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Sample records for tps radiotherapy dosimetry

  1. External audit in radiotherapy dosimetry

    International Nuclear Information System (INIS)

    Thwaites, D.I.; Western General Hospital, Edinburgh

    1996-01-01

    Quality audit forms an essential part of any comprehensive quality assurance programme. This is true in radiotherapy generally and in specific areas such as radiotherapy dosimetry. Quality audit can independently test the effectiveness of the quality system and in so doing can identify problem areas and minimize their possible consequences. Some general points concerning quality audit applied to radiotherapy are followed by specific discussion of its practical role in radiotherapy dosimetry, following its evolution from dosimetric intercomparison exercises to routine measurement-based on-going audit in the various developing audit networks both in the UK and internationally. Specific examples of methods and results are given from some of these, including the Scottish+ audit group. Quality audit in radiotherapy dosimetry is now well proven and participation by individual centres is strongly recommended. Similar audit approaches are to be encouraged in other areas of the radiotherapy process. (author)

  2. Radiotherapy gel dosimetry

    International Nuclear Information System (INIS)

    Baldock, C.

    2002-01-01

    shapes and sizes while sparing normal tissue. The situation is further complicated if the normal tissues are critical organs or are particularly sensitive to radiation. Radiotherapy techniques employed to obtain a closer conformation of the dose distribution to the tumour volume are referred to as conformal radiotherapy techniques. The clinical implementation of conformal therapy has been delayed by limitations in the verification of conformal dose distributions calculated by treatment planning systems prior to the irradiation of the patient and the verification of complex treatments during its delivery to the patient. There are several aspects of conformal therapy that complicate dose verification. To achieve the dose distributions conforming to complex 3D volumes, high dose gradients arise in the treatment volume. Further, overdose or underdose regions can exist when separate radiation fields are used to deliver additional radiation. These aspects require that practical dose measurement (dosimetry) techniques be able to integrate dose over time and easily measure dose distributions in 3D with high spatial resolution. Traditional dosimeters, such as ion chambers, thermoluminescent dosimeters and radiographic film do not fulfil these requirements. Novel gel dosimetry techniques are being developed in which dose distributions can potentially be determined in vitro in 3D using anthropomorphic phantoms to simulate a clinically irradiated situation. As long ago as the 1950's, radiation-induced colour change in dyes was used to investigate radiation doses in gels. It was subsequently shown that radiation induced changes in nuclear magnetic resonance (NMR) relaxation properties of gels infused with conventional Fricke dosimetry solutions could be measured using magnetic resonance imaging (MRI). In Fricke gels, Fe 2+ ions in ferrous sulphate solutions are usually dispersed throughout a gelatin, agarose or PVA matrix. Radiation-induced changes in the dosimeters are considered to

  3. Dosimetry in radiotherapy. V.1

    International Nuclear Information System (INIS)

    1988-01-01

    A series of symposia on dosimetry in medicine and biology have been held by the IAEA in co-operation with WHO. The present symposium was the first one focusing on ''Dosimetry in Radiotherapy''. The papers presented reflected the different steps in the calibration chain such as the calibration standards established by the National Standards Laboratories and the conversion of the reading of calibrated instruments to the desired quantity, i.e. absorbed dose to water at a reference point in the user's beam at the radiotherapy clinic. The programme further examined the procedures necessary for optimization of the treatment of the patient, such as treatment planning methods, dose distribution studies, new techniques of dose measurement, improvements in the physical dose distributions/conformation therapy and special problems involved in total body treatments. Results of quality assurance in radiotherapy were presented from local hospitals as well as from national and international studies. Refs, figs and tabs

  4. Dosimetry audit simulation of treatment planning system in multicenters radiotherapy

    Science.gov (United States)

    Kasmuri, S.; Pawiro, S. A.

    2017-07-01

    Treatment Planning System (TPS) is an important modality that determines radiotherapy outcome. TPS requires input data obtained through commissioning and the potentially error occurred. Error in this stage may result in the systematic error. The aim of this study to verify the TPS dosimetry to know deviation range between calculated and measurement dose. This study used CIRS phantom 002LFC representing the human thorax and simulated all external beam radiotherapy stages. The phantom was scanned using CT Scanner and planned 8 test cases that were similar to those in clinical practice situation were made, tested in four radiotherapy centers. Dose measurement using 0.6 cc ionization chamber. The results of this study showed that generally, deviation of all test cases in four centers was within agreement criteria with average deviation about -0.17±1.59 %, -1.64±1.92 %, 0.34±1.34 % and 0.13±1.81 %. The conclusion of this study was all TPS involved in this study showed good performance. The superposition algorithm showed rather poor performance than either analytic anisotropic algorithm (AAA) and convolution algorithm with average deviation about -1.64±1.92 %, -0.17±1.59 % and -0.27±1.51 % respectively.

  5. Gel dosimetry for conformal radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Gambarini, G [Department of Physics of the University and INFN, Milan (Italy)

    2005-07-01

    With the continuum development of conformal radio therapies, aimed at delivering high dose to tumor tissue and low dose to the healthy tissue around, the necessities has appeared of suitable improvement of dosimetry techniques giving the possibility of obtaining dose images to be compared with diagnostic images. Also if wide software has been developed for calculating dose distributions in the fields of various radiotherapy units, experimental verifications are necessary, in particular in the case of complex geometries in conformal radiotherapy. Gel dosimetry is a promising method for imaging the absorbed dose in tissue-equivalent phantoms, with the possibility of 3D reconstruction of the spatial dose distribution, with milli metric resolution. Optical imaging of gel dosimeters, based on visible light absorbance analysis, has shown to be a reliable technique for achieving dose distributions. (Author)

  6. Radiographic film orientation in radiotherapy dosimetry

    International Nuclear Information System (INIS)

    Suchowerska, N.; Davison, A.; Drew, J.; Metcalfe, P.

    1996-01-01

    Since the discovery of x-rays, film has been used as a detection medium for radiation. More recently radiographic film has become established as a practical tool for the measurement of dose distribution in radiotherapy. The accuracy and reproducibility of film dosimetry depends on photon energy, processing conditions and film plane orientation. The relationship between photon energy, processing conditions and film dosimetry accuracy has been studied. The role of film plane orientation is still controversial. The current work aims to clarify the effects film plane orientation has on film dosimetry. Poster 205. (author)

  7. Dosimetry audit of radiotherapy treatment planning systems

    International Nuclear Information System (INIS)

    Bulski, Wojciech; Chelminski, Krzysztof; Rostkowska, Joanna

    2015-01-01

    In radiotherapy Treatment Planning Systems (TPS) various calculation algorithms are used. The accuracy of dose calculations has to be verified. Numerous phantom types, detectors and measurement methodologies are proposed to verify the TPS calculations with dosimetric measurements. A heterogeneous slab phantom has been designed within a Coordinated Research Project (CRP) of the IAEA. The heterogeneous phantom was developed in the frame of the IAEA CRP. The phantom consists of frame slabs made with polystyrene and exchangeable inhomogeneity slabs equivalent to bone or lung tissue. Special inserts allow to position thermoluminescent dosimeters (TLD) capsules within the polystyrene slabs below the bone or lung equivalent slabs and also within the lung equivalent material. Additionally, there are inserts that allow to position films or ionisation chamber in the phantom. Ten Polish radiotherapy centres (of 30 in total) were audited during on-site visits. Six different TPSs and five calculation algorithms were examined in the presence of inhomogeneities. Generally, most of the results from TLD were within 5 % tolerance. Differences between doses calculated by TPSs and measured with TLD did not exceed 4 % for bone and polystyrene equivalent materials. Under the lung equivalent material, on the beam axis the differences were lower than 5 %, whereas inside the lung equivalent material, off the beam axis, in some cases they were of around 7 %. The TLD results were confirmed with the ionisation chamber measurements. The comparison results of the calculations and the measurements allow to detect limitations of TPS calculation algorithms. The audits performed with the use of heterogeneous phantom and TLD seem to be an effective tool for detecting the limitations in the TPS performance or beam configuration errors at audited radiotherapy departments. (authors)

  8. Dosimetry audit of radiotherapy treatment planning systems.

    Science.gov (United States)

    Bulski, Wojciech; Chełmiński, Krzysztof; Rostkowska, Joanna

    2015-07-01

    In radiotherapy Treatment Planning Systems (TPS) various calculation algorithms are used. The accuracy of dose calculations has to be verified. Numerous phantom types, detectors and measurement methodologies are proposed to verify the TPS calculations with dosimetric measurements. A heterogeneous slab phantom has been designed within a Coordinated Research Project (CRP) of the IAEA. The heterogeneous phantom was developed in the frame of the IAEA CRP. The phantom consists of frame slabs made with polystyrene and exchangeable inhomogeneity slabs equivalent to bone or lung tissue. Special inserts allow to position thermoluminescent dosimeters (TLD) capsules within the polystyrene slabs below the bone or lung equivalent slabs and also within the lung equivalent material. Additionally, there are inserts that allow to position films or ionisation chamber in the phantom. Ten Polish radiotherapy centres (of 30 in total) were audited during on-site visits. Six different TPSs and five calculation algorithms were examined in the presence of inhomogeneities. Generally, most of the results from TLD were within 5 % tolerance. Differences between doses calculated by TPSs and measured with TLD did not exceed 4 % for bone and polystyrene equivalent materials. Under the lung equivalent material, on the beam axis the differences were lower than 5 %, whereas inside the lung equivalent material, off the beam axis, in some cases they were of around 7 %. The TLD results were confirmed with the ionisation chamber measurements. The comparison results of the calculations and the measurements allow to detect limitations of TPS calculation algorithms. The audits performed with the use of heterogeneous phantom and TLD seem to be an effective tool for detecting the limitations in the TPS performance or beam configuration errors at audited radiotherapy departments. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  9. Film dosimetry in conformal radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Danciu, C; Proimos, B S [Patras Univ. (Greece). Dept. of Medical Physics

    1995-12-01

    Dosimetry, through a film sandwiched in a transverse cross-section of a solid phantom, is a method of choice in Conformal Radiotherapy because: (a) the blackness (density) of the film at each point offers a measure of the total dose received at that point, and (b) the film is easily calibrated by exposing a film strip in the same cross-section, through a stationary field. The film must therefore have the following properties: (a) it must be slow, in order not to be overexposed, even at a therapeutic dose of 200 cGy, and (b) the response of the film (density versus dose curve) must be independent of the photon energy spectrum. A few slow films were compared. It was found that the Kodak X-Omat V for therapy verification was the best choice. To investigate whether the film response was independent of the photon energy, response curves for six depths, starting from the depth of maximum dose to the depth of 25 cm, in solid phantom were derived. The vertical beam was perpendicular to the anterior surface of the phantom, which was at the distance of 100 cm from the source and the field was 15x15 cm at that distance. This procedure was repeated for photon beams emitted by a Cobalt-60 unit, two 6 MV and 15 MV Linear Accelerators, as well as a 45 MV Betatron. For each of those four different beams the film response was the same for all six depths. The results, as shown in the diagrams, are very satisfactory. The response curve under a geometry similar to that actually applied, when the film is irradiated in a transverse cross-section of the phantom, was derived. The horizontal beam was almost parallel (angle of 85) to the plane of the film. The same was repeated with the central ray parallel to the film (angle 90) and at a distance of 1.5 cm from the horizontal film. The field size was again 15x15 at the lateral entrance surface of the beam. The response curves remained the same, as when the beam was perpendicular to the films.

  10. Dosimetry applied to radiology and radiotherapy

    International Nuclear Information System (INIS)

    Yoshimura, Elisabeth Mateus

    2010-01-01

    Full text. The uses of ionizing radiation in medicine are increasing worldwide, and the population doses increase as well. The actual radiation protection philosophy is based on the balance of risks and benefits related to the practices, and patient dosimetry has an important role in the implementation of this point of view. In radiology the goal is to obtain an image with diagnostic quality with the minimum patient dose. In modern Radiotherapy the cure indexes are higher, giving rise to longer survival times to the patients. Dosimetry in radiotherapy helps the treatment planning systems to get a better protection to critical organs, with higher doses to the tumor, with a guarantee of better life quality to the patient. We will talk about the new trends in dosimetry of medical procedures, including experimental techniques and calculation tools developed to increase reliability and precision of dose determination. In radiology the main concerns of dosimetry are: the transition from film- radiography to digital image, the pediatric patient doses, and the choice of dosimetric quantities to quantify fluoroscopy and tomography patient doses. As far as Radiotherapy is concerned, there is a search for good experimental techniques to quantify doses to tissues adjacent to the target volumes in patients treated with new radiotherapy techniques, as IMRT and heavy particle therapy. (author)

  11. The United Kingdom's radiotherapy dosimetry audit network

    International Nuclear Information System (INIS)

    Thwaites, D.I.; Allahverdi, M.; Powley, S.K.; Nisbet, A.

    2003-01-01

    The first comprehensive national dosimetry intercomparison in the United Kingdom involving all UK radiotherapy centres was carried out in the late 1980s. Out of this a regular radiotherapy dosimetry audit network evolved in the early 1990s. The network is co-ordinated by the Institute of Physics and Engineering in Medicine and comprises eight co-operative regional groups. Audits are based on site visits using ionization chambers and epoxy resin water substitute phantoms. The basic audit methodology and phantom design follows that of the original national intercomparison exercise. However, most of the groups have evolved more complex methods, to extend the audit scope to include other parameters, other parts of the radiotherapy process and other treatment modalities. A number of the groups have developed phantoms to simulate various clinical treatment situations, enabling the sharing of phantoms and expertise between groups, but retaining a common base. Besides megavoltage external beam photon dosimetry, a number of the groups have also included the audit of kilovoltage X ray beams, electron beams and brachytherapy dosimetry. The National Physical Laboratory is involved in the network and carries out basic beam calibration audits to link the groups. The network is described and the methods and results are illustrated using the Scottish+ group as an example. (author)

  12. Dosimetry quality audit of high energy photon beams in greek radiotherapy centers

    International Nuclear Information System (INIS)

    Hourdakis, Constantine J.; Boziari, A.

    2008-01-01

    Background and purpose: Dosimetry quality audits and intercomparisons in radiotherapy centers is a useful tool in order to enhance the confidence for an accurate therapy and to explore and dissolve discrepancies in dose delivery. This is the first national comprehensive study that has been carried out in Greece. During 2002 - 2006 the Greek Atomic Energy Commission performed a dosimetry quality audit of high energy external photon beams in all (23) Greek radiotherapy centers, where 31 linacs and 13 Co-60 teletherapy units were assessed in terms of their mechanical performance characteristics and relative and absolute dosimetry. Materials and Methods: The quality audit in dosimetry of external photon beams took place by means of on-site visits, where certain parameters of the photon beams were measured, calculated and assessed according to a specific protocol and the IAEA TRS 398 dosimetry code of practice. In each radiotherapy unit (Linac or Co-60), certain functional parameters were measured and the results were compared to tolerance values and limits. Doses in water under reference and non reference conditions were measured and compared to the stated values. Also, the treatment planning systems (TPS) were evaluated with respect to irradiation time calculations. Results: The results of the mechanical tests, dosimetry measurements and TPS evaluation have been presented in this work and discussed in detail. This study showed that Co-60 units had worse performance mechanical characteristics than linacs. 28% of all irradiation units (23% of linacs and 42% of Co-60 units) exceeded the acceptance limit at least in one mechanical parameter. Dosimetry accuracy was much worse in Co60 units than in linacs. 61% of the Co60 units exhibited deviations outside ±3% and 31% outside ±5%. The relevant percentages for the linacs were 24% and 7% respectively. The results were grouped for each hospital and the sources of errors (functional and human) have been investigated and

  13. Dosimetry quality audit of high energy photon beams in greek radiotherapy centers.

    Science.gov (United States)

    Hourdakis, Constantine J; Boziari, A

    2008-04-01

    Dosimetry quality audits and intercomparisons in radiotherapy centers is a useful tool in order to enhance the confidence for an accurate therapy and to explore and dissolve discrepancies in dose delivery. This is the first national comprehensive study that has been carried out in Greece. During 2002--2006 the Greek Atomic Energy Commission performed a dosimetry quality audit of high energy external photon beams in all (23) Greek radiotherapy centers, where 31 linacs and 13 Co-60 teletherapy units were assessed in terms of their mechanical performance characteristics and relative and absolute dosimetry. The quality audit in dosimetry of external photon beams took place by means of on-site visits, where certain parameters of the photon beams were measured, calculated and assessed according to a specific protocol and the IAEA TRS 398 dosimetry code of practice. In each radiotherapy unit (Linac or Co-60), certain functional parameters were measured and the results were compared to tolerance values and limits. Doses in water under reference and non reference conditions were measured and compared to the stated values. Also, the treatment planning systems (TPS) were evaluated with respect to irradiation time calculations. The results of the mechanical tests, dosimetry measurements and TPS evaluation have been presented in this work and discussed in detail. This study showed that Co-60 units had worse performance mechanical characteristics than linacs. 28% of all irradiation units (23% of linacs and 42% of Co-60 units) exceeded the acceptance limit at least in one mechanical parameter. Dosimetry accuracy was much worse in Co60 units than in linacs. 61% of the Co60 units exhibited deviations outside +/-3% and 31% outside +/-5%. The relevant percentages for the linacs were 24% and 7% respectively. The results were grouped for each hospital and the sources of errors (functional and human) have been investigated and discussed in details. This quality audit proved to be a

  14. Worldwide QA networks for radiotherapy dosimetry

    International Nuclear Information System (INIS)

    Izewska, J.; Svensson, H.; Ibbott, G.

    2002-01-01

    A number of national or international organizations have developed various types and levels of external audits for radiotherapy dosimetry. There are three major programmes who make available external audits, based on mailed TLD (thermoluminescent dosimetry), to local radiotherapy centres on a regular basis. These are the IAEA/WHO TLD postal dose audit service operating worldwide, the European Society for Therapeutic Radiology and Oncology (ESTRO) system, EQUAL, in European Union (EU) and the Radiological Physics Center (RPC) in North America. The IAEA, in collaboration with WHO, was the first organization to initiate TLD audits on an international scale in 1969, using mailed system, and has a well-established programme for providing dose verification in reference conditions. Over 32 years, the IAEA/WHO TLD audit service has checked the calibration of more than 4300 radiotherapy beams in about 1200 hospitals world-wide. Only 74% of those hospitals who receive TLDs for the first time have results with deviation between measured and stated dose within acceptance limits of ±5%, while approximately 88% of the users that have benefited from a previous TLD audit are successful. EQUAL, an audit programme set up in 1998 by ESTRO, involves the verification of output for high energy photon and electron beams, and the audit of beam parameters in non-reference conditions. More than 300 beams are checked each year, mainly in the countries of EU, covering approximately 500 hospitals. The results show that although 98% of the beam calibrations are within the tolerance level of ±5%, a second check was required in 10% of the participating centres, because a deviation larger than ±5% was observed in at least one of the beam parameters in non-reference conditions. EQUAL has been linked to another European network (EC network) which tested the audit methodology prior to its application. The RPC has been funded continuously since 1968 to monitor radiation therapy dose delivery at

  15. TRS 398 dosimetry protocol for radiotherapy

    International Nuclear Information System (INIS)

    Palmans, H.; Smyth, V.

    2004-01-01

    Full text: In recent years, international codes of practice based on absorbed dose to water standards have been published for the clinical reference dosimetry of external beams. It has become widely accepted that dosimetry of radiotherapeutic beams should be based on these standards. These codes of practice are a major improvement over earlier ones that used air kerma calibration factors as they are based on a calibration directly in a phantom in terms of the quantity of interest. The previous codes begin with calibration in air in terms of air kerma, then use theoretical and generic conversion factors to obtain dose to water that do not take account of chamber-to-chamber variation. Other good reasons for implementing the new codes are that they are conceptually simpler, include improved physical data and improve the consistency for various ionisation chamber types as well as between different beam types. TRS-3982,3 is a new Code of Practice (CoP) for reference dosimetry of external radiotherapy beams based on absorbed dose to, water calibrations and was published by the IAEA in a joint effort with the WHO, PAHO and ESTRO. It is the first CoP of its kind comprehensively covering all external radiotherapy beams except neutrons. The Radiotherapy Interest Group (RJG) of the ACPSEM has recommended that radiotherapy centres in Australia and New Zealand implement this CoP by the end of 2004. In this workshop, the general philosophy of the CoP will be outlined which will provide a framework for each of the individual subcodes. Although it represents just one of the potential implementations of the CoP, this workshop will deal only with dosimetry based on a cylindrical ionisation chamber with an absorbed dose calibration factor in 60Co from the standards laboratory. With the framework of the code in mind, it is straightforward to identify the basic steps that are required for measuring absorbed dose under reference conditions in a high-energy photon beam. The same is true

  16. In vivo dosimetry in external beam radiotherapy

    International Nuclear Information System (INIS)

    Mijnheer, Ben; Beddar, Sam; Izewska, Joanna; Reft, Chester

    2013-01-01

    In vivo dosimetry (IVD) is in use in external beam radiotherapy (EBRT) to detect major errors, to assess clinically relevant differences between planned and delivered dose, to record dose received by individual patients, and to fulfill legal requirements. After discussing briefly the main characteristics of the most commonly applied IVD systems, the clinical experience of IVD during EBRT will be summarized. Advancement of the traditional aspects of in vivo dosimetry as well as the development of currently available and newly emerging noninterventional technologies are required for large-scale implementation of IVD in EBRT. These new technologies include the development of electronic portal imaging devices for 2D and 3D patient dosimetry during advanced treatment techniques, such as IMRT and VMAT, and the use of IVD in proton and ion radiotherapy by measuring the decay of radiation-induced radionuclides. In the final analysis, we will show in this Vision 20/20 paper that in addition to regulatory compliance and reimbursement issues, the rationale for in vivo measurements is to provide an accurate and independent verification of the overall treatment procedure. It will enable the identification of potential errors in dose calculation, data transfer, dose delivery, patient setup, and changes in patient anatomy. It is the authors’ opinion that all treatments with curative intent should be verified through in vivo dose measurements in combination with pretreatment checks

  17. In vivo dosimetry in external beam radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Mijnheer, Ben [Department of Radiation Oncology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam 1066 CX (Netherlands); Beddar, Sam [Department of Radiation Physics, University of Texas MD Anderson Cancer Center, Houston, Texas 77030 (United States); Izewska, Joanna [Division of Human Health, International Atomic Energy Agency, Vienna 1400 (Austria); Reft, Chester [Department of Radiation and Cellular Oncology, University of Chicago Medical Center, Chicago, Illinois 60637 (United States)

    2013-07-15

    In vivo dosimetry (IVD) is in use in external beam radiotherapy (EBRT) to detect major errors, to assess clinically relevant differences between planned and delivered dose, to record dose received by individual patients, and to fulfill legal requirements. After discussing briefly the main characteristics of the most commonly applied IVD systems, the clinical experience of IVD during EBRT will be summarized. Advancement of the traditional aspects of in vivo dosimetry as well as the development of currently available and newly emerging noninterventional technologies are required for large-scale implementation of IVD in EBRT. These new technologies include the development of electronic portal imaging devices for 2D and 3D patient dosimetry during advanced treatment techniques, such as IMRT and VMAT, and the use of IVD in proton and ion radiotherapy by measuring the decay of radiation-induced radionuclides. In the final analysis, we will show in this Vision 20/20 paper that in addition to regulatory compliance and reimbursement issues, the rationale for in vivo measurements is to provide an accurate and independent verification of the overall treatment procedure. It will enable the identification of potential errors in dose calculation, data transfer, dose delivery, patient setup, and changes in patient anatomy. It is the authors' opinion that all treatments with curative intent should be verified through in vivo dose measurements in combination with pretreatment checks.

  18. An IAEA Survey of Dosimetry Audit Networks for Radiotherapy

    International Nuclear Information System (INIS)

    Grochowska, Paulina; Izewska, Joanna

    2013-01-01

    A Survey: In 2010, the IAEA undertook a task to investigate and review the coverage and operations of national and international dosimetry audit programmes for radiotherapy. The aim was to organize the global database describing the activities of dosimetry audit networks in radiotherapy. A dosimetry audit questionnaire has been designed at an IAEA consultants' meeting held in 2010 for organizations conducting various levels of dosimetry audits for radiotherapy. Using this questionnaire, a survey was conducted for the first time in 2010 and repeated in 2011. Request for information on different aspects of the dosimetry audit was included, such as the audit framework and resources, its coverage and scope, the dosimetry system used and the modes of audit operation, i.e. remotely and through on-site visits. The IAEA questionnaire was sent to over 80 organizations, members of the IAEA/WHO Network of Secondary Standards Dosimetry Laboratories (SSDLs) and other organizations known for having operated dosimetry audits for radiotherapy in their countries or internationally. Survey results and discussion: In response to the IAEA survey, 53 organizations in 45 countries confirmed that they operate dosimetry audit services for radiotherapy. Mostly, audits are conducted nationally, however there are five organizations offering audits abroad, with two of them operating in various parts of the world and three of them at the regional level, auditing radiotherapy centres in neighbouring countries. The distribution of dosimetry audit services in the world is given. (author)

  19. Improving TL dosimetry for external radiotherapy

    International Nuclear Information System (INIS)

    Bustos, S.R.; Velez, G.; Rubio, M.

    1998-01-01

    Full text: In vivo thermoluminescence dosimetry (TLD) has always been one of the most accurate dosimetry method for external radiotherapy control, but the delay in the response is a well know drawback when it is applied. In this work we show some improvements and demonstrate that keeping the precision and accuracy of this technique, it is possible to obtain a response in few hours. Harshaw 4000 TL reader and LiF TLD-100 dosimeters, chips (3,1 x 3,1 x 0,9 mm 3 ) and rods (1 x 1 x 6 mm 3 ) have been used. The thermal treatment necessary to reuse the TLD is only 1h at 400 degree C, by using a glow curve analyser developed at the Ciemat (Spain), that allows a complete, prompt and precise identification of the individuals peaks. The dosimeters are periodically and individually calibrated. We also have study the factors contributing to the relation TL-dose like linearity, energy correction, directional response and fading. All those results are included into an Excel worksheet which automatically give us the dose resulting from the TL reading (peaks areas 4 and 5). The obtained uncertainty is better than 5%. The TLD already irradiated in radiotherapy institutions distant 30-40 Km from our centre can be read and analysed in about 3-4 hours. These facts render our methods rapid and allow a better control of radiotherapy treatment even if it is bi-fractionated. (author) [es

  20. Permanent Seed Implant Dosimetry (PSID)TM 4.5 version as isodose and Treatment Planning System (TPS) programme for brachytherapy

    International Nuclear Information System (INIS)

    Indra Saptiama; Moch Subechi; Anung Pujiyanto; Hotman Lubis; Herlan Setiawan

    2014-01-01

    The medical treatment using radiation therapy for cancer diseases is increasingly developed. One of the method used in radiotherapy is brachytherapy. Brachytherapy is radiation therapy method in which a radiation source is implanted in cancer cell directly so the dose accepted by cancer cell is the highest dose and the dose accepted by normal cell is the lowest dose. I-125 Seed have been made successfully in domestic. To support the implant of I-125 seed for brachytherapy needs computer programme for the isodose calculation and Treatment Planning System (TPS). Permanent Seed Implant Dosimetry (PSID) 4.5 is one of the isodose calculation and Treatment Planning System (TPS) programme that is owned by Center for Radioisotope and Radiopharmaceutical-BATAN. In isodose calculation, PSID 4.5 uses 1D formalism and 2D formalism based on AAPM-TG43 (Association of American Physicist in Medicine- Task Group No.43). Anisotropic function on 1D formalism depend on distance function while on 2D formalism count on distance and angle function therefore 2D formalism has isodose calculation better than 1D formalism usage. PSID 4.5 can display the isodose contour of the seed I-125 radiation source in 2 dimension (2D) and 3 dimension (3D). The computer programme of isodose calculation and TPS uses PSID 4.5 is expected able to help planning for seed I-125 implantation process for brachytherapy that used by paramedics and to support the usage of seed I-125 as domestic product. (author)

  1. Skin-sparing Helical Tomotherapy vs 3D-conformal Radiotherapy for Adjuvant Breast Radiotherapy: In Vivo Skin Dosimetry Study

    International Nuclear Information System (INIS)

    Capelle, Lisa; Warkentin, Heather; MacKenzie, Marc; Joseph, Kurian; Gabos, Zsolt; Pervez, Nadeem; Tankel, Keith; Chafe, Susan; Amanie, John; Ghosh, Sunita; Parliament, Matthew; Abdulkarim, Bassam

    2012-01-01

    Purpose: We investigated whether treatment-planning system (TPS)-calculated dose accurately reflects skin dose received for patients receiving adjuvant breast radiotherapy (RT) with standard three-dimensional conformal RT (3D-CRT) or skin-sparing helical tomotherapy (HT). Methods and Materials: Fifty patients enrolled in a randomized controlled trial investigating acute skin toxicity from adjuvant breast RT with 3D-CRT compared to skin-sparing HT, where a 5-mm strip of ipsilateral breast skin was spared. Thermoluminescent dosimetry or optically stimulated luminescence measurements were made in multiple locations and were compared to TPS-calculated doses. Skin dosimetric parameters and acute skin toxicity were recorded in these patients. Results: With HT there was a significant correlation between calculated and measured dose in the medial and lateral ipsilateral breast (r = 0.67, P V50 (1.4% vs 5.9%, respectively; P=.001) but higher skin V40 and skin V30 (71.7% vs 64.0%, P=.02; and 99.0% vs 93.8%, P=.001, respectively) than 3D-CRT plans. Conclusion: The 3D-CRT TPS more accurately reflected skin dose than the HT TPS, which tended to overestimate dose received by 14% in patients receiving adjuvant breast RT.

  2. Radiation dosimetry in radiotherapy with internal emitters

    International Nuclear Information System (INIS)

    Stabin, Michael G.

    1997-01-01

    Full text. Radiation dosimetry radionuclides are currently being labeled to various biological agents used in internal emitter radiotherapy. This talk will review the various technologies and types of radiolabel in current use, with focus on the characterization of the radiation dose to the various important tissues of the body. Methods for obtaining data, developing kinetic models, and calculating radiation doses will be reviewed. Monoclonal antibodies are currently being labeled with both alpha and beta emitting radionuclides in attempts to find effective agents against cancer. Several radionuclides are also being used as bone pain palliation agents. These agents must be studied in clinical trials to determine the biokinetics and radiation dosimetry prior to approval for general use. In such studies, it is important to ensure the collection of the appropriate kinds of data and to collect the data at appropriate time intervals. The uptake and retention of activity in all significant source organs and in excreta be measured periodically (with at least 2 data points phase of uptake or clearance). Then, correct dosimetry methods must be applied - the best available methods for characterizing the radionuclide kinetic and for estimating the dosimetry in the various organs of the body especially the marrow, should be used. Attempts are also under way to develop methods for estimating true patient-specific dosimetry. Cellular and animal studies are also. Valuable in evaluating the efficacy of the agents in shrinking or eliminating tumors; some results from such studies will also be discussed. The estimation of radiation doses to patients in therapy with internal emitters involves several complex phases of analysis. Careful attention to detail and the use of the best available methods are essential to the protection of the patient and a successful outcome

  3. Quality assurance in radiotherapy dosimetry in China

    International Nuclear Information System (INIS)

    Li Kaibao; Luo Suming; Cheng Jinsheng; He Zhijian; An Jinggang; Hu Yimin; Feng Ningyuan

    2002-01-01

    In 1995, the SSDL in the Laboratory of Industrial Hygiene cooperated with Beijing Cancer Hospital, Chinese Academy of Medical science joined the IAEA Co-ordinated Research Programme (NO.8769/RO). According to the requirements of the project, an External Audit Group (EAG) in China was established in 1996 with the responsibilities of operating TLD-based quality audit for radiotherapy dosimetry. Since then. The national TLD dose quality audit services have been carried out in 7 provinces in China. Besides this, the national programmes for brachytherapy and stereostatic radiosurgery (SRS) treatment dosimetry were initiated in 2001. The activity measurement intercomparison between the SSDL and some hospitals for Ir-192 HDR brachytherapy sources has been performed using a HDR well-type ionization chamber (Model HDR 1000 plus) and CDX-2000A Charge Digitizer, which were calibrated in Accredited Dosimetry Calibration Laboratory, University of Wisconsin, USA. The preliminary results indicated that the agreement between SSDL measured activity and hospital stated activity was within ±5% for more than 80% of total participants

  4. Dosimetry on the radiological risks prevention in radiotherapy

    International Nuclear Information System (INIS)

    Fornet R, O. M.; Perez G, F.

    2014-08-01

    Dosimetry in its various forms plays a determining role on the radiological risks prevention in radiotherapy. To prove this in this paper is shown an analysis based on the risk matrix method, how the dosimetry can influence in each stages of a radiotherapy service; installation and acceptance, operation, maintenance and calibration. For each one of these stages the role that can play is analyzed as either the initiating event of a radiological accident or limiting barrier of these events of the dosimetric processes used for the individual dosimetry, the area monitoring, fixed or portable, for radiation beam dosimetry and of the patients for a radiotherapy service with cobalt-therapy equipment. The result of the study shows that the application of a prospective approach in the role evaluation of dosimetry in the prevention and mitigation of the consequences of a radiological accident in radiotherapy is crucial and should be subject to permanent evaluation at each development stage of these services. (author)

  5. The UK radiotherapy dosimetry audit network

    International Nuclear Information System (INIS)

    Thwaites, D.I.

    2002-01-01

    Full text: Radiotherapy dosimetry intercomparison in the UK has been carried out in limited studies since the 1960s. However the first national dosimetry intercomparison involving all radiotherapy centres was conducted in the late 1980s. This was based on visits to each centre, using ionisation chamber dosimetry. It audited megavoltage photon beam calibration and other single field parameters. It also measured doses in a three-field 'treatment' in a trapezoidal phantom constructed from epoxy-resin water-equivalent material and compared these to locally planned doses. This included off-axis points, oblique incidence, inhomogeneities, etc. The study found mean measured beam calibration doses close to stated values (ratio 1.003), with a standard deviation (sd) of the distribution of 1.5% and 97% of doses within the pro-set 3% tolerance. For the planned multi-field irradiations, mean dose ratios (measured/stated) were 1.01 (sd 3%, 90% of results within 5%). A number of discrepancies were identified, leading to improved practice. A follow up study (mid-1990s) for electron beam audit also repeated the megavoltage photon calibration audit. For photons, an improvement was noted (mean ratio 1.003, sd 1.0%, 100% within 3%), whilst for electron beams, the mean ratio of measured/stated dose was 0.994 (sd 1.8%, 94% within 3%, 99% within 5%). In parallel with - and growing out of - this, a national audit network began to develop in 1991/2. It utilised similar methodology to the intercomparison and a network approach to allow parallel developments of the scope of the system. The network has eight regional groups, each with up to 10 radiotherapy centres, serving average populations of 7-8 million. Each group organises audits of its own centres and has developed at its own pace. Most have piloted methodology, phantoms, etc. for new audits which can then be used by other groups. All 65 UK centres are included. The network is co-ordinated by an IPEM Steering Committee (current chair

  6. Dosimetry in radiotherapy with natural diamond detectors

    International Nuclear Information System (INIS)

    De Angelis, C.; Onori, S.; Pacilio, M.; Cirrone, G.A.P.; Cuttone, G.; Raffaele, L.; Bucciolini, M.; Mazzocchi, S.

    2002-01-01

    There is wide interest in the use of diamond detectors for dosimetry in radiotherapy mainly because of the small dimensions, radiation hardness, nearly tissue equivalence of sensitive material and capability to deliver the dosimetric response 'on line'. In order to assess the dosimetric properties of PTW Riga diamond detectors type 60003, experiments were performed in conventional (high energy photon and electron) therapy beams as well as in proton therapy beams. The main detector features investigated were reproducibility of response, dose-signal relationship, temperature dependence, dose-rate dependence, energy dependence and angular dependence. High energy photons (6-25 MV) and electrons (6-22 MeV), available at the Radiotherapy Department of the Florence University, were used for investigating the general properties. Two different PTW diamond detectors of the same type were used to evidence inter-sample differences. The beam quality dependence of the detector response is probably the most critical point and this statement is of particular relevance for proton dosimetry since the proton LET changes with depth in the medium. Mainly because of the little information available on detector sensitivity variations with beam energy, the use of diamonds for clinical proton dosimetry is not widespread. In two recent papers a sensitivity dependence on proton energy of a natural PTW diamond detector has been reported. Due to the necessity to characterise each diamond detector individually the PTW Riga natural diamond detector in operation at the LNS-INFN, Catania, Italy was tested with the local proton beam line. This experiment is of main concern because this proton beam, produced by a superconducting cyclotron and used for ocular melanoma treatment, is available only since 2001 (CATANA beam). The first patient has been treated in February 2002. Proton irradiations were performed with non modulated and modulated 62 MeV beams. Attention was focused on diamond sensitivity

  7. Radiological response and dosimetry in physical phantom of head and neck for 3D conformational radiotherapy

    International Nuclear Information System (INIS)

    Thompson, Larissa

    2013-01-01

    Phantoms are tools for simulation of organs and tissues of the human body in radiology and radiotherapy. This thesis describes the development, validation and, most importantly, the use of a physical head and neck phantom in radiology and radiotherapy, with the purpose of evaluating dose distribution using Gafchromic EBT2 film in 15 MV 3D conformal radiotherapy. The work was divided in two stages, (1) development of new equivalent tissues and improvement of the physical phantom, and (2) use of the physical phantom in experimental dosimetry studies. In phase (1) parameters such as mass density, chemical composition of tissues, anatomical and biometric measurements were considered, as well as aspects of imaging by computed tomography (CT) and radiological response representation in Hounsfield Units (HU), which were compared with human data. Radiological experiments of in-phantom simulated brain pathologies were also conducted. All those results matched human-sourced data, therefore the physical phantom is a suitable simulator that may be used to enhance radiological protocols and education in medical imaging. The main objective in phase (2) was to evaluate the spatial dose distribution in a brain tumor simulator inserted inside the head and neck phantom developed by the Ionizing Radiation Research Group (NRI), exposed to 15 MV 3D conformal radiotherapy, for internal dose assessment. Radiation planning was based on CT images of the physical phantom with a brain tumor simulator made with equivalent material. The treatment planning system (TPS), CAT3D software, used CT images and prescribed a dose of 200 cGy, distributed in three fields of radiation, in a T-shaped pattern. The TPS covered the planning treatment volume (PTV) with 97% of the prescribed dose. A solid water phantom and radiochromic Gafchromic EBT2 film were used for calibration procedures, generating a dose response curve as a function of optical density (OD). After calibration and irradiation, the film

  8. Development and clinical application of In Vivo dosimetry for radiotherapy

    International Nuclear Information System (INIS)

    Honda, Hirofumi; Oita, Masataka; Tominaga, Masahide; Oto, Yoshihiro

    2016-01-01

    In practical radiotherapy, it is important to deliver radiation to the target correctly and safely according to the treatment planning. The control of radiation dose delivered to each patient in radiotherapy mainly relies on the prediction based on the result of pre-treatment verification and irradiation accuracy of treatment machines. In Vivo dosimetry in radiotherapy is the procedure of quality assurance by the way of direct measurement for the patient whether the calculated prescribed dose in the treatment planning is delivered precisely. The history of In Vivo dosimetry is relatively long, and the TLD dosimetry for clinical radiotherapy started in early 1970's. After 1980's, owing to the development of semiconductor devices such as diode detectors, semiconductor arrays, the clinical applications for the dosimetry and diagnostic radiation imaging devices which contributed to the development of electric portal imaging devices and 2D semiconductor detectors were introduced. In recent years, these radiation measurement devices and non-invasive methods have been developed, they are becoming widespread as clinical practice. In this paper, we reviewed the In Vivo dosimetry devices and their characteristics, and technical application for radiotherapy. (author)

  9. Alanine-ESR dosimetry for radiotherapy IAEA experience

    International Nuclear Information System (INIS)

    Mehta, K.; Girzikowsky, R.; )

    1997-01-01

    At present, the most commonly used transfer dosimeters for radiotherapy applications are TL dosemeters. They are being used for intercomparison between SSDLs (about 70) and the IAEA dosimetry laboratory. However, there are some undesirable characteristics of this dosimetry system. We have a study in progress at the IAEA to evaluate the alanine-ESR systems as an alternative to TLDs. There are several desirable qualities which make alanine an attractive dosemeter. Preliminary data suggest that the alanine-ESR dosimetry system has the potential to replace TLDs for intercomparison amongst SSDLs in the therapy-level dose regions. (Author)

  10. MOSFET Dosimetry for Evaluation of Gonad Shielding during Radiotherapy

    International Nuclear Information System (INIS)

    Kim, Hwi Young; Choi, Yun Seok; Park, So Yeon; Park, Yang Kyun; Ye, Sung Joon

    2011-01-01

    In order to confirm feasibility of MOSFET modality in use of in vivo dosimetry, evaluation of gonad shielding in order to minimize gonadal dose of patients undergoing radiotherapy by using MOSFET modality was performed. Gonadal dose of patients undergoing radiotherapy for rectal cancer in the department of radiation oncology of Seoul National University Hospital since 2009 was measured. 6 MV and 15 MV photon beams emitted from Varian 21EX LINAC were used for radiotherapy. In order to minimize exposed dose caused by the scattered ray not only from collimator of LINAC but also from treatment region inside radiation field, we used box.shaped lead shielding material. The shielding material was made of the lead block and consists of 7.5 cm x 9.5 cm x 5.5 cm sized case and 9 cm x 9.5 cm x 1 cm sized cover. Dosimetry for evaluation of gonad shielding was done with MOSFET modality. By protecting with gonad shielding material, average gonadal dose of patients was decreased by 23.07% compared with reference dose outside of the shielding material. Average delivered gonadal dose inside the shielding material was 0.01 Gy. By the result of MOSFET dosimetry, we verified that gonadal dose was decreased by using gonad shielding material. In compare with TLD dosimetry, we could measure the exposed dose easily and precisely with MOSFET modality

  11. MOSFET Dosimetry for Evaluation of Gonad Shielding during Radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hwi Young; Choi, Yun Seok; Park, So Yeon; Park, Yang Kyun [Seoul National University College of Medicine, Seoul (Korea, Republic of); Ye, Sung Joon [Seoul National University, Seoul (Korea, Republic of)

    2011-03-15

    In order to confirm feasibility of MOSFET modality in use of in vivo dosimetry, evaluation of gonad shielding in order to minimize gonadal dose of patients undergoing radiotherapy by using MOSFET modality was performed. Gonadal dose of patients undergoing radiotherapy for rectal cancer in the department of radiation oncology of Seoul National University Hospital since 2009 was measured. 6 MV and 15 MV photon beams emitted from Varian 21EX LINAC were used for radiotherapy. In order to minimize exposed dose caused by the scattered ray not only from collimator of LINAC but also from treatment region inside radiation field, we used box.shaped lead shielding material. The shielding material was made of the lead block and consists of 7.5 cm x 9.5 cm x 5.5 cm sized case and 9 cm x 9.5 cm x 1 cm sized cover. Dosimetry for evaluation of gonad shielding was done with MOSFET modality. By protecting with gonad shielding material, average gonadal dose of patients was decreased by 23.07% compared with reference dose outside of the shielding material. Average delivered gonadal dose inside the shielding material was 0.01 Gy. By the result of MOSFET dosimetry, we verified that gonadal dose was decreased by using gonad shielding material. In compare with TLD dosimetry, we could measure the exposed dose easily and precisely with MOSFET modality.

  12. Dosimetry audits and intercomparisons in radiotherapy: A Malaysian profile

    International Nuclear Information System (INIS)

    Noor, Noramaliza M.; Nisbet, A.; Hussein, M.; Chu S, Sarene; Kadni, T.; Abdullah, N.; Bradley, D.A.

    2017-01-01

    Quality audits and intercomparisons are important in ensuring control of processes in any system of endeavour. Present interest is in control of dosimetry in teletherapy, there being a need to assess the extent to which there is consistent radiation dose delivery to the patient. In this study we review significant factors that impact upon radiotherapy dosimetry, focusing upon the example situation of radiotherapy delivery in Malaysia, examining existing literature in support of such efforts. A number of recommendations are made to provide for increased quality assurance and control. In addition to this study, the first level of intercomparison audit i.e. measuring beam output under reference conditions at eight selected Malaysian radiotherapy centres is checked; use being made of 9 µm core diameter Ge-doped silica fibres (Ge-9 µm). The results of Malaysian Secondary Standard Dosimetry Laboratory (SSDL) participation in the IAEA/WHO TLD postal dose audit services during the period between 2011 and 2015 will also been discussed. In conclusion, following review of the development of dosimetry audits and the conduct of one such exercise in Malaysia, it is apparent that regular periodic radiotherapy audits and intercomparison programmes should be strongly supported and implemented worldwide. The programmes to-date demonstrate these to be a good indicator of errors and of consistency between centres. A total of ei+ght beams have been checked in eight Malaysian radiotherapy centres. One out of the eight beams checked produced an unacceptable deviation; this was found to be due to unfamiliarity with the irradiation procedures. Prior to a repeat measurement, the mean ratio of measured to quoted dose was found to be 0.99 with standard deviation of 3%. Subsequent to the repeat measurement, the mean distribution was 1.00, and the standard deviation was 1.3%. - Highlights: • We review significant factors that impact upon radiotherapy dosimetry, • We carried out the

  13. Dosimetry audits and intercomparisons in radiotherapy: A Malaysian profile

    Science.gov (United States)

    M. Noor, Noramaliza; Nisbet, A.; Hussein, M.; Chu S, Sarene; Kadni, T.; Abdullah, N.; Bradley, D. A.

    2017-11-01

    Quality audits and intercomparisons are important in ensuring control of processes in any system of endeavour. Present interest is in control of dosimetry in teletherapy, there being a need to assess the extent to which there is consistent radiation dose delivery to the patient. In this study we review significant factors that impact upon radiotherapy dosimetry, focusing upon the example situation of radiotherapy delivery in Malaysia, examining existing literature in support of such efforts. A number of recommendations are made to provide for increased quality assurance and control. In addition to this study, the first level of intercomparison audit i.e. measuring beam output under reference conditions at eight selected Malaysian radiotherapy centres is checked; use being made of 9 μm core diameter Ge-doped silica fibres (Ge-9 μm). The results of Malaysian Secondary Standard Dosimetry Laboratory (SSDL) participation in the IAEA/WHO TLD postal dose audit services during the period between 2011 and 2015 will also been discussed. In conclusion, following review of the development of dosimetry audits and the conduct of one such exercise in Malaysia, it is apparent that regular periodic radiotherapy audits and intercomparison programmes should be strongly supported and implemented worldwide. The programmes to-date demonstrate these to be a good indicator of errors and of consistency between centres. A total of ei+ght beams have been checked in eight Malaysian radiotherapy centres. One out of the eight beams checked produced an unacceptable deviation; this was found to be due to unfamiliarity with the irradiation procedures. Prior to a repeat measurement, the mean ratio of measured to quoted dose was found to be 0.99 with standard deviation of 3%. Subsequent to the repeat measurement, the mean distribution was 1.00, and the standard deviation was 1.3%.

  14. Dosimetry intercomparisons between fast neutron radiotherapy facilities

    International Nuclear Information System (INIS)

    Almond, P.R.; Smith, A.R.; Smathers, J.B.; Otte, V.A.

    1975-01-01

    Neutron dosimetry intercomparisons have been made between M.D. Anderson Hospital and Tumor Institute, Naval Research Laboratory, University of Washington Hospital, and Hammersmith Hospital. The parameters that are measured during these visits are: tissue kerma in air, tissue dose at depth of dose maximum, depth dose, beam profiles, neutron/gamma ratios and photon calibrations of ionization chambers. A preliminary report of these intercomparisons will be given including a comparison of the calculation and statement of tumor doses for each institution

  15. Water-equivalent plastic scintillation detectors for radiotherapy dosimetry

    International Nuclear Information System (INIS)

    Beddar, A.S.

    1995-01-01

    Plastic scintillation dosimetry is a promising new method of measuring absorbed dose for high energy radiotherapy beams. The theory behind this concept will be presented along with the many advantages that it offers over conventional dosimetry. A variety of plastic scintillation detector systems have been recently developed for photon and electron dosimetry. These new water-equivalent detectors use small to miniature plastic scintillators. Their attractive feature lies in their use for field mapping in water, particularly for small fields, high dose gradient regions, and near inhomogeneous interfaces, or for in-vivo insertions. The physical characteristics and the dosimetric properties of these scintillators will be presented, discussed, and compared to the commonly used detectors in radiation dosimetry. The system first used successfully for multi-purpose radiotherapy field mapping, as well as other systems, will be described. The technical challenges of the design of these detectors including the optical coupling to small fibers will be discussed. One of the limitations, at the present time, is the radiation-induced light produced in the optical fibers that are used to transmit the signal to the photodetectors. The mechanisms of these spurious effects will be identified and discussed with emphasis on signal-to-noise improvements

  16. External quality audit programmes for radiotherapy dosimetry and equipment

    International Nuclear Information System (INIS)

    Thwaites, D.I.

    1997-01-01

    It is widely accepted that individual radiotherapy centres should have in place a comprehensive quality assurance programme on all the necessary steps for the delivery of safe accurate treatment. As regards the performance of radiotherapy equipment and dosimetry, the most widely used process of external checking has been dosimetry intercomparison, comparing independently measured doses to locally stated doses in a variety of conditions. These have been at a number of different levels: from basic beam calibration; up to and including exercises employing anatomic or pseudo-anatomic phantoms and incorporating tests of treatment planning equipment and procedures. Some of these have been one-off exercises, whilst others are continuing, or have given rise to on-going quality audit programmes on a national (or wider) basis. A number of these have evolved, or are evolving, into audits which include external checking of the achievement of standards in performance of treatment equipment, as well as in the dosimetry in each institution involved. The principles and methodologies of the various types of external checking programmes for treatment equipment and dosimetry are reviewed, covering the experimental approaches and the tolerances applied. What is included in a given programme will, of necessity, depend on the resources available and the purpose of the exercise. Methods and tolerances must be matched to endpoint. Tolerance levels must take into account the experimental uncertainties of the measurement methods employed. Finally, external audit can only be used to complement, and in conjunction with, institutional quality assurance programmes and not as a substitute for them

  17. [Automatic Extraction and Analysis of Dosimetry Data in Radiotherapy Plans].

    Science.gov (United States)

    Song, Wei; Zhao, Di; Lu, Hong; Zhang, Biyun; Ma, Jun; Yu, Dahai

    To improve the efficiency and accuracy of extraction and analysis of dosimetry data in radiotherapy plans for a batch of patients. With the interface function provided in Matlab platform, a program was written to extract the dosimetry data exported from treatment planning system in DICOM RT format and exported the dose-volume data to an Excel file with the SPSS compatible format. This method was compared with manual operation for 14 gastric carcinoma patients to validate the efficiency and accuracy. The output Excel data were compatible with SPSS in format, the dosimetry data error for PTV dose interval of 90%-98%, PTV dose interval of 99%-106% and all OARs were -3.48E-5 ± 3.01E-5, -1.11E-3 ± 7.68E-4, -7.85E-5 ± 9.91E-5 respectively. Compared with manual operation, the time required was reduced from 5.3 h to 0.19 h and input error was reduced from 0.002 to 0. The automatic extraction of dosimetry data in DICOM RT format for batch patients, the SPSS compatible data exportation, quick analysis were achieved in this paper. The efficiency of clinical researches based on dosimetry data analysis of large number of patients will be improved with this methods.

  18. Usefulness and problems of film dosimetry in high energy radiotherapy

    International Nuclear Information System (INIS)

    Hirabayashi, Hisae

    1995-01-01

    Film dosimetry is a convenient and quick method of obtaining a set of high energy radiation isodose curves in the plane of the film, but it is an empirical method which presents some problems. Many authors have reported on film dosimetry for industrial films. Recently, the development of computerized densitometer systems, ready-pack films for radiotherapy and automatic film processors has helped improve the procedure. This paper reports our experiences regarding film dosimetry using the new materials, its usefulness in radiotherapy and some of technical problems encountered. The optical density value corresponding to a given dose depends upon the processing conditions, for XV-2 film, variation is about 4% when an automatic processor is used under controlled conditions. The Off-axis-ratios and the PDD in the perpendicular film plane agree well with the ion-chamber for photon and electron beams; by contrast, the PDD in the parallel film plane is significantly affected by variations in the phantom thickness, the type of film package and misalignment in phantom. But, bare films inserted into a cassette made of phantom material agree well for electron beams. Film dosimetry is effective and accurate at the edges of the field and for small fields, due to its high spatial resolution and rapid method. In addition, it is useful for electron beams OCR beam data input; for evaluating the input parameters for treatment planning systems; for quality assurance of the treatment equipment; and for preliminary clinical studies. Even when modern materials are used for film dosimetry, some technical problems will arise. Thus, to ensure the accuracy, certain precautions are required when setting conditions of film exposure and for quality control of the film processor. (author)

  19. Synthetic diamond devices for medical dosimetry applied to radiotherapy

    International Nuclear Information System (INIS)

    Descamps, C.

    2007-06-01

    The aim of this thesis, lead in the framework of an integrated European project entitled M.A.E.S.T.R.O. for ' Methods and Advanced Equipment for Simulation and Treatment in Radio Oncology', was to develop and test synthetic diamond detector in clinical environment for new modalities used in radiotherapy. Diamond is a good candidate for the detection of high energy beams in medical fields. It can be used for passive dosimetry, as thermoluminescent dosimeters or for active dosimetry as ionisation chambers. These two applications are presented here. Concerning the thermoluminescence, several impurities or dopants (boron, phosphorus, and nitrogen) have been incorporated in the diamond films during growth, in order to modify the material dosimetric properties and a detailed study of nitrogen-containing films is proposed. The second part presents the results obtained in active dosimetry. Two guide lines were followed: the measurement set-up optimisation and the material modification. The first dosimetric studies under radiotherapy beams concerning nitrogen-containing polycrystalline diamond as well as high purity single crystal diamond are conclusive. The detectors behaviours are in agreement with the recommendations of the International Atomic Energy Agency (IAEA). (author)

  20. Radiotherapy Dosimetry Protocols For High Energy Photons And Electrons

    International Nuclear Information System (INIS)

    Thwaites, D.I.

    1999-01-01

    One vital requirement in radiotherapy is to ensure as closely as possible consistency in determination of dose between different centers and at different times, both within a given country and internationally, because the comparison and transfer of clinical experience and the evaluation of clinical trials is dependent on common statements of dose delivered. In addition at each loon] centre it is vital that the absorbed dose calibration of each beam is carried out to exacting and consistent standards, as this is the fundamental measurement upon which the quality of all treatments on that machine depend throughout its clinical lifetime. The systems in place to ensure consistency in dosimetry differ in the details from country to country, but all depend on the same basic considerations: - the use of ion chambers of similar design and similar construction materials, - traceable calibrations of these chambers to an accredited primary or secondary standard dosimetry laboratory (SSDL) in terms of some agreed relevant dosimetric quantity, - dose statements in terms of absorbed dose to a common material, water, - the application of an appropriate recommended national or international dosimetry protocol (or code of practice) which ensures commonality in the method of use of the calibrated ion chamber, the radiotherapy treatment beam calibration conditions and any data required to convert the ion chamber reading to absorbed dose to water, and - strict quality control on each step in this process

  1. Clinical application of radiation dosimetry on X-ray radiotherapy

    International Nuclear Information System (INIS)

    Mizutani, Takeo

    1995-01-01

    In the case of radiotherapy, it is important to give proper dose for a tumor, to be treated with the objective of therapy, and to evaluate the dose, considering dose for other organs at risk to a sufficient extent. To provide an exposure dose at the target volume of tumor parts, it should be required to get a good understanding of the correct dosimetric method and also to apply this to clinical application in practice. All over the country, so as not to produce any difference in the given dose, 'A practical code for the dosimetry of high energy X-rays in radiotherapy' was issued by the Japanese Associations of radiological physicists in 1972. In 1986, it was revised. At about 85% of therapeutic facilities in the country, radiation engineers perform dose measurements and controls. Therefore, I have explained the process of measurement and dose calculation, with the main objective directed at the engineers in charge of the radiotherapy so as to easily radiation dosimetry of X-ray with dosemeters and phantom used at each facility according to the 'practical code'. (author)

  2. Dosimetry using radiosensitive gels in radiotherapy: significance and methods

    International Nuclear Information System (INIS)

    Gibon, D.; Bourel, P.; Castelain, B.; Marchandise, X.; Rousseau, J.

