by severity, occurrence, and detection. The clinical procedure was revised to address high-scoring process nodes. Results: Several key components were added to the clinical procedure to minimize risk probability numbers (RPN): -Treatments are reviewed at weekly QA rounds, where physicians discuss diagnosis, prescription, applicator selection, and set-up. Peer review reduces the likelihood of an inappropriate treatment regime. -A template for HDR skin treatments was established in the clinical EMR system to standardize treatment instructions. This reduces the chances of miscommunication between the physician and planning physicist, and increases the detectability of an error during the physics second check. -A screen check was implemented during the second check to increase detectability of an error. -To reduce error probability, the treatment plan worksheet was designed to display plan parameters in a format visually similar to the treatment console display. This facilitates data entry and verification. -VLAs are color-coded and labeled to match the EMR prescriptions, which simplifies in-room selection and verification. Conclusion: Multidisciplinary planning and FMEA increased delectability and

Dosimetric measurements of an 192Ir HDR source with a diamond detector

International Nuclear Information System (INIS)

Rustgi, Surendra N.

1996-01-01

Purpose: To study the feasibility of using a diamond detector for the dosimetry of a high dose rate (HDR) 192 Ir source and to compare the measurement results with published data and calculations from a commercial treatment planning system. Materials and methods: The sensitive volume of the diamond detector consists of a disk of 0.26 mm thickness and 3 mm diameter. The detector was applied an external bias of +100 V and was preirradiated to a dose of 500 cGy to stabilize its response. The 192 Ir source from the Nucletron microSelectron unit has an active diameter of 0.6 mm and a length of 3.5 mm. Photon fluence anisotropy factors in air were measured at distances of 5 and 10 cm from two sources and compared with TLD measurements. Dose profiles and isodose distributions were measured at several distances from the source and compared with calculations from a Nucletron treatment planning system. These dose calculations in water use a point source approximation with the anisotropy factors independent of the radial distance from the source. Results: The photon fluence around the 192 Ir HDR source, measured with a diamond detector at distances of 5 and 10 cm from the source, is very anisotropic. Compared to the source transverse direction, the photon fluence intensity along the source axis reduces to approximately 60%. Measurements performed on two sources indicate that the photon anisotropy does not change with distance in air. Within experimental uncertainty, similar results were obtained with TLD rods and are in excellent agreement with published anisotropy factors 1 . Dose profiles, measured with the diamond detector in a water phantom, at distances of 1,2,3 and 5 cm from the source, are found to be in excellent agreement with the Nucletron planning system calculations. Similar excellent agreement is observed between the measured and calculated isodose curves in planes parallel to the source plane. Conclusion: The diamond detector has been demonstrated to be suitable

Variations of intracavitary applicator geometry during multiple HDR brachytherapy insertions in carcinoma cervix and its influence on reporting as per ICRU report 38

International Nuclear Information System (INIS)

Datta, Niloy Ranjan; Kumar, Shaleen; Das, Koilpillai Joseph Maria; Pandey, Chandra Mani; Halder, Shikha; Ayyagari, Sunder

2001-01-01

Purpose: This paper examines the extent of variation in the applicator geometry during multiple high dose rate (HDR) intracavitary brachytherapy (ICBT) applications and its impact on reporting as per ICRU report 38. Materials and methods: Eighty orthogonal radiographs from 20 consecutive patients of carcinoma cervix (FIGO stages, IIA-IIIB) having four HDR ICBT applications of 6 Gy each at weekly intervals following teletherapy were evaluated. The applicator consisted of a flexible intrauterine tandem (IUT) independent of the ovoid assembly. The applicator geometry was evaluated in terms of: α angle, β angle, intrauterine length (IUTL), interovoid (IOV), os to right ovoid (ORT) and os to left ovoid (OLT) distances along with vertical (VDL) and anteroposterior displacements (ADL) of the os with respect to the ovoids. The Cartesian co-ordinates (X, Y, and Z) of the IUT tip, centre of both ovoids and os were also measured. Doses to right point A (ARD), left point A (ALD), along with a reference volume of 6 Gy for ICRU height (IRH), width (IRW), thickness (IRT) and volume (IRV) were estimated for each application. Results: Highly significant differences (P<0.001) between four insertions in any given patient across 20 patients for α angle, β angle, IUTL, IOV, ORT, VDL, co-ordinates of the IUT, ovoids and os were observed, except for ADL (P=0.041) and OLT (P=0.247). As a consequence, variations were observed in ARD (P=0.027), ALD (P=0.017); IRH, IRW, IRT and IRV (all P<0.001). Applicator factors which influenced the various dose specification parameters were: β angle and ORT for both ARD and ALD; UTLN, VDL and ORT for IRH; UTLN and IOV for IRW; UTLN for IRT and VDL for the 6 Gy IRV. Conclusions: A significant variation of the applicator geometry and its movement was observed in patients undergoing multiple HDR ICBT. This could have implications for reporting dose and volume specifications as required by ICRU report 38

SHAM: High-level seismic tests of piping at the HDR

International Nuclear Information System (INIS)

Kot, C.A.; Srinivasan, M.G.; Hsieh, B.J.; Malcher, L.; Schrammel, D.; Steinhilber, H.; Costello, J.F.

1988-01-01

As part of the second phase of vibrational/earthquake investigations at the HDR (Heissdampfreaktor) Test Facility in Kahl/Main, FRG, high-level simulated seismic tests (SHAM) were performed during April--May 1988 on the VKL (Versuchskreislauf) in-plant piping system with two servohydraulic actuators, each capable of generating 40 tons of force. The purpose of these experiments was to study the behavior of piping subjected to seismic excitation levels that exceed design levels manifold and may result in failure/plastification of pipe supports and pipe elements, and to establish seismic margins for piping and pipe supports. The performance of six different dynamic pipe support systems was compared in these tests and the response, operability, and fragility of dynamic supports and of a typical US gate valve were investigated. Data obtained in the tests are used to validate analysis methods. Very preliminary evaluations lead to the observation that, in general, failures of dynamic supports (in particular snubbers) occur only at load levels that substantially exceed the design capacity. Pipe strains at load levels exceeding the design level threefold are quite small, and even when exceeding the design level eightfold are quite tolerable. Hence, under seismic loading, even at extreme levels and in spite of multiple support failures, pipe failure is unlikely. 5 refs., 16 figs

SU-G-201-07: Dosimetric Verification of a 3D Printed HDR Skin Brachytherapy Applicator

Energy Technology Data Exchange (ETDEWEB)

Rasmussen, K; Stanley, D; Eng, T; Kirby, N; Gutierrez, A; Stathakis, S; Papanikolaou, N [University of Texas HSC SA, San Antonio, TX (United States); Baumgarten, A; Pelletier, C; Jung, J; Feng, Y; Huang, Z; Ju, A [East Carolina University, Greenville, NC (United States); Corbett, M [Greenville Health System, Greenville, SC (United States)

2016-06-15

Purpose: The use of radiation as a treatment modality for skin cancer has increased significantly over the last decade with standardized applicators. Utilizing 3D printing, the ability to make applicators specifically designed for each patient’s anatomy has become economically feasible. With this in mind it was the aim of this study to determine the dosimetric accuracy of a 3-D printed HDR brachytherapy applicator for the skin. Methods: A CT reference image was used to generate a custom applicator based on an anthropomorphic head and neck phantom. To create the applicator a 1cm expansion anteriorly with 0.5cmX0.5cm trenches on the outer surface that were spaced 1cm sup-inf to accommodate standard 6F flexible catheters. The applicator was printed using PLA material using a printrbot simple printer. A treatment plan optimized to deliver a clinically representative volume was created in Oncentra and delivered with a nucletron afterloader. Measurements were made using TLDs and EBT3 gafchromic film that were placed between the applicator and the phantom’s forehead. An additional piece of film was also used to qualitatively asses the dose distribution in the transverse plane. Using a standard vaginal cylinder and bolus, a standardized curve correlating TLD and film exposure-to-radiation dose was established by irradiating film to known doses (200,500,700 cGy) at a 3.5 cm radius distance. Results: Evaluated TLDs showed the absolute dose delivered to the skin surface using the 3-D printed bolus was 615cGy±6%, with a mean predicted TPS value in the measured area of 617.5±7%. Additionally, planar dose distributions had good qualitative agreement with calculated TPS isodoses. Conclusion: This work demonstrates patient specific 3-D printed HDR brachytherapy applicators for skin cancer treatments are practical and accurate in TPS calculations but additional measurements are needed to verify additional sites and dose at depth.

SU-G-201-07: Dosimetric Verification of a 3D Printed HDR Skin Brachytherapy Applicator

International Nuclear Information System (INIS)

Rasmussen, K; Stanley, D; Eng, T; Kirby, N; Gutierrez, A; Stathakis, S; Papanikolaou, N; Baumgarten, A; Pelletier, C; Jung, J; Feng, Y; Huang, Z; Ju, A; Corbett, M

2016-01-01

Purpose: The use of radiation as a treatment modality for skin cancer has increased significantly over the last decade with standardized applicators. Utilizing 3D printing, the ability to make applicators specifically designed for each patient’s anatomy has become economically feasible. With this in mind it was the aim of this study to determine the dosimetric accuracy of a 3-D printed HDR brachytherapy applicator for the skin. Methods: A CT reference image was used to generate a custom applicator based on an anthropomorphic head and neck phantom. To create the applicator a 1cm expansion anteriorly with 0.5cmX0.5cm trenches on the outer surface that were spaced 1cm sup-inf to accommodate standard 6F flexible catheters. The applicator was printed using PLA material using a printrbot simple printer. A treatment plan optimized to deliver a clinically representative volume was created in Oncentra and delivered with a nucletron afterloader. Measurements were made using TLDs and EBT3 gafchromic film that were placed between the applicator and the phantom’s forehead. An additional piece of film was also used to qualitatively asses the dose distribution in the transverse plane. Using a standard vaginal cylinder and bolus, a standardized curve correlating TLD and film exposure-to-radiation dose was established by irradiating film to known doses (200,500,700 cGy) at a 3.5 cm radius distance. Results: Evaluated TLDs showed the absolute dose delivered to the skin surface using the 3-D printed bolus was 615cGy±6%, with a mean predicted TPS value in the measured area of 617.5±7%. Additionally, planar dose distributions had good qualitative agreement with calculated TPS isodoses. Conclusion: This work demonstrates patient specific 3-D printed HDR brachytherapy applicators for skin cancer treatments are practical and accurate in TPS calculations but additional measurements are needed to verify additional sites and dose at depth.

Characterization of commercial MOSFET detectors and their feasibility for in-vivo HDR brachytherapy.

Science.gov (United States)

Phurailatpam, Reena; Upreti, Rituraj; Nojin Paul, Siji; Jamema, Swamidas V; Deshpande, Deepak D

2016-01-01

The present study was to investigate the use of MOSFET as an vivo dosimeter for the application of Ir-192 HDR brachytherapy treatments. MOSFET was characterized for dose linearity in the range of 50-1000 cGy, depth dose dependence from 2 to 7 cm, angular dependence. Signal fading was checked for two weeks. Dose linearity was found to be within 2% in the dose range (50-1000 cGy). The response varied within 8.07% for detector-source distance of 2-7 cm. The response of MOSFET with the epoxy side facing the source (0 degree) is the highest and the lowest response was observed at 90 and 270 degrees. Signal was stable during the study period. The detector showed high dose linearity and insignificant fading. But due to angular and depth dependence, care should be taken and corrections must be applied for clinical dosimetry. Copyright © 2015 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

3D dosimetry in HDR brachytherapy resonance imaging nuclear magnetic (b= 0.2 t) using a base acrylic gel (MAGIC)

International Nuclear Information System (INIS)

Batista Hernandez, Guillermo; Velez, Graciela R.; Schurrer, Clemar

2009-01-01

Dosimetry gels using magnetic resonance imaging (MRI) has been extended in recent literature. Our study presents the preparation, calibration IRM of acrylic gel (MAGIC) and its application in measuring dose in a 3D distribution HDR Brachytherapy with 192Ir source. The first gels used were the type Fricke gels based on the relationship of dose and time T1 relaxation. In 2001, Fong presented a new normoxic gel known as MAGIC whose main components are Methacrylic Acid (polymerizing), and Hydroquinone (inhibitor of self-curing) based on the relationship of dose and T2 relaxation time. Subsequent studies make changes in the concentrations component of the MAGIC (Methacrylic Acid and Hydroquinone in particular) to observe the behavior of the sensitivity of the gel with respect to its components and beam magnetic resonance equipment using magnetic fields higher to 0.5 T. This is done with equipment available to the staff of a Radiotherapy clinic setting. MAGIC gel is prepared according to composition by Crescenti (6% methacrylic acid), is calibrated with a 60Co unit TERADI INVAP 8002c (Argentina). Was raised shooting in a Siemens MRI scanner of 0.2 T Magnetom Concerto irradiated with a team of Brachytherapy High Dose Rate (HDR) Micro selectron Nucletron's V2 HDR for comparison with dose distributions provided by the planning system from Nucletron PLATO Sunrise. Was obtained a calibration curve for doses ranging from 0 to 8.0 Gy and a field strength 0.2 T magnetic We compared the sensitivity obtained in our calibration (Slope of the calibration curve) with those presented in the literature. Two phantoms were prepared for measurement in brachytherapy: a PMMA and a PVC. It was noted that MAGIC gel reacts chemically with PMMA and cured prior to irradiation. The phantom of PVC (no reactions) were irradiated with Micro selectron equipment and measured the dose distribution in 3D MRI. Were measured doses at the points specified by the Planning System and PLATO Sunrise compared

Verification of the HDR-test V44 using the computer program RALOC-MOD1/83

International Nuclear Information System (INIS)

Jahn, H.; Pham, T. v.; Weber, G.; Pham, B.T.

1985-01-01

RALOC-MOD1/83 was extended by a drainage and sump level modul and several component models to serve as a containment systems code for various LWR types. One such application is to simulate the blowdown in a full pressure containment which is important for the short and long term hydrogen distribution. The post test calculation of the containment standard problem experiment HDR-V44 shows a good agreement, to the test data. The code may be used for short and long term predictions, but it was learned that double containments need the representation of the gap between the inner and outer shell into several zones to achieve a good long-term temperature prediction. The present work completes the development, verification and documentation of RALOC-MOD1. (orig.) [de

HDR-investigations of check valve closure and resultant water hammer effects

International Nuclear Information System (INIS)

Scholl, K.D.

1983-01-01

The presented investigations are based on the Loss of Coolant Accident (LOCA). They concentrate on the first blowdown phase after pipe break of a feedwater line. The effect of such a break is moderated by quick closing check valves, by which the loss of coolant water is reduced and optimal post accident conditions are obtained. Unfortunately the closure of the valve can cause high pressure peaks (water hammer effects) in the feedwater system which potentially could produce safety relevant secondary damage. The system loading by these effects has been analysed. The HDR-Investigation-results led to an improvement of the feedwater system safety by verifying damping measures of quick closing check valves. Pressure peaks obtained with undamped valves in the range of 300 bars, are reduced to zero or a few bars above the normal operation pressure in feedwater systems. For the analytical simulation of valve closure the following dominant acting forces are identified: the blowdown flow resistance of the valve cone and the damping pistong force. The analytical description and quantification of the forces depends on blowdown flow and valve friction parameters. These have been evaluated and are presented for practical use. (orig.)

Rectal doses during LDR and HDR intracavitary brachytherapy of gyneacological malignancies: comparison of direct measurement with that of calculated from radiograph

International Nuclear Information System (INIS)

Chougule, Arun; Agarwal, D.P.

2001-01-01

In the present study rectal doses using CaSO 4 :Dy powder has been measured in 14 cases of cancer cervix treated by LDR brachytherapy and 20 cases of cancer cervix treated by HDR brachytherapy. The maximum rectal dose in LDR varied from 1073-1856 cGy for point A dose of 3000 cGy. The maximum rectal dose was found to be at 6-8 cm from the anal verge. The results of the calculation and actual measurements has been compared

Is there any advantage of CT based 3-dimensional conformal planning over conventional orthogonal x-ray based planning in HDR brachytherapy in breast cancer

International Nuclear Information System (INIS)

Biswal, B.M.; Idris, N.R.; Zakaria, A.B.; Khairul, N.

2003-01-01

The conventional brachytherapy dose calculation is based on a particular brachytherapy rule or individual dosimetry based on the reconstruction of the sources from the orthogonal films. In the recent years many centers are using CT based 3D conformal brachytherapy in order to improve the dosimetric outcome of a given plan. Here we would like to present our experience on the use of both techniques to deliver HDR interstitial brachytherapy as boost in early breast cancer. From January 2001 to January 2003, we treated 4 breast cancer patients using conventional orthogonal x-rays and CT scan in 3 cases for the treatment plan. All patients received an external beam radiotherapy dose of 46 Gy in 23 fractions over 4.5 weeks to the whole breast using 6 MV photon beam. Subsequently the primary lesion was supplimented with HDR brachytherapy to a dose of 2.5 Gy BID for 3 consecutive days using a (192)Ir microSelectronHDR. The dose prescription was individualized to encompass the tumor volume with a 10 mm margin. The differences of the dosimetric outcome were compared. All patients completed above schedule of radiotherapy. The primary was implanted with single plane in 3 patients and multiplane implant in 4 patients. Orthogonal x-ray based localization was performed in 4 patients and CT scan based localization in 3 cases. Three patients were implanted single plane and 4 patients with multiplane implants with a median catheter number of 9 (range 6-14). The 3D conformal dose optimization was performed using Nucletron planning system (Plato). The mean 100% and 150% isodose volume was 67.3 cm 3 and 31.25cm 3 respectively. The identification of primary tumor volume, organ at risk, and identification of afterloading catheters were superior in CT based plan than conventional planning. CT scan based 3D conformal brachytherapy planning give better identification of tumor volume and its curvature, decrease the time to identify the sources and evaluate the radiation dose to organs at

SU-F-T-14: Dosimetric Impacts of Various Uncertainties in Cervical Cancer HDR Brachytherapy: Are Conventional Point Doses Good Surrogates for 3D Dosimetry?

Energy Technology Data Exchange (ETDEWEB)

Liang, X; Li, Z [University of Florida Health Proton Therapy Institute, Jacksonville, FL (United States); Zheng, D [University of Nebraska Medical Center, Omaha, NE (United States); Zhang, X; Narayanasamy, G; Morrill, S; Penagaricano, J; Paudel, N [University of Arkansas for Medical Sciences, Little Rock, AR (United States)

2016-06-15

Purpose: In the context of evaluating dosimetric impacts of a variety of uncertainties involved in HDR Tandem-and-Ovoid treatment, to study the correlations between conventional point doses and 3D volumetric doses. Methods: For 5 cervical cancer patients treated with HDR T&O, 150 plans were retrospectively created to study dosimetric impacts of the following uncertainties: (1) inter-fractional applicator displacement between two treatment fractions within a single insertion by applying Fraction#1 plan to Fraction#2 CT; (2) positional dwell error simulated from −5mm to 5mm in 1mm steps; (3) simulated temporal dwell error of 0.05s, 0.1s, 0.5s, and 1s. The original plans were based on point dose prescription, from which the volume covered by the prescription dose was generated as the pseudo target volume to study the 3D target dose effect. OARs were contoured. The point and volumetric dose errors were calculated by taking the differences between original and simulated plans. The correlations between the point and volumetric dose errors were analyzed. Results: For the most clinically relevant positional dwell uncertainty of 1mm, temporal uncertainty of 0.05s, and inter-fractional applicator displacement within the same insertion, the mean target D90 and V100 deviation were within 1%. Among these uncertainties, the applicator displacement showed the largest potential target coverage impact (2.6% on D90) as well as the OAR dose impact (2.5% and 3.4% on bladder D2cc and rectum D2cc). The Spearman correlation analysis shows a correlation coefficient of 0.43 with a p-value of 0.11 between target D90 coverage and H point dose. Conclusion: With the most clinically relevant positional and temporal dwell uncertainties and patient interfractional applicator displacement within the same insertion, the dose error is within clinical acceptable range. The lack of correlation between H point and 3D volumetric dose errors is a motivator for the use of 3D treatment planning in

Design and implementation of a film dosimetry audit tool for comparison of planned and delivered dose distributions in high dose rate (HDR) brachytherapy

Science.gov (United States)

Palmer, Antony L.; Lee, Chris; Ratcliffe, Ailsa J.; Bradley, David; Nisbet, Andrew

2013-10-01

A novel phantom is presented for ‘full system’ dosimetric audit comparing planned and delivered dose distributions in HDR gynaecological brachytherapy, using clinical treatment applicators. The brachytherapy applicator dosimetry test object consists of a near full-scatter water tank with applicator and film supports constructed of Solid Water, accommodating any typical cervix applicator. Film dosimeters are precisely held in four orthogonal planes bisecting the intrauterine tube, sampling dose distributions in the high risk clinical target volume, points A and B, bladder, rectum and sigmoid. The applicator position is fixed prior to CT scanning and through treatment planning and irradiation. The CT data is acquired with the applicator in a near clinical orientation to include applicator reconstruction in the system test. Gamma analysis is used to compare treatment planning system exported RTDose grid with measured multi-channel film dose maps. Results from two pilot audits are presented, using Ir-192 and Co-60 HDR sources, with a mean gamma passing rate of 98.6% using criteria of 3% local normalization and 3 mm distance to agreement (DTA). The mean DTA between prescribed dose and measured film dose at point A was 1.2 mm. The phantom was funded by IPEM and will be used for a UK national brachytherapy dosimetry audit.

Design and implementation of a film dosimetry audit tool for comparison of planned and delivered dose distributions in high dose rate (HDR) brachytherapy

International Nuclear Information System (INIS)

Palmer, Antony L; Bradley, David; Nisbet, Andrew; Lee, Chris; Ratcliffe, Ailsa J

2013-01-01

A novel phantom is presented for ‘full system’ dosimetric audit comparing planned and delivered dose distributions in HDR gynaecological brachytherapy, using clinical treatment applicators. The brachytherapy applicator dosimetry test object consists of a near full-scatter water tank with applicator and film supports constructed of Solid Water, accommodating any typical cervix applicator. Film dosimeters are precisely held in four orthogonal planes bisecting the intrauterine tube, sampling dose distributions in the high risk clinical target volume, points A and B, bladder, rectum and sigmoid. The applicator position is fixed prior to CT scanning and through treatment planning and irradiation. The CT data is acquired with the applicator in a near clinical orientation to include applicator reconstruction in the system test. Gamma analysis is used to compare treatment planning system exported RTDose grid with measured multi-channel film dose maps. Results from two pilot audits are presented, using Ir-192 and Co-60 HDR sources, with a mean gamma passing rate of 98.6% using criteria of 3% local normalization and 3 mm distance to agreement (DTA). The mean DTA between prescribed dose and measured film dose at point A was 1.2 mm. The phantom was funded by IPEM and will be used for a UK national brachytherapy dosimetry audit. (paper)

Constraints in the use of repair half times and mathematical modelling for the clinical application of HDR and PDR treatment schedules as an alternative for LDR brachytherapy

International Nuclear Information System (INIS)

Pop, L.A.M.; Broek, J.F.C.M. van den; Visser, A.G.; Kogel, A.J. van der

1996-01-01

Using theoretical models based on radiobiological principles for the design of new treatment schedules for HDR and PDR brachytherapy, it is important to realise the impact of assumptions regarding the kinetics of repair. Extrapolations based on longer repair half times in a continuous LDR reference scheme may lead to the calculation of dangerously high doses for alternative HDR and PDR treatment schedules. We used the clinical experience obtained with conventional ERT and LDR brachytherapy in head and neck cancer as a clinical guideline to check the impact of the radiobiological parameters used. Biologically equivalent dose (BED) values for the in clinical practice of LDR brachytherapy recommended dose of 65-70 Gy (prescribed at a dose rate between 30-50 cGy/h) are calculated as a function of the repair half time. These BED values are compared with the biological effect of a clinical reference dose of conventional ERT with 2 Gy/day and complete repair between the fractions. From this comparison of LDR and ERT treatment schedules, a range of values for the repair half times of acute or late responding tissues is demarcated with a reasonable fit to the clinical data. For the acute effects (or tumor control) the best fits are obtained for repair half times of about 0.5 h, while for late effects the repair half times are at least 1 h and can be as high as 3 h. Within these ranges of repair half times for acute and late effects, the outcome of 'alternative' HDR or PDR treatment schedules are discussed. It is predominantly the late reacting normal tissue with the longer repair half time for which problems will be encountered and no or only marginal gain is to be expected of decreasing the dose rate per pulse in PDR brachytherapy

Analysis of mitigating measures during steam/hydrogen distributions in nuclear reactor containments with the 3D field code gasflow

International Nuclear Information System (INIS)

Royl, P.; Travis, J.R.; Haytcher, E.A.; Wilkening, H.

1997-01-01

This paper reports on the recent model additions to the 3D field code GASFLOW and on validation and application analyses for steam/hydrogen transport with inclusion of mitigation measures. The results of the 3D field simulation of the HDR test E11.2 are summarized. Results from scoping analyses that simulate different modes of CO2 inertization for conditions from the HDR test T31.5 are presented. The last part discusses different ways of recombiner modeling during 3D distribution simulations and gives the results from validation calculations for the HDR recombiner test E11.8.1 and the Battelle test MC3. The results demonstrate that field code simulations with computer codes like GASFLOW are feasible today for complex containment geometries and that they are necessary for a reliable prediction of hydrogen/steam distribution and mitigation effects. (author)

High-dose-rate intracavitary brachytherapy (HDR-IC) in treatment of cervical carcinoma: 5-year results and implication of increased low-grade rectal complication on initiation of an HDR-IC fractionation scheme

International Nuclear Information System (INIS)

Wang Chongjong; Wan Leung, Stephen; Chen Huichun; Sun Limin; Fang Fumin; Changchien Chanchao; Huang Engyen; Wu Jiaming; Chen Chuhnchih

1997-01-01

Purpose: To report the treatment results and rectal/bladder complications of cervical carcinoma radically treated with high-dose-rate intracavitary brachytherapy (HDR-IC). The current policy of using three-fraction scheme was examined. Methods and Materials: Between November 1987 and August 1990, 173 patients with cervical carcinoma were treated with curative-intent radiation therapy. Whole pelvic irradiation was administered with 10-MV X ray. Dose to the central cervix was 40-44 Gy in 20-22 fractions, following by pelvic wall boost 6-14 Gy in three to seven fractions with central shielding. 60 Co sources were used for HDR-IC, and 7.2 Gy was given to Point A for three applications, 1-2 weeks apart. Duration of follow-up was 5-7.8 years. Results: Twenty-eight patients (16%) developed central-regional recurrences. Overall 5-year actuarial pelvic control rate was 83%. By stage, 5-year actuarial pelvic control rates were 94%, 87%, and 72% for Stages IB + IIA, IIB + IIIA, and IIIB + IVA, respectively. Thirty-one patients (18%) developed distant metastasis. Overall 5-year actuarial survival rate was 58%. By stage, 5-year actuarial survival rates were 79%, 59%, and 41% for Stages IB + IIA, IIB + IIIA, and IIIB + IVA, respectively. Sixty-six (38%) and 19 patients (11%) developed rectal and bladder complications, respectively. For rectal complication, the overall actuarial rate was 38% at 5 years. By grade, 5-year actuarial rectal complication rates were 24%, 15%, 4%, and 3% for Grades 1-4, respectively. Overall prevalence of rectal complications was 37% and 14% at 2 and 5 years, respectively. Prevalence of low-grade rectal complication (Grades 1 and 2) was dominant at 2 years (30%), but declined to 8% at 5 years. Prevalence of high-grade, severe rectal complication (Grades 3 and 4) remained steady at 2 and 5 years (7% and 6%, respectively). Five-year actuarial bladder complication was 9%. Five-year prevalence of bladder complication was 2%. Conclusion: Using a three

SU-E-T-242: Design of a Novel Afterloader Clearance QA Device for Biliary HDR Therapy

Energy Technology Data Exchange (ETDEWEB)

Mullins, JP; Deufel, CL [Mayo Clinic, Rochester, MN (United States)

2015-06-15

Purpose: Bile duct cancer affects 2–3 thousand people annually in the United States. Radiation therapy has been shown to double median survival, with combined external beam and intraluminal high dose-rate (HDR) brachytherapy being most effective. Endoscopic retrograde cholangiopancreatography (ERCP) biliary HDR, a less-invasive alternative to trans-hepatic brachytherapy, is delivered through a catheter that travels a tortuous path from nose to bile duct, requiring wire drive force and dexterity beyond typical afterloader performance specifications. Thus, specific afterloader quality assurance(QA) is recommended for this procedure. Our aim was to create a device and process for Varisource afterloader clearance QA with objectives that it be quantitative and can monitor afterloader performance over time, compare performance between two distinct afterloaders and potentially Result in a predictive nomogram for patient-specific clearance. Methods: Based on retrospective reconstruction of 20 ERCP patient anatomies, we designed a phantom to test afterloader ability to drive the source wire along an intended treatment path. The ability of the afterloader to fully extend the intended treatment path is a function of number and diameters of turns. We have determined experimentally that relative position of the turns does not impact performance. Results: Both patient and QA paths involve three common turns/loops: a large turn representing the stomach(10.8cm±2.0cm), an elliptical loop representing the duodenum(7.3cm±1.5cmx4.8cm±0.7cm), and a final turn at the end of the bile duct that may be tight for some patient-specific anatomies and absent in others(3.7cm±0.7cm, where present). Our phantom design uses anatomical average turn diameters for the stomach and duodenum then terminates in a turn of quantitatively selectable diameter. The smallest final turn diameter that an afterloader can pass is recorded as the QA parameter. Conclusion: With this device and QA process, we

Fast, automatic, and accurate catheter reconstruction in HDR brachytherapy using an electromagnetic 3D tracking system

Energy Technology Data Exchange (ETDEWEB)

Poulin, Eric; Racine, Emmanuel; Beaulieu, Luc, E-mail: Luc.Beaulieu@phy.ulaval.ca [Département de physique, de génie physique et d’optique et Centre de recherche sur le cancer de l’Université Laval, Université Laval, Québec, Québec G1V 0A6, Canada and Département de radio-oncologie et Axe Oncologie du Centre de recherche du CHU de Québec, CHU de Québec, 11 Côte du Palais, Québec, Québec G1R 2J6 (Canada); Binnekamp, Dirk [Integrated Clinical Solutions and Marketing, Philips Healthcare, Veenpluis 4-6, Best 5680 DA (Netherlands)

2015-03-15

Purpose: In high dose rate brachytherapy (HDR-B), current catheter reconstruction protocols are relatively slow and error prone. The purpose of this technical note is to evaluate the accuracy and the robustness of an electromagnetic (EM) tracking system for automated and real-time catheter reconstruction. Methods: For this preclinical study, a total of ten catheters were inserted in gelatin phantoms with different trajectories. Catheters were reconstructed using a 18G biopsy needle, used as an EM stylet and equipped with a miniaturized sensor, and the second generation Aurora{sup ®} Planar Field Generator from Northern Digital Inc. The Aurora EM system provides position and orientation value with precisions of 0.7 mm and 0.2°, respectively. Phantoms were also scanned using a μCT (GE Healthcare) and Philips Big Bore clinical computed tomography (CT) system with a spatial resolution of 89 μm and 2 mm, respectively. Reconstructions using the EM stylet were compared to μCT and CT. To assess the robustness of the EM reconstruction, five catheters were reconstructed twice and compared. Results: Reconstruction time for one catheter was 10 s, leading to a total reconstruction time inferior to 3 min for a typical 17-catheter implant. When compared to the μCT, the mean EM tip identification error was 0.69 ± 0.29 mm while the CT error was 1.08 ± 0.67 mm. The mean 3D distance error was found to be 0.66 ± 0.33 mm and 1.08 ± 0.72 mm for the EM and CT, respectively. EM 3D catheter trajectories were found to be more accurate. A maximum difference of less than 0.6 mm was found between successive EM reconstructions. Conclusions: The EM reconstruction was found to be more accurate and precise than the conventional methods used for catheter reconstruction in HDR-B. This approach can be applied to any type of catheters and applicators.

Fast, automatic, and accurate catheter reconstruction in HDR brachytherapy using an electromagnetic 3D tracking system

International Nuclear Information System (INIS)

Poulin, Eric; Racine, Emmanuel; Beaulieu, Luc; Binnekamp, Dirk

2015-01-01

Purpose: In high dose rate brachytherapy (HDR-B), current catheter reconstruction protocols are relatively slow and error prone. The purpose of this technical note is to evaluate the accuracy and the robustness of an electromagnetic (EM) tracking system for automated and real-time catheter reconstruction. Methods: For this preclinical study, a total of ten catheters were inserted in gelatin phantoms with different trajectories. Catheters were reconstructed using a 18G biopsy needle, used as an EM stylet and equipped with a miniaturized sensor, and the second generation Aurora ® Planar Field Generator from Northern Digital Inc. The Aurora EM system provides position and orientation value with precisions of 0.7 mm and 0.2°, respectively. Phantoms were also scanned using a μCT (GE Healthcare) and Philips Big Bore clinical computed tomography (CT) system with a spatial resolution of 89 μm and 2 mm, respectively. Reconstructions using the EM stylet were compared to μCT and CT. To assess the robustness of the EM reconstruction, five catheters were reconstructed twice and compared. Results: Reconstruction time for one catheter was 10 s, leading to a total reconstruction time inferior to 3 min for a typical 17-catheter implant. When compared to the μCT, the mean EM tip identification error was 0.69 ± 0.29 mm while the CT error was 1.08 ± 0.67 mm. The mean 3D distance error was found to be 0.66 ± 0.33 mm and 1.08 ± 0.72 mm for the EM and CT, respectively. EM 3D catheter trajectories were found to be more accurate. A maximum difference of less than 0.6 mm was found between successive EM reconstructions. Conclusions: The EM reconstruction was found to be more accurate and precise than the conventional methods used for catheter reconstruction in HDR-B. This approach can be applied to any type of catheters and applicators

SU-F-T-29: The Important of Each Fraction Image-Guided Planning for Postoperative HDR-Brachytherapy in Endometrial Carcinoma

Energy Technology Data Exchange (ETDEWEB)

Piriyasang, D; Pattaranutaporn, P; Manokhoon, K [Ramathibodi Hospital, Rachatewi, Bangkok (Thailand)

2016-06-15

Purpose: Cylindrical applicators are often used for postoperative HDRbrachytherapy in endometrial carcinoma. It has been considered that dosimetric variation between fractions for this treatment is minimal and might not be necessary to perform treatment planning for every fractions. At our institute, it is traditional to perform treatment planning with CT simulation on the first fraction and uses this plan for the rest of treatment. This study was aim to evaluate the errors of critical structure doses between the fractions when simulation and planning were done for first fraction only. Methods: Treatment plans of 10 endometrial carcinoma patients who received postoperative HDR-brachytherapy and underwent CT-simulation for every HDR-fractions at our department were retrospectively reviewed. All of these patients were treated with cylindrical applicator and prescribed dose 15Gy in 3 fractions to 0.5cm from vaginal surface. The treatment plan from the first fraction was used to simulate in second and third CT-simulation. Radiation dose for critical structures in term of Dose-to-2cc (D2cc) were evaluated and compared between planning CT. Results: The D2cc for bladder and rectum were evaluated. For bladder, the mean error of D2cc estimation for second and third fractions was 7.6% (0.1–20.1%, SD=5.7). And the mean error for D2cc of rectum was 8.5% (0.1–29.4%, SD=8.5). Conclusion: The critical structure doses could be significant difference between fractions which may affects treatment outcomes or toxicities. From our data, image-guided brachytherapy at least with CT-Simulation should be done for every treatment fractions.

SU-G-TeP2-07: Dosimetric Characterization of a New HDR Multi-Channel Esophageal Applicator for Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Zhao, A; Gao, S; Greskovich, J; Wilkinson, D [Cleveland Clinic, Cleveland, OH (United States); Diener, T [Cleveland State University, Cleveland, OH (United States)

2016-06-15

Purpose: To characterize the dose distribution of a new multi-channel esophageal applicator for brachytherapy HDR treatment, and particularly the effect of the presence of air or water in the applicator’s expansion balloon. Methods: A new multi-channel (6) inflatable applicator for esophageal HDR has been developed in house and tested in a simple water phantom. CT image sets were obtained under several balloon expansions (80ml of air, 50 cc of water), and channel loadings and used with the Oncentra (Elekta) planning system based on TG43 formalism. 400 cGy was prescribed to a plane 1cm away from the applicator. Planar dose distributions were measured for that plane and one next to the applicator using Gafchromic EBT3 film and scanned by a Vidar VXR-12 film digitizer. Film and TPS generated dose distributions of film were sent to OmniPro I’mRT (iba DOSIMETRY) for analysis. 2D dose profiles in both X and Y directions were compared and gamma analysis performed. Results: Film dose measurement of the air-inflated applicator is lower than the TPS calculated dose by as much as 60%. Only 80.8% of the pixels passed the gamma criteria (3%/3mm). For the water-inflated applicator, the measured film dose is fairly close to the TPS calculated dose (typically within <3%). 99.84% of the pixels passed the gamma criteria (3%/3mm). Conclusion: TG43 based calculations worked well when water was used in the expansion balloon. However, when air is present in that balloon, the neglect of heterogeneity corrections in the TG43 calculation results in large differences between calculated and measured doses. This could result in severe underdosing when used in a patient. This study illustrates the need for a TPS with an advanced algorithm which can account for heterogeneity. Supported by Innovations Department, Cleveland Clinic.

SU-F-T-24: Impact of Source Position and Dose Distribution Due to Curvature of HDR Transfer Tubes

Energy Technology Data Exchange (ETDEWEB)

Khan, A; Yue, N [Rutgers University, New Brunswick, NJ (United States)

2016-06-15

Purpose: Brachytherapy is a highly targeted from of radiotherapy. While this may lead to ideal dose distributions on the treatment planning system, a small error in source location can lead to change in the dose distribution. The purpose of this study is to quantify the impact on source position error due to curvature of the transfer tubes and the impact this may have on the dose distribution. Methods: Since the source travels along the midline of the tube, an estimate of the positioning error for various angles of curvature was determined using geometric properties of the tube. Based on the range of values a specific shift was chosen to alter the treatment plans for a number of cervical cancer patients who had undergone HDR brachytherapy boost using tandem and ovoids. Impact of dose to target and organs at risk were determined and checked against guidelines outlined by radiation oncologist. Results: The estimate of the positioning error was 2mm short of the expected position (the curved tube can only cause the source to not reach as far as with a flat tube). Quantitative impact on the dose distribution is still in the process of being analyzed. Conclusion: The accepted positioning tolerance for the source position of a HDR brachytherapy unit is plus or minus 1mm. If there is an additional 2mm discrepancy due to tube curvature, this can result in a source being 1mm to 3mm short of the expected location. While we do always attempt to keep the tubes straight, in some cases such as with tandem and ovoids, the tandem connector does not extend as far out from the patient so the ovoid tubes always contain some degree of curvature. The dose impact of this may be significant.

Commissioning and quality assurance procedures for the HDR Valencia skin applicators

Directory of Open Access Journals (Sweden)

Domingo Granero

2016-11-01

Full Text Available The Valencia applicators (Nucletron, an Elekta company, Elekta AB, Stockholm, Sweden are cup-shaped tungsten applicators with a flattening filter used to collimate the radiation produced by a high-dose-rate (HDR 192 Ir source, and provide a homogeneous absorbed dose at a given depth. This beam quality provides a good option for the treatment of skin lesions at shallow depth (3-4 mm. The user must perform commissioning and periodic testing of these applicators to guarantee the proper and safe delivery of the intended absorbed dose, as recommended in the standards in radiation oncology. In this study, based on AAPM and GEC-ESTRO guidelines for brachytherapy units and our experience, a set of tests for the commissioning and periodic testing of the Valencia applicators is proposed. These include general considerations, verification of the manufacturer documentation and physical integrity, evaluation of the source-to-indexer distance and reproducibility, setting the library plan in the treatment planning system, evaluation of flatness and symmetry, absolute output and percentage depth dose verification, independent calculation of the treatment time, and visual inspection of the applicator before each treatment. For each test, the proposed methodology, equipment, frequency, expected results, and tolerance levels (when applicable are provided.

Braquiterapia endoluminal HDR no tratamento de tumores primários ou recidivas na árvore traqueobrônquica Endoluminal high dose rate brachytherapy in the treatment of primary and recurrent bronchogenic tree malignancies

Directory of Open Access Journals (Sweden)

Maria Fortunato

2009-03-01

Full Text Available Introdução: Tumores localmente avançados como forma de apresentação inicial dos tumores localizados na árvore traqueobrônquica não são um fenómeno raro. A recidiva brônquica é um acontecimento frequente na história natural de algumas neoplasias. As opções terapêuticas são múltiplas, sendo no entanto dependentes de variáveis, como a terapêutica inicial utilizada, o local da recorrência, a sintomatologia e as condições físicas do doente. Objectivos: Demonstrar as principais vantagens terapêuticas da braquiterapia endoluminal (BTE com alta taxa de dose (HDR em tumores primários e na recidiva tumoral localizada na árvore traqueobrônquica. Material e métodos: Avaliámos retrospectivamente sete doentes (dts com tumor primário do cólon, traqueia e pulmão. A recidiva traqueobrônquica (dois dts na traqueia e cinco dts no brônquio ocorreu entre Março de 2003 e Setembro de 2004, os dts foram submetidos a BT HDR como terapêutica primária ou na recidiva, em associação com RTE, laserterapia e quimioterapia (QT, com intuito paliativo/ curativo. Na BTE HDR foram utilizadas doses de 5 a 7 Gy em duas a quatro fracções, prescritas a 1 cm do eixo da fonte. O tratamento consistiu na aplicação endoluminal de Ir192, utilizando um cateter 6 French. Resultados: Verificámos o rápido alívio sintomático associado à redução da massa tumoral em seis dos sete doentes submetidos a esta técnica. Em um dos seis doentes estudados observou-se uma progressão da doença local entre a 2.ª e a 3.ª fracções de tratamento (obstrução da traqueia. Com um follow-up mediano entre a terapêutica com BT e a avaliação do presente estudo de 17 meses (2 -40, três doentes estão vivos, um sem evidência de doença e dois apresentam uma recidiva brônquica; quatro faleceram, um após hemoptise maciça e três por progressão da doença. Discussão e conclusões Os dts submetidos a BT após recidiva tumoral endobrônquica ou com tumores

A summary of the Fire Testing Program at the German HDR Test Facility

International Nuclear Information System (INIS)

Nowlen, S.P.

1995-11-01

This report provides an overview of the fire safety experiments performed under the sponsorship of the German government in the containment building of the decommissioned pilot nuclear power plant known as HDR. This structure is a highly complex, multi-compartment, multi-level building which has been used as the test bed for a wide range of nuclear power plant operation safety experiments. These experiments have included numerous fire tests. Test fire fuel sources have included gas burners, wood cribs, oil pools, nozzle release oil fires, and cable in cable trays. A wide range of ventilation conditions including full natural ventilation, full forced ventilation, and combined natural and forced ventilation have been evaluated. During most of the tests, the fire products mixed freely with the full containment volume. Macro-scale building circulation patterns which were very sensitive to such factors as ventilation configuration were observed and characterized. Testing also included the evaluation of selective area pressurization schemes as a means of smoke control for emergency access and evacuation stairwells

Monte Carlo characterization of the Gamma-Med Hdr plus Ir-192 brachytherapy source

Energy Technology Data Exchange (ETDEWEB)

Reyes, E.; Sosa, M. A.; Gil V, A. [Universidad de Guanajuato, Division de Ciencias e Ingenierias, Av. Insurgentes 2354, 37150 Leon, Guanajuato (Mexico); Monzon, E., E-mail: eric_1985@fisica.ugto.mx [IMSS, Unidad Medica de Alta Especialidad No. 1, Av. Adolfo Lopez Mateos 1813, 37340 Leon, Guanajuato (Mexico)

2015-10-15

Full text: The MCNP4C Monte Carlo code was used to simulate the dosimetry around the Gamma-Med Hdr Plus iridium-192 brachytherapy source in both air/vacuum and water environments. Dosimetry data in water was calculated and are presented into an away-along table. All dosimetric quantities recommended by the AAPM Task Group 43 report have been also calculated. These quantities are air kerma strength, dose rate constant, radial dose function and anisotropy function. The obtained data are compared to this source reference data, finding results in good agreement with them. In this study, recommendations of the AAPM TG-43U1 report have been followed and comply with the most recent AAPM and ESTRO physics committee recommendations about Monte Carlo techniques. The data in the present study complement published data and can be used as input in the Tps or as benchmark data to verify the results of the treatment planning systems as well as a means of comparison with other datasets from this source. (Author)

Monte Carlo characterization of the Gamma-Med Hdr plus Ir-192 brachytherapy source

International Nuclear Information System (INIS)

Reyes, E.; Sosa, M. A.; Gil V, A.; Monzon, E.

2015-10-01

Full text: The MCNP4C Monte Carlo code was used to simulate the dosimetry around the Gamma-Med Hdr Plus iridium-192 brachytherapy source in both air/vacuum and water environments. Dosimetry data in water was calculated and are presented into an away-along table. All dosimetric quantities recommended by the AAPM Task Group 43 report have been also calculated. These quantities are air kerma strength, dose rate constant, radial dose function and anisotropy function. The obtained data are compared to this source reference data, finding results in good agreement with them. In this study, recommendations of the AAPM TG-43U1 report have been followed and comply with the most recent AAPM and ESTRO physics committee recommendations about Monte Carlo techniques. The data in the present study complement published data and can be used as input in the Tps or as benchmark data to verify the results of the treatment planning systems as well as a means of comparison with other datasets from this source. (Author)

The IPEM code of practice for determination of the reference air kerma rate for HDR 192Ir brachytherapy sources based on the NPL air kerma standard

International Nuclear Information System (INIS)

Bidmead, A M; Sander, T; Nutbrown, R F; Locks, S M; Lee, C D; Aird, E G A; Flynn, A

2010-01-01

This paper contains the recommendations of the high dose rate (HDR) brachytherapy working party of the UK Institute of Physics and Engineering in Medicine (IPEM). The recommendations consist of a Code of Practice (COP) for the UK for measuring the reference air kerma rate (RAKR) of HDR 192 Ir brachytherapy sources. In 2004, the National Physical Laboratory (NPL) commissioned a primary standard for the realization of RAKR of HDR 192 Ir brachytherapy sources. This has meant that it is now possible to calibrate ionization chambers directly traceable to an air kerma standard using an 192 Ir source (Sander and Nutbrown 2006 NPL Report DQL-RD 004 (Teddington: NPL) http://publications.npl.co.uk). In order to use the source specification in terms of either RAKR, .K R (ICRU 1985 ICRU Report No 38 (Washington, DC: ICRU); ICRU 1997 ICRU Report No 58 (Bethesda, MD: ICRU)), or air kerma strength, S K (Nath et al 1995 Med. Phys. 22 209-34), it has been necessary to develop algorithms that can calculate the dose at any point around brachytherapy sources within the patient tissues. The AAPM TG-43 protocol (Nath et al 1995 Med. Phys. 22 209-34) and the 2004 update TG-43U1 (Rivard et al 2004 Med. Phys. 31 633-74) have been developed more fully than any other protocol and are widely used in commercial treatment planning systems. Since the TG-43 formalism uses the quantity air kerma strength, whereas this COP uses RAKR, a unit conversion from RAKR to air kerma strength was included in the appendix to this COP. It is recommended that the measured RAKR determined with a calibrated well chamber traceable to the NPL 192 Ir primary standard is used in the treatment planning system. The measurement uncertainty in the source calibration based on the system described in this COP has been reduced considerably compared to other methods based on interpolation techniques.

SW England seismic monitoring for the HDR geothermal programme in Cornwall 1989 to September 1991

International Nuclear Information System (INIS)

Walker, A.B.

1992-01-01

The potential for earthquakes to be triggered by fluid injected into boreholes has been recognised for 25 years and natural earthquakes in Cornwall have been reported for over 250 years. As a result, the Geothermal Steering Committee advising the Hot Dry Rock project recommended that background seismic monitoring be undertaken around the HDR experimental site at Rosemanowes. A network of seismographs was established for this purpose by the British Geological Survey (BGS) in late 1980 and has been operated continuously through September 1991. The primary aim of the network has been to provide an independent, continuous assessment of all vibrational transients in order to discriminate between those caused by the Hot Dry Rock experiments and those of natural origin or from other man-made sources. In this respect, the work provides an insurance against claims that extraneous seismic activity is related to those experiments. (author)

WE-DE-201-11: Sensitivity and Specificity of Verification Methods Based On Total Reference Air Kerma (TRAK) Or On User Provided Dose Points for Graphically Planned Skin HDR Brachytherapy

International Nuclear Information System (INIS)

Damato, A; Devlin, P; Bhagwat, M; Buzurovic, I; Hansen, J; O’Farrell, D; Cormack, R

2016-01-01

Purpose: To investigate the sensitivity and specificity of a novel verification methodology for image-guided skin HDR brachytherapy plans using a TRAK-based reasonableness test, compared to a typical manual verification methodology. Methods: Two methodologies were used to flag treatment plans necessitating additional review due to a potential discrepancy of 3 mm between planned dose and clinical target in the skin. Manual verification was used to calculate the discrepancy between the average dose to points positioned at time of planning representative of the prescribed depth and the expected prescription dose. Automatic verification was used to calculate the discrepancy between TRAK of the clinical plan and its expected value, which was calculated using standard plans with varying curvatures, ranging from flat to cylindrically circumferential. A plan was flagged if a discrepancy >10% was observed. Sensitivity and specificity were calculated using as a criteria for true positive that >10% of plan dwells had a distance to prescription dose >1 mm different than prescription depth (3 mm + size of applicator). All HDR image-based skin brachytherapy plans treated at our institution in 2013 were analyzed. Results: 108 surface applicator plans to treat skin of the face, scalp, limbs, feet, hands or abdomen were analyzed. Median number of catheters was 19 (range, 4 to 71) and median number of dwells was 257 (range, 20 to 1100). Sensitivity/specificity were 57%/78% for manual and 70%/89% for automatic verification. Conclusion: A check based on expected TRAK value is feasible for irregularly shaped, image-guided skin HDR brachytherapy. This test yielded higher sensitivity and specificity than a test based on the identification of representative points, and can be implemented with a dedicated calculation code or with pre-calculated lookup tables of ideally shaped, uniform surface applicators.

WE-DE-201-11: Sensitivity and Specificity of Verification Methods Based On Total Reference Air Kerma (TRAK) Or On User Provided Dose Points for Graphically Planned Skin HDR Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Damato, A; Devlin, P; Bhagwat, M; Buzurovic, I; Hansen, J; O’Farrell, D; Cormack, R [Harvard Medical School, Boston, MA (United States)

2016-06-15

Purpose: To investigate the sensitivity and specificity of a novel verification methodology for image-guided skin HDR brachytherapy plans using a TRAK-based reasonableness test, compared to a typical manual verification methodology. Methods: Two methodologies were used to flag treatment plans necessitating additional review due to a potential discrepancy of 3 mm between planned dose and clinical target in the skin. Manual verification was used to calculate the discrepancy between the average dose to points positioned at time of planning representative of the prescribed depth and the expected prescription dose. Automatic verification was used to calculate the discrepancy between TRAK of the clinical plan and its expected value, which was calculated using standard plans with varying curvatures, ranging from flat to cylindrically circumferential. A plan was flagged if a discrepancy >10% was observed. Sensitivity and specificity were calculated using as a criteria for true positive that >10% of plan dwells had a distance to prescription dose >1 mm different than prescription depth (3 mm + size of applicator). All HDR image-based skin brachytherapy plans treated at our institution in 2013 were analyzed. Results: 108 surface applicator plans to treat skin of the face, scalp, limbs, feet, hands or abdomen were analyzed. Median number of catheters was 19 (range, 4 to 71) and median number of dwells was 257 (range, 20 to 1100). Sensitivity/specificity were 57%/78% for manual and 70%/89% for automatic verification. Conclusion: A check based on expected TRAK value is feasible for irregularly shaped, image-guided skin HDR brachytherapy. This test yielded higher sensitivity and specificity than a test based on the identification of representative points, and can be implemented with a dedicated calculation code or with pre-calculated lookup tables of ideally shaped, uniform surface applicators.

SU-F-P-42: “To Navigate, Or Not to Navigate: HDR BT in Recurrent Spine Lesions”

Energy Technology Data Exchange (ETDEWEB)

Voros, L; Cohen, G; Zaider, M; Yamada, Y [Memorial Sloan-Kettering Cancer Center, New York, NY (United States)

2016-06-15

Purpose: We compare the accuracy of HDR catheter placement for paraspinal lesions using O-arm CBCT imaging combined with StealthStation navigation and traditional fluoroscopically guided catheter placement. Methods: CT and MRI scans were acquired pre-treatment to outline the lesions and design treatment plans (pre-plans) to meet dosimetric constrains. The pre-planned catheter trajectories were transferred into the StealthStation Navigation system prior to the surgery. The StealthStation is an infra red (IR) optical navigation system used for guidance of surgical instruments. An intraoperative CBCT scan (O-arm) was acquired with reference IR optical fiducials anchored onto the patient and registered with the preplan image study to guide surgical instruments in relation to the patients’ anatomy and to place the brachytherapy catheters along the pre-planned trajectories. The final treatment plan was generated based on a 2nd intraoperative CBCT scan reflecting achieved implant geometry. The 2nd CBCT was later registered with the initial CT scan to compare the preplanned dwell positions with actual dwell positions (catheter placements). Similar workflow was used in placement of 8 catheters (1 patient) without navigation, but under fluoroscopy guidance in an interventional radiology suite. Results: A total of 18 catheters (3 patients) were placed using navigation assisted surgery. Average displacement of 0.66 cm (STD=0.37cm) was observed between the pre-plan source positions and actual source positions in the 3 dimensional space. This translates into an average 0.38 cm positioning error in one direction including registration errors, digitization errors, and the surgeons ability to follow the planned trajectory. In comparison, average displacement of non-navigated catheters was 0.50 cm (STD=0.22cm). Conclusion: Spinal lesion HDR brachytherapy planning is a difficult task. Catheter placement has a direct impact on target coverage and dose to critical structures. While

Dosimetric evaluation of PLATO and Oncentra treatment planning systems for High Dose Rate (HDR) brachytherapy gynecological treatments

Energy Technology Data Exchange (ETDEWEB)

Singh, Hardev; De La Fuente Herman, Tania; Showalter, Barry; Thompson, Spencer J.; Syzek, Elizabeth J.; Herman, Terence; Ahmad, Salahuddin [Department of Radiation Oncology, Peggy and Charles Stephenson Oklahoma Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104 (United States)

2012-10-23

This study compares the dosimetric differences in HDR brachytherapy treatment plans calculated with Nucletron's PLATO and Oncentra MasterPlan treatment planning systems (TPS). Ten patients (1 T1b, 1 T2a, 6 T2b, 2 T4) having cervical carcinoma, median age of 43.5 years (range, 34-79 years) treated with tandem and ring applicator in our institution were selected retrospectively for this study. For both Plato and Oncentra TPS, the same orthogonal films anterior-posterior (AP) and lateral were used to manually draw the prescription and anatomical points using definitions from the Manchester system and recommendations from the ICRU report 38. Data input for PLATO was done using a digitizer and Epson Expression 10000XL scanner was used for Oncentra where the points were selected on the images in the screen. The prescription doses for these patients were 30 Gy to points right A (RA) and left A (LA) delivered in 5 fractions with Ir-192 HDR source. Two arrangements: one dwell position and two dwell positions on the tandem were used for dose calculation. The doses to the patient points right B (RB) and left B (LB), and to the organs at risk (OAR), bladder and rectum for each patient were calculated. The mean dose and the mean percentage difference in dose calculated by the two treatment planning systems were compared. Paired t-tests were used for statistical analysis. No significant differences in mean RB, LB, bladder and rectum doses were found with p-values > 0.14. The mean percent difference of doses in RB, LB, bladder and rectum are found to be less than 2.2%, 1.8%, 1.3% and 2.2%, respectively. Dose calculations based on the two different treatment planning systems were found to be consistent and the treatment plans can be made with either system in our department without any concern.

Radical surgical resection and high-dose intraoperative radiation therapy (HDR-IORT) in patients with recurrent gynecologic cancers

International Nuclear Information System (INIS)

Gemignani, Mary L.; Alektiar, Kaled M.; Leitao, Mario; Mychalczak, Boris; Chi, Dennis; Venkatraman, Ennapadam; Barakat, Richard R.; Curtin, John P.

2001-01-01

Objective: To determine the outcome for patients with recurrent gynecologic tumors treated with radical resection and combined high-dose intraoperative radiation therapy (HDR-IORT). Methods and Materials: Between November 1993 and June 1998, 17 patients with recurrent gynecologic malignancies underwent radical surgical resection and high-dose-rate brachytherapy. The mean age of the study group was 49 years (range 28-72 years). The site of the primary tumor was the cervix in 9 (53%) patients, the uterus in 7 (41%) patients, and the vagina in 1 (6%) patient. The treatment for the primary disease was surgery with or without adjuvant radiation in 14 (82%) patients and definitive radiation in 3 (18%) patients. The current surgery consisted of exenterative surgery in 10 (59%) patients and tumor resection in 7 (41%) patients. Complete gross resection was achieved in 13 (76%) patients. The mean HDR-IORT dose was 14 Gy (range 12-15). Additional radiation in the form of permanent Iodine-125 implant was given to 3 of 4 patients with gross residual disease. The median peripheral dose was 140 Gy. Results: With a median follow-up of 20 months (range 3-65 months), the 3-year actuarial local control (LC) rate was 67%. In patients with complete gross resection, the 3-year LC rate was 83%, compared to 25% in patients with gross residual disease, p<0.01. The 3-year distant metastasis disease-free and overall survival rates were 54% and 54%, respectively. The complications were as follows: gastrointestinal obstruction, 4 (24%); wound complications, 4 (24%); abscesses, 3 (18%); peripheral neuropathy, 3 (18%); rectovaginal fistula, 2 (12%); and ureteral obstruction, 2 (12%). Conclusion: Radical surgical resection and combined IORT for patients with recurrent gynecologic tumors seems to provide a reasonable local-control rate in patients who have failed prior surgery and/or definitive radiation. Patient selection is very important, however, as only those patients with complete gross

Characterization of subsurface structure at Soultz HDR field by the triaxial drill-bit VSP; Sanjiku drill bit VSP ho ni yoru Soultz HDR field no chika kozo suitei

Energy Technology Data Exchange (ETDEWEB)

Asanuma, H; Niitsuma, H; Liu, H [Tohoku University, Sendai (Japan); Baria, R

1997-10-22

Triaxial drill-bit VSP (vertical seismic profiling) method is applied to the Soultz HDR (hot dry rock) field, France, where an artificial reservoir is provided inside the bedrock, and the structure inside the rockbed is estimated. An elastic wave detector is installed in the rockbed in this field, and data are acquired having frequency components up to approximately 1kHz. The trajectory of particles due to excavation noise is analyzed, and it is found that the drill-bit is the primary source of noise during excavation and that the SV-wave dominates in the emitted noise. Estimating the subsurface structure aided by the principle of the triaxial drill-bit VSP method, the lower part is detected of the artificial reservoir formed by hydraulic fracturing. As is reported in this paper, when the principle of the subject VSP method is considered, it has to be said that it is quite difficult to employ this method to extensively estimate the subsurface structure on the basis of measurements of the inside of the rockbed. There is a plan for a future study of a technique for accurately and extensively estimating subsurface structures by use of a small number of sensors. 8 refs., 7 figs.

Air-kerma evaluation at the maze entrance of HDR brachytherapy facilities

International Nuclear Information System (INIS)

Pujades, M C; Granero, D; Vijande, J; Ballester, F; Perez-Calatayud, J; Papagiannis, P; Siebert, F A

2014-01-01

In the absence of procedures for evaluating the design of brachytherapy (BT) facilities for radiation protection purposes, the methodology used for external beam radiotherapy facilities is often adapted. The purpose of this study is to adapt the NCRP 151 methodology for estimating the air-kerma rate at the door in BT facilities. Such methodology was checked against Monte Carlo (MC) techniques using the code Geant4. Five different facility designs were studied for 192 Ir and 60 Co HDR applications to account for several different bunker layouts. For the estimation of the lead thickness needed at the door, the use of transmission data for the real spectra at the door instead of the ones emitted by 192 Ir and 60 Co will reduce the lead thickness by a factor of five for 192 Ir and ten for 60 Co. This will significantly lighten the door and hence simplify construction and operating requirements for all bunkers. The adaptation proposed in this study to estimate the air-kerma rate at the door depends on the complexity of the maze: it provides good results for bunkers with a maze (i.e. similar to those used for linacs for which the NCRP 151 methodology was developed) but fails for less conventional designs. For those facilities, a specific Monte Carlo study is in order for reasons of safety and cost-effectiveness. (paper)

Air-kerma evaluation at the maze entrance of HDR brachytherapy facilities.