    2001-01-01

    The goal of conformal radiotherapy is to concentrate the dose in a well-defined volume by avoiding the neighbouring healthy structures. This technique requires powerful treatment planning software and a rigorous control of estimated dosimetry. The usual dosimetric tools are not adapted to visualize and validate complex 3D treatment. Dosimetry by radiosensitive gel permits visualization and measurement of the three-dimensional dose distribution. The objective of this work is to report on current work in this field and, based on our results and our experience, to draw prospects for an optimal use of this technique. Further developments will relate to the realization of new radiosensitive gels satisfying, as well as possible, cost requirements, easy realization and use, magnetic resonance imagery (MRI) sensitivity, tissue equivalence, and stability. Other developments focus on scanning methods, especially in MRI to measure T1 and T2. (author)

  3. The Radiotherapy Dosimetry Audit System In the UK

    International Nuclear Information System (INIS)

    Thwaites, D.I.

    1999-01-01

    Two national radiotherapy dosimetry intercomparisons have been earned out in the UK, involving all radiotherapy institutes. The first was concerned with megavoltage photon beams and looked at beam calibration and simple three-field planned distributions in a geometric phantom. The intercomparisons were carried out by an independent intercomparison physicist visiting each department in turn and making measurements with ion chambers, following a fixed protocol. The beam calibration intercomparison was earned out on every 60 C o beam and every MV x-ray beam, whilst the planned comparisons were carried out on one beam only. The plans included effects of wedges, oblique incidence and inhomogeneities. The study was unfunded and took a significant time (1988-1991) to cover the 65 or so centres. It was followed up by a national electron dosimetry intercomparison which was fended (Department of Health) and which ran from 1994-1996. This audited three electron beam energies in each centre (depth dose, beam energy, dose calibration) and also included a follow-up of the original photon beam intercomparison. In general these studies showed good consistency of dosimetry across the UK centres, with mean (measured/locally stated) doses being close to unity and standard deviations of the distributions of values being approx. 1.5 and 1% for photons, 1.8% for electrons for beam calibration and 2.5-3.5% for the planned multi-beam situations. 97-100% of measurements were within the pre-set 3% tolerance for beam calibration and around 90% of the measurements within a pre-set 5% tolerance for planned situations. The studies did highlight some areas where increased on Q A could provide benefits. In particular the photon intercomparison discovered one 60 C o unit mis calibration which led to national recommendations for the implementation of Quality Systems in radiotherapy departments

  4. Improvements in the Tl dosimetry for Radiotherapy

    International Nuclear Information System (INIS)

    Bustos, S.; Velez, G.; Rubio, M.

    1998-01-01

    The thermoluminescent dosimetry (TLD) in vivo has been demonstrated to be one of the most reliable for the control of radiotherapeutic treatments, but the delay in the response is the main disadvantage in its applicability. In this work are presented important improvements and it is demonstrated that maintaining the accuracy and reliability of the technique, it is possible to accelerate the response times at a few hours. To realize this work is utilized a lecturer Harshaw 4000, dosemeters LiF-TLD-100 chips (3.1 x 3.1 x 0.89 mm 3 ) and rods (1 x 1 x 6 mm 3 ). With the implementation of a glow curve analysis program developed in CIEMAT, its obtained a Tl peaks separation in such manner rapid and accurate, by that the thermal treatment of dosemeters may be reduced at one unique annealing pre-irradiation for 1 hr at 400 Centigrade. It is realized a periodical and individual calibration of the TLD and a study of the factors which influencing the ratio Tl signal-dose as linearity, correction by energy, directional response and pride of Tl signal. the results of this study are introducing in a calculation list specially designed and which allows to obtain absorbed dose by TLD starting of the dates (dosimetric peaks area) which appear of the glow curves analysis. The dose is obtained with an accuracy less than 5 %. The dosemeters already irradiated (in vivo) are analysed and informed in only four hours, allowing a greater control of the treatment and a correction of the possible errors for the next session, still in bi fractional treatments. The method implemented results thus accurate, rapid and reliable. (Author)

  5. SU-E-J-89: Deformable Registration Method Using B-TPS in Radiotherapy.

    Science.gov (United States)

    Xie, Y

    2012-06-01

    A novel deformable registration method for four-dimensional computed tomography (4DCT) images is developed in radiation therapy. The proposed method combines the thin plate spline (TPS) and B-spline together to achieve high accuracy and high efficiency. The method consists of two steps. First, TPS is used as a global registration method to deform large unfit regions in the moving image to match counterpart in the reference image. Then B-spline is used for local registration, the previous deformed moving image is further deformed to match the reference image more accurately. Two clinical CT image sets, including one pair of lung and one pair of liver, are simulated using the proposed algorithm, which results in a tremendous improvement in both run-time and registration quality, compared with the conventional methods solely using either TPS or B-spline. The proposed method can combine the efficiency of TPS and the accuracy of B-spline, performing good adaptively and robust in registration of clinical 4DCT image. © 2012 American Association of Physicists in Medicine.

  6. A reusable OSL-film for 2D radiotherapy dosimetry

    Science.gov (United States)

    Wouter, Crijns; Dirk, Vandenbroucke; Paul, Leblans; Tom, Depuydt

    2017-11-01

    Optical stimulated luminescence (OSL) combines reusability, sub-mm resolution, and a linear dose response in a single radiation detection technology. Such a combination is currently lacking in radiotherapy dosimetry. But OSL-films have a strong energy dependent response to keV photons due to a relative high effective atomic number (Z eff). The current work studied the applicability of a 2D OSL-film with a reduced Z eff as (IMRT/VMAT) dosimeter. Based on their commercial OSL-film experience, Agfa Healthcare N.V. produced a new experimental OSL-film for RT dosimetry. This film had a lower effective atomic number compared to the films used in radiology. Typical 2D dosimeter requirements such as uniformity, dose response, signal stability with time, and angular dependence were evaluated. Additionally, the impact of a possible residual energy dependence was assessed for the infield as well as the out-of-field region of both static beams and standard intensity modulated patterns (chair and pyramid). The OSL-film’s reusable nature allowed for a film specific absolute and linear calibration including a flood-field uniformity correction. The OSL-film was scanned with a CR-15X engine based reader using a strict timing (i.e. 4 min after ‘beam on’ or as soon as possible) to account for spontaneous recombination. The OSL-film had good basic response properties: non-uniformities  ⩽2.6%, a linear dose response (0-32 Gy), a linear signal decay (0.5% min-1) over the 20 min measured, and limited angular dependence  ⩽2.6%. Due to variations of the energy spectrum, larger dose differences were noted outside the central region of the homogenous phantom and outside both static and IMRT fields. However, the OSL-film’s measured dose differences of the IMRT patterns were lower than those of Gafchromic EBT measurements ([-1.6%, 2.1%] versus [-2.9%, 3.6%]). The current OSL-film could be used as a reusable high resolution dosimeter with read-out immediately after

  7. Verification of the pure alanine in PMMA tube dosimeter applicability for dosimetry of radiotherapy photon beams: a feasibility study.

    Science.gov (United States)

    Al-Karmi, Anan M; Ayaz, Ali Asghar H; Al-Enezi, Mamdouh S; Abdel-Rahman, Wamied; Dwaikat, Nidal

    2015-09-01

    Alanine dosimeters in the form of pure alanine powder in PMMA plastic tubes were investigated for dosimetry in a clinical application. Electron paramagnetic resonance (EPR) spectroscopy was used to measure absorbed radiation doses by detection of signals from radicals generated in irradiated alanine. The measurements were performed for low-dose ranges typical for single-fraction doses often used in external photon beam radiotherapy. First, the dosimeters were irradiated in a solid water phantom to establish calibration curves in the dose range from 0.3 to 3 Gy for 6 and 18 MV X-ray beams from a clinical linear accelerator. Next, the dosimeters were placed at various locations in an anthropomorphic pelvic phantom to measure the dose delivery of a conventional four-field box technique treatment plan to the pelvis. Finally, the doses measured with alanine dosimeters were compared against the doses calculated with a commercial treatment planning system (TPS). The results showed that the alanine dosimeters have a highly sensitive dose response with good linearity and no energy dependence in the dose range and photon beams used in this work. Also, a fairly good agreement was found between the in-phantom dose measurements with alanine dosimeters and the TPS dose calculations. The mean value of the ratios of measured to calculated dose values was found to be near unity. The measured points in the in-field region passed dose-difference acceptance criterion of 3% and those in the penumbral region passed distance-to-agreement acceptance criterion of 3 mm. These findings suggest that the pure alanine powder in PMMA tube dosimeter is a suitable option for dosimetry of radiotherapy photon beams.

  8. Clinical experience with routine diode dosimetry for electron beam radiotherapy

    International Nuclear Information System (INIS)

    Yaparpalvi, Ravindra; Fontenla, Doracy P.; Vikram, Bhadrasain

    2000-01-01

    Purpose: Electron beam radiotherapy is frequently administered based on clinical setups without formal treatment planning. We felt, therefore, that it was important to monitor electron beam treatments by in vivo dosimetry to prevent errors in treatment delivery. In this study, we present our clinical experience with patient dose verification using electron diodes and quantitatively assess the dose perturbations caused by the diodes during electron beam radiotherapy. Methods and Materials: A commercial diode dosimeter was used for the in vivo dose measurements. During patient dosimetry, the patients were set up as usual by the therapists. Before treatment, a diode was placed on the patient's skin surface and secured with hypoallergenic tape. The patient was then treated and the diode response registered and stored in the patient radiotherapy system database via our in-house software. A customized patient in vivo dosimetry report showing patient details, expected and measured dose, and percent difference was then generated and printed for analysis and record keeping. We studied the perturbation of electron beams by diodes using film dosimetry. Beam profiles at the 90% prescription isodose depths were obtained with and without the diode on the beam central axis, for 6-20 MeV electron beams and applicator/insert sizes ranging from a 3-cm diameter circular field to a 25 x 25 cm open field. Results: In vivo dose measurements on 360 patients resulted in the following ranges of deviations from the expected dose at the various anatomic sites: Breast (222 patients) -20.3 to +23.5% (median deviation 0%); Head and Neck (63 patients) -21.5 to +14.8% (median -0.7%); Other sites (75 patients) -17.6 to +18.8% (median +0.5%). Routine diode dosimetry during the first treatment on 360 patients (460 treatment sites) resulted in 11.5% of the measurements outside our acceptable ±6% dose deviation window. Only 3.7% of the total measurements were outside ±10% dose deviation. Detailed

  9. Independent dose calculation of the Tps Iplan in radiotherapy conformed with MLC

    International Nuclear Information System (INIS)

    Adrada, A.; Tello, Z.; Medina, L.; Garrigo, E.; Venencia, D.

    2014-08-01

    The systems utilization of independent dose calculation in three dimensional-Conformal Radiation Therapy (3D-Crt) treatments allows a direct verification of the treatments times. The utilization of these systems allows diminishing the probability of errors occurrence generated by the treatment planning system (Tps), allowing a detailed analysis of the dose to delivering and review of the normalization point (Np) or prescription. The independent dose calculation is realized across the knowledge of dosimetric parameters of the treatment machine and particular characteristics of every individual field. The aim of this work is develops a calculation system of punctual doses for isocentric fields conformed with multi-leaf collimation systems (MLC), where the dose calculation is in conformity with the suggested ones by ICRU Report No. 42, 1987. Calculation software was realized in C ++ under a free platform of programming (Code::Blocks). The system uses files in format Rtp, exported from the Tps to systems of record and verification (Lantis). This file contains detailed information of the dose, Um, position of the MLC sheets and collimators for every field of treatment. The size of equivalent field is obtained from the positions of every sheet; the effective depth of calculation can be introduced from the dosimetric report of the Tps or automatically from the DFS of the field. The 3D coordinates of the isocenter and the Np for the treatment plan must be introduced manually. From this information the system looks the dosimetric parameters and calculates the Um. The calculations were realized in two accelerators a NOVALIS Tx (Varian) with 120 sheets of high definition (hd-MLC) and a PRIMUS Optifocus (Siemens) with 82 sheets. 705 patients were analyzed for a total of 1082, in plans made for both equipment s, the average uncertainty with regard to the calculation of the Tps is-0.43% ± 2.42% in a range between [-7.90 %, 7.50 %]. The major uncertainty was in Np near of the

  10. Dose verification of radiotherapy for lung cancer by using plastic scintillator dosimetry and a heterogeneous phantom

    DEFF Research Database (Denmark)

    Ottosson, Wiviann; Behrens, C. F.; Andersen, Claus E.

    2015-01-01

    Bone, air passages, cavities, and lung are elements present in patients, but challenging to properly correct for in treatment planning dose calculations. Plastic scintillator detectors (PSDs) have proven to be well suited for dosimetry in non-reference conditions such as small fields. The objective...... of this study was to investigate the performance of a commercial treatment planning system (TPS) using a PSD and a specially designed thorax phantom with lung tumor inserts. 10 treatment plans of different complexity and phantom configurations were evaluated. Although the TPS agreed well with the measurements...

  11. Alanine dosimetry at NPL - the development of a mailed reference dosimetry service at radiotherapy dose levels

    International Nuclear Information System (INIS)

    Sharpe, P.H.G.; Sephton, J.P.

    1999-01-01

    In this paper we describe the work that has been carried out at National Physical Laboratory (NPL) to develop a mailed alanine reference dosimetry service for radiotherapy dose levels. The service is based on alanine/paraffin wax dosimeters produced at NPL. Using a data analysis technique based on spectrum fitting, it has been possible to achieve a precision of dose measurement better than ±0.05 Gy (1σ). A phantom set has been developed for use in high energy photon beams, which enables simultaneous irradiation of alanine dosimeters and ionisation chambers in a well defined geometry. Studies in photon beams of energies between 60 Co and 20 MeV have shown no significant energy dependence (<1%) for alanine relative to dose determination using a graphite calorimeter. Work is underway to extend the service to electron beams, and preliminary results are presented on the direct calibration of alanine in electron beams using a graphite calorimeter. (author)

  12. Clinical dosimetry in photon radiotherapy. A Monte Carlo based investigation

    International Nuclear Information System (INIS)

    Wulff, Joerg

    2010-01-01

    Practical clinical dosimetry is a fundamental step within the radiation therapy process and aims at quantifying the absorbed radiation dose within a 1-2% uncertainty. To achieve this level of accuracy, corrections are needed for calibrated and air-filled ionization chambers, which are used for dose measurement. The procedures of correction are based on cavity theory of Spencer-Attix and are defined in current dosimetry protocols. Energy dependent corrections for deviations from calibration beams account for changed ionization chamber response in the treatment beam. The corrections applied are usually based on semi-analytical models or measurements and are generally hard to determine due to their magnitude of only a few percents or even less. Furthermore the corrections are defined for fixed geometrical reference-conditions and do not apply to non-reference conditions in modern radiotherapy applications. The stochastic Monte Carlo method for the simulation of radiation transport is becoming a valuable tool in the field of Medical Physics. As a suitable tool for calculation of these corrections with high accuracy the simulations enable the investigation of ionization chambers under various conditions. The aim of this work is the consistent investigation of ionization chamber dosimetry in photon radiation therapy with the use of Monte Carlo methods. Nowadays Monte Carlo systems exist, which enable the accurate calculation of ionization chamber response in principle. Still, their bare use for studies of this type is limited due to the long calculation times needed for a meaningful result with a small statistical uncertainty, inherent to every result of a Monte Carlo simulation. Besides heavy use of computer hardware, techniques methods of variance reduction to reduce the needed calculation time can be applied. Methods for increasing the efficiency in the results of simulation were developed and incorporated in a modern and established Monte Carlo simulation environment

  13. Independent dose calculation of the Tps Iplan in radiotherapy conformed with MLC; Calculo independiente de dosis del TPS Iplan en radioterapia conformada con MLC

    Energy Technology Data Exchange (ETDEWEB)

    Adrada, A.; Tello, Z.; Medina, L.; Garrigo, E.; Venencia, D., E-mail: jorge.alberto.adrada@gmail.com [Instituto Privado de Radioterapia, Obispo Oro 423, X5000BFI Cordoba (Argentina)

    2014-08-15

    The systems utilization of independent dose calculation in three dimensional-Conformal Radiation Therapy (3D-Crt) treatments allows a direct verification of the treatments times. The utilization of these systems allows diminishing the probability of errors occurrence generated by the treatment planning system (Tps), allowing a detailed analysis of the dose to delivering and review of the normalization point (Np) or prescription. The independent dose calculation is realized across the knowledge of dosimetric parameters of the treatment machine and particular characteristics of every individual field. The aim of this work is develops a calculation system of punctual doses for isocentric fields conformed with multi-leaf collimation systems (MLC), where the dose calculation is in conformity with the suggested ones by ICRU Report No. 42, 1987. Calculation software was realized in C ++ under a free platform of programming (Code::Blocks). The system uses files in format Rtp, exported from the Tps to systems of record and verification (Lantis). This file contains detailed information of the dose, Um, position of the MLC sheets and collimators for every field of treatment. The size of equivalent field is obtained from the positions of every sheet; the effective depth of calculation can be introduced from the dosimetric report of the Tps or automatically from the DFS of the field. The 3D coordinates of the isocenter and the Np for the treatment plan must be introduced manually. From this information the system looks the dosimetric parameters and calculates the Um. The calculations were realized in two accelerators a NOVALIS Tx (Varian) with 120 sheets of high definition (hd-MLC) and a PRIMUS Optifocus (Siemens) with 82 sheets. 705 patients were analyzed for a total of 1082, in plans made for both equipment s, the average uncertainty with regard to the calculation of the Tps is-0.43% ± 2.42% in a range between [-7.90 %, 7.50 %]. The major uncertainty was in Np near of the

  14. Clinical dosimetry in molecular radiotherapy: protocol optimization and clinical implementation

    International Nuclear Information System (INIS)

    Ferrer, Ludovic

    2011-01-01

    Molecular radiotherapy (mrt) consists in destructing tumour targets by radiolabelled vectors. This nuclear medicine specialty is being considered with increasing interest for example via the success achieved in the treatment of non-Hodgkin lymphomas by radioimmunotherapy. One of the keys of mrt optimization relies on the personalising of absorbed doses delivered to the patient: This is required to ascertain that irradiation is focused on tumour cells while keeping surrounding healthy tissue irradiation at an acceptable - non-toxic - level. Radiation dose evaluation in mrt requires in one hand, the spatial and temporal localization of injected radioactive sources by scintigraphic imaging, and on a second hand, the knowledge of the emitted radiation propagating media, given by CT imaging. Global accuracy relies on the accuracy of each of the steps that contribute to clinical dosimetry. There is no reference, standardized dosimetric protocol to date. Due to heterogeneous implementations, evaluation of the accuracy of the absorbed dose is a difficult task. In this thesis, we developed and evaluated different dosimetric approaches that allow us to find a relationship between the absorbed dose to the bone marrow and haematological toxicity. Besides, we built a scientific project, called DosiTest, which aims at evaluating the impact of the various step that contribute to the realization of a dosimetric study, by means of a virtual multicentric comparison based on Monte-Carlo modelling. (author) [fr

  15. Cuban experience in dosimetry quality audit program in radiotherapy

    International Nuclear Information System (INIS)

    Alonso-Samper, J.L.; Dominguez, L.; Yip, F.G.; Laguardia, R.A.; Morales, J.L.; Larrinaga, E.

    2002-01-01

    Full text: Five years ago we started a National Program of Quality Assurance in Radiotherapy. This program was possible thanks to the cooperation between the Cuban Ministry of Health and the International Atomic Energy Agency (IAEA) in the Projects ARCAL XXX and CUB/6/011. In the framework of these projects a total of ten complete dosimetry set were acquired and a large number of medical physicists were trained. At the same time, the Cuban side signed a contract for nine cobalt units, which have been gradually installed and all of them are running at the moment. During more than 20 years Cuba has taken part in the IAEA/WHO TLD postal dose audit programs and our results have been inside the (+/-)5 % acceptance limit. Cuba also joined the IAEA Coordinated Research Program E2 40 07, to extend at a national level the experience of the TLD based audits, using the capability of our SSDL to measure TLD. At the same time the work of the already existing External Audit Group was consolidated. The National Program of Quality Assurance in Radiotherapy works on base of external on-site visits. The main objective is to avoid any accident and to improve the quality of the RT treatments. Every year each Radiotherapy service is visited by a qualified team of physicists with the objective to check the physical aspects of the quality of the RT treatment, it includes: Documents and Records, safety, mechanical and dosimetric aspects, treatment planning, also we use the fixed depth phantom to simulate and verify several techniques. Although the TLD postal audit results are acceptable, in our QA audits we have detected some problems that may deviate the dose delivery to patients in more than 5%, examples of which are: Not all the clinical plans are redundantly checked by an independent person; Not all the controls (daily, monthly and annual) are performed according to the protocols approved by the National QA Committee. In some cases the controls are not well recorded; Clinical

  16. SU-E-T-214: Intensity Modulated Proton Therapy (IMPT) Based On Passively Scattered Protons and Multi-Leaf Collimation: Prototype TPS and Dosimetry Study

    International Nuclear Information System (INIS)

    Sanchez-Parcerisa, D; Carabe-Fernandez, A

    2014-01-01

    Purpose. Intensity-modulated proton therapy is usually implemented with multi-field optimization of pencil-beam scanning (PBS) proton fields. However, at the view of the experience with photon-IMRT, proton facilities equipped with double-scattering (DS) delivery and multi-leaf collimation (MLC) could produce highly conformal dose distributions (and possibly eliminate the need for patient-specific compensators) with a clever use of their MLC field shaping, provided that an optimal inverse TPS is developed. Methods. A prototype TPS was developed in MATLAB. The dose calculation process was based on a fluence-dose algorithm on an adaptive divergent grid. A database of dose kernels was precalculated in order to allow for fast variations of the field range and modulation during optimization. The inverse planning process was based on the adaptive simulated annealing approach, with direct aperture optimization of the MLC leaves. A dosimetry study was performed on a phantom formed by three concentrical semicylinders separated by 5 mm, of which the inner-most and outer-most were regarded as organs at risk (OARs), and the middle one as the PTV. We chose a concave target (which is not treatable with conventional DS fields) to show the potential of our technique. The optimizer was configured to minimize the mean dose to the OARs while keeping a good coverage of the target. Results. The plan produced by the prototype TPS achieved a conformity index of 1.34, with the mean doses to the OARs below 78% of the prescribed dose. This Result is hardly achievable with traditional conformal DS technique with compensators, and it compares to what can be obtained with PBS. Conclusion. It is certainly feasible to produce IMPT fields with MLC passive scattering fields. With a fully developed treatment planning system, the produced plans can be superior to traditional DS plans in terms of plan conformity and dose to organs at risk

  17. The NUKDOS software for dosimetry in molecular radiotherapy

    International Nuclear Information System (INIS)

    Kletting, P.; Schimmel, S.; Haenscheid, H.; Fernandez, M.; Lassmann, M.; Broer, J.; Nosske, D.; Glatting, G.

    2015-01-01

    Full text of publication follows. Aim: The NUKDOS software is developed to improve and standardize therapy planning in molecular radiotherapy (MRT). Methods: NUKDOS is developed in Matlab, based on the MIRD formalism, modularly structured and currently allows dosimetry for Y-90, Lu-177, I-131. First, the user enters the basic patient data and specifies the injected activities. Second, 3D or 2D images can be loaded. Based on the voxel-size and the used nuclide the corresponding voxel S-values (>1 mm) are calculated. Serum, probe or urine data can be entered and processed. To get the activity distribution of the organs for all serial measurements, the user is led to the image processing tool. This tool includes all functionality for defining the regions or volumes of interest (ROIs/VOIs). ROIs/VOIs can also be created in a corresponding CT image and subsequently transferred to the SPECT/PET images. Time activity curves (TACs) derived from 2D scans are scaled using the averaged organ activity of a 3D image. To determine the time-integrated activity coefficients A, the areas under the time activity curves are calculated. For this purpose, a set of fit functions can be chosen. The selection of the most suitable function is based on the Akaike Information Criterion and statistical measures. The most suitable TACs are integrated analytically and including the standard errors. Absorbed dose coefficients are calculated by convolution using the voxel based A and S value matrices. Depending on the absorbed dose (or biologically effective dose) for the limiting organ the activity to administer along with the pertaining organ doses is calculated using the absorbed dose coefficients. Results: proper implementation of the mathematical methods of each module of the software was tested by comparing the results to currently available software. The applicability of the software was investigated using phantom measurement and examples from MRT. User interaction is minimized

  18. Radiotherapy dosimetry audit: three decades of improving standards and accuracy in UK clinical practice and trials

    OpenAIRE

    Clark, Catharine H; Aird, Edwin GA; Bolton, Steve; Miles, Elizabeth A; Nisbet, Andrew; Snaith, Julia AD; Thomas, Russell AS; Venables, Karen; Thwaites, David I

    2015-01-01

    Dosimetry audit plays an important role in the development and safety of radiotherapy. National and large scale audits are able to set, maintain and improve standards, as well as having the potential to identify issues which may cause harm to patients. They can support implementation of complex techniques and can facilitate awareness and understanding of any issues which may exist by benchmarking centres with similar equipment. This review examines the development of dosimetry audit in the UK...

  19. Characterisation of a CZT detector for dosimetry of molecular radiotherapy

    Science.gov (United States)

    McAreavey, L. H.; Harkness-Brennan, L. J.; Colosimo, S. J.; Judson, D. S.; Boston, A. J.; Boston, H. C.; Nolan, P. J.; Flux, G. D.; Denis-Bacelar, A. M.; Harris, B.; Radley, I.; Carroll, M.

    2017-03-01

    A pixelated cadmium zinc telluride (CZT) detector has been characterised for the purpose of developing a quantitative single photon emission computed tomography (SPECT) system for dosimetry of molecular radiotherapy (MRT). This is the aim of the Dosimetric Imaging with CZT (DEPICT) project, which is a collaboration between the University of Liverpool, The Royal Marsden Hospital, The Royal Liverpool and Broadgreen University Hospital, and the commercial partner Kromek. CZT is a direct band gap semiconductor with superior energy resolution and stopping power compared to scintillator detectors used in current SPECT systems. The inherent detector properties have been investigated and operational parameters such as bias voltage and peaking time have been selected to optimise the performance of the system. Good energy resolution is required to discriminate γ-rays that are scattered as they are emitted from the body and within the collimator, and high photon throughput is essential due to the high activities of isotopes administered in MRT. The system has an average measured electronic noise of 3.31 keV full width at half maximum (FWHM), determined through the use of an internal pulser. The energy response of the system was measured across the energy region of interest 59.5 keV to 364.5 keV and found to be linear. The reverse bias voltage and peaking time producing the optimum FWHM and maximum photon throughput were 600 V and 0.5 μs respectively. The average dead time of the system was measured as 4.84 μs and charge sharing was quantified to be 0.71 % at 59.5 keV . A pixel sensitivity calibration map was created and planar images of the medical imaging isotopes 99mTc and 123I were acquired by coupling the device to a prototype collimator, thereby demonstrating the suitability of the detector for the DEPICT project.

  20. Contribution of customised dosimetry for small animal to the treatments of cancers by metabolic radiotherapy

    International Nuclear Information System (INIS)

    Boutaleb, Samir

    2010-01-01

    This research thesis first reports a bibliographical study which addressed the use of ionizing radiations in cancer therapy (evolution from ionizing radiation to metabolic radiotherapy, biological and physical parameters, and absorbed dose in metabolic radiotherapy) and the role imagery has in customised dosimetry (absorbed dose calculation methods, determination of cumulative activity, dosimetric models for S factor calculation). Then, the author presents a software which has been specifically developed for the creation of dosimetric models, and reports its validation. He reports the comparison between different dosimetric models in the case of mice. He highlights two applications of the developed tool: radio-immunotherapy and metabolic radiotherapy. He finally proposes a general discussion on the impact of small animal dosimetry on metabolic radiotherapy [fr

  1. Pulse-resolved radiotherapy dosimetry using fiber-coupled organic scintillators

    DEFF Research Database (Denmark)

    Beierholm, Anders Ravnsborg

    scintillators and can be perceived as a well characterized, independent alternative to the methods that are in clinical use today. The dosimeter itself does not require a voltage supply, and is composed of water equivalent materials. The dosimeter can be fabricated with a sensitive volume smaller than a cubic...... millimeter, which is small enough to resolve the small radiation fields encountered in modern radiotherapy. The fast readout of the dosimeter enables measurements on the same time scale as the pulsed radiation delivery from the medical linear accelerators used for treatment. The dosimetry system, comprising...... for both standard and small fields. This thesis concludes that the new pulse-resolved dosimetry system holds great potential for modern radiotherapy applications, such as stereotactic radiotherapy and intensity-modulated radiotherapy....

  2. Dosimetry-based treatment planning for molecular radiotherapy: a summary of the 2017 report from the Internal Dosimetry Task Force

    Directory of Open Access Journals (Sweden)

    Caroline Stokke

    2017-11-01

    Full Text Available Abstract Background The European directive on basic safety standards (Council directive 2013/59 Euratom mandates dosimetry-based treatment planning for radiopharmaceutical therapies. The directive comes into operation February 2018, and the aim of a report produced by the Internal Dosimetry Task Force of the European Association of Nuclear Medicine is to address this aspect of the directive. A summary of the report is presented. Results A brief review of five of the most common therapy procedures is included in the current text, focused on the potential to perform patient-specific dosimetry. In the full report, 11 different therapeutic procedures are included, allowing additional considerations of effectiveness, references to specific literature on quantitative imaging and dosimetry, and existing evidence for absorbed dose-effect correlations for each treatment. Individualized treatment planning with tracer diagnostics and verification of the absorbed doses delivered following therapy is found to be scientifically feasible for almost all procedures investigated, using quantitative imaging and/or external monitoring. Translation of this directive into clinical practice will have significant implications for resource requirements. Conclusions Molecular radiotherapy is undergoing a significant expansion, and the groundwork for dosimetry-based treatment planning is already in place. The mandated individualization is likely to improve the effectiveness of the treatments, although must be adequately resourced.

  3. Dosimetry on the radiological risks prevention in radiotherapy; La dosimetria en la prevencion de riesgos radiologicos en radioterapia

    Energy Technology Data Exchange (ETDEWEB)

    Fornet R, O. M.; Perez G, F., E-mail: nuclear2@citmahlg.holguin.inf.cu [Delegacion Territorial del CITMA, Peralta 16 esq. P. Feria, Rpto. Peralta, 80400 Holguin (Cuba)

    2014-08-15

    Dosimetry in its various forms plays a determining role on the radiological risks prevention in radiotherapy. To prove this in this paper is shown an analysis based on the risk matrix method, how the dosimetry can influence in each stages of a radiotherapy service; installation and acceptance, operation, maintenance and calibration. For each one of these stages the role that can play is analyzed as either the initiating event of a radiological accident or limiting barrier of these events of the dosimetric processes used for the individual dosimetry, the area monitoring, fixed or portable, for radiation beam dosimetry and of the patients for a radiotherapy service with cobalt-therapy equipment. The result of the study shows that the application of a prospective approach in the role evaluation of dosimetry in the prevention and mitigation of the consequences of a radiological accident in radiotherapy is crucial and should be subject to permanent evaluation at each development stage of these services. (author)

  4. Introduction to dosimetry and risk estimation of second cancer induction following radiotherapy

    International Nuclear Information System (INIS)

    Harrison, R.M.

    2013-01-01

    This brief review of dosimetry in second cancer dosimetry introduces work carried out by Working Group 9 (Radiation Protection Dosimetry in Medicine) of the European Radiation Dosimetry Group (EURADOS). The work described in the following papers in this edition was presented at a Workshop on Dosimetry for Second Cancer Risk Estimation given at the EURADOS Annual meeting in Vienna on February 8th 2012. The work concentrates on the measurement of out-of-field doses in water tanks and BOMAB-like phantoms using a variety of dosimeters to measure photon and neutron doses. These include optically stimulated luminescence (OSL), radiophotoluminescence (RPL) and thermoluminescence (TLD) dosimeters for photon dosimetry (together with ion chambers for reference measurements traceable to primary standards) and track etch and bubble detectors for neutron measurements. A discussion of the various phantoms available for these measurements is presented together with a brief introduction to a model for the relationship between organ doses and the risk of induction of second cancers. The estimation of second cancer risks is not trivial and involves processes which are currently incompletely understood. However, progress in this field requires a robust foundation and methodology for the measurement or calculation of organ doses following radiotherapy, so that risks can be placed in perspective, algorithms for out-of-field doses can be compared with measured data, and future epidemiological studies may have a reliable foundation of organ dosimetry for retrospective dosimetry studies. -- Highlights: ► Brief review of second cancer induction following radiotherapy. ► Out-of-field doses for estimating risks to remote organs. ► Introduction to dosimetry techniques and dosimeters used. ► Out-of-field dose measurements in phantoms

  5. SU-F-T-49: Dosimetry Parameters and TPS Commissioning for the CivaSheet Directional Pd-103 Brachytherapy Source

    Energy Technology Data Exchange (ETDEWEB)

    Rivard, MJ [Tufts University School of Medicine, Boston, MA (United States)

    2016-06-15

    Purpose: The CivaSheet is a new LDR Pd-103 brachytherapy device offering directional-radiation for preferentially irradiating malignancies with healthy-tissue sparing. Observations are presented on dosimetric characterization, TPS commissioning, and evaluation of the dosesuperposition- principle for summing individual elements comprising a planar CivaSheet Methods: The CivaSheet comprises individual sources (CivaDots, 0.05cm thick and 0.25cm diam.) inside a flexible bioabsorbable substrate with a 0.8cm center-to-center rectangular array. All non-radioactive components were measured to ensure accuracy of manufacturer-provided dimensional information. The Pd spatial distribution was gleaned from radioactive and inert samples, then modeled with the MCNP6 radiation-transport-code. A 6×6 array CivaSheet was modeled to evaluate the dose superposition principle for treatment planning. Air-kerma-strength was estimated using the NIST WAFAC geometry. Absorbed dose was estimated in water with polar sampling covering 0.05≤r≤15cm in 0.05cm increments and 0°≤θ≤180° in 1° increments. These data were entered into VariSeed9.0 and tested for the dose-superposition-principle. Results: The dose-rate-constant was 0.579 cGy/h/U with g(r) determined along the rotational-axis of symmetry (0°) instead of 90°. gP(r) values at 0.1, 0.5, 2, 5, and 10cm were 1.884, 1.344, 0.558, 0.088, and 0.0046. F(r,θ) decreased between 0° and 180° by factors of 270, 23, and 5.1 at 0.1, 1, and 10cm. The highest dose-gradient was at 92°, changing by a factor of 3 within 1° due to Au-foil shielding. TPS commissioning from 0.1≤r≤11cm and 0°≤θ≤180° demonstrated 2% reproducibility of input data except at the high-dose-gradient where interpolations caused 3% differences. Dose superposition of CivaDots replicated a multi-source CivaSheet array within 2% except where another CivaDot was present. Following implantation, the device is not perfectly planar. TPS accuracy utilizing the dose

  6. Characterizing a pulse-resolved dosimetry system for complex radiotherapy beams using organic scintillators

    DEFF Research Database (Denmark)

    Beierholm, Anders Ravnsborg; Ottosson, Rickard; Lindvold, Lars René

    2011-01-01

    A fast-readout dosimetry system based on fibre-coupled organic scintillators has been developed for the purpose of conducting point measurements of absorbed dose in radiotherapy beams involving high spatial and temporal dose gradients. The system measures the dose for each linac radiation pulse w...... and quality assurance of complex radiotherapy treatments.......A fast-readout dosimetry system based on fibre-coupled organic scintillators has been developed for the purpose of conducting point measurements of absorbed dose in radiotherapy beams involving high spatial and temporal dose gradients. The system measures the dose for each linac radiation pulse....... No significant differences between measurements and simulations were observed. The temporal resolution of the system was demonstrated by measuring dose per pulse, beam start-up transients and the quality factor for 6 MV. The precision of dose per pulse measurements was within 2.7% (1 SD) for a 10 cm × 10 cm...

  7. EPR dosimetry for actual and suspected overexposures during radiotherapy treatments in Poland

    International Nuclear Information System (INIS)

    Trompier, F.; Sadlo, J.; Michalik, J.; Stachowicz, W.; Mazal, A.; Clairand, I.; Rostkowska, J.; Bulski, W.; Kulakowski, A.; Sluszniak, J.; Gozdz, S.; Wojcik, A.

    2007-01-01

    EPR dosimetry on bone samples was recently used for actual and suspected overexposures during radiotherapy treatments performed in Poland. In 2001 five breast-cancer patients undergoing radiotherapy in the Bialystok Oncology Center, Poland, were overexposed. The overexposure was due to a defective safety interlock and an obsolete safety system of the linear accelerator. For the three most exposed patients, pieces of rib bones removed during surgical reconstruction of the chest wall and skin transplantation allowed an estimation of the accident doses by electron paramagnetic resonance (EPR) spectrometry. The doses delivered during the accident were as high as 60-80 Gy. In 2005, a patient treated in Kielce Holy Cross Cancer Center exhibited similar deep necroses of the chest wall but 6 years following a 'standard upper mantel fields' radiotherapy for Hodgkin's disease. In order to investigate the possible late effect of an overexposure as necrosis origin, the delivered dose was afterward estimated by EPR dosimetry performed on a rib sample

  8. IAEA/WHO TLD postal dose audit service and high precision measurements for radiotherapy level dosimetry

    International Nuclear Information System (INIS)

    Izewska, J.; Bera, P.; Vatnitsky, S.

    2002-01-01

    Since 1969 the International Atomic Energy Agency, together with the World Health Organization, has performed postal TLD audits to verify calibration of radiotherapy beams in developing countries. The TLD programme also monitors activities of Secondary Standard Dosimetry Laboratories (SSDLs). The programme has checked approximately 4000 clinical beams in over 1100 hospitals, and in many instances significant errors have been detected in the beam calibration. Subsequent follow-up actions help to resolve the discrepancies, thus preventing further mistreatment of patients. The audits for SSDLs check the implementation of the dosimetry protocol in order to assure proper dissemination of dosimetry standards to the end-users. The TLD audit results for SSDLs show good consistency in the basic dosimetry worldwide. New TLD procedures and equipment have recently been introduced by the IAEA that include a modified TLD calibration methodology and computerised tools for automation of dose calculation from TLD readings. (author)

  9. A literature review of electronic portal imaging for radiotherapy dosimetry

    NARCIS (Netherlands)

    van Elmpt, Wouter; McDermott, Leah; Nijsten, Sebastiaan; Wendling, Markus; Lambin, Philippe; Mijnheer, Ben

    2008-01-01

    Electronic portal imaging devices (EPIDs) have been the preferred tools for verification of patient positioning for radiotherapy in recent decades. Since EPID images contain dose information, many groups have investigated their use for radiotherapy dose measurement. With the introduction of the

  10. Synthetic diamond devices for medical dosimetry applied to radiotherapy; Etude et developpement de dispositifs en diamant synthetique pour la dosimetrie medicale: applications en radiotherapie

    Energy Technology Data Exchange (ETDEWEB)

    Descamps, C

    2007-06-15

    The aim of this thesis, lead in the framework of an integrated European project entitled M.A.E.S.T.R.O. for ' Methods and Advanced Equipment for Simulation and Treatment in Radio Oncology', was to develop and test synthetic diamond detector in clinical environment for new modalities used in radiotherapy. Diamond is a good candidate for the detection of high energy beams in medical fields. It can be used for passive dosimetry, as thermoluminescent dosimeters or for active dosimetry as ionisation chambers. These two applications are presented here. Concerning the thermoluminescence, several impurities or dopants (boron, phosphorus, and nitrogen) have been incorporated in the diamond films during growth, in order to modify the material dosimetric properties and a detailed study of nitrogen-containing films is proposed. The second part presents the results obtained in active dosimetry. Two guide lines were followed: the measurement set-up optimisation and the material modification. The first dosimetric studies under radiotherapy beams concerning nitrogen-containing polycrystalline diamond as well as high purity single crystal diamond are conclusive. The detectors behaviours are in agreement with the recommendations of the International Atomic Energy Agency (IAEA). (author)

  11. Synthetic diamond devices for medical dosimetry applied to radiotherapy; Etude et developpement de dispositifs en diamant synthetique pour la dosimetrie medicale: applications en radiotherapie

    Energy Technology Data Exchange (ETDEWEB)

    Descamps, C

    2007-06-15

    The aim of this thesis, lead in the framework of an integrated European project entitled M.A.E.S.T.R.O. for ' Methods and Advanced Equipment for Simulation and Treatment in Radio Oncology', was to develop and test synthetic diamond detector in clinical environment for new modalities used in radiotherapy. Diamond is a good candidate for the detection of high energy beams in medical fields. It can be used for passive dosimetry, as thermoluminescent dosimeters or for active dosimetry as ionisation chambers. These two applications are presented here. Concerning the thermoluminescence, several impurities or dopants (boron, phosphorus, and nitrogen) have been incorporated in the diamond films during growth, in order to modify the material dosimetric properties and a detailed study of nitrogen-containing films is proposed. The second part presents the results obtained in active dosimetry. Two guide lines were followed: the measurement set-up optimisation and the material modification. The first dosimetric studies under radiotherapy beams concerning nitrogen-containing polycrystalline diamond as well as high purity single crystal diamond are conclusive. The detectors behaviours are in agreement with the recommendations of the International Atomic Energy Agency (IAEA). (author)

  12. A methodology for dosimetry audit of rotational radiotherapy using a commercial detector array

    International Nuclear Information System (INIS)

    Hussein, Mohammad; Tsang, Yatman; Thomas, Russell A.S.; Gouldstone, Clare; Maughan, David; Snaith, Julia A.D.; Bolton, Steven C.; Nisbet, Andrew; Clark, Catharine H.

    2013-01-01

    Purpose: To develop a methodology for the use of a commercial detector array in dosimetry audits of rotational radiotherapy. Materials and methods: The methodology was developed as part of the development of a national audit of rotational radiotherapy. Ten cancer centres were asked to create a rotational radiotherapy treatment plan for a three-dimensional treatment-planning-system (3DTPS) test and audited. Phantom measurements using a commercial 2D ionisation chamber (IC) array were compared with measurements using 0.125 cm 3 IC, Gafchromic film and alanine pellets in the same plane. Relative and absolute gamma index (γ) comparisons were made for Gafchromic film and 2D-Array planes, respectively. Results: Comparisons between individual detectors within the 2D-Array against the corresponding IC and alanine measurement showed a statistically significant concordance correlation coefficient (both ρ c > 0.998, p < 0.001) with mean difference of −1.1 ± 1.1% and −0.8 ± 1.1%, respectively, in a high dose PTV. In the γ comparison between the 2D-Array and film it was that the 2D-Array was more likely to fail planes where there was a dose discrepancy due to the absolute analysis performed. Conclusions: It has been found that using a commercial detector array for a dosimetry audit of rotational radiotherapy is suitable in place of standard systems of dosimetry

  13. Pulse-resolved radiotherapy dosimetry using fiber-coupled organic scintillators

    Energy Technology Data Exchange (ETDEWEB)

    Ravnsborg Beierholm, A.

    2011-05-15

    This PhD project pertains to the development and adaptation of a dosimetry system that can be used to verify the delivery of radiation in modern radiotherapy modalities involving small radiation fields and dynamic radiation delivery. The dosimetry system is based on fibre-coupled organic scintillators and can be perceived as a well characterized, independent alternative to the methods that are in clinical use today. The dosimeter itself does not require a voltage supply, and is composed of water equivalent materials. The dosimeter can be fabricated with a sensitive volume smaller than a cubic millimeter, which is small enough to resolve the small radiation fields encountered in modern radiotherapy. The fast readout of the dosimeter enables measurements on the same time scale as the pulsed radiation delivery from the medical linear accelerators used for treatment. The dosimetry system, comprising fiber-coupled organic scintillators and data acquisition hardware, was developed at the Radiation Research Division at Risoe DTU and tested using clinical x-ray beams at hospitals in Denmark and abroad. Measurements of output factors and percentage depth dose were performed and compared with reference values and Monte Carlo simulations for static square radiation fields for standard (4 cm x 4 cm to 20 cm x 20 cm) and small (down to 0.6 cm x 0.6 cm) field sizes. The accuracy of most of the obtained measurements was good, agreeing with reference and simulated dose values to within 2 % standard deviation for both standard and small fields. This thesis concludes that the new pulse-resolved dosimetry system holds great potential for modern radiotherapy applications, such as stereotactic radiotherapy and intensity-modulated radiotherapy. (Author)

  14. Pulse-resolved radiotherapy dosimetry using fiber-coupled organic scintillators

    International Nuclear Information System (INIS)

    Ravnsborg Beierholm, A.

    2011-05-01

    This PhD project pertains to the development and adaptation of a dosimetry system that can be used to verify the delivery of radiation in modern radiotherapy modalities involving small radiation fields and dynamic radiation delivery. The dosimetry system is based on fibre-coupled organic scintillators and can be perceived as a well characterized, independent alternative to the methods that are in clinical use today. The dosimeter itself does not require a voltage supply, and is composed of water equivalent materials. The dosimeter can be fabricated with a sensitive volume smaller than a cubic millimeter, which is small enough to resolve the small radiation fields encountered in modern radiotherapy. The fast readout of the dosimeter enables measurements on the same time scale as the pulsed radiation delivery from the medical linear accelerators used for treatment. The dosimetry system, comprising fiber-coupled organic scintillators and data acquisition hardware, was developed at the Radiation Research Division at Risoe DTU and tested using clinical x-ray beams at hospitals in Denmark and abroad. Measurements of output factors and percentage depth dose were performed and compared with reference values and Monte Carlo simulations for static square radiation fields for standard (4 cm x 4 cm to 20 cm x 20 cm) and small (down to 0.6 cm x 0.6 cm) field sizes. The accuracy of most of the obtained measurements was good, agreeing with reference and simulated dose values to within 2 % standard deviation for both standard and small fields. This thesis concludes that the new pulse-resolved dosimetry system holds great potential for modern radiotherapy applications, such as stereotactic radiotherapy and intensity-modulated radiotherapy. (Author)

  15. GATE: computation code for medical imagery, radiotherapy and dosimetry

    International Nuclear Information System (INIS)

    Jan, S.

    2010-01-01

    The author presents the GATE code, a simulation software based on the Geant4 development environment developed by the CERN (the European organization for nuclear research) which enables Monte-Carlo type simulation to be developed for tomography imagery using ionizing radiation, and radiotherapy examinations (conventional and hadron therapy) to be simulated. The authors concentrate on the use of medical imagery in carcinology. They comment some results obtained in nuclear imagery and in radiotherapy

  16. Injectable silver nanosensors: in vivo dosimetry for external beam radiotherapy using positron emission tomography

    DEFF Research Database (Denmark)

    Christensen, Anders Nymark; Rydhög, J. S.; Søndergaard, Rikke Vicki

    2016-01-01

    Development of safe and efficient radiotherapy routines requires quantification of the delivered absorbed dose to the cancer tissue in individual patients. In vivo dosimetry can provide accurate information about the absorbed dose delivered during treatment. In the current study, a novel silver......-nanosensor formulation based on poly(vinylpyrrolidinone)-coated silver nanoparticles formulated in a gelation matrix composed of sucrose acetate isobutyrate has been developed for use as an in vivo dosimeter for external beam radiotherapy. In situ photonuclear reactions trigger the formation of radioactive (106)Ag......, which enables post treatment verification of the delivered dose using positron emission tomography imaging. The silver-nanosensor was investigated in a tissue equivalent thorax phantom using clinical settings and workflow for both standard fractionated radiotherapy (2 Gy) and stereotactic radiotherapy...

  17. Radiological response and dosimetry in physical phantom of head and neck for 3D conformational radiotherapy; Resposta radiologica e dosimetria em phantom fisico de cabeca e pescoco para radioterapia conformacional 3D

    Energy Technology Data Exchange (ETDEWEB)

    Thompson, Larissa

    2013-07-01

    Phantoms are tools for simulation of organs and tissues of the human body in radiology and radiotherapy. This thesis describes the development, validation and, most importantly, the use of a physical head and neck phantom in radiology and radiotherapy, with the purpose of evaluating dose distribution using Gafchromic EBT2 film in 15 MV 3D conformal radiotherapy. The work was divided in two stages, (1) development of new equivalent tissues and improvement of the physical phantom, and (2) use of the physical phantom in experimental dosimetry studies. In phase (1) parameters such as mass density, chemical composition of tissues, anatomical and biometric measurements were considered, as well as aspects of imaging by computed tomography (CT) and radiological response representation in Hounsfield Units (HU), which were compared with human data. Radiological experiments of in-phantom simulated brain pathologies were also conducted. All those results matched human-sourced data, therefore the physical phantom is a suitable simulator that may be used to enhance radiological protocols and education in medical imaging. The main objective in phase (2) was to evaluate the spatial dose distribution in a brain tumor simulator inserted inside the head and neck phantom developed by the Ionizing Radiation Research Group (NRI), exposed to 15 MV 3D conformal radiotherapy, for internal dose assessment. Radiation planning was based on CT images of the physical phantom with a brain tumor simulator made with equivalent material. The treatment planning system (TPS), CAT3D software, used CT images and prescribed a dose of 200 cGy, distributed in three fields of radiation, in a T-shaped pattern. The TPS covered the planning treatment volume (PTV) with 97% of the prescribed dose. A solid water phantom and radiochromic Gafchromic EBT2 film were used for calibration procedures, generating a dose response curve as a function of optical density (OD). After calibration and irradiation, the film

  18. Dosimetry comparison of irradiation with conformal radiotherapy, intensity modulated radiotherapy, conformal radiotherapy in stereotactic conditions and robotic stereotactic radiotherapy for benign brain tumours

    International Nuclear Information System (INIS)

    Spasic, E.; Noel, A.; Buchheit, I.; Bernier, V.

    2011-01-01

    Purpose. - To compare several techniques in order to determine the best treatment for benign brain tumours. Methods and patients. - A retrospective study was performed for five patients who received 3D-conformal radiotherapy, intensity modulated radiotherapy or CyberKnife R . These patients had a meningioma, a pituitary tumour, a cranio-pharyngioma or a neurinoma. In each case, these treatment plans were optimised and compared with the three other dosimetries. Radiobiological or positioning parameters were evaluated, as well as dosimetric parameters, in order to compare treatments with different characteristics. Results. - The dosimetric parameters showed that the choice of treatment seemed to be determined mostly by tumour size, shape and proximity with organs at risk (not tumour localisation). Whereas the results showed no significant deviations with regards to the radiobiological parameters. Therefore, with these parameters, it was difficult to give priority to a treatment. Conclusions. - With regards to benign brain tumours of medium or large size, intensity modulated radiotherapy seemed the recommended treatment. It enabled to obtain a good ratio between efficacy and toxicity for tumours that are really close to organs at risk. Concerning small benign brain tumours, the CyberKnife R was probably the best treatment. (authors)

  19. Radiotherapy dosimetry audit: three decades of improving standards and accuracy in UK clinical practice and trials.

    Science.gov (United States)

    Clark, Catharine H; Aird, Edwin G A; Bolton, Steve; Miles, Elizabeth A; Nisbet, Andrew; Snaith, Julia A D; Thomas, Russell A S; Venables, Karen; Thwaites, David I

    2015-01-01

    Dosimetry audit plays an important role in the development and safety of radiotherapy. National and large scale audits are able to set, maintain and improve standards, as well as having the potential to identify issues which may cause harm to patients. They can support implementation of complex techniques and can facilitate awareness and understanding of any issues which may exist by benchmarking centres with similar equipment. This review examines the development of dosimetry audit in the UK over the past 30 years, including the involvement of the UK in international audits. A summary of audit results is given, with an overview of methodologies employed and lessons learnt. Recent and forthcoming more complex audits are considered, with a focus on future needs including the arrival of proton therapy in the UK and other advanced techniques such as four-dimensional radiotherapy delivery and verification, stereotactic radiotherapy and MR linear accelerators. The work of the main quality assurance and auditing bodies is discussed, including how they are working together to streamline audit and to ensure that all radiotherapy centres are involved. Undertaking regular external audit motivates centres to modernize and develop techniques and provides assurance, not only that radiotherapy is planned and delivered accurately but also that the patient dose delivered is as prescribed.

  20. Radiotherapy dosimetry audit: three decades of improving standards and accuracy in UK clinical practice and trials

    Science.gov (United States)

    Aird, Edwin GA; Bolton, Steve; Miles, Elizabeth A; Nisbet, Andrew; Snaith, Julia AD; Thomas, Russell AS; Venables, Karen; Thwaites, David I

    2015-01-01

    Dosimetry audit plays an important role in the development and safety of radiotherapy. National and large scale audits are able to set, maintain and improve standards, as well as having the potential to identify issues which may cause harm to patients. They can support implementation of complex techniques and can facilitate awareness and understanding of any issues which may exist by benchmarking centres with similar equipment. This review examines the development of dosimetry audit in the UK over the past 30 years, including the involvement of the UK in international audits. A summary of audit results is given, with an overview of methodologies employed and lessons learnt. Recent and forthcoming more complex audits are considered, with a focus on future needs including the arrival of proton therapy in the UK and other advanced techniques such as four-dimensional radiotherapy delivery and verification, stereotactic radiotherapy and MR linear accelerators. The work of the main quality assurance and auditing bodies is discussed, including how they are working together to streamline audit and to ensure that all radiotherapy centres are involved. Undertaking regular external audit motivates centres to modernize and develop techniques and provides assurance, not only that radiotherapy is planned and delivered accurately but also that the patient dose delivered is as prescribed. PMID:26329469

  1. The role of the national physical laboratory in monitoring and improving dosimetry in UK radiotherapy

    International Nuclear Information System (INIS)

    McEwen, M.R.; Duane, S.; Thomas, R.A.S.; Rosser, K.E.

    2001-01-01

    There are approximately 60 radiotherapy centres in the UK. In 1999, these centres carried out over 102,000 treatments in 1.2 million fractions. These centres are organised by IPEM into eight geographical regions for the purpose of inter-departmental audits, which have been carried out on a regular basis to check the uniformity of dosimetry, treatment planning, record keeping, etc. Thwaites et al (1992) carried out a dosimetric intercomparison of megavoltage photon beams in all UK radiotherapy centres obtaining a mean value for the ratio audit/local dose of 1.003 with a standard deviation of 1.5%. The present programme covers dosimetry of megavoltage photons and electrons and low and medium energy (10-300 kV) photons. Megavoltage photon audits have the longest history, while electron audits began in 2000 and kV audits are only at the pilot stage

  2. Diode In-vivo Dosimetry for External Beam Radiotherapy: Patient Data Analysis

    International Nuclear Information System (INIS)

    Mrcela, I.; Bokulic, T.; Budanec, M; Froebe, A.; Soldic, Z.; Kusic, Z.