Science.gov (United States)

Pujades, M C; Granero, D; Vijande, J; Ballester, F; Perez-Calatayud, J; Papagiannis, P; Siebert, F A

2014-12-01

In the absence of procedures for evaluating the design of brachytherapy (BT) facilities for radiation protection purposes, the methodology used for external beam radiotherapy facilities is often adapted. The purpose of this study is to adapt the NCRP 151 methodology for estimating the air-kerma rate at the door in BT facilities. Such methodology was checked against Monte Carlo (MC) techniques using the code Geant4. Five different facility designs were studied for (192)Ir and (60)Co HDR applications to account for several different bunker layouts.For the estimation of the lead thickness needed at the door, the use of transmission data for the real spectra at the door instead of the ones emitted by (192)Ir and (60)Co will reduce the lead thickness by a factor of five for (192)Ir and ten for (60)Co. This will significantly lighten the door and hence simplify construction and operating requirements for all bunkers.The adaptation proposed in this study to estimate the air-kerma rate at the door depends on the complexity of the maze: it provides good results for bunkers with a maze (i.e. similar to those used for linacs for which the NCRP 151 methodology was developed) but fails for less conventional designs. For those facilities, a specific Monte Carlo study is in order for reasons of safety and cost-effectiveness.

SU-E-T-507: Interfractional Variation of Fiducial Marker Position During HDR Brachytherapy with Cervical Interstitial Needle Template

Energy Technology Data Exchange (ETDEWEB)

Shen, S; Kim, R; Benhabib, S; Araujo, J; Burnett, L; Duan, J; Popple, R; Wu, X; Cardan, R; Brezovich, I [UniversityAlabama Birmingham, Birmingham, AL (United Kingdom)

2014-06-01

Purpose: HDR brachytherapy using interstitial needle template for cervical cancer is commonly delivered in 4-5 fractions. Routine verification of needle positions before each fraction is often based on radiographic imaging of implanted fiducial markers. The current study evaluated interfractional displacement of implanted fiducial markers using CT images. Methods: 9 sequential patients with cervical interstitial needle implants were evaluated. The superior and inferior borders of the target volumes were defined by fiducial markers in planning CT. The implant position was verified with kV orthogonal images before each fraction. A second CT was acquired prior 3rd fraction (one or 2 days post planning CT). Distances from inferior and superior fiducial markers to pubic symphysis plane (perpendicular to vaginal obtulator)were measured. Distance from needle tip of a reference needle (next to the inferior marker) to the pubic symphysis plane was also determined. The difference in fiducial marker distance or needle tip distance between planning CT and CT prior 3rd fraction were measured to assess markers migration and needle displacement. Results: The mean inferior marker displacement was 4.5 mm and ranged 0.9 to 11.3 mm. The mean superior marker displacement was 2.7 mm and ranged 0 to 10.4 mm. There was a good association between inferior and superior marker displacement (r=0.95). Mean averaged inferior and superior marker displacement was 3.3 mm and ranged from 0.1 to 10.9 mm, with a standard deviation of 3.2 mm. The mean needle displacement was 5.6 mm and ranged 0.2 to 15.6 mm. Needle displacements were reduced (p<0.05) after adjusting according to needle-to-fiducials distance. Conclusion: There were small fiducial marker displacements between HDR fractions. Our study suggests a target margin of 9.7 mm to cover interfractional marker displacements (in 95% cases) for pretreatment verification based on radiographic imaging.

TU-AB-201-05: Automatic Adaptive Per-Operative Re-Planning for HDR Prostate Brachytherapy - a Simulation Study On Errors in Needle Positioning

International Nuclear Information System (INIS)

Borot de Battisti, M; Maenhout, M; Lagendijk, J J W; Van Vulpen, M; Moerland, M A; Senneville, B Denis de; Hautvast, G; Binnekamp, D

2015-01-01

Purpose: To develop adaptive planning with feedback for MRI-guided focal HDR prostate brachytherapy with a single divergent needle robotic implant device. After each needle insertion, the dwell positions for that needle are calculated and the positioning of remaining needles and dosimetry are both updated based on MR imaging. Methods: Errors in needle positioning may occur due to inaccurate needle insertion (caused by e.g. the needle’s bending) and unpredictable changes in patient anatomy. Consequently, the dose plan quality might dramatically decrease compared to the preplan. In this study, a procedure was developed to re-optimize, after each needle insertion, the remaining needle angulations, source positions and dwell times in order to obtain an optimal coverage (D95% PTV>19 Gy) without exceeding the constraints of the organs at risk (OAR) (D10% urethra<21 Gy, D1cc bladder<12 Gy and D1cc rectum<12 Gy). Complete HDR procedures with 6 needle insertions were simulated for a patient MR-image set with PTV, prostate, urethra, bladder and rectum delineated. Random angulation errors, modeled by a Gaussian distribution (standard deviation of 3 mm at the needle’s tip), were generated for each needle insertion. We compared the final dose parameters for the situations (I) without re-optimization and (II) with the automatic feedback. Results: The computation time of replanning was below 100 seconds on a current desk computer. For the patient tested, a clinically acceptable dose plan was achieved while applying the automatic feedback (median(range) in Gy, D95% PTV: 19.9(19.3–20.3), D10% urethra: 13.4(11.9–18.0), D1cc rectum: 11.0(10.7–11.6), D1cc bladder: 4.9(3.6–6.8)). This was not the case without re-optimization (median(range) in Gy, D95% PTV: 19.4(14.9–21.3), D10% urethra: 12.6(11.0–15.7), D1cc rectum: 10.9(8.9–14.1), D1cc bladder: 4.8(4.4–5.2)). Conclusion: An automatic guidance strategy for HDR prostate brachytherapy was developed to compensate

Adaptive error detection for HDR/PDR brachytherapy: Guidance for decision making during real-time in vivo point dosimetry

DEFF Research Database (Denmark)

Kertzscher Schwencke, Gustavo Adolfo Vladimir; Andersen, Claus E.; Tanderup, Kari

2014-01-01

Purpose:This study presents an adaptive error detection algorithm (AEDA) for real-timein vivo point dosimetry during high dose rate (HDR) or pulsed dose rate (PDR) brachytherapy (BT) where the error identification, in contrast to existing approaches, does not depend on an a priori reconstruction ......, and the AEDA’s capacity to distinguish between true and false error scenarios. The study further shows that the AEDA can offer guidance in decision making in the event of potential errors detected with real-time in vivo point dosimetry....... of the dosimeter position reconstruction. Given its nearly exclusive dependence on stable dosimeter positioning, the AEDA allows for a substantially simplified and time efficient real-time in vivo BT dosimetry implementation. Methods:In the event of a measured potential treatment error, the AEDA proposes the most...

External beam and HDR intracavitary irradiation: an effective tool in the primary treatment of cervical cancer - excellent 10 year results and low side effects

International Nuclear Information System (INIS)

Hammer, J.; Zoidl, J.P.; Track, C.; Seewald, D.H.; Labeck, W.

1996-01-01

Introduction: The purpose of this paper is to present our 15 years experience in the primary treatment of cervical cancer with a combination of external beam irradiation and high dose rate brachytherapy. Survival data will be presented and the safe use of intrauterine HDR applications will be demonstrated. Material and Methods: From August 1980 to December 1990, 303 patients with cancer of the uterine cervix underwent primary irradiation in a combination of external beam and HDR intracavitary treatment at the Department of Radiation Oncology at the Sisters of Mercy Hospital in Linz, Austria. All patients were classified according to the FIGO rules: Stage I 54 patients, stage II 171, stage III 75 and stage IV 3 patients. 8 patients were lost to follow up. The mean follow up time of survivors is 110 months. Results and Discussion: A complete remission could be achieved in 282 patients, which is 93%; persistent tumour was found in 21 patients at the first follow up check 3 to 5 months after completion of irradiation. The actuarial overall survival probability for all patients at 5 and 10 years is 62 % and 42 % respectively, the disease specific survival probability is 68 % and 64 %. The local control rate at 5 and 10 years is 73 % and 72 % respectively. According to stage, disease specific survival lies at 90 % for stage I, 69 % for stage II, and 48 % for stage III and IV at 5 years, and at 10 years 87 %, 66 % and 41 % respectively. The actuarial local control probability for stages I, II, and III/IV is 90 %, 74 %, and 60 % respectively at 5 yr, and 88 %, 74 %, and 56 % at 10 yr. (Kaplan-Meier calculations). From all 303 patients 34 suffered from 40 severe and moderate side effects (glossary of Chassagne and Sismondi). The rate for grade II complications is 10 % and for grade III 3 %. Conclusion: Intrauterine HDR brachycurietherapy in addition to external beam irradiation for primary treatment of invasive carcinoma of the uterine cervix provides the same treatment

Transillumination and HDR Imaging for Proximal Caries Detection.

Science.gov (United States)

Lederer, A; Kunzelmann, K H; Hickel, R; Litzenburger, F

2018-02-01

The purpose was to develop an in vitro model for the validation of near-infrared transillumination (NIRT) for proximal caries detection, to enhance NIRT with high-dynamic-range imaging (HDRI), and to compare both methods, using micro-computed tomography (µCT) as a reference standard. Both proximal surfaces of 53 healthy or decayed permanent human teeth were examined using the Diagnocam (DC) (KaVo) and NIRT with HDRI (NIRT-HDRI). NIRT was combined with HDRI to improve the diagnostic performance by reducing under- and overexposed image areas. For NIRT-HDRI, an exposure series was captured and merged into a single HDR image. A classification was applied according to lesion depth. All surfaces were assessed twice by 2 trained examiners, and additionally with µCT for validation. The Kappa statistic was used to calculate inter-rater reliability and agreement between DC and NIRT-HDRI. Inter-rater reliability (weighted Kappa, wκ) showed very good agreement for the DC (0.90) and NIRT-HDRI (0.96). The overall agreement (wκ) was almost perfect (0.85). In the individual categories (0 to 4), the agreement (simple Kappa) ranged from almost perfect (category 4) to moderate (1 and 2) to substantial (categories 0 and 3). Sensitivity and specificity of sound surfaces, enamel, and dentin caries ranged from 0.57 to 0.99 and were similar for both methods in the different categories. NIRT-HDRI had a higher sensitivity for sound surfaces and enamel caries, as well as a higher specificity for dentin caries. Regarding the obtained images, HDRI allowed for the detection of caries within a greater range of luminance levels, resulting in a more detailed visualization of structures without under- or overexposure. However, HDRI this did not improve the diagnostics significantly. Distinguishing between a processed demineralized enamel and dentin lesions appears to be a problem specific to NIRT and cannot be balanced using HDRI.

WE-G-BRC-02: Risk Assessment for HDR Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Mayadev, J. [UC Davis Comprehensive Cancer Center (United States)

2016-06-15

Failure Mode and Effects Analysis (FMEA) originated as an industrial engineering technique used for risk management and safety improvement of complex processes. In the context of radiotherapy, the AAPM Task Group 100 advocates FMEA as the framework of choice for establishing clinical quality management protocols. However, there is concern that widespread adoption of FMEA in radiation oncology will be hampered by the perception that implementation of the tool will have a steep learning curve, be extremely time consuming and labor intensive, and require additional resources. To overcome these preconceptions and facilitate the introduction of the tool into clinical practice, the medical physics community must be educated in the use of this tool and the ease in which it can be implemented. Organizations with experience in FMEA should share their knowledge with others in order to increase the implementation, effectiveness and productivity of the tool. This session will include a brief, general introduction to FMEA followed by a focus on practical aspects of implementing FMEA for specific clinical procedures including HDR brachytherapy, physics plan review and radiosurgery. A description of common equipment and devices used in these procedures and how to characterize new devices for safe use in patient treatments will be presented. This will be followed by a discussion of how to customize FMEA techniques and templates to one’s own clinic. Finally, cases of common failure modes for specific procedures (described previously) will be shown and recommended intervention methodologies and outcomes reviewed. Learning Objectives: Understand the general concept of failure mode and effect analysis Learn how to characterize new equipment for safety Be able to identify potential failure modes for specific procedures and learn mitigation techniques Be able to customize FMEA examples and templates for use in any clinic.

WE-G-BRC-02: Risk Assessment for HDR Brachytherapy

International Nuclear Information System (INIS)

Mayadev, J.

2016-01-01

Failure Mode and Effects Analysis (FMEA) originated as an industrial engineering technique used for risk management and safety improvement of complex processes. In the context of radiotherapy, the AAPM Task Group 100 advocates FMEA as the framework of choice for establishing clinical quality management protocols. However, there is concern that widespread adoption of FMEA in radiation oncology will be hampered by the perception that implementation of the tool will have a steep learning curve, be extremely time consuming and labor intensive, and require additional resources. To overcome these preconceptions and facilitate the introduction of the tool into clinical practice, the medical physics community must be educated in the use of this tool and the ease in which it can be implemented. Organizations with experience in FMEA should share their knowledge with others in order to increase the implementation, effectiveness and productivity of the tool. This session will include a brief, general introduction to FMEA followed by a focus on practical aspects of implementing FMEA for specific clinical procedures including HDR brachytherapy, physics plan review and radiosurgery. A description of common equipment and devices used in these procedures and how to characterize new devices for safe use in patient treatments will be presented. This will be followed by a discussion of how to customize FMEA techniques and templates to one’s own clinic. Finally, cases of common failure modes for specific procedures (described previously) will be shown and recommended intervention methodologies and outcomes reviewed. Learning Objectives: Understand the general concept of failure mode and effect analysis Learn how to characterize new equipment for safety Be able to identify potential failure modes for specific procedures and learn mitigation techniques Be able to customize FMEA examples and templates for use in any clinic

External beam and HDR intracavitary irradiation: an effective tool in the primary treatment of cancer of the uterine cervix - excellent 10 year results and low side effects

International Nuclear Information System (INIS)

Hammer, Josef; Zoidl, Johann P.; Track, Christine; Seewald, Dietmar H.; Labeck, Werner

1996-01-01

Purpose/Objective: The purpose of this paper is to present our 15 years experience in the primary treatment of cervical cancer with a combination of external beam irradiation and high dose rate brachytherapy. Survival data will be presented and the safe use of intrauterine HDR applications will be demonstrated. Material and Methods: From August 1980 to December 1990, 303 patients with cancer of the uterine cervix underwent primary irradiation in a combination of external beam and HDR intracavitary treatment at the Department of Radiation Oncology at the Sisters of Mercy Hospital in Linz, Austria. All patients were classified according to the FIGO rules: Stage I 54 patients, stage II 171, stage III 75 and stage IV 3 patients. 8 patients were lost to follow up. The mean follow up time of survivors is 110 months. Results: A complete remission could be achieved in 282 patients (93%); persistent tumour was found in 21 patients at the first follow up check 3 to 5 months after completion of irradiation. The actuarial overall survival probability for all patients at 5 and 10 years is 62 % and 49 % respectively, the disease specific survival probability is 68 % and 64 %. The local control rate at 5 and 10 years is 73 % and 72 % respectively. According to stage, disease specific survival lies at 90 % for stage I, 69 % for stage II, and 49 % for stage III and IV at 5 years, and at 10 years 87 %, 66 % and 41 % respectively. The actuarial local control probability for stages I, II, and III/IV is 90 %, 74 %, and 60 % respectively at 5 years, and 88 %, 74 %, and 57 % at 10 years (Kaplan-Meier calculations). From all 303 patients 34 suffered from 40 severe and moderate side effects (glossary of Chassagne and Sismondi). The rate for grade II complications is 10 % and for grade III 3 %. Conclusion: Intrauterine HDR brachycurietherapy in addition to external beam irradiation for primary treatment of invasive carcinoma of the uterine cervix provides the same treatment results as LDR

Validating Fricke dosimetry for the measurement of absorbed dose to water for HDR 192Ir brachytherapy: a comparison between primary standards of the LCR, Brazil, and the NRC, Canada

Science.gov (United States)

Salata, Camila; Gazineu David, Mariano; de Almeida, Carlos Eduardo; El Gamal, Islam; Cojocaru, Claudiu; Mainegra-Hing, Ernesto; McEwen, Malcom

2018-04-01

Two Fricke-based absorbed dose to water standards for HDR Ir-192 dosimetry, developed independently by the LCR in Brazil and the NRC in Canada have been compared. The agreement in the determination of the dose rate from a HDR Ir-192 source at 1 cm in a water phantom was found to be within the k  =  1 combined measurement uncertainties of the two standards: D NRC/D LCR  =  1.011, standard uncertainty  =  2.2%. The dose-based standards also agreed within the uncertainties with the manufacturer’s stated dose rate value, which is traceable to a national standard of air kerma. A number of possible influence quantities were investigated, including the specific method for producing the ferrous-sulphate Fricke solution, the geometry of the holder, and the Monte Carlo code used to determine correction factors. The comparison highlighted the lack of data on the determination of G(Fe3+) in this energy range and the possibilities for further development of the holders used to contain the Fricke solution. The comparison also confirmed the suitability of Fricke dosimetry for Ir-192 primary standard dose rate determinations at therapy dose levels.

Reactor theory and power reactors. 1. Calculational methods for reactors. 2. Reactor kinetics

International Nuclear Information System (INIS)

Henry, A.F.

1980-01-01

Various methods for calculation of neutron flux in power reactors are discussed. Some mathematical models used to describe transients in nuclear reactors and techniques for the reactor kinetics' relevant equations solution are also presented

Response of HDR-VKL piping system to seismic test excitations: Comparison of analytical predictions and test measurements

International Nuclear Information System (INIS)

Srinivasan, M.G.; Kot, C.A.; Hsieh, B.J.

1989-01-01

As part of the earthquake investigations at the HDR (Heissdampfreaktor) Test Facility in Kahl/Main, FRG, simulated seismic tests (SHAM) were performed during April--May 1988 on the VKL (Versuchskreislauf) piping system. The purpose of these experiments was to study the behavior of piping subjected to a range of seismic excitation levels including those that exceed design levels manifold and that might induce failure of pipe supports or plasticity in the pipe runs, and to establish seismic margins for piping and pipe supports. Data obtained in the tests are also used to validate analysis methods. Detailed reports on the SHAM experiments are given elsewhere. The objective of this document is to evaluate a subsystem analysis module of the SMACS code. This module is a linear finite-element based program capable of calculating the response of nuclear power plant subsystems subjected to independent multiple-acceleration input excitation. The evaluation is based on a comparison of computational results of simulation of SHAM tests with corresponding test measurements

Reactor core in FBR type reactor

International Nuclear Information System (INIS)

Masumi, Ryoji; Kawashima, Katsuyuki; Kurihara, Kunitoshi.

1989-01-01

In a reactor core in FBR type reactors, a portion of homogenous fuels constituting the homogenous reactor core is replaced with multi-region fuels in which the enrichment degree of fissile materials is lower nearer to the axial center. This enables to condition the composition such that a reactor core having neutron flux distribution either of a homogenous reactor core or a heterogenous reactor core has substantially identical reactivity. Accordingly, in the transfer from the homogenous reactor core to the axially heterogenous reactor core, the average reactivity in the reactor core is substantially equal in each of the cycles. Further, by replacing a portion of the homogenous fuels with a multi-region fuels, thereby increasing the heat generation near the axial center, it is possiable to reduce the linear power output in the regions above and below thereof and, in addition, to improve the thermal margin in the reactor core. (T.M.)

Implant strategies for endocervical and interstitial ultrasound hyperthermia adjunct to HDR brachytherapy for the treatment of cervical cancer

International Nuclear Information System (INIS)

Wootton, Jeffery H; Prakash, Punit; Hsu, I-Chow Joe; Diederich, Chris J

2011-01-01

Catheter-based ultrasound devices provide a method to deliver 3D conformable heating integrated with HDR brachytherapy delivery. Theoretical characterization of heating patterns was performed to identify implant strategies for these devices which can best be used to apply hyperthermia to cervical cancer. A constrained optimization-based hyperthermia treatment planning platform was used for the analysis. The proportion of tissue ≥41 deg. C in a hyperthermia treatment volume was maximized with constraints T max ≤ 47 deg. C, T rectum ≤ 41.5 deg. C, and T bladder ≤ 42.5 deg. C. Hyperthermia treatment was modeled for generalized implant configurations and complex configurations from a database of patients (n = 14) treated with HDR brachytherapy. Various combinations of endocervical (360 0 or 2 x 180 0 output; 6 mm OD) and interstitial (180 0 , 270 0 , or 360 0 output; 2.4 mm OD) applicators within catheter locations from brachytherapy implants were modeled, with perfusion constant (1 or 3 kg m -3 s -1 ) or varying with location or temperature. Device positioning, sectoring, active length and aiming were empirically optimized to maximize thermal coverage. Conformable heating of appreciable volumes (>200 cm 3 ) is possible using multiple sectored interstitial and endocervical ultrasound devices. The endocervical device can heat >41 deg. C to 4.6 cm diameter compared to 3.6 cm for the interstitial. Sectored applicators afford tight control of heating that is robust to perfusion changes in most regularly spaced configurations. T 90 in example patient cases was 40.5-42.7 deg. C (1.9-39.6 EM 43deg.C ) at 1 kg m -3 s -1 with 10/14 patients ≥41 deg. C. Guidelines are presented for positioning of implant catheters during the initial surgery, selection of ultrasound applicator configurations, and tailored power schemes for achieving T 90 ≥ 41 deg. C in clinically practical implant configurations. Catheter-based ultrasound devices, when adhering to the guidelines, show

Radical radiotherapy treatment (EBRT + HDR-ICRT of carcinoma of the uterine cervix: Outcome in patients treated at a rural center in India

Directory of Open Access Journals (Sweden)

Jain Vandana

2007-01-01

Full Text Available Aim: To report the outcome of carcinoma of the uterine cervix patients treated radically by external beam radiotherapy (EBRT and high-dose-rate (HDR intracavitary radiotherapy (ICRT. Materials and Methods: Between January 1997 to December 2001, a total of 550 newly diagnosed cases of carcinoma of the uterine cervix were reported in the department. All cases were staged according to the International Federation of Gynecologists and Oncologists (FIGO staging system, but for analytical convenience, the staging was limited to stages I, II, III, and IV. Out of the 550 cases, 214 completed radical radiotherapy (EBRT + HDR-ICRT and were retrospectively analyzed for presence of local residual disease, local recurrence, distant metastases, radiation reactions, and disease-free survival. Results: There were 7 (3.27%, 88 (41.1%, 101 (47.1%, and 18 (8.4% patients in stage I, II, III, and IV, respectively. The median follow-up time for all patients was 43 months (range: 3-93 months and for patients who were disease free till the last follow-up it was 59 months (range: 24-93 months. The overall treatment time (OTT ranged from 52 to 73 days (median 61 days. The 5-year disease-free mean survival rate was 58%, 44%, 33%, and 15%, with 95% confidence interval of 48 to 68, 37 to 51, 24 to 35, and 6 to 24 for stages I, II, III, and IV, respectively. There were 62 (28.97% cases with local residual disease, 35 (16.3% developed local recurrence/distant metastases, 17 (7.9% developed distant metastases, and 9 (4.2% had local recurrence as well. Discussion and Conclusion: The overall outcome was poor in advanced stage disease, but might be improved by increasing the total dose, decreasing overall duration of treatment, and by adding chemotherapy in patients with disease limited to the pelvis.

SU-E-T-615: Investigation of the Dosimetric Impact of Tandem Loading in the Treatment of Cervical Cancer for HDR Brachytherapy Procedures

Energy Technology Data Exchange (ETDEWEB)

Esquivel, C; Patton, L; Nelson, K; Lin, B [Cancer Care Centers of South Texas, San Antonio, TX (United States)

2014-06-01

Purpose: To quantify the dosimetric impact of the tandem loading in the treatment of cervical cancer for HDR brachytherapy procedures. Methods: Ten patients were evaluated, each of whom received 5 fractions of treatment. Tandem and ovoid sets were inserted into the uterine cavity based on institutional protocols and procedures. Following insertion and stabilization, CT image sets of 1.5mm slice thickness were acquired and sent to the Oncentra V4.3 Treatment Planning System. Critical structures such as the CTV, bladder, rectum, sigmoid, and bowel were contoured and a fractional dose of 5.5Gy was prescribed to Point A for each patient. Six different treatment plans were created for each fraction using varying tandem weightings; from 0.5 to 1.4 times that of the ovoids. Surface dose evaluation of various ovoid diameters, 2.0-3.5cm, at the vaginal fornices was also investigated. Results: Critical structures were evaluated based on varying dose and volume constraints, in particular the 2.0 cc volume recommendation cited by the gynecological GEC-ESTRO working group. Based on dose volume histogram evaluation, a reduction of dose to the critical structures was most often discovered when the tandem weighting was increased. CTV coverage showed little change as the tandem weighting was varied. Ovoid surface dose decreased by 50-65% as the tandem weighting increased. Conclusion: The advantage of 3D planning with HDR brachytherapy is the dose optimization for each individual treatment plan. This investigation shows that by utilizing large tandem weightings, 1.4 times greater than the ovoid, one can still achieve adequate coverage of the CTV and relatively low doses to the critical structures. In some cases, one would still have to optimize further per individual case. In addition, the ovoid surface dose was greatly decreased when large tandem weighting was utilized; especially for small ovoid diameters.

SU-E-T-615: Investigation of the Dosimetric Impact of Tandem Loading in the Treatment of Cervical Cancer for HDR Brachytherapy Procedures

International Nuclear Information System (INIS)

Esquivel, C; Patton, L; Nelson, K; Lin, B

2014-01-01

Purpose: To quantify the dosimetric impact of the tandem loading in the treatment of cervical cancer for HDR brachytherapy procedures. Methods: Ten patients were evaluated, each of whom received 5 fractions of treatment. Tandem and ovoid sets were inserted into the uterine cavity based on institutional protocols and procedures. Following insertion and stabilization, CT image sets of 1.5mm slice thickness were acquired and sent to the Oncentra V4.3 Treatment Planning System. Critical structures such as the CTV, bladder, rectum, sigmoid, and bowel were contoured and a fractional dose of 5.5Gy was prescribed to Point A for each patient. Six different treatment plans were created for each fraction using varying tandem weightings; from 0.5 to 1.4 times that of the ovoids. Surface dose evaluation of various ovoid diameters, 2.0-3.5cm, at the vaginal fornices was also investigated. Results: Critical structures were evaluated based on varying dose and volume constraints, in particular the 2.0 cc volume recommendation cited by the gynecological GEC-ESTRO working group. Based on dose volume histogram evaluation, a reduction of dose to the critical structures was most often discovered when the tandem weighting was increased. CTV coverage showed little change as the tandem weighting was varied. Ovoid surface dose decreased by 50-65% as the tandem weighting increased. Conclusion: The advantage of 3D planning with HDR brachytherapy is the dose optimization for each individual treatment plan. This investigation shows that by utilizing large tandem weightings, 1.4 times greater than the ovoid, one can still achieve adequate coverage of the CTV and relatively low doses to the critical structures. In some cases, one would still have to optimize further per individual case. In addition, the ovoid surface dose was greatly decreased when large tandem weighting was utilized; especially for small ovoid diameters

SU-E-P-38: Comparison of Capri Applicator HDR Planning Methods to Meet the NCCN Uterine Neoplasm 2.2015 Guidelines

Energy Technology Data Exchange (ETDEWEB)

Klash, S; Steinman, J [Radphys Oncology Services, LLC, Knoxville, TN (United States); Stanley, T [CCS Oncology Center, Kenmore, NY (United States); Kim, D; Yi, S [CCS Oncology, Williamsville, NY (United States); Yap, J [CCS Oncology, Williamsville, New York (United States)

2015-06-15

Purpose: To establish a systematic planning approach for Capri intravaginal multichannel balloon applicators that meet updated Version 2.2015 NCCN guidelines for uterine neoplasms, which dictate delivery of 400 to 600 cGy in 2 to 3 fractions prescribed to the vaginal mucosa for HDR combined with EBRT as well as a regimen of 600 cGy x 5 (to the vaginal mucosa) for HDR brachytherapy alone. Methods: Studies have shown three different channel configurations of the Capri applicator are optimal for dosimetric conformity: central channel combined with the six inner ring channels (R12), all inner and outer ring channels (R23), or all thirteen channels (R123). To minimize the dose to the vaginal mucosa, a traditional 0.5cm expansion contour from the Capri surface was created. Optimization limits were set to push 600 cGy to 100% of the Capri volume, while simultaneously restricting dose to the expansion contour. Results: Plans were created using all three configurations (R12, R23, R123) and evaluated to determine which was best for delivering 600 cGy to the vaginal mucosa. Our criteria was: Capri V100 > 98%, Vaginal Mucosa Dmax < 125%, Bladder Dmax < 100%, Rectum Dmax < 100%. All configurations show Capri V100 values greater than 98.5%, with differences between plans varying by less than 1%. Vaginal mucosal Dmax values showed differences of roughly 5% of prescription. The R12 configuration proved the lowest vaginal mucosa Dmax, on average. The OAR Dmax values showed an average dose difference of roughly 2% of prescription, with the R23 configuration having the best results. Conclusion: The R12 channel configuration optimally fits our planning criteria and NCCN guidelines for 600 cGy prescribed to the vaginal mucosa. On average, it produced the highest Capri V100, the lowest vaginal mucosal Dmax, and a marginally higher OAR Dmax doses compared to the R23 and R123 plans.