    2008-01-01

    In-vivo dosimetry is known as simple and reliable method for checking the final accuracy of the dose delivered in external radiotherapy making a supplement to the regular quality control. Entrance dose measurements in the beginning of the treatment assure detection of major errors that can affect the therapy outcome. Silicon diodes are often the detectors of choice for their ability of real time dose measurements and the simplicity of use. There are many publications describing the procedures for the implementation of in-vivo dosimetry. Routine in-vivo dosimetry has been introduced in our department after initial procedures including physical characterization, calibration and determination of correction factors for the detectors in use. This work presents patient data analysis with more than 700 field measurements taken in last 2 years period

  3. SFPM opinion on the so-called 'transit' in vivo dosimetry in external radiotherapy

    International Nuclear Information System (INIS)

    Berger, Lucie; Dupuis, Pauline; Marchesi, Vincent; Boutry, Christine; Francois, Pascal; Crespin, Sylvain

    2014-01-01

    Written to the demand of the ASN to the SFPM (the French professional body in medical physics), this report states the opinion of these professionals regarding the use of the so-called 'transit' dosimetry for the control of the in vivo dose received during radiotherapy. After an overview of the use of in vivo dosimetry in medical practices, the authors outline the main benefits and drawbacks of point conventional detectors used for this dosimetry. They propose an overview of the state-of-the-art in transit in vivo dosimetry by briefly describing the different developed methodologies: the prediction-based methodology and the rear projection methodology. They also propose a literature review on transit in vivo dosimetry. Based on expert experience and on this review they give lists of technical benefits and drawbacks of techniques of in vivo dosimetry by EPID transit imagery. They finally indicate some commercially available technical solutions to transit in vivo dosimetry

  4. Radiotherapy Based On α Emitting Radionuclides: Geant4 For Dosimetry And Micro-/Nano-Dosimetry

    International Nuclear Information System (INIS)

    Guatelli, Susanna

    2013-01-01

    Possible physics approaches to evaluate the efficacy of TAT are dosimetry, microdosimetry and nanodosimetry. Dosimetry is adequate when mean absorbed dose to a macroscopic target volume is important to understand the biological effect of radiation. General purpose Monte Carlo (MC) codes, based on condensed history approach, are a very useful, cost effective tool to solve dosimetric problems. The condensed history approach is based on the use of multiple scattering theories to calculate the energy losses and angular changes in the direction of the particle. The short α particle range and high LET make the microdosimetric approach more suitable than dosimetry to study TAT from first physics principles, as this approach takes into account the stochastic nature of energy deposition at cellular level

  5. The role of SSDL-Helsinki for dosimetry and quality audit in radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Aaltonen, P [Finnish Centre for Radiation and Nuclear Safety (STUK), Helsinki (Finland)

    1996-08-01

    Quality and dosimetry audit in radiotherapy has in Finland been implemented through inspections carried out by the Finnish Centre for Radiation and Nuclear Safety (STUK). In connection with the Radiation Metrology Laboratory of the Centre, the SSDL-Helsinki, there is a section for radiotherapy supervision. The inspection by STUK is an independent review of the quality and dosimetry control system which can be called quality and dosimetry audit by site visits. STUK is the responsible authority for the supervision of all use of radiation in Finland and that is why it also can set up requirements on the basis of results of the review. The disagreement of the measuring results between STUK and the radiotherapy department, of more than a given action level, will always lead to a thorough investigation of the reason and to a discussion of the most reliable results to be used for the treatments. The inspections include dose calibration for conventional X-ray therapy equipment and dose comparison, including field size dependence, for high energy equipment. For afterloading equipment the reference air kerma rate is checked. Additionally, the inspections by STUK include checks of the performance characteristics of the equipment and the accomplishment and the results of quality control procedures. Further, methods are currently being developed to supplement the direct measurements by TL-measurements in special phantoms in order to include the whole treatment chain (e.g. the treatment planning system) in the audit. (author). 7 refs, 1 tab.

  6. Dosimetry at the location of secondary tumors after radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Baas, H W; Davelaar, J J; Broerse, J J; Noordijk, E M [University Hospital, Leiden (Netherlands). Dept. of Clinical Oncology

    1995-12-01

    After a latency period of many years the incidence of a secondary tumor is considered a serious late effect of radiotherapy. Analysis of about 200 patients, treated by radiotherapy for Hodgkin`s disease in our hospital, shows an actuarial risk for the incidence of a secondary tumor of about 7% after 10 years. The chance of tumor induction depends on the dose at the location of the tumor and therefore a good dose estimation is mandatory. Radiotherapy was given with Co-60 in the early years and with linear accelerators thereafter, exposing the target areas to 36 - 40 Gy. For dose estimations at the penumbra and outside the beam, where tumor incidence is expected to be high, we used a.o. Monte Carlo calculations. We developed an EGS4 computer simulation for a treatment beam from a linear accelerator irradiating a mathematical phantom representing the patient geometry (GSF ADAM phantom). The isodose curves at certain energies were obtained for a water phantom and fitted quite well with measurements. In addition to Monte Carlo calculations we also used existing treatment planning systems. The dose estimations of a number of patients and the derived risk per unit of dose, which is important for both radiotherapy as well as radiation protection in general, is discussed.

  7. In vivo dosimetry with diodes in a radiotherapy department in Pakistan

    International Nuclear Information System (INIS)

    Tunio, M.; Rafi, M.; Ali, S.; Ahmed, Z.; Zameer, A.; Hashmi, A.; Maqbool, S. A.

    2011-01-01

    The International Commission of Radiological Units (ICRU) sets a tolerance of ±5 % on dose delivery, with more recent data limiting the overall tolerances to ±3 %. One of the best methods for accurate dose delivery and quality check is in vivo dosimetry, while radiotherapy is performed. The present study was carried out to test the applicability of diodes for performing in vivo entrance dose measurements in external photon beam radiotherapy for pelvic tumours and its implementation as quality assurance tool in radiotherapy. During November 2007 to December 2009, in 300 patients who received pelvic radiotherapy on a multi-leaf-collimator-assisted linear accelerator, the central axis dose was measured by in vivo dosimetry by p-Si diodes. Entrance dose measurements were taken by diodes and were compared with the prescribed dose. Totally 1000 calculations were performed. The mean and standard deviation between measured and prescribed dose was 1.26 ± 2.8 %. In 938 measurements (93.8 %), the deviation was 5 % (5.51 ± 2.3 %). Larger variations were seen in lateral and oblique fields more than anteroposterior fields. For larger deviations, patients and diode positional errors were found to be the common factors alone or in combination with other factors. After additional corrections, repeated measurements were achieved within tolerance levels. This study showed that diode-detector-based in vivo dosimetry was simple, cost-effective, provides quick results and can serve as a useful quality assurance tool in radiotherapy. The data acquired in the present study can be used for evaluating output calibration of therapy machine, precision of calculations, effectiveness of treatment plan and patient setup. (authors)

  8. A multicentre 'end to end' dosimetry audit of motion management (4DCT-defined motion envelope) in radiotherapy.

    Science.gov (United States)

    Palmer, Antony L; Nash, David; Kearton, John R; Jafari, Shakardokht M; Muscat, Sarah

    2017-12-01

    External dosimetry audit is valuable for the assurance of radiotherapy quality. However, motion management has not been rigorously audited, despite its complexity and importance for accuracy. We describe the first end-to-end dosimetry audit for non-SABR (stereotactic ablative body radiotherapy) lung treatments, measuring dose accumulation in a moving target, and assessing adequacy of target dose coverage. A respiratory motion lung-phantom with custom-designed insert was used. Dose was measured with radiochromic film, employing triple-channel dosimetry and uncertainty reduction. The host's 4DCT scan, outlining and planning techniques were used. Measurements with the phantom static and then moving at treatment delivery separated inherent treatment uncertainties from motion effects. Calculated and measured dose distributions were compared by isodose overlay, gamma analysis, and we introduce the concept of 'dose plane histograms' for clinically relevant interpretation of film dosimetry. 12 radiotherapy centres and 19 plans were audited: conformal, IMRT (intensity modulated radiotherapy) and VMAT (volumetric modulated radiotherapy). Excellent agreement between planned and static-phantom results were seen (mean gamma pass 98.7% at 3% 2 mm). Dose blurring was evident in the moving-phantom measurements (mean gamma pass 88.2% at 3% 2 mm). Planning techniques for motion management were adequate to deliver the intended moving-target dose coverage. A novel, clinically-relevant, end-to-end dosimetry audit of motion management strategies in radiotherapy is reported. Copyright © 2017 Elsevier B.V. All rights reserved.

  9. Calculation of dosimetry parameters for fast neutron radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Wells, A.H.

    1978-05-01

    A computer simulation of the interactions of 50 MeV d/sup +/ on Be and 42 MeV p/sup +/ on Be neutron spectra with ICRU muscle tissue and Shonka A-150 tissue equivalent plastic was performed to allow computation of the charged particle spectra that result. Nuclear data were obtained from the Evaluated Nuclear Data File (ENDF) whenever possible and from the Intranuclear Cascade and Evaporation models otherwise. The dosimetry parameters calculated are: the kerma ratio, K/sub A-150//K/sub tissue/; the energy required to form an ion pair, W; and the stopping power ratio, S/sub g//sup W/.

  10. Calculation of dosimetry parameters for fast neutron radiotherapy

    International Nuclear Information System (INIS)

    Wells, A.H.

    1978-05-01

    A computer simulation of the interactions of 50 MeV d + on Be and 42 MeV p + on Be neutron spectra with ICRU muscle tissue and Shonka A-150 tissue equivalent plastic was performed to allow computation of the charged particle spectra that result. Nuclear data were obtained from the Evaluated Nuclear Data File (ENDF) whenever possible and from the Intranuclear Cascade and Evaporation models otherwise. The dosimetry parameters calculated are: the kerma ratio, K/sub A-150//K/sub tissue/; the energy required to form an ion pair, W; and the stopping power ratio, S/sub g//sup W/

  11. Skeletal dosimetry models for alpha-particles for use in molecular radiotherapy

    Science.gov (United States)

    Watchman, Christopher J.

    Molecular radiotherapy is a cancer treatment methodology whereby a radionuclide is combined with a biologically active molecule to preferentially target cancer cells. Alpha-particle emitting radionuclides show significant potential for use in molecular radiotherapy due to the short range of the alpha-particles in tissue and their high rates of energy deposition. Current radiation dosimetry models used to assess alpha emitter dose in the skeleton were developed originally for occupational applications. In medical dosimetry, individual variability in uptake, translocation and other biological factors can result in poor correlation of clinical outcome with marrow dose estimates determined using existing skeletal models. Methods presented in this work were developed in response to the need for dosimetry models which account for these biological and patient-specific factors. Dosimetry models are presented for trabecular bone alpha particle dosimetry as well as a model for cortical bone dosimetry. These radiation transport models are the 3D chord-based infinite spongiosa transport model (3D-CBIST) and the chord-based infinite cortical transport model (CBICT), respectively. Absorbed fraction data for several skeletal tissues for several subjects are presented. Each modeling strategy accounts for biological parameters, such as bone marrow cellularity, not previously incorporated into alpha-particle skeletal dosimetry models used in radiation protection. Using these data a study investigating the variability in alpha-particle absorbed fractions in the human skeleton is also presented. Data is also offered relating skeletal tissue masses in individual bone sites for a range of ages. These data are necessary for dose calculations and have previously only been available as whole body tissue masses. A revised 3D-CBIST model is also presented which allows for changes in endosteum thickness to account for revised target cell location of tissues involved in the radiological

  12. Monte Carlo dosimetry for synchrotron stereotactic radiotherapy of brain tumours

    International Nuclear Information System (INIS)

    Boudou, Caroline; Balosso, Jacques; Esteve, Francois; Elleaume, Helene

    2005-01-01

    A radiation dose enhancement can be obtained in brain tumours after infusion of an iodinated contrast agent and irradiation with kilovoltage x-rays in tomography mode. The aim of this study was to assess dosimetric properties of the synchrotron stereotactic radiotherapy technique applied to humans (SSR) for preparing clinical trials. We designed an interface for dose computation based on a Monte Carlo code (MCNPX). A patient head was constructed from computed tomography (CT) data and a tumour volume was modelled. Dose distributions were calculated in SSR configuration for various energy beam and iodine content in the target volume. From the calculations, it appears that the iodine-filled target (10 mg ml -1 ) can be efficiently irradiated by a monochromatic beam of energy ranging from 50 to 85 keV. This paper demonstrates the feasibility of stereotactic radiotherapy for treating deep-seated brain tumours with monoenergetic x-rays from a synchrotron

  13. Heart dosimetry in radiotherapy with hybrid computational phantoms

    International Nuclear Information System (INIS)

    Moignier, Cyril

    2014-01-01

    Cardiovascular diseases following radiotherapy are major secondary late effects raising questions among the scientific community, especially regarding the dose-effect relationship and confounding risk factors (chemotherapy, cholesterolemia, age at treatment, blood pressure,..). Post-radiation coronary diseases are one of the main causes of cardiac morbidity. Some approximations are made when coronary doses due to radiotherapy are estimated, especially regarding the morphology. For retrospective studies with old medical records, only radiographs are usually available with sometimes some contours made with a simulator. For recent medical records, CT scans displaying the anatomy in 3D are used for radiotherapy simulation but do not allow the coronary artery visualization due to low resolution and contrast. Currently, coronary doses are barely assessed in clinical practice, and when it is done, anatomical prior knowledge is generally used. This thesis proposes an original approach based on hybrid computational phantoms to study coronary artery doses following radiotherapy for left-side breast cancer and Hodgkin lymphoma. During the thesis, a method inserting hybrid computational phantoms in a DICOM format into the treatment planning system has been developed and validated. It has been adapted and tested in conditions where only radiographs provide anatomical information, as with old medical records for left side breast radiotherapy. The method has also been adapted to perform precise dose reconstructions to the coronary artery for patients treated for a mediastinal Hodgkin lymphoma and diagnosed with coronary stenosis through a coroscanner. A case-control study was carried out and the risk of coronary stenosis on a coronary artery segment was assessed to be multiplied by 1.049 at each additional gray on the median dose to the coronary artery segment. For recent medical records, coronary doses uncertainties related to an approach by anatomical prior knowledge

  14. Cardiovascular dosimetry using hybrid computational phantoms after external radiotherapy

    International Nuclear Information System (INIS)

    Moignier, Alexandra

    2014-01-01

    Cardiovascular diseases following radiotherapy are major secondary late effects raising questions among the scientific community, especially regarding the dose-effect relationship and confounding risk factors (chemotherapy, cholesterolemia, age at treatment, blood pressure,..). Post-radiation coronary diseases are one of the main causes of cardiac morbidity. Some approximations are made when coronary doses due to radiotherapy are estimated, especially regarding the morphology. For retrospective studies with old medical records, only radiographs are usually available with sometimes some contours made with a simulator. For recent medical records, CT scans displaying the anatomy in 3D are used for radiotherapy simulation but do not allow the coronary artery visualization due to low resolution and contrast. Currently, coronary doses are barely assessed in clinical practice, and when it is done, anatomical prior knowledge is generally used. This thesis proposes an original approach based on hybrid computational phantoms to study coronary artery doses following radiotherapy for left-side breast cancer and Hodgkin lymphoma. During the thesis, a method inserting hybrid computational phantoms in a DICOM format into the treatment planning system has been developed and validated. It has been adapted and tested in conditions where only radiographs provide anatomical information, as with old medical records for left side breast radiotherapy. The method has also been adapted to perform precise dose reconstructions to the coronary artery for patients treated for a mediastinal Hodgkin lymphoma and diagnosed with coronary stenosis through a coro-scanner. A case-control study was carried out and the risk of coronary stenosis on a coronary artery segment was assessed to be multiplied by 1.049 at each additional gray on the median dose to the coronary artery segment. For recent medical records, coronary doses uncertainties related to an approach by anatomical prior knowledge

  15. EPR dosimetry of radiotherapy photon beams in inhomogeneous media using alanine films

    Energy Technology Data Exchange (ETDEWEB)

    Oesteraas, Bjoern Helge [Department of Radiation Biology, Institute for Cancer Research, Norwegian Radium Hospital, Montebello, N-0310 Oslo (Norway); Hole, Eli Olaug [Department of Physics, University of Oslo, PO Box 1048 Blindern, N-0316 Oslo (Norway); Olsen, Dag Rune [Department of Radiation Biology, Institute for Cancer Research, The Norwegian Radium Hospital, Montebello, N-0310 Oslo (Norway); Malinen, Eirik [Department of Radiation Biology, Institute for Cancer Research, The Norwegian Radium Hospital, Montebello, N-0310 Oslo (Norway)

    2006-12-21

    In the current work, EPR (electron paramagnetic resonance) dosimetry using alanine films (134 {mu}m thick) was utilized for dose measurements in inhomogeneous phantoms irradiated with radiotherapy photon beams. The main phantom material was PMMA, while either Styrofoam or aluminium was introduced as an inhomogeneity. The phantoms were irradiated to a maximum dose of about 30 Gy with 6 or 15 MV photons. The performance of the alanine film dosimeters was investigated and compared to results from ion chamber dosimetry, Monte Carlo simulations and radiotherapy treatment planning calculations. It was found that the alanine film dosimeters had a linear dose response above approximately 5 Gy, while a background signal obscured the response at lower dose levels. For doses between 5 and 60 Gy, the standard deviation of single alanine film dose estimates was about 2%. The alanine film dose estimates yielded results comparable to those from the Monte Carlo simulations and the ion chamber measurements, with absolute differences between estimates in the order of 1-15%. The treatment planning calculations exhibited limited applicability. The current work shows that alanine film dosimetry is a method suitable for estimating radiotherapeutical doses and for dose measurements in inhomogeneous media.

  16. EPR dosimetry of radiotherapy photon beams in inhomogeneous media using alanine films

    International Nuclear Information System (INIS)

    Oesteraas, Bjoern Helge; Hole, Eli Olaug; Olsen, Dag Rune; Malinen, Eirik

    2006-01-01

    In the current work, EPR (electron paramagnetic resonance) dosimetry using alanine films (134 μm thick) was utilized for dose measurements in inhomogeneous phantoms irradiated with radiotherapy photon beams. The main phantom material was PMMA, while either Styrofoam or aluminium was introduced as an inhomogeneity. The phantoms were irradiated to a maximum dose of about 30 Gy with 6 or 15 MV photons. The performance of the alanine film dosimeters was investigated and compared to results from ion chamber dosimetry, Monte Carlo simulations and radiotherapy treatment planning calculations. It was found that the alanine film dosimeters had a linear dose response above approximately 5 Gy, while a background signal obscured the response at lower dose levels. For doses between 5 and 60 Gy, the standard deviation of single alanine film dose estimates was about 2%. The alanine film dose estimates yielded results comparable to those from the Monte Carlo simulations and the ion chamber measurements, with absolute differences between estimates in the order of 1-15%. The treatment planning calculations exhibited limited applicability. The current work shows that alanine film dosimetry is a method suitable for estimating radiotherapeutical doses and for dose measurements in inhomogeneous media

  17. Evaluation of radiochromic films EBT3 for in-vivo dosimetry in radiotherapy treatments with photons

    International Nuclear Information System (INIS)

    Galvan de la C, O. O.; Rivera M, T.; Garcia G, O. A.; Larraga G, J. M.

    2015-10-01

    Full text: In-vivo dosimetry is a challenge in radiotherapy due to the measures are carried out in reference conditions outside; there is no balance of charged particle and beam consists of photons own and contamination electrons. Detectors that are useful for such measures should be sufficiently small and thin so they do not disturb the beam and do not alter the dose on target. In this paper the radiochromic films Gafchromic model EBT3 are evaluated as potential detectors for in-vivo dosimetry; measurements were carried out in solid water phantom on the surface, with films of dimensions 3 x 3 cm 2 . Irradiations were performed with a linear accelerator Novalis of 6 MV. Comparison between dose values found with a diode type Sfd detector (IBA dosimetry, Germany) and a diamond detector CVD (PTW-Freiburg) for 2 different sized of field (5 x 5 cm 2 and 10 x 10 cm 2 ) on the surface of a water phantom scanning was realized. The total spreading factor (Tsf) measured on surface was of 0.831 ± 4.6%; which is greater 12.9% than Tsf measured at a depth of maximum dose. This difference may be due to the contribution of scattered electrons to the beam exit. The measures must be corroborated with Monte Carlo simulations, which they will be validated on surface by the Abdel-Rahman [et al.] method; this mechanism will determine if the films are useful detectors for in-vivo dosimetry clinically. (Author)

  18. The implementation of in vivo dosimetry in a small radiotherapy department

    International Nuclear Information System (INIS)

    Voordeckers, M.; Goosens, H.; Rutten, J.

    1998-01-01

    In vivo dosimetry has been shown in a number of evaluation studies, generally carried out in larger academic centres, to be a reliable method of checking the overall treatment accuracy. The object of this study was to investigate whether it was possible and useful to perform in vivo dosimetry in a small radiotherapy department and to detect if there were any systematic errors in the overall treatment set-up. All patients were treated on a cobalt-60 unit equipped with a verification system. Six hundred fifty entrance dose measurements were performed with silicon diodes. The analysis showed a mean deviation of -1.3%. This negative deviation was mainly due to the mean deviation obtained in the treatment of head and neck (-1.6%) or breast (-2.5%) cancer patients. The results for pelvic or lung irradiation showed almost no deviation. Further investigation showed that the negative values for head and neck or breast irradiation were due to the irradiation technique, the lack of scattering material causes a reduction of the dose at the reference point, which is not taken into consideration by the treatment planning system. By performing in vivo dosimetry, we were also able to detect two large errors in 650 measurements and could prevent erroneous treatment. Even when the overall treatment set-up is very accurate, in vivo dosimetry is very useful in a small department since only a small effort can detect and prevent errors. (author)

  19. Radiotherapy quality insurance by individualized in vivo dosimetry: state of the art; Dosimetrie individuelle in vivo pour le controle de qualite en radiotherapie: etat de l'art

    Energy Technology Data Exchange (ETDEWEB)

    Ismail, A.; Giraud, J.Y.; Sihanath, R.; Balosso, J. [University Hospital of Grenoble, Dept. of Radiotherapy, 38 - Grenoble (France); Ismail, A. [Syrian Atomic Energy Commission, Radioprotection Dept., Damascus (Syrian Arab Republic); Luc, G.N.; Pittet, P.; Galvanc, J.M. [Claude-Bernard Univ., Lyon Nanotechnology Institute, 69 - Lyon (France)

    2009-06-15

    The quality insurance in radiotherapy in the frame of highly complex technical process as Intensity modulated radiotherapy (I.M.R.T.) needs independent control of the delivered dose to the patient. Actually, up to now, most of the radiotherapy treatments rely only on computed dosimetry through a rather complicated series of linked simulation tool. This dosimetry approach requires also qualified treatment means based on cautious quality insurance procedures. However, erroneous parameters could be difficult to detect and systematical errors could happen leading to radiotherapy accidents. In this context, in vivo dosimetry has a critical role of final control of the delivered dose. As many beam incidences and ports are used for any photon therapy treatment, external control could be very tedious and time consuming. Therefore, innovations are needed for in vivo dosimetry to provide ergonomic and efficient tools for these controls. This paper presents a review of technologies and products that can be used for in vivo dosimetry. It proposes also a reflection on the concepts to develop future devices suitable for this purpose. The technical means with their physical principles are reviewed, the clinical experiences demonstrating the feasibility of new techniques are then summarized and finally, the early clinical use and its impact on clinical practice is review. (authors)

  20. Accuracy required and achievable in radiotherapy dosimetry: have modern technology and techniques changed our views?

    Science.gov (United States)

    Thwaites, David

    2013-06-01

    In this review of the accuracy required and achievable in radiotherapy dosimetry, older approaches and evidence-based estimates for 3DCRT have been reprised, summarising and drawing together the author's earlier evaluations where still relevant. Available evidence for IMRT uncertainties has been reviewed, selecting information from tolerances, QA, verification measurements, in vivo dosimetry and dose delivery audits, to consider whether achievable uncertainties increase or decrease for current advanced treatments and practice. Overall there is some evidence that they tend to increase, but that similar levels should be achievable. Thus it is concluded that those earlier estimates of achievable dosimetric accuracy are still applicable, despite the changes and advances in technology and techniques. The one exception is where there is significant lung involvement, where it is likely that uncertainties have now improved due to widespread use of more accurate heterogeneity models. Geometric uncertainties have improved with the wide availability of IGRT.

  1. Calculation of uncertainties in the protocol of dosimetry for Co 60 beams in Radiotherapy

    International Nuclear Information System (INIS)

    Velazquez M, S.; Carrera M, F.; Sanchez S, J.

    1998-01-01

    The objective in this work is to show how the uncertainty is possible to know in the determination of the absorbed dose in Co 60 photon beams and to establish in a rational form, tolerance levels for this. It is took as base the spanish protocol of dosimetry in Radiotherapy. We have been centered in a Co 60 beam. We utilized the statistical theory of little samples. We allowed to suggest a new approach about the treatment of the tolerance levels and the uncertainty of the measurement. After two years of experience in the practical hospitable application we have gotten to put around 1 % uncertainty in the absolute dosimetry of the Co 60 beam. The presented protocol allows to execute the accuracy requirements in the determination of absorbed doses. (Author)

  2. Quality control of the treatment planning systems dose calculations in external radiation therapy using the Penelope Monte Carlo code; Controle qualite des systemes de planification dosimetrique des traitements en radiotherapie externe au moyen du code Monte-Carlo Penelope

    Energy Technology Data Exchange (ETDEWEB)

    Blazy-Aubignac, L

    2007-09-15

    The treatment planning systems (T.P.S.) occupy a key position in the radiotherapy service: they realize the projected calculation of the dose distribution and the treatment duration. Traditionally, the quality control of the calculated distribution doses relies on their comparisons with dose distributions measured under the device of treatment. This thesis proposes to substitute these dosimetry measures to the profile of reference dosimetry calculations got by the Penelope Monte-Carlo code. The Monte-Carlo simulations give a broad choice of test configurations and allow to envisage a quality control of dosimetry aspects of T.P.S. without monopolizing the treatment devices. This quality control, based on the Monte-Carlo simulations has been tested on a clinical T.P.S. and has allowed to simplify the quality procedures of the T.P.S.. This quality control, in depth, more precise and simpler to implement could be generalized to every center of radiotherapy. (N.C.)

  3. The potential application of silver and positron emission tomography for in vivo dosimetry during radiotherapy

    DEFF Research Database (Denmark)

    Hansen, Anders T; Hansen, Søren B; Petersen, Jørgen B

    2007-01-01

    of absorbed dose per gram of silver. This demonstrates that it is possible to derive absorbed doses from the radioactivity induced in silver by radiation when measured with the PET scanner. Even though the physical basis for this method is found to be sound, its application, for instance to perform quality......The possible use of silver as a material for in vivo dosimetry in radiotherapy was investigated. The investigation was carried out using a positron emission tomography (PET) scanner, two clinical accelerators and a phantom with silver implants. The phantom was irradiated several times to doses...

  4. Development of DosiMap: dosimetry device for radiotherapy quality assurance; Developpement du DosiMap: instrument de dosimetrie pour le controle qualite en radiotherapie

    Energy Technology Data Exchange (ETDEWEB)

    Frelin, A M

    2006-10-15

    This thesis deals with the development of a new dosimetry device for the control of radiotherapy beams. This device is composed of a plane plastic scintillator which is set within a polystyrene phantom. When the 'DosiMap' is irradiated, light is produced. This light is composed of scintillation and Cerenkov radiation, and is accurately measured by a C.C.D. camera. The analysis of the light distribution enables us to deduce the dose distribution in the scintillator plan. This device has many advantages such as tissue equivalence, a good spatial resolution, and a linear response with regard to energy. It also provides immediate measurements, and as a consequence, it is a very adapted tool for clinical use. After the introduction about the basic notions of radiotherapy, the different steps of the 'DosiMap' development are exposed in this thesis. In a first time, plastic scintillators have been tested to determine the best one for this application. Then, the deconvolution of scintillation and Cerenkov radiation have been studied, because we only use scintillation to calculate the dose distribution. The camera being in the irradiation room, a lead shield has also been developed to protect the C.C.D. detector from scattered radiations. Finally, the dose calibration and the dose response of 'DosiMap' are exposed. All this work made feasible the measurement of dose distributions with a precision which turns out to be better than 2% for homogeneous photon beams. Excellent results were also obtained when modulated intensity beams are used. (author)

  5. Implementation of small field radiotherapy dosimetry for spinal metastase case

    Science.gov (United States)

    Rofikoh, Wibowo, W. E.; Pawiro, S. A.

    2017-07-01

    The main objective of this study was to know dose profile of small field radiotherapy in the spinal metastase case with source axis distance (SAD) techniques. In addition, we evaluated and compared the dose planning of stereotactic body radiation therapy (SBRT) and conventional techniques to measurements with Exradin A16 and Gafchromic EBT3 film dosimeters. The results showed that film EBT3 had a highest precision and accuracy with the average of the standard deviation of ±1.7 and maximum discrepancy of 2.6 %. In addition, the average value of Full Wave Half Maximum (FWHM) and its largest deviation in small field size of 0.8 x 0.8 cm2 are 0.82 cm and 16.3 % respectively, while it was found around 2.36 cm and 3 % for the field size of 2.4 x 2.4 cm2. The comparison between penumbra width and the collimation was around of 37.1 % for the field size of 0.8 x 0.8 cm2, while it was found of 12.4 % for the field size of 2.4 x 2.4 cm2.

  6. Radiochromic film dosimetry of contrast-enhanced radiotherapy (CERT)

    International Nuclear Information System (INIS)

    Morris, Kevin N; Weil, Michael D; Malzbender, Rainer

    2006-01-01

    Contrast-enhanced radiotherapy (CERT) employs elevated concentrations of high-Z contrast media in targets to dramatically increase the absorbed dose of radiation relative to the surrounding tissues. However, it is difficult to measure the dose enhancement with routine clinical instruments because the photoelectrons and Auger electrons produced by the interaction of kilovoltage x-rays with the contrast agent travel extremely short distances. We have developed a technique utilizing unlaminated radiochromic film to measure the maximum dose enhancement factor attainable in solutions of contrast agent with iodine concentrations ranging from 0% to 37% (w/v). The films were also used to simultaneously measure the dose enhancement and beam attenuation through solutions containing 0%, 5% and 10% iodine (w/v). These depth-dose measurements were made in phantoms representing 3 cm targets located 0 and 4.8 cm deep in acrylic. Higher concentrations of contrast yielded greater dose enhancement and target-to-surface dose ratios, but caused more rapid attenuation of the beam as it traversed the target. The dose distribution across the entire target could be improved by employing multiple beams. These results, using concentrations of contrast that are clinically achievable by intratumoural injection, illustrate the potential of CERT for the specific delivery of high doses of radiation to targets at depth

  7. Safety Improvement in Radiotherapy Treatment Plan. Planning vs Redundant Check vs in vivo Dosimetry

    International Nuclear Information System (INIS)

    Torres Diaz, J.; Ascencion Ybarra, Y.; La Fuentes Rosales, L. de; Lara Mas, E.; Larrinaga Cortinas, E.

    2013-01-01

    In Cuba it is mandatory to have an independent monitor units check before any radiotherapy treatment is started. The main objective of this paper is to enhance the safety of the radiotherapy planning by developing and testing a practical tool to double check the monitor units calculation for external beam high energy photon therapy. A software for monitor units (MUs) verification was designed and coded. It considers the common in clinical practice isocentric set-ups. The in vivo dosimetry measurements were done with a silicon diode system for 6 MV photon beams to support the validation of the software. The results show a discrepancy within 5% between the 3 methods which is in accordance with international recommendations. (Author)

  8. Feasibility of tomotherapy for Graves' ophthalmopathy. Dosimetry comparison with conventional radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Nguyen, Nam P.; Krafft, Shane P. [Arizona Univ., Tucson, AZ (United States). Dept. of Radiation Oncology; Vos, Paul [East Carolina Univ., Greenville, NC (US). Dept. of Biostatistics] (and others)

    2011-09-15

    To compare the dosimetry of tomotherapy and the conventional half-beam technique (HBT) or non-split beam technique (NSBT) for target coverage and radiation dose to the lacrimal glands and lens. A retrospective review of 7 patients with Graves' ophthalmopathy who had radiotherapy because of disease progression on high steroid dose is reported: 3 patients were treated with tomotherapy and 4 patients with HBT. Compared to HBT, tomotherapy may provide better target coverage and significant reduction of radiation dose to the lacrimal glands and a higher dose to the lens. The NSBT improved target coverage but resulted in significantly higher doses to the lens and lacrimal glands. Tomotherapy may provide better coverage of the target volume and may be more effective in reducing severe exophthalmos compared to the conventional radiotherapy technique. (orig.)

  9. Development of physical and numerical techniques of Alanine/EPR dosimetry in radiotherapy

    International Nuclear Information System (INIS)

    Castro, F.; Ponte, F.; Pereira, L.

    2006-01-01

    In this work, a set of 50 alanine dosimeters has been used in a radiotherapy context, simulating a two-dimensional treatment in a non-overlapping dosimeter configuration. The dose is reconstructed from physical and numerical simulation of the electron paramagnetic resonance signal, calculating the spin density. Thus, it can be used to better adjust the error in the calibration curve to give a final accuracy of <0.03 Gy. A complete set of experimental test parameters have been used with a standard dosimeter in order to obtain the best analysis configuration. These results indicate that for a conventional treatment of some hundreds of mGy, this method can be useful with a correct signal validation. A numerical test and fitting software has been developed. The general use of alanine/electron paramagnetic resonance dosimetry in radiotherapy context is discussed. (authors)

  10. Guidelines for the preparation of a quality manual for external audit groups on dosimetry in radiotherapy

    International Nuclear Information System (INIS)

    Izewska, Joanna; Arib, M.; Saravi, M.

    2002-01-01

    This document has been prepared within the framework of a Co-ordinated Research Programme (CRP) on Development of Quality Assurance Programme for Radiation Therapy Dosimetry in Developing Countries, during two Meetings at the IAEA Headquarters in Vienna (11-14 November 1996 and 6-10 October 1997). It is based on the recommendations of ISO 9000 series and ISO/IEC guide No. 25. The document can be used as a guide on how to prepare a quality manual for national External Audit Groups (EAG), i.e., a nationally recognised group in charge of operating external quality audits for radiotherapy dosimetry. The EAG of a given country includes the SSDL, a Measuring Group and a Medical Physics Group, who work in close co-operation at all steps of the audit. The content herein should be considered as a suggestion and additions or deletions can be made in accordance with the specific conditions in each country. It is preferable that the manual itself be as concise as possible, limiting it to the core scope. Detailed working sheets describing the procedures should be included in Appendices together with data sheets, questionnaires and reporting forms. The quality manual of each country should be carefully reviewed by all members of the EAG and, as far as possible, should be approved by relevant professional bodies and supported by health authorities. It has long been recognised that accurate knowledge of the dose in radiotherapy is vital to ensure safe and effective radiation treatments. To achieve this goal, comprehensive quality assurance programmes should be established to cover all steps from dose prescription to dose delivery. These programmes should include internal checks performed by the radiotherapy centres and external audits made by independent external bodies. It is estimated that not more than 50% of radiotherapy facilities world-wide have participated in some level of dose quality audit by an independent expert. Genuine concern exists that some, or even many

  11. Dosimetry in radiotherapy and brachytherapy by Monte-Carlo GATE simulation on computing grid; Dosimetrie en radiotherapie et curietherapie par simulation Monte-Carlo GATE sur grille informatique

    Energy Technology Data Exchange (ETDEWEB)

    Thiam, Ch O

    2007-10-15

    Accurate radiotherapy treatment requires the delivery of a precise dose to the tumour volume and a good knowledge of the dose deposit to the neighbouring zones. Computation of the treatments is usually carried out by a Treatment Planning System (T.P.S.) which needs to be precise and fast. The G.A.T.E. platform for Monte-Carlo simulation based on G.E.A.N.T.4 is an emerging tool for nuclear medicine application that provides functionalities for fast and reliable dosimetric calculations. In this thesis, we studied in parallel a validation of the G.A.T.E. platform for the modelling of electrons and photons low energy sources and the optimized use of grid infrastructures to reduce simulations computing time. G.A.T.E. was validated for the dose calculation of point kernels for mono-energetic electrons and compared with the results of other Monte-Carlo studies. A detailed study was made on the energy deposit during electrons transport in G.E.A.N.T.4. In order to validate G.A.T.E. for very low energy photons (<35 keV), three models of radioactive sources used in brachytherapy and containing iodine 125 (2301 of Best Medical International; Symmetra of Uro- Med/Bebig and 6711 of Amersham) were simulated. Our results were analyzed according to the recommendations of task group No43 of American Association of Physicists in Medicine (A.A.P.M.). They show a good agreement between G.A.T.E., the reference studies and A.A.P.M. recommended values. The use of Monte-Carlo simulations for a better definition of the dose deposited in the tumour volumes requires long computing time. In order to reduce it, we exploited E.G.E.E. grid infrastructure where simulations are distributed using innovative technologies taking into account the grid status. Time necessary for the computing of a radiotherapy planning simulation using electrons was reduced by a factor 30. A Web platform based on G.E.N.I.U.S. portal was developed to make easily available all the methods to submit and manage G

  12. Dosimetric inter-institutional comparison in European radiotherapy centres: Results of IAEA supported treatment planning system audit.

    Science.gov (United States)

    Gershkevitsh, Eduard; Pesznyak, Csilla; Petrovic, Borislava; Grezdo, Joseph; Chelminski, Krzysztof; do Carmo Lopes, Maria; Izewska, Joanna; Van Dyk, Jacob

    2014-05-01

    One of the newer audit modalities operated by the International Atomic Energy Agency (IAEA) involves audits of treatment planning systems (TPS) in radiotherapy. The main focus of the audit is the dosimetry verification of the delivery of a radiation treatment plan for three-dimensional (3D) conformal radiotherapy using high energy photon beams. The audit has been carried out in eight European countries - Estonia, Hungary, Latvia, Lithuania, Serbia, Slovakia, Poland and Portugal. The corresponding results are presented. The TPS audit reviews the dosimetry, treatment planning and radiotherapy delivery processes using the 'end-to-end' approach, i.e. following the pathway similar to that of the patient, through imaging, treatment planning and dose delivery. The audit is implemented at the national level with IAEA assistance. The national counterparts conduct the TPS audit at local radiotherapy centres through on-site visits. TPS calculated doses are compared with ion chamber measurements performed in an anthropomorphic phantom for eight test cases per algorithm/beam. A set of pre-defined agreement criteria is used to analyse the performance of TPSs. TPS audit was carried out in 60 radiotherapy centres. In total, 190 data sets (combination of algorithm and beam quality) have been collected and reviewed. Dosimetry problems requiring interventions were discovered in about 10% of datasets. In addition, suboptimal beam modelling in TPSs was discovered in a number of cases. The TPS audit project using the IAEA methodology has verified the treatment planning system calculations for 3D conformal radiotherapy in a group of radiotherapy centres in Europe. It contributed to achieving better understanding of the performance of TPSs and helped to resolve issues related to imaging, dosimetry and treatment planning.

  13. The role of the National Physical Laboratory in monitoring and improving dosimetry in UK radiotherapy

    International Nuclear Information System (INIS)

    Thomas, R.A.S.; Duane, S.; McEwen, M.R.; Rosser, K.E.

    2002-01-01

    In the UK, the National Physical Laboratory, in collaboration with the Institute for Physics and Engineering in Medicine operates an audit programme to ensure national consistency in radiotherapy dosimetry. The present programme covers dosimetry of megavoltage photons and electrons (3-19 MeV) and low and medium energy (10-300 kV) photons. The aim of each audit is to verify the local measurement of absorbed dose at the radiotherapy centre. The audit measurements - principally beam quality and linac output - are made following the same protocol as the clinic but using different equipment. The audit is not an absolute measurement of the absorbed dose but amounts to a check that the equipment used by the centre is operating as expected and that the Code of Practice is being followed correctly. The protocols used in the UK are IPSM 1990 for high-energy photons, IPEMB 1996 for electrons and IPEMB 1996 for low energy photons. For the purpose of these audits, NPL maintains a set of calibrated ionisation chambers

  14. Polymer gel dosimetry for synchrotron stereotactic radiotherapy and iodine dose-enhancement measurements

    International Nuclear Information System (INIS)

    Boudou, C; Tropres, I; Rousseau, J; Lamalle, L; Adam, J F; Esteve, F; Elleaume, H

    2007-01-01

    Synchrotron stereotactic radiotherapy (SSR) is a radiotherapy technique that makes use of the interactions of monochromatic low energy x-rays with high atomic number (Z) elements. An important dose-enhancement can be obtained if the target volume has been loaded with a sufficient amount of a high-Z element, such as iodine. In this study, we compare experimental dose measurements, obtained with normoxic polymer gel (nPAG), with Monte Carlo computations. Gels were irradiated within an anthropomorphic head phantom and were read out by magnetic resonance imaging. The dose-enhancement due to the presence of iodine in the gel (iodine concentration: 5 and 10 mg ml -1 ) was measured at two radiation energies (35 and 80 keV) and was compared to the calculated factors. nPAG dosimetry was shown to be efficient for measuring the sharp dose gradients produced by SSR. The agreement between 3D gel dosimetry and calculated dose distributions was found to be within 4% of the dose difference criterion and a distance to agreement of 2.1 mm for 80% of the voxels. Polymer gel doped with iodine exhibited higher sensitivity, in good agreement with the calculated iodine-dose enhancement. We demonstrate in this preliminary study that iodine-doped nPAG could be used for measuring in situ dose distributions for iodine-enhanced SSR treatment

  15. Development of a calibration protocol for quantitative imaging for molecular radiotherapy dosimetry

    International Nuclear Information System (INIS)

    Wevrett, J.; Fenwick, A.; Scuffham, J.; Nisbet, A.

    2017-01-01

    Within the field of molecular radiotherapy, there is a significant need for standardisation in dosimetry, in both quantitative imaging and dosimetry calculations. Currently, there are a wide range of techniques used by different clinical centres and as a result there is no means to compare patient doses between centres. To help address this need, a 3 year project was funded by the European Metrology Research Programme, and a number of clinical centres were involved in the project. One of the required outcomes of the project was to develop a calibration protocol for three dimensional quantitative imaging of volumes of interest. Two radionuclides were selected as being of particular interest: iodine-131 ( 131 I, used to treat thyroid disorders) and lutetium-177 ( 177 Lu, used to treat neuroendocrine tumours). A small volume of activity within a scatter medium (water), representing a lesion within a patient body, was chosen as the calibration method. To ensure ease of use in clinical centres, an “off-the-shelf” solution was proposed – to avoid the need for in-house manufacturing. The BIODEX elliptical Jaszczak phantom and 16 ml fillable sphere were selected. The protocol was developed for use on SPECT/CT gamma cameras only, where the CT dataset would be used to correct the imaging data for attenuation of the emitted photons within the phantom. The protocol corrects for scatter of emitted photons using the triple energy window correction technique utilised by most clinical systems. A number of clinical systems were tested in the development of this protocol, covering the major manufacturers of gamma camera generally used in Europe. Initial imaging was performed with 131 I and 177 Lu at a number of clinical centres, but due to time constraints in the project, some acquisitions were performed with 177 Lu only. The protocol is relatively simplistic, and does not account for the effects of dead-time in high activity patients, the presence of background activity

  16. Development of DosiMap: dosimetry device for radiotherapy quality assurance; Developpement du DosiMap: instrument de dosimetrie pour le controle qualite en radiotherapie

    Energy Technology Data Exchange (ETDEWEB)

    Frelin, A.M

    2006-10-15

    This thesis deals with the development of a new dosimetry device for the control of radiotherapy beams. This device is composed of a plane plastic scintillator which is set within a polystyrene phantom. When the 'DosiMap' is irradiated, light is produced. This light is composed of scintillation and Cerenkov radiation, and is accurately measured by a C.C.D. camera. The analysis of the light distribution enables us to deduce the dose distribution in the scintillator plan. This device has many advantages such as tissue equivalence, a good spatial resolution, and a linear response with regard to energy. It also provides immediate measurements, and as a consequence, it is a very adapted tool for clinical use. After the introduction about the basic notions of radiotherapy, the different steps of the 'DosiMap' development are exposed in this thesis. In a first time, plastic scintillators have been tested to determine the best one for this application. Then, the deconvolution of scintillation and Cerenkov radiation have been studied, because we only use scintillation to calculate the dose distribution. The camera being in the irradiation room, a lead shield has also been developed to protect the C.C.D. detector from scattered radiations. Finally, the dose calibration and the dose response of 'DosiMap' are exposed. All this work made feasible the measurement of dose distributions with a precision which turns out to be better than 2% for homogeneous photon beams. Excellent results were also obtained when modulated intensity beams are used. (author)

  17. In-vivo (entrance) dose measurements in external beam radiotherapy with aqueous FBX dosimetry system

    International Nuclear Information System (INIS)

    Semwal, M.K.; Thakur, P.K.; Bansal, A.K.; Vidyasagar, P.B.

    2005-01-01

    FBX aqueous chemical dosimetry system has been found useful in radiotherapy owing to its low dose measuring capability. In the present work, entrance dose measurements in external beam radiotherapy on a telecobalt machine were carried out with the system on 100 patients. Treatments involving simple beam arrangement of open parallel-opposed beams in cranial and pelvic irradiations were selected for this study. In place of a spectrophotometer, a simple and inexpensive colorimeter was used for absorbance measurements. The purpose was to assess the efficacy of the FBX system for in-vivo dose measurements. The results obtained show that the average discrepancy between the measured and expected dose for both categories of patients was 0.2% (standard deviation 3.2%) with a maximum of +1 0.3%. There were 5.5% cases showing more than ± 5% discrepancy. Comparison of the results obtained with published work on entrance dose measurements, with diode detectors, shows that the inexpensive FBX system can be used for in-vivo (entrance) dose measurements for simple beam arrangements in radiotherapy and can thus serve as a useful QA tool. (author)

  18. Reshaping of computational system for dosimetry in neutron and photons radiotherapy based in stochastic methods - SISCODES

    International Nuclear Information System (INIS)

    Trindade, Bruno Machado

    2011-02-01

    This work shows the remodeling of the Computer System for Dosimetry of Neutrons and Photons in Radiotherapy Based on Stochastic Methods . SISCODES. The initial description and status, the alterations and expansions (proposed and concluded), and the latest system development status are shown. The SISCODES is a system that allows the execution of a 3D computational planning in radiation therapy, based on MCNP5 nuclear particle transport code. The SISCODES provides tools to build a patient's voxels model, to define a treatment planning, to simulate this planning, and to view the results of the simulation. The SISCODES implements a database of tissues, sources and nuclear data and an interface to access then. The graphical SISCODES modules were rewritten or were implemented using C++ language and GTKmm library. Studies about dose deviations were performed simulating a homogeneous water phantom as analogue of the human body in radiotherapy planning and a heterogeneous voxel phantom, pointing out possible dose miscalculations. The Soft-RT and PROPLAN computer codes that do interface with SISCODES are described. A set of voxels models created on the SISCODES are presented with its respective sizes and resolutions. To demonstrate the use of SISCODES, examples of radiation therapy and dosimetry simulations for prostate and heart are shown. Three protocols were simulated on the heart voxel model: Sm-153 filled balloon and P-32 stent, to prevent angioplasty restenosis; and Tl-201 myocardial perfusion, to imaging. Teletherapy with 6MV and 15MV beams were simulated to the prostate, and brachytherapy with I-125 seeds. The results of these simulations are shown on isodose curves and on dose-volume histograms. The SISCODES shows to be a useful tool for research of new radiation therapy treatments and, in future, can also be useful in medical practice. At the end, future improvements are proposed. I hope this work can contribute to develop more effective radiation therapy

  19. The international protocol for the dosimetry of external radiotherapy beams based on standards of absorbed dose to water

    International Nuclear Information System (INIS)

    Andreo, P.

    2001-01-01

    An International Code of Practice (CoP, or dosimetry protocol) for external beam radiotherapy dosimetry based on standards of absorbed dose to water has been published by the IAEA on behalf of IAEA, WHO, PAHO and ESTRO. The CoP provides a systematic and internationally unified approach for the determination of the absorbed dose to water in reference conditions with radiotherapy beams. The development of absorbed-dose-to-water standards for high-energy photons and electrons offers the possibility of reducing the uncertainty in the dosimetry of radiotherapy beams. Many laboratories already provide calibrations at the radiation quality of 60Co gamma-rays and some have extended calibrations to high-energy photon and electron beams. The dosimetry of kilovoltage x-rays, as well as that of proton and ion beams can also be based on these standards. Thus, a coherent dosimetry system based on the same formalism is achieved for practically all radiotherapy beams. The practical use of the CoP as simple. The document is formed by a set of different CoPs for each radiation type, which include detailed procedures and worksheets. All CoPs are based on ND,w chamber calibrations at a reference beam quality Qo, together with radiation beam quality correction factors kQ preferably measured directly for the user's chamber in a standards laboratory. Calculated values of kQ are provided together with their uncertainty estimates. Beam quality specifiers are 60Co, TPR20,10 (high-energy photons), R50 (electrons), HVL and kV (x-rays) and Rres (protons and ions) [es

  20. SU-E-T-66: A Prototype for Couch Based Real-Time Dosimetry in External Beam Radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Ramachandran, P [Peter MacCallum Cancer Centre, Bendigo (Australia)

    2015-06-15

    Purpose: The main purpose of this study is to design a prototype for couch-based based real time dosimetry system in external beam radiotherapy Methods: A prototype of 100 ionization chambers was designed on a printed circuit board by etching the copper layer and each ionization chamber was wired to a 50 pin connector. The signals from the two 50 pin connectors collected from the ionization chambers were then transferred to a PXI module from National Instruments. The PXI module houses a current amplifier that amplifies the charge collected from the ionization chamber. The amplified signal is then sent to a digital multimeter module for converting the analog signal to digital signal. A software was designed in labview to read and display the signals obtained from the PXI module. A couch attachment frame was designed to house the 100 ionization chamber module. The frame was fixed underneath the treatment couch for measuring the dose during treatment. Resutls: The ionization chamber based prototype dosimetry was tested for simple radiotherapy treatment fields and found to be a useful device for measuring real time dosimetry at the treatment couch plane. This information could be used to assess the delivered dose to a patient during radiotherapy. It could be used as an invivo dosimeter during radiotherapy. Conclusion: In this study, a prototype for couch based real time dosimetry system was designed and tested. The prototype forms a basis for the development of large scale couch based real time dosimetry system that could be used to perform morning QA prior to treatment, assess real time doses delivered to patient and as a device to monitor the output of the treatment beam. Peter MacCallum Cancer Foundation.

  1. SU-E-T-66: A Prototype for Couch Based Real-Time Dosimetry in External Beam Radiotherapy

    International Nuclear Information System (INIS)

    Ramachandran, P

    2015-01-01

    Purpose: The main purpose of this study is to design a prototype for couch-based based real time dosimetry system in external beam radiotherapy Methods: A prototype of 100 ionization chambers was designed on a printed circuit board by etching the copper layer and each ionization chamber was wired to a 50 pin connector. The signals from the two 50 pin connectors collected from the ionization chambers were then transferred to a PXI module from National Instruments. The PXI module houses a current amplifier that amplifies the charge collected from the ionization chamber. The amplified signal is then sent to a digital multimeter module for converting the analog signal to digital signal. A software was designed in labview to read and display the signals obtained from the PXI module. A couch attachment frame was designed to house the 100 ionization chamber module. The frame was fixed underneath the treatment couch for measuring the dose during treatment. Resutls: The ionization chamber based prototype dosimetry was tested for simple radiotherapy treatment fields and found to be a useful device for measuring real time dosimetry at the treatment couch plane. This information could be used to assess the delivered dose to a patient during radiotherapy. It could be used as an invivo dosimeter during radiotherapy. Conclusion: In this study, a prototype for couch based real time dosimetry system was designed and tested. The prototype forms a basis for the development of large scale couch based real time dosimetry system that could be used to perform morning QA prior to treatment, assess real time doses delivered to patient and as a device to monitor the output of the treatment beam. Peter MacCallum Cancer Foundation

  2. The evidence base for the use of internal dosimetry in the clinical practice of molecular radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Strigari, Lidia [Regina Elena National Cancer Institute, Laboratory of Medical Physics and Expert Systems, Rome (Italy); Konijnenberg, Mark [Erasmus MC, Department of Nuclear Medicine, Rotterdam (Netherlands); Chiesa, Carlo [Instituto Nazionale Tumori, Department of Nuclear Medicine, Milan (Italy); Bardies, Manuel [UMR 1037 INSERM / Universite Paul Sabatier, Centre de Recherche en Cancerologie de Toulouse, Toulouse (France); Du, Yong [Royal Marsden NHS Foundation Trust, Department of Nuclear Medicine and PET/CT, Sutton, London (United Kingdom); Gleisner, Katarina Sjoegreen [Medical Radiation Physics, Clinical Sciences, Lund (Sweden); Lassmann, Michael [University of Wuerzburg, Department of Nuclear Medicine, Wuerzburg (Germany); Flux, Glenn [Royal Marsden NHS Foundation Trust and Institute of Cancer Research, Joint Department of Physics, Sutton (United Kingdom)

    2014-10-15

    Molecular radiotherapy (MRT) has demonstrated unique therapeutic advantages in the treatment of an increasing number of cancers. As with other treatment modalities, there is related toxicity to a number of organs at risk. Despite the large number of clinical trials over the past several decades, considerable uncertainties still remain regarding the optimization of this therapeutic approach and one of the vital issues to be answered is whether an absorbed radiation dose-response exists that could be used to guide personalized treatment. There are only limited and sporadic data investigating MRT dosimetry. The determination of dose-effect relationships for MRT has yet to be the explicit aim of a clinical trial. The aim of this article was to collate and discuss the available evidence for an absorbed radiation dose-effect relationships in MRT through a review of published data. Based on a PubMed search, 92 papers were found. Out of 79 studies investigating dosimetry, an absorbed dose-effect correlation was found in 48. The application of radiobiological modelling to clinical data is of increasing importance and the limited published data on absorbed dose-effect relationships based on these models are also reviewed. Based on National Cancer Institute guideline definition, the studies had a moderate or low rate of clinical relevance due to the limited number of studies investigating overall survival and absorbed dose. Nevertheless, the evidence strongly implies a correlation between the absorbed doses delivered and the response and toxicity, indicating that dosimetry-based personalized treatments would improve outcome and increase survival. (orig.)

  3. Study of film dosimetry for radiotherapy with Gafchromic-RTQ plates

    International Nuclear Information System (INIS)

    Diaz Moreno, Rogelio Manuel; Lara Mas, Elier; Alfonso Laguardia, Rodolfo

    2009-01-01

    Film dosimetry allows quality control processes (CC) for advanced radiotherapy treatments, not achievable with other types of systems dosimetry, as is the determination of two-dimensional dose distribution provided with the planned treatment in selected planes. The aim of this work was to establish the possibilities of making this type of CC with the means available in the INOR. Plates were used radiochromic Gafchromic-RTQ, for quality control, which irradiated with Elekta Precise linear accelerator, according to the test planning developed in the treatment planning system Precise Plan. Were used as image processing software the Mephysto mc2, PTW, and routines scheduled at home on Matlab. Was prepared calibration curve Dose-response for these plates, and applied this calibration curve at other boards with known radiation dose to estimate proximity of the dose obtained through calibration. Other tests were performed to determine the conditions of repeatability and optimal parameters of the process. Conditions were established that are obtained more reliable , the which are lower than those reported Gafchromic-EBT plates, especially designed quantitative dosimetric purposes, but in certain ranges allow evaluate the of a plan with an acceptable degree of approximation. (author)

  4. The New Zealand audit of radiotherapy dosimetry: Practical considerations and results

    International Nuclear Information System (INIS)

    Smyth, V.G.; Laban, J.A.

    2002-01-01

    The New Zealand Radiation Protection Regulations 1982 state that the dose delivered to a radiotherapy patient must be within ±5% of the prescribed dose. Following the overdose of 153 patients because of an error in dosimetry at Royal Devon and Exeter Hospital, UK, in 1988 it was decided to audit compliance with this routinely. Since 1991 every high-energy beam in NZ used for teletherapy has been independently measured every two years by staff from NRL. Since 1997 all kV x-ray beams have been measured as well. The measurements follow the dosimetry protocol TRS-277. A Sr-90 check is taken at each site to verify stability of the measurement system. Agreement within 0.5% is accepted. The SSD on a linear accelerator is set using the optical distance indicator after checking it against a mechanical front pointer. Recombination corrections are measured on each linear accelerator beam and polarity corrections as well in the case of electron beams. The results for high-energy beams have been reassuring both to the regulators and to the physicists who appreciate the independent check. The only disagreements significantly greater than 2% have caused by the use of a cylindrical chamber on a 4MV electron beam by a hospital, and confusion between SSD and isocentric set-up. When we repeated the measurement using the same set-up as the hospital the difference was resolved

  5. Effect of contrast agent administration on consequences of dosimetry and biology in radiotherapy planning

    International Nuclear Information System (INIS)

    Lo, Ching-Jung; Yang, Pei-Ying; Chao, Tsi-Chian; Tu, Shu-Ju

    2015-01-01

    In the treatment planning of radiation therapy, patients may be administrated with contrast media in CT scanning to assist physicians for accurate delineation of the target or organs. However, contrast media are not used in patients during the treatment delivery. In particular, contrast media contain materials with high atomic numbers and dosimetric variations may occur between scenarios where contrast media are present in treatment planning and absent in treatment delivery. In this study we evaluate the effect of contrast media on the dosimetry and biological consequence. An analytical phantom based on AAPM TG 119 and five sets of CT images from clinical patients are included. Different techniques of treatment planning are considered, including 1-field AP, 2-field AP+PA, 4-field box, 7-field IMRT, and RapidArc. RapidArc is a recent technique of volumetric modulated arc therapy and is used in our study of contrast media in clinical scenarios. The effect of RapidArc on dosimetry and biological consequence for administration of contrast media in radiotherapy is not discussed previously in literature. It is shown that dose difference is reduced as the number of external beams is increased, suggesting RapidArc may be favored to be used in the treatment planning enhanced by contrast media. Linear trend lines are fitted for assessment of percent dose differences in the planning target volume versus concentrations of contrast media between plans where contrast media are present and absent, respectively

  6. In vivo dosimetry with thermoluminescent dosimeters in radiotherapy: entrance and exit doses

    International Nuclear Information System (INIS)

    Alves, C.; Lopes, M.C.

    2000-01-01

    In vivo dosimetry, by entrance and exit dose measurements, is a vital part of a radiotherapy quality assurance program. The uncertainty associated with dose delivery is internationally accepted to be within 5% or inferior depending on the tumor pathology. Thermoluminescent dosimetry is one of the dosimetric techniques used to verify the agreement between delivered and prescribed doses. Nevertheless, it requires a very accurate calibration methodology. We have used LiF chips (4.5 mm diameter and 0.8 mm thick) calibrated towards a PTW ionization chamber of 0.3 cc, in three photon energies: Co-60, 4 and 6 MeV. The TLD reader used was a Rialto 688 from NE Technology and the annealing oven the Eurotherm type 815. The calibration methodology relies on the experimental determination of individual correction factors and on a correction factor derived from a control group of dosimeters. The exit and entrance dose measurements are performed in quite different situations. To be able to achieve those two quantities with TLD, these should be independently calibrated according to the measurement conditions. Alternatively, we can use a single calibration, in entrance dose, and convert the result to the exit dose value by introducing some correction factors. These corrections are related to the different measurement depths and to the different backscattering contributions. We have proved that within an acceptable error we can perform a single calibration and adopt the correction factors which are energy and field size dependent. (author)

  7. Monochromatic minibeam radiotherapy: theoretical and experimental dosimetry for preclinical treatment plans

    Energy Technology Data Exchange (ETDEWEB)

    Deman, P; Vautrin, M; Stupar, V; Barbier, E L; Elleaume, H; Esteve, F; Adam, J F, E-mail: adam@esrf.fr [INSERM, U836, BP 170, Grenoble Cedex 9, F-38042 (France)

    2011-07-21

    Monochromatic x-ray minibeam radiotherapy is a new radiosurgery approach based on arrays of submillimetric interlaced planar x-ray beams. The aim of this study was to characterize the dose distributions obtained with this new modality when being used for preclinical trials. Monte Carlo simulations were performed in water phantoms. Percentage depth-dose curves and dose profiles were computed for single incidences and interleaved incidences of 80 keV planar x-ray minibeam (0.6 x 5 mm) arrays. Peak to valley dose ratios were also computed at various depths for an increasing number of minibeams. 3D experimental polymer gel (nPAG) dosimetry measurements were performed using MRI devices designed for small animal imaging. These very high spatial resolution (50 {mu}m) dose maps were compared to the simulations. Preclinical minibeams dose distributions were fully characterized. Experimental dosimetry correlated well with Monte Carlo calculations (Student t-tests: p > 0.1). F98 tumor-bearing rats were also irradiated with interleaved minibeams (80 keV, prescribed dose: 25 Gy). This associated preclinical trial serves as a proof of principle of the technique. The mean survival time of irradiated glioma-bearing rats increased significantly, when compared to the untreated animals (59.6 {+-} 2.8 days versus 28.25 {+-} 0.75 days, p < 0.001).

  8. Development of dose audits for complex treatment techniques in radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Stefanic, A. M.; Molina, L.; Vallejos, M.; Montano, G.; Zaretzky, A.; Saravi, M., E-mail: stefanic@cae.cnea.gov.ar [Centro Regional de Referencia con Patrones Secundarios para Dosimetria - CNEA, Presbitero Juan Gonzalez y Aragon 15, B1802AYA Ezeiza (Argentina)

    2014-08-15

    This work was performed in the frame of a Coordinated Research Project (CRP) with IAEA whose objective was to extend the scope of activities carried out by national TLD-based networks from dosimetry audit for rectangular radiation fields to irregular and small fields relevant to modern radiotherapy. External audit is a crucial element in QA programmes for clinical dosimetry in radiotherapy, therefore a methodology and procedures were developed and were made available for dose measurement of complex radiotherapy parameters used for cancer treatment. There were three audit steps involved in this CRP: TLD based dosimetry for irregular MLC fields for conformal radiotherapy, dosimetry in the presence of heterogeneities and 2D MLC shaped fields relevant to stereotactic radiotherapy and applicable to dosimetry for IMRT. In addition, a new development of film-based 2D dosimetry for testing dose distributions in small field geometry was included. The plan for each audit step involved a pilot study and a trial audit run with a few local hospitals. The pilot study focused on conducting and evaluation of the audit procedures with all participants. The trial audit run was the running of the audit procedures by the participants to test them with a few local radiotherapy hospitals. This work intends to provide audits which are much nearer clinical practice than previous audits as they involve significant testing of Tps methods, as well as verifications to determinate whether hospitals can correctly calculate dose delivery in radiation treatments. (author)

  9. Development of dose audits for complex treatment techniques in radiotherapy

    International Nuclear Information System (INIS)

    Stefanic, A. M.; Molina, L.; Vallejos, M.; Montano, G.; Zaretzky, A.; Saravi, M.

    2014-08-01

    This work was performed in the frame of a Coordinated Research Project (CRP) with IAEA whose objective was to extend the scope of activities carried out by national TLD-based networks from dosimetry audit for rectangular radiation fields to irregular and small fields relevant to modern radiotherapy. External audit is a crucial element in QA programmes for clinical dosimetry in radiotherapy, therefore a methodology and procedures were developed and were made available for dose measurement of complex radiotherapy parameters used for cancer treatment. There were three audit steps involved in this CRP: TLD based dosimetry for irregular MLC fields for conformal radiotherapy, dosimetry in the presence of heterogeneities and 2D MLC shaped fields relevant to stereotactic radiotherapy and applicable to dosimetry for IMRT. In addition, a new development of film-based 2D dosimetry for testing dose distributions in small field geometry was included. The plan for each audit step involved a pilot study and a trial audit run with a few local hospitals. The pilot study focused on conducting and evaluation of the audit procedures with all participants. The trial audit run was the running of the audit procedures by the participants to test them with a few local radiotherapy hospitals. This work intends to provide audits which are much nearer clinical practice than previous audits as they involve significant testing of Tps methods, as well as verifications to determinate whether hospitals can correctly calculate dose delivery in radiation treatments. (author)

  10. Dosimetry

    International Nuclear Information System (INIS)

    Anon.

    1990-01-01

    The purpose of ionizing radiation dosimetry is the measurement of the physical and biological consequences of exposure to radiation. As these consequences are proportional to the local absorption of energy, the dosimetry of ionizing radiation is based on the measurement of this quantity. Owing to the size of the effects of ionizing radiation on materials in all of these area, dosimetry plays an essential role in the prevention and the control of radiation exposure. Its use is of great importance in two areas in particular where the employment of ionizing radiation relates to human health: radiation protection, and medical applications. Dosimetry is different for various reasons: owing to the diversity of the physical characteristics produced by different kinds of radiation according to their nature (X- and γ-photons, electrons, neutrons,...), their energy (from several keV to several MeV), the orders of magnitude of the doses being estimated (a factor of about 10 5 between diagnostic and therapeutic applications); and the temporal and spatial variation of the biological parameters entering into the calculations. On the practical level, dosimetry poses two distinct yet closely related problems: the determination of the absorbed dose received by a subject exposed to radiation from a source external to his body (external dosimetry); and the determination of the absorbed dose received by a subject owing to the presence within his body of some radioactive substance (internal dosimetry)

  11. Dosimetry

    International Nuclear Information System (INIS)

    Rezende, D.A.O. de

    1976-01-01

    The fundamental units of dosimetry are defined, such as exposure rate, absorbed dose and equivalent dose. A table is given of relative biological effectiveness values for the different types of radiation. The relation between the roentgen and rad units is calculated and the concepts of physical half-life, biological half-life and effective half-life are discussed. Referring to internal dosimetry, a mathematical treatment is given to β particle-and γ radiation dosimetry. The absorbed dose is calculated and a practical example is given of the calculation of the exposure and of the dose rate for a gama source [pt

  12. As the thermoluminescent dosimetry can help in the quality control in radiotherapy

    International Nuclear Information System (INIS)

    Araujo, Anna Maria Campos de; Marin, Alfredo Viamonte; Viegas, Claudio C.B.; Souza, Roberto Salomon de; Alves, Victor Gabriel Leandro

    2011-01-01

    According to the international (International Atomic Energy Agency) and national (Agencia Nacional de Vigilancia Sanitaria- ANVISA) rules, the irradiators of any radiotherapy department should be periodical/y checked through a quality control external audit. In Brazil, where we have about 300 radiotherapy equipment, is very difficult to perform these audits on site with a acceptable frequency. For this reason, the Quality Service on Ionizing Radiations from the National Cancer Institute-INCA/Rio de Janeiro, developed and implemented postal systems to evaluate the main parameters of the radiotherapeutic equipment (Co-60, linear accelerators and high dose rate brachytherapy). All the postal systems developed are based on thermoluminescent dosimeters. The aim of this paper is to share the INCA experience in the use of TLD for dose evaluation and quality control measurements. Following the same philosophy, INCA developed also a postal system to evaluate the doses in mammography, since Brazil has 4000 equipment and performs about 8 millions of mammograms per year. A new experience is studying the OSL dosimeters to be used also for dose evaluation, including for in vivo dosimetry. (author)

  13. Metrological legal frame in the field of the photon dosimetry of radiotherapy in Cuba

    International Nuclear Information System (INIS)

    Walwyn S, G.; Gutierrez L, S.; Gonzalez R, N.

    2006-01-01

    The Clinical Dosimetry in the planning of the doses to administer to patients under radiant treatment is of great importance. At the moment the clinical dosemeters its are manufactured with a high technology but errors of production or manipulation cannot be discarded that lead to errors in this planning. It also exists, a group of metrological and of operation parameters that are not checked in a routine calibration, and for those that are checked, legal base that restricts its use in cases of bad operation doesn't exist. This motivated to the Cuban standard elaboration NC 352:2005, for the verification of reference dosemeters of radiotherapy, process that trafficked for an exhaustive search and study of standards and international technical reports, selecting as base document, the standard IEC 60731:1997, for essays of approval of model of clinical dosemeters used in radiotherapy. The present article shows the main technical aspects considered and the requirements and verification methods for the declaration of aptitude of the dosemeters. This document constitutes the scientific base for the implementation from a verification service to national level and an important contribution to the standardization of the metrology of ionizing radiations of Cuba. (Author)

  14. Development of DosiMap: dosimetry device for radiotherapy quality assurance

    International Nuclear Information System (INIS)

    Frelin, A.M.

    2006-10-01

    This thesis deals with the development of a new dosimetry device for the control of radiotherapy beams. This device is composed of a plane plastic scintillator which is set within a polystyrene phantom. When the 'DosiMap' is irradiated, light is produced. This light is composed of scintillation and Cerenkov radiation, and is accurately measured by a C.C.D. camera. The analysis of the light distribution enables us to deduce the dose distribution in the scintillator plan. This device has many advantages such as tissue equivalence, a good spatial resolution, and a linear response with regard to energy. It also provides immediate measurements, and as a consequence, it is a very adapted tool for clinical use. After the introduction about the basic notions of radiotherapy, the different steps of the 'DosiMap' development are exposed in this thesis. In a first time, plastic scintillators have been tested to determine the best one for this application. Then, the deconvolution of scintillation and Cerenkov radiation have been studied, because we only use scintillation to calculate the dose distribution. The camera being in the irradiation room, a lead shield has also been developed to protect the C.C.D. detector from scattered radiations. Finally, the dose calibration and the dose response of 'DosiMap' are exposed. All this work made feasible the measurement of dose distributions with a precision which turns out to be better than 2% for homogeneous photon beams. Excellent results were also obtained when modulated intensity beams are used. (author)

  15. Recommendations for the commissioning and use of a radiotherapy treatment planning system (TPS). S.F.P.M. report nr 27, December 1, 2010

    International Nuclear Information System (INIS)

    Rosenwald, Jean Claude; Bonvalet, Laurent; Mazurier, Jocelyne; Metayer, Christine; Beaudre, Anne; Garcia, Robin; Ruchaud, Romain; Dedieu, Veronique; Bramoulle, Celine; Caselles, Olivier; Lacaze, Brigitte; Mazurier, Jocelyne

    2010-01-01

    This report aims at bringing risks related to the use of Treatment Planning Systems (TPS) to the attention of French medical physicists, and to provide them with practical, precise and updated recommendations related to new legal requirements on commissioning and use of a new planning system. It addresses TPS used in external radiation therapy. It is based on various international (IAEA, ESTRO, AAPM, and so on) and national recommendations, and proposes some rules of good practices for the implementation of a quality insurance policy as well as for the procurement and implementation of a new planning system, as for the performance follow-up of an already installed system. The authors address the following issues: risks associated with the use of a TPS, organisational aspects, dose calculation algorithms and required precision, TPS acceptance, adjustment and tests, periodic controls, treatment plan verification procedures

  16. SU-C-BRD-07: The Radiological Physics Center (RPC): 45 Years of Improving Radiotherapy Dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Followill, D; Lowenstein, J; Molineu, A; Alvarez, P; Summers, P; Kry, S [UT MD Anderson Cancer Center, Houston, TX (United States)

    2014-06-15

    Purpose: The RPC, established in 1968 has contributed to the development, conduct, and QA of NCI funded multi-institutional cooperative group clinical trials and institutions, primarily in the USA/Canada and 242 other countries, participating in trials. Methods: The RPC QA program components were designed to audit the radiation dose calculation chain from the NIST traceable reference beam calibration, to inclusion of dosimetry parameters used to calculate tumor doses, to the delivery of the radiation dose. The QA program included: 1) remote TLD/OSLD audit of machine output, 2) on-site dosimetry review visits, 3) credentialing for advanced technologies, and 4) review of patient treatment records. The RPC presented and published their findings to the radiation oncology community. Results: The number of institutions monitored by the RPC increased from around 1200 in the late 90s, to ∼2000 in 2013. There were over 4000 megavoltage therapy machines and ∼28,000 therapy beams in the 1991 institutions monitored by the RPC by the end of 2013. Within the 14,000 photon, electron and proton beam outputs remotely monitored with TLD/OSLD annually, between 10-20% of the institutions have one or more beams outside the RPC 5% criterion. Dosimetry site visits to photon and proton centers continue to result in 2-4 recommendations affecting key dosimetry parameters that impact patient treatment times. One in four patient treatment records reviewed by the RPC have their dose data corrected by >5% before trial groups use them for outcomes analysis. Twelve of fourteen clinically active proton centers are approved to participate in NCI funded clinical trials. The RPC published 222 peer reviewed articles since 1972. Conclusion: Findings from the RPC suggest that human errors continue to play a role in radiotherapy discrepancies and without the RPC independent QA program, the number of undetected errors and time elapsed before their discovery would have been greater. Work supported by

  17. Dosimetry in radiotherapy and brachytherapy by Monte-Carlo GATE simulation on computing grid

    International Nuclear Information System (INIS)

    Thiam, Ch.O.

    2007-10-01

    Accurate radiotherapy treatment requires the delivery of a precise dose to the tumour volume and a good knowledge of the dose deposit to the neighbouring zones. Computation of the treatments is usually carried out by a Treatment Planning System (T.P.S.) which needs to be precise and fast. The G.A.T.E. platform for Monte-Carlo simulation based on G.E.A.N.T.4 is an emerging tool for nuclear medicine application that provides functionalities for fast and reliable dosimetric calculations. In this thesis, we studied in parallel a validation of the G.A.T.E. platform for the modelling of electrons and photons low energy sources and the optimized use of grid infrastructures to reduce simulations computing time. G.A.T.E. was validated for the dose calculation of point kernels for mono-energetic electrons and compared with the results of other Monte-Carlo studies. A detailed study was made on the energy deposit during electrons transport in G.E.A.N.T.4. In order to validate G.A.T.E. for very low energy photons (<35 keV), three models of radioactive sources used in brachytherapy and containing iodine 125 (2301 of Best Medical International; Symmetra of Uro- Med/Bebig and 6711 of Amersham) were simulated. Our results were analyzed according to the recommendations of task group No43 of American Association of Physicists in Medicine (A.A.P.M.). They show a good agreement between G.A.T.E., the reference studies and A.A.P.M. recommended values. The use of Monte-Carlo simulations for a better definition of the dose deposited in the tumour volumes requires long computing time. In order to reduce it, we exploited E.G.E.E. grid infrastructure where simulations are distributed using innovative technologies taking into account the grid status. Time necessary for the computing of a radiotherapy planning simulation using electrons was reduced by a factor 30. A Web platform based on G.E.N.I.U.S. portal was developed to make easily available all the methods to submit and manage G

  18. Dosimetry, clinical factors and medication intake influencing urinary symptoms after prostate radiotherapy: An analysis of data from the RADAR prostate radiotherapy trial

    International Nuclear Information System (INIS)

    Yahya, Noorazrul; Ebert, Martin A.; Bulsara, Max; Haworth, Annette; Kennedy, Angel; Joseph, David J.; Denham, Jim W.

    2015-01-01

    Purpose/objective: To identify dosimetry, clinical factors and medication intake impacting urinary symptoms after prostate radiotherapy. Material and methods: Data describing clinical factors and bladder dosimetry (reduced with principal component (PC) analysis) for 754 patients treated with external beam radiotherapy accrued by TROG 03.04 RADAR prostate radiotherapy trial were available for analysis. Urinary symptoms (frequency, incontinence, dysuria and haematuria) were prospectively assessed using LENT-SOMA to a median of 72 months. The endpoints assessed were prevalence (grade ⩾1) at the end of radiotherapy (representing acute symptoms), at 18-, 36- and 54-month follow-ups (representing late symptoms) and peak late incidence including only grade ⩾2. Impact of factors was assessed using multivariate logistic regression models with correction for over-optimism. Results: Baseline symptoms, non-insulin dependent diabetes mellitus, age and PC1 (correlated to the mean dose) impact symptoms at >1 timepoints. Associations at a single timepoint were found for cerebrovascular condition, ECOG status and non-steroidal anti-inflammatory drug intake. Peak incidence analysis shows the impact of baseline, bowel and cerebrovascular condition and smoking status. Conclusions: The prevalence and incidence analysis provide a complementary view for urinary symptom prediction. Sustained impacts across time points were found for several factors while some associations were not repeated at different time points suggesting poorer or transient impact

  19. Real-time optical-fibre luminescence dosimetry for radiotherapy: physical characteristics and applications in photon beams

    DEFF Research Database (Denmark)

    Aznar, M.C.; Andersen, C.E.; Bøtter-Jensen, L.

    2004-01-01

    , real-time read-out and the ability to measure both dose rate and absorbed dose. The measurements describing reproducibility and output dependence on dose rate, field size and energy all had standard deviations smaller than 1%. The signal variation with the angle of incidence was smaller than 2% (1 SD......). Measurements performed in clinical situations suggest the potential of using this real-time system for in vivo dosimetry in radiotherapy....

  20. SU-G-TeP2-06: Development of Novel Radiochromic Films for Radiotherapy Dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Alqathami, M; Lee, H; Ibbott, G [UT MD Anderson Cancer Center, Houston, TX (United States); Won Choi, G [UT MD Anderson Cancer Center, Houston, TX-Texas (United States); Blencowe, A [The University of South Australia, South Australia, SA (Australia); Wen, Z [MD Anderson Cancer Center, Houston, TX (United States); Adamovics, J [Department of Chemistry and Biology, Rider University, Skillman, NJ (United States)

    2016-06-15

    Purpose: To develop and evaluate novel radiochromic films for quality assurance in radiotherapy dosimetry. Materials and Methods: Novel radiochromic film compositions were formulated using leuco crystal violet (LCV) as a reporting system and tetrabromoethane as a free radical source. The film matrix used consisted of polyurethane polymer mixed with dibutyl phthalate plasticizer (20 wt%). The concentration of the radical initiator was kept constant at 10 wt% and the concentration of the LCV dye varied (1 and 2 wt%). To ensure uniform thickness of the film, its precursors were sandwiched between two pieces of glass separated by a 1 mm gap between during the curing process. The films were cut into pieces and were irradiated with a 6 MV X-ray beam to selected doses. The change in optical density was measured using a flatbed scanner and a spectrophotometer. Results: The results showed that all film formulations exhibited a linear response with dose and an absorption maximum at ∼ 590 nm. The formulation with 2 wt% LCV was ∼ 30% more sensitive to dose than the formulation with 1 wt% LCV. Both films were very deformable. In addition, the radiochromic response of the film was found to bleach over a short period of time (few weeks) allowing the film to be reused for dose verification measurements. Conclusion: Both film formulations displayed excellent sensitivity and linearity to radiation dose and thus can be used for the 2D dosimetry of clinical megavoltage and kilovoltage X-ray beams. In addition, the thickness of the film could easily be increased allowing for their potential use as a deformable bolus material. However, thicker films would need more optimization of the manufacturing procedure to ensure consistent material uniformity and sensitivity are recommended.

  1. In vivo dosimetry and acute toxicity in breast cancer patients undergoing intraoperative radiotherapy as boost

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jason Joon Bock; Choi, Jin Hyun; Lee, Ik Jae; Park, Kwang Woo; Kim, Kang Pyo; Kim, Jun Won [Dept. of Radiation Oncology, Yonsei University College of Medicine, Seoul (Korea, Republic of); Ahn, Sung Gwe; Jeong, Joon [Dept. of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul (Korea, Republic of)

    2017-06-15

    To report the results of a correlation analysis of skin dose assessed by in vivo dosimetry and the incidence of acute toxicity. This is a phase 2 trial evaluating the feasibility of intraoperative radiotherapy (IORT) as a boost for breast cancer patients. Eligible patients were treated with IORT of 20 Gy followed by whole breast irradiation (WBI) of 46 Gy. A total of 55 patients with a minimum follow-up of 1 month after WBI were evaluated. Optically stimulated luminescence dosimeter (OSLD) detected radiation dose delivered to the skin during IORT. Acute toxicity was recorded according to the Common Terminology Criteria for Adverse Events v4.0. Clinical parameters were correlated with seroma formation and maximum skin dose. Median follow-up after IORT was 25.9 weeks (range, 12.7 to 50.3 weeks). Prior to WBI, only one patient developed acute toxicity. Following WBI, 30 patients experienced grade 1 skin toxicity and three patients had grade 2 skin toxicity. Skin dose during IORT exceeded 5 Gy in two patients: with grade 2 complications around the surgical scar in one patient who received 8.42 Gy. Breast volume on preoperative images (p = 0.001), ratio of applicator diameter and breast volume (p = 0.002), and distance between skin and tumor (p = 0.003) showed significant correlations with maximum skin dose. IORT as a boost was well-tolerated among Korean women without severe acute complication. In vivo dosimetry with OSLD can help ensure safe delivery of IORT as a boost.

  2. SU-E-T-153: Detector-Grade CVD Diamond for Radiotherapy Dosimetry.

    Science.gov (United States)

    Lansley, S; Betzel, G; McKay, D; Meyer, J

    2012-06-01

    To evaluate the use of commercially available detector-grade synthetic diamond films made via chemical vapor deposition (CVD) as x- ray detectors for radiotherapy dosimetry. A detector was fabricated using high-quality single crystal CVD diamond films (0.5 × 3 × 3 mm̂3) with 0.4 mm̂3 sensitive volumes, which were encapsulated with PMMA. The detector was placed in a (30 × 30 × 30 cm̂3) PTW water phantom. Six- and ten-MV photons from an Elekta Synergy linac were measured using an SSD of 90 cm and typically a 10-cm phantom depth with a 10 × 10 cm̂2 field size in the central axis of the beam. Data acquisition was performed using a PTW UNIDOS E electrometer with a 100-V bias. The detector was evaluated by measuring leakage current, priming dose, response dynamics, dose linearity, dependence on dose rate, percent depth dose (6 and 10 MV photons) and output factors. Some measurements were compared with a Si diode detector, 0.04 and/or 0.13-cc ion chamber(s). Leakage currents were negligible (∼1 pA) given the overall average sensitivity of the material (680 nC/Gy at 100 V). Detector current rise and fall times were detectors as expected. The type of diamond tested has potential to be used for small field dosimetry due to its small sensitive volume and high sensitivity. Further experiments are ongoing and detector packaging is yet to be optimized. © 2012 American Association of Physicists in Medicine.

  3. Dosimetric validation of new semiconductor diode dosimetry system for intensity modulated radiotherapy

    Directory of Open Access Journals (Sweden)

    Rajesh Kinhikar

    2012-01-01

    Full Text Available Introduction: The new diode Isorad was validated for intensity modulated radiotherapy (IMRT and the observations during the validation are reported. Materials and Methods: The validation includes intrinsic precision, post-irradiation stability, dose linearity, dose-rate effect, angular response, source to surface (SSD dependence, field size dependence, and dose calibration. Results: The intrinsic precision of the diode was more than 1% (1 σ. The linearity found in the whole range of dose analyzed was 1.93% (R 2 = 1. The minimum and maximum variation in the measured and calculated dose were found to be 0.78% (with 25 MU at ioscentre and 4.8% (with 1000 MU at isocentre, respectively. The maximal variation in angular response with respect to arbitrary angle 0° found was 1.31%. The diode exhibited a 51.7% and 35% decrease in the response in the 35 cm and 20 cm SSD range, respectively. The minimum and the maximum variation in the measured dose from the diode and calculated dose were 0.82% (5 cm × 5 cm and 3.75% (30 cm × 30 cm, respectively. At couch 270°, the response of the diode was found to vary maximum by 1.4% with ΁ 60 gantry angle. Mean variation between measured dose with diode and planned dose by TPS was found to be 1.3% (SD 0.75 for IMRT patient-specific quality assurance. Conclusion: For the evaluation of IMRT, use of cylindrical diode is strongly recommended.

  4. [Statistical process control applied to intensity modulated radiotherapy pretreatment controls with portal dosimetry].

    Science.gov (United States)

    Villani, N; Gérard, K; Marchesi, V; Huger, S; François, P; Noël, A

    2010-06-01

    The first purpose of this study was to illustrate the contribution of statistical process control for a better security in intensity modulated radiotherapy (IMRT) treatments. This improvement is possible by controlling the dose delivery process, characterized by pretreatment quality control results. So, it is necessary to put under control portal dosimetry measurements (currently, the ionisation chamber measurements were already monitored by statistical process control thanks to statistical process control tools). The second objective was to state whether it is possible to substitute ionisation chamber with portal dosimetry in order to optimize time devoted to pretreatment quality control. At Alexis-Vautrin center, pretreatment quality controls in IMRT for prostate and head and neck treatments were performed for each beam of each patient. These controls were made with an ionisation chamber, which is the reference detector for the absolute dose measurement, and with portal dosimetry for the verification of dose distribution. Statistical process control is a statistical analysis method, coming from industry, used to control and improve the studied process quality. It uses graphic tools as control maps to follow-up process, warning the operator in case of failure, and quantitative tools to evaluate the process toward its ability to respect guidelines: this is the capability study. The study was performed on 450 head and neck beams and on 100 prostate beams. Control charts, showing drifts, both slow and weak, and also both strong and fast, of mean and standard deviation have been established and have shown special cause introduced (manual shift of the leaf gap of the multileaf collimator). Correlation between dose measured at one point, given with the EPID and the ionisation chamber has been evaluated at more than 97% and disagreement cases between the two measurements were identified. The study allowed to demonstrate the feasibility to reduce the time devoted to

  5. Statistical process control applied to intensity modulated radiotherapy pretreatment controls with portal dosimetry

    International Nuclear Information System (INIS)

    Villani, N.; Noel, A.; Villani, N.; Gerard, K.; Marchesi, V.; Huger, S.; Noel, A.; Francois, P.

    2010-01-01

    Purpose The first purpose of this study was to illustrate the contribution of statistical process control for a better security in intensity modulated radiotherapy (I.M.R.T.) treatments. This improvement is possible by controlling the dose delivery process, characterized by pretreatment quality control results. So, it is necessary to put under control portal dosimetry measurements (currently, the ionisation chamber measurements were already monitored by statistical process control thanks to statistical process control tools). The second objective was to state whether it is possible to substitute ionisation chamber with portal dosimetry in order to optimize time devoted to pretreatment quality control. Patients and methods At Alexis-Vautrin center, pretreatment quality controls in I.M.R.T. for prostate and head and neck treatments were performed for each beam of each patient. These controls were made with an ionisation chamber, which is the reference detector for the absolute dose measurement, and with portal dosimetry for the verification of dose distribution. Statistical process control is a statistical analysis method, coming from industry, used to control and improve the studied process quality. It uses graphic tools as control maps to follow-up process, warning the operator in case of failure, and quantitative tools to evaluate the process toward its ability to respect guidelines: this is the capability study. The study was performed on 450 head and neck beams and on 100 prostate beams. Results Control charts, showing drifts, both slow and weak, and also both strong and fast, of mean and standard deviation have been established and have shown special cause introduced (manual shift of the leaf gap of the multi-leaf collimator). Correlation between dose measured at one point, given with the E.P.I.D. and the ionisation chamber has been evaluated at more than 97% and disagreement cases between the two measurements were identified. Conclusion The study allowed to

  6. Surface dosimetry for breast radiotherapy in the presence of immobilization cast material

    International Nuclear Information System (INIS)

    Kelly, Andrew; Hardcastle, Nicholas; Metcalfe, Peter; Cutajar, Dean; Quinn, Alexandra; Cardoso, Michael; Rosenfeld, Anatoly; Foo, Kerwyn; Barlin, Sheree

    2011-01-01

    Curative breast radiotherapy typically leaves patients with varying degrees of cosmetic damage. One problem interfering with cosmetically acceptable breast radiotherapy is the external contour for large pendulous breasts which often results in high doses to skin folds. Thermoplastic casts are often employed to secure the breasts to maintain setup reproducibility and limit the presence of skin folds. This paper aims to determine changes in surface dose that can be attributed to the use of thermoplastic immobilization casts. Skin dose for a clinical hybrid conformal/IMRT breast plan was measured using radiochromic film and MOSFET detectors at a range of water equivalent depths representative of the different skin layers. The radiochromic film was used as an integrating dosimeter, while the MOSFETs were used for real-time dosimetry to isolate the contribution of skin dose from individual IMRT segments. Strips of film were placed at various locations on the breast and the MOSFETs were used to measure skin dose at 16 positions spaced along the film strips for comparison of data. The results showed an increase in skin dose in the presence of the immobilization cast of up to 45.7% and 62.3% of the skin dose without the immobilization cast present as measured with Gafchromic EBT film and MOSFETs, respectively. The increase in skin dose due to the immobilization cast varied with the angle of beam incidence and was greatest when the beam was normally incident on the phantom. The increase in surface dose with the immobilization cast was greater under entrance dose conditions compared to exit dose conditions.

  7. Surface dosimetry for breast radiotherapy in the presence of immobilization cast material

    Science.gov (United States)

    Kelly, Andrew; Hardcastle, Nicholas; Metcalfe, Peter; Cutajar, Dean; Quinn, Alexandra; Foo, Kerwyn; Cardoso, Michael; Barlin, Sheree; Rosenfeld, Anatoly

    2011-02-01

    Curative breast radiotherapy typically leaves patients with varying degrees of cosmetic damage. One problem interfering with cosmetically acceptable breast radiotherapy is the external contour for large pendulous breasts which often results in high doses to skin folds. Thermoplastic casts are often employed to secure the breasts to maintain setup reproducibility and limit the presence of skin folds. This paper aims to determine changes in surface dose that can be attributed to the use of thermoplastic immobilization casts. Skin dose for a clinical hybrid conformal/IMRT breast plan was measured using radiochromic film and MOSFET detectors at a range of water equivalent depths representative of the different skin layers. The radiochromic film was used as an integrating dosimeter, while the MOSFETs were used for real-time dosimetry to isolate the contribution of skin dose from individual IMRT segments. Strips of film were placed at various locations on the breast and the MOSFETs were used to measure skin dose at 16 positions spaced along the film strips for comparison of data. The results showed an increase in skin dose in the presence of the immobilization cast of up to 45.7% and 62.3% of the skin dose without the immobilization cast present as measured with Gafchromic EBT film and MOSFETs, respectively. The increase in skin dose due to the immobilization cast varied with the angle of beam incidence and was greatest when the beam was normally incident on the phantom. The increase in surface dose with the immobilization cast was greater under entrance dose conditions compared to exit dose conditions.

  8. TPS for Outer Planets

    Science.gov (United States)

    Venkatapathy, Ethiraj; Ellerby, D.; Gage, P.; Gasch, M.; Hwang, H.; Prabhu, D.; Stackpoole, M.; Wercinski, Paul

    2018-01-01

    This invited talk will provide an assessment of the TPS needs for Outer Planet In-situ missions to destinations with atmosphere. The talk will outline the drivers for TPS from destination, science, mission architecture and entry environment. An assessment of the readiness of the TPS, both currently available and under development, for Saturn, Titan, Uranus and Neptune are provided. The challenges related to sustainability of the TPS for future missions are discussed.

  9. A verification methodology for in vivo dosimetry in stereotactic radiotherapy; Uma metodologia para verificacao dosimetrica in vivo em radioterapia estereotaxica

    Energy Technology Data Exchange (ETDEWEB)

    Amaral, Leonardo L.; Oliveira, Harley F.; Fairbanks, Leandro R., E-mail: leonardo.fis@usp.br [Universidade de Sao Paulo (HCFMRP/USP), Ribeirao Preto, SP (Brazil). Faculdade de Medicina. Hospital das Clinicas; Nicolucci, Patricia; Netto, Thomaz G. [Universidade de Sao Paulo (FFCLRP/USP), Ribeirao Preto, SP (Brazil). Faculdade de Filosofia, Ciencias e Letras. Departamento de Fisica

    2012-12-15

    Radiotherapy of brain lesions near critical structures requires a high accuracy in the location and dose. The high precision is achieved by the location of the stereotactic apparatus. The accuracy in dose delivery should be accompanied by an accurate quality control in devices that involve the practice, however, still does not guarantee the dose at the time of therapy. The large number of fields and the small size of these conventional methods difficult dosimetry during treatment. The objective of this work was to develop a verification methodology in vivo dosimetry in stereotactic radiotherapy with the aid of the film radiochromic Linear Accelerator with multi leaf collimators Moduleaf. The technique uses film segments radiochromic Gafchromic EBT2, with dimensions of 1x1 cm{sup 2} in area outside the coupled micro-multileaf Moduleaf Siemens. These films were inserted in the region of the central axis of the beam. The films were irradiated and calibrated to obtain the factors that determine the size dependence of the dosimetric field. With these data, we designed a computer program which calculates the density of a film must acquire when subjected to an exposure in this setting. This study evaluated five non-coplanar plans, the first with 15 fields and the other with 25 fields. Before starting the procedure, the film segment is coupled to the device, and after the treatment, the relative density is evaluated and compared with the calculated. The average value of the verification at the time of radiation dosimetry compared with the calculated by the sheet was 1.5%. The data collected in this study showed a satisfactory agreement between measured and calculated by the program in the densitometer. Thus, a methodology was developed to verify in vivo dosimetry in radiotherapy and stereotactic linear accelerator collimators Moduleaf. (author)

  10. Characterization of phenolic pellets for ESR dosimetry in photon beam radiotherapy

    International Nuclear Information System (INIS)

    Gallo, Salvatore; Veronese, Ivan; Iacoviello, Giuseppina; Panzeca, Salvatore; Bartolotta, Antonio; Longo, Anna; Dondi, Daniele; Gueli, Anna Maria; Loi, Gianfranco; Mones, Eleonora; Marrale, Maurizio

    2017-01-01

    This work deals with the dosimetric features of a particular phenolic compound (IRGANOX 1076 registered ) for dosimetry of clinical photon beams by using electron spin resonance (ESR) spectroscopy. After the optimization of the ESR readout parameters (namely modulation amplitude and microwave power) to maximise the signal without excessive spectrum distortions, basic dosimetric properties of laboratory-made phenolic dosimeters in pellet form, such as reproducibility, dose-response, sensitivity, linearity and dose rate dependence were investigated. The dosimeters were tested by measuring the depth dose profile of a 6 MV photon beam. A satisfactory intra-batch reproducibility of the ESR signal of the manufactured dosimeters was obtained. The ESR signal proved to increase linearly with increasing dose in the investigated dose range 1-13 Gy. The presence of an intrinsic background signal limits the minimum detectable dose to a value of approximately 0.6 Gy. Reliable and accurate assessment of the dose was achieved, independently of the dose rate. Such characteristics, together with the fact that IRGANOX 1076 registered is almost tissue-equivalent, and the stability of the ESR signal, make these dosimeters promising materials for ESR dosimetric applications in radiotherapy. (orig.)

  11. Characterization of phenolic pellets for ESR dosimetry in photon beam radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Gallo, Salvatore; Veronese, Ivan [Universita degli Studi di Milano, Department of Physics, Milan (Italy); Istituto Nazionale di Fisica Nucleare, Sezione di Milano (Italy); Iacoviello, Giuseppina [Hospital ARNAS-Civico, Medical Physics Department, Palermo (Italy); Panzeca, Salvatore [Universita degli Studi di Palermo, Department of Physics and Chemistry, Palermo (Italy); Istituto Nazionale di Fisica Nucleare-Sezione di Catania, Catania (Italy); Bartolotta, Antonio; Longo, Anna [Universita degli Studi di Palermo, Department of Physics and Chemistry, Palermo (Italy); Dondi, Daniele [Universita degli Studi di Pavia, Department of Chemistry, Pavia (Italy); Istituto Nazionale di Fisica Nucleare, Sezione di Pavia (Italy); Gueli, Anna Maria [Istituto Nazionale di Fisica Nucleare-Sezione di Catania, Catania (Italy); Universita degli Studi di Catania, Department of Physics and Astronomy, PH3DRA Laboratories, Catania (Italy); Loi, Gianfranco; Mones, Eleonora [Azienda Ospedaliero Universitaria Maggiore della Carita, Medical Physics Department, Novara (Italy); Marrale, Maurizio [Universita degli Studi di Palermo, Department of Physics and Chemistry, Palermo (Italy); Istituto Nazionale di Fisica Nucleare-Sezione di Catania, Catania (Italy); Universita degli Studi di Palermo, Advanced Technologies Network Center (ATeN Center), Palermo (Italy)

    2017-11-15

    This work deals with the dosimetric features of a particular phenolic compound (IRGANOX 1076 {sup registered}) for dosimetry of clinical photon beams by using electron spin resonance (ESR) spectroscopy. After the optimization of the ESR readout parameters (namely modulation amplitude and microwave power) to maximise the signal without excessive spectrum distortions, basic dosimetric properties of laboratory-made phenolic dosimeters in pellet form, such as reproducibility, dose-response, sensitivity, linearity and dose rate dependence were investigated. The dosimeters were tested by measuring the depth dose profile of a 6 MV photon beam. A satisfactory intra-batch reproducibility of the ESR signal of the manufactured dosimeters was obtained. The ESR signal proved to increase linearly with increasing dose in the investigated dose range 1-13 Gy. The presence of an intrinsic background signal limits the minimum detectable dose to a value of approximately 0.6 Gy. Reliable and accurate assessment of the dose was achieved, independently of the dose rate. Such characteristics, together with the fact that IRGANOX 1076 {sup registered} is almost tissue-equivalent, and the stability of the ESR signal, make these dosimeters promising materials for ESR dosimetric applications in radiotherapy. (orig.)

  12. Use of a modified natural-rubber phantom for radiotherapy dosimetry measurements

    International Nuclear Information System (INIS)

    Bradley, D.A.; Ng, K.-H.; Aziz, Y.B.

    1988-01-01

    The utility of a phantom material, based on SMR(L) [Standard Malaysian Rubber] grade natural rubber and a formulation used for the proprietary rubber phantom-material, Temex, has been examined for the 1-MeV photon-energy range using γ radiation from a 60 Co source. Measurement has also been performed with 60-keV photons using the radionuclide 241 Am. At photon-therapy energy levels the measured response, when compared with tabulated central-axis percentage depth doses for defined measuring conditions, produces everywhere (in the range 1-19 cm depth) better than 2% deviation. The favourable measured response characteristics combined with the ease of processing and casting the phantom material provide the basis for useful radiotherapy machine calibration and anthropomorphic dosimetry measurements. The measured mass-attenuation coefficient, at 60 keV, of 0.204 cm 2 g -1 (± 3%) is in close agreement with tabulated values for water (0.2055 cm 2 g -1 ). (author)

  13. Design and test of a scintillation dosimeter for dosimetry measurements of high energy radiotherapy beams

    International Nuclear Information System (INIS)

    Fontbonne, J.M.

    2002-12-01

    This work describes the design and evaluation of the performances of a scintillation dosimeter developed for the dosimetry of radiation beams used in radiotherapy. The dosimeter consists in a small plastic scintillator producing light which is guided by means of a plastic optical fiber towards photodetectors. In addition to scintillation, high energy ionizing radiations produce Cerenkov light both in the scintillator and the optical fiber. Based on a wavelength analysis, we have developed a deconvolution technique to measure the scintillation light in the presence of Cerenkov light. We stress the advantages that are anticipated from plastic scintillator, in particular concerning tissue or water equivalence (mass stopping power, mass attenuation or mass energy absorption coefficients). We show that detectors based on this material have better characteristics than conventional dosimeters such as ionisation chambers or silicon detectors. The deconvolution technique is exposed, as well as the calibration procedure using an ionisation chamber. We have studied the uncertainty of our dosimeter. The electronics noise, the fiber transmission, the deconvolution technique and the calibration errors give an overall combined experimental uncertainty of about 0,5%. The absolute response of the dosimeter is studied by means of depth dose measurements. We show that absolute uncertainty with photons or electrons beams with energies ranging from 4 MeV to 25 MeV is less than ± 1 %. Last, at variance with other devices, our scintillation dosimeter does not need dose correction with depth. (author)

  14. Internal dosimetry through GATE simulations of preclinical radiotherapy using a melanin-targeting ligand

    International Nuclear Information System (INIS)

    Perrot, Y; Donnarieix, D; Maigne, L; Degoul, F; Auzeloux, P; Bonnet, M; Cachin, F; Chezal, J M; Labarre, P; Moins, N; Papon, J; Rbah-Vidal, L; Vidal, A; Miot-Noirault, E

    2014-01-01

    The GATE Monte Carlo simulation platform based on the Geant4 toolkit is under constant improvement for dosimetric calculations. In this study, we explore its use for the dosimetry of the preclinical targeted radiotherapy of melanoma using a new specific melanin-targeting radiotracer labeled with iodine 131. Calculated absorbed fractions and S values for spheres and murine models (digital and CT-scan-based mouse phantoms) are compared between GATE and EGSnrc Monte Carlo codes considering monoenergetic electrons and the detailed energy spectrum of iodine 131. The behavior of Geant4 standard and low energy models is also tested. Following the different authors’ guidelines concerning the parameterization of electron physics models, this study demonstrates an agreement of 1.2% and 1.5% with EGSnrc, respectively, for the calculation of S values for small spheres and mouse phantoms. S values calculated with GATE are then used to compute the dose distribution in organs of interest using the activity distribution in mouse phantoms. This study gives the dosimetric data required for the translation of the new treatment to the clinic. (paper)

  15. PET/CT image registration: Preliminary tests for its application to clinical dosimetry in radiotherapy

    International Nuclear Information System (INIS)

    Banos-Capilla, M. C.; Garcia, M. A.; Bea, J.; Pla, C.; Larrea, L.; Lopez, E.

    2007-01-01

    The quality of dosimetry in radiotherapy treatment requires the accurate delimitation of the gross tumor volume. This can be achieved by complementing the anatomical detail provided by CT images through fusion with other imaging modalities that provide additional metabolic and physiological information. Therefore, use of multiple imaging modalities for radiotherapy treatment planning requires an accurate image registration method. This work describes tests carried out on a Discovery LS positron emission/computed tomography (PET/CT) system by General Electric Medical Systems (GEMS), for its later use to obtain images to delimit the target in radiotherapy treatment. Several phantoms have been used to verify image correlation, in combination with fiducial markers, which were used as a system of external landmarks. We analyzed the geometrical accuracy of two different fusion methods with the images obtained with these phantoms. We first studied the fusion method used by the PET/CT system by GEMS (hardware fusion) on the basis that there is satisfactory coincidence between the reconstruction centers in CT and PET systems; and secondly the fiducial fusion, a registration method, by means of least-squares fitting algorithm of a landmark points system. The study concluded with the verification of the centroid position of some phantom components in both imaging modalities. Centroids were estimated through a calculation similar to center-of-mass, weighted by the value of the CT number and the uptake intensity in PET. The mean deviations found for the hardware fusion method were: vertical bar Δx vertical bar ±σ=3.3 mm±1.0 mm and vertical bar Δy vertical bar ±σ=3.6 mm±1.0 mm. These values were substantially improved upon applying fiducial fusion based on external landmark points: vertical bar Δx vertical bar ±σ=0.7 mm±0.8 mm and vertical bar Δy vertical bar ±σ=0.3 mm±1.7 mm. We also noted that differences found for each of the fusion methods were similar for

  16. Reference dosimetry and small-field dosimetry in external beam radiotherapy: Results from a Danish intercomparison study

    DEFF Research Database (Denmark)

    Beierholm, Anders Ravnsborg; Behrens, Claus F.; Sibolt, Patrik

    methods was performed by DTU Nutech at six Danish clinics. The first part of the intercompa-rison regarded the consistency of reference dosimetry. Absorbed dose to water under reference conditions was measured using a Farmer ionization chamber, and was found to agree within 1 % with the daily dose checks......-specific correction factors for non-reference fields....

  17. Three-dimensional printer-generated patient-specific phantom for artificial in vivo dosimetry in radiotherapy quality assurance.

    Science.gov (United States)

    Kamomae, Takeshi; Shimizu, Hidetoshi; Nakaya, Takayoshi; Okudaira, Kuniyasu; Aoyama, Takahiro; Oguchi, Hiroshi; Komori, Masataka; Kawamura, Mariko; Ohtakara, Kazuhiro; Monzen, Hajime; Itoh, Yoshiyuki; Naganawa, Shinji

    2017-12-01

    Pretreatment intensity-modulated radiotherapy quality assurance is performed using simple rectangular or cylindrical phantoms; thus, the dosimetric errors caused by complex patient-specific anatomy are absent in the evaluation objects. In this study, we construct a system for generating patient-specific three-dimensional (3D)-printed phantoms for radiotherapy dosimetry. An anthropomorphic head phantom containing the bone and hollow of the paranasal sinus is scanned by computed tomography (CT). Based on surface rendering data, a patient-specific phantom is formed using a fused-deposition-modeling-based 3D printer, with a polylactic acid filament as the printing material. Radiophotoluminescence glass dosimeters can be inserted in the 3D-printed phantom. The phantom shape, CT value, and absorbed doses are compared between the actual and 3D-printed phantoms. The shape difference between the actual and printed phantoms is less than 1 mm except in the bottom surface region. The average CT value of the infill region in the 3D-printed phantom is -6 ± 18 Hounsfield units (HU) and that of the vertical shell region is 126 ± 18 HU. When the same plans were irradiated, the dose differences were generally less than 2%. These results demonstrate the feasibility of the 3D-printed phantom for artificial in vivo dosimetry in radiotherapy quality assurance. Copyright © 2017 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

  18. The effect of different dopant concentration of tailor-made silica fibers in radiotherapy dosimetry

    Science.gov (United States)

    Begum, Mahfuza; Mizanur Rahman, A. K. M.; Zubair, H. T.; Abdul-Rashid, H. A.; Yusoff, Z.; Begum, Mahbuba; Alkhorayef, M.; Alzimami, K.; Bradley, D. A.

    2017-12-01

    In thermoluminescence (TL) material dopant concentration has an important effect on their characteristics as a ;radiation-sensor;. The study investigates dosimetric properties of four different concentration (4 mol%, 5 mol%, 7 mol% and 25 mol%) tailor-made Ge-doped silica fibers. The intention is to seek development of alternative TL materials that offer exceptional advantages over existing passive systems of dosimetry, including improved spatial resolution, a water impervious nature and low cost. Photon beams (6 MV and 10 MV) from a clinical linear accelerator were used for irradiation of the fiber samples over radiation therapy doses, ranging from 0.5 Gy to 8 Gy. SEM-EDX analysis was also performed to investigate the homogeneity of distribution of Ge dopant concentration from the fiber samples. The results of measurement were also compared with two of the more commonly used standard TLDs, TLD-100 (LiF: Mg,Ti-7.5% 6LiF) and TLD-700 ((7LiF: Mg,Ti-99.9%7LiF) chips respectively. The TL intensity of the fiber samples was found to strongly depend on Ge dopant concentration, with samples showing enhanced TL yields with decreasing Ge dopant concentration. 4 mol% Ge-doped silica fiber provided the greatest response whereas the 25 mol% samples showed the least, indicative of the well-known concentration quenching effects All fiber TLDs provided linear dose response over the delivered radiotherapy dose-range, the fibers also showing a weak dependence on photon beam energies in comparing the TL yields at 6 and 10 MV. The fading behavior of the different concentration Ge doped TLD-materials were also measured over a period of thirty (30) days subsequent to irradiation. The relative sensitivity of the samples with respect to standard TLD-100 were found to be 0.37, 0.26, 0.13 and 0.02 in respect of the 4, 5, 7 and 25 mol% fibers. The primary dosimetry peak, which was by far the most prominent of any other feature covered by the glow curve, was found to be around 244 °C using

  19. A fiber-dosimetry method based on OSL from Al2O3:C for radiotherapy applications

    International Nuclear Information System (INIS)

    Gaza, R.; McKeever, S.W.S.; Akselrod, M.S.; Akselrod, A.; Underwood, T.; Yoder, C.; Andersen, C.E.; Aznar, M.C.; Marckmann, C.J.; Boetter-Jensen, L.

    2004-01-01

    We describe a high-sensitivity, fiber-optic dosimetry system based on optically stimulated luminescence (OSL) and radioluminescence from Al 2 O 3 :C single-crystal fibers (detectors). The detectors are coupled to a fiber optic delivery system and OSL from the detector is stimulated via the optical fiber cable using light from a Nd:YAG laser. The OSL is guided back along the same fiber and is detected by a photomultiplier tube. The Al 2 O 3 :C detectors are small and demonstrate high sensitivity with a large signal-to-noise ratio. We describe two modes of operation of the system and discuss algorithms that provide accurate estimation of dose rate and integrated dose in near real time. The system is free from magnetic and electrical interference, and is designed for use in several forms of radiotherapy, including in vitro brachytherapy source calibration, and in vivo dosimetry during patient treatment

  20. SU-F-T-421: Dosimetry Change During Radiotherapy and Dosimetry Difference for Rigid and Deformed Registration in the Mid-Thoracic Esophageal Carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Tao, C; Liu, T; Chen, J; Zhu, J; Yin, Y [Shandong Cancer Hospital and Institute, Jinan, Shandong (China)

    2016-06-15

    Purpose: This study aimed to analyze dosimetry changes during radiotherapy for the mid-thoracic esophageal carcinoma, and investigate dosimetry difference between rigid and deformed registration. Methods: Twelve patients with primary middle thoracic esophageal carcinoma were selected randomly. Based on first CT scanning of each patient, plans-o were generated by experience physicists. After 20 fractions treatment, the corresponding plans-re were created with second CT scanning. And then, these two CT images were rigid and deformed registration respectively, and the dose was accumulated plan-o with plan-re. The dosimetry variation of these plans (plan-o: with 30 fractions, plan-rig: the accumulated dose with rigid registration and plan-def: the accumulated dose with deformed registration) were evaluated by paired T-test. Results: The V20 value of total lung were 32.68%, 30.3% and 29.71% for plan-o, plan-rig and plan-def respectively. The mean dose of total lung was 17.19 Gy, 16.67 Gy and 16.51 Gy for plan-o plan-rig and plan-def respectively. There were significant differences between plan-o and plan-rig or plan-def for both V20 and mean dose of total lung (with p= 0.003, p= 0.000 for V20 and p=0.008, p= 0.000 for mean dose respectively). There was no significant difference between plan-rig and plan-def (with p=0.118 for V20 and p=0.384 for mean dose). The max dose of spinal-cord was 41.95 Gy, 41.48 Gy and 41.4 Gy for plan-o, plan-rig and plan-def respectively. There were no significant differences for the max dose of spinal-cord between these plans. Conclusion: The target volume changes and anatomic position displacement of mid-thoracic esophageal carcinoma should not be neglected in clinics. These changes would cause overdose in normal tissue. Therefore, it is necessary to have another CT scanning and re-plan during the mid-thoracic esophageal carcinoma radiotherapy. And the dosimetry difference between rigid and deformed fusions was not found in this study.

  1. Considerations on the miniaturization of detectors for in vivo dosimetry in radiotherapy: A Monte Carlo study

    Energy Technology Data Exchange (ETDEWEB)

    Cunha, Micaela; Testa, Etienne [Université de Lyon, F-69622, Lyon (France); CNRS/IN2P3, Institut de Physique Nucléaire de Lyon (France); Beuve, Michael, E-mail: m.beuve@ipnl.in2p3.fr [Université de Lyon, F-69622, Lyon (France); CNRS/IN2P3, Institut de Physique Nucléaire de Lyon (France); Balosso, Jacques; Chaikh, Abdulhamid [Department of Radiation Oncology and Medical Physics, Grenoble Alpes University Hospital (CHUGA), Grenoble (France)

    2017-05-15

    The evolution of technology in radiotherapy nowadays allows us to deliver much higher doses to the target volumes, thanks to better absorbed dose distribution accuracy and conformation, while better sparing healthy tissues. In photon radiotherapy, higher precision usually entails employing small and moving beams. This emphasizes the role of in vivo dosimetry, which assesses internal absorbed dose rather than entrance dose. This, along with advances in materials science, results in a tendency towards the miniaturization of dosimeters. However, the stochastic nature of the radiation-matter interaction takes on greater importance at smaller scales, resulting in fluctuations in energy deposition whose effect may not be negligible. Miniaturization needs to take this into account. We estimated such fluctuations by Monte Carlo simulations considering energy deposition in cylindrical volumes of different sizes and for several absorbed dose values. We not only present and discuss the probability distributions of absorbed doses for a large range of target sizes (0.1–10 μm) and clinically relevant doses (0.1–10 Gy), but also derive an estimation of the risk of measuring an absorbed dose with a value outside a given interval of tolerance (3, 5 and 10%) around the expected dose. The distributions presented features consistent with the theory of microdosimetry. Those for dosimeter sizes smaller than 0.3 μm showed a very high dispersion in specific energy, while those for 10 μm dosimeters tended to become Gaussian and narrower with increasing absorbed dose. The probability of measuring an absorbed dose outside the defined interval of tolerance is close to 100% for the smallest size, regardless of the dose and the interval width considered. It decreases with increasing dose, dosimeter size and width of the interval of tolerance. The best results were obtained with 10 μm dosimeters, for which the probability of doses outside the tolerance range is always zero for absorbed

  2. Real-time in vivo luminescence dosimetry in radiotherapy and mammography using Al2O3:C

    International Nuclear Information System (INIS)

    Aznar, M.C.