SU-E-P-38: Comparison of Capri Applicator HDR Planning Methods to Meet the NCCN Uterine Neoplasm 2.2015 Guidelines

International Nuclear Information System (INIS)

Klash, S; Steinman, J; Stanley, T; Kim, D; Yi, S; Yap, J

2015-01-01

Purpose: To establish a systematic planning approach for Capri intravaginal multichannel balloon applicators that meet updated Version 2.2015 NCCN guidelines for uterine neoplasms, which dictate delivery of 400 to 600 cGy in 2 to 3 fractions prescribed to the vaginal mucosa for HDR combined with EBRT as well as a regimen of 600 cGy x 5 (to the vaginal mucosa) for HDR brachytherapy alone. Methods: Studies have shown three different channel configurations of the Capri applicator are optimal for dosimetric conformity: central channel combined with the six inner ring channels (R12), all inner and outer ring channels (R23), or all thirteen channels (R123). To minimize the dose to the vaginal mucosa, a traditional 0.5cm expansion contour from the Capri surface was created. Optimization limits were set to push 600 cGy to 100% of the Capri volume, while simultaneously restricting dose to the expansion contour. Results: Plans were created using all three configurations (R12, R23, R123) and evaluated to determine which was best for delivering 600 cGy to the vaginal mucosa. Our criteria was: Capri V100 > 98%, Vaginal Mucosa Dmax < 125%, Bladder Dmax < 100%, Rectum Dmax < 100%. All configurations show Capri V100 values greater than 98.5%, with differences between plans varying by less than 1%. Vaginal mucosal Dmax values showed differences of roughly 5% of prescription. The R12 configuration proved the lowest vaginal mucosa Dmax, on average. The OAR Dmax values showed an average dose difference of roughly 2% of prescription, with the R23 configuration having the best results. Conclusion: The R12 channel configuration optimally fits our planning criteria and NCCN guidelines for 600 cGy prescribed to the vaginal mucosa. On average, it produced the highest Capri V100, the lowest vaginal mucosal Dmax, and a marginally higher OAR Dmax doses compared to the R23 and R123 plans

SU-F-BRF-09: A Non-Rigid Point Matching Method for Accurate Bladder Dose Summation in Cervical Cancer HDR Brachytherapy

International Nuclear Information System (INIS)

Chen, H; Zhen, X; Zhou, L; Zhong, Z; Pompos, A; Yan, H; Jiang, S; Gu, X

2014-01-01

Purpose: To propose and validate a deformable point matching scheme for surface deformation to facilitate accurate bladder dose summation for fractionated HDR cervical cancer treatment. Method: A deformable point matching scheme based on the thin plate spline robust point matching (TPSRPM) algorithm is proposed for bladder surface registration. The surface of bladders segmented from fractional CT images is extracted and discretized with triangular surface mesh. Deformation between the two bladder surfaces are obtained by matching the two meshes' vertices via the TPS-RPM algorithm, and the deformation vector fields (DVFs) characteristic of this deformation is estimated by B-spline approximation. Numerically, the algorithm is quantitatively compared with the Demons algorithm using five clinical cervical cancer cases by several metrics: vertex-to-vertex distance (VVD), Hausdorff distance (HD), percent error (PE), and conformity index (CI). Experimentally, the algorithm is validated on a balloon phantom with 12 surface fiducial markers. The balloon is inflated with different amount of water, and the displacement of fiducial markers is benchmarked as ground truth to study TPS-RPM calculated DVFs' accuracy. Results: In numerical evaluation, the mean VVD is 3.7(±2.0) mm after Demons, and 1.3(±0.9) mm after TPS-RPM. The mean HD is 14.4 mm after Demons, and 5.3mm after TPS-RPM. The mean PE is 101.7% after Demons and decreases to 18.7% after TPS-RPM. The mean CI is 0.63 after Demons, and increases to 0.90 after TPS-RPM. In the phantom study, the mean Euclidean distance of the fiducials is 7.4±3.0mm and 4.2±1.8mm after Demons and TPS-RPM, respectively. Conclusions: The bladder wall deformation is more accurate using the feature-based TPS-RPM algorithm than the intensity-based Demons algorithm, indicating that TPS-RPM has the potential for accurate bladder dose deformation and dose summation for multi-fractional cervical HDR brachytherapy. This work is supported

Reactor core and initially loaded reactor core of nuclear reactor

International Nuclear Information System (INIS)

Koyama, Jun-ichi; Aoyama, Motoo.

1989-01-01

In BWR type reactors, improvement for the reactor shutdown margin is an important characteristic condition togehter with power distribution flattening . However, in the reactor core at high burnup degree, the reactor shutdown margin is different depending on the radial position of the reactor core. That is , the reactor shutdown margin is smaller in the outer peripheral region than in the central region of the reactor core. In view of the above, the reactor core is divided radially into a central region and as outer region. The amount of fissionable material of first fuel assemblies newly loaded in the outer region is made less than the amount of the fissionable material of second fuel assemblies newly loaded in the central region, to thereby improve the reactor shutdown margin in the outer region. Further, the ratio between the amount of the fissionable material in the upper region and that of the fissionable material in the lower portion of the first fuel assemblies is made smaller than the ratio between the amount of the fissionable material in the upper region and that of the fissionable material in the lower region of the second fuel assemblies, to thereby obtain a sufficient thermal margin in the central region. (K.M.)

Multiobjective anatomy-based dose optimization for HDR-brachytherapy with constraint free deterministic algorithms

International Nuclear Information System (INIS)

Milickovic, N.; Lahanas, M.; Papagiannopoulou, M.; Zamboglou, N.; Baltas, D.

2002-01-01

In high dose rate (HDR) brachytherapy, conventional dose optimization algorithms consider multiple objectives in the form of an aggregate function that transforms the multiobjective problem into a single-objective problem. As a result, there is a loss of information on the available alternative possible solutions. This method assumes that the treatment planner exactly understands the correlation between competing objectives and knows the physical constraints. This knowledge is provided by the Pareto trade-off set obtained by single-objective optimization algorithms with a repeated optimization with different importance vectors. A mapping technique avoids non-feasible solutions with negative dwell weights and allows the use of constraint free gradient-based deterministic algorithms. We compare various such algorithms and methods which could improve their performance. This finally allows us to generate a large number of solutions in a few minutes. We use objectives expressed in terms of dose variances obtained from a few hundred sampling points in the planning target volume (PTV) and in organs at risk (OAR). We compare two- to four-dimensional Pareto fronts obtained with the deterministic algorithms and with a fast-simulated annealing algorithm. For PTV-based objectives, due to the convex objective functions, the obtained solutions are global optimal. If OARs are included, then the solutions found are also global optimal, although local minima may be present as suggested. (author)

SU-F-BRA-05: Utility of the Combined Use of Two Types of HDR Sources with the Direction Modulation Brachytherapy (DMBT) Tandem Applicator for Cervical Cancer Treatment

Energy Technology Data Exchange (ETDEWEB)

Safigholi, H; Soliman, A; Song, W [Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, U of T, Toronto, Ontario (Canada); Han, D [Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, U of T, Toronto, Ontario (Canada); University of California, San Diego, La Jolla, CA (United States); Meigooni, A Soleimani [Comprehensive Cancer Center of Nevada, Las Vegas, Nevada (United States); Scanderbeg, D [UCSD Medical Center, La Jolla, CA (United States)

2015-06-15

Purpose: To maximize the dose to HRCTV while minimizing dose to the OARs, the combination of two HDR brachytherapy sources, 192-Ir and 169-Yb, used in combination with the recently-proposed novel direction modulated brachytherapy (DMBT) tandem applicator were examined. Methods: The DMBT tandem, made from nonmagnetic tungsten-alloy rod, with diameter of 5.4mm, has 6 symmetric peripheral holes of 1.3mm diameter. The 0.3mm thick bio-compatible plastic tubing wraps the tandem. MCNPX v.2.6 was used to simulate the mHDR 192-Ir V2 and 4140 HDR 169-Yb sources inside the DMBT applicator. Thought was by combining the higher energy 192-Ir (380keV) and lower energy 169-Yb (92.7keV) sources could create unprecedented level of dose conformality when combined with the high-degree intensity modulation capable DMBT tandem applicator. 3D dose matrices, with 1 mm3 resolution, were imported into an in-house-coded inverse optimization planning system to evaluate plan quality of 19 clinical patient cases. Prescription dose was 15Gy. All plans were normalized to receive the same HRCTV D90. Results: Generally, the use of dual sources produced better plans than using either of the sources alone, with significantly better performance in some patients. The mean D2cc for bladder, rectum, and sigmoid were 11.65±2.30Gy, 7.47±3.05Gy, and 9.84±2.48Gy for 192-Ir-only, respectively. For 169 -Yb-only, they were 11.67±2.26Gy, 7.44±3.02Gy, and 9.83±2.38Gy, respectively. The corresponding data for the dual sources were 11.51±2.24Gy, 7.30±3.00Gy, and 9.68 ±2.39Gy, respectively. The HRCTV D98 and V100 were 16.37±1.86Gy and 97.37±1.92Gy for Ir-192-only, respectively. For 169-Yb-only, they were 16.43±1.86Gy, and 97.51±1.91Gy, respectively. For the dual source, they were 16.42±1.87Gy and 97.47±1.93Gy, respectively. Conclusion: The plan quality improves, in some cases quite significantly, for when dual 192-Ir and 169-Yb sources are used in combination with highly intensity modulation capable

Comparison of methods for the measurement of radiation dose distributions in high dose rate (HDR) brachytherapy: Ge-doped optical fiber, EBT3 Gafchromic film, and PRESAGE® radiochromic plastic

International Nuclear Information System (INIS)

Palmer, A. L.; Di Pietro, P.; Alobaidli, S.; Issa, F.; Doran, S.; Bradley, D.; Nisbet, A.

2013-01-01

Purpose: Dose distribution measurement in clinical high dose rate (HDR) brachytherapy is challenging, because of the high dose gradients, large dose variations, and small scale, but it is essential to verify accurate treatment planning and treatment equipment performance. The authors compare and evaluate three dosimetry systems for potential use in brachytherapy dose distribution measurement: Ge-doped optical fibers, EBT3 Gafchromic film with multichannel analysis, and the radiochromic material PRESAGE ® with optical-CT readout. Methods: Ge-doped SiO 2 fibers with 6 μm active core and 5.0 mm length were sensitivity-batched and their thermoluminescent properties used via conventional heating and annealing cycles. EBT3 Gafchromic film of 30 μm active thickness was calibrated in three color channels using a nominal 6 MV linear accelerator. A 48-bit transmission scanner and advanced multichannel analysis method were utilized to derive dose measurements. Samples of the solid radiochromic polymer PRESAGE ® , 60 mm diameter and 100 mm height, were analyzed with a parallel beam optical CT scanner. Each dosimetry system was used to measure the dose as a function of radial distance from a Co-60 HDR source, with results compared to Monte Carlo TG-43 model data. Each system was then used to measure the dose distribution along one or more lines through typical clinical dose distributions for cervix brachytherapy, with results compared to treatment planning system (TPS) calculations. Purpose-designed test objects constructed of Solid Water and held within a full-scatter water tank were utilized. Results: All three dosimetry systems reproduced the general shape of the isolated source radial dose function and the TPS dose distribution. However, the dynamic range of EBT3 exceeded those of doped optical fibers and PRESAGE ® , and the latter two suffered from unacceptable noise and artifact. For the experimental conditions used in this study, the useful range from an isolated

Comparison of methods for the measurement of radiation dose distributions in high dose rate (HDR) brachytherapy: Ge-doped optical fiber, EBT3 Gafchromic film, and PRESAGE® radiochromic plastic.

Science.gov (United States)

Palmer, A L; Di Pietro, P; Alobaidli, S; Issa, F; Doran, S; Bradley, D; Nisbet, A

2013-06-01

Dose distribution measurement in clinical high dose rate (HDR) brachytherapy is challenging, because of the high dose gradients, large dose variations, and small scale, but it is essential to verify accurate treatment planning and treatment equipment performance. The authors compare and evaluate three dosimetry systems for potential use in brachytherapy dose distribution measurement: Ge-doped optical fibers, EBT3 Gafchromic film with multichannel analysis, and the radiochromic material PRESAGE(®) with optical-CT readout. Ge-doped SiO2 fibers with 6 μm active core and 5.0 mm length were sensitivity-batched and their thermoluminescent properties used via conventional heating and annealing cycles. EBT3 Gafchromic film of 30 μm active thickness was calibrated in three color channels using a nominal 6 MV linear accelerator. A 48-bit transmission scanner and advanced multichannel analysis method were utilized to derive dose measurements. Samples of the solid radiochromic polymer PRESAGE(®), 60 mm diameter and 100 mm height, were analyzed with a parallel beam optical CT scanner. Each dosimetry system was used to measure the dose as a function of radial distance from a Co-60 HDR source, with results compared to Monte Carlo TG-43 model data. Each system was then used to measure the dose distribution along one or more lines through typical clinical dose distributions for cervix brachytherapy, with results compared to treatment planning system (TPS) calculations. Purpose-designed test objects constructed of Solid Water and held within a full-scatter water tank were utilized. All three dosimetry systems reproduced the general shape of the isolated source radial dose function and the TPS dose distribution. However, the dynamic range of EBT3 exceeded those of doped optical fibers and PRESAGE(®), and the latter two suffered from unacceptable noise and artifact. For the experimental conditions used in this study, the useful range from an isolated HDR source was 5-40 mm for

Nuclear reactor physics course for reactor operators

International Nuclear Information System (INIS)

Baeten, P.

2006-01-01

The education and training of nuclear reactor operators is important to guarantee the safe operation of present and future nuclear reactors. Therefore, a course on basic 'Nuclear reactor physics' in the initial and continuous training of reactor operators has proven to be indispensable. In most countries, such training also results from the direct request from the safety authorities to assure the high level of competence of the staff in nuclear reactors. The aim of the basic course on 'Nuclear Reactor Physics for reactor operators' is to provide the reactor operators with a basic understanding of the main concepts relevant to nuclear reactors. Seen the education level of the participants, mathematical derivations are simplified and reduced to a minimum, but not completely eliminated

Reactor core of FBR type reactor

International Nuclear Information System (INIS)

Hayashi, Hideyuki; Ichimiya, Masakazu.

1994-01-01

A reactor core is a homogeneous reactor core divided into two regions of an inner reactor core region at the center and an outer reactor core region surrounding the outside of the inner reactor core region. In this case, the inner reactor core region has a lower plutonium enrichment degree and less amount of neutron leakage in the radial direction, and the outer reactor core region has higher plutonium enrichment degree and greater amount of neutron leakage in the radial direction. Moderator materials containing hydrogen are added only to the inner reactor core fuels in the inner reactor core region. Pins loaded with the fuels with addition of the moderator materials are inserted at a ratio of from 3 to 10% of the total number of the fuel pins. The moderator materials containing hydrogen comprise zirconium hydride, titanium hydride, or calcium hydride. With such a constitution, fluctuation of the power distribution in the radial direction along with burning is suppressed. In addition, an absolute value of the Doppler coefficient can be increased, and a temperature coefficient of coolants can be reduced. (I.N.)

Nuclear reactors

International Nuclear Information System (INIS)

Barre, Bertrand

2015-10-01

After some remarks on the nuclear fuel, on the chain reaction control, on fuel loading and unloading, this article proposes descriptions of the design, principles and operations of different types of nuclear reactors as well as comments on their presence and use in different countries: pressurized water reactors (design of the primary and secondary circuits, volume and chemistry control, backup injection circuits), boiling water reactors, heavy water reactors, graphite and boiling water reactors, graphite-gas reactors, fast breeder reactors, and fourth generation reactors (definition, fast breeding). For these last ones, six concepts are presented: sodium-cooled fast reactor, lead-cooled fast reactor, gas-cooled fast reactor, high temperature gas-cooled reactor, supercritical water-cooled reactor, and molten salt reactor

Reactor core for LMFBR type reactors

International Nuclear Information System (INIS)

Masumi, Ryoji; Azekura, Kazuo; Kurihara, Kunitoshi; Bando, Masaru; Watari, Yoshio.

1987-01-01

Purpose: To reduce the power distribution fluctuations and obtain flat and stable power distribution throughout the operation period in an LMFBR type reactor. Constitution: In the inner reactor core region and the outer reactor core region surrounding the same, the thickness of the inner region is made smaller than the axial height of the reactor core region and the radial width thereof is made smaller than that of the reactor core region and the volume thereof is made to 30 - 50 % for the reactor core region. Further, the amount of the fuel material per unit volume in the inner region is made to 70 - 90 % of that in the outer region. The difference in the neutron infinite multiplication factor between the inner region and the outer region is substantially constant irrespective of the burnup degree and the power distribution fluctuation can be reduced to about 2/3, by which the effect of thermal striping to the reactor core upper mechanisms can be moderated. Further, the maximum linear power during operation can be reduced by 3 %, by which the thermal margin in the reactor core is increased and the reactor core fuels can be saved by 3 %. (Kamimura, M.)

Objective method to report planner-independent skin/rib maximal dose in balloon-based high dose rate (HDR) brachytherapy for breast cancer

International Nuclear Information System (INIS)

Kim, Yongbok; Trombetta, Mark G.

2011-01-01

Purpose: An objective method was proposed and compared with a manual selection method to determine planner-independent skin and rib maximal dose in balloon-based high dose rate (HDR) brachytherapy planning. Methods: The maximal dose to skin and rib was objectively extracted from a dose volume histogram (DVH) of skin and rib volumes. A virtual skin volume was produced by expanding the skin surface in three dimensions (3D) external to the breast with a certain thickness in the planning computed tomography (CT) images. Therefore, the maximal dose to this volume occurs on the skin surface the same with a conventional manual selection method. The rib was also delineated in the planning CT images and its maximal dose was extracted from its DVH. The absolute (Abdiff=|D max Man -D max DVH |) and relative (Rediff[%]=100x(|D max Man -D max DVH |)/D max DVH ) maximal skin and rib dose differences between the manual selection method (D max Man ) and the objective method (D max DVH ) were measured for 50 balloon-based HDR (25 MammoSite and 25 Contura) patients. Results: The average±standard deviation of maximal dose difference was 1.67%±1.69% of the prescribed dose (PD). No statistical difference was observed between MammoSite and Contura patients for both Abdiff and Rediff[%] values. However, a statistically significant difference (p value max >90%) compared with lower dose range (D max <90%): 2.16%±1.93% vs 1.19%±1.25% with p value of 0.0049. However, the Rediff[%] analysis eliminated the inverse square factor and there was no statistically significant difference (p value=0.8931) between high and low dose ranges. Conclusions: The objective method using volumetric information of skin and rib can determine the planner-independent maximal dose compared with the manual selection method. However, the difference was <2% of PD, on average, if appropriate attention is paid to selecting a manual dose point in 3D planning CT images.

Nuclear reactor construction with bottom supported reactor vessel

International Nuclear Information System (INIS)

Sharbaugh, J.E.

1987-01-01

This patent describes an improved liquid metal nuclear reactor construction comprising: (a) a nuclear reactor core having a bottom platform support structure; (b) a reactor vessel for holding a large pool of low pressure liquid metal coolant and housing the core; (c) a containment structure surrounding the reactor vessel and having a sidewall spaced outwardly from the reactor vessel side wall and having a base mat spaced below the reactor vessel bottom end wall; (d) a central small diameter post anchored to the containment structure base mat and extending upwardly to the reactor vessel to axially fix the bottom end wall of the reactor vessel and provide a center column support for the lower end of the reactor core; (e) annular support structure disposed in the reactor vessel on the bottom end wall and extending about the lower end of the core; (f) structural support means disposed between the containment structure base mat and bottom end of the reactor vessel wall and cooperating for supporting the reactor vessel at its bottom end wall on the containment structure base mat to allow the reactor vessel to expand radially but substantially prevent any lateral motions that might be imposed by the occurrence of a seismic event; (g) a bed of insulating material disposed between the containment structure base mat and the bottom end wall of the reactor vessel and uniformly supporting the reactor vessel at its bottom end wall; freely expand radially from the central post as it heats up while providing continuous support thereof; (h) a deck supported upon the wall of the containment vessel above the top open end of the reactor vessel; and (i) extendible and retractable coupling means extending between the deck and the top open end of the reactor vessel and flexibly and sealably interconnecting the reactor vessel at its top end to the deck

Emergency rescue in accidents with HDR afterloading units

International Nuclear Information System (INIS)

Kaulich, T.W.; Nuesslin, F.; Becker, G.; Lamprecht, U.; Bamberg, M.

1999-01-01

Problem: HDR brachyradiotherapy has minimized the exposure to radiation of the personnel working in this field. Nonetheless there are periodically reported troubles with afterloading units concerning the retraction of sources that require immediate action for the limitation of possible damage. Legal Principles according to the German Regulation Concerning Protection against Radiation (Strahlenschutzverordnung=StrlSchV): If in afterloading brachyradiotherapy the radiation source remains extended through malfunction we deal with an emergency according to the StrlSchV. The rescue personnel should be chosen in accordance with Paragraph 50 StrlSchV. Organization of the Rescue of the Patient: The quickest possible rescue of a patient in an emergency demands an unequivocal definition of responsibilities. Our recommendations in this instance: The physicist is responsible for the organization of the emergency rescue. The radiation oncologist in charge informs himself about the necessary emergency measures before starting the treatment and carries out the emergency rescue. If the physicist diagnoses a failure in the retraction of the source he tries to remove the failure. If he doesn't succeed in retracting the source the radiation oncologist carries out the rescue of the patient. The organizational structure of the clinic allowing, the emergency physician should invariably be the physician who placed the applicator. In the emergency rescue the radiation oncologist should be protected by a lead barrier and use manipulators. Dose Assessment in Personnel and Patient: The radiation exposure of the rescue personnel is calculated from the photon-equivalence dose H x with the help of the dose-rate constant of 192 Ir. According to the same procedure there can be evaluated the local radiation exposure of the patient concerned. Conclusions: Generally speaking, all considerations regarding the topic of emergency rescue should always start out from a worst-case scenario. Of all the

Generation IV reactors: reactor concepts

International Nuclear Information System (INIS)

Cardonnier, J.L.; Dumaz, P.; Antoni, O.; Arnoux, P.; Bergeron, A.; Renault, C.; Rimpault, G.; Delpech, M.; Garnier, J.C.; Anzieu, P.; Francois, G.; Lecomte, M.

2003-01-01

Liquid metal reactor concept looks promising because of its hard neutron spectrum. Sodium reactors benefit a large feedback experience in Japan and in France. Lead reactors have serious assets concerning safety but they require a great effort in technological research to overcome the corrosion issue and they lack a leader country to develop this innovative technology. In molten salt reactor concept, salt is both the nuclear fuel and the coolant fluid. The high exit temperature of the primary salt (700 Celsius degrees) allows a high energy efficiency (44%). Furthermore molten salts have interesting specificities concerning the transmutation of actinides: they are almost insensitive to irradiation damage, some salts can dissolve large quantities of actinides and they are compatible with most reprocessing processes based on pyro-chemistry. Supercritical water reactor concept is based on operating temperature and pressure conditions that infers water to be beyond its critical point. In this range water gets some useful characteristics: - boiling crisis is no more possible because liquid and vapour phase can not coexist, - a high heat transfer coefficient due to the low thermal conductivity of supercritical water, and - a high global energy efficiency due to the high temperature of water. Gas-cooled fast reactors combining hard neutron spectrum and closed fuel cycle open the way to a high valorization of natural uranium while minimizing ultimate radioactive wastes and proliferation risks. Very high temperature gas-cooled reactor concept is developed in the prospect of producing hydrogen from no-fossil fuels in large scale. This use implies a reactor producing helium over 1000 Celsius degrees. (A.C.)

An in vivo investigative protocol for HDR prostate brachytherapy using urethral and rectal thermoluminescence dosimetry

International Nuclear Information System (INIS)

Toye, Warren; Das, Ram; Kron, Tomas; Franich, Rick; Johnston, Peter; Duchesne, Gillian

2009-01-01

Purpose: To develop an in vivo dosimetry based investigative action level relevant for a corrective protocol for HDR brachytherapy boost treatment. Methods and materials: The dose delivered to points within the urethra and rectum was measured using TLD in vivo dosimetry in 56 patients. Comparisons between the urethral and rectal measurements and TPS calculations showed differences, which are related to the relative position of the implant and TLD trains, and allowed shifts of implant position relative to the prostate to be estimated. Results and conclusions: Analysis of rectal dose measurements is consistent with implant movement, which was previously only identified with the urethral data. Shift corrected doses were compared with results from the TPS. Comparison of peak doses to the urethra and rectum has been assessed against the proposed corrective protocol to limit overdosing these critical structures. An initial investigative level of 20% difference between measured and TPS peak dose was established, which corresponds to 1/3 of patients which was practical for the caseload. These patients were assessed resulting in corrective action being applied for one patient. Multiple triggering for selective investigative action is outlined. The use of a single in vivo measurement in the first fraction optimizes patient benefit at acceptable cost.

Acceptance testing and commissioning of a new model HDR afterloader

International Nuclear Information System (INIS)

McDermott, Patrick N.; Somnay, Archana R.; Alecu, Rodica

1996-01-01

We have recently performed acceptance testing procedures and have commissioned a new model HDR afterloader, the Varian VariSource with ''Intelligent Drive.'' Our site was one of the first installations worldwide. It is our intent to describe our tests and the results of the tests particularly as they may differ from other afterloaders. The Ir-192 source is unique among afterloaders marketed in the US in that it is very slender (OD of source wire is 0.59 mm) and relatively long (two 0.5 cm sources for a total active length of 1.0 cm). A check of source homogeneity by autoradiograph as urged by the US Nuclear Regulatory Commission demonstrates no detectable source inhomogeneity. Reentrant well ionization chambers are calibrated in the US with a 3.5 mm long source at Accredited Dosimetry Calibration Laboratories. Therefore calibration needs to be considered with some care. Calibration of the first delivered source with a well ionization chamber indicated agreement with the manufacturer's stated activity to within 0.5%. Source positioning is checked with a device called a 'cam scale'. Tests have been carried out on this system and it has been found to accurately indicate source position to within ±0.5 mm. Timer accuracy has been found to be better than 0.1% for dwell times of several hundred seconds. The intelligent drive system and the small source diameter allow the source wire to negotiate paths with small radius of curvature. A series of tests have been made in which the source is forced to negotiate 'U' turns of decreasing radius of curvature. A 4.7 F, 100 cm long catheter was used for these tests and the 'U' turn was positioned at approximately 90 cm. Under these conditions, the VariSource was consistently able to traverse a 1.25 cm radius of curvature, which is better than the manufacturer's stated limit of 1.5 cm

Ten years experience in organ preservation using HDR brachytherapy boost for nodal negative, locally advanced prostate cancer

International Nuclear Information System (INIS)

Kovacs, G.; Wirth, B.; Bertermann, H.; Galalae, R.; Kohr, P.; Wilhelm, R.; Kimmig, B.

1996-01-01

Objectives: In 1986 Bertermann and Brix established the combined external beam (EBT) and HDR brachytherapy (BT) boost treatment for localized prostate cancer. The aim of this analysis is to judge the results of this method after 10 years experience. Material and methods: The treatment and follow-up data of 158 histologically proven, localized (N- by imaging) prostate cancer patients were analyzed. Tumor stages (using transrectal ultrasound/TRUS/) ranged from A2 (T1b) in two, to B (T2) in 105 and C (T3) in 51 cases. Tumor grading: 21 highly differentiated (G1), 79 moderately differentiated (G2) as well as 52 poorly differentiated (G3) and one undifferentiated (G4) tumor. Forty-four patients (pts) had previous surgery on the bladder neck. Forty-eight pts had transitory androgen deprivation or antiandrogen treatment prior to radiation, which lasted for a max. of 6 months and was finished before radiation. Initial PSA was known in 126 cases. In 13% values under 4 ng/ml (Hybritech), as well as 46% not above 20 ng/ml and 40 % above 20 ng/ml, respectively. Ultrasound guided conformal BT treatment planning was carried out. The 2x 15 Gy HDR-BT boost was integrated into the EBT schedule, the total dose was 50 Gy for subclinical disease and 70 Gy for the prostate in 6-7 weeks. Regular follow-up by clinical examination, TRUS + volumetry, PSA, bone scan and after 12 months biopsy. Median follow-up 55 months (6-144 months). Results: Eight of 158 pts died of prostate cancer, 15 of intercurrent disease. Clinical progression in 18 cases (12 systemic, 5 local, 1 both syst. + local). All cases of clinical progression with PSA elevation. All pts, whose PSA did not decrease under 1 ng/ml developed progression (p<0.001). Progression developed in 11% of the 107 organ-confined (T1-2 or A2-B) and 7 (14%) of the advanced tumors (T3 or C). The relation between tumor grading and total progression (clinical + PSA) was as follows: four out of 26 G1 tumors, 9 out of 79 G2 tumors and 21 of the 53

Nuclear reactor

International Nuclear Information System (INIS)

Hattori, Sadao; Sato, Morihiko.

1994-01-01

Liquid metals such as liquid metal sodium are filled in a reactor container as primary coolants. A plurality of reactor core containers are disposed in a row in the circumferential direction along with the inner circumferential wall of the reactor container. One or a plurality of intermediate coolers are disposed at the inside of an annular row of the reactor core containers. A reactor core constituted with fuel rods and control rods (module reactor core) is contained at the inside of each of the reactor core containers. Each of the intermediate coolers comprises a cylindrical intermediate cooling vessels. The intermediate cooling vessel comprises an intermediate heat exchanger for heat exchange of primary coolants and secondary coolants and recycling pumps for compulsorily recycling primary coolants at the inside thereof. Since a plurality of reactor core containers are thus assembled, a great reactor power can be attained. Further, the module reactor core contained in one reactor core vessel may be small sized, to facilitate the control for the reactor core operation. (I.N.)

The CAREM reactor and present currents in reactor design

International Nuclear Information System (INIS)

Ordonez, J.P.

1990-01-01

INVAP has been working on the CAREM project since 1983. It concerns a very low power reactor for electrical energy generation. The design of the reactor and the basic criteria used were described in 1984. Since then, a series of designs have been presented for reactors which are similar to CAREM regarding the solutions presented to reduce the chance of major nuclear accidents. These designs have been grouped under different names: Advanced Reactors, Second Generation Reactors, Inherently Safe Reactors, or even, Revolutionary Reactors. Every reactor fabrication firm has, at least, one project which can be placed in this category. Presently, there are two main currents of Reactor Design; Evolutionary and Revolutionary. The present work discusses characteristics of these two types of reactors, some revolutionary designs and common criteria to both types. After, these criteria are compared with CAREM reactor design. (Author) [es

Comparison of different treatment planning optimization methods for vaginal HDR brachytherapy with multichannel applicators: A reduction of the high doses to the vaginal mucosa is possible.

Science.gov (United States)

Carrara, Mauro; Cusumano, Davide; Giandini, Tommaso; Tenconi, Chiara; Mazzarella, Ester; Grisotto, Simone; Massari, Eleonora; Mazzeo, Davide; Cerrotta, Annamaria; Pappalardi, Brigida; Fallai, Carlo; Pignoli, Emanuele

2017-12-01

A direct planning approach with multi-channel vaginal cylinders (MVCs) used for HDR brachytherapy of vaginal cancers is particularly challenging. Purpose of this study was to compare the dosimetric performances of different forward and inverse methods used for the optimization of MVC-based vaginal treatments for endometrial cancer, with a particular attention to the definition of strategies useful to limit the high doses to the vaginal mucosa. Twelve postoperative vaginal HDR brachytherapy treatments performed with MVCs were considered. Plans were retrospectively optimized with three different methods: Dose Point Optimization followed by Graphical Optimization (DPO + GrO), Inverse Planning Simulated Annealing with two different class solutions as starting conditions (surflPSA and homogIPSA) and Hybrid Inverse Planning Optimization (HIPO). Several dosimetric parameters related to target coverage, hot spot extensions and sparing of organs at risk were analyzed to evaluate the quality of the achieved treatment plans. Dose homogeneity index (DHI), conformal index (COIN) and a further parameter quantifying the proportion of the central catheter loading with respect to the overall loading (i.e., the central catheter loading index: CCLI) were also quantified. The achieved PTV coverage parameters were highly correlated with each other but uncorrelated with the hot spot quantifiers. HomogIPSA and HIPO achieved higher DHIs and CCLIs and lower volumes of high doses than DPO + GrO and surflPSA. Within the investigated optimization methods, HIPO and homoglPSA showed the highest dose homogeneity to the target. In particular, homogIPSA resulted also the most effective in reducing hot spots to the vaginal mucosa. Copyright © 2017 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

Neutron behavior, reactor control, and reactor heat transfer. Volume four

International Nuclear Information System (INIS)

Anon.

1986-01-01

Volume four covers neutron behavior (neutron absorption, how big are nuclei, neutron slowing down, neutron losses, the self-sustaining reactor), reactor control (what is controlled in a reactor, controlling neutron population, is it easy to control a reactor, range of reactor control, what happens when the fuel burns up, controlling a PWR, controlling a BWR, inherent safety of reactors), and reactor heat transfer (heat generation in a nuclear reactor, how is heat removed from a reactor core, heat transfer rate, heat transfer properties of the reactor coolant)

Reactor science and technology: operation and control of reactors

International Nuclear Information System (INIS)

Qiu Junlong

1994-01-01

This article is a collection of short reports on reactor operation and research in China in 1991. The operation of and research activities linked with the Heavy Water Research Reactor, Swimming Pool Reactor and Miniature Neutron Source Reactor are briefly surveyed. A number of papers then follow on the developing strategies in Chinese fast breeder reactor technology including the conceptual design of an experimental fast reactor (FFR), theoretical studies of FFR thermo-hydraulics and a design for an immersed sodium flowmeter. Reactor physics studies cover a range of topics including several related to work on zero power reactors. The section on reactor safety analysis is concerned largely with the assessment of established, and the presentation of new, computer codes for use in PWR safety calculations. Experimental and theoretical studies of fuels and reactor materials for FBRs, PWRs, BWRs and fusion reactors are described. A final miscellaneous section covers Mo-Tc isotope production in the swimming pool reactor, convective heat transfer in tubes and diffusion of tritium through plastic/aluminium composite films and Li 2 SiO 3 . (UK)

Nuclear power reactors

International Nuclear Information System (INIS)

1982-11-01

After an introduction and general explanation of nuclear power the following reactor types are described: magnox thermal reactor; advanced gas-cooled reactor (AGR); pressurised water reactor (PWR); fast reactors (sodium cooled); boiling water reactor (BWR); CANDU thermal reactor; steam generating heavy water reactor (SGHWR); high temperature reactor (HTR); Leningrad (RMBK) type water-cooled graphite moderated reactor. (U.K.)

Research reactors

International Nuclear Information System (INIS)

Merchie, Francois

2015-10-01

This article proposes an overview of research reactors, i.e. nuclear reactors of less than 100 MW. Generally, these reactors are used as neutron generators for basic research in matter sciences and for technological research as a support to power reactors. The author proposes an overview of the general design of research reactors in terms of core size, of number of fissions, of neutron flow, of neutron space distribution. He outlines that this design is a compromise between a compact enough core, a sufficient experiment volume, and high enough power densities without affecting neutron performance or its experimental use. The author evokes the safety framework (same regulations as for power reactors, more constraining measures after Fukushima, international bodies). He presents the main characteristics and operation of the two families which represent almost all research reactors; firstly, heavy water reactors (photos, drawings and figures illustrate different examples); and secondly light water moderated and cooled reactors with a distinction between open core pool reactors like Melusine and Triton, pool reactors with containment, experimental fast breeder reactors (Rapsodie, the Russian BOR 60, the Chinese CEFR). The author describes the main uses of research reactors: basic research, applied and technological research, safety tests, production of radio-isotopes for medicine and industry, analysis of elements present under the form of traces at very low concentrations, non destructive testing, doping of silicon mono-crystalline ingots. The author then discusses the relationship between research reactors and non proliferation, and finally evokes perspectives (decrease of the number of research reactors in the world, the Jules Horowitz project)

Roles of plasma neutron source reactor in development of fusion reactor engineering: Comparison with fission reactor engineering

International Nuclear Information System (INIS)

Hirayama, Shoichi; Kawabe, Takaya

1995-01-01

The history of development of fusion power reactor has come to a turning point, where the main research target is now shifting from the plasma heating and confinement physics toward the burning plasma physics and reactor engineering. Although the development of fusion reactor system is the first time for human beings, engineers have experience of development of fission power reactor. The common feature between them is that both are plants used for the generation of nuclear reactions for the production of energy, nucleon, and radiation on an industrial scale. By studying the history of the development of the fission reactor, one can find the existence of experimental neutron reactors including irradiation facilities for fission reactor materials. These research neutron reactors played very important roles in the development of fission power reactors. When one considers the strategy of development of fusion power reactors from the points of fusion reactor engineering, one finds that the fusion neutron source corresponds to the neutron reactor in fission reactor development. In this paper, the authors discuss the roles of the plasma-based neutron source reactors in the development of fusion reactor engineering, by comparing it with the neutron reactors in the history of fission power development, and make proposals for the strategy of the fusion reactor development. 21 refs., 6 figs

Identifying afterloading PDR and HDR brachytherapy errors using real-time fiber-coupled Al2O3:C dosimetry and a novel statistical error decision criterion

International Nuclear Information System (INIS)

Kertzscher, Gustavo; Andersen, Claus E.; Siebert, Frank-Andre; Nielsen, Soren Kynde; Lindegaard, Jacob C.; Tanderup, Kari

2011-01-01

Background and purpose: The feasibility of a real-time in vivo dosimeter to detect errors has previously been demonstrated. The purpose of this study was to: (1) quantify the sensitivity of the dosimeter to detect imposed treatment errors under well controlled and clinically relevant experimental conditions, and (2) test a new statistical error decision concept based on full uncertainty analysis. Materials and methods: Phantom studies of two gynecological cancer PDR and one prostate cancer HDR patient treatment plans were performed using tandem ring applicators or interstitial needles. Imposed treatment errors, including interchanged pairs of afterloader guide tubes and 2-20 mm source displacements, were monitored using a real-time fiber-coupled carbon doped aluminum oxide (Al 2 O 3 :C) crystal dosimeter that was positioned in the reconstructed tumor region. The error detection capacity was evaluated at three dose levels: dwell position, source channel, and fraction. The error criterion incorporated the correlated source position uncertainties and other sources of uncertainty, and it was applied both for the specific phantom patient plans and for a general case (source-detector distance 5-90 mm and position uncertainty 1-4 mm). Results: Out of 20 interchanged guide tube errors, time-resolved analysis identified 17 while fraction level analysis identified two. Channel and fraction level comparisons could leave 10 mm dosimeter displacement errors unidentified. Dwell position dose rate comparisons correctly identified displacements ≥5 mm. Conclusion: This phantom study demonstrates that Al 2 O 3 :C real-time dosimetry can identify applicator displacements ≥5 mm and interchanged guide tube errors during PDR and HDR brachytherapy. The study demonstrates the shortcoming of a constant error criterion and the advantage of a statistical error criterion.

Reactor physics aspects of CANDU reactors

International Nuclear Information System (INIS)

Critoph, E.

1980-01-01

These four lectures are being given at the Winter Course on Nuclear Physics at Trieste during 1978 February. They constitute part of the third week's lectures in Part II: Reactor Theory and Power Reactors. A physical description of CANDU reactors is given, followed by an overview of CANDU characteristics and some of the design options. Basic lattice physics is discussed in terms of zero energy lattice experiments, irradiation effects and analytical methods. Start-up and commissioning experiments in CANDU reactors are reviewed, and some of the more interesting aspects of operation discussed - fuel management, flux mapping and control of the power distribution. Finally, some of the characteristics of advanced fuel cycles that have been proposed for CANDU reactors are summarized. (author)

Research reactors

International Nuclear Information System (INIS)

Kowarski, L.

1955-01-01

It brings together the techniques data which are involved in the discussion about the utility for a research institute to acquire an atomic reactor for research purposes. This type of decision are often taken by non-specialist people who can need a brief presentation of a research reactor and its possibilities in term of research before asking advises to experts. In a first part, it draws up a list of the different research programs which can be studied by getting a research reactor. First of all is the reactor behaviour and kinetics studies (reproducibility factor, exploration of neutron density, effect of reactor structure, effect of material irradiation...). Physical studies includes study of the behaviour of the control system, studies of neutron resonance phenomena and study of the fission process for example. Chemical studies involves the study of manipulation and control of hot material, characterisation of nuclear species produced in the reactor and chemical effects of irradiation on chemical properties and reactions. Biology and medicine research involves studies of irradiation on man and animals, genetics research, food or medical tools sterilization and neutron beams effect on tumour for example. A large number of other subjects can be studied in a reactor research as reactor construction material research, fabrication of radioactive sources for radiographic techniques or applied research as in agriculture or electronic. The second part discussed the technological considerations when choosing the reactor type. The technological factors, which are considered for its choice, are the power of the reactor, the nature of the fuel which is used, the type of moderator (water, heavy water, graphite or BeO) and the reflector, the type of coolants, the protection shield and the control systems. In the third part, it described the characteristics (place of installation, type of combustible and comments) and performance (power, neutron flux ) of already existing

Comparison between TRU burning reactors and commercial fast reactor

International Nuclear Information System (INIS)

Fujimura, Koji; Sanda, Toshio; Ogawa, Takashi

2001-03-01

Research and development for stabilizing or shortening the radioactive wastes including in spent nuclear fuel are widely conducted in view point of reducing the environmental impact. Especially it is effective way to irradiate and transmute long-lived TRU by fast reactors. Two types of loading way were previously proposed. The former is loading relatively small amount of TRU in all commercial fast reactors and the latter is loading large amount of TRU in a few TRU burning reactors. This study has been intended to contribute to the feasibility studies on commercialized fast reactor cycle system. The transmutation and nuclear characteristics of TRU burning reactors were evaluated and compared with those of conventional transmutation system using commercial type fast reactor based upon the investigation of technical information about TRU burning reactors. Major results are summarized as follows. (1) Investigation of technical information about TRU burning reactors. Based on published reports and papers, technical information about TRU burning reactor concepts transmutation system using convectional commercial type fast reactors were investigated. Transmutation and nuclear characteristics or R and D issue were investigated based on these results. Homogeneously loading of about 5 wt% MAs on core fuels in the conventional commercial type fast reactor may not cause significant impact on the nuclear core characteristics. Transmutation of MAs being produced in about five fast reactors generating the same output is feasible. The helium cooled MA burning fast reactor core concept propose by JAERI attains criticality using particle type nitride fuels which contain more than 60 wt% MA. This reactor could transmute MAs being produced in more than ten 1000 MWe-LWRs. Ultra-long life core concepts attaining more than 30 years operation without refueling by utilizing MA's nuclear characteristics as burnable absorber and fertile nuclides were proposed. Those were pointed out that

Nuclear reactor types

International Nuclear Information System (INIS)

Jones, P.M.S.

1987-01-01

The characteristics of different reactor types designed to exploit controlled fission reactions are explained. Reactors vary from low power research devices to high power devices especially designed to produce heat, either for direct use or to produce steam to drive turbines to generate electricity or propel ships. A general outline of basic reactors (thermal and fast) is given and then the different designs considered. The first are gas cooled, including the Magnox reactors (a list of UK Magnox stations and reactor performance is given), advanced gas cooled reactors (a list of UK AGRs is given) and the high temperature reactor. Light water cooled reactors (pressurized water [PWR] and boiling water [BWR] reactors) are considered next. Heavy water reactors are explained and listed. The pressurized heavy water reactors (including CANDU type reactors), boiling light water, steam generating heavy water reactors and gas cooled heavy water reactors all come into this category. Fast reactors (liquid metal fast breeder reactors and gas cooled fast reactors) and then water-cooled graphite-moderated reactors (RBMK) (the type at Chernobyl-4) are discussed. (U.K.)

Reactor containment and reactor safety in the United States

International Nuclear Information System (INIS)

Kouts, H.

1986-01-01

The reactor safety systems of two reactors are studied aiming at the reactor containment integrity. The first is a BWR type reactor and is called Peachbottom 2, and the second is a PWR type reactor, and is called surry. (E.G.) [pt

Reactor Physics

International Nuclear Information System (INIS)

Ait Abderrahim, A.

2002-01-01

SCK-CEN's Reactor Physics and MYRRHA Department offers expertise in various areas of reactor physics, in particular in neutron and gamma calculations, reactor dosimetry, reactor operation and control, reactor code benchmarking and reactor safety calculations. This expertise is applied in the Department's own research projects in the VENUS critical facility, in the BR1 reactor and in the MYRRHA project (this project aims at designing a prototype Accelerator Driven System). Available expertise is also used in programmes external to the Department such as the reactor pressure steel vessel programme, the BR2 materials testing reactor dosimetry, and the preparation and interpretation of irradiation experiments by means of neutron and gamma calculations. The activities of the Fuzzy Logic and Intelligent Technologies in Nuclear Science programme cover several domains outside the department. Progress and achievements in these topical areas in 2001 are summarised

Reactor Physics

Energy Technology Data Exchange (ETDEWEB)

Ait Abderrahim, A

2001-04-01

The Reactor Physics and MYRRHA Department of SCK-CEN offers expertise in various areas of reactor physics, in particular in neutronics calculations, reactor dosimetry, reactor operation, reactor safety and control and non-destructive analysis of reactor fuel. This expertise is applied in the Department's own research projects in the VENUS critical facility, in the BR1 reactor and in the MYRRHA project (this project aims at designing a prototype Accelerator Driven System). Available expertise is also used in programmes external to the Department such as the reactor pressure steel vessel programme, the BR2 reactor dosimetry, and the preparation and interpretation of irradiation experiments by means of neutron and gamma calculations. The activities of the Fuzzy Logic and Intelligent Technologies in Nuclear Science programme cover several domains outside the department. Progress and achievements in these topical areas in 2000 are summarised.

Reactor Physics

International Nuclear Information System (INIS)

Ait Abderrahim, A.

2001-01-01

The Reactor Physics and MYRRHA Department of SCK-CEN offers expertise in various areas of reactor physics, in particular in neutronics calculations, reactor dosimetry, reactor operation, reactor safety and control and non-destructive analysis of reactor fuel. This expertise is applied in the Department's own research projects in the VENUS critical facility, in the BR1 reactor and in the MYRRHA project (this project aims at designing a prototype Accelerator Driven System). Available expertise is also used in programmes external to the Department such as the reactor pressure steel vessel programme, the BR2 reactor dosimetry, and the preparation and interpretation of irradiation experiments by means of neutron and gamma calculations. The activities of the Fuzzy Logic and Intelligent Technologies in Nuclear Science programme cover several domains outside the department. Progress and achievements in these topical areas in 2000 are summarised

Dosimetric impact of interfraction catheter movement and organ motion on MRI/CT guided HDR interstitial brachytherapy for gynecologic cancer

International Nuclear Information System (INIS)

Rey, Felipe; Chang, Chang; Mesina, Carmen; Dixit, Nayha; Kevin Teo, Boon-Keng; Lin, Lilie L.

2013-01-01

Purpose: To determine the dosimetric impact of catheter movement for MRI/CT image guided high dose rate (HDR) interstitial brachytherapy (ISBT) for gynecologic cancers. Materials and methods: Ten patients were treated with HDR ISBT. The CTV and organs at risk were contoured using a postimplant MRI and CT. 5 fractions were delivered twice daily on 3 consecutive days. The first fraction was delivered on day 1 (d1), fraction 2–3 on d2 and fraction 4–5 on d3. MRI/CT was acquired prior to the second and fourth fractions. Four scenarios were modeled. (1) The d1 plan was applied to the d2 and d3 CT, using the updated catheter positions. (2) Replanning was performed for d2 and d3. (3) We applied the dwell positions/times from the d2 replan over the d3 CT and compared with a d3 CT replan. (4) Based on daily MRI, target volumes were recontoured and replanned. Dosimetry was analyzed for each plan and compared to the d1 dose distribution. Results: (1) When using the d1 plan on the d2 and d3 CT with the updated catheter positions, the mean CTV D90 was reduced from 93.4% on d1 to 89.3% (p = 0.08) on d2 and to 87.7% (p = 0.005) on d3. (2) Replanning on d2 and d3 compensated for catheter movement, mean CTV D90 of 95.4% on d2 and 94.6% (p = 0.36) on d3. (3) When compared to the replan of d2 applied on the d3 CT vs the d3 replan, there was no significant difference in coverage, mean CTV D90 of 90.9% (p = 0.09). (4) Reoptimization based on daily MRI, significantly improved the CTV coverage for each day. The mean D2 cc for the rectum was significantly higher with model 1 vs model 3 59.1 ± 4.7 vs 60.9 ± 4.8 (p = 0.04) Gy EQD2. There were no significant differences in D2 cc of bladder and sigmoid between models. Conclusions: Interfraction dosimetric changes significantly decreased the CTV coverage of the third day. Rather than replanning on each day, replanning on the day 2 CT before the second or third fraction would give an optimal solution that would compensate for

Reactor

International Nuclear Information System (INIS)

Toyama, Masahiro; Kasai, Shigeo.

1978-01-01

Purpose: To provide a lmfbr type reactor wherein effusion of coolants through a loop contact portion is reduced even when fuel assemblies float up, and misloading of reactor core constituting elements is prevented thereby improving the reactor safety. Constitution: The reactor core constituents are secured in the reactor by utilizing the differential pressure between the high-pressure cooling chamber and low-pressure cooling chamber. A resistance port is formed at the upper part of a connecting pipe, and which is connect the low-pressure cooling chamber and the lower surface of the reactor core constituent. This resistance part is formed such that the internal sectional area of the connecting pipe is made larger stepwise toward the upper part, and the cylinder is formed larger so that it profiles the inner surface of the connecting pipe. (Aizawa, K.)

Reactor Physics

Energy Technology Data Exchange (ETDEWEB)

Ait Abderrahim, A

2002-04-01

SCK-CEN's Reactor Physics and MYRRHA Department offers expertise in various areas of reactor physics, in particular in neutron and gamma calculations, reactor dosimetry, reactor operation and control, reactor code benchmarking and reactor safety calculations. This expertise is applied in the Department's own research projects in the VENUS critical facility, in the BR1 reactor and in the MYRRHA project (this project aims at designing a prototype Accelerator Driven System). Available expertise is also used in programmes external to the Department such as the reactor pressure steel vessel programme, the BR2 materials testing reactor dosimetry, and the preparation and interpretation of irradiation experiments by means of neutron and gamma calculations. The activities of the Fuzzy Logic and Intelligent Technologies in Nuclear Science programme cover several domains outside the department. Progress and achievements in these topical areas in 2001 are summarised.

Research reactor standards and their impact on the TRIGA reactor community

International Nuclear Information System (INIS)

Richards, W.J.

1980-01-01

The American Nuclear Society has established a standards committee devoted to writing standards for research reactors. This committee was formed in 1971 and has since that time written over 15 standards that cover all aspects of research reactor operation. The committee has representation from virtually every group concerned with research reactors and their operation. This organization includes University reactors, National laboratory reactors, Nuclear Regulatory commission, Department of Energy and private nuclear companies and insurers. Since its beginning the committee has developed standards in the following areas: Standard for the development of technical specifications for research reactors; Quality control for plate-type uranium-aluminium fuel elements; Records and reports for research reactors; Selection and training of personnel for research reactors; Review of experiments for research reactors; Research reactor site evaluation; Quality assurance program requirements for research reactors; Decommissioning of research reactors; Radiological control at research reactor facilities; Design objectives for and monitoring of systems controlling research reactor effluents; Physical security for research reactor facilities; Criteria for the reactor safety systems of research reactors; Emergency planning for research reactors; Fire protection program requirements for research reactors; Standard for administrative controls for research reactors. Besides writing the above standards, the committee is very active in using communications with the nuclear regulatory commission on proposed rules or positions which will affect the research reactor community

Assessing patient characteristics and radiation-induced non-targeted effects in vivo for high dose-rate (HDR) brachytherapy.

Science.gov (United States)

Pinho, Christine; Timotin, Emilia; Wong, Raimond; Sur, Ranjan K; Hayward, Joseph E; Farrell, Thomas J; Seymour, Colin; Mothersill, Carmel

2015-01-01

To test whether blood, urine, and tissue based colony-forming assays are a useful clinical detection tool for assessing fractionated treatment responses and non-targeted radiation effects in bystander cells. To assess patients' responses to radiation treatments, blood serum, urine, and an esophagus explant-based in vivo colony-forming assay were used from oesophageal carcinoma patients. These patients underwent three fractions of high dose rate (HDR) intraluminal brachytherapy (ILBT). Human keratinocyte reporters exposed to blood sera taken after the third fraction of brachytherapy had a significant increase in cloning efficiency compared to baseline samples (p fractions for the blood sera data only. Patient characteristics such as gender had no statistically significant effect (p > 0.05). Large variability was observed among the patients' tissue samples, these colony-forming assays showed no significant changes throughout fractionated brachytherapy (p > 0.05). Large inter-patient variability was found in the urine and tissue based assays, so these techniques were discontinued. However, the simple blood-based assay had much less variability. This technique may have future applications as a biological dosimeter to predict treatment outcome and assess non-targeted radiation effects.

Reactor operation

CERN Document Server

Shaw, J

2013-01-01

Reactor Operation covers the theoretical aspects and design information of nuclear reactors. This book is composed of nine chapters that also consider their control, calibration, and experimentation.The opening chapters present the general problems of reactor operation and the principles of reactor control and operation. The succeeding chapters deal with the instrumentation, start-up, pre-commissioning, and physical experiments of nuclear reactors. The remaining chapters are devoted to the control rod calibrations and temperature coefficient measurements in the reactor. These chapters also exp

Improved nuclear reactor construction with bottom supported reactor vessel

International Nuclear Information System (INIS)

Sharbaugh, J.E.

1987-01-01

An improved liquid metal nuclear reactor construction has a reactor core and a generally cylindrical reactor vessel for holding liquid metal coolant and housing the core within the pool. A generally cylindrical concrete containment structure surrounds the reactor vessel and a central support pedestal is anchored to the containment structure base mat and supports the bottom wall of the reactor vessel and the reactor core. The periphery of the reactor vessel bore is supported by an annular structure which allows thermal expansion but not seismic motion of the vessel, and a bed of thermally insulating material uniformly supports the vessel base whilst allowing expansion thereof. A guard ring prevents lateral seismic motion of the upper end of the reactor vessel. The periphery of the core is supported by an annular structure supported by the vessel base and keyed to the vessel wall so as to be able to expand but not undergo seismic motion. A deck is supported on the containment structure above the reactor vessel open top by annular bellows, the deck carrying the reactor control rods such that heating of the reactor vessel results in upward expansion against the control rods. (author)

Reactor as furnace and reactor as lamp

International Nuclear Information System (INIS)

Goldanskii, V.I.

1992-01-01

There are presented general characteristics of the following ways of transforming of nuclear energy released in reactors into chemical : ordinary way (i.e. trough the heat, mechanical energy and electricity); chemonuclear synthesis ; use of high-temperature fuel elements (reactor as furnace); use of the mixed nγ-radiation of reactors; use of the radiation loops; radiation - photochemical synthesis (reactor as lamp). Advantage and disadvantages of all above variants are compared. The yield of the primary product of fixation of nitrogen (nitric oxide NO) in reactor with the high-temperature (above ca. 1900degC) fuel elements (reactor-furnace) can exceed W ∼ 200 kg per gram of burned uranium. For the latter variant (reactor-lamp) the yield of chemical products can reach W ∼ 60 kg. per gram of uranium. Such values of W are close to or even strongly exceed the yields of chemical products for other abovementioned variants and - what is particularly important - are not connected to the necessity of archscrupulous removal of radioactive contamination of products. (author)

Development of Reactor Console Simulator for PUSPATI TRIGA Reactor

International Nuclear Information System (INIS)

Mohd Idris Taib; Izhar Abu Hussin; Mohd Khairulezwan Abdul Manan; Nufarhana Ayuni Joha; Mohd Sabri Minhat

2012-01-01

The Reactor Console Simulator will be an interactive tool for operator training and teaching of PUSPATI TRIGA Reactor. Behaviour and characteristic for reactor console and reactor itself can be evaluated and understand. This Simulator will be used as complement for actual present reactor console. Implementation of man-machine interface is using computer screens, keyboard and mouse. Multiple screens are used to match the physical of present reactor console. LabVIEW software are using for user interface and mathematical calculation. Polynomial equation based on control rods calibration data as well as operation parameters record was used to calculate the estimated reactor console parameters. (author)

Reactor safeguards

CERN Document Server

Russell, Charles R

1962-01-01

Reactor Safeguards provides information for all who are interested in the subject of reactor safeguards. Much of the material is descriptive although some sections are written for the engineer or physicist directly concerned with hazards analysis or site selection problems. The book opens with an introductory chapter on radiation hazards, the construction of nuclear reactors, safety issues, and the operation of nuclear reactors. This is followed by separate chapters that discuss radioactive materials, reactor kinetics, control and safety systems, containment, safety features for water reactor

Pressurized Water Reactors (PWR) and Boiling Water Reactors (BWR) are compared

International Nuclear Information System (INIS)

Greneche, D.

2014-01-01

This article compares the 2 types of light water reactors that are used to produce electricity: the Pressurized Water Reactor (PWR) and the Boiling Water Reactor (BWR). Historically the BWR concept was developed after the PWR concept. Today 80% of light water reactors operating in the world are of PWR-type. This comparison is comprehensive and detailed. First the main technical features are reviewed and compared: reactor architecture, core and fuel design, reactivity control, reactor vessel, cooling systems and reactor containment. Secondly, various aspects concerning reactor operations like reactor control, fuel management, maintenance, inspections, radiation protection, waste generation and reactor reliability are presented and compared for both reactors. As for the issue of safety, it is highlighted that the accidental situations are too different for the 2 reactors to be compared. The main features of reactor safety are explained for both reactors

Control of reactor coolant flow path during reactor decay heat removal

International Nuclear Information System (INIS)

Hunsbedt, A.N.

1988-01-01

This patent describes a sodium cooled reactor of the type having a reactor hot pool, a slightly lower pressure reactor cold pool and a reactor vessel liner defining a reactor vessel liner flow gap separating the hot pool and the cold pool along the reactor vessel sidewalls and wherein the normal sodium circuit in the reactor includes main sodium reactor coolant pumps having a suction on the lower pressure sodium cold pool and an outlet to a reactor core; the reactor core for heating the sodium and discharging the sodium to the reactor hot pool; a heat exchanger for receiving sodium from the hot pool, and removing heat from the sodium and discharging the sodium to the lower pressure cold pool; the improvement across the reactor vessel liner comprising: a jet pump having a venturi installed across the reactor vessel liner, the jet pump having a lower inlet from the reactor vessel cold pool across the reactor vessel liner and an upper outlet to the reactor vessel hot pool

Intraoperative HDR brachytherapy for rectal cancer using a flexible intraoperative template: standard plans versus individual planning

International Nuclear Information System (INIS)

Kolkman-Deurloo, Inger-Karine K.; Nuyttens, Joost J.; Hanssens, Patrick E.J.; Levendag, Peter C.

2004-01-01

HDR intraoperative brachytherapy (IOBT) is applied to locally advanced rectal tumors using a 5 mm thick flexible intraoperative template (FIT). To reduce the procedure time, treatment planning is performed using standard plans that neglect the curvature of the FIT. We have calculated the individual treatment plan, based on the real geometry of the FIT, and the dose at clips placed during surgery. A mean treatment dose of 9.55±0.21 Gy was found for the individual plan, compared to the prescribed 10 Gy (P<0.0001). The mean central dose was 10.03±0.10 Gy in the standard plan and 9.20±0.32 Gy in the individual plan (P<0.0001). The mean dose at the corners of the FIT was 10.3 Gy in the standard plan and ranged between 10.3 and 10.5 Gy in the individual plan. In 63% of the clips, the dose was larger than 15.0 Gy, which is equivalent to a gap between the FIT and the target smaller than 5 mm. In 18% of the clips, the dose was smaller than 13.0 Gy indicating that locally the gap was larger than 5 mm. Clinical practice will have to prove if these small dose deviations influence the clinical outcome

The research reactors their contribution to the reactors physics

International Nuclear Information System (INIS)

Barral, J.C.; Zaetta, A.; Johner, J.; Mathoniere, G.

2000-01-01

The 19 october 2000, the french society of nuclear energy organized a day on the research reactors. This associated report of the technical session, reactors physics, is presented in two parts. The first part deals with the annual meeting and groups general papers on the pressurized water reactors, the fast neutrons reactors and the fusion reactors industry. The second part presents more technical papers about the research programs, critical models, irradiation reactors (OSIRIS and Jules Horowitz) and computing tools. (A.L.B.)

Reactor noise analysis of experimental fast reactor 'JOYO'

International Nuclear Information System (INIS)

Ohtani, Hideji; Yamamoto, Hisashi

1980-01-01

As a part of dynamics tests in experimental fast reactor ''JOYO'', reactor noise tests were carried out. The reactor noise analysis techniques are effective for study of plant characteristics by determining fluctuations of process signals (neutron signal, reactor inlet temperature signals, etc.), which are able to be measured without disturbances for reactor operations. The aims of reactor noise tests were to confirm that no unstable phenomenon exists in ''JOYO'' and to gain initial data of the plant for reference of the future data. Data for the reactor noise tests treated in this paper were obtained at 50 MW power level. Fluctuations of process signals were amplified and recorded on analogue tapes. The analysis was performed using noise code (NOISA) of digital computer, with which statistical values of ASPD (auto power spectral density), CPSD (cross power spectral density), and CF (coherence function) were calculated. The primary points of the results are as follows. 1. RMS value of neutron signal at 50 MW power level is about 0.03 MW. This neutron fluctuation is not disturbing reactor operations. 2. The fluctuations of A loop reactor inlet temperatures (T sub(AI)) are larger than the fluctuations of B loop reactor inlet temperature (T sub(BI)). For this reason, the major driving force of neutron fluctuations seems to be the fluctuations of T sub(AI). 3. Core and blanket subassemblies can be divided into two halves (A and B region), with respect to the spacial motion of temperature in the reactor core. A or B region means the region in which sodium temperature fluctuations in subassembly are significantly affected by T sub(AI) or T sub(BI), respectively. This phenomenon seems to be due to the lack of mixing of A and B loop sodium in lower plenum of reactor vessel. (author)

Reactor physics and reactor computations

International Nuclear Information System (INIS)

Ronen, Y.; Elias, E.

1994-01-01

Mathematical methods and computer calculations for nuclear and thermonuclear reactor kinetics, reactor physics, neutron transport theory, core lattice parameters, waste treatment by transmutation, breeding, nuclear and thermonuclear fuels are the main interests of the conference

Reactor water spontaneous circulation structure in reactor pressure vessel

International Nuclear Information System (INIS)

Takahashi, Kazumi

1998-01-01

The gap between the inner wall of a reactor pressure vessel of a BWR type reactor and a reactor core shroud forms a down comer in which reactor water flows downwardly. A feedwater jacket to which feedwater at low temperature is supplied is disposed at the outer circumference of the pressure vessel just below a gas/water separator. The reactor water at the outer circumferential portion just below the air/water separator is cooled by the feedwater jacket, and the feedwater after cooling is supplied to the feedwater entrance disposed below the feedwater jacket by way of a feedwater introduction line to supply the feedwater to the lower portion of the down comer. This can cool the reactor water in the down comer to increase the reactor water density in the down comer thereby forming strong downward flows and promote the recycling of the reactor water as a whole. With such procedures, the reactor water can be recycled stably only by the difference of the specific gravity of the reactor water without using an internal pump. In addition, the increase of the height of the pressure vessel can be suppressed. (I.N.)