    2005-07-01

    New treatment and clinical imaging techniques have created a need for accurate and practical in vivo dosimeters in radiation medicine. This work describes the development of a new optical-fiber radiation dosimeter system, based on radioluminescence (RL) and optically stimulated luminescence (OSL) from carbon-doped aluminium oxide (Al2O3:C), for applications in radiotherapy and mammography. This system offers several features, such as a small detector, high sensitivity, real-time read-out, and the ability to measure both dose rate and absorbed dose. Measurement protocols and algorithms for the correction of responses were developed to enable a reliable absorbed dose assessment from the RL and OSL signals. At radiotherapy energies, the variation of the signal with beam parameters was smaller than 1% (1 SD). Treatment-like experiments in phantoms, and in vivo measurements during complex patient treatments (such as intensity-modulated radiation therapy) indicate that the RL/OSL dosimetry system can reliably measure the absorbed dose within 2%. The real-time RL signal also enables an individual dose assessment from each field. The RL/OSL dosimetry system was also used during mammography examinations. In such conditions, the reproducibility of the measurements showed to be around 3%. In vivo measurements on three patients showed that the presence of the RL/OSL probes did not degrade the diagnostic quality of the radiograph and that the system could be used to measure exit doses (i.e., absorbed doses on the inferior surface of the breast). A Monte Carlo study proved that the energy dependence of the RL/OSL system at these low energies could be reduced by optimizing the design of the probes. It is concluded that the new RL/OSL dosimetry system shows considerable potential for applications in both radiotherapy and mammography. (au)

  3. A deformable head and neck phantom with in-vivo dosimetry for adaptive radiotherapy quality assurance

    Energy Technology Data Exchange (ETDEWEB)

    Graves, Yan Jiang [Center for Advanced Radiotherapy Technologies and Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California 92037-0843 and Department of Physics, University of California San Diego, La Jolla, California 92093 (United States); Smith, Arthur-Allen; Mcilvena, David; Manilay, Zherrina; Lai, Yuet Kong [Department of Mechanical and Aerospace Engineering, University of California San Diego, La Jolla, California 92093 (United States); Rice, Roger; Mell, Loren; Cerviño, Laura, E-mail: lcervino@ucsd.edu, E-mail: steve.jiang@utsouthwestern.edu [Center for Advanced Radiotherapy Technologies and Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California 92037-0843 (United States); Jia, Xun; Jiang, Steve B., E-mail: lcervino@ucsd.edu, E-mail: steve.jiang@utsouthwestern.edu [Center for Advanced Radiotherapy Technologies and Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, California 92037-0843 and Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas 75235 (United States)

    2015-04-15

    Purpose: Patients’ interfractional anatomic changes can compromise the initial treatment plan quality. To overcome this issue, adaptive radiotherapy (ART) has been introduced. Deformable image registration (DIR) is an important tool for ART and several deformable phantoms have been built to evaluate the algorithms’ accuracy. However, there is a lack of deformable phantoms that can also provide dosimetric information to verify the accuracy of the whole ART process. The goal of this work is to design and construct a deformable head and neck (HN) ART quality assurance (QA) phantom with in vivo dosimetry. Methods: An axial slice of a HN patient is taken as a model for the phantom construction. Six anatomic materials are considered, with HU numbers similar to a real patient. A filled balloon inside the phantom tissue is inserted to simulate tumor. Deflation of the balloon simulates tumor shrinkage. Nonradiopaque surface markers, which do not influence DIR algorithms, provide the deformation ground truth. Fixed and movable holders are built in the phantom to hold a diode for dosimetric measurements. Results: The measured deformations at the surface marker positions can be compared with deformations calculated by a DIR algorithm to evaluate its accuracy. In this study, the authors selected a Demons algorithm as a DIR algorithm example for demonstration purposes. The average error magnitude is 2.1 mm. The point dose measurements from the in vivo diode dosimeters show a good agreement with the calculated doses from the treatment planning system with a maximum difference of 3.1% of prescription dose, when the treatment plans are delivered to the phantom with original or deformed geometry. Conclusions: In this study, the authors have presented the functionality of this deformable HN phantom for testing the accuracy of DIR algorithms and verifying the ART dosimetric accuracy. The authors’ experiments demonstrate the feasibility of this phantom serving as an end

  4. Stability of reference class ionization chambers used for radiotherapy dosimetry: IAEA experience

    International Nuclear Information System (INIS)

    Czap, L.; Meghzifene, A.; Shortt, K.R.; Andreo, P.

    2002-01-01

    The IAEA calibrates ionization chambers, used in radiotherapy, for its Member States. The calibrations are either for Secondary Standards Dosimetry Laboratories (SSDLs) or hospitals from countries without a SSDL. For that purpose, the IAEA calibrates mainly reference class instruments that are in turn used to cross-calibrate field class instruments at the hospital. Typically, the IAEA calibrates about 30-40 ionization chambers per year, of which about half are new chambers purchased by the IAEA for its Member States using Technical Cooperation funds. The IAEA database includes the calibration coefficients of 189 reference class ionization chambers of the following types: NE-2561/2611, NE-2571, W-30001/W-30010. The results of the calibrations and recalibrations of the ionization chambers in terms of air kerma and absorbed dose to water are presented and discussed. The ratio of 60 Co calibration coefficients N D,w /N K , labelled C K , was determined for all chambers. The use of C K as a chamber dependent parameter and quality control indicator to check the results of the routine IAEA calibrations is discussed. In the process of its routine calibrations, the IAEA identified a specific problem related to the W- 30001 ionization chambers. The stability of these chambers was found to exceed the 0.5% tolerance limit set by the International IEC standard. Other SSDLs reported similar findings. The manufacturer stopped the production of these W-30001 chambers to investigate the reasons for this anomalous behaviour. After identifying and correcting the problem, the manufacturer produced a new type of ionization chamber. Five of these chambers were tested at the IAEA and found to be within the tolerance limit

  5. In vivo real-time rectal wall dosimetry for prostate radiotherapy

    International Nuclear Information System (INIS)

    Hardcastle, Nicholas; Cutajar, Dean L; Metcalfe, Peter E; Lerch, Michael L F; Tome, Wolfgang A; Rosenfeld, Anatoly B; Perevertaylo, Vladimir L

    2010-01-01

    Rectal balloons are used in external beam prostate radiotherapy to provide reproducible anatomy and rectal dose reductions. This is an investigation into the combination of a MOSFET radiation detector with a rectal balloon for real-time in vivo rectal wall dosimetry. The MOSFET used in the study is a radiation detector that provides a water equivalent depth of measurement of 70 μm. Two MOSFETs were combined in a face-to-face orientation. The reproducibility, sensitivity and angular dependence were measured for the dual MOSFET in a 6 MV photon beam. The dual MOSFET was combined with a rectal balloon and irradiated with hypothetical prostate treatments in a phantom. The anterior rectal wall dose was measured in real time and compared with the planning system calculated dose. The dual MOSFET showed angular dependence within ±2.5% in the azimuth and +2.5%/-4% in the polar axes. When compared with an ion chamber measurement in a phantom, the dual MOSFET agreed within 2.5% for a range of radiation path lengths and incident angles. The dual MOSFET had reproducible sensitivity for fraction sizes of 2-10 Gy. For the hypothetical prostate treatments the measured anterior rectal wall dose was 2.6 and 3.2% lower than the calculated dose for 3DCRT and IMRT plans. This was expected due to limitations of the dose calculation method used at the balloon cavity interface. A dual MOSFET combined with a commercial rectal balloon was shown to provide reproducible measurements of the anterior rectal wall dose in real time. The measured anterior rectal wall dose agreed with the expected dose from the treatment plan for 3DCRT and IMRT plans. The dual MOSFET could be read out in real time during the irradiation, providing the capability for real-time dose monitoring of the rectal wall dose during treatment.

  6. Computational dosimetry and risk assessment of radioinduced cancer: studies in mammary glands radiotherapy, radiopharmaceuticals and internal contamination

    International Nuclear Information System (INIS)

    Mendes, Bruno Melo

    2017-01-01

    The use of Ionizing radiation (IR) in medicine has increased considerably. The benefits generated by diagnostic and therapy techniques with IR are proven. Nevertheless, the risks arising from these uses should not be underestimated. Justification, a basic radiation protection, states that the benefits from exposures must outweigh detriment. The cancer induction is one of the detriment components. Thus, the study of the benefit/detriment ratio should take into account cancer incidence and mortality estimations resulting from a given diagnosis or therapy radiological technique. The risk of cancer induction depends on the absorbed doses in the irradiated organs and tissues. Thus, IR dosimetry is essential to evaluate the benefit/detriment ratio. The present work aims to perform computational dosimetric evaluations and estimations of cancer induction risk after ionizing radiation exposure. The investigated situations cover nuclear medicine, radiological contamination and radiotherapy fields. Computational dosimetry, with MCNPx Monte Carlo Code, was used as a tool to calculate the absorbed dose in the interest organs of the voxelized human models. The simulations were also used to obtain calibration factors and optimization of in vivo monitoring systems for internal contamination dosimetry. A breast radiotherapy (RT) standard protocol was simulated using the MCNPx code. The calculation of the radiation-induced cancer risk was adapted from the BEIR VII methodology for the Brazilian population. The absorbed doses used in the risk calculations were obtained through computational simulations of different exposure scenarios. During this work, two new computational phantoms, DM B RA and VW, were generated from tomographic images. Additional twelve voxelized phantoms, including the reference phantoms, RCP A M and RCP A F, and the child, baby, and fetus models were adapted to run on MCNP. Internal Dosimetry Protocols (IDP) for radiopharmaceuticals and for internal contamination

  7. Experience with in vivo diode dosimetry for verifying radiotherapy dose delivery: Practical implementation of cost-effective approaches

    International Nuclear Information System (INIS)

    Thwaites, D.I.; Blyth, C.; Carruthers, L.; Elliott, P.A.; Kidane, G.; Millwater, C.J.; MacLeod, A.S.; Paolucci, M.; Stacey, C.

    2002-01-01

    A systematic programme of in vivo dosimetry using diodes to verify radiotherapy delivered doses began in Edinburgh in 1992. The aims were to investigate the feasibility of routine systematic use of diodes as part of a comprehensive QA programme, to carry out clinical pilot studies to assess the accuracy of dose delivery on each machine and for each site and technique, to identify and rectify systematic deviations, to assess departmental dosimetric precision and to compare to clinical requirements. A further aim was to carry out a cost-benefit evaluation based on the results from the pilot studies to consider how best to use diodes routinely

  8. GATE: computation code for medical imagery, radiotherapy and dosimetry; GATE: code de calcul pour l'imagerie medicale, la radiotherapie et la dosimetrie

    Energy Technology Data Exchange (ETDEWEB)

    Jan, S. [CEA Direction des Sciences du Vivant, Institut d ' Imagerie Bio-Medicale, Service Hospitalier Frederic Joliot, 4 pl. du Gn. Leclerc 91401 Orsay Cedex (France)

    2010-07-01

    The author presents the GATE code, a simulation software based on the Geant4 development environment developed by the CERN (the European organization for nuclear research) which enables Monte-Carlo type simulation to be developed for tomography imagery using ionizing radiation, and radiotherapy examinations (conventional and hadron therapy) to be simulated. The authors concentrate on the use of medical imagery in carcinology. They comment some results obtained in nuclear imagery and in radiotherapy

  9. Experimental dosimetry in conformal breast teletherapy compared with the planning system

    International Nuclear Information System (INIS)

    Nogueira, Luciana Batista; Silva, Hugo Leonardo Lemos; Passos Ribeiro de Campos, Tarcísio

    2015-01-01

    The objective of this study was to compare and analyse the absorbed dose profiles from the conformal radiotherapy planning and experimental dosimetry taken in a breast anthropomorphic and anthropometric phantom. Conformal radiotherapy planning was elaborated in the Treatment Planning System (TPS). EBT2 Gafchromic radiochromic films were applied as dosimeters, positioned internally and superficially in the breast phantom. The standard radiation protocol was applied in the breast phantom. The films were digitalised, and their responses were analysed in RGB. The optical densities were processed, reproducing the spatial dose distribution. - Highlights: • Distributions of absorbed doses were generated by the TPS and measured by radiochromic films. • The breast phantom simulated a human breast in position for treatment. • A large portion of the glandular tissue absorbed doses that were equivalent to the radiotherapy planning. • There were regions of hot spots and small areas of under dosage in deeper areas at the lung interface

  10. In vivo Tl dosimetry for the quality control in Radiotherapy with 60 Co and brachytherapy of low dose rate

    International Nuclear Information System (INIS)

    Velez, G.; Bustos, S.; Balmaceda, O.; Gutierrez, S.; Ferraris, M.

    1998-01-01

    In vivo dosimetry is used every time with more frequency as a valuable tool for the quality control in Radiotherapy. The measurements of input and output doses provide us information about the technique accuracy or the treatment procedure used; likewise the dose measurement which rectum or bladder receive in gynecologic implants contribute to the improving and adjusting the procedures in brachytherapy. Besides, it may be identify systematic errors in particular situations which allow to optimize the treatment and to minimize errors. It was realized a study at the Radiotherapy service in San Roque Hospital (Cordoba) to control the procedures used in the treatment of distinct oncologic pathologies. Its were selected patients, which were realized the routine planning with the planning system of computerized treatments Prowess 3000, that later its were controlled with In vivo thermoluminescent dosimetry using the Ceprocor Services (Cordoba). Its were realized dose skin measurements in treatments of mammary gland, pelvis, thorax, head and neck and it were measured doses in body cavities, as oral cavity, rectum, esophagus, etc. arranging the TLD inside special catheters. In the case of dose skin, the dosemeters were arranged in acrylic porta-dosemeters, at pairs, which later they were enveloped and sealed. It was founded a very good agreement among the In vivo measurements and the predicted by the planner. In some cases, the control allows to modify the treatment for to avoid over or sub dosages of the distinct organs affected by the radiation field. (Author)

  11. Comparison of radiotherapy dosimetry for 3D-CRT, IMRT, and SBRT based on electron density calibration

    International Nuclear Information System (INIS)

    Kartutik, K; Pawiro, S A; Wibowo, W E

    2016-01-01

    Accurate calculation of dose distribution affected by inhomogeneity tissue is required in radiotherapy planning. This study was performed to determine the ratio between radiotherapy planning using 3D-CRT, IMRT, and SBRT based on a calibrated curve of CT-number in the lung for different target's shape in 3D-CRT, IMRT, and spinal cord for SBRT. Calibration curves of CT-number were generated under measurement basis and introduced into TPS, then planning was performed for 3D-CRT, IMRT, and SBRT with 7, and 15 radiation fields. Afterwards, planning evaluation was performed by comparing the DVH curve, HI, and CI. 3D-CRT and IMRT produced the lowest HI at calibration curve of CIRS 002LFC with the value 0.24 and 10. Whereas SBRT produced the lowest HI on a linear calibration curve with a value of 0.361. The highest CI in IMRT and SBRT technique achieved using a linear calibration curve was 0.97 and 1.77 respectively. For 3D-CRT, the highest CI was obtained by using calibration curve of CIRS 062M with the value of 0.45. From the results of CI and HI, it is concluded that the calibration curve of CT-number does not significantly differ with Schneider's calibrated curve, and inverse planning gives a better result than forward planning. (paper)

  12. Dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Hurst, G S; Ritchie, R H; Sanders, F W; Reinhardt, P W; Auxier, J A; Wagner, E B; Callihan, A D; Morgan, K Z [Health Physics Division, Oak Ridge National Laboratory, Oak Ridge, TN (United States)

    1962-03-15

    The methods of dosimetry used for investigation of the doses received by the individuals exposed in the Yugoslav accident were essentially those used in connection with the Oak Ridge Y-12 accident. An outline of the general scheme is as follows: When fast neutrons enter the human body, most of these are moderated to thermal energy and a small fraction of these are captured by a (n, gamma) process in Na sup 2 sup 3 , giving rise to Na sup 2 sup 4 , which by virtue of its emission of high-energy gamma rays with a half life of 14.8 h, is easily detected. It has been shown that the probability of capture, making Na sup 2 sup 4 , is not a strong function of the energy of the fast neutrons and that the probability of capture for neutrons is higher in the fast region than in the thermal region. Thus, the uniform distribution of Na sup 2 sup 3 in the human body provides an excellent means of normalizing the neutron exposure of an individual. in particular, for a given neutron energy spectrum the fast neutron dose is proportional to the ratio Na sup 2 sup 4 /Na sup 2 sup 3 in the body or in the blood system. This method of normalization is quite important in the dosimetry of radiation accidents since no assumptions need be made about the exact location of an individual at the time of the energy release. The importance of this fact can be made clear by reference to the Y-12 accident where it was shown by calculation of the neutron dose based on the known number of fissions and the stated location of the individual that one of the surviving individuals would have received a dose several times the lethal value. To accomplish the measurements described, the zero power R sub B reactor was operated in two ranges of power level, 'low' power and 'high 'power. Neutron leakage spectrum was obtained by multigroup approximation of the Boltzmann transport equation. Prompt gamma rays from fission products, from capture in the moderator and fuel cladding as well as in tank walls are given

  13. Dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Hurst, G S; Ritchie, R H; Sanders, F W; Reinhardt, P W; Auxier, J A; Wagner, E B; Callihan, A D; Morgan, K Z [Health Physics Division, Oak Ridge National Laboratory, Oak Ridge, TN (United States)

    1962-03-01

    The methods of dosimetry used for investigation of the doses received by the individuals exposed in the Yugoslav accident were essentially those used in connection with the Oak Ridge Y-12 accident. An outline of the general scheme is as follows: When fast neutrons enter the human body, most of these are moderated to thermal energy and a small fraction of these are captured by a (n, {gamma}) process in Na{sup 23}, giving rise to Na{sup 24}, which by virtue of its emission of high-energy gamma rays with a half life of 14.8 h, is easily detected. It has been shown that the probability of capture, making Na{sup 24}, is not a strong function of the energy of the fast neutrons and that the probability of capture for neutrons is higher in the fast region than in the thermal region. Thus, the uniform distribution of Na{sup 23} in the human body provides an excellent means of normalizing the neutron exposure of an individual. in particular, for a given neutron energy spectrum the fast neutron dose is proportional to the ratio Na{sup 24}/Na{sup 23} in the body or in the blood system. This method of normalization is quite important in the dosimetry of radiation accidents since no assumptions need be made about the exact location of an individual at the time of the energy release. The importance of this fact can be made clear by reference to the Y-12 accident where it was shown by calculation of the neutron dose based on the known number of fissions and the stated location of the individual that one of the surviving individuals would have received a dose several times the lethal value. To accomplish the measurements described, the zero power R{sub B} reactor was operated in two ranges of power level, 'low' power and 'high 'power. Neutron leakage spectrum was obtained by multigroup approximation of the Boltzman transport equation. Prompt gamma rays from fission products, from capture in the moderator and fuel cladding as well as in tank walls are given. A summary of the 4{pi

  14. Dosimetry characterization of a multibeam radiotherapy treatment for age-related macular degeneration

    International Nuclear Information System (INIS)

    Lee, Choonsik; Chell, Erik; Gertner, Michael; Hansen, Steven; Howell, Roger W.; Hanlon, Justin; Bolch, Wesley E.

    2008-01-01

    Age-related macular degeneration (ARMD) is a major health problem worldwide. Advanced ARMD, which ultimately leads to profound vision loss, has dry and wet forms, which account for 20% and 80% of cases involving severe vision loss, respectively. A new device and approach for radiation treatment of ARMD has been recently developed by Oraya Therapeutics, Inc. (Newark, CA). The goal of the present study is to provide a initial dosimetry characterization of the proposed radiotherapy treatment via Monte Carlo radiation transport simulation. A 3D eye model including cornea, anterior chamber, lens, orbit, fat, sclera, choroid, retina, vitreous, macula, and optic nerve was carefully designed. The eye model was imported into the MCNPX2.5 Monte Carlo code and radiation transport simulations were undertaken to obtain absorbed doses and dose volume histograms (DVH) to targeted and nontargeted structures within the eye. Three different studies were undertaken to investigate (1) available beam angles that maximized the dose to the macula target tissue, simultaneously minimizing dose to normal tissues, (2) the energy dependency of the DVH for different x-ray energies (80, 100, and 120 kVp), and (3) the optimal focal spot size among options of 0.0, 0.4, 1.0, and 5.5 mm. All results were scaled to give 8 Gy to the macula volume, which is the current treatment requirement. Eight beam treatment angles are currently under investigation. In all eight beam angles, the source-to-target distance is 13 cm, and the polar angle of entry is 30 degree sign from the geometric axis of the eye. The azimuthal angle changes in eight increments of 45 degree sign in a clockwise fashion, such that an azimuthal angle of 0 degree sign corresponds to the 12 o'clock position when viewing the treated eye. Based on considerations of nontarget tissue avoidance, as well as facial-anatomical restrictions on beam delivery, treatment azimuthal angles between 135 degree sign and 225 degree sign would be available

  15. Contribution to the planning and dosimetry of photon beams applied to radiosurgery and stereotactic radiotherapy

    International Nuclear Information System (INIS)

    Santos, Walter Menezes

    2003-08-01

    Radiosurgery and stereotactic radiotherapy are irradiation techniques that use small diameter photon beams for treating intracranial lesions such as pituitary adenomas, acoustic tumors and arterio-venous malformations which are inaccessible for surgery. These treatment techniques are characterized by the use of very small radiation beams which deliver a precisely measured dose to the target volume, while sparing the surrounding healthy tissue. Treatment can be performed by using multiple 60 Co gamma-ray sources (in the so-called 'Gamma Knife'), charged particles or X-ray beams produced by linear accelerators. The prescribed dose can be given in a single session or in multiple fractions, as in conventional radiotherapy. The success of the treatment depends, among other factors, of the accurate determination of the parameters that characterize the radiation beam produced by the equipment, as well as, of a well designed quality assurance program. In this study, the dosimetric parameters of a set of collimating cones of a Radionics TM treatment system applied to two 6 MV- photon beams (Clinac 600C - Varian TM , and Mevatron MD2 - Siemens TM ) were evaluated by using a water filled PMMA simulator. Measurements were carried out for photon beam diameters ranging from 12.5 to 40.0 mm for the Clinac-600C and from 5.0 to 50.0 mm for the Mevatron MD2. The parameters were evaluated by using a parallel plate ionization chamber (Markus), Kodak X-Omat V dosimetric films, thermoluminescent dosemeters (Harschaw, TLD-100) and photodiodes. The maximum tissue-ratio, the off-axis profile and the output factors were determined and the results were compared to those reported elsewhere. A study of the dosimetric characteristics of some commercially available phototransistors was also carried out. The results showed that these electronic components can be successfully used for measuring the dosimetric parameters of small diameter photon beans used in radiosurgery. Measurements were also

  16. Dosimetry characterization of a multibeam radiotherapy treatment for age-related macular degeneration

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Choonsik; Chell, Erik; Gertner, Michael; Hansen, Steven; Howell, Roger W.; Hanlon, Justin; Bolch, Wesley E. [Department of Nuclear and Radiological Engineering, University of Florida, Gainesville, Florida 32611 (United States); Oraya Therapeutics, Inc., Newark, California 94560 (United States); Department of Radiology, University of Medicine and Dentistry of New Jersey, Newark, New Jersey 07103 (United States); Department of Nuclear and Radiological Engineering, University of Florida, Gainesville, Florida 32611 (United States); Departments of Nuclear and Radiological and Biomedical Engineering, University of Florida, Gainesville, Florida 32611 (United States)

    2008-11-15

    Age-related macular degeneration (ARMD) is a major health problem worldwide. Advanced ARMD, which ultimately leads to profound vision loss, has dry and wet forms, which account for 20% and 80% of cases involving severe vision loss, respectively. A new device and approach for radiation treatment of ARMD has been recently developed by Oraya Therapeutics, Inc. (Newark, CA). The goal of the present study is to provide a initial dosimetry characterization of the proposed radiotherapy treatment via Monte Carlo radiation transport simulation. A 3D eye model including cornea, anterior chamber, lens, orbit, fat, sclera, choroid, retina, vitreous, macula, and optic nerve was carefully designed. The eye model was imported into the MCNPX2.5 Monte Carlo code and radiation transport simulations were undertaken to obtain absorbed doses and dose volume histograms (DVH) to targeted and nontargeted structures within the eye. Three different studies were undertaken to investigate (1) available beam angles that maximized the dose to the macula target tissue, simultaneously minimizing dose to normal tissues, (2) the energy dependency of the DVH for different x-ray energies (80, 100, and 120 kVp), and (3) the optimal focal spot size among options of 0.0, 0.4, 1.0, and 5.5 mm. All results were scaled to give 8 Gy to the macula volume, which is the current treatment requirement. Eight beam treatment angles are currently under investigation. In all eight beam angles, the source-to-target distance is 13 cm, and the polar angle of entry is 30 degree sign from the geometric axis of the eye. The azimuthal angle changes in eight increments of 45 degree sign in a clockwise fashion, such that an azimuthal angle of 0 degree sign corresponds to the 12 o'clock position when viewing the treated eye. Based on considerations of nontarget tissue avoidance, as well as facial-anatomical restrictions on beam delivery, treatment azimuthal angles between 135 degree sign and 225 degree sign would be

  17. Comparison of DVH data from multiple radiotherapy treatment planning systems

    International Nuclear Information System (INIS)

    Ebert, M A; Kearvell, R; Hooton, B; Spry, N A; Bydder, S A; Joseph, D J; Haworth, A; Hug, B

    2010-01-01

    This study examined the variation of dose-volume histogram (DVH) data sourced from multiple radiotherapy treatment planning systems (TPSs). Treatment plan exports were obtained from 33 Australian and New Zealand centres during a dosimetry study. Plan information, including DVH data, was exported from the TPS at each centre and reviewed in a digital review system (SWAN). The review system was then used to produce an independent calculation of DVH information for each delineated structure. The relationships between DVHs extracted from each TPS and independently calculated were examined, particularly in terms of the influence of CT scan slice and pixel widths, the resolution of dose calculation grids and the TPS manufacturer. Calculation of total volume and DVH data was consistent between SWAN and each TPS, with the small discrepancies found tending to increase with decreasing structure size. This was significantly influenced by the TPS model used to derive the data. For target structures covered with relatively uniform dose distributions, there was a significant difference between the minimum dose in each TPS-exported DVH and that calculated independently. (note)

  18. Manual of dosimetry in radiotherapy. A practical guide for testing and calibrating equipment used in external beam treatments

    International Nuclear Information System (INIS)

    Massey, J.B.

    1971-01-01

    In order to achieve safe and efficient radiotherapy, one should respect a number of technical criteria, meaning that the irradiation facility should be adapted every time to the specific patient and the dose received by the patient should be fixed. If the radio therapist should decide about the characteristics of the treatment, he might not have the technical education needed to ensure that the applied devices are appropriate for obtaining the wanted results. This is the responsibility of the medical radio physicist. Unfortunately many countries lack qualified medical doctors experienced in radiotherapy. Although these countries can supply numerous hospitals with radiotherapeutic devices and x-ray sources they cannon make good use of them. That is why the IAEA, WHO and Pan-American Health Organization organised an experts team to study the problems of dosimetry in the radiotherapeutic centres. The objective of the present manual is to supply specialists in radiotherapy with practical instructions which will enable them to apply precise physical data on the irradiation volume and applied doses

  19. A fast dual wavelength laser beam fluid-less optical CT scanner for radiotherapy 3D gel dosimetry II: dosimetric performance

    Science.gov (United States)

    Ramm, Daniel

    2018-02-01

    New clinical radiotherapy dosimetry systems need comprehensive demonstration of measurement quality. Practicality and reliability are other important aspects for clinical dosimeters. In this work the performance of an optical CT scanner for true 3D dosimetry is assessed using a radiochromic gel dosimeter. The fluid-less scanner utilised dual lasers to avoid the necessity for pre-irradiation scans and give greater robustness of image quality, enhancing practicality. Calibration methods using both cuvettes and reconstructed volumes were developed. Dosimetric accuracy was similar for dual and single wavelength measurements, except that cuvette calibration reliability was reduced for dual wavelength without pre-irradiation scanning. Detailed performance parameters were specified for the dosimetry system indicating the suitability for clinical use. The most significant limitations of the system were due to the gel dosimeter rather than the optical CT scanner. Quality assurance guidelines were developed to maintain dosimetry system performance in routine use.

  20. Dosimetry for synchrotron stereotactic radiotherapy: Monte Carlo simulations and radiosensitive gels; Dosimetrie pour la radiotherapie stereotaxique en rayonnement synchrotron: calculs Monte-Carlo et gels radiosensibles

    Energy Technology Data Exchange (ETDEWEB)

    Boudou, C

    2006-09-15

    High grade gliomas are extremely aggressive brain tumours. Specific techniques combining the presence of high atomic number elements within the tumour to an irradiation with a low x-rays (below 100 keV) beam from a synchrotron source were proposed. For the sake of clinical trials, the use of treatment planning system has to be foreseen as well as tailored dosimetry protocols. Objectives of this thesis work were (1) the development of a dose calculation tools based on Monte Carlo code for particles transport and (2) the implementation of an experimental method for the three dimensional verification of the dose delivered. The dosimetric tool is an interface between tomography images from patient or sample and the M.C.N.P.X. general purpose code. Besides, dose distributions were measured through a radiosensitive polymer gel, providing acceptable results compared to calculations.

  1. Endocavitary in vivo Dosimetry for IMRT Treatments of Gynecologic Tumors

    International Nuclear Information System (INIS)

    Cilla, Savino; Macchia, Gabriella; Digesù, Cinzia; Deodato, Francesco; Sabatino, Domenico; Morganti, Alessio G.; Piermattei, Angelo

    2011-01-01

    The accuracy and reproducibility of endometrial carcinoma treatment with intensity-modulated radiotherapy (IMRT) was assessed by means of in vivo dosimetry. Six patients who had previously undergone radical hysterectomy for endometrial carcinoma were treated with IMRT using a vaginal applicator with radio-opaque fiducial markers. An ion-chamber inserted into the applicator supplied an endocavitary in vivo dosimetry for quality assurance purposes. The ratio R = D/D TPS between the in vivo measured dose D and the predicted dose by the treatment planning system D TPS was determined for every fraction of the treatment. Results showed that 90% and 100% of the ratios resulted equal to 1 within 5% and 10%, respectively. The mean value of the ratios distribution for the 6 patients was R = 0.995 and the SD = 0.034. The ratio R* between the measured and predicted total doses for each patient was near to 1, within 2%. The dosimetric results suggest that the use of a vaginal applicator in an image-guided approach could make the interfractions target position stable and reproducible, allowing a safe use of the IMRT technique in the treatment of postoperative vaginal vault. In vivo dosimetry may supply useful information about the discrimination of random vs. systematic errors. The workload is minimum and this in vivo dosimetry can be applied also in the clinical routine.

  2. Conformal radiotherapy using multileaf collimation: quality assurance and in vivo dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Aletti, P [Centre A. Vautrin, Nancy (France)

    1995-12-01

    The application of quality assurance principles in three dimensional conformal therapy is discussed.Critical requirements in three dimensional radiotherapy are the patient immobilization, the location, and the delivered dose. General recommendations with respect to the equipment for conformal radiotherapy and personnel are made.

  3. Conformal radiotherapy using multileaf collimation: quality assurance and in vivo dosimetry

    International Nuclear Information System (INIS)

    Aletti, P.

    1995-01-01

    The application of quality assurance principles in three dimensional conformal therapy is discussed.Critical requirements in three dimensional radiotherapy are the patient immobilization, the location, and the delivered dose. General recommendations with respect to the equipment for conformal radiotherapy and personnel are made

  4. On the progress of a water calorimeter project for the verification of radiotherapy dosimetry

    International Nuclear Information System (INIS)

    Medin, J.; Andreo, P.; Ross, C.K.; Klassen, N.K.; Grindborg, J.E.

    2002-01-01

    card. The multimeter, lock-in amplifier, and bridge balancing resistor decade are all connected to a portable PC using a GPIB interface card. This allows each of the devices to be controlled and read out remotely using software developed at NRC. The software allows the bridge to be balanced, the characteristics of the lock-in amplifier to be changed, and controls the acquisition of data according to a pre-selected scheme. It is also used for calculation of the absorbed dose from the measured voltage drop after an irradiation. The sealed water calorimeter is intended to be used in clinical photon, electron, and proton beams to determine experimentally k Q,Qo factors for a variety of ionisation chambers. These factors are fundamental when implementing the new international Code of Practice for radiotherapy dosimetry. The measured values will be compared with the theoretical factors in TRS-398

  5. In-vivo dosimetry in external radiotherapy with amorphous silicon Portal Imaging Devices: from method to clinical validation

    International Nuclear Information System (INIS)

    Boissard, Philippe

    2012-01-01

    In vivo dose verification is used to prevent major deviations between the prescribed dose and the dose really delivered to the patient. This quality control was, nationally and internationally, widely recommended by scientific organizations. In France, its implementation and its use are now regulated. To do this, small detectors are fixed on the patient skin at the beginning of the treatment. However, the treatment delay is increased and not all treatment techniques could be assessed, such as IMRT plans (Intensity Modulated Radiation Therapy). In this context, Transit dosimetry performed with Electronic Portal Imaging Devices (EPIDs) appears as an interesting alternative for in vivo dose verification. During the treatment session, a transit dose is measured with the EPID, in two dimensions, and the dose in the patient is estimated from back projection of the portal dose. This work presents a quick and simple alternative method for verification of dose delivered to the patient using photon beams. Verifications in cases of complexes patient shapes and Intensity Modulated Radiation Therapy (IMRT) have been improved by using a Clarkson-Cunningham's integration method. 46 phantom test cases were designed to assess the accuracy of the method for 4, 6, 10 and 20 MV photon beams. For some points of interest the dose reconstructed by the method is compared to the dose measured with an ionization chamber. An additional in vivo uncertainty due to day to day deviations is defined and investigated. In the same time, a clinical study was driven during three years. In vivo dosimetry was performed for 494 patients treated for various tumors sites. Most of the patients were treated for a prostate cancer using IMRT. The in vivo dose is here compared to the dose calculated by the Treatment Planning System, TPS. The results of these two ways of validations are within the accepted tolerance of classical in vivo dosimetry. From the phantom study, we have estimated that the standard

  6. Final Report Summary: Radiation dosimetry of Cu-64-labeled radiotherapy agents using PET [Positron Emission Tomography

    International Nuclear Information System (INIS)

    Anderson, Carolyn J.; Cutler, P.D.

    2002-01-01

    This project began in 1996, and was completed in July 2001. The overall goals were to compare various methods of dosimetry of PET imaging agents, as well as develop more optimal methods. One of the major accomplishments of this grant was the human PET imaging studies of a positron-emitting radiopharmaceutical for somatostatin-receptor imaging, and subsequent dosimetry calculations resulting from this study. In addition, we collaborated with Darrell Fisher and Edmund Hui to develop a MIRD-hamster program for calculating hamster organ and tumor dosimetry in hamster models. Progress was made towards a point kernel approach to more accurately determining absorbed doses to normal organs, as well as towards co-registration of PET and MRI images. This report focuses on the progress made in the last 15 months of the grant, which in general is a summary of the progress over the 5 years the project was ongoing

  7. COMPARISON OF RESPONSE OF PASSIVE DOSIMETRY SYSTEMS IN SCANNING PROTON RADIOTHERAPY-A STUDY USING PAEDIATRIC ANTHROPOMORPHIC PHANTOMS.

    Science.gov (United States)

    Kneževic, Ž; Ambrozova, I; Domingo, C; De Saint-Hubert, M; Majer, M; Martínez-Rovira, I; Miljanic, S; Mojzeszek, N; Porwol, P; Ploc, O; Romero-Expósito, M; Stolarczyk, L; Trinkl, S; Harrison, R M; Olko, P

    2017-11-18

    Proton beam therapy has advantages in comparison to conventional photon radiotherapy due to the physical properties of proton beams (e.g. sharp distal fall off, adjustable range and modulation). In proton therapy, there is the possibility of sparing healthy tissue close to the target volume. This is especially important when tumours are located next to critical organs and while treating cancer in paediatric patients. On the other hand, the interactions of protons with matter result in the production of secondary radiation, mostly neutrons and gamma radiation, which deposit their energy at a distance from the target. The aim of this study was to compare the response of different passive dosimetry systems in mixed radiation field induced by proton pencil beam inside anthropomorphic phantoms representing 5 and 10 years old children. Doses were measured in different organs with thermoluminescent (MTS-7, MTS-6 and MCP-N), radiophotoluminescent (GD-352 M and GD-302M), bubble and poly-allyl-diglycol carbonate (PADC) track detectors. Results show that RPL detectors are the less sensitive for neutrons than LiF TLDs and can be applied for in-phantom dosimetry of gamma component. Neutron doses determined using track detectors, bubble detectors and pairs of MTS-7/MTS-6 are consistent within the uncertainty range. This is the first study dealing with measurements on child anthropomorphic phantoms irradiated by a pencil scanning beam technique. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  8. Accuracy of dose planning for prostate radiotherapy in the presence of metallic implants evaluated by electron spin resonance dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Alves, G.G. [Departamento de Física, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP (Brazil); Kinoshita, A. [Departamento de Física, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP (Brazil); Universidade Sagrado Coração, Bauru, SP (Brazil); Oliveira, H.F. de; Guimarães, F.S.; Amaral, L.L. [Serviço de Radioterapia, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP (Brazil); Baffa, O. [Departamento de Física, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP (Brazil)

    2015-05-26

    Radiotherapy is one of the main approaches to cure prostate cancer, and its success depends on the accuracy of dose planning. A complicating factor is the presence of a metallic prosthesis in the femur and pelvis, which is becoming more common in elderly populations. The goal of this work was to perform dose measurements to check the accuracy of radiotherapy treatment planning under these complicated conditions. To accomplish this, a scale phantom of an adult pelvic region was used with alanine dosimeters inserted in the prostate region. This phantom was irradiated according to the planned treatment under the following three conditions: with two metallic prostheses in the region of the femur head, with only one prosthesis, and without any prostheses. The combined relative standard uncertainty of dose measurement by electron spin resonance (ESR)/alanine was 5.05%, whereas the combined relative standard uncertainty of the applied dose was 3.35%, resulting in a combined relative standard uncertainty of the whole process of 6.06%. The ESR dosimetry indicated that there was no difference (P>0.05, ANOVA) in dosage between the planned dose and treatments. The results are in the range of the planned dose, within the combined relative uncertainty, demonstrating that the treatment-planning system compensates for the effects caused by the presence of femur and hip metal prostheses.

  9. Dosimetry TL 'in vivo' for the quality control in radiotherapy with Co-60 and brachytherapy of low dose rate

    International Nuclear Information System (INIS)

    Velez, G.; Balmaceda, O.; Gutierrez, S.; Ferraris, M.; Bustos, S.

    1998-01-01

    Full text: The dosimetry 'in vivo' is used frequently as a valuable tool for the quality control in radiotherapy. Measurements of the entry and exit doses provide us of information on the precision of the technique or the procedure of used treatment; the measurement of the doses in rectal or bladder in gynecological implants contribute to perfect or to adjust the procedures in brachytherapy. Also systematic errors can be identified in particular situations that allow to optimize the treatment and to minimize errors. A study in the service of Radiotherapy of the San Roque Hospital, was realized for to control the procedures used in the treatment of different cancer therapy. Patients were selected, to which were carried out a routine planning with the system of planning of on line treatment Prowess 3000 that then were controlled with thermoluminescent dosemeters 'in vivo' using the Ceprocor Services. Skin doses were measurement in treatment of breast, pelvis, thorax, head and neck, and doses was measured in cavities of the body as oral cavity, rectal, esophagus, etc., placing the TLD inside special catheters. In the case of doses in skin, the dosimeters was placed in acrylic badges. A very good agreement was found between the measurements 'in vivo' and the plans of the planner. In some cases the control allowed to modify the doses to avoid organs damage for the radiation fields. (author) [es

  10. Accuracy of dose planning for prostate radiotherapy in the presence of metallic implants evaluated by electron spin resonance dosimetry.

    Science.gov (United States)

    Alves, G G; Kinoshita, A; Oliveira, H F de; Guimarães, F S; Amaral, L L; Baffa, O

    2015-07-01

    Radiotherapy is one of the main approaches to cure prostate cancer, and its success depends on the accuracy of dose planning. A complicating factor is the presence of a metallic prosthesis in the femur and pelvis, which is becoming more common in elderly populations. The goal of this work was to perform dose measurements to check the accuracy of radiotherapy treatment planning under these complicated conditions. To accomplish this, a scale phantom of an adult pelvic region was used with alanine dosimeters inserted in the prostate region. This phantom was irradiated according to the planned treatment under the following three conditions: with two metallic prostheses in the region of the femur head, with only one prosthesis, and without any prostheses. The combined relative standard uncertainty of dose measurement by electron spin resonance (ESR)/alanine was 5.05%, whereas the combined relative standard uncertainty of the applied dose was 3.35%, resulting in a combined relative standard uncertainty of the whole process of 6.06%. The ESR dosimetry indicated that there was no difference (P>0.05, ANOVA) in dosage between the planned dose and treatments. The results are in the range of the planned dose, within the combined relative uncertainty, demonstrating that the treatment-planning system compensates for the effects caused by the presence of femur and hip metal prostheses.

  11. Accuracy of dose planning for prostate radiotherapy in the presence of metallic implants evaluated by electron spin resonance dosimetry

    International Nuclear Information System (INIS)

    Alves, G.G.; Kinoshita, A.; Oliveira, H.F. de; Guimarães, F.S.; Amaral, L.L.; Baffa, O.

    2015-01-01

    Radiotherapy is one of the main approaches to cure prostate cancer, and its success depends on the accuracy of dose planning. A complicating factor is the presence of a metallic prosthesis in the femur and pelvis, which is becoming more common in elderly populations. The goal of this work was to perform dose measurements to check the accuracy of radiotherapy treatment planning under these complicated conditions. To accomplish this, a scale phantom of an adult pelvic region was used with alanine dosimeters inserted in the prostate region. This phantom was irradiated according to the planned treatment under the following three conditions: with two metallic prostheses in the region of the femur head, with only one prosthesis, and without any prostheses. The combined relative standard uncertainty of dose measurement by electron spin resonance (ESR)/alanine was 5.05%, whereas the combined relative standard uncertainty of the applied dose was 3.35%, resulting in a combined relative standard uncertainty of the whole process of 6.06%. The ESR dosimetry indicated that there was no difference (P>0.05, ANOVA) in dosage between the planned dose and treatments. The results are in the range of the planned dose, within the combined relative uncertainty, demonstrating that the treatment-planning system compensates for the effects caused by the presence of femur and hip metal prostheses

  12. Personalized Monte Carlo dosimetry for the planning and evaluation of internal radiotherapy treatments: development and application to selective internal radiotherapy (SIRT)

    International Nuclear Information System (INIS)

    Petitguillaume, Alice

    2014-01-01

    Medical techniques in full expansion arousing high therapeutic expectations, targeted radionuclide therapies (TRT) consist of administering a radiopharmaceutical to selectively treat tumors. Nowadays, the activity injected to the patient is generally standardized. However, in order to establish robust dose-effect relationships and to optimize treatments while sparing healthy tissues at best, a personalized dosimetry must be performed, just like actual clinical practice in external beam radiotherapy. In that context, this PhD main objective was to develop, using the OEDIPE software, a methodology for personalized dosimetry based on direct Monte Carlo calculations. The developed method enables to calculate the tridimensional distribution of absorbed doses depending on the patient anatomy, defined from CT or MRI data, and on the patient-specific activity biodistribution, defined from SPECT or PET data. Radiobiological aspects, such as differences in radiosensitivities and repair time constants between tumoral and healthy tissues, have also been integrated through the linear-quadratic model. This methodology has been applied to the selective internal radiation therapy (SIRT) which consists in the injection of 90 Y-microspheres to selectively treat unresectable hepatic cancers. Distributions of absorbed doses and biologically effective doses (BED) along with the equivalent uniform biologically effective doses (EUD) to hepatic lesions have been calculated from 99m Tc-MAA activity distributions obtained during the evaluation step for 18 patients treated at Hopital Europeen Georges Pompidou. Those results have been compared to classical methods used in clinics and the interest of accurate and personalized dosimetry for treatment planning has been investigated. On the one hand, the possibility to increase the activity in a personalized way has been highlighted with the calculation of the maximal activity that could be injected to the patient while meeting tolerance criteria

  13. Constraints to organs at risks: a simple tool to uniform and secure the prescriptions and the realisation of dosimetry in a radiotherapy department

    International Nuclear Information System (INIS)

    Mirabel, X.; Horn, S.; Le Tinier, F.; Attar, M.; Dewas, S.; Lacornerie, T.; Nickers, P.; Sarrazin, T.; Lartigau, E.

    2009-01-01

    The generalisation of the three dimensional conformal radiotherapy, then the conformal radiotherapy with intensity modulation, the receipt of a dosimetry scanner, two tomo-therapy devices and a cyberknife modified deeply our practices. The delineation of every organ at risk and the prescription of constraints to organs at risk became systematic. The new technologies by their possibilities in term of accuracy, conformity and tracking lead us to choose new therapy indications in situations where the control of dose to organs at risk is particularly crucial (hypo fractionated intra and extra cranial stereotaxic). This context make us feel the necessity to use a data base of constraints to organs at risk, for the classic fractionation and the hypo fractionation. An array containing all the data has been published as posters, it is displayed in large format in the work area for doctors in the area of simulation and data acquisition as well as dosimetry. (N.C.)

  14. Validating dose rate calibration of radiotherapy photon beams through IAEA/WHO postal audit dosimetry service

    International Nuclear Information System (INIS)

    Jangda, A.Q.; Hussein, S.

    2012-01-01

    In external beam radiation therapy (EBRT), the quality assurance (QA) of the radiation beam is crucial to the accurate delivery of the prescribed dose to the patient. One of the dosimetric parameters that require monitoring is the beam output, specified as the dose rate on the central axis under reference conditions. The aim of this project was to validate dose rate calibration of megavoltage photon beams using the International Atomic Energy Agency (IAEA)/World Health Organisation (WHO) postal audit dosimetry service. Three photon beams were audited: a 6 MV beam from the low-energy linac and 6 and 18 MV beams from a dual high-energy linac. The agreement between our stated doses and the IAEA results was within 1% for the two 6 MV beams and within 2% for the 18 MV beam. The IAEA/WHO postal audit dosimetry service provides an independent verification of dose rate calibration protocol by an international facility. (author)

  15. Validating dose rate calibration of radiotherapy photon beams through IAEA/WHO postal audit dosimetry service.

    Science.gov (United States)

    Jangda, Abdul Qadir; Hussein, Sherali

    2012-05-01

    In external beam radiation therapy (EBRT), the quality assurance (QA) of the radiation beam is crucial to the accurate delivery of the prescribed dose to the patient. One of the dosimetric parameters that require monitoring is the beam output, specified as the dose rate on the central axis under reference conditions. The aim of this project was to validate dose rate calibration of megavoltage photon beams using the International Atomic Energy Agency (IAEA)/World Health Organisation (WHO) postal audit dosimetry service. Three photon beams were audited: a 6 MV beam from the low-energy linac and 6 and 18 MV beams from a dual high-energy linac. The agreement between our stated doses and the IAEA results was within 1% for the two 6 MV beams and within 2% for the 18 MV beam. The IAEA/WHO postal audit dosimetry service provides an independent verification of dose rate calibration protocol by an international facility.

  16. Statistical process control applied to intensity modulated radiotherapy pretreatment controls with portal dosimetry;Maitrise statistique des processus appliquee aux controles avant traitement par dosimetrie portale en radiotherapie conformationnelle avec modulation d'intensite

    Energy Technology Data Exchange (ETDEWEB)

    Villani, N.; Noel, A. [Laboratoire de recherche en radiophysique, CRAN UMR 7039, Nancy universite-CNRS, 54 - Vandoeuvre-les-Nancy (France); Villani, N.; Gerard, K.; Marchesi, V.; Huger, S.; Noel, A. [Departement de radiophysique, centre Alexis-Vautrin, 54 - Vandoeuvre-les-Nancy (France); Francois, P. [Institut Curie, 75 - Paris (France)

    2010-06-15

    Purpose The first purpose of this study was to illustrate the contribution of statistical process control for a better security in intensity modulated radiotherapy (I.M.R.T.) treatments. This improvement is possible by controlling the dose delivery process, characterized by pretreatment quality control results. So, it is necessary to put under control portal dosimetry measurements (currently, the ionisation chamber measurements were already monitored by statistical process control thanks to statistical process control tools). The second objective was to state whether it is possible to substitute ionisation chamber with portal dosimetry in order to optimize time devoted to pretreatment quality control. Patients and methods At Alexis-Vautrin center, pretreatment quality controls in I.M.R.T. for prostate and head and neck treatments were performed for each beam of each patient. These controls were made with an ionisation chamber, which is the reference detector for the absolute dose measurement, and with portal dosimetry for the verification of dose distribution. Statistical process control is a statistical analysis method, coming from industry, used to control and improve the studied process quality. It uses graphic tools as control maps to follow-up process, warning the operator in case of failure, and quantitative tools to evaluate the process toward its ability to respect guidelines: this is the capability study. The study was performed on 450 head and neck beams and on 100 prostate beams. Results Control charts, showing drifts, both slow and weak, and also both strong and fast, of mean and standard deviation have been established and have shown special cause introduced (manual shift of the leaf gap of the multi-leaf collimator). Correlation between dose measured at one point, given with the E.P.I.D. and the ionisation chamber has been evaluated at more than 97% and disagreement cases between the two measurements were identified. Conclusion The study allowed to

  17. Radiotherapy physics

    International Nuclear Information System (INIS)

    Chen, G.T.Y.; Collier, J.M.; Lyman, J.T.; Pitluck, S.

    1982-01-01

    The Radiotherapy Physics Group works on the physical and biophysical aspects of charged particle radiotherapy. Our activities include the development of isosurvival beams (beams of uniform biological effect), computerized treatment planning development for charged particle radiotherapy, design of compensation to shape dose distributions, and development of dosimetry techniques to verify planned irradiations in both phantoms and patients

  18. Test Program Set (TPS) Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The ARDEC TPS Laboratory provides an organic Test Program Set (TPS) development, maintenance, and life cycle management capability for DoD LCMC materiel developers....

  19. Recent advances in Optical Computed Tomography (OCT) imaging system for three dimensional (3D) radiotherapy dosimetry

    Science.gov (United States)

    Rahman, Ahmad Taufek Abdul; Farah Rosli, Nurul; Zain, Shafirah Mohd; Zin, Hafiz M.

    2018-01-01

    Radiotherapy delivery techniques for cancer treatment are becoming more complex and highly focused, to enable accurate radiation dose delivery to the cancerous tissue and minimum dose to the healthy tissue adjacent to tumour. Instrument to verify the complex dose delivery in radiotherapy such as optical computed tomography (OCT) measures the dose from a three-dimensional (3D) radiochromic dosimeter to ensure the accuracy of the radiotherapy beam delivery to the patient. OCT measures the optical density in radiochromic material that changes predictably upon exposure to radiotherapy beams. OCT systems have been developed using a photodiode and charged coupled device (CCD) as the detector. The existing OCT imaging systems have limitation in terms of the accuracy and the speed of the measurement. Advances in on-pixel intelligence CMOS image sensor (CIS) will be exploited in this work to replace current detector in OCT imaging systems. CIS is capable of on-pixel signal processing at a very fast imaging speed (over several hundred images per second) that will allow improvement in the 3D measurement of the optical density. The paper will review 3D radiochromic dosimeters and OCT systems developed and discuss how CMOS based OCT imaging will provide accurate and fast optical density measurements in 3D. The paper will also discuss the configuration of the CMOS based OCT developed in this work and how it may improve the existing OCT system.

  20. TU-E-201-03: Eye Lens Dosimetry in Radiotherapy Using Contact Lens-Shaped Applicator

    Energy Technology Data Exchange (ETDEWEB)

    Park, J. [Seoul National University Hospital (Korea, Republic of)

    2015-06-15

    . These actions should be considered when they are consistent with the clinical task and patient anatomy. Learning Objectives: To become familiar with method of eye dose estimation for patient in specific situation of brain perfusion CT To become familiar with level of eye lens radiation doses in patients undergoing brain perfusion MDCT To understand methods for reducing eye lens dose to patient Jong Min Park, Department of Radiation Oncology, Seoul National University Hospital, Seoul, Korea Eye lens dosimetry in radiotherapy using contact lens-shaped applicator Dose calculation accuracy of commercial treatment planning systems is relatively low at shallow depths. Therefore, in-vivo measurements are often performed in the clinic to verify delivered doses to eye lens which are located at shallow depth. Current in-vivo dosimetry for eye lens during radiotherapy is generally performed with small in-vivo dosimeters on the surface of patient eyelid. Since this procedure potentially contains considerable uncertainty, a contact lens-shaped applicator made of acrylic (lens applicator) was developed for in-vivo measurements of eye lens dose during radiotherapy to reduce uncertainty. The lens applicator allows the insertion of commercially available metal oxide semiconductor field effect transistor (MOSFET) dosimeters. Computed tomography (CT) images of an anthropomorphic phantom with and without the lens applicator were acquired. A total of 20 VMAT plans were delivered to an anthropomorphic phantom and the doses with the lens applicator and the doses at the surface of the eyelid were measured using both micro and standard MOSFET dosimeters. The differences in measured dose at the surface of the eyelid from the calculated lens dose were acquired. The differences between the measured and the calculated doses at the lens applicator, as well as the differences between the measured and the calculated doses at the surface of the eyelid were acquired. The statistical significance of the

  1. TU-E-201-03: Eye Lens Dosimetry in Radiotherapy Using Contact Lens-Shaped Applicator

    International Nuclear Information System (INIS)

    Park, J.