HDR 192Ir source speed measurements using a high speed video camera

International Nuclear Information System (INIS)

Fonseca, Gabriel P.; Viana, Rodrigo S. S.; Yoriyaz, Hélio; Podesta, Mark; Rubo, Rodrigo A.; Sales, Camila P. de; Reniers, Brigitte; Verhaegen, Frank

2015-01-01

Purpose: The dose delivered with a HDR 192 Ir afterloader can be separated into a dwell component, and a transit component resulting from the source movement. The transit component is directly dependent on the source speed profile and it is the goal of this study to measure accurate source speed profiles. Methods: A high speed video camera was used to record the movement of a 192 Ir source (Nucletron, an Elekta company, Stockholm, Sweden) for interdwell distances of 0.25–5 cm with dwell times of 0.1, 1, and 2 s. Transit dose distributions were calculated using a Monte Carlo code simulating the source movement. Results: The source stops at each dwell position oscillating around the desired position for a duration up to (0.026 ± 0.005) s. The source speed profile shows variations between 0 and 81 cm/s with average speed of ∼33 cm/s for most of the interdwell distances. The source stops for up to (0.005 ± 0.001) s at nonprogrammed positions in between two programmed dwell positions. The dwell time correction applied by the manufacturer compensates the transit dose between the dwell positions leading to a maximum overdose of 41 mGy for the considered cases and assuming an air-kerma strength of 48 000 U. The transit dose component is not uniformly distributed leading to over and underdoses, which is within 1.4% for commonly prescribed doses (3–10 Gy). Conclusions: The source maintains its speed even for the short interdwell distances. Dose variations due to the transit dose component are much lower than the prescribed treatment doses for brachytherapy, although transit dose component should be evaluated individually for clinical cases

Reactor

International Nuclear Information System (INIS)

Ikeda, Masaomi; Kashimura, Kazuo; Inoue, Kazuyuki; Nishioka, Kazuya.

1979-01-01

Purpose: To facilitate the construction of a reactor containment building, whereby the inspections of the outer wall of a reactor container after the completion of the construction of the reactor building can be easily carried out. Constitution: In a reactor accommodated in a container encircled by a building wall, a space is provided between the container and the building wall encircling the container, and a metal wall is provided in the space so that it is fitted in the building wall in an attachable or detatchable manner. (Aizawa, K.)

Reactor Physics Training

International Nuclear Information System (INIS)

Baeten, P.

2007-01-01

University courses in nuclear reactor physics at the universities consist of a theoretical description of the physics and technology of nuclear reactors. In order to demonstrate the basic concepts in reactor physics, training exercises in nuclear reactor installations are also desirable. Since the number of reactor facilities is however strongly decreasing in Europe, it becomes difficult to offer to students a means for demonstrating the basic concepts in reactor physics by performing training exercises in nuclear installations. Universities do not generally possess the capabilities for performing training exercises. Therefore, SCK-CEN offers universities the possibility to perform (on a commercial basis) training exercises at its infrastructure consisting of two research reactors (BR1 and VENUS). Besides the organisation of training exercises in the framework of university courses, SCK-CEN also organizes theoretical courses in reactor physics for the education and training of nuclear reactor operators. It is indeed a very important subject to guarantee the safe operation of present and future nuclear reactors. In this framework, an understanding of the fundamental principles of nuclear reactor physics is also necessary for reactor operators. Therefore, the organisation of a basic Nuclear reactor physics course at the level of reactor operators in the initial and continuous training of reactor operators has proven to be indispensable. In most countries, such training also results from the direct request from the safety authorities to assure the high level of competence of the staff in nuclear reactors. The objectives this activity are: (1) to provide training and education activities in reactor physics for university students and (2) to organise courses in nuclear reactor physics for reactor operators

FBR type reactor

International Nuclear Information System (INIS)

Kimura, Kimitaka; Fukuie, Ken; Iijima, Tooru; Shimpo, Masakazu.

1994-01-01

In an FBR type reactor for exchanging fuels by pulling up reactor core upper mechanisms, a connection mechanism is disposed for connecting the top of the reactor core and the lower end of the reactor core upper mechanisms. In addition, a cylindrical body is disposed surrounding the reactor core upper mechanisms, and a support member is disposed to the cylindrical body for supporting an intermediate portion of the reactor core upper mechanisms. Then, the lower end of the reactor core upper mechanisms is connected to the top of the reactor core. Same displacements are caused to both of them upon occurrence of earthquakes and, as a result, it is possible to eliminate mutual horizontal displacement between a control rod guide hole of the reactor core upper mechanisms and a control rod insertion hole of the reactor core. In addition, since the intermediate portion of the reactor core upper mechanisms is supported by the support member disposed to the cylindrical body surrounding the reactor core upper mechanisms, deformation caused to the lower end of the reactor core upper mechanisms is reduced, so that the mutual horizontal displacement with respect to the control rod insertion hole of the reactor core can be reduced. As a result, performance of control rod insertion upon occurrence of the earthquakes is improved, so that reactor shutdown is conducted more reliably to improve reactor safety. (N.H.)

RB Research nuclear reactor RB reactor, Annual report for 2000

International Nuclear Information System (INIS)

Milosevic, M.

2000-12-01

Report on RB reactor operation during 2000 contains 3 parts. Part one contains a brief description of reactor operation and reactor components, relevant dosimetry data and radiation protection issues, personnel and financial data. Part two is devoted to maintenance of the reactor components, namely, fuel, heavy water, reactor vessel, heavy water circulation system, absorption rods and heavy water level-meters, maintenance of electronic, mechanical, electrical and auxiliary equipment. Part three contains data concerned with reactor operation and utilization with a comprehensive list of publications resulting from experiments done at the RB reactor. It contains data about reactor operation during previous 14 years, i.e. from 1986 - 2000

Reactor container

International Nuclear Information System (INIS)

Kato, Masami; Nishio, Masahide.

1987-01-01

Purpose: To prevent the rupture of the dry well even when the melted reactor core drops into a reactor pedestal cavity. Constitution: In a reactor container in which a dry well disposed above the reactor pedestal cavity for containing the reactor pressure vessel and a torus type suppression chamber for containing pressure suppression water are connected with each other, the pedestal cavity and the suppression chamber are disposed such that the flow level of the pedestal cavity is lower than the level of the pressure suppression water. Further, a pressure suppression water introduction pipeway for introducing the pressure suppression water into the reactor pedestal cavity is disposed by way of an ON-OFF valve. In case if the melted reactor core should fall into the pedestal cavity, the ON-OFF valve for the pressure suppression water introduction pipeway is opened to introduce the pressure suppression water in the suppression chamber into the pedestal cavity to cool the melted reactor core. (Ikeda, J.)

Intermediate and high level earthquakes testing at the HDR - overview, objectives, results

International Nuclear Information System (INIS)

Jehlicka, P.; Malcher, L.

1981-01-01

The main objective of these earthquake investigations is the verification of calculation methods relating to structure dynamics which are used for the seismic design of nuclear power plants. Structures analyzed by tests and precalculations were the reactor building, the reactor pressure vessel, two large-diameter piping systems and one of the flood water tanks. Excitation methods used were eccentric mass shakers, snapback devices, explosives and solid propellant rockets. Some of the tests involving excitation of the building by shakers and two of the blast tests were carried out with the reactor pressure vessel and the pipes under operating conditions. The precalculations using both linear and nonlinear methods were made by German industry groups, independent experts groups and international partners. Soil-structure interaction can be determined accurately by means of simplified methods using frequency dependent soil springs. The reduction in the eigenfrequencies of the building when the load was increased by a factor of 25 could be predicted. Comparison of the results obtained for the vibrational behaviour of the building show that a simplification to the rotationally symmetric shell model appears to be a reasonable compromise between simple beam models and sophisticated 3D-shell models. The strong decrease in eigenfrequencies observed in the experiments during the transition from empty to partly filled reactor pressure vessel, and the resultant change of the mode shapes was perfectly reflected if the virtual mass of water was introduced in the calculation. Damping values evaluated from the measurements demonstrate that for some structures damping can remain low, even at levels of response leading to local yielding, while for other structures damping was very high at a rather low level of response. It appears that the use of generalized damping values for the seismic analysis of mechanical and structural systems is not appropriate. (orig./HP)

Reactor Physics Programme

Energy Technology Data Exchange (ETDEWEB)

De Raedt, C

2000-07-01

The Reactor Physics and Department of SCK-CEN offers expertise in various areas of reactor physics, in particular in neutronics calculations, reactor dosimetry, reactor operation, reactor safety and control and non-destructive analysis on reactor fuel. This expertise is applied within the Reactor Physics and MYRRHA Research Department's own research projects in the VENUS critical facility, in the BR1 reactor and in the MYRRHA project (this project aims at designing a prototype Accelerator Driven System). Available expertise is also used in programmes external to the Department such as the reactor pressure steel vessel programme, the BR2 reactor dosimetry, and the preparation and interpretation of irradiation experiments. Progress and achievements in 1999 in the following areas are reported on: (1) investigations on the use of military plutonium in commercial power reactors; (2) neutron and gamma calculations performed for BR-2 and for other reactors; (3) the updating of neutron and gamma cross-section libraries; (4) the implementation of reactor codes; (6) the management of the UNIX workstations; and (6) fuel cycle studies.

Reactor Physics Programme

International Nuclear Information System (INIS)

De Raedt, C.

2000-01-01

The Reactor Physics and Department of SCK-CEN offers expertise in various areas of reactor physics, in particular in neutronics calculations, reactor dosimetry, reactor operation, reactor safety and control and non-destructive analysis on reactor fuel. This expertise is applied within the Reactor Physics and MYRRHA Research Department's own research projects in the VENUS critical facility, in the BR1 reactor and in the MYRRHA project (this project aims at designing a prototype Accelerator Driven System). Available expertise is also used in programmes external to the Department such as the reactor pressure steel vessel programme, the BR2 reactor dosimetry, and the preparation and interpretation of irradiation experiments. Progress and achievements in 1999 in the following areas are reported on: (1) investigations on the use of military plutonium in commercial power reactors; (2) neutron and gamma calculations performed for BR-2 and for other reactors; (3) the updating of neutron and gamma cross-section libraries; (4) the implementation of reactor codes; (6) the management of the UNIX workstations; and (6) fuel cycle studies

SU-G-JeP2-14: MRI-Based HDR Prostate Brachytherapy: A Phantom Study for Interstitial Catheter Reconstruction with 0.35T MRI Images

International Nuclear Information System (INIS)

Park, S; Kamrava, M; Yang, Y

2016-01-01

Purpose: To evaluate the accuracy of interstitial catheter reconstruction with 0.35T MRI images for MRI-based HDR prostate brachytherapy. Methods: Recently, a real-time MRI-guided radiotherapy system combining a 0.35T MRI system and three cobalt 60 heads (MRIdian System, ViewRay, Cleveland, OH, USA) was installed in our department. A TrueFISP sequence for MRI acquisition at lower field on Viewray was chosen due to its fast speed and high signal-to-noise efficiency. Interstitial FlexiGuide needles were implanted into a tissue equivalent ultrasound prostate phantom (CIRS, Norfolk, Virginia, USA). After an initial 15s pilot MRI to confirm the location of the phantom, planning MRI was acquired with a 172s TrueFISP sequence. The pulse sequence parameters included: flip angle = 60 degree, echo time (TE) =1.45 ms, repetition time (TR) = 3.37 ms, slice thickness = 1.5 mm, field of view (FOV) =500 × 450mm. For a reference image, a CT scan was followed. The CT and MR scans were then fused with the MIM Maestro (MIM software Inc., Cleveland, OH, USA) and sent to the Oncentra Brachy planning system (Elekta, Veenendaal, Netherlands). Automatic catheter reconstruction using CT and MR image intensities followed by manual reconstruction was used to digitize catheters. The accuracy of catheter reconstruction was evaluated from the catheter tip location. Results: The average difference between the catheter tip locations reconstructed from the CT and MR in the transverse, anteroposterior, and craniocaudal directions was −0.1 ± 0.1 mm (left), 0.2 ± 0.2 mm (anterior), and −2.3 ± 0.5 mm (cranio). The average distance in 3D was 2.3 mm ± 0.5 mm. Conclusion: This feasibility study proved that interstitial catheters can be reconstructed with 0.35T MRI images. For more accurate catheter reconstruction which can affect final dose distribution, a systematic shift should be applied to the MR based catheter reconstruction in HDR prostate brachytherapy.

Nuclear reactors. Introduction

International Nuclear Information System (INIS)

Boiron, P.

1997-01-01

This paper is an introduction to the 'nuclear reactors' volume of the Engineers Techniques collection. It gives a general presentation of the different articles of the volume which deal with: the physical basis (neutron physics and ionizing radiations-matter interactions, neutron moderation and diffusion), the basic concepts and functioning of nuclear reactors (possible fuel-moderator-coolant-structure combinations, research and materials testing reactors, reactors theory and neutron characteristics, neutron calculations for reactor cores, thermo-hydraulics, fluid-structure interactions and thermomechanical behaviour of fuels in PWRs and fast breeder reactors, thermal and mechanical effects on reactors structure), the industrial reactors (light water, pressurized water, boiling water, graphite moderated, fast breeder, high temperature and heavy water reactors), and the technology of PWRs (conceiving and building rules, nuclear parks and safety, reactor components and site selection). (J.S.)

Nuclear reactor, reactor core thereof, and device for constituting the reactor

International Nuclear Information System (INIS)

Takiyama, Masashi.

1994-01-01

A reactor core is constituted by charging coolants (light water) in a reactor pressure vessel and distributing fuel assemblies, reflecting material sealing pipes, moderator (heavy water and helium gas) sealing pipes, and gas sealing pipes therein. A fuel guide tube is surrounded by a cap and the gap therebetween is made hollow and filled with coolant steams. The cap is supported by a baffle plate. The moderator sealing pipe is disposed in a flow channel of coolants in adjacent with the cap. The position of the moderator sealing tube in the reactor core is controlled by water stream from a hydraulic pump with a guide tube extending below the baffle plate being as a guide. Then, the position of the moderator sealing tube is varied to conduct power control, burnup degree compensation, and reactor shut down. With such procedures, moderator cooling facility is no more necessary to simplify the structure. Further, heat generated from the moderator is transferred to the coolants thereby improving heat efficiency of the reactor. (I.N.)

Slurry reactors

Energy Technology Data Exchange (ETDEWEB)

Kuerten, H; Zehner, P [BASF A.G., Ludwigshafen am Rhein (Germany, F.R.)

1979-08-01

Slurry reactors are designed on the basis of empirical data and model investigations. It is as yet not possible to calculate the flow behavior of such reactors. The swarm of gas bubbles and cluster formations of solid particles and their interaction in industrial reactors are not known. These effects control to a large extent the gas hold-up, the gas-liquid interface and, similarly as in bubble columns, the back-mixing of liquids and solids. These hydrodynamic problems are illustrated in slurry reactors which constructionally may be bubble columns, stirred tanks or jet loop reactors. The expected effects are predicted by means of tests with model systems modified to represent the conditions in industrial hydrogenation reactors. In his book 'Mass Transfer in Heterogeneous Catalysis' (1970) Satterfield complained of the lack of knowledge about the design of slurry reactors and hence of the impossible task of the engineer who has to design a plant according to accepted rules. There have been no fundamental changes since then. This paper presents the problems facing the engineer in designing slurry reactors, and shows new development trends.

Optimal reactor strategy for commercializing fast breeder reactors

International Nuclear Information System (INIS)

Yamaji, Kenji; Nagano, Koji

1988-01-01

In this paper, a fuel cycle optimization model developed for analyzing the condition of selecting fast breeder reactors in the optimal reactor strategy is described. By dividing the period of planning, 1966-2055, into nine ten-year periods, the model was formulated as a compact linear programming model. With the model, the best mix of reactor types as well as the optimal timing of reprocessing spent fuel from LWRs to minimize the total cost were found. The results of the analysis are summarized as follows. Fast breeder reactors could be introduced in the optimal strategy when they can economically compete with LWRs with 30 year storage of spent fuel. In order that fast breeder reactors monopolize the new reactor market after the achievement of their technical availability, their capital cost should be less than 0.9 times as much as that of LWRs. When a certain amount of reprocessing commitment is assumed, the condition of employing fast breeder reactors in the optimal strategy is mitigated. In the optimal strategy, reprocessing is done just to meet plutonium demand, and the storage of spent fuel is selected to adjust the mismatch of plutonium production and utilization. The price hike of uranium ore facilitates the commercial adoption of fast breeder reactors. (Kako, I.)

Improvements of visual X-ray inspection with optimized digital detector technology. Faster and more reliable inspection with High Dynamic Radiology (HDR)

International Nuclear Information System (INIS)

Bavendiek, Klaus

2010-01-01

Improvements in speed and contrast resolution of Digital Detector Arrays (DDA) and significant higher power of X-Ray tubes in combination with a small focal spot open the door to an improved visual inspection of castings for automotive and aerospace applications. The result is a film-like image quality of castings in a live view. For the new image quality the x-ray parameter have to be optimized in energy and the subject contrast has to be increased to avoid that flaws are covered by the noise in the image. HDR - high dynamic radiology - expands the local contrast in the image and transfers the grey values to the range the human inspector can separate. Due to the movement in the image the inspector gets a glas-like impression of the object and the flaws allowing him to do a decision about the 3D position of a flaw in the object. (orig.)

Computerized reactor monitor and control for nuclear reactors

International Nuclear Information System (INIS)

Buerger, L.

1982-01-01

The analysis of a computerized process control system developed by Transelektro-KFKI-Videoton (Hangary) for a twenty-year-old research reactor in Budapest and or a new one in Tajura (Libya) is given. The paper describes the computer hardware (R-10) and the implemented software (PROCESS-24K) as well as their applications at nuclear reactors. The computer program provides for man-machine communication, data acquisition and processing, trend and alarm analysis, the control of the reactor power, reactor physical calculations and additional operational functions. The reliability and the possible further development of the computerized systems which are suitable for application at reactors of different design are also discussed. (Sz.J.)

SU-E-T-263: Point Dose Variation Using a Single Ir-192 HDR Brachytherapy Plan for Two Treatments with a Single Tandem-Ovoid Insertion for Cervical Cancer

Energy Technology Data Exchange (ETDEWEB)

Liang, X; Morrill, S; Hardee, M; Han, E; Penagaricano, J; Zhang, X; Vaneerat, R [University of Arkansas Medical Science, Little Rock, AR (United States)

2014-06-01

Purpose: To evaluate the point dose variations between Ir-192 HDR treatments on two consecutive days using a single tandem-ovoid insertion without replanning in cervical cancer patients. Methods: This study includes eleven cervical cancer patients undergoing HDR brachytherapy with a prescribed dose of 28 Gy in 4 fractions. Each patient had two tandemovoid insertions one week apart. Each insertion was treated on consecutive days with rescanning and replanning prior to each treatment. To study the effect of no replanning for day 2 treatments, the day 1 plan dwell position and dwell time with decay were applied to the day 2 CT dataset. The point dose variations on the prescription point H (defined according to American Brachytherapy Society), and normal tissue doses at point B, bladder, rectum and vaginal mucosa (based on ICRU Report 38) were obtained. Results: Without replanning, the mean point H dose variation was 4.6 ± 10.7% on the left; 2.3 ± 2.9% on the right. The mean B point variation was 3.8 ± 4.9% on the left; 3.6 ± 4.7% on the right. The variation in the left vaginal mucosal point was 12.2 ± 10.7%; 9.5 ± 12.5% on the right; the bladder point 5.5 ± 7.4%; and the rectal point 7.9 ± 9.1%. Conclusion: Without replanning, there are variations both in the prescription point and the normal tissue point doses. The latter can vary as much as 10% or more. This is likely due to the steep dose gradient from brachytherapy compounded by shifts in the positions of the applicator in relationship to the patients anatomy. Imaging prior to each treatment and replanning ensure effective and safe brachytherapy are recommended.

Safeguarding research reactors

International Nuclear Information System (INIS)

Powers, J.A.

1983-03-01

The report is organized in four sections, including the introduction. The second section contains a discussion of the characteristics and attributes of research reactors important to safeguards. In this section, research reactors are described according to their power level, if greater than 25 thermal megawatts, or according to each fuel type. This descriptive discussion includes both reactor and reactor fuel information of a generic nature, according to the following categories. 1. Research reactors with more than 25 megawatts thermal power, 2. Plate fuelled reactors, 3. Assembly fuelled reactors. 4. Research reactors fuelled with individual rods. 5. Disk fuelled reactors, and 6. Research reactors fuelled with aqueous homogeneous fuel. The third section consists of a brief discussion of general IAEA safeguards as they apply to research reactors. This section is based on IAEA safeguards implementation documents and technical reports that are used to establish Agency-State agreements and facility attachments. The fourth and last section describes inspection activities at research reactors necessary to meet Agency objectives. The scope of the activities extends to both pre and post inspection as well as the on-site inspection and includes the examination of records and reports relative to reactor operation and to receipts, shipments and certain internal transfers, periodic verification of fresh fuel, spent fuel and core fuel, activities related to containment and surveillance, and other selected activities, depending on the reactor

Control of reactor coolant flow path during reactor decay heat removal

Science.gov (United States)

Hunsbedt, Anstein N.

1988-01-01

An improved reactor vessel auxiliary cooling system for a sodium cooled nuclear reactor is disclosed. The sodium cooled nuclear reactor is of the type having a reactor vessel liner separating the reactor hot pool on the upstream side of an intermediate heat exchanger and the reactor cold pool on the downstream side of the intermediate heat exchanger. The improvement includes a flow path across the reactor vessel liner flow gap which dissipates core heat across the reactor vessel and containment vessel responsive to a casualty including the loss of normal heat removal paths and associated shutdown of the main coolant liquid sodium pumps. In normal operation, the reactor vessel cold pool is inlet to the suction side of coolant liquid sodium pumps, these pumps being of the electromagnetic variety. The pumps discharge through the core into the reactor hot pool and then through an intermediate heat exchanger where the heat generated in the reactor core is discharged. Upon outlet from the heat exchanger, the sodium is returned to the reactor cold pool. The improvement includes placing a jet pump across the reactor vessel liner flow gap, pumping a small flow of liquid sodium from the lower pressure cold pool into the hot pool. The jet pump has a small high pressure driving stream diverted from the high pressure side of the reactor pumps. During normal operation, the jet pumps supplement the normal reactor pressure differential from the lower pressure cold pool to the hot pool. Upon the occurrence of a casualty involving loss of coolant pump pressure, and immediate cooling circuit is established by the back flow of sodium through the jet pumps from the reactor vessel hot pool to the reactor vessel cold pool. The cooling circuit includes flow into the reactor vessel liner flow gap immediate the reactor vessel wall and containment vessel where optimum and immediate discharge of residual reactor heat occurs.

Reactor operations Brookhaven medical research reactor, Brookhaven high flux beam reactor informal monthly report

International Nuclear Information System (INIS)

Hauptman, H.M.; Petro, J.N.; Jacobi, O.

1995-04-01

This document is the April 1995 summary report on reactor operations at the Brookhaven Medical Research Reactor and the Brookhaven High Flux Beam Reactor. Ongoing experiments/irradiations in each are listed, and other significant operations functions are also noted. The HFBR surveillance testing schedule is also listed

Reactor core for FBR type reactor

International Nuclear Information System (INIS)

Fujita, Tomoko; Watanabe, Hisao; Kasai, Shigeo; Yokoyama, Tsugio; Matsumoto, Hiroshi.

1996-01-01

In a gas-sealed assembly for a FBR type reactor, two or more kinds of assemblies having different eigen frequency and a structure for suppressing oscillation of liquid surface are disposed in a reactor core. Coolant introduction channels for introducing coolants from inside and outside are disposed in the inside of structural members of an upper shielding member to form a shielding member-cooling structure in the reactor core. A structure for promoting heat conduction between a sealed gas in the assembly and coolants at the inner side or the outside of the assembly is disposed in the reactor core. A material which generates heat by neutron irradiation is disposed in the assembly to heat the sealed gases positively by radiation heat from the heat generation member also upon occurrence of power elevation-type event to cause temperature expansion. Namely, the coolants flown out from or into the gas sealed-assemblies cause differential fluctuation on the liquid surface, and the change of the capacity of a gas region is also different on every gas-sealed assemblies thereby enabling to suppress fluctuation of the reactor power. Pressure loss is increased by a baffle plate or the like to lower the liquid surface of the sodium coolants or decrease the elevating speed thereof thereby suppressing fluctuation of the reactor power. (N.H.)

Space-time reactor kinetics for heterogeneous reactor structure

Energy Technology Data Exchange (ETDEWEB)

Raisic, N [Boris Kidric Institute of nuclear sciences Vinca, Belgrade (Yugoslavia)

1969-11-15

An attempt is made to formulate time dependent diffusion equation based on Feinberg-Galanin theory in the from analogue to the classical reactor kinetic equation. Parameters of these equations could be calculated using the existing codes for static reactor calculation based on the heterogeneous reactor theory. The obtained kinetic equation could be analogues in form to the nodal kinetic equation. Space-time distribution of neutron flux in the reactor can be obtained by solving these equations using standard methods.

Nuclear Reactor RA Safety Report, Vol. 4, Reactor

International Nuclear Information System (INIS)

1986-11-01

RA research reactor is thermal heavy water moderated and cooled reactor. Metal uranium 2% enriched fuel elements were used at the beginning of its operation. Since 1976, 80% enriched uranium oxide dispersed in aluminium fuel elements were gradually introduced into the core and are the only ones presently used. Reactor core is cylindrical, having diameter 40 cm and 123 cm high. Reaktor core is made up of 82 fuel elements in aluminium channels, lattice is square, lattice pitch 13 cm. Reactor vessel is cylindrical made of 8 mm thick aluminium, inside diameter 140 cm and 5.5 m high surrounded with neutron reflector and biological shield. There is no containment, the reactor building is playing the shielding role. Three pumps enable circulation of heavy water in the primary cooling circuit. Degradation of heavy water is prevented by helium cover gas. Control rods with cadmium regulate the reactor operation. There are eleven absorption rods, seven are used for long term reactivity compensation, two for automatic power regulation and two for safety shutdown. Total anti reactivity of the rods amounts to 24%. RA reactor is equipped with a number of experimental channels, 45 vertical (9 in the core), 34 in the graphite reflector and two in the water biological shield; and six horizontal channels regularly distributed in the core. This volume include detailed description of systems and components of the RA reactor, reactor core parameters, thermal hydraulics of the core, fuel elements, fuel elements handling equipment, fuel management, and experimental devices [sr

Feasible reactor power cutback logic development for an integral reactor

International Nuclear Information System (INIS)

Han, Soon-Kyoo; Lee, Chung-Chan; Choi, Suhn; Kang, Han-Ok

2013-01-01

Major features of integral reactors that have been developed around the world recently are simplified operating systems and passive safety systems. Even though highly simplified control system and very reliable components are utilized in the integral reactor, the possibility of major component malfunction cannot be ruled out. So, feasible reactor power cutback logic is required to cope with the malfunction of components without inducing reactor trip. Simplified reactor power cutback logic has been developed on the basis of the real component data and operational parameters of plant in this study. Due to the relatively high rod worth of the integral reactor the control rod assembly drop method which had been adapted for large nuclear power plants was not desirable for reactor power cutback of the integral reactor. Instead another method, the control rod assembly control logic of reactor regulating system controls the control rod assembly movements, was chosen as an alternative. Sensitivity analyses and feasibility evaluations were performed for the selected method by varying the control rod assembly driving speed. In the results, sensitivity study showed that the performance goal of reactor power cutback system could be achieved with the limited range of control rod assembly driving speed. (orig.)

RA Reactor

International Nuclear Information System (INIS)

1978-02-01

In addition to basic characteristics of the RA reactor, organizational scheme and financial incentives, this document covers describes the state of the reactor components after 18 years of operation, problems concerned with obtaining the licence for operation with 80% fuel, problems of spent fuel storage in the storage pool of the reactor building and the need for renewal of reactor equipment, first of all instrumentation [sr

H Reactor

Data.gov (United States)

Federal Laboratory Consortium — The H Reactor was the first reactor to be built at Hanford after World War II.It became operational in October of 1949, and represented the fourth nuclear reactor on...

Reactor container

International Nuclear Information System (INIS)

Naruse, Yoshihiro.

1990-01-01

The thickness of steel shell plates in a reactor container embedded in sand cussions is monitored to recognize the corrosion of the steel shell plates. That is, the reactor pressure vessel is contained in a reactor container shell and the sand cussions are disposed on the lower outside of the reactor container shell to elastically support the shell. A pit is disposed at a position opposing to the sand cussions for measuring the thickness of the reactor container shell plates. The pit is usually closed by a closing member. In the reactor container thus constituted, the closing member can be removed upon periodical inspection to measure the thickness of the shell plates. Accordingly, the corrosion of the steel shell plates can be recognized by the change of the plate thickness. (I.S.)

Hybrid reactors

International Nuclear Information System (INIS)

Moir, R.W.