    2015-01-01

    . These actions should be considered when they are consistent with the clinical task and patient anatomy. Learning Objectives: To become familiar with method of eye dose estimation for patient in specific situation of brain perfusion CT To become familiar with level of eye lens radiation doses in patients undergoing brain perfusion MDCT To understand methods for reducing eye lens dose to patient Jong Min Park, Department of Radiation Oncology, Seoul National University Hospital, Seoul, Korea Eye lens dosimetry in radiotherapy using contact lens-shaped applicator Dose calculation accuracy of commercial treatment planning systems is relatively low at shallow depths. Therefore, in-vivo measurements are often performed in the clinic to verify delivered doses to eye lens which are located at shallow depth. Current in-vivo dosimetry for eye lens during radiotherapy is generally performed with small in-vivo dosimeters on the surface of patient eyelid. Since this procedure potentially contains considerable uncertainty, a contact lens-shaped applicator made of acrylic (lens applicator) was developed for in-vivo measurements of eye lens dose during radiotherapy to reduce uncertainty. The lens applicator allows the insertion of commercially available metal oxide semiconductor field effect transistor (MOSFET) dosimeters. Computed tomography (CT) images of an anthropomorphic phantom with and without the lens applicator were acquired. A total of 20 VMAT plans were delivered to an anthropomorphic phantom and the doses with the lens applicator and the doses at the surface of the eyelid were measured using both micro and standard MOSFET dosimeters. The differences in measured dose at the surface of the eyelid from the calculated lens dose were acquired. The differences between the measured and the calculated doses at the lens applicator, as well as the differences between the measured and the calculated doses at the surface of the eyelid were acquired. The statistical significance of the

  2. Computational voxel phantom, associated to anthropometric and anthropomorphic real phantom for dosimetry in human male pelvis radiotherapy

    International Nuclear Information System (INIS)

    Silva, Cleuza Helena Teixeira; Campos, Tarcisio Passos Ribeiro de

    2005-01-01

    This paper addresses a computational model of voxels through MCNP5 Code and the experimental development of an anthropometric and anthropomorphic phantom for dosimetry in human male pelvis brachytherapy focusing prostatic tumors. For elaboration of the computational model of the human male pelvis, anatomical section images from the Visible Man Project were applied. Such selected and digital images were associated to a numeric representation, one for each section. Such computational representation of the anatomical sections was transformed into a bi-dimensional mesh of equivalent tissue. The group of bidimensional meshes was concatenated forming the three-dimensional model of voxels to be used by the MCNP5 code. In association to the anatomical information, data from the density and chemical composition of the basic elements, representatives of the organs and involved tissues, were setup in a material database for the MCNP-5. The model will be applied for dosimetric evaluations in situations of irradiation of the human masculine pelvis. Such 3D model of voxel is associated to the code of transport of particles MCNP5, allowing future simulations. It was also developed the construction of human masculine pelvis phantom, based on anthropometric and anthropomorphic dates and in the use of representative equivalent tissues of the skin, fatty, muscular and glandular tissue, as well as the bony structure.This part of work was developed in stages, being built the bony cast first, later the muscular structures and internal organs. They were then jointly mounted and inserted in the skin cast. The representative component of the fatty tissue was incorporate and accomplished the final retouchings in the skin. The final result represents the development of two important essential tools for elaboration of computational and experimental dosimetry. Thus, it is possible its use in calibrations of pre-existent protocols in radiotherapy, as well as for tests of new protocols, besides

  3. Hippocampal dosimetry correlates with the change in neurocognitive function after hippocampal sparing during whole brain radiotherapy: a prospective study

    International Nuclear Information System (INIS)

    Tsai, Ping-Fang; Yang, Chi-Cheng; Chuang, Chi-Cheng; Huang, Ting-Yi; Wu, Yi-Ming; Pai, Ping-Ching; Tseng, Chen-Kan; Wu, Tung-Ho; Shen, Yi-Liang; Lin, Shinn-Yn

    2015-01-01

    Whole brain radiotherapy (WBRT) has been the treatment of choice for patients with brain metastases. However, change/decline of neurocognitive functions (NCFs) resulting from impaired hippocampal neurogenesis might occur after WBRT. It is reported that conformal hippocampal sparing would provide the preservation of NCFs. Our study aims to investigate the hippocampal dosimetry and to demonstrate the correlation between hippocampal dosimetry and neurocognitive outcomes in patients receiving hippocampal sparing during WBRT (HS-WBRT). Forty prospectively recruited cancer patients underwent HS-WBRT for therapeutic or prophylactic purposes. Before receiving HS-WBRT, all participants received a battery of baseline neurocognitive assessment, including memory, executive functions and psychomotor speed. The follow-up neurocognitive assessment at 4 months after HS-WBRT was also performed. For the delivery of HS-WBRT, Volumetric Modulated Arc Therapy (VMAT) with two full arcs and two non-coplanar partial arcs was employed. For each treatment planning, dose volume histograms were generated for left hippocampus, right hippocampus, and the composite hippocampal structure respectively. Biologically equivalent doses in 2-Gy fractions (EQD 2 ) assuming an alpha/beta ratio of 2 Gy were computed. To perform analyses addressing the correlation between hippocampal dosimetry and the change in scores of NCFs, pre- and post-HS-WBRT neurocognitive assessments were available in 24 patients in this study. Scores of NCFs were quite stable before and after HS-WBRT in terms of hippocampus-dependent memory. Regarding verbal memory, the corresponding EQD 2 values of 0, 10, 50, 80 % irradiating the composite hippocampal structure with <12.60 Gy, <8.81, <7.45 Gy and <5.83 Gy respectively were significantly associated with neurocognitive preservation indicated by the immediate recall of Word List Test of Wechsler Memory Scale-III. According to logistic regression analyses, it was noted that

  4. Quantification of fat fraction in lumbar vertebrae: correlation with age and implications for bone marrow dosimetry in molecular radiotherapy

    Science.gov (United States)

    Salas-Ramirez, Maikol; Tran-Gia, Johannes; Kesenheimer, Christian; Weng, Andreas Max; Kosmala, Aleksander; Heidemeier, Anke; Köstler, Herbert; Lassmann, Michael

    2018-01-01

    Absorbed dose to active bone marrow is a predictor of hematological toxicity in molecular radiotherapy. Due to the complex composition of bone marrow tissue, the necessity to improve the personalized dosimetry has led to the application of non-conventional imaging methods in nuclear medicine. The aim of this study is to apply magnetic resonance imaging (MRI) for quantification of the fat fraction in lumbar vertebrae and to analyze its implications for bone marrow dosimetry. First, a highly accelerated two-point Dixon MRI sequence for fat-water separation was validated in a 3T system against the magnetic resonance spectroscopy (MRS) gold standard. The validation was performed in a fat-water phantom composed of 11 vials with different fat fractions between 0% and 100%, and subsequently repeated in the lumbar vertebrae of three healthy volunteers. Finally, a retrospective study was performed by analyzing the fat fraction in five lumbar vertebrae of 44 patients scanned with the two-point Dixon sequence. The two-point Dixon phantom acquisition showed a good agreement (maximum difference  =  2.9%) between the nominal fat fraction and MRS. In the volunteers, a statistical analysis showed a non-significant difference (p  =  0.19) between MRI and MRS. In the patients, gender-specific linear fits for female and male data indicated that the age-dependent marrow conversion (red  →  yellow marrow) is slower in males (0.3% per year) than in females (0.5% per year). Lastly, the fat fraction values showed a considerable variability in patients of similar ages and the same gender. Two-point Dixon MRI enables a non-invasive and spatially resolved quantification of the fat fraction in bone marrow. Our study provides important evidence on the differences in marrow conversion between females and males. In addition, differences were observed in the cellularity values of the International Commission on Radiological Protection (ICRP) reference man (0.7) and the

  5. MRI gel dosimetry for verification of mono-isocentric junction doses in head and neck radiotherapy

    International Nuclear Information System (INIS)

    Back, S.A.J.; Jayasekera, P.M.; Lepage, M.; Baldock, C.; Menzies, N.; Back, P.

    2000-01-01

    Full text: The use of independent collimators in the abutment of two adjacent treatment volumes, as in head and neck radiation treatments, consists typically of positioning the collimator rotation axis (CRA) at the junction of the volumes, and offsetting each field by its half-field width. This has the effect of positioning one of the collimator jaws at the CRA for each field. However, misalignment of the jaws can lead to variations in dose uniformity in the junction region. We have used gel dosimetry to measure junction doses in three dimensions. PAG gel MRI was used to investigate junction dosimetry for a mono-isocentriic treatment of two orthogonal pairs of opposed (ant/post and lateral) 6 MV x-ray beams. PAG gels in an 11cm diameter cylindrical gel phantom were imaged using a Siemens Vision 1.5 T MRI. The exposures were made using a Philips SL 20 linear accelerator with independent jaws that were known to overlap at the isocentre for sequential abutting offset (within manufacturer's specifications for symmetric fields). X-Omat V films were exposed in mono-directional beams, and optically scanned for comparison. Measurements of off-axis ratios and of relative depth profiles using gel MRI and perpendicular film were in excellent agreement with each other. Measurements through the multi-directional junction at the isocentre are illustrated in the graph, for orthogonal planes centred at the isocentre of the neck phantom. They demonstrate a minimum dose of 75 % of that of the adjacent 'treatment' regions, which agrees closely with the results measured (72%) in the mono-directional case with film. We conclude that this measurement confirms that junction dosimetry at the isocentre measured with perpendicular film for a single direction is a good approximation to the situation in multiple directions. Copyright (2000) Australasian College of Physical Scientists and Engineers in Medicine

  6. Quality audit of dosimetry in radiotherapy centers using postal dose TLD intercomparison in India

    International Nuclear Information System (INIS)

    Ramanathan, G.; Kadam, V.D.; Vinatha, S.P.; Soman, A.T.; Vijayam, M.; Shaha, V.V.; Abani, M.C.

    2001-01-01

    The national quality audit of dosimetry in radiation therapy centers using mailed TLDs is being carried out by RSS/ASSD of BARC since 1976, in collaboration with IAEA/WHO for India and neighbouring countries such as Mayanmar, Sri Lanka and Nepal. The importance of the programme comes from the fact that consistent, high accuracy ( 60 Co machines ∼35 linear accelerators are being covered by the programme. This paper brings out the materials and methods used in the intercomparison. The results of intercomparison are analyzed to find the steps to improve the performance in quality audit of those centers whose results are outside the limit of acceptable deviation

  7. In vivo thermoluminescent dosimetry on the radiotherapy of limphomas, esophageal and uterine tumour

    International Nuclear Information System (INIS)

    Morales, F.C.

    1982-01-01

    A comparative study between dose distribution in pre-selected tumoral plans was established through measurements with thermoluminescent dosimeters and calculations based on 'scatter-air-ratios' properties, isodose curves and collected data. Clinic dosimetry was performed 'in vivo' with LiF dosimeters (TLD-100) and LiF Teflon (1 mm theta, 6 mm lenght). Patients with Hodgkin's disease, carcinoma of the esophagus and of the uterine cervix were selected. Telecobaltherapy was used for these groups of neoplasic conditions. (M.A.C.) [pt

  8. The IAEA/WHO TLD postal dose quality audits for radiotherapy: a perspective of dosimetry practices at hospitals in developing countries

    International Nuclear Information System (INIS)

    Izewska, Joanna; Andreo, Pedro; Vatnitsky, Stanislav; Shortt, Ken R.

    2003-01-01

    Background and purpose: The IAEA/WHO TLD postal programme for external audits of the calibration of high-energy photon beams used in radiotherapy has been in operation since 1969. This work presents a survey of the 1317 TLD audits carried out during 1998-2001. The TLD results are discussed from the perspective of the dosimetry practices in hospitals in developing countries, based on the information provided by the participants in their TLD data sheets. Materials and methods: A detailed analysis of the TLD data sheets is systematically performed at the IAEA. It helps to trace the source of any discrepancy between the TLD measured dose and the user stated dose, and also provides information on equipment, dosimetry procedures and the use of codes of practice in the countries participating in the IAEA/WHO TLD audits. Result: The TLD results are within the 5% acceptance limit for 84% of the participants. The results for accelerator beams are typically better than for Co-60 units. Approximately 75% of participants reported dosimetry data, including details on their procedure for dose determination from ionisation chamber measurements. For the remaining 25% of hospitals, who did not submit these data, the results are poorer than the global TLD results. Most hospitals have Farmer type ionisation chambers calibrated in terms of air kerma by a standards laboratory. Less than 10% of the hospitals use new codes of practice based on standards of absorbed dose to water. Conclusion: Despite the differences in dosimetry equipment, traceability to different standards laboratories and uncertainties arising from the use of various dosimetry codes of practice, the determination of absorbed dose to water for photon beams typically agrees within 2% among hospitals. Correct implementation of any of the dosimetry protocols should ensure that significant errors in dosimetry are avoided

  9. Absorbed dose determination in external beam radiotherapy. An international code of practice for dosimetry based on standards of absorbed dose to water

    International Nuclear Information System (INIS)

    2000-01-01

    The International Atomic Energy Agency published in 1987 an International Code of Practice entitled 'Absorbed Dose Determination in Photon and Electron Beams' (IAEA Technical Reports Series No. 277 (TRS-277)), recommending procedures to obtain the absorbed dose in water from measurements made with an ionization chamber in external beam radiotherapy. A second edition of TRS-277 was published in 1997 updating the dosimetry of photon beams, mainly kilovoltage X rays. Another International Code of Practice for radiotherapy dosimetry entitled 'The Use of Plane-Parallel Ionization Chambers in High Energy Electron and Photon Beams' (IAEA Technical Reports Series No. 381 (TRS-381)) was published in 1997 to further update TRS-277 and complement it with respect to the area of parallel-plate ionization chambers. Both codes have proven extremely valuable for users involved in the dosimetry of the radiation beams used in radiotherapy. In TRS-277 the calibration of the ionization chambers was based on primary standards of air kerma; this procedure was also used in TRS-381, but the new trend of calibrating ionization chambers directly in a water phantom in terms of absorbed dose to water was introduced. The development of primary standards of absorbed dose to water for high energy photon and electron beams, and improvements in radiation dosimetry concepts, offer the possibility of reducing the uncertainty in the dosimetry of radiotherapy beams. The dosimetry of kilovoltage X rays, as well as that of proton and heavy ion beams, interest in which has grown considerably in recent years, can also be based on these standards. Thus a coherent dosimetry system based on standards of absorbed dose to water is possible for practically all radiotherapy beams. Many Primary Standard Dosimetry Laboratories (PSDLs) already provide calibrations in terms of absorbed dose to water at the radiation quality of 60 Co gamma rays. Some laboratories have extended calibrations to high energy photon and

  10. The practical application of scintillation dosimetry in small-field photon-beam radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Burke, Elisa; Poppinga, Daniela; Schoenfeld, Andreas A.; Poppe, Bjoern; Looe, Hui Khee [Oldenburg Univ. (Germany). Univ. Clinic for Medical Radiation Physics; Harder, Dietrich [Goettingen Univ. (Germany). Medical Physics and Biophysics

    2017-07-01

    Plastic scintillation detectors are a new instrument of stereotactic photon-beam dosimetry. The clinical application of the plastic scintillation detector Exradin W1 at the Siemens Artiste and Elekta Synergy accelerators is a matter of current interest. In order to reduce the measurement uncertainty, precautions have to be taken with regard to the geometrical arrangement of the scintillator, the light-guide fiber and the photodiode in the radiation field. To determine the ''Cerenkov light ratio'' CLR with a type A uncertainty below 1%, the Cerenkov calibration procedure for small-field measurements based on the two-channel spectral method was used. Output factors were correctly measured with the W1 for field sizes down to 0.5 x 0.5 cm{sup 2} with a type A uncertainty of 1.8%. Measurements of small field dose profiles and percentage depth dose curves were carried out with the W1 using automated water phantom profile scans, and a type A uncertainty for dose maxima of 1.4% was achieved. The agreement with a synthetic diamond detector (microDiamond, PTW Freiburg) and a plane parallel ionization chamber (Roos chamber, PTW Freiburg) in relative dose measurements was excellent. In oversight of all results, the suitability of the plastic scintillation detector Exradin W1 for clinical dosimetry under stereotactic conditions, in particular the tried and tested procedures for CLR determination, output factor measurement and automated dose profile scans in water phantoms, have been confirmed.

  11. The magic cube and the pixel ionization chamber: detectors for monitor and dosimetry of radiotherapy beams

    International Nuclear Information System (INIS)

    Amerio, S.; Boriano, A.; Bourhaleb, F.; Cirio, R.; Donetti, M.; Garelli, E.; Giordanengo, S.; Madon, E.; Marchetto, F.; Nastasi, U.; Peroni, C.; Sanz Freire, C.J.; Sardo, A.; Trevisiol, E.

    2003-01-01

    Tumor therapy takes advantage of the energy deposition of radiation to concentrate high doses in the target while sparing healthy tissue. Elective pathologies for highly conformal radiotherapies such as photon Intensity Modulated Radiotherapy (IMRT) and radiotherapy with hadrons are head and neck, eye, prostate and in general all tumors that are either deep or located close to critical organs. In the world there are several centers that are using such techniques and a common problem that is being experienced is the verification of treatment plans and monitoring of the beam. We have designed and built two detectors that allow 2D and 3D measurements of dose and fluence of such beams. The detectors allow measurements on big surfaces, up to 25*25 cm 2 . The active media are parallel plate, strip and pixel segmented ionization chambers with front-end Very Large Scale Integration (VLSI) readout and PC based data acquistion. The description of dosimeter, chamber and electronics will be given with results from beam tests and therapy plan verification

  12. EPID-based in vivo dosimetry for stereotactic body radiotherapy of non-small cell lung tumors: Initial clinical experience.

    Science.gov (United States)

    Consorti, R; Fidanzio, A; Brainovich, V; Mangiacotti, F; De Spirito, M; Mirri, M A; Petrucci, A

    2017-10-01

    EPID-based in vivo dosimetry (IVD) has been implemented for stereotactic body radiotherapy treatments of non-small cell lung cancer to check both isocenter dose and the treatment reproducibility comparing EPID portal images. 15 patients with lung tumors of small dimensions and treated with volumetric modulated arc therapy were enrolled for this initial experience. IVD tests supplied ratios R between in vivo reconstructed and planned isocenter doses. Moreover a γ-like analysis between daily EPID portal images and a reference one, in terms of percentage of points with γ-value smaller than 1, P γlevels of 5% for R ratio, P γlevel, and an average P γ90%. Paradigmatic discrepancies were observed in three patients: a set-up error and a patient morphological change were identified thanks to CBCT image analysis whereas the third discrepancy was not fully justified. This procedure can provide improved patient safety as well as a first step to integrate IVD and CBCT dose recalculation. Copyright © 2017 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

  13. A comparison of optic nerve dosimetry in craniospinal radiotherapy planned and treated with conventional and intensity modulated techniques

    International Nuclear Information System (INIS)

    Rene, Nicholas J.; Brodeur, Marylene; Parker, William; Roberge, David; Freeman, Carolyn

    2010-01-01

    Background and purpose: Some CNS tumours present leptomeningeal dissemination. Craniospinal radiotherapy is complex and recurrences may occur at sites of target volume underdosage. IMRT, being highly conformal to the target, could theoretically underdose the optic nerves if they are not specifically targeted leading to optic nerve recurrences. We analyzed optic nerve dosimetry when they are not specifically targeted. Materials and methods: We designed 3D-conformal and tomotherapy plans for our last five patients treated to the craniospinal axis, not including the optic nerves in the target volume. We analyzed the dose delivered to the optic nerves, to the anterior and posterior half of the optic nerves, and to a theoretical optic nerve-PTV. Results: The dose delivered to the optic nerves was similar for both plans in all patients (V95% close to 100%) except one in whom tomotherapy considerably underdosed the anterior optic nerves. The dose to the optic nerve-PTV was lower with tomotherapy in all patients. Conclusion: Despite not intentionally targeting the optic nerves, the dose to the optic nerves with IMRT was similar to 3D-conformal plans in most cases but left no margin for setup error. In individual cases the anterior half of the optic nerves could be significantly underdosed.

  14. Dosimetry for synchrotron stereotactic radiotherapy: Monte Carlo simulations and radiosensitive gels

    International Nuclear Information System (INIS)

    Boudou, C.

    2006-09-01

    High grade gliomas are extremely aggressive brain tumours. Specific techniques combining the presence of high atomic number elements within the tumour to an irradiation with a low x-rays (below 100 keV) beam from a synchrotron source were proposed. For the sake of clinical trials, the use of treatment planning system has to be foreseen as well as tailored dosimetry protocols. Objectives of this thesis work were (1) the development of a dose calculation tools based on Monte Carlo code for particles transport and (2) the implementation of an experimental method for the three dimensional verification of the dose delivered. The dosimetric tool is an interface between tomography images from patient or sample and the M.C.N.P.X. general purpose code. Besides, dose distributions were measured through a radiosensitive polymer gel, providing acceptable results compared to calculations

  15. In vivo dosimetry in intraoperative electron radiotherapy. microMOSFETs, radiochromic films and a general-purpose linac

    Energy Technology Data Exchange (ETDEWEB)

    Lopez-Tarjuelo, Juan; Marco-Blancas, Noelia de; Santos-Serra, Agustin; Quiros-Higueras, Juan David [Consorcio Hospitalario Provincial de Castellon, Servicio de Radiofisica y Proteccion Radiologica, Castellon de la Plana (Spain); Bouche-Babiloni, Ana; Morillo-Macias, Virginia; Ferrer-Albiach, Carlos [Consorcio Hospitalario Provincial de Castellon, Servicio de Oncologia Radioterapica, Castellon de la Plana (Spain)

    2014-11-15

    In vivo dosimetry is desirable for the verification, recording, and eventual correction of treatment in intraoperative electron radiotherapy (IOERT). Our aim is to share our experience of metal oxide semiconductor field-effect transistors (MOSFETs) and radiochromic films with patients undergoing IOERT using a general-purpose linac. We used MOSFETs inserted into sterile bronchus catheters and radiochromic films that were cut, digitized, and sterilized by means of gas plasma. In all, 59 measurements were taken from 27 patients involving 15 primary tumors (seven breast and eight non-breast tumors) and 12 relapses. Data were subjected to an outliers' analysis and classified according to their compatibility with the relevant doses. Associations were sought regarding the type of detector, breast and non-breast irradiation, and the radiation oncologist's assessment of the difficulty of detector placement. At the same time, 19 measurements were carried out at the tumor bed with both detectors. MOSFET measurements (D = 93.5 %, s{sub D} = 6.5 %) were not significantly shifted from film measurements (D = 96.0 %, s{sub D} = 5.5 %; p = 0.109), and no associations were found (p = 0.526, p = 0.295, and p = 0.501, respectively). As regards measurements performed at the tumor bed with both detectors, MOSFET measurements (D = 95.0 %, s{sub D} = 5.4 %) were not significantly shifted from film measurements (D = 96.4 %, s{sub D} = 5.0 %; p = 0.363). In vivo dosimetry can produce satisfactory results at every studied location with a general-purpose linac. Detector choice should depend on user factors, not on the detector performance itself. Surgical team collaboration is crucial to success. (orig.) [German] Die In-vivo-Dosimetrie ist wuenschenswert fuer die Ueberpruefung, Registrierung und die eventuelle Korrektur der Behandlungen in der IOERT (''Intraoperative Electron Radiation Therapy''). Unser Ziel ist die Veroeffentlichung unserer Erfahrungen beim

  16. Establishment of a radiotherapy service with a linear accelerator (photons): acceptance tests, dosimetry and quality control

    International Nuclear Information System (INIS)

    Berdaky, Mafalda Feliciano

    2000-01-01

    This work presents the operational part of the final process of the establishment of a radiotherapy service with a linear accelerator (6 MeV photon beams), including the acceptance tests, commissioning tests and the implementation of a quality control program through routine mechanical and radiation tests. All acceptance tests were satisfactory, showing results below the allowed limits of the manufacturer, the commissioning tests presented results within those of the international recommendations. The quality control program was performed during 34 months and showed an excellent stability of this accelerator. (author)

  17. Computer-assisted dosimetry in the radiotherapy of cancer of the cervix

    International Nuclear Information System (INIS)

    Calaguas, M.J.C.; Rodriguez, L.V.; Vito Cruz, E.Q.; Legaspi, G.C.; De Luna, R.M.; Hermoso, T.M.; Razon, E.C.; Madrid, E.T.; Viray, R.G.

    1992-01-01

    Cancer of the cervix is the third leading cause of cancer in the Philippines. The Department of Radiotherapy of the Jose R. Reyes Memorial Medical Center has participated in the Regional Coordinated Research project sponsored by the International Atomic Energy Agency (IAEA) to undertake a study to compare computer treatment planning and manual calculations in radiotherapy of the cancer of the cervix; and to perform actual measurements on bladder and rectal points using TLDs. Twenty-seven patients with Stage II-B to III-B were included in the study. External beam teletherapy of 40 Gy without shielding for 4 weeks and 50 Gy with blocks plus brachytherapy of 20-40 Gy were given using LDR or HDR machine. Point A, bladder and rectal points were defined following ICRU 38 recommendations. The results showed dose calculations between commercially available computers and IAEA - provided computers agree to within 20%. Results of TLD measurement in bladder and rectum have shown wide range of variation. (author). 3 refs.; 4 tabs.; 8 figs

  18. Radiotherapy

    International Nuclear Information System (INIS)

    Prosnitz, L.R.; Kapp, D.S.; Weissberg, J.B.

    1983-01-01

    This review highlights developments over the past decade in radiotherapy and attempts to summarize the state of the art in the management of the major diseases in which radiotherapy has a meaningful role. The equipment, radiobiology of radiotherapy and carcinoma of the lung, breast and intestines are highlighted

  19. In vivo dosimetry in intraoperative electron radiotherapy: microMOSFETs, radiochromic films and a general-purpose linac.

    Science.gov (United States)

    López-Tarjuelo, Juan; Bouché-Babiloni, Ana; Morillo-Macías, Virginia; de Marco-Blancas, Noelia; Santos-Serra, Agustín; Quirós-Higueras, Juan David; Ferrer-Albiach, Carlos

    2014-10-01

    In vivo dosimetry is desirable for the verification, recording, and eventual correction of treatment in intraoperative electron radiotherapy (IOERT). Our aim is to share our experience of metal oxide semiconductor field-effect transistors (MOSFETs) and radiochromic films with patients undergoing IOERT using a general-purpose linac. We used MOSFETs inserted into sterile bronchus catheters and radiochromic films that were cut, digitized, and sterilized by means of gas plasma. In all, 59 measurements were taken from 27 patients involving 15 primary tumors (seven breast and eight non-breast tumors) and 12 relapses. Data were subjected to an outliers' analysis and classified according to their compatibility with the relevant doses. Associations were sought regarding the type of detector, breast and non-breast irradiation, and the radiation oncologist's assessment of the difficulty of detector placement. At the same time, 19 measurements were carried out at the tumor bed with both detectors. MOSFET measurements ([Formula: see text]  = 93.5 %, sD  =  6.5 %) were not significantly shifted from film measurements ([Formula: see text]  =  96.0 %, sD  =  5.5 %; p  =  0.109), and no associations were found (p = 0.526, p = 0.295,  and p = 0.501, respectively). As regards measurements performed at the tumor bed with both detectors, MOSFET measurements ([Formula: see text]  =  95.0 %, sD  =  5.4 % were not significantly shifted from film measurements ([Formula: see text]  =  96.4 %, sD  =  5.0 %; p  =  0.363). In vivo dosimetry can produce satisfactory results at every studied location with a general-purpose linac. Detector choice should depend on user factors, not on the detector performance itself. Surgical team collaboration is crucial to success.

  20. Constraints to organs at risks: a simple tool to uniform and secure the prescriptions and the realisation of dosimetry in a radiotherapy department; Contraintes aux organes a risque: un outil simple pour uniformiser et securiser les prescriptions et la realisation des dosimetries au sein d'un departement de radiotherapie

    Energy Technology Data Exchange (ETDEWEB)

    Mirabel, X.; Horn, S.; Le Tinier, F.; Attar, M.; Dewas, S.; Lacornerie, T.; Nickers, P.; Sarrazin, T.; Lartigau, E. [Centre Oscar-Lambret, 59 - Lille (France)

    2009-10-15

    The generalisation of the three dimensional conformal radiotherapy, then the conformal radiotherapy with intensity modulation, the receipt of a dosimetry scanner, two tomo-therapy devices and a cyberknife modified deeply our practices. The delineation of every organ at risk and the prescription of constraints to organs at risk became systematic. The new technologies by their possibilities in term of accuracy, conformity and tracking lead us to choose new therapy indications in situations where the control of dose to organs at risk is particularly crucial (hypo fractionated intra and extra cranial stereotaxic). This context make us feel the necessity to use a data base of constraints to organs at risk, for the classic fractionation and the hypo fractionation. An array containing all the data has been published as posters, it is displayed in large format in the work area for doctors in the area of simulation and data acquisition as well as dosimetry. (N.C.)

  1. Thermoluminescent dosimetry applied to radiotherapy carried out around the Therac-20-Saturne linear accelerator

    International Nuclear Information System (INIS)

    Bennab, K.

    1984-10-01

    In the first part of this work, the physical and technical aspects necessary to a radiotherapy treatment planning elaboration are presented. These include the apparatus description as well as the measurements of the dosimetric quantities relative to the delivered beams. Since in-vivo measurements are very useful to optimise the treatment conditions, the second part deals with thermoluminescent dosimeters, their characteristics and their setting out such as they be used with maximum efficiency. In-vivo measurements carried out enabled us to estimate the delivered dose to a given tumor with a precision down to +-4%. The registered differences between the measured dose and the prescribed one made possible an appropriate corrective action. Because of the difficulties encountered with conventional dosimetric systems when used in narrow beam measurements, we have developed a new method making use of TL dosimeters. The results obtained will allow treatments of small volume tumors with the significant advantage of saving healthy surrounding tissues from irradiation

  2. In vivo dose evaluation during gynaecological radiotherapy using L-alanine/ESR dosimetry

    International Nuclear Information System (INIS)

    Burg Rech, Amanda; Baffa, Oswaldo; Barbi, Gustavo Lazzaro; Almeida Ventura, Luiz Henrique; Silva Guimaraes, Flavio; Oliveira, Harley Francisco

    2014-01-01

    The dose delivered by in vivo 3-D external beam radiation therapy (EBRT) was verified with L-alanine/electron spin resonance (ESR) dosimetry for patients diagnosed with gynaecological cancer. Measurements were performed with an X-band ESR spectrometer. Dosemeters were positioned inside the vaginal cavity with the assistance of an apparatus specially designed for this study. Previous phantom studies were performed using the same conditions as in the in vivo treatment. Four patients participated in this study during 20-irradiation sessions, giving 220 dosemeters to be analysed. The doses were determined with the treatment planning system, providing dose confirmation. The phantom study resulted in a deviation between -2.5 and 2.1 %, and for the in vivo study a deviation between -9.2 and 14.2 % was observed. In all cases, the use of alanine with ESR was effective for dose assessment, yielding results consistent with the values set forth in the International Commission on Radiation Units and Measurements (ICRU) reports. (authors)

  3. Thermoluminescence dosimetry applied to quality assurance in radiotherapy, brachytherapy and radiodiagnostic

    Energy Technology Data Exchange (ETDEWEB)

    Marinello, G [Centre Hospitalo-Universitaire, Creteil (France). Dept. Inter-Hospitalier de Cancerologie

    1996-08-01

    Thermoluminescence (TL) dosimetry is very interesting for in vivo measurements because TL detectors have the advantages of being very sensitive under a very small volume and do not meet to be connected to an electrometer with an unwieldy cable. The principle of the method being briefly recalled, criteria of choice of a TL material according to the applications to be performed are given. It is shown that to be used for in vivo measurements, TL material should have the same response at room and patient temperatures and be equivalent to soft tissue, lungs or bones for the energy ranges encountered in practice. Theoretical data are provided in order to facilitate the user`s choice. The different heating processes (linear or isothermal heating kinetics, hot gas, etc.) and light detection systems of TL readers are also presented. TL manual and automatic readers commercially available in 1994, and the emission temperature and wavelength the dosimetric peaks of usual TL materials are presented in two tables, respectively. Then the principal properties of TL dosimeters to be used for in vivo measurements and their practical consequences are summarized: signal stability after irradiation, intrinsic precision, sensitivity, response with dose, dose-rate, mass and energy. At last some examples of applications as different as total body and skin irradiations, brachytherapy, diagnostic radiology and quality assurance purposes are given. (author). 35 refs, 6 figs, 4 tabs.

  4. A simple method to back-project isocenter dose of radiotherapy treatments using EPID transit dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Silveira, T.B.; Cerbaro, B.Q.; Rosa, L.A.R. da, E-mail: thiago.fisimed@gmail.com, E-mail: tbsilveira@inca.gov.br [Instituto de Radioproteção e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro - RJ (Brazil)

    2017-07-01

    The aim of this work was to implement a simple algorithm to evaluate isocenter dose in a phantom using the back-projected transmitted dose acquired using an Electronic Portal Imaging Device (EPID) available in a Varian Trilogy accelerator with two nominal 6 and 10 MV photon beams. This algorithm was developed in MATLAB language, to calibrate EPID measured dose in absolute dose, using a deconvolution process, and to incorporate all scattering and attenuation contributions due to photon interactions with phantom. Modeling process was simplified by using empirical curve adjustments to describe the contribution of scattering and attenuation effects. The implemented algorithm and method were validated employing 19 patient treatment plans with 104 clinical irradiation fields projected on the phantom used. Results for EPID absolute dose calibration by deconvolution have showed percent deviations lower than 1%. Final method validation presented average percent deviations between isocenter doses calculated by back-projection and isocenter doses determined with ionization chamber of 1,86% (SD of 1,00%) and -0,94% (SD of 0,61%) for 6 and 10 MV, respectively. Normalized field by field analysis showed deviations smaller than 2% for 89% of all data for 6 MV beams and 94% for 10 MV beams. It was concluded that the proposed algorithm possesses sufficient accuracy to be used for in vivo dosimetry, being sensitive to detect dose delivery errors bigger than 3-4% for conformal and intensity modulated radiation therapy techniques. (author)

  5. Dosimetry for small size beams such as IMRT and stereotactic radiotherapy, is the concept of the dose at a point still relevant? proposal for a new methodology

    International Nuclear Information System (INIS)

    Ostrowsky, A.; Bordy, J.M.; Daures, J.; De Carlan, L.; Delaunay, F.

    2010-01-01

    Solving the problem of traceability of the absorbed dose to the tumour for the radiation fields of small and very small dimensions, like those used for new treatment modality usually results in the use of dosemeters of much smaller size than those of the beam. For the realisation of the reference in primary standards laboratories, the absence of technology likely to produce absolute small-size dosemeters leaves no possibility for the direct measurement of the absorbed dose at a point and implies the use of passive or active small-size transfer dosemeters. This report intends to introduce a new kind of dose quantity for radiotherapy similar do the Dose Area Product concept used in radiology. Such a new concept has to be propagated through the metrology chain, including the TPS, to the calculation of the absorbed dose to the tumour. (authors)

  6. Real-time in vivo luminescence dosimetry in radiotherapy and mammography using Al{sub 2}O{sub 3}:C

    Energy Technology Data Exchange (ETDEWEB)

    Aznar, M.C.

    2005-06-15

    New treatment and clinical imaging techniques have created a need for accurate and practical in vivo dosimeters in radiation medicine. This work describes the development of a new optical-fiber radiation dosimeter system, based on radioluminescence (RL) and optically stimulated luminescence (OSL) from carbon-doped aluminium oxide (Al2O3:C), for applications in radiotherapy and mammography. This system offers several features, such as a small detector, high sensitivity, real-time read-out, and the ability to measure both dose rate and absorbed dose. Measurement protocols and algorithms for the correction of responses were developed to enable a reliable absorbed dose assessment from the RL and OSL signals. At radiotherapy energies, the variation of the signal with beam parameters was smaller than 1% (1 SD). Treatment-like experiments in phantoms, and in vivo measurements during complex patient treatments (such as intensity-modulated radiation therapy) indicate that the RL/OSL dosimetry system can reliably measure the absorbed dose within 2%. The real-time RL signal also enables an individual dose assessment from each field. The RL/OSL dosimetry system was also used during mammography examinations. In such conditions, the reproducibility of the measurements showed to be around 3%. In vivo measurements on three patients showed that the presence of the RL/OSL probes did not degrade the diagnostic quality of the radiograph and that the system could be used to measure exit doses (i.e., absorbed doses on the inferior surface of the breast). A Monte Carlo study proved that the energy dependence of the RL/OSL system at these low energies could be reduced by optimizing the design of the probes. It is concluded that the new RL/OSL dosimetry system shows considerable potential for applications in both radiotherapy and mammography. (au)

  7. Improvements in the Tl dosimetry for Radiotherapy; Mejoras en la dosimetria Tl para Radioterapia

    Energy Technology Data Exchange (ETDEWEB)

    Bustos, S.; Velez, G.; Rubio, M. [CEPROCOR. Arenales 230 Juniors Cordoba 5000 (Argentina)

    1998-12-31

    The thermoluminescent dosimetry (TLD) in vivo has been demonstrated to be one of the most reliable for the control of radiotherapeutic treatments, but the delay in the response is the main disadvantage in its applicability. In this work are presented important improvements and it is demonstrated that maintaining the accuracy and reliability of the technique, it is possible to accelerate the response times at a few hours. To realize this work is utilized a lecturer Harshaw 4000, dosemeters LiF-TLD-100 chips (3.1 x 3.1 x 0.89 mm{sup 3}) and rods (1 x 1 x 6 mm{sup 3}). With the implementation of a glow curve analysis program developed in CIEMAT, its obtained a Tl peaks separation in such manner rapid and accurate, by that the thermal treatment of dosemeters may be reduced at one unique annealing pre-irradiation for 1 hr at 400 Centigrade. It is realized a periodical and individual calibration of the TLD and a study of the factors which influencing the ratio Tl signal-dose as linearity, correction by energy, directional response and pride of Tl signal. the results of this study are introducing in a calculation list specially designed and which allows to obtain absorbed dose by TLD starting of the dates (dosimetric peaks area) which appear of the glow curves analysis. The dose is obtained with an accuracy less than 5 %. The dosemeters already irradiated (in vivo) are analysed and informed in only four hours, allowing a greater control of the treatment and a correction of the possible errors for the next session, still in bi fractional treatments. The method implemented results thus accurate, rapid and reliable. (Author)

  8. Characterization of a synthetic single crystal diamond Schottky diode for radiotherapy electron beam dosimetry.

    Science.gov (United States)

    Di Venanzio, C; Marinelli, Marco; Milani, E; Prestopino, G; Verona, C; Verona-Rinati, G; Falco, M D; Bagalà, P; Santoni, R; Pimpinella, M

    2013-02-01

    To investigate the dosimetric properties of synthetic single crystal diamond based Schottky diodes under irradiation with therapeutic electron beams from linear accelerators. A single crystal diamond detector was fabricated and tested under 6, 8, 10, 12, and 15 MeV electron beams. The detector performances were evaluated using three types of commercial detectors as reference dosimeters: an Advanced Markus plane parallel ionization chamber, a Semiflex cylindrical ionization chamber, and a p-type silicon detector. Preirradiation, linearity with dose, dose rate dependence, output factors, lateral field profiles, and percentage depth dose profiles were investigated and discussed. During preirradiation the diamond detector signal shows a weak decrease within 0.7% with respect to the plateau value and a final signal stability of 0.1% (1σ) is observed after about 5 Gy. A good linear behavior of the detector response as a function of the delivered dose is observed with deviations below ±0.3% in the dose range from 0.02 to 10 Gy. In addition, the detector response is dose rate independent, with deviations below 0.3% in the investigated dose rate range from 0.17 to 5.45 Gy∕min. Percentage depth dose curves obtained from the diamond detector are in good agreement with the ones from the reference dosimeters. Lateral beam profile measurements show an overall good agreement among detectors, taking into account their respective geometrical features. The spatial resolution of solid state detectors is confirmed to be better than that of ionization chambers, being the one from the diamond detector comparable to that of the silicon diode. A good agreement within experimental uncertainties was also found in terms of output factor measurements between the diamond detector and reference dosimeters. The observed dosimetric properties indicate that the tested diamond detector is a suitable candidate for clinical electron beam dosimetry.

  9. Evaluation of a liquid ionization chamber for relative dosimetry in small and large fields of radiotherapy photon beams

    International Nuclear Information System (INIS)

    Benítez, E.M.; Casado, F.J.; García-Pareja, S.; Martín-Viera, J.A.; Moreno, C.; Parra, V.

    2013-01-01

    Commissioning and quality assurance of radiotherapy linear accelerators require measurement of the absorbed dose to water, and a wide range of detectors are available for absolute and relative dosimetry in megavoltage beams. In this paper, the PTW microLion isooctane-filled ionization chamber has been tested to perform relative measurements in a 6 MV photon beam from a linear accelerator. Output factors, percent depth dose and dose profiles have been obtained for small and large fields. These quantities have been compared with those from usual detectors in the routine practice. In order to carry out a more realistic comparison, an uncertainty analysis has been developed, taking type A and B uncertainties into account. The results present microLion as a good option when high spatial resolution is needed, thanks to its reduced sensitive volume. The liquid filling also provides a high signal compared to other detectors, like that based on air filling. Furthermore, the relative response of microLion when field size is varied suggests that this detector has energy dependence, since it is appreciated an over-response for small fields and an under-response for the large ones. This effect is more obvious for field sizes wider than 20 × 20 cm 2 , where the differences in percent depth dose at great depths exceed the uncertainties estimated in this study. - Highlights: • When high spatial resolution is required the results confirm the suitability of the liquid chamber. • Some energy dependence of the liquid detector can be appreciated in OFs and PDDs for small and large fields. • For field sizes >20 × 20 cm 2 , the differences in PDDs at great depths exceed the uncertainties estimated. • Some drawbacks should be considered: the time to reach stability, the high voltage supply required and the acquiring cost

  10. Evaluation of plastic materials for range shifting, range compensation, and solid-phantom dosimetry in carbon-ion radiotherapy

    International Nuclear Information System (INIS)

    Kanematsu, Nobuyuki; Koba, Yusuke; Ogata, Risa

    2013-01-01

    Purpose: Beam range control is the essence of radiotherapy with heavy charged particles. In conventional broad-beam delivery, fine range adjustment is achieved by insertion of range shifting and compensating materials. In dosimetry, solid phantoms are often used for convenience. These materials should ideally be equivalent to water. In this study, the authors evaluated dosimetric water equivalence of four common plastics, high-density polyethylene (HDPE), polymethyl methacrylate (PMMA), polyethylene terephthalate (PET), and polyoxymethylene (POM). Methods: Using the Bethe formula for energy loss, the Gottschalk formula for multiple scattering, and the Sihver formula for nuclear interactions, the authors calculated the effective densities of the plastics for these interactions. The authors experimentally measured variation of the Bragg peak of carbon-ion beams by insertion of HDPE, PMMA, and POM, which were compared with analytical model calculations. Results: The theoretical calculation resulted in slightly reduced multiple scattering and severely increased nuclear interactions for HDPE, compared to water and the other plastics. The increase in attenuation of carbon ions for 20-cm range shift was experimentally measured to be 8.9% for HDPE, 2.5% for PMMA, and 0.0% for POM while PET was theoretically estimated to be in between PMMA and POM. The agreement between the measurements and the calculations was about 1% or better. Conclusions: For carbon-ion beams, POM was dosimetrically indistinguishable from water and the best of the plastics examined in this study. The poorest was HDPE, which would reduce the Bragg peak by 0.45% per cm range shift, although with marginal superiority for reduced multiple scattering. Between the two clear plastics, PET would be superior to PMMA in dosimetric water equivalence.

  11. Individual dosimetry in a radiotherapy department - evaluation between 1997 and 2004

    International Nuclear Information System (INIS)

    Macedo, S.C.; Jorge, L.; Alves, J.

    2005-01-01

    Full text: The occupational exposure is the exposure of workers due to their work. With the individual monitorization of the external radiation it is possible to get an approximated value of the effective dose and of the equivalent dose to the skin. The effective doses evaluation allows us to verify if these values are bellow the threshold established by law (a Portuguese law from 1990 established levels under 50 mSv/year for professionals and another law from 1997 established levels under 0,4 mSv/week, which is equivalent to 20 mSv/year, also for professionals). Methods and materials: we analyzed the values of the TLD dosimeters used by the workers during their professional activity between 1997 and 2004, in a Radiotherapy Department. Results: we separed the workers by professional groups and analyzed the equivalent dose in depth achieved (mSv/year). The workers were separed by physicians, medical physicists, technicians, nurses, helpers and secretaries. Conclusions: from the analysis of the results it is possible to demonstrate that the equivalent dose in depth achieved by the workers are under the threshold established and that we work under good conditions of radiation protection. (author)

  12. Characterization of Ge-doped optical fibres for MV radiotherapy dosimetry

    International Nuclear Information System (INIS)

    Noor, Noramaliza M.; Hussein, M.; Kadni, T.; Bradley, D.A.; Nisbet, A.

    2014-01-01

    Ge-doped optical fibres offer promising thermoluminescence (TL) properties together with small physical size and modest cost. Their use as dosimeters for postal radiotherapy dose audits of megavoltage photon beams has been investigated. Key dosimetric characteristics including reproducibility, linearity, dose rate, temperature and angular dependence have been established. A methodology of measuring absorbed dose under reference conditions was developed. The Ge-doped optical fibres offer linearity between TL yield and dose, with a reproducibility of better than 5%, following repeated measurements (n=5) for doses from 5 cGy to 1000 cGy. The fibres also offer dose rate, angular and temperature independence, while an energy-dependent response of 7% was found over the energy range 6 MV to 15 MV (TPR 20,10 of 0.660, 0.723 and 0.774 for 6, 10 and 15 MV respectively). The audit methodology has been developed with an expanded uncertainty of 4.22% at 95% confidence interval for the photon beams studied. - Highlights: • We investigate dosimetric characteristics of commercial Ge-doped optical fibres. • We develop audit methodology for measuring absorbed dose under reference conditions. • Ge-doped optical fibres offer promising thermoluminescence (TL) properties. • Audit methodology has been developed with an expanded uncertainty of 4.22%

  13. Dosimetry for synchrotron stereotactic radiotherapy: from a macroscopic approach to microscopic energy deposits consideration

    International Nuclear Information System (INIS)

    Edouard, M.

    2010-01-01

    Numerous therapeutic strategies are currently being evaluated to find a curative treatment for high grade glioma. Among them, radiation therapy is partially effective but limited by the insufficient differential effect that can be reached between the dose delivered to the tumor compared to the one received by the healthy tissues. Synchrotron stereotactic radiotherapy aims at increasing this differential effect with a localized dose boost obtained by low energy x-rays stereotactic irradiations (≤ 100 keV) in presence of heavy elements restricted to the target area. This PhD work takes place in the general context of the future clinical trials foreseen at the European Synchrotron Radiation Facility. The first objective was to optimize the dose delivery to the target, at a macroscopic scale. We have demonstrated in particular that an even number of weighted beams was required to homogenize the tumor dose distribution. Microdosimetry studies were then performed to evaluate the dose delivered at the cellular level, taking into account the fine high-Z element distribution. These theoretical results have been compared to in vitro studies. Cell survival studies were performed using either a 3D glioma model (spheroids) or cells irradiated in suspension in an iodinated medium. (author) [fr

  14. The use of a silicon strip detector dose magnifying glass in stereotactic radiotherapy QA and dosimetry

    International Nuclear Information System (INIS)

    Wong, J. H. D.; Knittel, T.; Downes, S.; Carolan, M.; Lerch, M. L. F.; Petasecca, M.; Perevertaylo, V. L.; Metcalfe, P.; Jackson, M.; Rosenfeld, A. B.

    2011-01-01

    Purpose: Stereotactic radiosurgery/therapy (SRS/SRT) is the use of radiation ablation in place of conventional surgical excision to remove or create fibrous tissue in small target volumes. The target of the SRT/SRS treatment is often located in close proximity to critical organs, hence the requirement of high geometric precision including a tight margin on the planning target volume and a sharp dose fall off. One of the major problems with quality assurance (QA) of SRT/SRS is the availability of suitable detectors with the required spatial resolution. The authors present a novel detector that they refer to as the dose magnifying glass (DMG), which has a high spatial resolution (0.2 mm) and is capable of meeting the stringent requirements of QA and dosimetry in SRS/SRT therapy. Methods: The DMG is an array of 128 phosphor implanted n + strips on a p-type Si wafer. The sensitive area defined by a single n + strip is 20x2000 μm 2 . The Si wafer is 375 μm thick. It is mounted on a 0.12 mm thick Kapton substrate. The authors studied the dose per pulse (dpp) and angular response of the detector in a custom-made SRS phantom. The DMG was used to determine the centers of rotation and positioning errors for the linear accelerator's gantry, couch, and collimator rotations. They also used the DMG to measure the profiles and the total scatter factor (S cp ) of the SRS cones. Comparisons were made with the EBT2 film and standard S cp values. The DMG was also used for dosimetric verification of a typical SRS treatment with various noncoplanar fields and arc treatments when applied to the phantom. Results: The dose per pulse dependency of the DMG was found to be cp agrees very well with the standard data with an average difference of 1.2±1.1%. Comparison of the relative intensity profiles of the DMG and EBT2 measurements for a simulated SRS treatment shows a maximum difference of 2.5%. Conclusions: The DMG was investigated for dose per pulse and angular dependency. Its

  15. The use of a silicon strip detector dose magnifying glass in stereotactic radiotherapy QA and dosimetry.

    Science.gov (United States)

    Wong, J H D; Knittel, T; Downes, S; Carolan, M; Lerch, M L F; Petasecca, M; Perevertaylo, V L; Metcalfe, P; Jackson, M; Rosenfeld, A B

    2011-03-01

    Stereotactic radiosurgery/therapy (SRS/SRT) is the use of radiation ablation in place of conventional surgical excision to remove or create fibrous tissue in small target volumes. The target of the SRT/SRS treatment is often located in close proximity to critical organs, hence the requirement of high geometric precision including a tight margin on the planning target volume and a sharp dose fall off. One of the major problems with quality assurance (QA) of SRT/SRS is the availability of suitable detectors with the required spatial resolution. The authors present a novel detector that they refer to as the dose magnifying glass (DMG), which has a high spatial resolution (0.2 mm) and is capable of meeting the stringent requirements of QA and dosimetry in SRS/SRT therapy. The DMG is an array of 128 phosphor implanted n+ strips on a p-type Si wafer. The sensitive area defined by a single n+ strip is 20 x 2000 microm2. The Si wafer is 375 microm thick. It is mounted on a 0.12 mm thick Kapton substrate. The authors studied the dose per pulse (dpp) and angular response of the detector in a custom-made SRS phantom. The DMG was used to determine the centers of rotation and positioning errors for the linear accelerator's gantry, couch, and collimator rotations. They also used the DMG to measure the profiles and the total scatter factor (S(cp)) of the SRS cones. Comparisons were made with the EBT2 film and standard S(cp) values. The DMG was also used for dosimetric verification of a typical SRS treatment with various noncoplanar fields and arc treatments when applied to the phantom. The dose per pulse dependency of the DMG was found to be DMG and EBT2 measurements for a simulated SRS treatment shows a maximum difference of 2.5%. The DMG was investigated for dose per pulse and angular dependency. Its application to SRS/SRT delivery verification was demonstrated. The DMG with its high spatial resolution and real time capability allows measurement of dose profiles for cone

  16. Radiotherapy

    Directory of Open Access Journals (Sweden)

    Rema Jyothirmayi

    1999-01-01

    Full Text Available Purpose. Conservative treatment in the form of limited surgery and post-operative radiotherapy is controversial in hand and foot sarcomas, both due to poor radiation tolerance of the palm and sole, and due to technical difficulties in achieving adequate margins.This paper describes the local control and survival of 41 patients with soft tissue sarcoma of the hand or foot treated with conservative surgery and radiotherapy. The acute and late toxicity of megavoltage radiotherapy to the hand and foot are described. The technical issues and details of treatment delivery are discussed. The factors influencing local control after radiotherapy are analysed.

  17. Abstract ID: 103 GAMOS: Implementation of a graphical user interface for dosimetry calculation in radiotherapy.

    Science.gov (United States)

    Abdalaoui Slimani, Faical Alaoui; Bentourkia, M'hamed

    2018-01-01

    There are several computer programs or combination of programs for radiation tracking and other information in tissues by using Monte Carlo simulation [1]. Among these are GEANT4 [2] programs provided as classes that can be incorporated in C++ codes to achieve different tasks in radiation interactions with matter. GEANT4 made the physics easier but requires often a long learning-curve that implies a good knowledge of C++ and the Geant4 architecture. GAMOS [3], the Geant4-based Architecture for Medicine-Oriented Simulations, facilitates the use of Geant4 by providing a script language that covers almost all the needs of a radiotherapy simulation but it is obviously out of reach of biological researchers. The aim of the present work was to report the design and development of a Graphical User Interface (GUI) for absorbed dose calculation and for particle tracking in humans, small animals and phantoms. The GUI is based on the open source GEANT4 for the physics of particle interactions, on the QT cross-platform application for combining programming commands and for display. The calculation of the absorbed dose can be performed based on 3D CT images in DICOM format, from images of phantoms or from solid volumes that can be made from any pure or composite material to be specified by its molecular formulas. The GUI has several menus relative to the emitting source which can have different shapes, positions, energy as mono- or poly-energy such as X-ray spectra; the types of particles and particle interactions; energy deposition and absorbed dose; and the output results as histograms. In conclusion, the GUI we developed can be easily used by any researcher without the need to be familiar with computer programming, and it will be freely proposed as an open source. Copyright © 2017.

  18. Effect of Gold Nanoparticles on Prostate Dose Distribution under Ir-192 Internal and 18 MV External Radiotherapy Procedures Using Gel Dosimetry and Monte Carlo Method

    Directory of Open Access Journals (Sweden)

    Khosravi H.

    2015-03-01

    Full Text Available Background: Gel polymers are considered as new dosimeters for determining radiotherapy dose distribution in three dimensions. Objective: The ability of a new formulation of MAGIC-f polymer gel was assessed by experimental measurement and Monte Carlo (MC method for studying the effect of gold nanoparticles (GNPs in prostate dose distributions under the internal Ir-192 and external 18MV radiotherapy practices. Method: A Plexiglas phantom was made representing human pelvis. The GNP shaving 15 nm in diameter and 0.1 mM concentration were synthesized using chemical reduction method. Then, a new formulation of MAGIC-f gel was synthesized. The fabricated gel was poured in the tubes located at the prostate (with and without the GNPs and bladder locations of the phantom. The phantom was irradiated to an Ir-192 source and 18 MV beam of a Varian linac separately based on common radiotherapy procedures used for prostate cancer. After 24 hours, the irradiated gels were read using a Siemens 1.5 Tesla MRI scanner. The absolute doses at the reference points and isodose curves resulted from the experimental measurement of the gels and MC simulations following the internal and external radiotherapy practices were compared. Results: The mean absorbed doses measured with the gel in the presence of the GNPs in prostate were 15% and 8 % higher than the corresponding values without the GNPs under the internal and external radiation therapies, respectively. MC simulations also indicated a dose increase of 14 % and 7 % due to presence of the GNPs, for the same experimental internal and external radiotherapy practices, respectively. Conclusion: There was a good agreement between the dose enhancement factors (DEFs estimated with MC simulations and experiment gel measurements due to the GNPs. The results indicated that the polymer gel dosimetry method as developed and used in this study, can be recommended as a reliable method for investigating the DEF of GNPs in internal

  19. Effect of Gold Nanoparticles on Prostate Dose Distribution under Ir-192 Internal and 18 MV External Radiotherapy Procedures Using Gel Dosimetry and Monte Carlo Method.

    Science.gov (United States)

    Khosravi, H; Hashemi, B; Mahdavi, S R; Hejazi, P

    2015-03-01

    Gel polymers are considered as new dosimeters for determining radiotherapy dose distribution in three dimensions. The ability of a new formulation of MAGIC-f polymer gel was assessed by experimental measurement and Monte Carlo (MC) method for studying the effect of gold nanoparticles (GNPs) in prostate dose distributions under the internal Ir-192 and external 18MV radiotherapy practices. A Plexiglas phantom was made representing human pelvis. The GNP shaving 15 nm in diameter and 0.1 mM concentration were synthesized using chemical reduction method. Then, a new formulation of MAGIC-f gel was synthesized. The fabricated gel was poured in the tubes located at the prostate (with and without the GNPs) and bladder locations of the phantom. The phantom was irradiated to an Ir-192 source and 18 MV beam of a Varian linac separately based on common radiotherapy procedures used for prostate cancer. After 24 hours, the irradiated gels were read using a Siemens 1.5 Tesla MRI scanner. The absolute doses at the reference points and isodose curves resulted from the experimental measurement of the gels and MC simulations following the internal and external radiotherapy practices were compared. The mean absorbed doses measured with the gel in the presence of the GNPs in prostate were 15% and 8 % higher than the corresponding values without the GNPs under the internal and external radiation therapies, respectively. MC simulations also indicated a dose increase of 14 % and 7 % due to presence of the GNPs, for the same experimental internal and external radiotherapy practices, respectively. There was a good agreement between the dose enhancement factors (DEFs) estimated with MC simulations and experiment gel measurements due to the GNPs. The results indicated that the polymer gel dosimetry method as developed and used in this study, can be recommended as a reliable method for investigating the DEF of GNPs in internal and external radiotherapy practices.

  20. A multi-centre dosimetry audit on advanced radiotherapy in lung as part of the Isotoxic IMRT study

    Directory of Open Access Journals (Sweden)

    Yat Tsang

    2017-10-01

    Conclusion: This multi-centre dosimetry audit of complex IMRT/VMAT delivery provides confidence in the accuracy of modern planning and delivery systems in inhomogeneous tissues. The findings from this study can be used as a reference for future dosimetry audits.

  1. Evaluation of Gafchromic EBT-XD film, with comparison to EBT3 film, and application in high dose radiotherapy verification

    Science.gov (United States)

    Palmer, Antony L.; Dimitriadis, Alexis; Nisbet, Andrew; Clark, Catharine H.

    2015-11-01

    There is renewed interest in film dosimetry for the verification of dose delivery of complex treatments, particularly small fields, compared to treatment planning system calculations. A new radiochromic film, Gafchromic EBT-XD, is available for high-dose treatment verification and we present the first published evaluation of its use. We evaluate the new film for MV photon dosimetry, including calibration curves, performance with single- and triple-channel dosimetry, and comparison to existing EBT3 film. In the verification of a typical 25 Gy stereotactic radiotherapy (SRS) treatment, compared to TPS planned dose distribution, excellent agreement was seen with EBT-XD using triple-channel dosimetry, in isodose overlay, maximum 1.0 mm difference over 200-2400 cGy, and gamma evaluation, mean passing rate 97% at 3% locally-normalised, 1.5 mm criteria. In comparison to EBT3, EBT-XD gave improved evaluation results for the SRS-plan, had improved calibration curve gradients at high doses, and had reduced lateral scanner effect. The dimensions of the two films are identical. The optical density of EBT-XD is lower than EBT3 for the same dose. The effective atomic number for both may be considered water-equivalent in MV radiotherapy. We have validated the use of EBT-XD for high-dose, small-field radiotherapy, for routine QC and a forthcoming multi-centre SRS dosimetry intercomparison.