1980-01-01

The rationale for hybrid fusion-fission reactors is the production of fissile fuel for fission reactors. A new class of reactor, the fission-suppressed hybrid promises unusually good safety features as well as the ability to support 25 light-water reactors of the same nuclear power rating, or even more high-conversion-ratio reactors such as the heavy-water type. One 4000-MW nuclear hybrid can produce 7200 kg of 233 U per year. To obtain good economics, injector efficiency times plasma gain (eta/sub i/Q) should be greater than 2, the wall load should be greater than 1 MW.m -2 , and the hybrid should cost less than 6 times the cost of a light-water reactor. Introduction rates for the fission-suppressed hybrid are usually rapid

Nuclear research reactors

International Nuclear Information System (INIS)

1985-01-01

It's presented data about nuclear research reactors in the world, retrieved from the Sien (Nuclear and Energetic Information System) data bank. The information are organized in table forms as follows: research reactors by countries; research reactors by type; research reactors by fuel and research reactors by purpose. (E.G.) [pt

Strategic planning for research reactors. Guidance for reactor managers

International Nuclear Information System (INIS)

2001-04-01

The purpose of this publication is to provide guidance on how to develop a strategic plan for a research reactor. The IAEA is convinced of the need for research reactors to have strategic plans and is issuing a series of publications to help owners and operators in this regard. One of these covers the applications of research reactors. That report brings together all of the current uses of research reactors and enables a reactor owner or operator to evaluate which applications might be possible with a particular facility. An analysis of research reactor capabilities is an early phase in the strategic planning process. The current document provides the rationale for a strategic plan, outlines the methodology of developing such a plan and then gives a model that may be followed. While there are many purposes for research reactor strategic plans, this report emphasizes the use of strategic planning in order to increase utilization. A number of examples are given in order to clearly illustrate this function

Observing and characterizing avalanche activity in the Khumbu Himal, Nepal, using Pleiades and airborne HDR imagery

Science.gov (United States)

Thompson, Sarah; Nicholson, Lindsey; Klug, Christoph; Rieg, Lorenzo; Sailer, Rudolf; Bucher, Tilman; Brauchle, Jörg

2017-04-01

In the high, steep terrain of the Khumbu Himal, Nepal, snow avalanches play an important role in glacier mass balance, and rockfall supplies much of the rock material that forms the extensive debris covers on glaciers in the region. Information on the frequency and size of gravitational mass movements is helpful for understanding current and future glacier behaviour but currently lacking. In this study we use a combination of high resolution Pleiades optical satellite imagery in conjunction with airborne HDR imagery of slopes in deep shadow or overexposed snow slopes, provided by the German Aerospace Center (DLR) MACS system (see Brauchle et al., MM3.2/GI2.12/GMPV6.4/HS11.13/NH8.9/SSS12.24), to undertake a qualitative observational study of the gravitational processes evident in these sets of imagery. We classify the features found and discuss their likely frequency in the context of previously published research findings. Terrain analysis based upon digital terrain models derived from the same Pleiades imagery is used to investigate the slope angle, degree of confinement, curvature and aspect of observed avalanche and rock fall tracks. This work presents a first overview of the types of gravitational slides affecting glaciers of the Khumbu Himal. Subsequent research efforts will focus on attempting to quantify volumes of mass movement using repeat satellite imagery.

Licensed reactor nuclear safety criteria applicable to DOE reactors

International Nuclear Information System (INIS)

1991-04-01

The Department of Energy (DOE) Order DOE 5480.6, Safety of Department of Energy-Owned Nuclear Reactors, establishes reactor safety requirements to assure that reactors are sited, designed, constructed, modified, operated, maintained, and decommissioned in a manner that adequately protects health and safety and is in accordance with uniform standards, guides, and codes which are consistent with those applied to comparable licensed reactors. This document identifies nuclear safety criteria applied to NRC [Nuclear Regulatory Commission] licensed reactors. The titles of the chapters and sections of USNRC Regulatory Guide 1.70, Standard Format and Content of Safety Analysis Reports for Nuclear Power Plants, Rev. 3, are used as the format for compiling the NRC criteria applied to the various areas of nuclear safety addressed in a safety analysis report for a nuclear reactor. In each section the criteria are compiled in four groups: (1) Code of Federal Regulations, (2) US NRC Regulatory Guides, SRP Branch Technical Positions and Appendices, (3) Codes and Standards, and (4) Supplemental Information. The degree of application of these criteria to a DOE-owned reactor, consistent with their application to comparable licensed reactors, must be determined by the DOE and DOE contractor

Research reactors - an overview

International Nuclear Information System (INIS)

West, C.D.

1997-01-01

A broad overview of different types of research and type reactors is provided in this paper. Reactor designs and operating conditions are briefly described for four reactors. The reactor types described include swimming pool reactors, the High Flux Isotope Reactor, the Mark I TRIGA reactor, and the Advanced Neutron Source reactor. Emphasis in the descriptions is placed on safety-related features of the reactors. 7 refs., 7 figs., 2 tabs

Multiregion reactors

International Nuclear Information System (INIS)

Moura Neto, C. de; Nair, R.P.K.

1979-08-01

The study of reflected reactors can be done employing the multigroup diffusion method. The neutron conservation equations, inside the intervals, can be written by fluxes and group constants. A reflected reactor (one and two groups) for a slab geometry is studied, aplying the continuity of flux and current in the interface. At the end, the appropriated solutions for a infinite cylindrical reactor and for a spherical reactor are presented. (Author) [pt

Exploitation of secondary standard for calibration in units of Dw,1cm and assessment of several HDR brachytherapy planning systems

International Nuclear Information System (INIS)

Gabris, F.; Zeman, J.; Valenta, J.; Gabris, F.; Selbach, H.J.

2012-01-01

A secondary standard of the BEV, calibrated at the PTB in terms of D w,1c m, was used for calibration of the well-type chamber-based measuring systems used in clinics. In addition to the calibration, we tried to employ it for assessment of treatment planning systems (TPS) used for each particular after-loader. The dose to water at 1 cm distance from the source position was calculated by the TPS, using reference data from the source producer certificate. The values were compared directly with the dose measured at the same distance from the source. The comparison has been carried out for GammaMed Plus and MicroSelectron HDR sources. Differences of secondary standard measurements and TPS calculations were lower than ±5%, which is below the achievable uncertainty of both dose measurement and dose determination by the TPS. Nevertheless, it is higher than generally accepted in the case of external beam radiotherapy. Additional direct measurements in terms of D w,1c m may improve the safety and reliability of patient treatment. (authors)

Reactor building

International Nuclear Information System (INIS)

Maruyama, Toru; Murata, Ritsuko.

1996-01-01

In the present invention, a spent fuel storage pool of a BWR type reactor is formed at an upper portion and enlarged in the size to effectively utilize the space of the building. Namely, a reactor chamber enhouses reactor facilities including a reactor pressure vessel and a reactor container, and further, a spent fuel storage pool is formed thereabove. A second spent fuel storage pool is formed above the auxiliary reactor chamber at the periphery of the reactor chamber. The spent fuel storage pool and the second spent fuel storage pool are disposed in adjacent with each other. A wall between both of them is formed vertically movable. With such a constitution, the storage amount for spent fuels is increased thereby enabling to store the entire spent fuels generated during operation period of the plant. Further, since requirement of the storage for the spent fuels is increased stepwisely during periodical exchange operation, it can be used for other usage during the period when the enlarged portion is not used. (I.S.)

Nuclear reactor

International Nuclear Information System (INIS)

Garabedian, G.

1988-01-01

A liquid reactor is described comprising: (a) a reactor vessel having a core; (b) one or more satellite tanks; (c) pump means in the satellite tank; (d) heat exchanger means in the satellite tank; (e) an upper liquid metal conduit extending between the reactor vessel and the satellite tank; (f) a lower liquid metal duct extending between the reactor vessel and satellite tanks the upper liquid metal conduit and the lower liquid metal duct being arranged to permit free circulation of liquid metal between the reactor vessel core and the satellite tank by convective flow of liquid metal; (g) a separate sealed common containment vessel around the reactor vessel, conduits and satellite tanks; (h) the satellite tank having space for a volume of liquid metal that is sufficient to dampen temperature transients resulting from abnormal operating conditions

Reactor physics challenges in GEN-IV reactor design

Energy Technology Data Exchange (ETDEWEB)

Driscoll, Michael K.; Hejzlar, Pavel [Massachusetts Institute of Technology, MA (United States)

2005-02-15

An overview of the reactor physics aspects of GENeration Four (GEN-IV) advanced reactors is presented, emphasizing how their special requirements for enhanced sustainability, safety and economics motivates consideration of features not thoroughly analyzed in the past. The resulting concept-specific requirements for better data and methods are surveyed, and some approaches and initiatives are suggested to meet the challenges faced by the international reactor physics community. No unresolvable impediments to successful development of any of the six major types of proposed reactors are identified, given appropriate and timely devotion of resources.

Reactor physics challenges in GEN-IV reactor design

International Nuclear Information System (INIS)

Driscoll, Michael K.; Hejzlar, Pavel

2005-01-01

An overview of the reactor physics aspects of GENeration Four (GEN-IV) advanced reactors is presented, emphasizing how their special requirements for enhanced sustainability, safety and economics motivates consideration of features not thoroughly analyzed in the past. The resulting concept-specific requirements for better data and methods are surveyed, and some approaches and initiatives are suggested to meet the challenges faced by the international reactor physics community. No unresolvable impediments to successful development of any of the six major types of proposed reactors are identified, given appropriate and timely devotion of resources

Reactor Vessel Surveillance Program for Advanced Reactor

Energy Technology Data Exchange (ETDEWEB)

Jeong, Kyeong-Hoon; Kim, Tae-Wan; Lee, Gyu-Mahn; Kim, Jong-Wook; Park, Keun-Bae; Kim, Keung-Koo

2008-10-15

This report provides the design requirements of an integral type reactor vessel surveillance program for an integral type reactor in accordance with the requirements of Korean MEST (Ministry of Education, Science and Technology Development) Notice 2008-18. This report covers the requirements for the design of surveillance capsule assemblies including their test specimens, test block materials, handling tools, and monitors of the surveillance capsule neutron fluence and temperature. In addition, this report provides design requirements for the program for irradiation surveillance of reactor vessel materials, a layout of specimens and monitors in the surveillance capsule, procedures of installation and retrieval of the surveillance capsule assemblies, and the layout of the surveillance capsule assemblies in the reactor.

The nuclear reactor strategy between fast breeder reactors and advanced pressurized water reactors

International Nuclear Information System (INIS)

Seifritz, W.

1983-01-01

A nuclear reactor strategy between fast breeder reactors (FBRs) and advanced pressurized water reactors (APWRs) is being studied. The principal idea of this strategy is that the discharged plutonium from light water reactors (LWRs) provides the inventories of the FBRs and the high-converter APWRs, whereby the LWRs are installed according to the derivative of a logistical S curve. Special emphasis is given to the dynamics of reaching an asymptotic symbiosis between FBRs and APWRs. The main conclusion is that if a symbiotic APWR-FBR family with an asymptotic total power level in the terawatt range is to exist in about half a century from now, we need a large number of FBRs already in an early phase

Increased SRP reactor power

International Nuclear Information System (INIS)

MacAfee, I.M.

1983-01-01

Major changes in the current reactor hydraulic systems could be made to achieve a total of about 1500 MW increase of reactor power for P, K, and C reactors. The changes would be to install new, larger heat exchangers in the reactor buildings to increase heat transfer area about 24%, to increase H 2 O flow about 30% per reactor, to increase D 2 O flow 15 to 18% per reactor, and increase reactor blanket gas pressure from 5 psig to 10 psig. The increased reactor power is possible because of reduced inlet temperature of reactor coolant, increased heat removal capacity, and increased operating pressure (larger margin from boiling). The 23% reactor power increase, after adjustment for increased off-line time for reactor reloading, will provide a 15% increase of production from P, K, and C reactors. Restart of L Reactor would increase SRP production 33%

Tokamak reactor studies

International Nuclear Information System (INIS)

Baker, C.C.

1981-01-01

This paper presents an overview of tokamak reactor studies with particular attention to commercial reactor concepts developed within the last three years. Emphasis is placed on DT fueled reactors for electricity production. A brief history of tokamak reactor studies is presented. The STARFIRE, NUWMAK, and HFCTR studies are highlighted. Recent developments that have increased the commercial attractiveness of tokamak reactor designs are discussed. These developments include smaller plant sizes, higher first wall loadings, improved maintenance concepts, steady-state operation, non-divertor particle control, and improved reactor safety features

Computerized reactor monitor and control for research reactors

International Nuclear Information System (INIS)

Buerger, L.; Vegh, E.

1981-09-01

The computerized process control system developed in the Central Research Institute for Physics, Budapest, Hungary, is described together with its special applications at research reactors. The nuclear power of the Hungarian research reactor is controlled by this computerized system, too, while in Lybia many interesting reactor-hpysical calculations are built into the computerized monitor system. (author)

Calculation of low-energy reactor neutrino spectra reactor for reactor neutrino experiments

Energy Technology Data Exchange (ETDEWEB)

Riyana, Eka Sapta; Suda, Shoya; Ishibashi, Kenji; Matsuura, Hideaki [Dept. of Applied Quantum Physics and Nuclear Engineering, Kyushu University, Kyushu (Japan); Katakura, Junichi [Dept. of Nuclear System Safety Engineering, Nagaoka University of Technology, Nagaoka (Japan)

2016-06-15

Nuclear reactors produce a great number of antielectron neutrinos mainly from beta-decay chains of fission products. Such neutrinos have energies mostly in MeV range. We are interested in neutrinos in a region of keV, since they may take part in special weak interactions. We calculate reactor antineutrino spectra especially in the low energy region. In this work we present neutrino spectrum from a typical pressurized water reactor (PWR) reactor core. To calculate neutrino spectra, we need information about all generated nuclides that emit neutrinos. They are mainly fission fragments, reaction products and trans-uranium nuclides that undergo negative beta decay. Information in relation to trans-uranium nuclide compositions and its evolution in time (burn-up process) were provided by a reactor code MVP-BURN. We used typical PWR parameter input for MVP-BURN code and assumed the reactor to be operated continuously for 1 year (12 months) in a steady thermal power (3.4 GWth). The PWR has three fuel compositions of 2.0, 3.5 and 4.1 wt% {sup 235}U contents. For preliminary calculation we adopted a standard burn-up chain model provided by MVP-BURN. The chain model treated 21 heavy nuclides and 50 fission products. The MVB-BURN code utilized JENDL 3.3 as nuclear data library. We confirm that the antielectron neutrino flux in the low energy region increases with burn-up of nuclear fuel. The antielectron-neutrino spectrum in low energy region is influenced by beta emitter nuclides with low Q value in beta decay (e.g. {sup 241}Pu) which is influenced by burp-up level: Low energy antielectron-neutrino spectra or emission rates increase when beta emitters with low Q value in beta decay accumulate. Our result shows the flux of low energy reactor neutrinos increases with burn-up of nuclear fuel.

Nuclear Reactor Physics

Science.gov (United States)

Stacey, Weston M.

2001-02-01

An authoritative textbook and up-to-date professional's guide to basic and advanced principles and practices Nuclear reactors now account for a significant portion of the electrical power generated worldwide. At the same time, the past few decades have seen an ever-increasing number of industrial, medical, military, and research applications for nuclear reactors. Nuclear reactor physics is the core discipline of nuclear engineering, and as the first comprehensive textbook and reference on basic and advanced nuclear reactor physics to appear in a quarter century, this book fills a large gap in the professional literature. Nuclear Reactor Physics is a textbook for students new to the subject, for others who need a basic understanding of how nuclear reactors work, as well as for those who are, or wish to become, specialists in nuclear reactor physics and reactor physics computations. It is also a valuable resource for engineers responsible for the operation of nuclear reactors. Dr. Weston Stacey begins with clear presentations of the basic physical principles, nuclear data, and computational methodology needed to understand both the static and dynamic behaviors of nuclear reactors. This is followed by in-depth discussions of advanced concepts, including extensive treatment of neutron transport computational methods. As an aid to comprehension and quick mastery of computational skills, he provides numerous examples illustrating step-by-step procedures for performing the calculations described and chapter-end problems. Nuclear Reactor Physics is a useful textbook and working reference. It is an excellent self-teaching guide for research scientists, engineers, and technicians involved in industrial, research, and military applications of nuclear reactors, as well as government regulators who wish to increase their understanding of nuclear reactors.

Reactor. Mind picture of the future Jules-Horowitz Reactor (RHJ)

International Nuclear Information System (INIS)

Eustache, S.

1999-01-01

This paper gives information about the future research reactor, named Reactor Jules-Horowitz (RJH). This irradiation reactor will be placed at industrialists disposal, for research concerning the competitiveness and the safety french electro-nuclear park. Principles and innovations are detailed. This reactor will respect the ALARA principle (as low as reasonably achievable). (A.L.B.)

The analysis for inventory of experimental reactor high temperature gas reactor type

International Nuclear Information System (INIS)

Sri Kuntjoro; Pande Made Udiyani

2016-01-01

Relating to the plan of the National Nuclear Energy Agency (BATAN) to operate an experimental reactor of High Temperature Gas Reactors type (RGTT), it is necessary to reactor safety analysis, especially with regard to environmental issues. Analysis of the distribution of radionuclides from the reactor into the environment in normal or abnormal operating conditions starting with the estimated reactor inventory based on the type, power, and operation of the reactor. The purpose of research is to analyze inventory terrace for Experimental Power Reactor design (RDE) high temperature gas reactor type power 10 MWt, 20 MWt and 30 MWt. Analyses were performed using ORIGEN2 computer code with high temperatures cross-section library. Calculation begins with making modifications to some parameter of cross-section library based on the core average temperature of 570 °C and continued with calculations of reactor inventory due to RDE 10 MWt reactor power. The main parameters of the reactor 10 MWt RDE used in the calculation of the main parameters of the reactor similar to the HTR-10 reactor. After the reactor inventory 10 MWt RDE obtained, a comparison with the results of previous researchers. Based upon the suitability of the results, it make the design for the reactor RDE 20MWEt and 30 MWt to obtain the main parameters of the reactor in the form of the amount of fuel in the pebble bed reactor core, height and diameter of the terrace. Based on the main parameter or reactor obtained perform of calculation to get reactor inventory for RDE 20 MWT and 30 MWT with the same methods as the method of the RDE 10 MWt calculation. The results obtained are the largest inventory of reactor RDE 10 MWt, 20 MWt and 30 MWt sequentially are to Kr group are about 1,00E+15 Bq, 1,20E+16 Bq, 1,70E+16 Bq, for group I are 6,50E+16 Bq, 1,20E+17 Bq, 1,60E+17 Bq and for groups Cs are 2,20E+16 Bq, 2,40E+16 Bq, 2,60E+16 Bq. Reactor inventory will then be used to calculate the reactor source term and it

FBR type reactors

International Nuclear Information System (INIS)

Suzuoki, Akira; Yamakawa, Masanori.

1985-01-01

Purpose: To enable safety and reliable after-heat removal from a reactor core. Constitution: During ordinary operation of a FBR type reactor, sodium coolants heated to a high temperature in a reactor core are exhausted therefrom, collide against the reactor core upper mechanisms to radially change the flowing direction and then enter between each of the guide vanes. In the case if a main recycling pump is failed and stopped during reactor operation and the recycling force is eliminated, the swirling stream of sodium that has been resulted by the flow guide mechanism during normal reactor operation is continuously maintained within a plenum at a high temperature. Accordingly, the sodium recycling force in the coolant flow channels within the reactor vessel can surely be maintained for a long period of time due to the centrifugal force of the sodium swirling stream. In this way, since the reactor core recycling flow rate can be secured even after the stopping of the main recycling pump, after-heat from the reactor core can safely and surely be removed. (Seki, T.)

FBR type reactor

International Nuclear Information System (INIS)

Hayase, Tamotsu.

1991-01-01

The present invention concerns an FBR type reactor in which transuranium elements are eliminated by nuclear conversion. There are loaded reactor core fuels being charged with mixed oxides of plutonium and uranium, and blanket fuels mainly comprising depleted uranium. Further, liquid sodium is used as coolants. As transuranium elements, isotope elements of neptunium, americium and curium contained in wastes taken out from light water reactors or the composition thereof are used. The reactor core comprises a region with a greater mixing ratio and a region with a less mixing ratio of the transuranium elements. The mixing ratio of the transuranium elements is made greater for the fuels in the reactor core region at the boundary with the blanket of great neutron leakage. With such a constitution, since the positive reactivity value at the reactor core central portion is small in the Na void reactivity distribution in the reactor core, the positive reactivity is small upon Na boiling in the reactor core central region upon occurrence of imaginable accident, to attain reactor safety. (I.N.)

Nuclear reactor

International Nuclear Information System (INIS)

Tilliette, Z.

1975-01-01

A description is given of a nuclear reactor and especially a high-temperature reactor in which provision is made within a pressure vessel for a main cavity containing the reactor core and a series of vertical cylindrical pods arranged in spaced relation around the main cavity and each adapted to communicate with the cavity through two collector ducts or headers for the primary fluid which flows downwards through the reactor core. Each pod contains two superposed steam-generator and circulator sets disposed in substantially symmetrical relation on each side of the hot primary-fluid header which conveys the primary fluid from the reactor cavity to the pod, the circulators of both sets being mounted respectively at the bottom and top ends of the pod

A next-generation reactor concept: The Integral Fast Reactor (IFR)

Energy Technology Data Exchange (ETDEWEB)

Chang, Y.I.

1992-01-01

The Integral Fast Reactor (IFR) is an advanced liquid metal reactor concept being developed at Argonne National Laboratory as reactor technology for the 21st century. It seeks to specifically exploit the inherent properties of liquid metal cooling and metallic fuel in a way that leads to substantial improvements in the characteristics of the complete reactor system, in particular passive safety and waste management. The IFR concept consists of four technical features: (1) liquid sodium cooling, (2) pool-type reactor configuration, (3) metallic fuel, and (4) fuel cycle closure based on pyroprocessing.

A next-generation reactor concept: The Integral Fast Reactor (IFR)

Energy Technology Data Exchange (ETDEWEB)

Chang, Y.I.

1992-07-01

The Integral Fast Reactor (IFR) is an advanced liquid metal reactor concept being developed at Argonne National Laboratory as reactor technology for the 21st century. It seeks to specifically exploit the inherent properties of liquid metal cooling and metallic fuel in a way that leads to substantial improvements in the characteristics of the complete reactor system, in particular passive safety and waste management. The IFR concept consists of four technical features: (1) liquid sodium cooling, (2) pool-type reactor configuration, (3) metallic fuel, and (4) fuel cycle closure based on pyroprocessing.

A next-generation reactor concept: The Integral Fast Reactor (IFR)

International Nuclear Information System (INIS)

Chang, Y.I.

1992-01-01

The Integral Fast Reactor (IFR) is an advanced liquid metal reactor concept being developed at Argonne National Laboratory as reactor technology for the 21st century. It seeks to specifically exploit the inherent properties of liquid metal cooling and metallic fuel in a way that leads to substantial improvements in the characteristics of the complete reactor system, in particular passive safety and waste management. The IFR concept consists of four technical features: (1) liquid sodium cooling, (2) pool-type reactor configuration, (3) metallic fuel, and (4) fuel cycle closure based on pyroprocessing

Thai research reactor

International Nuclear Information System (INIS)

Aramrattana, M.

1987-01-01

The Office of Atomic Energy for Peace (OAEP) was established in 1962, as a reactor center, by the virtue of the Atomic Energy for Peace Act, under operational policy and authority of the Thai Atomic Energy for Peace Commission (TAEPC); and under administration of Ministry of Science, Technology and Energy. It owns and operates the only Thai Research Reactor (TRR-1/M1). The TRR-1/M1 is a mixed reactor system constituting of the old MTR type swimming pool, irradiation facilities and cooling system; and TRIGA Mark III core and control instrumentation. The general performance of TRR-1/M1 is summarized in Table I. The safe operation of TRR-1/M1 is regulated by Reactor Safety Committee (RSC), established under TAEPC, and Health Physics Group of OAEP. The RCS has responsibility and duty to review of and make recommendations on Reactor Standing Orders, Reactor Operation Procedures, Reactor Core Loading and Requests for Reactor Experiments. In addition,there also exist of Emergency Procedures which is administered by OAEP. The Reactor Operation Procedures constitute of reactor operating procedures, system operating procedures and reactor maintenance procedures. At the level of reactor routine operating procedures, there is a set of Specifications on Safety and Operation Limits and Code of Practice from which reactor shift supervisor and operators must follow in order to assure the safe operation of TRR-1/M1. Table II is the summary of such specifications. The OAEP is now upgrading certain major components of the TRR-1/M1 such as the cooling system, the ventilation system and monitoring equipment to ensure their adequately safe and reliable performance under normal and emergency conditions. Furthermore, the International Atomic Energy Agency has been providing assistance in areas of operation and maintenance and safety analysis. (author)

Proposed Advanced Reactor Adaptation of the Standard Review Plan NUREG-0800 Chapter 4 (Reactor) for Sodium-Cooled Fast Reactors and Modular High-Temperature Gas-Cooled Reactors

Energy Technology Data Exchange (ETDEWEB)

Belles, Randy [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Poore, III, Willis P. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Brown, Nicholas R. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Flanagan, George F. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Holbrook, Mark [Idaho National Lab. (INL), Idaho Falls, ID (United States); Moe, Wayne [Idaho National Lab. (INL), Idaho Falls, ID (United States); Sofu, Tanju [Argonne National Lab. (ANL), Argonne, IL (United States)

2017-03-01

This report proposes adaptation of the previous regulatory gap analysis in Chapter 4 (Reactor) of NUREG 0800, Standard Review Plan (SRP) for the Review of Safety Analysis Reports for Nuclear Power Plants: LWR [Light Water Reactor] Edition. The proposed adaptation would result in a Chapter 4 review plan applicable to certain advanced reactors. This report addresses two technologies: the sodium-cooled fast reactor (SFR) and the modular high temperature gas-cooled reactor (mHTGR). SRP Chapter 4, which addresses reactor components, was selected for adaptation because of the possible significant differences in advanced non-light water reactor (non-LWR) technologies compared with the current LWR-based description in Chapter 4. SFR and mHTGR technologies were chosen for this gap analysis because of their diverse designs and the availability of significant historical design detail.

Nuclear reactor instrumentation at research reactor renewal

International Nuclear Information System (INIS)

Baers, B.; Pellionisz, P.

1981-10-01

The paper overviews the state-of-the-art of research reactor renewals. As a case study the instrumentation reconstruction of the Finnish 250 kW TRIGA reactor is described, with particular emphasis on the nuclear control instrumentation and equipment which has been developed and manufactured by the Central Research Institute for Physics, Budapest. Beside the presentation of the nuclear instrument family developed primarily for research reactor reconstructions, the quality assurance policy conducted during the manufacturing process is also discussed. (author)

SU-G-TeP1-01: A Simulation Study to Investigate Maximum Allowable Deformations of Implant Geometry Before Plan Objectives Are Violated in Prostate HDR Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Babier, A [Department of Physics, Engineering Physics and Astronomy, Queens University, Kingston, Ontario (Canada); Joshi, C [Department of Physics, Engineering Physics and Astronomy, Queens University, Kingston, Ontario (Canada); Cancer Center of Southeastern Ontario, Kingston General Hospital, Kingston, Ontario (Canada)

2016-06-15

Purpose: In prostate HDR brachytherapy dose distributions are highly sensitive to changes in prostate volume and catheter displacements. We investigate the maximum deformations in implant geometry before planning objectives are violated. Methods: A typical prostate Ir-192 HDR brachytherapy reference plan was calculated on the Oncentra planning system, which used CT images from a tissue equivalent prostate phantom (CIRS Model 053S) embedded inside a pelvis wax phantom. The prostate was deformed and catheters were displaced in simulations using a code written in MATLAB. For each deformation dose distributions were calculated, based on TG43 methods, using the MATLAB code. The calculations were validated through comparison with Oncentra calculations for the reference plan, and agreed within 0.12%SD and 0.3%SD for dose and volume, respectively. Isotropic prostate volume deformations of up to +34% to −27% relative to its original volume, and longitudinal catheter displacements of 7.5 mm in superior and inferior directions were simulated. Planning objectives were based on American Brachytherapy Society guidelines for prostate and urethra volumes. A plan violated the planning objectives when less than 90% of the prostate volume received the prescribed dose or higher (V{sub 100}), or the urethral volume receiving 125% of prescribed dose or higher was more than 1 cc (U{sub 125}). Lastly, the dose homogeneity index (DHI=1-V{sub 150}/V{sub 100}) was evaluated; a plan was considered sub-optimal when the DHI fell below 0.62. Results and Conclusion: Planning objectives were violated when the prostate expanded by 10.7±0.5% or contracted by 11.0±0.2%; objectives were also violated when catheters were displaced by 4.15±0.15 mm and 3.70±0.15 mm in the superior and inferior directions, respectively. The DHI changes did not affect the plan optimality, except in the case of prostate compression. In general, catheter displacements have a significantly larger impact on plan

Reactor System Design

International Nuclear Information System (INIS)

Chi, S. K.; Kim, G. K.; Yeo, J. W.

2006-08-01

SMART NPP(Nuclear Power Plant) has been developed for duel purpose, electricity generation and energy supply for seawater desalination. The objective of this project IS to design the reactor system of SMART pilot plant(SMART-P) which will be built and operated for the integrated technology verification of SMART. SMART-P is an integral reactor in which primary components of reactor coolant system are enclosed in single pressure vessel without connecting pipes. The major components installed within a vessel includes a core, twelve steam generator cassettes, a low-temperature self pressurizer, twelve control rod drives, and two main coolant pumps. SMART-P reactor system design was categorized to the reactor coe design, fluid system design, reactor mechanical design, major component design and MMIS design. Reactor safety -analysis and performance analysis were performed for developed SMART=P reactor system. Also, the preparation of safety analysis report, and the technical support for licensing acquisition are performed

BWR type reactor

International Nuclear Information System (INIS)

Watanabe, Shoichi

1983-01-01

Purpose : To flatten the radial power distribution in the reactor core thereby improve the thermal performance of the reactor core by making the moderator-fuel ratio of fuel assemblies different depending on their position in the reactor core. Constitution : The volume of fuels disposed in the peripheral area of the reactor core is decreased by the increase of the volume of moderators in fuel assemblies disposed in the peripheral area of the reactor core to thereby make the moderator-fuel volume greater in the peripheral area than that in the central area. The moderator-fuel ratio adjustment is attained by making the number of water rods greater, decreasing the diameter of fuel pellets or decreasing the number of fuel pins in fuel assemblies disposed at the peripheral area of the reactor core as compared with fuel assemblies disposed at the central area of the reactor core. In this way, the infinite multiplication factors of fuels can be increased to thereby improve the reactor core performance. (Aizawa, K.)

Prevention device for rapid reactor core shutdown in BWR type reactors

International Nuclear Information System (INIS)

Koshi, Yuji; Karatsu, Hiroyuki.

1986-01-01

Purpose: To surely prevent rapid shutdown of a nuclear reactor upon partial load interruption due to rapid increase in the system frequency. Constitution: If a partial load interruption greater than the sum of the turbine by-pass valve capacity and the load setting bias portion is applied in a BWR type power plant, the amount of main steams issued from the reactor is decreased, the thermal input/output balance of the reactor is lost, the reactor pressure is increased, the void is collapsed, the neutron fluxes are increased and the reactor power rises to generate rapid reactor shutdown. In view of the above, the turbine speed signal is compared with a speed setting value in a recycling flowrate control device and the recycling pump is controlled to decrease the recycling flowrate in order to compensate the increase in the neutron fluxes accompanying the reactor power up. In this way, transient changes in the reactor core pressure and the neutron fluxes are kept within a setting point for the rapid reactor shutdown operation thereby enabling to continue the plant operation. (Horiuchi, T.)

Reactor core of nuclear reactor

International Nuclear Information System (INIS)

Sasagawa, Masaru; Masuda, Hiroyuki; Mogi, Toshihiko; Kanazawa, Nobuhiro.