  2. Evaluation of Gafchromic EBT-XD film, with comparison to EBT3 film, and application in high dose radiotherapy verification

    International Nuclear Information System (INIS)

    Palmer, Antony L; Dimitriadis, Alexis; Nisbet, Andrew; Clark, Catharine H

    2015-01-01

    There is renewed interest in film dosimetry for the verification of dose delivery of complex treatments, particularly small fields, compared to treatment planning system calculations. A new radiochromic film, Gafchromic EBT-XD, is available for high-dose treatment verification and we present the first published evaluation of its use. We evaluate the new film for MV photon dosimetry, including calibration curves, performance with single- and triple-channel dosimetry, and comparison to existing EBT3 film. In the verification of a typical 25 Gy stereotactic radiotherapy (SRS) treatment, compared to TPS planned dose distribution, excellent agreement was seen with EBT-XD using triple-channel dosimetry, in isodose overlay, maximum 1.0 mm difference over 200–2400 cGy, and gamma evaluation, mean passing rate 97% at 3% locally-normalised, 1.5 mm criteria. In comparison to EBT3, EBT-XD gave improved evaluation results for the SRS-plan, had improved calibration curve gradients at high doses, and had reduced lateral scanner effect. The dimensions of the two films are identical. The optical density of EBT-XD is lower than EBT3 for the same dose. The effective atomic number for both may be considered water-equivalent in MV radiotherapy. We have validated the use of EBT-XD for high-dose, small-field radiotherapy, for routine QC and a forthcoming multi-centre SRS dosimetry intercomparison. (paper)

  3. Radiotherapy

    International Nuclear Information System (INIS)

    Zedgenidze, G.A.; Kulikov, V.A.; Mardynskij, Yu.S.

    1984-01-01

    The technique for roentgenotopometric and medicamentous preparation of patients for radiotherapy has been reported in detail. The features of planning and performing of remote, intracavitary and combined therapy in urinary bladder cancer are considered. The more effective methods of radiotherapy have been proposed taking into account own experience as well as literature data. The comparative evaluation of treatment results and prognosis are given. Radiation pathomorphism of tumors and tissues of urinary bladder is considered in detail. The problems of diagnosis, prophylaxis and treatment of complications following radiodiagnosis and radiotherapy in patients with urinary bladder cancer are illustrated widely

  4. The Effect of Breast Reconstruction Prosthesis on Photon Dose Distribution in Breast Cancer Radiotherapy

    Directory of Open Access Journals (Sweden)

    fatemeh sari

    2017-12-01

    Full Text Available Introduction: Siliconeprosthetic implants are commonlyutilizedfor tissue replacement and breast augmentation after mastectomy. On the other hand, some patients require adjuvant radiotherapy in order to preventlocal-regional recurrence and increment ofthe overall survival. In case of recurrence, the radiation oncologist might have to irradiate the prosthesis.The aim of this study was to evaluate the effect of silicone prosthesis on photon dose distribution in breast radiotherapy. Materials and Methods: The experimental dosimetry was performed using theprosthetic breast phantom and the female-equivalent mathematical chest phantom. A Computerized Tomographybased treatment planning was performedusing a phantom and by CorePlan Treatment Planning System (TPS. For measuring the absorbed dose, thermoluminescent dosimeter(TLD chips (GR-207A were used. Multiple irradiations were completed for all the TLD positions, and the dose absorbed by the TLDs was read by a lighttelemetry (LTM reader. Results: Statistical comparisons were performed between the absorbed dosesassessed by the TLDs and the TPS calculations forthe same sites. Our initial resultsdemonstratedanacceptable agreement (P=0.064 between the treatment planning data and the measurements. The mean difference between the TPS and TLD resultswas 1.99%.The obtained findings showed that radiotherapy is compatible withsilicone gel prosthesis. Conclusion: It could be concludedthat the siliconbreast prosthesis has no clinicallysignificant effectondistribution of a 6 MV photon beam for reconstructed breasts.

  5. Standardized quality audit procedures for on-site dosimetry visits to radiotherapy hospitals. Report of the IAEA consultants' meeting, IAEA, Vienna, 27 September - 1 October 1999; revised in 2001

    International Nuclear Information System (INIS)

    Izewska, Joanna; Dutreix, A.; Followill, D.S.; Nisbet, A.; Novotny, J.; Sipila, P.; Dam, J. van

    2002-01-01

    Since 1969 the International Atomic Energy Agency (IAEA), together with the World Health Organization (WHO), has performed postal TLD audits to verify the calibration of radiotherapy beams in developing countries. The IAEA over the past 30 years, has verified the calibration of more than 3500 clinical photon beams at approximately 1000 radiotherapy hospitals. Detailed follow-up procedures have been implemented since 1996. When the TLD result of a participating institution falls outside the acceptance limits of ±5%, the institution is initially informed that there is a discrepancy and requested to try to identify the reasons why it occurred. The institution is not informed of the actual magnitude of the discrepancy (blind conditions) but is offered a second TLD audit. If the deviation cannot be resolved by the local radiotherapy institution or the national SSDL, then an on-site visit is suggested which, if accepted, is made by an IAEA expert in clinical dosimetry. The on-site visit includes a review of the dosimetry data and techniques, corrective measurements and ad-hoc training. The reasons for the discrepancy are then traced, explained, corrected and reported. Until the discrepancies are resolved and changes have been implemented by hospitals to ensure that the discrepancies do not reoccur, the safe and effective delivery of radiation doses to patients is questionable. This document provides a standardised set of procedures for resolving discrepancies during onsite visits to radiotherapy hospitals by the IAEA experts. The table below summarises the acceptance criteria to be used by the IAEA experts for dosimetry and mechanical parameters of the hospital treatment units. If some of the parameters are outside the acceptance criterion, it will not be possible for an institution to assure the adequate quality of the dosimetry practices in radiotherapy. The criteria are based on analyses of clinical data and the measurement uncertainties for various dosimetry and

  6. Direct tumor in vivo dosimetry in highly-conformal radiotherapy: A feasibility study of implantable MOSFETs for hypofractionated extracranial treatments using the Cyberknife system

    International Nuclear Information System (INIS)

    Scalchi, Paolo; Righetto, Roberto; Cavedon, Carlo; Francescon, Paolo; Colombo, Federico

    2010-01-01

    Purpose: In highly-conformal radiotherapy, due to the complexity of both beam configurations and dose distributions, traditional in vivo dosimetry is unpractical or even impossible. The ideal dosimeter would be implanted inside the planning treatment volume so that it can directly measure the total delivered dose during each fraction with no additional uncertainty due to calculation models. The aim of this work is to verify if implantable metal oxide semiconductors field effect transistors (MOSFETs) can achieve a sufficient degree of dosimetric accuracy when used inside extracranial targets undergoing radiotherapy treatments using the Cyberknife system. Methods: Based on the preliminary findings of this study, new prototypes for high dose fractionations were developed to reduce the time dependence for long treatment delivery times. These dosimeters were recently cleared and are marketed as DVS-HFT. Multiple measurements were performed using both Virtual Water and water phantoms to characterize implantable MOSFETs under the Cyberknife beams, and included the reference-dosimetry consistency, the dependence of the response on the collimator size, on the daily delivered dose, and the time irradiation modality. Finally a Cyberknife prostate treatment simulation using a body phantom was conducted, and both MOSFET and ionization readings were compared to Monte Carlo calculations. The feasibility analysis was conducted based on the ratios of the absorbed dose divided by the dose reading, named as ''further calibration factor'' (FCF). Results: The average FCFs resulted to be 0.98 for the collimator dependence test, and about 1.00 for the reference-dosimetry test, the dose-dependence test, and the time-dependence test. The average FCF of the prostate treatment simulation test was 0.99. Conclusions: The obtained results are well within DVS specifications, that is, the factory calibration is still valid for such kind of treatments using the Cyberknife system, with no need of

  7. Feasibility study on the verification of actual beam delivery in a treatment room using EPID transit dosimetry

    International Nuclear Information System (INIS)

    Baek, Tae Seong; Chung, Eun Ji; Son, Jaeman; Yoon, Myonggeun

    2014-01-01

    The aim of this study is to evaluate the ability of transit dosimetry using commercial treatment planning system (TPS) and an electronic portal imaging device (EPID) with simple calibration method to verify the beam delivery based on detection of large errors in treatment room. Twenty four fields of intensity modulated radiotherapy (IMRT) plans were selected from four lung cancer patients and used in the irradiation of an anthropomorphic phantom. The proposed method was evaluated by comparing the calculated dose map from TPS and EPID measurement on the same plane using a gamma index method with a 3% dose and 3 mm distance-to-dose agreement tolerance limit. In a simulation using a homogeneous plastic water phantom, performed to verify the effectiveness of the proposed method, the average passing rate of the transit dose based on gamma index was high enough, averaging 94.2% when there was no error during beam delivery. The passing rate of the transit dose for 24 IMRT fields was lower with the anthropomorphic phantom, averaging 86.8% ± 3.8%, a reduction partially due to the inaccuracy of TPS calculations for inhomogeneity. Compared with the TPS, the absolute value of the transit dose at the beam center differed by −0.38% ± 2.1%. The simulation study indicated that the passing rate of the gamma index was significantly reduced, to less than 40%, when a wrong field was erroneously irradiated to patient in the treatment room. This feasibility study suggested that transit dosimetry based on the calculation with commercial TPS and EPID measurement with simple calibration can provide information about large errors for treatment beam delivery

  8. Radiotherapy

    International Nuclear Information System (INIS)

    Wannenmacher, M.; Debus, J.; Wenz, F.

    2006-01-01

    The book is focussed on the actual knowledge on the clinical radiotherapy and radio-oncology. Besides fundamental and general contributions specific organ systems are treated in detail. The book contains the following contributions: Basic principles, radiobiological fundamentals, physical background, radiation pathology, basics and technique of brachytherapy, methodology and technique of the stereotactic radiosurgery, whole-body irradiation, operative radiotherapy, hadron therapy, hpyerthermia, combined radio-chemo-therapy, biometric clinical studies, intensity modulated radiotherapy, side effects, oncological diagnostics; central nervous system and sense organs, head-neck carcinomas, breast cancer, thorax organs, esophagus carcinoma, stomach carcinoma, pancreas carcinoma, heptabiliary cancer and liver metastases, rectal carcinomas, kidney and urinary tract, prostate carcinoma, testicular carcinoma, female pelvis, lymphatic system carcinomas, soft tissue carcinoma, skin cancer, bone metastases, pediatric tumors, nonmalignant diseases, emergency in radio-oncology, supporting therapy, palliative therapy

  9. Radiotherapy.

    Science.gov (United States)

    Krause, Sonja; Debus, Jürgen; Neuhof, Dirk

    2011-01-01

    Solitary plasmocytoma occurring in bone (solitary plasmocytoma of the bone, SBP) or in soft tissue (extramedullary plasmocytoma, EP) can be treated effectively and with little toxicity by local radiotherapy. Ten-year local control rates of up to 90% can be achieved. Patients with multiple myeloma often suffer from symptoms such as pain or neurological impairments that are amenable to palliative radiotherapy. In a palliative setting, short treatment schedules and lower radiation doses are used to reduce toxicity and duration of hospitalization. In future, low-dose total body irradiation (TBI) may play a role in a potentially curative regimen with nonmyeloablative conditioning followed by allogenic peripheral blood stem cell transplantation.

  10. Comparative study of different Al_2O_3:C dosimeters using OSL technique for dosimetry on Volumetric Modulated Arc Radiotherapy Treatment (VMAT)

    International Nuclear Information System (INIS)

    Villani, Daniel; Campos, LetIcia L.; Mancini, Anselmo; Haddad, Cecilia M.K.

    2016-01-01

    In modern radiotherapy, the VMAT technique has become a successful treatment alternative. Due to its complexity, a quality assurance program must be established by evaluating, among other items, the dosimetric factors. This paper aims to compare the performance between the OSL aluminum oxide (Al_2O_3:C) nanoDot™ dosimeters (Inlight™ system) manufactured by Landauer Inc. and TLD-500 Al_2O_3:C dosimeters manufactured by Rexon™ for VMAT dosimetry using an anthropomorphic phantom. The results showed that both type of Al_2O_3:C dosimeters presented good repeatability and agreement between the doses measured and calculated by planning system. However, the need of sophisticated readers to OSL analysis of the TLD-500, turns it less practical for routine usage, comparing to Inlight™ system. (author)

  11. Verification of Treatment Planning System (TPS) on Beam Axis of Co-60 Teletherapy

    International Nuclear Information System (INIS)

    Nunung-Nuraeni; Budhy-Kurniawan; Purwanto; Sugiyantari; Heru-Prasetio; Nasukha

    2001-01-01

    Cancer diseases up to now can be able to be treated by using surgery, chemotherapy and radiotherapy. The need of high level precision and accuracy on radiation dose are very important task. One of task is verification of Treatment Planning System (Tps) to the treatment of patients. The research has been done to verify Tps on beam exis of teletherapy Co-60. Result found that the different between Tps and measurements are about -2.682 % to 1.918% for simple geometry and homogeneous material, 5.278 % to 4.990 % for complex geometry, and -3.202 % to -2.090 % for more complex geometry. (author)

  12. A fast dual wavelength laser beam fluid-less optical CT scanner for radiotherapy 3D gel dosimetry I: design and development

    Science.gov (United States)

    Ramm, Daniel

    2018-02-01

    Three dimensional dosimetry by optical CT readout of radiosensitive gels or solids has previously been indicated as a solution for measurement of radiotherapy 3D dose distributions. The clinical uptake of these dosimetry methods has been limited, partly due to impracticalities of the optical readout such as the expertise and labour required for refractive index fluid matching. In this work a fast laser beam optical CT scanner is described, featuring fluid-less and dual wavelength operation. A second laser with a different wavelength is used to provide an alternative reference scan to the commonly used pre-irradiation scan. Transmission data for both wavelengths is effectively acquired simultaneously, giving a single scan process. Together with the elimination of refractive index fluid matching issues, scanning practicality is substantially improved. Image quality and quantitative accuracy were assessed for both dual and single wavelength methods. The dual wavelength scan technique gave improvements in uniformity of reconstructed optical attenuation coefficients in the sample 3D volume. This was due to a reduction of artefacts caused by scan to scan changes. Optical attenuation measurement accuracy was similar for both dual and single wavelength modes of operation. These results established the basis for further work on dosimetric performance.

  13. Thermoluminescence in medical dosimetry

    International Nuclear Information System (INIS)

    Rivera, T.

    2011-10-01

    The dosimetry by thermoluminescence (Tl) is applied in the entire world for the dosimetry of ionizing radiations specially to personal and medical dosimetry. This dosimetry method has been very interesting for measures in vivo because the Tl dosimeters have the advantage of being very sensitive in a very small volume and they are also equivalent to tissue and they do not need additional accessories (for example, cable, electrometer, etc.) The main characteristics of the diverse Tl materials to be used in the radiation measures and practical applications are: the Tl curve, the share homogeneity, the signal stability after the irradiation, precision and exactitude, the response in function with the dose and the energy influence. In this work a brief summary of the advances of the radiations dosimetry is presented by means of the thermally stimulated luminescence and its application to the dosimetry in radiotherapy. (Author)

  14. Radiotherapy

    International Nuclear Information System (INIS)

    Pistenma, D.A.

    1980-01-01

    The need for radiotherapy research is exemplified by the 100,000 cancer patients who will fail treatment locally and/or regionally annually for the next several years but who would benefit from better local treatment modalities. Theoretically, all of the areas of investigation discussed in this projection paper have the potential to significantly improve local-regional treatment of cancer by radiotherapy alone or in combination with other modalities. In many of the areas of investigation discussed in this paper encouraging results have been obtained in cellular and animal tumor studies and in limited studies in humans as well. In the not too distant future the number of patients who would benefit from better local control may increase by tens of thousands if developments in chemotherapy and/or immunotherapy provide a means to eradicate disseminated microscopic foci of cancer. Thus the efforts to improve local-regional control take on even greater significance

  15. A quantification of the effectiveness of EPID dosimetry and software-based plan verification systems in detecting incidents in radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Bojechko, Casey; Phillps, Mark; Kalet, Alan; Ford, Eric C., E-mail: eford@uw.edu [Department of Radiation Oncology, University of Washington, 1959 N. E. Pacific Street, Seattle, Washington 98195 (United States)

    2015-09-15

    Purpose: Complex treatments in radiation therapy require robust verification in order to prevent errors that can adversely affect the patient. For this purpose, the authors estimate the effectiveness of detecting errors with a “defense in depth” system composed of electronic portal imaging device (EPID) based dosimetry and a software-based system composed of rules-based and Bayesian network verifications. Methods: The authors analyzed incidents with a high potential severity score, scored as a 3 or 4 on a 4 point scale, recorded in an in-house voluntary incident reporting system, collected from February 2012 to August 2014. The incidents were categorized into different failure modes. The detectability, defined as the number of incidents that are detectable divided total number of incidents, was calculated for each failure mode. Results: In total, 343 incidents were used in this study. Of the incidents 67% were related to photon external beam therapy (EBRT). The majority of the EBRT incidents were related to patient positioning and only a small number of these could be detected by EPID dosimetry when performed prior to treatment (6%). A large fraction could be detected by in vivo dosimetry performed during the first fraction (74%). Rules-based and Bayesian network verifications were found to be complimentary to EPID dosimetry, able to detect errors related to patient prescriptions and documentation, and errors unrelated to photon EBRT. Combining all of the verification steps together, 91% of all EBRT incidents could be detected. Conclusions: This study shows that the defense in depth system is potentially able to detect a large majority of incidents. The most effective EPID-based dosimetry verification is in vivo measurements during the first fraction and is complemented by rules-based and Bayesian network plan checking.

  16. Monte Carlo dosimetry in simple geometries with interfaces: applications in radiotherapy; Dosimetria Monte Carlo en geometrias simples con interfases: aplicaciones en radioterapia

    Energy Technology Data Exchange (ETDEWEB)

    Rojas C, E.L

    2004-07-01

    In the last decade, dosimetry has evolved in an accelerated way due in part, to the development of new techniques and advances in instruments manufactured for several applications in Medical Physics. In order to improve achievements gotten with the use of radiation sources for therapeutic use, a guessed right dosimetry must be done and clinical data must be explained with the aid of investigation and supported with scientific bases. In this context, Monte Carlo (MC) method used to simulate radiation transport in materials, contribute with extensive knowledge and extremely useful information to that objective. MC dosimetry has some advantages over experimental and analytical dosimetry but it also has limitations. Maybe the most important is the computer time required to reach to an acceptable uncertainty level in a complex problem. Though this restrictive factor, a right application of MC simulation of radiation transport is a useful, reliable and versatile instrument for dosimetric calculations. From our point of view, the problem of heterogeneities in the sources or in the treatment targets in radiotherapy is of great importance, and this is the principal question to study aboard in this work. We use the MC simulation code Penelope to calculate some dosimetric quantities.The cases we study involve dosimetric aspects of different geometric distributions of radionuclides where interfaces are evident and must be taken into account. This work is divided in five chapters. In the first chapter we give a succinctly description of MC codes for simulation of the transport of particles in a medium and we describe the code Penelope. In chapter two, we study spherical distributions of radionuclides and the effect that interfaces in the target have in the dose received by the tumor. Specifically we study the application of radiocolloids with {sup 186} Re and {sup 32} P to treat homogeneous and nonhomogeneous cystic craniopharyngioma. Chapter three is dedicated to study plane

  17. New TPS materials for aerocapture

    International Nuclear Information System (INIS)

    Laub, Bernard

    2002-01-01

    Many planetary probes, landers and aerocapture concepts are conceived for entry trajectories where peak convective heat flux is in the range 150-400 W/cm2. This may be too severe an environment for either reusable or low-density ablative materials. The high-density ablatives will work in such environments but the associated TPS weight requirements can be prohibitive. Unfortunately, there are few, if any, well-understood materials that provide reliable, predictable ablative performance for the 150-400 W/cm2 regime while still providing weight efficient TPS solutions. JPL has recently been evaluating an Earth aerocapture demonstration at an entry velocity of ≅10 km/s. TPS thickness and areal weight requirements were determined for current ablative TPS candidates (e.g., SLA-561V, PICA) where, for the large integrated heat loads associated with aerocapture, it is shown that some of these materials may not provide efficient thermal protection. A new concept, employing a low catalycity, high emissivity coating on a low-density ceramic tile is evaluated and shown to provide significant benefits for such missions

  18. Advantages and disadvantages of luminescence dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Olko, Pawel, E-mail: Pawel.Olko@ifj.edu.p [Institute of Nuclear Physics Polish Academy of Science (IFJ PAN), Krakow (Poland)

    2010-03-15

    Owing to their excellent dosimetric properties, luminescence detectors of ionizing radiation are now extensively applied in individual dosimetry services. The most frequently used personal dosemeters are based on Optically Stimulated Luminescence (OSL), radiophotoluminescence (RPL) or thermoluminescence (TL). Luminescence detectors have also found several applications in clinical dosimetry, especially around new radiation modalities in radiotherapy, such as Intensity Modulated Radiotherapy (IMRT) or ion beam radiotherapy. Requirements of luminescence detectors applied in individual and clinical dosimetry and some recent developments in luminescence of detectors and techniques leading to significant improvements of the functionality and accuracy of dosimetry systems are reviewed and discussed.

  19. Effect of different breathing patterns in the same patient on stereotactic ablative body radiotherapy dosimetry for primary renal cell carcinoma: A case study

    Energy Technology Data Exchange (ETDEWEB)

    Pham, Daniel, E-mail: Daniel.Pham@petermac.org [Radiotherapy Services, Peter MacCallum Cancer Centre, East Melbourne, Victoria (Australia); Kron, Tomas [Physical Sciences, Peter MacCallum Cancer Centre, East Melbourne, Victoria (Australia); Foroudi, Farshad; Siva, Shankar [Radiation Oncology, Peter MacCallum Cancer Centre, East Melbourne, Victoria (Australia)

    2013-10-01

    Stereotactic ablative body radiotherapy (SABR) for primary renal cell carcinoma (RCC) targets requires motion management strategies to verify dose delivery. This case study highlights the effect of a change in patient breathing amplitude on the dosimetry to organs at risk and target structures. A 73-year-old male patient was planned for receiving 26 Gy of radiation in 1 fraction of SABR for a left primary RCC. The patient was simulated with four-dimensional computed tomography (4DCT) and the tumor internal target volume (ITV) was delineated using the 4DCT maximum intensity projection. However, the initially planned treatment was abandoned at the radiation oncologist's discretion after pretreatment cone-beam CT (CBCT) motion verification identified a greater than 50% reduction in superior to inferior diaphragm motion as compared with the planning 4DCT. This patient was resimulated with respiratory coaching instructions. To assess the effect of the change in breathing on the dosimetry to the target, each plan was recalculated on the data set representing the change in breathing condition. A change from smaller to larger breathing showed a 46% loss in planning target volume (PTV) coverage, whereas a change from larger breathing to smaller breathing resulted in an 8% decrease in PTV coverage. ITV coverage was similarly reduced by 8% in both scenarios. This case study highlights the importance of tools to verify breathing motion prior to treatment delivery. 4D image guided radiation therapy verification strategies should focus on not only verifying ITV margin coverage but also the effect on the surrounding organs at risk.

  20. Effect of different breathing patterns in the same patient on stereotactic ablative body radiotherapy dosimetry for primary renal cell carcinoma: A case study

    International Nuclear Information System (INIS)

    Pham, Daniel; Kron, Tomas; Foroudi, Farshad; Siva, Shankar

    2013-01-01

    Stereotactic ablative body radiotherapy (SABR) for primary renal cell carcinoma (RCC) targets requires motion management strategies to verify dose delivery. This case study highlights the effect of a change in patient breathing amplitude on the dosimetry to organs at risk and target structures. A 73-year-old male patient was planned for receiving 26 Gy of radiation in 1 fraction of SABR for a left primary RCC. The patient was simulated with four-dimensional computed tomography (4DCT) and the tumor internal target volume (ITV) was delineated using the 4DCT maximum intensity projection. However, the initially planned treatment was abandoned at the radiation oncologist's discretion after pretreatment cone-beam CT (CBCT) motion verification identified a greater than 50% reduction in superior to inferior diaphragm motion as compared with the planning 4DCT. This patient was resimulated with respiratory coaching instructions. To assess the effect of the change in breathing on the dosimetry to the target, each plan was recalculated on the data set representing the change in breathing condition. A change from smaller to larger breathing showed a 46% loss in planning target volume (PTV) coverage, whereas a change from larger breathing to smaller breathing resulted in an 8% decrease in PTV coverage. ITV coverage was similarly reduced by 8% in both scenarios. This case study highlights the importance of tools to verify breathing motion prior to treatment delivery. 4D image guided radiation therapy verification strategies should focus on not only verifying ITV margin coverage but also the effect on the surrounding organs at risk

  1. Commissioning of radiotherapy treatment planning systems: Testing for typical external beam treatment techniques. Report of the Coordinated Research Project (CRP) on Development of Procedures for Quality Assurance of Dosimetry Calculations in Radiotherapy

    International Nuclear Information System (INIS)

    2008-01-01

    Quality Assurance (QA) in the radiation therapy treatment planning process is essential to ensure accurate dose delivery to the patient and to minimize the possibility of accidental exposure. Computerized radiotherapy treatment planning systems (RTPSs) are now widely available in both industrialised and developing countries so, it is of special importance to support hospitals in the IAEA Member States in developing procedures for acceptance testing, commissioning and ongoing QA of their RTPSs. Responding to these needs, a group of experts developed a comprehensive report, the IAEA Technical Reports Series No 430 'Commissioning and quality assurance of computerized planning systems for radiation treatment of cancer', that provides the general framework and describes a large number of tests and procedures to be considered by the RTPS users. To provide practical guidance for implementation of IAEA Technical Reports Series No. 430 in radiotherapy hospitals and particularly in those with limited resources, a coordinated research project (CRP E2.40.13) 'Development of procedures for dosimetry calculation in radiotherapy' was established. The main goal of the project was to create a set of practical acceptance and commissioning tests for dosimetry calculations in radiotherapy, defined in a dedicated protocol. Two specific guidance publications that were developed in the framework of the Coordinated Research Project E2.40.13 are based on guidelines described in the IAEA Technical Report Series No. 430 and provide a step-by-step description for users at hospitals or cancer centres how to implement acceptance and commissioning procedures for their RTPSs. The first publication, 'Specification and acceptance testing of radiotherapy treatment planning systems' IAEA-TECDOC-1540 uses the International Electrotechnical Commission (IEC) standard IEC 62083 as its basis and addresses the procedures for specification and acceptance testing of RTPSs to be used by both manufacturers and

  2. Dosimetry; La dosimetrie

    Energy Technology Data Exchange (ETDEWEB)

    Le Couteulx, I.; Apretna, D.; Beaugerie, M.F. [Electricite de France (EDF), 75 - Paris (France)] [and others

    2003-07-01

    Eight articles treat the dosimetry. Two articles evaluate the radiation doses in specific cases, dosimetry of patients in radiodiagnosis, three articles are devoted to detectors (neutrons and x and gamma radiations) and a computer code to build up the dosimetry of an accident due to an external exposure. (N.C.)

  3. SU-F-T-566: Absolute Film Dosimetry for Stereotactic Radiosurgery and Stereotactic Body Radiotherapy Quality Assurance Using Gafchromic EBT3 Films

    Energy Technology Data Exchange (ETDEWEB)

    Wen, N; Lu, S; Qin, Y; Huang, Y; Zhao, B; Liu, C; Chetty, I [Henry Ford Health System, Detroit, MI (United States)

    2016-06-15

    Purpose: To evaluate the dosimetric uncertainty associated with Gafchromic (EBT3) films and establish an absolute dosimetry protocol for Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiotherapy (SBRT). Methods: EBT3 films were irradiated at each of seven different dose levels between 1 and 15 Gy with open fields, and standard deviations of dose maps were calculated at each color channel for evaluation. A scanner non-uniform response correction map was built by registering and comparing film doses to the reference diode array-based dose map delivered with the same doses. To determine the temporal dependence of EBT3 films, the average correction factors of different dose levels as a function of time were evaluated up to four days after irradiation. An integrated film dosimetry protocol was developed for dose calibration, calibration curve fitting, dose mapping, and profile/gamma analysis. Patient specific quality assurance (PSQA) was performed for 93 SRS/SBRT treatment plans. Results: The scanner response varied within 1% for the field sizes less than 5 × 5 cm{sup 2}, and up to 5% for the field sizes of 10 × 10 cm{sup 2}. The scanner correction method was able to remove visually evident, irregular detector responses found for larger field sizes. The dose response of the film changed rapidly (∼10%) in the first two hours and plateaued afterwards, ∼3% change between 2 and 24 hours. The mean uncertainties (mean of the standard deviations) were <0.5% over the dose range 1∼15Gy for all color channels for the OD response curves. The percentage of points passing the 3%/1mm gamma criteria based on absolute dose analysis, averaged over all tests, was 95.0 ± 4.2. Conclusion: We have developed an absolute film dose dosimetry protocol using EBT3 films. The overall uncertainty has been established to be approximately 1% for SRS and SBRT PSQA. The work was supported by a Research Scholar Grant, RSG-15-137-01-CCE from the American Cancer Society.

  4. TA3 - Dosimetry and instrumentation supply of the M-Fish technique to the Fish-3 painting technique for analysing translocations: A radiotherapy-treated patient study

    International Nuclear Information System (INIS)

    Pouzoulet, F.; Roch-Lefevre, S.; Giraudet, A.L.; Vaurijoux, A.; Voisin, P.A.; Buard, V.; Delbos, M.; Voisin, Ph.; Roy, L.; Bourhis, J.

    2006-01-01

    Purpose: Currently, the chromosome translocation study is the best method to estimate the dose of an old radiation exposure. Fluorescent In Situ Hybridization (F.I.S.H.) technique allows an easy detection of this kind of aberrations. However, as only a few number of chromosomes is usually painted, some bias could skew the result. To evaluate the advantage of using full genome staining (M-F.I.S.H. technique) compared with three chromosomes labelling (F.I.S.H.-3 painting), we compared translocation yields in radiotherapy treated patients. Methods: Chromosome aberration analyses were performed on peripheral blood lymphocyte cultures of two patients treated for a throat cancer by radiotherapy. Blood samples were obtained, before, along the treatment and six or four months later. For each sample, a dicentrics analysis was performed together with translocation analysis either with F.I.S.H.-3 painting or M-F.I.S.H.. Results: By confronting results from the F.I.S.H.-3 painting technique and the M-F.I.S.H. technique, significant differences were revealed. The translocations yield seemed to be stable with the F.I.S.H.-3 painting technique whereas it is not the case with the M-F.I.S.H. technique. This difference in results was explained by the bias induced by F.I.S.H.-3 Painting technique in the visualisation of complex aberrations. Furthermore, we found the presence of a clone bearing a translocation involving a painted chromosome. Conclusions: According to the potential bias of F.I.S.H.-3 painting on translocations study, the M-F.I.S.H. technique should provide more precise and reproducible results. Because of its more difficult implement, it seems hardly applicable to retrospective dosimetry instead of F.I.S.H.-3 painting technique. (authors)

  5. TA3 - Dosimetry and instrumentation supply of the M-Fish technique to the Fish-3 painting technique for analysing translocations: A radiotherapy-treated patient study

    Energy Technology Data Exchange (ETDEWEB)

    Pouzoulet, F.; Roch-Lefevre, S.; Giraudet, A.L.; Vaurijoux, A.; Voisin, P.A.; Buard, V.; Delbos, M.; Voisin, Ph.; Roy, L. [Institut de Radioprotection et de Surete Nucleaire, Lab. de Dosimetrie Biologique, 92 - Fontenay aux Roses (France); Bourhis, J. [Laboratoire UPRES EA 27-10, Radiosensibilite des Tumeurs et Tissus sains, PR1, 94 - Villejuif (France)

    2006-07-01

    Purpose: Currently, the chromosome translocation study is the best method to estimate the dose of an old radiation exposure. Fluorescent In Situ Hybridization (F.I.S.H.) technique allows an easy detection of this kind of aberrations. However, as only a few number of chromosomes is usually painted, some bias could skew the result. To evaluate the advantage of using full genome staining (M-F.I.S.H. technique) compared with three chromosomes labelling (F.I.S.H.-3 painting), we compared translocation yields in radiotherapy treated patients. Methods: Chromosome aberration analyses were performed on peripheral blood lymphocyte cultures of two patients treated for a throat cancer by radiotherapy. Blood samples were obtained, before, along the treatment and six or four months later. For each sample, a dicentrics analysis was performed together with translocation analysis either with F.I.S.H.-3 painting or M-F.I.S.H.. Results: By confronting results from the F.I.S.H.-3 painting technique and the M-F.I.S.H. technique, significant differences were revealed. The translocations yield seemed to be stable with the F.I.S.H.-3 painting technique whereas it is not the case with the M-F.I.S.H. technique. This difference in results was explained by the bias induced by F.I.S.H.-3 Painting technique in the visualisation of complex aberrations. Furthermore, we found the presence of a clone bearing a translocation involving a painted chromosome. Conclusions: According to the potential bias of F.I.S.H.-3 painting on translocations study, the M-F.I.S.H. technique should provide more precise and reproducible results. Because of its more difficult implement, it seems hardly applicable to retrospective dosimetry instead of F.I.S.H.-3 painting technique. (authors)

  6. Hypofractionated Prostate Radiotherapy with or without Conventionally Fractionated Nodal Irradiation: Clinical Toxicity Observations and Retrospective Daily Dosimetry.

    Science.gov (United States)

    McDonald, Andrew M; Bishop, Justin M; Jacob, Rojymon; Dobelbower, Michael C; Kim, Robert Y; Yang, Eddy S; Smith, Heather; Wu, Xingen; Fiveash, John B

    2012-01-01

    Purpose. To evaluate toxicity associated with the addition of elective nodal irradiation (ENI) to a hypofractionated regimen for the treatment of prostate cancer. Methods and Materials. Fifty-seven patients received pelvic image-guided IMRT to 50.4 Gy in 28 fractions with a hypofractionated simultaneous boost to the prostate to 70 Gy. Thirty-one patients received prostate-only treatment to 70 Gy in 28 fractions. Results. Median followup was 41.1 months. Early grade ≥2 urinary toxicity rates were 49% (28 of 57) for patients receiving ENI and 58% (18 of 31) for those not (P = 0.61). Early grade ≥2 rectal toxicity rates were 40% (23 of 57) and 23% (7 of 31), respectively (P = 0.09). The addition of ENI resulted in a 21% actuarial rate of late grade ≥2 rectal toxicity at 4 years, compared to 0% for patients treated to the prostate only (P = 0.02). Retrospective daily dosimetry of patients experiencing late rectal toxicity revealed an average increase of 2.67% of the rectal volume receiving 70 Gy compared to the original plan. Conclusions. The addition of ENI resulted in an increased risk of late rectal toxicity. Grade ≥2 late rectal toxicity was associated with worse daily rectal dosimetry compared to the treatment plan.

  7. In-vivo dosimetry in radiotherapy: a comparison of the response of semiconductor and thermoluminescence (TLD700) dosemeters

    Energy Technology Data Exchange (ETDEWEB)

    Vynckier, S [Universite Catholique de Louvain, Brussels (Belgium). Cliniques Universitaires St. Luc; Greffe, J L; Loncol, T; Vanneste, F; Octave-Prignot, M; Denis, J M; De Patoul, N

    1995-12-01

    Semiconductor dosemeters and thermoluminescence dosemeters were calibrated in view of in-vivo dosimetry. Their response in a 8 MV photon beam and the respective correction factors for the treatment conditions were systematically studied. A total of 249 entrance and exit measurements with this dual detector combination were performed, mainly for treatments of the head and neck region. The resulting entrance and exit doses were compared with the expected doses at these positions, calculated on basis of the treatment and patient parameters. The results at the entrance showed a value of 1.010 (2.8% for the ratio of the measured to the calculated dose by diodes, 1.013) 4.9% for the ratio of the measured to the calculated dose by TLD and 1.003 (3.6% for the ratio of the measured dose by TLD to diodes. With respect the exit dose, the results were 0.998) 4.9%, 1.016 (7.7% and 1.019) 7.0% respectively after correction for the heterogeneity`s. Although the standard deviation for the TLD dosemeters is systematically larger than the standard deviation for the diodes, it is concluded that both dosemeters will yield similar results for-in-vivo dosimetry, if utilized under the same conditions.

  8. Improving the neutron-to-photon discrimination capability of detectors used for neutron dosimetry in high energy photon beam radiotherapy

    International Nuclear Information System (INIS)

    Irazola, L.; Terrón, J.A.; Bedogni, R; Pola, A.; Lorenzoli, M.; Sánchez-Nieto, B.; Gómez, F.; Sánchez-Doblado, F.

    2016-01-01

    The increasing interest of the medical community to radioinduced second malignancies due to photoneutrons in patients undergoing high-energy radiotherapy, has stimulated in recent years the study of peripheral doses, including the development of some dedicated active detectors. Although these devices are designed to respond to neutrons only, their parasitic photon response is usually not identically zero and anisotropic. The impact of these facts on measurement accuracy can be important, especially in points close to the photon field-edge. A simple method to estimate the photon contribution to detector readings is to cover it with a thermal neutron absorber with reduced secondary photon emission, such as a borated rubber. This technique was applied to the TNRD (Thermal Neutron Rate Detector), recently validated for thermal neutron measurements in high-energy photon radiotherapy. The positive results, together with the accessibility of the method, encourage its application to other detectors and different clinical scenarios. - Highlights: • Neutron-to-photon discrimination of a thermal neutron detector used in radiotherapy. • Photon and anisotropic response study with distance and beam incidence of thermal neutron detector. • Borated rubber for estimating photon contribution in any thermal neutron detector.

  9. Foundations of ionizing radiation dosimetry

    International Nuclear Information System (INIS)

    Denisenko, O.N.; Pereslegin, I.A.

    1985-01-01

    Foundations of dosimetry in application to radiotherapy are presented. General characteristics of ionizing radiations and main characteristics of ionizing radiation sources, mostly used in radiotherapy, are given. Values and units for measuring ionizing radiation (activity of a radioactive substance, absorbed dose, exposure dose, integral dose and dose equivalent are considered. Different methods and instruments for ionizing radiation dosimetry are discussed. The attention is paid to the foundations of clinical dosimetry (representation of anatomo-topographic information, choice of radiation conditions, realization of radiation methods, corrections for a configuration and inhomogeneity of a patient's body, account of biological factors of radiation effects, instruments of dose field formation, control of irradiation procedure chosen)

  10. Calibration of helical tomotherapy machine using EPR/alanine dosimetry.

    Science.gov (United States)

    Perichon, Nicolas; Garcia, Tristan; François, Pascal; Lourenço, Valérie; Lesven, Caroline; Bordy, Jean-Marc

    2011-03-01

    Current codes of practice for clinical reference dosimetry of high-energy photon beams in conventional radiotherapy recommend using a 10 x 10 cm2 square field, with the detector at a reference depth of 10 cm in water and 100 cm source to surface distance (SSD) (AAPM TG-51) or 100 cm source-to-axis distance (SAD) (IAEA TRS-398). However, the maximum field size of a helical tomotherapy (HT) machine is 40 x 5 cm2 defined at 85 cm SAD. These nonstandard conditions prevent a direct implementation of these protocols. The purpose of this study is twofold: To check the absorbed dose in water and dose rate calibration of a tomotherapy unit as well as the accuracy of the tomotherapy treatment planning system (TPS) calculations for a specific test case. Both topics are based on the use of electron paramagnetic resonance (EPR) using alanine as transfer dosimeter between the Laboratoire National Henri Becquerel (LNHB) 60Co-gamma-ray reference beam and the Institut Curie's HT beam. Irradiations performed in the LNHB reference 60Co-gamma-ray beam allowed setting up the calibration method, which was then implemented and tested at the LNHB 6 MV linac x-ray beam, resulting in a deviation of 1.6% (at a 1% standard uncertainty) relative to the reference value determined with the standard IAEA TRS-398 protocol. HT beam dose rate estimation shows a difference of 2% with the value stated by the manufacturer at a 2% standard uncertainty. A 4% deviation between measured dose and the calculation from the tomotherapy TPS was found. The latter was originated by an inadequate representation of the phantom CT-scan values and, consequently, mass densities within the phantom. This difference has been explained by the mass density values given by the CT-scan and used by the TPS which were not the true ones. Once corrected using Monte Carlo N-Particle simulations to validate the accuracy of this process, the difference between corrected TPS calculations and alanine measured dose values was then

  11. Characterising an aluminium oxide dosimetry system.

    Science.gov (United States)

    Conheady, Clement F; Gagliardi, Frank M; Ackerly, Trevor

    2015-09-01

    In vivo dosimetry is recommended as a defence-in-depth strategy in radiotherapy treatments and is currently employed by clinics around the world. The characteristics of a new optically stimulated luminescence dosimetry system were investigated for the purpose of replacing an aging thermoluminescence dosimetry system for in vivo dosimetry. The stability of the system was not sufficient to satisfy commissioning requirements and therefore it has not been released into clinical service at this time.

  12. Dosimetry of small circular beams of high energy photons for stereotactic radiosurgery and radiotherapy: the use of small ionization chambers

    International Nuclear Information System (INIS)

    Mazal, A.; Gaboriauid, G.; Zefkili, S.; Rosenwald, J.C.; Boutaudon, S.; Pontvert, D.

    1999-01-01

    The irradiation of small targets in the brain in a singe fraction (radiosurgery) or with a fractionated approach (stereotactic radiosurgery) with small beams of photons requires specific conditions to measure and to model the dosimetric data needed for treatment planning. In this work we present the method and materials adopted in our institution since 1988 to perform the dosimetry of high energy (6-23) circular photon beams with diameters ranging from 10 to 40 mm at the isocenter of linear accelerators, and its evolution as new dosimetric material became commercially available. in circular ionization chambers of small dimensions. We want to answer the following questions: Which are the minimal basic data needed to model small circular beams of high energy photons? Can we extrapolate or convert data from conventional data of larger beams? Which are the detectors well adapted for these kind of measurements and for which range of beam sizes?

  13. Dosimetry and microdosimetry using LET spectrometer based on the track-etch detector: radiotherapy Bremsstrahlung beam, onboard aircraft radiation field

    International Nuclear Information System (INIS)

    Jadrnickova, I.; Spurny, F.

    2006-01-01

    The spectrometer of linear energy transfer (Let) based on the chemically etched poly-allyl-diglycol-carbonate (P.A.D.C.) track-etch detector was developed several years ago in our institute. This Let spectrometer enables determining Let of particles approximately from 10 to 700 keV/μm. From the Let spectra, dose characteristics can be calculated. The contribution presents the Let spectra and other dosimetric characteristics obtained onboard a commercial aircraft during more than 6 months long exposure and in the 18 MV radiotherapy Bremsstrahlung beam. (authors)

  14. Dosimetry of pion beams

    International Nuclear Information System (INIS)

    Dicello, J.F.

    1975-01-01

    Negative pion beams are probably the most esoteric and most complicated type of radiation which has been suggested for use in clinical radiotherapy. Because of the limited availability of pion beams in the past, even to nuclear physicists, there exist relatively fewer basic data for this modality. Pion dosimetry is discussed

  15. Dosimetric verification of radiotherapy treatment planning systems in Serbia: national audit.

    Science.gov (United States)

    Rutonjski, Laza; Petrović, Borislava; Baucal, Milutin; Teodorović, Milan; Cudić, Ozren; Gershkevitsh, Eduard; Izewska, Joanna

    2012-09-12

    Independent external audits play an important role in quality assurance programme in radiation oncology. The audit supported by the IAEA in Serbia was designed to review the whole chain of activities in 3D conformal radiotherapy (3D-CRT) workflow, from patient data acquisition to treatment planning and dose delivery. The audit was based on the IAEA recommendations and focused on dosimetry part of the treatment planning and delivery processes. The audit was conducted in three radiotherapy departments of Serbia. An anthropomorphic phantom was scanned with a computed tomography unit (CT) and treatment plans for eight different test cases involving various beam configurations suggested by the IAEA were prepared on local treatment planning systems (TPSs). The phantom was irradiated following the treatment plans for these test cases and doses in specific points were measured with an ionization chamber. The differences between the measured and calculated doses were reported. The measurements were conducted for different photon beam energies and TPS calculation algorithms. The deviation between the measured and calculated values for all test cases made with advanced algorithms were within the agreement criteria, while the larger deviations were observed for simpler algorithms. The number of measurements with results outside the agreement criteria increased with the increase of the beam energy and decreased with TPS calculation algorithm sophistication. Also, a few errors in the basic dosimetry data in TPS were detected and corrected. The audit helped the users to better understand the operational features and limitations of their TPSs and resulted in increased confidence in dose calculation accuracy using TPSs. The audit results indicated the shortcomings of simpler algorithms for the test cases performed and, therefore the transition to more advanced algorithms is highly desirable.

  16. Dosimetric verification of radiotherapy treatment planning systems in Serbia: national audit

    International Nuclear Information System (INIS)

    Rutonjski, Laza; Petrović, Borislava; Baucal, Milutin; Teodorović, Milan; Čudić, Ozren; Gershkevitsh, Eduard; Izewska, Joanna

    2012-01-01

    Independent external audits play an important role in quality assurance programme in radiation oncology. The audit supported by the IAEA in Serbia was designed to review the whole chain of activities in 3D conformal radiotherapy (3D-CRT) workflow, from patient data acquisition to treatment planning and dose delivery. The audit was based on the IAEA recommendations and focused on dosimetry part of the treatment planning and delivery processes. The audit was conducted in three radiotherapy departments of Serbia. An anthropomorphic phantom was scanned with a computed tomography unit (CT) and treatment plans for eight different test cases involving various beam configurations suggested by the IAEA were prepared on local treatment planning systems (TPSs). The phantom was irradiated following the treatment plans for these test cases and doses in specific points were measured with an ionization chamber. The differences between the measured and calculated doses were reported. The measurements were conducted for different photon beam energies and TPS calculation algorithms. The deviation between the measured and calculated values for all test cases made with advanced algorithms were within the agreement criteria, while the larger deviations were observed for simpler algorithms. The number of measurements with results outside the agreement criteria increased with the increase of the beam energy and decreased with TPS calculation algorithm sophistication. Also, a few errors in the basic dosimetry data in TPS were detected and corrected. The audit helped the users to better understand the operational features and limitations of their TPSs and resulted in increased confidence in dose calculation accuracy using TPSs. The audit results indicated the shortcomings of simpler algorithms for the test cases performed and, therefore the transition to more advanced algorithms is highly desirable

  17. Dosimetric verification of radiotherapy treatment planning systems in Serbia: national audit

    Directory of Open Access Journals (Sweden)

    Rutonjski Laza

    2012-09-01

    Full Text Available Abstract Background Independent external audits play an important role in quality assurance programme in radiation oncology. The audit supported by the IAEA in Serbia was designed to review the whole chain of activities in 3D conformal radiotherapy (3D-CRT workflow, from patient data acquisition to treatment planning and dose delivery. The audit was based on the IAEA recommendations and focused on dosimetry part of the treatment planning and delivery processes. Methods The audit was conducted in three radiotherapy departments of Serbia. An anthropomorphic phantom was scanned with a computed tomography unit (CT and treatment plans for eight different test cases involving various beam configurations suggested by the IAEA were prepared on local treatment planning systems (TPSs. The phantom was irradiated following the treatment plans for these test cases and doses in specific points were measured with an ionization chamber. The differences between the measured and calculated doses were reported. Results The measurements were conducted for different photon beam energies and TPS calculation algorithms. The deviation between the measured and calculated values for all test cases made with advanced algorithms were within the agreement criteria, while the larger deviations were observed for simpler algorithms. The number of measurements with results outside the agreement criteria increased with the increase of the beam energy and decreased with TPS calculation algorithm sophistication. Also, a few errors in the basic dosimetry data in TPS were detected and corrected. Conclusions The audit helped the users to better understand the operational features and limitations of their TPSs and resulted in increased confidence in dose calculation accuracy using TPSs. The audit results indicated the shortcomings of simpler algorithms for the test cases performed and, therefore the transition to more advanced algorithms is highly desirable.

  18. Under-reported dosimetry errors due to interplay effects during VMAT dose delivery in extreme hypofractionated stereotactic radiotherapy.

    Science.gov (United States)

    Gauer, Tobias; Sothmann, Thilo; Blanck, Oliver; Petersen, Cordula; Werner, René

    2018-06-01

    Radiotherapy of extracranial metastases changed from normofractioned 3D CRT to extreme hypofractionated stereotactic treatment using VMAT beam techniques. Random interaction between tumour motion and dynamically changing beam parameters might result in underdosage of the CTV even for an appropriately dimensioned ITV (interplay effect). This study presents a clinical scenario of extreme hypofractionated stereotactic treatment and analyses the impact of interplay effects on CTV dose coverage. For a thoracic/abdominal phantom with an integrated high-resolution detector array placed on a 4D motion platform, dual-arc treatment plans with homogenous target coverage were created using a common VMAT technique and delivered in a single fraction. CTV underdosage through interplay effects was investigated by comparing dose measurements with and without tumour motion during plan delivery. Our study agrees with previous works that pointed out insignificant interplay effects on target coverage for very regular tumour motion patterns like simple sinusoidal motion. However, we identified and illustrated scenarios that are likely to result in a clinically relevant CTV underdosage. For tumour motion with abnormal variability, target coverage quantified by the CTV area receiving more than 98% of the prescribed dose decreased to 78% compared to 100% at static dose measurement. This study is further proof of considerable influence of interplay effects on VMAT dose delivery in stereotactic radiotherapy. For selected conditions of an exemplary scenario, interplay effects and related motion-induced target underdosage primarily occurred in tumour motion pattern with increased motion variability and VMAT plan delivery using complex MLC dose modulation.

  19. Commissioning of Portal Dosimetry and characterization of an EPID

    International Nuclear Information System (INIS)

    Olbi, D.S.; Sales, C.P.; Nakandakari, M.V.N.

    2016-01-01

    The development of technologies compensator blocks, MLC, high dose rate accelerators, treatment planning systems, among others, permitted that new treatment techniques in radiotherapy were created. Such techniques have the capacity to modulate radiation beam fluency (IMRT, VMAT), or to deliver high doses in few fractions or unique fractions (SRS). Following the same tendency, quality control of planning became more complex. It is necessary to evaluate the fluency delivered by the accelerator. Its levels of does and its spatial distribution should co-occur with the fluency calculated by TPS. Acquisition of new detector devices in quality control of treatments is fundamental to apply techniques. Portal Vision is a device EPID has the capacity to operate either in image mode or dosimetry mode, with the allowance of Portal Dosimetry. To evaluated planning in IMRT, the device is irradiated using planning e, therefore, the fluency measured is compared with calculated fluency, through gamma analysis. The aim of this work was to perform tests of commissioning of this device. (author)

  20. Tissue interfaces dosimetry in small field radiotherapy with alanine/EPR mini dosimeters and Monte Carlo-Penelope simulation

    Energy Technology Data Exchange (ETDEWEB)

    Vega R, J. L.; Nicolucci, P.; Baffa, O. [Universidade de Sao Paulo, FFCLRP, Departamento de Fisica, Av. Bandeirantes 3900, Bairro Monte Alegre, 14040-901 Ribeirao Preto, Sao Paulo (Brazil); Chen, F. [Universidade Federale do ABC, CCNH, Rua Santa Adelia 166, Bangu, 09210-170 Santo Andre, Sao Paulo (Brazil); Apaza V, D. G., E-mail: josevegaramirez@yahoo.es [Universidad Nacional de San Agustin de Arequipa, Departamento de Fisica, Arequipa (Peru)

    2014-08-15

    The dosimetry system based on alanine mini dosimeters plus K-Band EPR spectrometer was tested in the tissue-interface dosimetry through the percentage depth-dose (Pdd) determination for 3 x 3 cm{sup 2} and 1 x 1 cm{sup 2} radiation fields sizes. The alanine mini dosimeters were produced by mechanical pressure from a mixture of 95% L-alanine and 5% polyvinyl alcohol (Pva) acting as binder. Nominal dimensions of these mini dosimeters were 1 mm diameter and 3 mm length as well as 3 - 4 mg mass. The EPR spectra of the mini dosimeters were registered using a K-Band (24 GHz) EPR spectrometer. The mini dosimeters were placed in a nonhomogeneous phantom and irradiated with 20 Gy in a 6 MV PRIMUS Siemens linear accelerator, with a source-to-surface distance of 100 cm using the small fields previously mentioned. The cylindrical non-homogeneous phantom was comprised of several disk-shaped plates of different materials in the sequence acrylic-bone cork-bone-acrylic, with dimensions 15 cm diameter and 1 cm thick. The plates were placed in descending order, starting from top with four acrylic plates followed by two bone plates plus eight cork plates plus two bone plates and finally, four acrylic plates (4-2-8-2-4). Pdd curves from the treatment planning system and from Monte Carlo simulation with Penelope code were determined. Mini dosimeters Pdd results show good agreement with Penelope, better than 95% for the cork homogeneous region and 97.7% in the bone heterogeneous region. In the first interface region, between acrylic and bone, it can see a dose increment of 0.6% for mini dosimeters compared to Penelope. At the second interface, between bone and cork, there is 9.1% of dose increment for mini dosimeter relative to Penelope. For the third (cork-bone) and fourth (bone-acrylic) interfaces, the dose increment for mini dosimeters compared to Penelope was 4.1% both. (Author)

  1. Tissue interfaces dosimetry in small field radiotherapy with alanine/EPR mini dosimeters and Monte Carlo-Penelope simulation

    International Nuclear Information System (INIS)

    Vega R, J. L.; Nicolucci, P.; Baffa, O.; Chen, F.; Apaza V, D. G.

    2014-08-01

    The dosimetry system based on alanine mini dosimeters plus K-Band EPR spectrometer was tested in the tissue-interface dosimetry through the percentage depth-dose (Pdd) determination for 3 x 3 cm 2 and 1 x 1 cm 2 radiation fields sizes. The alanine mini dosimeters were produced by mechanical pressure from a mixture of 95% L-alanine and 5% polyvinyl alcohol (Pva) acting as binder. Nominal dimensions of these mini dosimeters were 1 mm diameter and 3 mm length as well as 3 - 4 mg mass. The EPR spectra of the mini dosimeters were registered using a K-Band (24 GHz) EPR spectrometer. The mini dosimeters were placed in a nonhomogeneous phantom and irradiated with 20 Gy in a 6 MV PRIMUS Siemens linear accelerator, with a source-to-surface distance of 100 cm using the small fields previously mentioned. The cylindrical non-homogeneous phantom was comprised of several disk-shaped plates of different materials in the sequence acrylic-bone cork-bone-acrylic, with dimensions 15 cm diameter and 1 cm thick. The plates were placed in descending order, starting from top with four acrylic plates followed by two bone plates plus eight cork plates plus two bone plates and finally, four acrylic plates (4-2-8-2-4). Pdd curves from the treatment planning system and from Monte Carlo simulation with Penelope code were determined. Mini dosimeters Pdd results show good agreement with Penelope, better than 95% for the cork homogeneous region and 97.7% in the bone heterogeneous region. In the first interface region, between acrylic and bone, it can see a dose increment of 0.6% for mini dosimeters compared to Penelope. At the second interface, between bone and cork, there is 9.1% of dose increment for mini dosimeter relative to Penelope. For the third (cork-bone) and fourth (bone-acrylic) interfaces, the dose increment for mini dosimeters compared to Penelope was 4.1% both. (Author)

  2. SU-E-T-483: In Vivo Dosimetry of Conventional and Rotational Intensity Modulated Radiotherapy Using Integral Quality Monitor (IQM)

    Energy Technology Data Exchange (ETDEWEB)

    Lin, L; Qian, J; Gonzales, R; Keck, J; Armour, E; Wong, J [Johns Hopkins University, Baltimore, MD (United States)

    2015-06-15

    Purpose: To investigate the accuracy, sensitivity and constancy of integral quality monitor (IQM), a new system for in vivo dosimetry of conventional intensity modulated radiation therapy (IMRT) or rotational volumetric modulated arc therapy (VMAT) Methods: A beta-version IQM system was commissioned on an Elekta Infinity LINAC equipped with 160-MLCs Agility head. The stationary and rotational dosimetric constancy of IQM was evaluated, using five-field IMRT and single-or double-arc VMAT plans for prostate and head-and-neck (H&N) patients. The plans were delivered three times over three days to assess the constancy of IQM response. Picket fence (PF) fields were used to evaluate the sensitivity of detecting MLC leaf errors. A single leaf offset was intentionally introduced during delivery of various PF fields with segment apertures of 3×1, 5×1, 10×1, and 24×1cm2. Both 2mm and 5mm decrease in the field width were used. Results: Repeated IQM measurements of prostate and H&N IMRT deliveries showed 0.4 and 0.5% average standard deviation (SD) for segment-by-segment comparison and 0.1 and 0.2% for cumulative comparison. The corresponding SDs for VMAT deliveries were 6.5, 9.4% and 0.7, 1.3%, respectively. Statistical analysis indicates that the dosimetric differences detected by IQM were significant (p < 0.05) in all PF test deliveries. The largest average IQM signal response of a 2 mm leaf error was found to be 2.1% and 5.1% by a 5mm leaf error for 3×1 cm2 field size. The same error in 24×1 cm2 generates a 0.7% and 1.4% difference in the signal. Conclusion: IQM provides an effective means for real-time dosimetric verification of IMRT/ VMAT treatment delivery. For VMAT delivery, the cumulative dosimetry of IQM needs to be used in clinical practice.