1994-01-01

In a reactor core, a fuel inventory at an outer peripheral region is made smaller than that at a central region. Fuel assemblies comprising a small number of large-diameter fuel rods are used at the central region and fuel assemblies comprising a great number of smalldiameter fuel rods are used at the outer peripheral region. Since a burning degradation rate of the fuels at the outer peripheral region can be increased, the burning degradation rate at the infinite multiplication factor of fuels at the outer region can substantially be made identical with that of the fuels in the inner region. As a result, the power distribution in the direction of the reactor core can be flattened throughout the entire period of the burning cycle. Further, it is also possible to make the degradation rate of fuels at the outer region substantially identical with that of fuels at the inner side. A power peak formed at the outer circumferential portion of the reactor core of advanced burning can be lowered to improve the fuel integrity, and also improve the reactor safety and operation efficiency. (N.H.)

High-temperature and breeder reactors - economic nuclear reactors of the future

International Nuclear Information System (INIS)

Djalilzadeh, A.M.

1977-01-01

The thesis begins with a review of the theory of nuclear fission and sections on the basic technology of nuclear reactors and the development of the first generation of gas-cooled reactors applied to electricity generation. It then deals in some detail with currently available and suggested types of high temperature reactor and with some related subsidiary issues such as the coupling of different reactor systems and various schemes for combining nuclear reactors with chemical processes (hydrogenation, hydrogen production, etc.), going on to discuss breeder reactors and their application. Further sections deal with questions of cost, comparison of nuclear with coal- and oil-fired stations, system analysis of reactor systems and the effect of nuclear generation on electricity supply. (C.J.O.G.)

Heterogeneous reactors

International Nuclear Information System (INIS)

Moura Neto, C. de; Nair, R.P.K.

1979-08-01

The microscopic study of a cell is meant for the determination of the infinite multiplication factor of the cell, which is given by the four factor formula: K(infinite) = n(epsilon)pf. The analysis of an homogeneous reactor is similar to that of an heterogeneous reactor, but each factor of the four factor formula can not be calculated by the formulas developed in the case of an homogeneous reactor. A great number of methods was developed for the calculation of heterogeneous reactors and some of them are discussed. (Author) [pt

Experiences with leak rate calculations methods for LBB application

Energy Technology Data Exchange (ETDEWEB)

Grebner, H.; Kastner, W.; Hoefler, A.; Maussner, G. [and others

1997-04-01

In this paper, three leak rate computer programs for the application of leak before break analysis are described and compared. The programs are compared to each other and to results of an HDR Reactor experiment and two real crack cases. The programs analyzed are PIPELEAK, FLORA, and PICEP. Generally, the different leak rate models are in agreement. To obtain reasonable agreement between measured and calculated leak rates, it was necessary to also use data from detailed crack investigations.

Experiences with leak rate calculations methods for LBB application

International Nuclear Information System (INIS)

Grebner, H.; Kastner, W.; Hoefler, A.; Maussner, G.

1997-01-01

In this paper, three leak rate computer programs for the application of leak before break analysis are described and compared. The programs are compared to each other and to results of an HDR Reactor experiment and two real crack cases. The programs analyzed are PIPELEAK, FLORA, and PICEP. Generally, the different leak rate models are in agreement. To obtain reasonable agreement between measured and calculated leak rates, it was necessary to also use data from detailed crack investigations

Nuclear reactor neutron shielding

Science.gov (United States)

Speaker, Daniel P; Neeley, Gary W; Inman, James B

2017-09-12

A nuclear reactor includes a reactor pressure vessel and a nuclear reactor core comprising fissile material disposed in a lower portion of the reactor pressure vessel. The lower portion of the reactor pressure vessel is disposed in a reactor cavity. An annular neutron stop is located at an elevation above the uppermost elevation of the nuclear reactor core. The annular neutron stop comprises neutron absorbing material filling an annular gap between the reactor pressure vessel and the wall of the reactor cavity. The annular neutron stop may comprise an outer neutron stop ring attached to the wall of the reactor cavity, and an inner neutron stop ring attached to the reactor pressure vessel. An excore instrument guide tube penetrates through the annular neutron stop, and a neutron plug comprising neutron absorbing material is disposed in the tube at the penetration through the neutron stop.

Fast breeder reactors

International Nuclear Information System (INIS)

Heinzel, V.

1975-01-01

The author gives a survey of 'fast breeder reactors'. In detail the process of breeding, the reasons for the development of fast breeders, the possible breeder reactors, the design criteria, fuels, cladding, coolant, and safety aspects are reported on. Design data of some experimental reactors already in operation are summarized in stabular form. 300 MWe Prototype-Reactors SNR-300 and PFR are explained in detail and data of KWU helium-cooled fast breeder reactors are given. (HR) [de

Reactor container

International Nuclear Information System (INIS)

Shibata, Satoru; Kawashima, Hiroaki

1984-01-01

Purpose: To optimize the temperature distribution of the reactor container so as to moderate the thermal stress distribution on the reactor wall of LMFBR type reactor. Constitution: A good heat conductor (made of Al or Cu) is appended on the outer side of the reactor container wall from below the liquid level to the lower face of a deck plate. Further, heat insulators are disposed to the outside of the good heat conductor. Furthermore, a gas-cooling duct is circumferentially disposed at the contact portion between the good heat conductor and the deck plate around the reactor container. This enables to flow the cold heat from the liquid metal rapidly through the good heat conductor to the cooling duct and allows to maintain the temperature distribution on the reactor wall substantially linear even with the abrupt temperature change in the liquid metal. Further, by appending the good heat conductor covered with inactive metals not only on the outer side but also on the inside of the reactor wall to introduce the heat near the liquid level to the upper portion and escape the same to the cooling layer below the roof slab, the effect can be improved further. (Ikeda, J.)

Reactor technology: power conversion systems and reactor operation and maintenance

International Nuclear Information System (INIS)

Powell, J.R.

1977-01-01

The use of advanced fuels permits the use of coolants (organic, high pressure helium) that result in power conversion systems with good thermal efficiency and relatively low cost. Water coolant would significantly reduce thermal efficiency, while lithium and salt coolants, which have been proposed for DT reactors, will have comparable power conversion efficiencies, but will probably be significantly more expensive. Helium cooled blankets with direct gas turbine power conversion cycles can also be used with DT reactors, but activation problems will be more severe, and the portion of blanket power in the metallic structure will probably not be available for the direct cycle, because of temperature limitations. A very important potential advantage of advanced fuel reactors over DT fusion reactors is the possibility of easier blanket maintenance and reduced down time for replacement. If unexpected leaks occur, in most cases the leaking circuit can be shut off and a redundant cooling curcuit will take over the thermal load. With the D-He 3 reactor, it appears practical to do this while the reactor is operating, as long as the leak is small enough not to shut down the reactor. Redundancy for Cat-D reactors has not been explored in detail, but appears feasible in principle. The idea of mobile units operating in the reactor chamber for service and maintenance of radioactive elements is explored

Fusion-fission hybrid reactors

International Nuclear Information System (INIS)

Greenspan, E.

1984-01-01

This chapter discusses the range of characteristics attainable from hybrid reactor blankets; blanket design considerations; hybrid reactor designs; alternative fuel hybrid reactors; multi-purpose hybrid reactors; and hybrid reactors and the energy economy. Hybrid reactors are driven by a fusion neutron source and include fertile and/or fissile material. The fusion component provides a copious source of fusion neutrons which interact with a subcritical fission component located adjacent to the plasma or pellet chamber. Fissile fuel and/or energy are the main products of hybrid reactors. Topics include high F/M blankets, the fissile (and tritium) breeding ratio, effects of composition on blanket properties, geometrical considerations, power density and first wall loading, variations of blanket properties with irradiation, thermal-hydraulic and mechanical design considerations, safety considerations, tokamak hybrid reactors, tandem-mirror hybrid reactors, inertial confinement hybrid reactors, fusion neutron sources, fissile-fuel and energy production ability, simultaneous production of combustible and fissile fuels, fusion reactors for waste transmutation and fissile breeding, nuclear pumped laser hybrid reactors, Hybrid Fuel Factories (HFFs), and scenarios for hybrid contribution. The appendix offers hybrid reactor fundamentals. Numerous references are provided

Reactor protection systems for the Replacement Research Reactor, ANSTO

International Nuclear Information System (INIS)

Morris, C.R.

2003-01-01

The 20-MW Replacement Research Reactor Project which is currently under construction at ANSTO will have a combination of a state of the art triplicated computer based reactor protection system, and a fully independent, and diverse, triplicated analogue reactor protection system, that has been in use in the nuclear industry, for many decades. The First Reactor Protection System (FRPS) consists of a Triconex triplicated modular redundant system that has recently been approved by the USNRC for use in the USA?s power reactor program. The Second Reactor Protection System is a hardwired analogue system supplied by Foxboro, the Spec 200 system, which is also Class1E qualified. The FRPS is used to drop the control rods when its safety parameter setpoints have been reached. The SRPS is used to drain the reflector tank and since this operation would result in a reactor poison out due to the time it would take to refill the tank the FRPS trip setpoints are more limiting. The FRPS and SRPS have limited hardwired indications on the control panels in the main control room (MCR) and emergency control centre (ECC), however all FRPS and SRPS parameters are capable of being displayed on the reactor control and monitoring system (RCMS) video display units. The RCMS is a Foxboro Series I/A control system which is used for plant control and monitoring and as a protection system for the cold neutron source. This paper will provide technical information on both systems, their trip logics, their interconnections with each other, and their integration into the reactor control and monitoring system and control panels. (author)

Reactor container

International Nuclear Information System (INIS)

Fukazawa, Masanori.

1991-01-01

A system for controlling combustible gases, it has been constituted at present such that the combustible gases are controlled by exhausting them to the wet well of a reactor container. In this system, however, there has been a problem, in a reactor container having plenums in addition to the wet well and the dry well, that the combustible gases in such plenums can not be controlled. In view of the above, in the present invention, suction ports or exhaust ports of the combustible gas control system are disposed to the wet well, the dry well and the plenums to control the combustible gases in the reactor container. Since this can control the combustible gases in the entire reactor container, the integrity of the reactor container can be ensured. (T.M.)

A multi-purpose reactor

International Nuclear Information System (INIS)

Changwen Ma

2000-01-01

An integrated natural circulation self pressurized reactor can be used for sea water desalination, electrogeneration, ship propulsion and district or process heating. The reactor can be used for ship propulsion because it has following advantages: it is a integrated reactor. Whole primary loop is included in a size limited pressure vessel. For a 200 MW reactor the diameter of the pressure vessel is about 5 m. It is convenient to arranged on a ship. Hydraulic driving facility of control rods is used on the reactor. It notably decreases the height of the reactor. For ship propulsion, smaller diameter and smaller height are important. Besides these, the operation reliability of the reactor is high enough, because there is no rotational machine (for example, circulating pump) in safety systems. Reactor systems are simple. There are no emergency water injection system and boron concentration regulating system. These features for ship propulsion reactor are valuable. Design of the reactor is based on existing demonstration district heating reactor design. The mechanic design principles are the same. But boiling is introduced in the reactor core. Several variants to use the reactor as a movable seawater desalination plant are presented in the paper. When the sea water desalination plant is working to produce fresh water, the reactor can supply electricity at the same time to the local electricity network. Some analyses for comprehensive application of the reactor have been done. Main features and parameters of the small (Thermopower 200 MW) reactor are given in the paper. (author)

TU Electric reactor physics model verification: Power reactor benchmark

International Nuclear Information System (INIS)

Willingham, C.E.; Killgore, M.R.

1988-01-01

Power reactor benchmark calculations using the advanced code package CASMO-3/SIMULATE-3 have been performed for six cycles of Prairie Island Unit 1. The reload fuel designs for the selected cycles included gadolinia as a burnable absorber, natural uranium axial blankets and increased water-to-fuel ratio. The calculated results for both startup reactor physics tests (boron endpoints, control rod worths, and isothermal temperature coefficients) and full power depletion results were compared to measured plant data. These comparisons show that the TU Electric reactor physics models accurately predict important measured parameters for power reactors

Supercritical Water Reactors

International Nuclear Information System (INIS)

Bouchter, J.C.; Dufour, P.; Guidez, J.; Latge, C.; Renault, C.; Rimpault, G.

2014-01-01

The supercritical water reactor (SCWR) is one of the 6 concepts selected for the 4. generation of nuclear reactors. SCWR is a new concept, it is an attempt to optimize boiling water reactors by using the main advantages of supercritical water: only liquid phase and a high calorific capacity. The SCWR requires very high temperatures (over 375 C degrees) and very high pressures (over 22.1 MPa) to operate which allows a high conversion yield (44% instead of 33% for a PWR). Low volumes of coolant are necessary which makes the neutron spectrum shift towards higher energies and it is then possible to consider fast reactors operating with supercritical water. The main drawbacks of supercritical water is the necessity to use very high pressures which has important constraints on the reactor design, its physical properties (density, calorific capacity) that vary strongly with temperatures and pressures and its very high corrosiveness. The feasibility of the concept is not yet assured in terms of adequate materials that resist to corrosion, reactor stability, reactor safety, and reactor behaviour in accidental situations. (A.C.)

Tank type reactor

International Nuclear Information System (INIS)

Otsuka, Fumio.

1989-01-01

The present invention concerns a tank type reactor capable of securing reactor core integrity by preventing incorporation of gases to an intermediate heat exchanger, thgereby improving the reliability. In a conventional tank type reactor, since vortex flows are easily caused near the inlet of an intermediate heat exchanger, there is a fear that cover gases are involved into the coolant main streams to induce fetal accidents. In the present invention, a reactor core is suspended by way of a suspending body to the inside of a reactor vessel and an intermediate heat exchanger and a pump are disposed between the suspending body and the reactor vessel, in which a vortex current preventive plate is attached at the outside near the coolant inlet on the primary circuit of the intermediate heat exchanger. In this way vortex or turbulence near the inlet of the intermediate heata exchanger or near the surface of coolants can be prevented. Accordingly, the cover gases are no more involved, to insure the reactor core integrity and obtain a tank type nuclear reactor of high reliability. (I.S.)

New about research reactors

International Nuclear Information System (INIS)

Egorenkov, P.M.

2001-01-01

The multi-purpose research reactor MAPLE (Canada) and concept of new reactor MAPLE-CNF as will substitute the known Canadian research reactor NRU are described. New reactor will be used as contributor for investigations into materials, neutron beams and further developments for the CANDU type reactor. The Budapest research reactor (BRR) and its application after the last reconstruction are considered also [ru

Clinical implementation of a quality assurance program in HDR brachytherapy by in vivo dosimetry with diodes

International Nuclear Information System (INIS)

Alecu, R.; Feldmeier, J.J.; Court, W.S.; Alecu, M.; Orton, C.G.

1996-01-01

Despite the possibilities of in vivo dosimetry with diodes (e.g. control of dose to organs at risk, recorded confirmational measurements of the dose actually delivered, check of the whole treatment chain, avoidance of misadministrations, etc.) and the fact that it has proven to be very useful as part of a departmental QA program in external beam therapy, few attempts to implement it for HDR brachytherapy procedures have been reported. The reason for this is probably that there are significant technical challenges that must be met prior to its clinical use. The purpose of this study is to investigate the practicability and usefulness of dose measurements for brachytherapy patients in daily clinical practice. In our clinic a high precision patient dosimetry method has been developed, based on the use of silicon diodes. First, calibration factors have been determined under 'reference' irradiation conditions. Secondly, correction factors have been evaluated for situations deviating from the reference conditions, i.e. for different distances from the implanted sources, tissue heterogeneities, presence of different type of applicators, etc. For certain intracavitary, interstitial and surface mold applications this procedure has proven to be sufficiently accurate to allow dose determinations with diodes to be in good agreement with the expected values, i.e. calculated by the treatment planning system (VariSource unit) and checked by ion chamber measurements. The results of in vivo measurements are discussed along with the possibilities and limitations of the employed techniques

Evaluation of Pressure Changes in HANARO Reactor Hall after a Reactor Shutdown

International Nuclear Information System (INIS)

Han, Geeyang; Han, Jaesam; Ahn, Gukhoon; Jung, Hoansung

2013-01-01

The major objective of this work is intended to evaluate the characteristics of the thermal behavior regarding how the decay heat will be affected by the reactor hall pressure change and the increase of pool water temperature induced in the primary coolant after a reactor shutdown. The particular reactor pool water temperature at the surface where it is evaporated owing to the decay heat resulting in the local heat transfer rate is related to the pressure change response in the reactor hall associated with the primary cooling system because of the reduction of the heat exchanger to remove the heat. The increase in the pool water temperature is proportional to the heat transfer rate in the reactor pool. Consequently, any limit on the reactor pool water temperature imposes a corresponding limit on the reactor hall pressure. At HANARO, the decay heat after a reactor shutdown is mainly removed by the natural circulation cooling in the reactor pool. This paper is written for the safety feature of the pressure change related leakage rate from the reactor hall. The calculation results show that the increase of pressure in the reactor hall will not cause any serious problems to the safety limits although the reactor hall pressure is slightly increased. Therefore, it was concluded that the pool water temperature increase is not so rapid as to cause the pressure to vary significantly in the reactor hall. Furthermore, the mathematical model developed in this work can be a useful analytical tool for scoping and parametric studies in the area of thermal transient analysis, with its proper representation of the interaction between the temperature and pressure in the reactor hall

Design guide for Category III reactors: pool type reactors

International Nuclear Information System (INIS)

Brynda, W.J.; Lobner, P.R.; Powell, R.W.; Straker, E.A.

1978-11-01

The Department of Energy (DOE) in the ERDA Manual requires that all DOE-owned reactors be sited, designed, constructed, modified, operated, maintained, and decommissioned in a manner that gives adequate consideration to health and safety factors. Specific guidance pertinent to the safety of DOE-owned reactors is found in Chapter 0540 of the ERDA Manual. The purpose of this Design Guide is to provide additional guidance to aid the DOE facility contractor in meeting the requirement that the siting, design, construction, modification, operation, maintenance, and decommissioning of DOE-owned reactors be in accordance with generally uniform standards, guides, and codes which are comparable to those applied to similar reactors licensed by the Nuclear Regulatory Commission (NRC). This Design Guide deals principally with the design and functional requirement of Category III reactor structures, components, and systems

The computerized reactor period measurement system for China fast burst reactor-II

International Nuclear Information System (INIS)

Zhao Wuwen; Jiang Zhiguo

1996-01-01

The article simply introduces the hardware, principle, and software of the computerized reactor period measurement system for China Fast Burst Reactor-II (CFBR-II). It also gives the relation between fission yield and pre-reactivity of CFBR-II reactor system of bared reactor with decoupled-component and system of bared reactor with multiple light-material. The computerized measurement system makes the reactor period measurement into automatical and intelligent and also improves the speed and precision of period data on-line process

Computer measurement system of reactor period for China fast burst reactor-II

International Nuclear Information System (INIS)

Zhao Wuwen; Jiang Zhiguo

1997-01-01

The author simply introduces the hardware, principle, and software of the reactor period computer measure system for China Fast Burst Reactor-II (CFBR-II). It also gives the relation between Fission yield and Pre-reactivity of CFBR-II reactor system of bared reactor with decoupled-component and system of bared reactor with multiple light-material. The computer measure system makes the reactor period measurement into automation and intellectualization and also improves the speed and precision of period data process on-line

Reactor safety method

International Nuclear Information System (INIS)

Vachon, L.J.

1980-01-01

This invention relates to safety means for preventing a gas cooled nuclear reactor from attaining criticality prior to start up in the event the reactor core is immersed in hydrogenous liquid. This is accomplished by coating the inside surface of the reactor coolant channels with a neutral absorbing material that will vaporize at the reactor's operating temperature

Small propulsion reactor design based on particle bed reactor concept

International Nuclear Information System (INIS)

Ludewig, H.; Lazareth, O.; Mughabghab, S.; Perkins, K.; Powell, J.R.

1989-01-01

In this paper Particle Bed Reactor (PBR) designs are discussed which use 233 U and /sup 242m/Am as fissile materials. A constant total power of 100MW is assumed for all reactors in this study. Three broad aspects of these reactors is discussed. First, possible reactor designs are developed, second physics calculations are outlined and discussed and third mass estimates of the various candidates reactors are made. It is concluded that reactors with a specific mass of 1 kg/MW can be envisioned of 233 U is used and approximately a quarter of this value can be achieved if /sup 242m/Am is used. If this power level is increased by increasing the power density lower specific mass values are achievable. The limit will be determined by uncertainties in the thermal-hydraulic analysis. 5 refs., 5 figs., 6 tabs

Physics of nuclear reactors

International Nuclear Information System (INIS)

Baeten, Peter

2006-01-01

This course gives an introduction to Nuclear Reactor Physics. The first chapter explains the most important parameters and concepts in nuclear reactor physics such as fission, cross sections and the effective multiplication factor. Further on, in the second chapter, the flux distributions in a stationary reactor are derived from the diffusion equation. Reactor kinetics, reactor control and reactor dynamics (feedback effects) are described in the following three chapters. The course concludes with a short description of the different types of existing and future reactors. (author)

Generation III+ Reactor Portfolio

International Nuclear Information System (INIS)

2010-03-01

While the power generation needs of utilities are unique and diverse, they are all faced with the double challenge of meeting growing electricity needs while curbing CO 2 emissions. To answer these diverse needs and help tackle this challenge, AREVA has developed several reactor models which are briefly described in this document: The EPR TM Reactor: designed on the basis of the Konvoi (Germany) and N4 (France) reactors, the EPRTM reactor is an evolutionary model designed to achieve best-in-class safety and operational performance levels. The ATMEA1 TM reactor: jointly designed by Mitsubishi Heavy Industries and AREVA through ATMEA, their common company. This reactor design benefits from the competencies and expertise of the two mother companies, which have commissioned close to 130 reactor units. The KERENA TM reactor: Designed on the basis of the most recent German BWR reactors (Gundremmingen) the KERENA TM reactor relies on proven technology while also including innovative, yet thoroughly tested, features. The optimal combination of active and passive safety systems for a boiling water reactor achieves a very low probability of severe accident

Guide to power reactors

Energy Technology Data Exchange (ETDEWEB)

NONE

1959-07-15

The IAEA's major first scientific publication is the Directory of Power Reactors now in operation or under construction in various parts of the world. The purpose of the directory is to present important details of various power projects in such a way as to provide a source of easy reference for anyone interested in the development of the peaceful uses of atomic energy, either at the technical or management level. Six pages have been devoted to each reactor the first of which contains general information, reactor physics data and information about the core. The second and third contain sketches of the fuel element or of the fuel element assembly, and of the horizontal and vertical sections of the reactor. On the fourth page information is grouped under the following heads: fuel element, core heat transfer, control, reactor vessel and over-all dimensions, and fluid flow. The fifth page shows a simplified flow diagram, while the sixth provides information on reflector and shielding, containment and turbo generator. Some information has also been given, when available, on cost estimates and operating staff requirements. Remarks and a bibliography constitute the last part of the description of each reactor. Reactor projects included in this directory are pressurized light water cooled power reactors. Boiling light water cooled power reactors, heavy water cooled power reactors, gas cooled power reactors, organic cooled power reactors liquid metal cooled power reactors and liquid metal cooled power reactors

Analysis of dynamic stability and safety of reactor system by reactor simulator

International Nuclear Information System (INIS)

Raisic, N.

1963-11-01

In order to enable qualitative analysis of dynamic properties of reactors RA and RB, mathematical models of these reactors were formulated and adapted for solution on analog computer. This report contains basic assessments for creating the model and complete equations for each reactor. Model was used to analyse three possible accidents at the RA reactor and possible hypothetical accidents at the RB reactor

Nuclear reactor physics

CERN Document Server

Stacey, Weston M

2010-01-01

Nuclear reactor physics is the core discipline of nuclear engineering. Nuclear reactors now account for a significant portion of the electrical power generated worldwide, and new power reactors with improved fuel cycles are being developed. At the same time, the past few decades have seen an ever-increasing number of industrial, medical, military, and research applications for nuclear reactors. The second edition of this successful comprehensive textbook and reference on basic and advanced nuclear reactor physics has been completely updated, revised and enlarged to include the latest developme

Stereo Vision-Based High Dynamic Range Imaging Using Differently-Exposed Image Pair

Directory of Open Access Journals (Sweden)

Won-Jae Park

2017-06-01

Full Text Available In this paper, a high dynamic range (HDR imaging method based on the stereo vision system is presented. The proposed method uses differently exposed low dynamic range (LDR images captured from a stereo camera. The stereo LDR images are first converted to initial stereo HDR images using the inverse camera response function estimated from the LDR images. However, due to the limited dynamic range of the stereo LDR camera, the radiance values in under/over-exposed regions of the initial main-view (MV HDR image can be lost. To restore these radiance values, the proposed stereo matching and hole-filling algorithms are applied to the stereo HDR images. Specifically, the auxiliary-view (AV HDR image is warped by using the estimated disparity between initial the stereo HDR images and then effective hole-filling is applied to the warped AV HDR image. To reconstruct the final MV HDR, the warped and hole-filled AV HDR image is fused with the initial MV HDR image using the weight map. The experimental results demonstrate objectively and subjectively that the proposed stereo HDR imaging method provides better performance compared to the conventional method.

Sodium-cooled nuclear reactor

International Nuclear Information System (INIS)

Hammers, H.W.

1982-01-01

The invention concerns a sodium-cooled nuclear reactor, whose reactor tank contains the primary circuit, shielding surrounding the reactor core and a primary/secondary heat exchanger, particularly a fast breeder reactor on the module principle. In order to achieve this module principle it is proposed to have electromagnetic circulating pumps outside the reactor tank, where the heat exchanger is accomodated in an annular case above the pumps. This case has several openings at the top end to the space above the reactor core, some smaller openings in the middle to the same space and is connected at the bottom to an annular space between the tank wall and the reactor core. As a favoured variant, it is proposed that the annular electromagnetic pumps should be arranged concentrically to the reactor tank, where there is an annual duct on the inside of the reactor tank. In this way the sodium-cooled nuclear reactor is made suitable as a module with a large number of such elements. (orig.) [de

Atomic reactor thermal engineering

International Nuclear Information System (INIS)

Kim, Gwang Ryong

1983-02-01

This book starts the introduction of atomic reactor thermal engineering including atomic reaction, chemical reaction, nuclear reaction neutron energy and soon. It explains heat transfer, heat production in the atomic reactor, heat transfer of fuel element in atomic reactor, heat transfer and flow of cooler, thermal design of atomic reactor, design of thermodynamics of atomic reactor and various. This deals with the basic knowledge of thermal engineering for atomic reactor.

Argentinean integrated small reactor design and scale economy analysis of integrated reactor

International Nuclear Information System (INIS)

Florido, P. C.; Bergallo, J. E.; Ishida, M. V.

2000-01-01

This paper describes the design of CAREM, which is Argentinean integrated small reactor project and the scale economy analysis results of integrated reactor. CAREM project consists on the development, design and construction of a small nuclear power plant. CAREM is an advanced reactor conceived with new generation design solutions and standing on the large experience accumulated in the safe operation of Light Water Reactors. The CAREM is an indirect cycle reactor with some distinctive and characteristic features that greatly simplify the reactor and also contribute to a highly level of safety: integrated primary cooling system, self pressurized, primary cooling by natural circulation and safety system relying on passive features. For a fully doupled economic evaluation of integrated reactors done by IREP (Integrated Reactor Evaluation Program) code transferred to IAEA, CAREM have been used as a reference point. The results shows that integrated reactors become competitive with power larger than 200MWe with Argentinean cheapest electricity option. Due to reactor pressure vessel construction limit, low pressure drop steam generator are used to reach power output of 200MWe for natural circulation. For forced circulation, 300MWe can be achieved. (author)

Fast reactors

International Nuclear Information System (INIS)

Vasile, A.

2001-01-01

Fast reactors have capacities to spare uranium natural resources by their breeding property and to propose solutions to the management of radioactive wastes by limiting the inventory of heavy nuclei. This article highlights the role that fast reactors could play for reducing the radiotoxicity of wastes. The conversion of 238 U into 239 Pu by neutron capture is more efficient in fast reactors than in light water reactors. In fast reactors multi-recycling of U + Pu leads to fissioning up to 95% of the initial fuel ( 238 U + 235 U). 2 strategies have been studied to burn actinides: - the multi-recycling of heavy nuclei is made inside the fuel element (homogeneous option); - the unique recycling is made in special irradiation targets placed inside the core or at its surroundings (heterogeneous option). Simulations have shown that, for the same amount of energy produced (400 TWhe), the mass of transuranium elements (Pu + Np + Am + Cm) sent to waste disposal is 60,9 Kg in the homogeneous option and 204.4 Kg in the heterogeneous option. Experimental programs are carried out in Phenix and BOR60 reactors in order to study the feasibility of such strategies. (A.C.)

Reactor power measuring device

International Nuclear Information System (INIS)

Izumi, Mikio; Sano, Yuji; Seki, Eiji; Yoshida, Toshifumi; Ito, Toshiaki.

1993-01-01

The present invention provides a self-powered long detector having a sensitivity over the entire length of a reactor core as an entire control rod withdrawal range of a BWR type reactor, and a reactor power measuring device using a gamma ray thermometer which scarcely causes sensitivity degradation. That is, a hollow protection pipe is disposed passing through the reactor core from the outside of a reactor pressure vessel. The self-powered long detectors and the gamma ray thermometers are inserted and installed in the protection pipe. An average reactor power in an axial direction of the reactor relative to a certain position in the horizontal cross section of the reactor core is determined based on the power of the self-powered long detector over the entire length of the reactor core. Since the response of the self-powered detector relative to a local power change is rapid, the output is used as an input signal to a safety protection device of the reactor core. Further, a gamma ray thermometer secured in the reactor and having scarce sensitivity degradation is used instead of an incore travelling neutron monitor used for relative calibration of an existent neutron monitor secured in the reactor. (I.S.)

Reactor container

International Nuclear Information System (INIS)

Kojima, Yoshihiro; Hosomi, Kenji; Otonari, Jun-ichiro.

1997-01-01

In the present invention, a catalyst for oxidizing hydrogen to be disposed in a reactor container upon rupture of pipelines of a reactor primary coolant system is prevented from deposition of water droplets formed from a reactor container spray to suppress elevation of hydrogen concentration in the reactor container. Namely, a catalytic combustion gas concentration control system comprises a catalyst for oxidizing hydrogen and a support thereof. In addition, there is also disposed a water droplet deposition-preventing means for preventing deposition of water droplets in a reactor pressure vessel on the catalyst. Then, the effect of the catalyst upon catalytic oxidation reaction of hydrogen can be kept high. The local elevation of hydrogen concentration can be prevented even upon occurrence of such a phenomenon that various kinds of mobile forces in the container such as dry well cooling system are lost. (I.S.)

Study on Reactor Performance of Online Power Monitoring in PUSPATI TRIGA Reactor (RTP)