  3. Prone versus supine positioning for whole and partial-breast radiotherapy: A comparison of non-target tissue dosimetry

    International Nuclear Information System (INIS)

    Kirby, Anna M.; Evans, Philip M.; Donovan, Ellen M.; Convery, Helen M.; Haviland, Joanna S.; Yarnold, John R.

    2010-01-01

    Purpose: To compare non-target tissue (including left-anterior-descending coronary-artery (LAD)) dosimetry of prone versus supine whole (WBI) and partial-breast irradiation (PBI). Methods and materials: Sixty-five post-lumpectomy breast cancer patients underwent CT-imaging supine and prone. On each dataset, the whole-breast clinical-target-volume (WB-CTV), partial-breast CTV (tumour-bed + 15 mm), ipsilateral-lung and chest-wall were outlined. Heart and LAD were outlined in left-sided cases (n = 30). Tangential-field WBI and PBI plans were generated for each position. Mean LAD, heart, and ipsilateral-lung doses (x mean ), maximum LAD (LAD max ) doses, and the volume of chest-wall receiving 50 Gy (V 50Gy ) were compared. Results: Two-hundred and sixty plans were generated. Prone positioning reduced heart and LAD doses in 19/30 WBI cases (median reduction in LAD mean = 6.2 Gy) and 7/30 PBI cases (median reduction in LAD max = 29.3 Gy) (no difference in 4/30 cases). However, prone positioning increased cardiac doses in 8/30 WBI (median increase in LAD mean = 9.5 Gy) and 19/30 PBI cases (median increase in LAD max = 22.9 Gy) (no difference in 3/30 cases). WB-CTV > 1000cm 3 was associated with improved cardiac dosimetry in the prone position for WBI (p = 0.04) and PBI (p = 0.04). Prone positioning reduced ipsilateral-lung mean in 65/65 WBI and 61/65 PBI cases, and chest-wall V 50Gy in all WBI cases. PBI reduced normal-tissue doses compared to WBI in all cases, regardless of the treatment position. Conclusions: In the context of tangential-field WBI and PBI, prone positioning is likely to benefit left-breast-affected women of larger breast volume, but to be detrimental in left-breast-affected women of smaller breast volume. Right-breast-affected women are likely to benefit from prone positioning regardless of breast volume.

  4. Quality assurance in radiotherapy of mammary cancer

    International Nuclear Information System (INIS)

    Mangold, C.A.

    2000-11-01

    The outcome of breast conserving treatment, in terms of local control, cosmetic outcome, and complication rate depends on the quality of surgery and on the adequacy of the irradiation treatment performed. In the radiotherapy department of Leuven and the AKH Vienna about 70 % of all breast cancer patients are treated with breast conserving surgery and external radiotherapy. About 20 % of the patients treated with external radiotherapy receive an additional boost with pulse dose rate (PDR) or high dose rate (HDR) brachytherapy using Ir-192 sources. An investigation is performed to assess the accuracy of both treatment techniques. Secondly, the feasibility of in vivo measurements is studied for these two treatment techniques. For investigating the accuracy of the brachytherapy treatment two phantoms are manufactured to mimic a breast, one for TLD measurements, and one for film dosimetry using radiochromic films. The TLD phantom allows to measure at 34 dose points in three planes including the basal dose points. The film phantom is designed in such a way that films can be positioned in a plane parallel and orthogonal to the needles. In vivo measurements are simulated on one of the phantoms and carried out on 21 patients. The accuracy of the external radiotherapy treatment is checked with the thorax part of a commercially available Alderson phantom. It allows to perform measurements with TLDs in three different planes and with diodes on the surface. Furthermore, all diode characteristics and correction factors necessary for the clinical application are investigated. For the brachytherapy treatment the dose distributions calculated with the TPS are in good agreement with both TLD and radiochromic film measurements (average deviations of point doses < ± 6 %). However, close to the interface tissue-air the dose is overestimated by the TPS since it neglects the finite size of a breast and hence the associated lack of backscatter (average deviations of point doses up to -13

  5. Commissioning of Portal Dosimetry and characterization of an EPID; Comissionamento de Portal Dosimetry e caracterizacao de EPID

    Energy Technology Data Exchange (ETDEWEB)

    Olbi, D.S.; Sales, C.P. [Universidade de Sao Paulo (USP), SP (Brazil). Faculdade de Medicina; Nakandakari, M.V.N., E-mail: diego.olbi@hc.fm.usp.br [Instituto do Cancer do Estado de Sao Paulo, SP (Brazil). Servico de Radioterapia

    2016-07-01

    The development of technologies compensator blocks, MLC, high dose rate accelerators, treatment planning systems, among others, permitted that new treatment techniques in radiotherapy were created. Such techniques have the capacity to modulate radiation beam fluency (IMRT, VMAT), or to deliver high doses in few fractions or unique fractions (SRS). Following the same tendency, quality control of planning became more complex. It is necessary to evaluate the fluency delivered by the accelerator. Its levels of does and its spatial distribution should co-occur with the fluency calculated by TPS. Acquisition of new detector devices in quality control of treatments is fundamental to apply techniques. Portal Vision is a device EPID has the capacity to operate either in image mode or dosimetry mode, with the allowance of Portal Dosimetry. To evaluated planning in IMRT, the device is irradiated using planning e, therefore, the fluency measured is compared with calculated fluency, through gamma analysis. The aim of this work was to perform tests of commissioning of this device. (author)

  6. Accuracy Evaluation of Oncentra™ TPS in HDR Brachytherapy of Nasopharynx Cancer Using EGSnrc Monte Carlo Code

    Science.gov (United States)

    Hadad, K.; Zohrevand, M.; Faghihi, R.; Sedighi Pashaki, A.

    2015-01-01

    Background HDR brachytherapy is one of the commonest methods of nasopharyngeal cancer treatment. In this method, depending on how advanced one tumor is, 2 to 6 Gy dose as intracavitary brachytherapy is prescribed. Due to high dose rate and tumor location, accuracy evaluation of treatment planning system (TPS) is particularly important. Common methods used in TPS dosimetry are based on computations in a homogeneous phantom. Heterogeneous phantoms, especially patient-specific voxel phantoms can increase dosimetric accuracy. Materials and Methods In this study, using CT images taken from a patient and ctcreate-which is a part of the DOSXYZnrc computational code, patient-specific phantom was made. Dose distribution was plotted by DOSXYZnrc and compared with TPS one. Also, by extracting the voxels absorbed dose in treatment volume, dose-volume histograms (DVH) was plotted and compared with Oncentra™ TPS DVHs. Results The results from calculations were compared with data from Oncentra™ treatment planning system and it was observed that TPS calculation predicts lower dose in areas near the source, and higher dose in areas far from the source relative to MC code. Absorbed dose values in the voxels also showed that TPS reports D90 value is 40% higher than the Monte Carlo method. Conclusion Today, most treatment planning systems use TG-43 protocol. This protocol may results in errors such as neglecting tissue heterogeneity, scattered radiation as well as applicator attenuation. Due to these errors, AAPM emphasized departing from TG-43 protocol and approaching new brachytherapy protocol TG-186 in which patient-specific phantom is used and heterogeneities are affected in dosimetry. PMID:25973408

  7. Clinical results of entrance dose in vivo dosimetry for high energy photons in external beam radiotherapy using MOSFETs

    International Nuclear Information System (INIS)

    Morton, J. P.; Bhat, M.; Williams, T.; Kovendy, A.

    2007-01-01

    Full text: Thomson and Nielsen T N -502 R D MOSFETs were used for entrance dose in vivo dosimetry for 6 and 10 MV photons. A total of 24 patients were tested, 10 breast. 8 prostate, 5 lung and 1 head and neck. For prostates three fields were checked. For all other plans all fields were checked. An action threshold of 8% was set for any one field and 5% for all fields combined. The total number of fields tested was 56, with a mean discrepancy of 1.4% and S.D. of 2.6%. Breasts had a mean discrepancy of 1.8% and S.D. of 2.8%. Prostates had a mean discrepancy of 1.3% and S.D. of 2.9%. For 3 fields combined, prostates had a mean of 1.3% and S.D. of 1.8%. These results are similar to results obtained with diodes and TLDs for the same techniques.

  8. Dosimetry in radiotherapy using a-Si EPIDs: Systems, methods, and applications focusing on 3D patient dose estimation

    Science.gov (United States)

    McCurdy, B. M. C.

    2013-06-01

    An overview is provided of the use of amorphous silicon electronic portal imaging devices (EPIDs) for dosimetric purposes in radiation therapy, focusing on 3D patient dose estimation. EPIDs were originally developed to provide on-treatment radiological imaging to assist with patient setup, but there has also been a natural interest in using them as dosimeters since they use the megavoltage therapy beam to form images. The current generation of clinically available EPID technology, amorphous-silicon (a-Si) flat panel imagers, possess many characteristics that make them much better suited to dosimetric applications than earlier EPID technologies. Features such as linearity with dose/dose rate, high spatial resolution, realtime capability, minimal optical glare, and digital operation combine with the convenience of a compact, retractable detector system directly mounted on the linear accelerator to provide a system that is well-suited to dosimetric applications. This review will discuss clinically available a-Si EPID systems, highlighting dosimetric characteristics and remaining limitations. Methods for using EPIDs in dosimetry applications will be discussed. Dosimetric applications using a-Si EPIDs to estimate three-dimensional dose in the patient during treatment will be overviewed. Clinics throughout the world are implementing increasingly complex treatments such as dynamic intensity modulated radiation therapy and volumetric modulated arc therapy, as well as specialized treatment techniques using large doses per fraction and short treatment courses (ie. hypofractionation and stereotactic radiosurgery). These factors drive the continued strong interest in using EPIDs as dosimeters for patient treatment verification.

  9. Methods for implementation of in vivo dosimetry (entrance dose) using thermoluminescent dosimeters during radiotherapy treatment with photon beam

    International Nuclear Information System (INIS)

    Barsanelli, Cristiane

    2006-01-01

    Selection, calibration procedure to convert TLD signal into absorbed dose and physical characteristics at the thermoluminescent dosimeters, as well as the determination of correction factors and the methodology to determine expected entrance dose, are described in this work. Practical aspects and the utility of entrance dose measures with thermoluminescent dosimeters were investigated, as well as the exactness and the reproducibility of the daily dose release. The entrance dose measures were performed in five patients with diagnosis of breast cancer treated with a 6 MV photon beam. The measured dose and the expected dose values agreed in ± 5%, due to excellent treatment equipment stability, to automatic verification system and the good exactness in the daily treatment adjustment. Good precision can be achieved when the correction factors for each parameter of influence in the dosimeter response are carefully determined and applied to convert the thermoluminescent signal into absorbed dose. The study demonstrates the viability of thermoluminescent dosimeters use for in vivo dosimetry and its utility as part of a quality assurance program in a radiation therapy service. (author)

  10. Alanine dosimetry for clinical applications. Proceedings

    International Nuclear Information System (INIS)

    Anton, M.

    2006-05-01

    The following topics are dealt with: Therapy level alanine dosimetry at the UK Nationational Physical Laboratory, alanine as a precision validation tool for reference dosimetry, composition of alanine pellet dosimeters, the angular dependence of the alanine ESR spectrum, the CIAE alanine dosimeter for radiotherapy level, a correction for temporal evolution effects in alanine dosimetry, next-generation services foe e-traceability to ionization radiation national standards, establishing e-traceability to HIST high-dose measurement standards, alanine dosimetry of dose delivery from clinical accelerators, the e-scan alanine dosimeter reader, alanine dosimetry at ISS, verification of the integral delivered dose for IMRT treatment in the head and neck region with ESR/alanine dosimetry, alanine dosimetry in helical tomotherapy beams, ESR dosimetry research and development at the University of Palermo, lithium formate as a low-dose EPR radiation dosimeter, sensitivity enhancement of alanine/EPR dosimetry. (HSI)

  11. Calculation of uncertainties in the protocol of dosimetry for Co 60 beams in Radiotherapy; Calculo de incertidumbres en el protocolo de dosimetria para haces de Co 60 en Radioterapia

    Energy Technology Data Exchange (ETDEWEB)

    Velazquez M, S.; Carrera M, F.; Sanchez S, J. [Hospital Juan Ramon Jimenez, Ronda Norte s/n 21005 Huelva (Spain)

    1998-12-31

    The objective in this work is to show how the uncertainty is possible to know in the determination of the absorbed dose in Co 60 photon beams and to establish in a rational form, tolerance levels for this. It is took as base the spanish protocol of dosimetry in Radiotherapy. We have been centered in a Co 60 beam. We utilized the statistical theory of little samples. We allowed to suggest a new approach about the treatment of the tolerance levels and the uncertainty of the measurement. After two years of experience in the practical hospitable application we have gotten to put around 1 % uncertainty in the absolute dosimetry of the Co 60 beam. The presented protocol allows to execute the accuracy requirements in the determination of absorbed doses. (Author)

  12. Evaluation of the treatment planning system of three-dimensional conformal external radiotherapy in Hospital Mexico of San Jose, Costa Rica

    International Nuclear Information System (INIS)

    Venegas Rojas, Deybith

    2014-01-01

    An evaluation and analysis are realized of dosimetry of the treatment planning system (TPS) of three-dimensional conformal external radiotherapy in the Servicio de Radioterapia of the Hospital Mexico of Costa Rica. An evaluation procedure is proposed based on IAEA-TECDOC-1540 document, and may continue to be applied periodically in this or other radiotherapy services. Tests realized have checked the representation of distances and electronics densities transferred to the TPS, match with those of real objects. The 16 tests applied have represented situations of real treatments with different configurations and beam modifiers in the equipment used daily. The tests have measured the absorbed dose to water in different significant points at different depths, using photon beams of 6 MeV and 18 MeV. The physical parameters of the tests were simulated. The absorbed dose has been calculated at specified points. The XiO and Eclipse TPS have been used with the calculation algorithms: Superposition, Convolution and AAA. The results of the calculations are evaluated with statistical methods and comparing them with the measurements of absorbed dose. A generalized tendency has been detected toward negative relative errors, implying an underestimation of the dose by the TPS; due to a difference found in the accelerator output factor respect to its commissioning. The AAA algorithm has determined a better performance, although with greater difficulties of calculus in the region of build-up. Convolution and Superposition algorithms have had similar performances and both have presented problems in high depths and out of edges of the fields. The result of the dosimetric evaluation has been satisfactory in real conditions of equipment; but several particularities have been found that should be reviewed and adjusted. The precision of the TPS has been adequate in the majority of situations important for treatment planning. [author] [es

  13. A systematic review of the precision and accuracy of dose measurements in photon radiotherapy using polymer and Fricke MRI gel dosimetry

    International Nuclear Information System (INIS)

    MacDougall, N.D.; Pitchford, W.G.; Smith, M.A.

    2002-01-01

    The purpose of this work is to undertake a critical appraisal of the evidence in the published literature concerning the basic parameters of accuracy and precision associated with the use of Fricke and polymer gels (in conjunction with MR imaging) as radiation dosimeters in photon radiotherapy, condensing and analysing the body of published information (to the end of April 2002). A systematic review was undertaken addressing specific issues of precision and accuracy asking defined questions of the published literature. Accuracy and precision in relation to gel dosimetry were defined. Information was obtained from published, peer-reviewed journals. A defined search strategy utilizing MeSH headings and keywords, with extensive use of cross-referencing, identified 115 references dealing with gel dosimetry. Exclusion criteria were used to select only data from publications which would give unequivocal evidence. For accuracy, results had to be compared with an ionization chamber as gold standard and all gel samples had to be manufactured in the same batch. For precision, in addition to gels being from the same batch, samples must all have been irradiated at the same time and scanned simultaneously (or within a short time frame). Many results were found demonstrating 'dose mapping' examples using gels. However, there were very few publications containing firm evidence of precision and accuracy. There was no evidence which fulfilled our criteria about accuracy or precision using Fricke gels. For polymer gels only one paper was found for accuracy (4% (Low et al 1999 Med. Phys. 26 1542-51)) and precision (1.7% (Baldock et al 1998 Phys. Med. Biol. 43 695-702)); however, both were carried out at only one dose level. If the exclusion criteria were relaxed to include accuracy results comparing gel to a non gold standard dosimeter (e.g. TLD), results give a median accuracy of 10% (range 8-23.5%) for polymer gel (Cosgrove et al 2000 Phys. Med. Biol. 45 1195-210, De Deene et al

  14. Evaluation and optimization of the new EBT2 radiochromic film dosimetry system for patient dose verification in radiotherapy

    International Nuclear Information System (INIS)

    Richley, L; John, A C; Coomber, H; Fletcher, S

    2010-01-01

    A new radiochromic film, the yellow Gafchromic EBT2, has been marketed as a drop-in replacement for the discontinued blue EBT film. In order to verify the manufacturer's claims prior to clinical use, EBT2 was characterized in transmission, and the less commonly used, reflection modes with an Epson Expression 10000XL A3 flatbed scanner. The red channel was confirmed to provide the greatest sensitivity and was used for all measurements. The post-irradiation darkening of the film was investigated, and the relative response was found to be dose dependent with higher doses stabilizing earlier than lower doses. After 13 h all dose levels had stabilized to within 1% of their value at 24 h. Uniformity of irradiated EBT2 films was within 0.8% and 1.2% (2SD of signal), in reflection and transmission modes, respectively. The light scattering effect, arising from the structure and thickness of EBT2, was found to give rise to an apparent scanner non-uniformity of up to 5.5% in signal. In reflection mode, differences of up to 1.2% were found between the signal obtained from a small film fragment (5 x 5 cm 2 ) and the signal obtained from the same fragment bordered by extra film. Further work is needed to determine the origin of this effect, as there will be implications for reflection dosimetry of intensity modulated fields; reflection mode cannot yet be regarded as a viable alternative to transmission mode. Our results suggest that EBT2 film is a valid alternative, rather than a direct replacement for EBT film.

  15. Breast dosimetry in complementary radiotherapy with sodium pertechnetate-99m-Tc (Na99mTcO4-) balloon at neoplasia

    International Nuclear Information System (INIS)

    Lima, Carla Flavia de; Campos, Tarcisio P. R. de

    2013-01-01

    A dosimetric analyzes was performed at breast tissue in which a sodium pertechnetate- 99m Tc filled balloon was placed. An additional dose booster can be used as a complementary method to the surgical treatment in patients with breast cancer. The methodology involved the development of dosimetry in a physical phantom and a computational voxel model. Radiochromic films were calibrated providing dose versus optical density (OD) response from sample films taken at the surface of the balloon up to 10 cm far with the theoretical dose provided by MCNP modeling in water-equivalent model. A voxel model of the breast, developed at the SISCODES software, with an filled balloon inside was simulated at the MCNP code in order to generate the spatial dose distribution. Spatial dose distributions and the doses at surfaces of the breast, including those received in the chest wall, skin and lung were generated. The dosimetric results allow validating the dose in the tumor bed and adjacent health tissues. The simulations show that the application of sodium pertechnetate- 99m Tc implies high dose in the breast tissue adjacent to the tumor and preserves vital adjacent structures. As conclusion, the balloon presents itself as a viable option for the adjunctive treatment of breast cancer in patients who have appropriate indication. Irradiation with sodium pertechnetate- 99m Tc generates high doses in breast tissue and consequently in the tumor bed. Adjuvant radiation therapy in situ with sodium pertechnetate- 99m Tc balloon has low cost, availability and reduced time of treatment, decreasing the side effects of conventional radiotherapy. In progress, the dose versus OD mathematical representation will be used to identify absorbed doses at planar film placed at a breast phantom in order to generate maps of breast doses. (author)

  16. Hippocampal Dosimetry Predicts Neurocognitive Function Impairment After Fractionated Stereotactic Radiotherapy for Benign or Low-Grade Adult Brain Tumors

    International Nuclear Information System (INIS)

    Gondi, Vinai; Hermann, Bruce P.; Mehta, Minesh P.; Tomé, Wolfgang A.

    2013-01-01

    Purpose: To prospectively evaluate the association between hippocampal dose and long-term neurocognitive function (NCF) impairment for benign or low-grade adult brain tumors treated with fractionated stereotactic radiotherapy (FSRT). Methods and Materials: Adult patients with benign or low-grade adult brain tumors were treated with FSRT per institutional practice. No attempt was made to spare the hippocampus. NCF testing was conducted at baseline and 18 months follow-up, on a prospective clinical trial. Regression-based standardized z scores were calculated by using similar healthy control individuals evaluated at the same test–retest interval. NCF impairment was defined as a z score ≤−1.5. After delineation of the bilateral hippocampi according to the Radiation Therapy Oncology Group contouring atlas, dose–volume histograms were generated for the left and right hippocampi and for the composite pair. Biologically equivalent doses in 2-Gy fractions (EQD 2 ) assuming an α/β ratio of 2 Gy were computed. Fisher’s exact test and binary logistic regression were used for univariate and multivariate analyses, respectively. Dose–response data were fit to a nonlinear model. Results: Of 29 patients enrolled in this trial, 18 completed both baseline and 18-month NCF testing. An EQD 2 to 40% of the bilateral hippocampi >7.3 Gy was associated with impairment in Wechsler Memory Scale-III Word List (WMS-WL) delayed recall (odds ratio [OR] 19.3; p = 0.043). The association between WMS-WL delayed recall and EQD 2 to 100% of the bilateral hippocampi >0.0 Gy trended to significance (OR 14.8; p = 0.068). Conclusion: EQD 2 to 40% of the bilateral hippocampi greater than 7.3 Gy is associated with long-term impairment in list-learning delayed recall after FSRT for benign or low-grade adult brain tumors. Given that modern intensity-modulated radiotherapy techniques can reduce the dose to the bilateral hippocampi below this dosimetric threshold, patients should be enrolled in

  17. Hippocampal Dosimetry Predicts Neurocognitive Function Impairment After Fractionated Stereotactic Radiotherapy for Benign or Low-Grade Adult Brain Tumors

    Energy Technology Data Exchange (ETDEWEB)

    Gondi, Vinai [Department of Human Oncology, University of Wisconsin, Madison, WI (United States); Hermann, Bruce P. [Department of Neurology, University of Wisconsin, Madison, WI (United States); Mehta, Minesh P. [Department of Radiation Oncology, Northwestern University Feinberg School of Medicine, Chicago, IL (United States); Tome, Wolfgang A., E-mail: tome@humonc.wisc.edu [Department of Human Oncology, University of Wisconsin, Madison, WI (United States); Department of Medical Physics, University of Wisconsin, Madison, WI (United States); Department of Biomedical Engineering, University of Wisconsin, Madison, WI (United States)

    2012-07-15

    Purpose: To prospectively evaluate the association between hippocampal dose and long-term neurocognitive function (NCF) impairment for benign or low-grade adult brain tumors treated with fractionated stereotactic radiotherapy (FSRT). Methods and Materials: Adult patients with benign or low-grade adult brain tumors were treated with FSRT per institutional practice. No attempt was made to spare the hippocampus. NCF testing was conducted at baseline and 18 months follow-up, on a prospective clinical trial. Regression-based standardized z scores were calculated by using similar healthy control individuals evaluated at the same test-retest interval. NCF impairment was defined as a z score {<=}-1.5. After delineation of the bilateral hippocampi according to the Radiation Therapy Oncology Group contouring atlas, dose-volume histograms were generated for the left and right hippocampi and for the composite pair. Biologically equivalent doses in 2-Gy fractions (EQD{sub 2}) assuming an {alpha}/{beta} ratio of 2 Gy were computed. Fisher's exact test and binary logistic regression were used for univariate and multivariate analyses, respectively. Dose-response data were fit to a nonlinear model. Results: Of 29 patients enrolled in this trial, 18 completed both baseline and 18-month NCF testing. An EQD{sub 2} to 40% of the bilateral hippocampi >7.3 Gy was associated with impairment in Wechsler Memory Scale-III Word List (WMS-WL) delayed recall (odds ratio [OR] 19.3; p = 0.043). The association between WMS-WL delayed recall and EQD{sub 2} to 100% of the bilateral hippocampi >0.0 Gy trended to significance (OR 14.8; p = 0.068). Conclusion: EQD{sub 2} to 40% of the bilateral hippocampi greater than 7.3 Gy is associated with long-term impairment in list-learning delayed recall after FSRT for benign or low-grade adult brain tumors. Given that modern intensity-modulated radiotherapy techniques can reduce the dose to the bilateral hippocampi below this dosimetric threshold

  18. Hippocampal Dosimetry Predicts Neurocognitive Function Impairment After Fractionated Stereotactic Radiotherapy for Benign or Low-Grade Adult Brain Tumors

    Energy Technology Data Exchange (ETDEWEB)

    Gondi, Vinai [Department of Human Oncology, University of Wisconsin, Madison, WI (United States); Hermann, Bruce P. [Department of Neurology, University of Wisconsin, Madison, WI (United States); Mehta, Minesh P. [Department of Radiation Oncology, Northwestern University Feinberg School of Medicine, Chicago, IL (United States); Tome, Wolfgang A., E-mail: tome@humonc.wisc.edu [Department of Human Oncology, University of Wisconsin, Madison, WI (United States); Department of Medical Physics, University of Wisconsin, Madison, WI (United States); Department of Biomedical Engineering, University of Wisconsin, Madison, WI (United States)

    2013-02-01

    Purpose: To prospectively evaluate the association between hippocampal dose and long-term neurocognitive function (NCF) impairment for benign or low-grade adult brain tumors treated with fractionated stereotactic radiotherapy (FSRT). Methods and Materials: Adult patients with benign or low-grade adult brain tumors were treated with FSRT per institutional practice. No attempt was made to spare the hippocampus. NCF testing was conducted at baseline and 18 months follow-up, on a prospective clinical trial. Regression-based standardized z scores were calculated by using similar healthy control individuals evaluated at the same test-retest interval. NCF impairment was defined as a z score {<=}-1.5. After delineation of the bilateral hippocampi according to the Radiation Therapy Oncology Group contouring atlas, dose-volume histograms were generated for the left and right hippocampi and for the composite pair. Biologically equivalent doses in 2-Gy fractions (EQD{sub 2}) assuming an {alpha}/{beta} ratio of 2 Gy were computed. Fisher's exact test and binary logistic regression were used for univariate and multivariate analyses, respectively. Dose-response data were fit to a nonlinear model. Results: Of 29 patients enrolled in this trial, 18 completed both baseline and 18-month NCF testing. An EQD{sub 2} to 40% of the bilateral hippocampi >7.3 Gy was associated with impairment in Wechsler Memory Scale-III Word List (WMS-WL) delayed recall (odds ratio [OR] 19.3; p = 0.043). The association between WMS-WL delayed recall and EQD{sub 2} to 100% of the bilateral hippocampi >0.0 Gy trended to significance (OR 14.8; p = 0.068). Conclusion: EQD{sub 2} to 40% of the bilateral hippocampi greater than 7.3 Gy is associated with long-term impairment in list-learning delayed recall after FSRT for benign or low-grade adult brain tumors. Given that modern intensity-modulated radiotherapy techniques can reduce the dose to the bilateral hippocampi below this dosimetric threshold

  19. Hippocampal Dosimetry Predicts Neurocognitive Function Impairment After Fractionated Stereotactic Radiotherapy for Benign or Low-Grade Adult Brain Tumors

    International Nuclear Information System (INIS)

    Gondi, Vinai; Hermann, Bruce P.; Mehta, Minesh P.; Tomé, Wolfgang A.

    2012-01-01

    Purpose: To prospectively evaluate the association between hippocampal dose and long-term neurocognitive function (NCF) impairment for benign or low-grade adult brain tumors treated with fractionated stereotactic radiotherapy (FSRT). Methods and Materials: Adult patients with benign or low-grade adult brain tumors were treated with FSRT per institutional practice. No attempt was made to spare the hippocampus. NCF testing was conducted at baseline and 18 months follow-up, on a prospective clinical trial. Regression-based standardized z scores were calculated by using similar healthy control individuals evaluated at the same test–retest interval. NCF impairment was defined as a z score ≤−1.5. After delineation of the bilateral hippocampi according to the Radiation Therapy Oncology Group contouring atlas, dose–volume histograms were generated for the left and right hippocampi and for the composite pair. Biologically equivalent doses in 2-Gy fractions (EQD 2 ) assuming an α/β ratio of 2 Gy were computed. Fisher’s exact test and binary logistic regression were used for univariate and multivariate analyses, respectively. Dose–response data were fit to a nonlinear model. Results: Of 29 patients enrolled in this trial, 18 completed both baseline and 18-month NCF testing. An EQD 2 to 40% of the bilateral hippocampi >7.3 Gy was associated with impairment in Wechsler Memory Scale-III Word List (WMS-WL) delayed recall (odds ratio [OR] 19.3; p = 0.043). The association between WMS-WL delayed recall and EQD 2 to 100% of the bilateral hippocampi >0.0 Gy trended to significance (OR 14.8; p = 0.068). Conclusion: EQD 2 to 40% of the bilateral hippocampi greater than 7.3 Gy is associated with long-term impairment in list-learning delayed recall after FSRT for benign or low-grade adult brain tumors. Given that modern intensity-modulated radiotherapy techniques can reduce the dose to the bilateral hippocampi below this dosimetric threshold, patients should be enrolled in

  20. Comparison between rad-hard standard float zone (FZ) and magnetic Czochralski (MCZ) silicon diodes in radiotherapy electron beam dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Santos, T.C. dos; Goncalves, J.A.C.; Vasques, M.M.; Tobias, C.C.B. [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil). Centro de Tecnologia das Radiacoes; Neves-Junior, W.F.P.; Haddad, C.M.K. [Hospital Sirio Libanes, Sao Paulo, SP (Brazil). Sociedade Beneficente de Senhoras; Harkonen, J. [Helsinki University of Technology (Denmark). Helsinki Inst. of Physics

    2010-07-01

    Full text. The use of semiconductor detectors has increased in radiotherapy practice since 1980s due to mainly their fast processing time, small sensitive volume and high relative sensitivity to ionizing radiation. Other major advantages of Si devices are excellent repeatability, good mechanical stability, high spatial resolution and the energy independence of mass collision stopping powers ratios (between silicon and water for electron beams with energy from 4 up to 20 MeV). However, ordinary silicon devices are very prone to radiation damage effects. In the last years, the development of radiation tolerant silicon detectors for High Energy Physics experiments has overcome this drawback. In this work we present the preliminary results obtained with a rad-hard epitaxial silicon diode as on-line clinical electron beam dosimeter. The diodes with 25 mm{sup 2} active area, were housed in a PMMA probe and connected, in a photovoltaic mode, to a Keithley 6517B electrometer. During all measurements, the diodes were held between PMMA plates, placed at Zref and centered in a radiation field of 10 cm x 10 cm, with the SSD kept at 100 cm. The devices dosimetric response was evaluated for 6, 9, 12, 15, 18 e 21 MeV electron beams from a Siemens KD 2 Radiotherapy Linear Accelerator, located at Sirio-Libanes Hospital. The radiation induced current in the diodes was registered as a function of the exposure time during 60 s for a fixed 300 MU. To study the short term repeatability, current signals were registered for the same radiation dose, for all energies. The dose-response of the diodes was achieved through the integration of the current signals as a function of the exposure time. The results obtained in the energy range of 6 up to 21 MeV evidenced that, for the same average dose rate of 5.0 cGy/s, the current signals are very stable and repeatable in both cases. For all energies, data shows good instantaneous repeatability with a percentage variation coefficient better than 2

  1. Assessment of leakage dose in vivo in patients undergoing radiotherapy for breast cancer

    Directory of Open Access Journals (Sweden)

    Peta Lonski

    2018-01-01

    Full Text Available Background and purpose: Accurate quantification of the relatively small radiation doses delivered to untargeted regions during breast irradiation in patients with breast cancer is of increasing clinical interest for the purpose of estimating long-term radiation-related risks. Out-of-field dose calculations from commercial planning systems however may be inaccurate which can impact estimates for long-term risks associated with treatment. This work compares calculated and measured dose out-of-field and explores the application of a correction for leakage radiation. Materials and methods: Dose calculations of a Boltzmann transport equation solver, pencil beam-type, and superposition-type algorithms from a commercial treatment planning system (TPS were compared with in vivo thermoluminescent dosimetry (TLD measurements conducted out-of-field on the contralateral chest at points corresponding to the thyroid, axilla and contralateral breast of eleven patients undergoing tangential beam radiotherapy for breast cancer. Results: Overall, the TPS was found to under-estimate doses at points distal to the radiation field edge with a modern linear Boltzmann transport equation solver providing the best estimates. Application of an additive correction for leakage (0.04% of central axis dose improved correlation between the measured and calculated doses at points greater than 15 cm from the field edge. Conclusions: Application of a correction for leakage doses within peripheral regions is feasible and could improve accuracy of TPS in estimating out-of-field doses in breast radiotherapy. Keywords: Breast radiotherapy, TLD, Leakage dose, Dose calculation algorithm

  2. Volumetric tumor burden and its effect on brachial plexus dosimetry in head and neck intensity-modulated radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Romesser, Paul B.; Qureshi, Muhammad M.; Kovalchuk, Nataliya; Truong, Minh Tam, E-mail: mitruong@bu.edu

    2014-07-01

    To determine the effect of gross tumor volume of the primary (GTV-P) and nodal (GTV-N) disease on planned radiation dose to the brachial plexus (BP) in head and neck intensity-modulated radiotherapy (IMRT). Overall, 75 patients underwent definitive IMRT to a median total dose of 69.96 Gy in 33 fractions. The right BP and left BP were prospectively contoured as separate organs at risk. The GTV was related to BP dose using the unpaired t-test. Receiver operating characteristics curves were constructed to determine optimized volumetric thresholds of GTV-P and GTV-N corresponding to a maximum BP dose cutoff of > 66 Gy. Multivariate analyses were performed to account for factors associated with a higher maximal BP dose. A higher maximum BP dose (> 66 vs ≤ 66 Gy) correlated with a greater mean GTV-P (79.5 vs 30.8 cc; p = 0.001) and ipsilateral GTV-N (60.6 vs 19.8 cc; p = 0.014). When dichotomized by the optimized nodal volume, patients with an ipsilateral GTV-N ≥ 4.9 vs < 4.9 cc had a significant difference in maximum BP dose (64.2 vs 59.4 Gy; p = 0.001). Multivariate analysis confirmed that an ipsilateral GTV-N ≥ 4.9 cc was an independent predictor for the BP to receive a maximal dose of > 66 Gy when adjusted individually for BP volume, GTV-P, the use of a low anterior neck field technique, total planned radiation dose, and tumor category. Although both the primary and the nodal tumor volumes affected the BP maximal dose, the ipsilateral nodal tumor volume (GTV-N ≥ 4.9 cc) was an independent predictor for high maximal BP dose constraints in head and neck IMRT.

  3. Design and test of a scintillation dosimeter for dosimetry measurements of high energy radiotherapy beams; Conception et realisation d'un dosimetre a scintillation adapte a la dosimetrie de faisceaux de rayonnements ionisants en faisceaux de rayonnements ionisants en radiotherapie

    Energy Technology Data Exchange (ETDEWEB)

    Fontbonne, J.M

    2002-12-01

    This work describes the design and evaluation of the performances of a scintillation dosimeter developed for the dosimetry of radiation beams used in radiotherapy. The dosimeter consists in a small plastic scintillator producing light which is guided by means of a plastic optical fiber towards photodetectors. In addition to scintillation, high energy ionizing radiations produce Cerenkov light both in the scintillator and the optical fiber. Based on a wavelength analysis, we have developed a deconvolution technique to measure the scintillation light in the presence of Cerenkov light. We stress the advantages that are anticipated from plastic scintillator, in particular concerning tissue or water equivalence (mass stopping power, mass attenuation or mass energy absorption coefficients). We show that detectors based on this material have better characteristics than conventional dosimeters such as ionisation chambers or silicon detectors. The deconvolution technique is exposed, as well as the calibration procedure using an ionisation chamber. We have studied the uncertainty of our dosimeter. The electronics noise, the fiber transmission, the deconvolution technique and the calibration errors give an overall combined experimental uncertainty of about 0,5%. The absolute response of the dosimeter is studied by means of depth dose measurements. We show that absolute uncertainty with photons or electrons beams with energies ranging from 4 MeV to 25 MeV is less than {+-} 1 %. Last, at variance with other devices, our scintillation dosimeter does not need dose correction with depth. (author)

  4. Improved normal tissue sparing in head and neck radiotherapy using biological cost function based-IMRT.

    Science.gov (United States)

    Anderson, N; Lawford, C; Khoo, V; Rolfo, M; Joon, D L; Wada, M

    2011-12-01

    Intensity-modulated radiotherapy (IMRT) has reduced the impact of acute and late toxicities associated with head and neck radiotherapy. Treatment planning system (TPS) advances in biological cost function based optimization (BBO) and improved segmentation techniques have increased organ at risk (OAR) sparing compared to conventional dose-based optimization (DBO). A planning study was undertaken to compare OAR avoidance in DBO and BBO treatment planning. Simultaneous integrated boost treatment plans were produced for 10 head and neck patients using both planning systems. Plans were compared for tar get coverage and OAR avoidance. Comparisons were made using the BBO TPS Monte Carlo dose engine to eliminate differences due to inherent algorithms. Target coverage (V95%) was maintained for both solutions. BBO produced lower OAR doses, with statistically significant improvement to left (12.3%, p = 0.005) and right parotid mean dose (16.9%, p = 0.004), larynx V50_Gy (71.0%, p = 0.005), spinal cord (21.9%, p < 0.001) and brain stem dose maximums (31.5%, p = 0.002). This study observed improved OAR avoidance with BBO planning. Further investigations will be undertaken to review any clinical benefit of this improved planned dosimetry.

  5. Enhanced delivery of iodine for synchrotron stereotactic radiotherapy by means of intracarotid injection and blood-brain barrier disruption: Quantitative iodine biodistribution studies and associated dosimetry

    International Nuclear Information System (INIS)

    Adam, Jean-Francois; Biston, Marie-Claude; Joubert, Aurelie; Charvet, Anne-Marie; Le Bas, Jean-Francois; Esteve, Francois; Elleaume, Helene

    2005-01-01

    Purpose: Synchrotron stereotactic radiotherapy (SSR) is a binary cancer treatment modality that involves the selective accumulation of a high Z element, such as iodine, in tumors, followed by stereotactic irradiation with kilovoltage X-rays from a synchrotron source. The success of SSR is directly related to the absolute amount of iodine achievable in the tumor. The purposes of this preclinical study were to determine whether the delivery of iodine to brain tumor models in rats could be enhanced by the means of its intracarotid injection with or without a hyperosmotic solution and to evaluate corresponding absorbed X-ray doses. Methods and materials: Experiments were performed on four groups of F98 glioma-bearing rats, which received either intracarotid (IC) or intravenous (IV) infusions of a mixture (6 mL in 12 min) of an iodinated contrast agent associated or not with a transient blood-brain barrier opener (mannitol). The mixture volumetric proportions were 8/13 of Iomeron (C = 350 mg/mL) for 5/13 of mannitol or saline, respectively. Absolute iodine concentration kinetic was measured in vivo in the tumor, blood, contralateral and ipsilateral brain, and muscle by monochromatic computed tomography. Associated dosimetry was performed by computing the iodine dose enhancement factor (DEF) in each region and building dose distribution maps by analytical simulations. Results: Infusion of mannitol significantly enhanced iodine tumor uptake compared with the control values (p < 0.0001 and p = 0.0138, for IC and IV protocols, respectively). The mean iodine concentrations (C) reached 20.5 ± 0.98 mg/mL (DEF = 4.1) after administration of iodine and mannitol vs. 4.1 ± 1.2 mg/mL i.c. with serum (DEF = 1.6). The tumor iodine uptakes after jugular injection with mannitol (C = 4.4 ± 2.1 mg/mL, DEF = 1.7) were not significantly different from IC injection of iodine without mannitol (p = 0.8142). The IV injection of iodine with saline led to an iodine concentration in the tumor

  6. The dosimetry programme of the IAEA

    International Nuclear Information System (INIS)

    1987-01-01

    Describes the activities of the IAEA's Dosimetry Laboratory which provides calibration and comparison services for secondary standard dosimetry laboratories (SSDLs) of Member States. In addition, a joint IAEA/WHO postal dosimetry service has been established for radiotherapy centers. The International Measurement System and the calibration ''chain'' from measurement standard instruments of the International Bureau of Weights and Measurements (BIPM) through the primary and secondary standards to the dosimeters of the users are presented as well

  7. Evaluation of radiochromic films EBT3 for in-vivo dosimetry in radiotherapy treatments with photons; Evaluacion de peliculas radiocromicas EBT3 para dosimetria in vivo en tratamientos de radioterapia con fotones

    Energy Technology Data Exchange (ETDEWEB)

    Galvan de la C, O. O.; Rivera M, T. [IPN, Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada, Av. Legaria No. 694, Col. Irrigacion, 11500 Mexico D. F. (Mexico); Garcia G, O. A.; Larraga G, J. M., E-mail: olinca@ciencias.unam.mx [Instituto Nacional de Neurologia y Neurocirugia, Laboratorio de Fisica Medica, Insurgentes Sur 3877, Col. La Fama, 14269 Mexico D. F. (Mexico)

    2015-10-15

    Full text: In-vivo dosimetry is a challenge in radiotherapy due to the measures are carried out in reference conditions outside; there is no balance of charged particle and beam consists of photons own and contamination electrons. Detectors that are useful for such measures should be sufficiently small and thin so they do not disturb the beam and do not alter the dose on target. In this paper the radiochromic films Gafchromic model EBT3 are evaluated as potential detectors for in-vivo dosimetry; measurements were carried out in solid water phantom on the surface, with films of dimensions 3 x 3 cm{sup 2}. Irradiations were performed with a linear accelerator Novalis of 6 MV. Comparison between dose values found with a diode type Sfd detector (IBA dosimetry, Germany) and a diamond detector CVD (PTW-Freiburg) for 2 different sized of field (5 x 5 cm{sup 2} and 10 x 10 cm{sup 2}) on the surface of a water phantom scanning was realized. The total spreading factor (Tsf) measured on surface was of 0.831 ± 4.6%; which is greater 12.9% than Tsf measured at a depth of maximum dose. This difference may be due to the contribution of scattered electrons to the beam exit. The measures must be corroborated with Monte Carlo simulations, which they will be validated on surface by the Abdel-Rahman [et al.] method; this mechanism will determine if the films are useful detectors for in-vivo dosimetry clinically. (Author)

  8. SU-F-T-115: Uncertainty in the Esophagus Dose in Retrospective Epidemiological Study of Breast Cancer Radiotherapy Patients

    Energy Technology Data Exchange (ETDEWEB)

    Mosher, E; Kim, S; Lee, C [Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD (United States); Lee, C [Department of Radiation Oncology, University of Michigan, Ann Arbor, MI (United States); Pelletier, C; Jung, J [Department of Physics, East Carolina University Greenville, NC (United States); Jones, E [Radiology and Imaging Sciences Clinical Center, National Institutes of Health, Bethesda, MD (United States)

    2016-06-15

    Purpose: Epidemiological studies of second cancer risks in breast cancer radiotherapy patients often use generic patient anatomy to reconstruct normal tissue doses when CT images of patients are not available. To evaluate the uncertainty involved in the dosimetry approach, we evaluated the esophagus dose in five sample patients by simulating breast cancer treatments. Methods: We obtained the diagnostic CT images of five anonymized adult female patients in different Body Mass Index (BMI) categories (16– 36kg/m2) from National Institutes of Health Clinical Center. We contoured the esophagus on the CT images and imported them into a Treatment Planning System (TPS) to create treatment plans and calculate esophagus doses. Esophagus dose was calculated once again via experimentally-validated Monte Carlo (MC) transport code, XVMC under the same geometries. We compared the esophagus doses from TPS and the MC method. We also investigated the degree of variation in the esophagus dose across the five patients and also the relationship between the patient characteristics and the esophagus doses. Results: Eclipse TPS using Analytical Anisotropic Algorithm (AAA) significantly underestimates the esophagus dose in breast cancer radiotherapy compared to MC. In the worst case, the esophagus dose from AAA was only 40% of the MC dose. The Coefficient of Variation across the patients was 48%. We found that the maximum esophagus dose was up to 2.7 times greater than the minimum. We finally observed linear relationship (Dose = 0.0218 × BMI – 0.1, R2=0.54) between patient’s BMI and the esophagus doses. Conclusion: We quantified the degree of uncertainty in the esophagus dose in five sample breast radiotherapy patients. The results of the study underscore the importance of individualized dose reconstruction for the study cohort to avoid misclassification in the risk analysis of second cancer. We are currently extending the number of patients up to 30.

  9. SU-F-T-115: Uncertainty in the Esophagus Dose in Retrospective Epidemiological Study of Breast Cancer Radiotherapy Patients

    International Nuclear Information System (INIS)

    Mosher, E; Kim, S; Lee, C; Lee, C; Pelletier, C; Jung, J; Jones, E

    2016-01-01

    Purpose: Epidemiological studies of second cancer risks in breast cancer radiotherapy patients often use generic patient anatomy to reconstruct normal tissue doses when CT images of patients are not available. To evaluate the uncertainty involved in the dosimetry approach, we evaluated the esophagus dose in five sample patients by simulating breast cancer treatments. Methods: We obtained the diagnostic CT images of five anonymized adult female patients in different Body Mass Index (BMI) categories (16– 36kg/m2) from National Institutes of Health Clinical Center. We contoured the esophagus on the CT images and imported them into a Treatment Planning System (TPS) to create treatment plans and calculate esophagus doses. Esophagus dose was calculated once again via experimentally-validated Monte Carlo (MC) transport code, XVMC under the same geometries. We compared the esophagus doses from TPS and the MC method. We also investigated the degree of variation in the esophagus dose across the five patients and also the relationship between the patient characteristics and the esophagus doses. Results: Eclipse TPS using Analytical Anisotropic Algorithm (AAA) significantly underestimates the esophagus dose in breast cancer radiotherapy compared to MC. In the worst case, the esophagus dose from AAA was only 40% of the MC dose. The Coefficient of Variation across the patients was 48%. We found that the maximum esophagus dose was up to 2.7 times greater than the minimum. We finally observed linear relationship (Dose = 0.0218 × BMI – 0.1, R2=0.54) between patient’s BMI and the esophagus doses. Conclusion: We quantified the degree of uncertainty in the esophagus dose in five sample breast radiotherapy patients. The results of the study underscore the importance of individualized dose reconstruction for the study cohort to avoid misclassification in the risk analysis of second cancer. We are currently extending the number of patients up to 30.

  10. In vivo dosimetric impact of breast tissue expanders on post-mastectomy radiotherapy

    International Nuclear Information System (INIS)

    Gee, Harriet E.; Bignell, Fiona; Odgers, David; Gill, Simran; Martin, Darren; Toohey, Joanne; Carroll, Susan

    2016-01-01

    Temporary tissue expanders with metallic ports for gradual saline injection are increasingly employed to facilitate breast reconstruction after post-mastectomy radiotherapy (PMRT). Treatment beams therefore pass through a high-density rare-earth magnet. Measurements ex vivo suggest attenuation of dose to the skin and chest wall at clinical risk of relapse. The purpose of the study was to quantify the resulting dose reduction in vivo, compared with treatment planning system (TPS). Sixteen patients receiving PMRT had in vivo dosimetry prospectively performed with ethics board approval. Port was located within the expanded chest wall using the planning CT scan. Strips of radiochromic film were laid on the skin surface underneath the bolus. To aid interpretation, ex vivo measurements were also performed, including comparison with TPS predictions. An average 7% reduction in dose to skin surface was measured in 15 of 16 patients. This was reproducibly located in the ‘shadow’ of the magnet, corresponding to each of the paths of the medial and lateral tangents. The average area was 1.07 cm2 (range 0.39 cm2 to 2.36 cm2). Ex vivo measurements confirmed attenuation of the beam in the shadow of the port. The surface area of the ‘cold-spot’ varied with angle of the beam relative to the metallic port. Dose attenuation in vivo differed from that predicted by the TPS. Dose is attenuated in the ‘shadow’ of the tissue expander port in patients receiving PMRT. This is likely to be clinically insignificant for most, but centres should undertake appropriate measurements before utilising TPS predictions.

  11. Developments in physical dosimetry and radiation protection; Entwicklungen in der physikalischen Dosimetrie im Strahlenschutz

    Energy Technology Data Exchange (ETDEWEB)

    Fiebich, Martin [Technische Hochschule Mittelhessen, Giessen (Germany). Inst. fuer Medizinische Physik und Strahlenschutz

    2017-07-01

    In the frame of physical dosimetry new dose units have been defined: the depth personal dose (equivalent dose in 10 mm depth) and the surface personal dose (equivalent dose in 0.07 mm depth). Physical dosimetry is applied for the determination of occupational radiation exposure, the radiation protected area control, the estimation of radiation exposure of patients during radiotherapy, for quality assurance and in research projects and optimization challenges. Developments have appeared with respect to punctual measuring chambers, eye lens dosimetry, OSL (optically stimulated luminescence) dosimetry, real-time dosimetry and Monte Carlo methods. New detection limits of about 1 micro Gy were reached.

  12. EPR/alanine dosimetry for two therapeutic proton beams

    Energy Technology Data Exchange (ETDEWEB)

    Marrale, Maurizio, E-mail: maurizio.marrale@unipa.it [Dipartimento di Fisica e Chimica, Università di Palermo, Viale delle Scienze, Edificio 18, 90128 Palermo (Italy); Gruppo V Sezione INFN di Catania, Via Santa Sofia, 64, 95123 Catania (Italy); Carlino, Antonio [Dipartimento di Fisica e Chimica, Università di Palermo, Viale delle Scienze, Edificio 18, 90128 Palermo (Italy); EBG MedAustron GmbH, Marie Curie-Straße 5, A-2700 Wiener Neustadt (Austria); Gallo, Salvatore [Dipartimento di Fisica e Chimica, Università di Palermo, Viale delle Scienze, Edificio 18, 90128 Palermo (Italy); Gruppo V Sezione INFN di Catania, Via Santa Sofia, 64, 95123 Catania (Italy); Laboratorio PH3DRA, Dipartimento di Fisica e Astronomia, Università di Catania, Via Santa Sofia 64, 95123 Catania (Italy); Longo, Anna; Panzeca, Salvatore [Dipartimento di Fisica e Chimica, Università di Palermo, Viale delle Scienze, Edificio 18, 90128 Palermo (Italy); Gruppo V Sezione INFN di Catania, Via Santa Sofia, 64, 95123 Catania (Italy); Bolsi, Alessandra; Hrbacek, Jan; Lomax, Tony [Center for Proton Therapy, Paul Scherrer Institute, 5232 Villigen PSI (Switzerland)

    2016-02-01

    In this work the analysis of the electron paramagnetic resonance (EPR) response of alanine pellets exposed to two different clinical proton beams employed for radiotherapy is performed. One beam is characterized by a passive delivery technique and is dedicated to the eyes treatment (OPTIS2 beam line). Alanine pellets were irradiated with a 70 MeV proton beam corresponding to 35 mm range in eye tissue. We investigated how collimators with different sizes and shape used to conform the dose to the planned target volume influence the delivered dose. For this purpose we performed measurements with varying the collimator size (Output Factor) and the results were compared with those obtained with other dosimetric techniques (such as Markus chamber and diode detector). This analysis showed that the dosimeter response is independent of collimator diameter if this is larger than or equal to 10 mm. The other beam is characterized by an active spot-scanning technique, the Gantry1 beam line (maximum energy 230 MeV), and is used to treat deep-seated tumors. The dose linearity of alanine response in the clinical dose range was tested and the alanine dose response at selected locations in depth was measured and compared with the TPS planned dose in a quasi-clinical scenario. The alanine response was found to be linear in the dose in the clinical explored range (from 10 to 70 Gy). Furthermore, a depth dose profile in a quasi-clinical scenario was measured and compared to the dose computed by the Treatment Planning System PSIPLAN. The comparison of calibrated proton alanine measurements and TPS dose shows a difference under 1% in the SOBP and a “quenching” effect up to 4% in the distal part of SOBP. The positive dosimetric characteristics of the alanine pellets confirm the feasibility to use these detectors for “in vivo” dosimetry in clinical proton beams.

  13. EPR/alanine dosimetry for two therapeutic proton beams

    International Nuclear Information System (INIS)

    Marrale, Maurizio; Carlino, Antonio; Gallo, Salvatore; Longo, Anna; Panzeca, Salvatore; Bolsi, Alessandra; Hrbacek, Jan; Lomax, Tony

    2016-01-01

    In this work the analysis of the electron paramagnetic resonance (EPR) response of alanine pellets exposed to two different clinical proton beams employed for radiotherapy is performed. One beam is characterized by a passive delivery technique and is dedicated to the eyes treatment (OPTIS2 beam line). Alanine pellets were irradiated with a 70 MeV proton beam corresponding to 35 mm range in eye tissue. We investigated how collimators with different sizes and shape used to conform the dose to the planned target volume influence the delivered dose. For this purpose we performed measurements with varying the collimator size (Output Factor) and the results were compared with those obtained with other dosimetric techniques (such as Markus chamber and diode detector). This analysis showed that the dosimeter response is independent of collimator diameter if this is larger than or equal to 10 mm. The other beam is characterized by an active spot-scanning technique, the Gantry1 beam line (maximum energy 230 MeV), and is used to treat deep-seated tumors. The dose linearity of alanine response in the clinical dose range was tested and the alanine dose response at selected locations in depth was measured and compared with the TPS planned dose in a quasi-clinical scenario. The alanine response was found to be linear in the dose in the clinical explored range (from 10 to 70 Gy). Furthermore, a depth dose profile in a quasi-clinical scenario was measured and compared to the dose computed by the Treatment Planning System PSIPLAN. The comparison of calibrated proton alanine measurements and TPS dose shows a difference under 1% in the SOBP and a “quenching” effect up to 4% in the distal part of SOBP. The positive dosimetric characteristics of the alanine pellets confirm the feasibility to use these detectors for “in vivo” dosimetry in clinical proton beams.

  14. Development of manual procedures for care of pregnant patients in radiotherapy service

    International Nuclear Information System (INIS)

    Scarabino, M.L.; Ruggeri, R.M.; Colombo, S.; Mairal, L.; Sardi, M.E.

    2013-01-01

    The work involves the creation of a manual of procedures for the care of pregnant patients in a radiotherapy center in which each instance of treatment is included, from the obstetrician-oncology comprehensive assessment during admission to establishing controls newborn and its subsequent development in multidisciplinary team. For the preparation of the manual had to design an anthropomorphic phantom that resembles a pregnant woman, which was used to carry out internal and external dosimetry. In turn imparted calculations fetal doses using TPS, imaging tests with MRI, avoiding the use of the tomograph and adapted to the resonator involved were carried immobilizer. All experiences and progress made during the treated cases are introduced in the procedures manual, making it a dynamic tool for continuous improvement for the institution

  15. Characterization of commercial MOSFETS electron dosimetry

    International Nuclear Information System (INIS)

    Carvajal, M. A.; Simancas, F.; Guirado, D.; Banqueri, J.; Vilches, M.; Lallena, A. M.; Palma, A. J.

    2011-01-01

    In recent years there have been commercial dosimetry devices based on transistors Metal-Oxide-Semiconductor (MOSFET) having a number of advantages over traditional systems for dosimetry in medical applications. These include the portability of the sensor element and a reading process quick and relatively simple dose, linearity, and so on. The use of electron beams is important in modern radiotherapy include its use in intra-operative radiotherapy (RIO). This paper presents an initial characterization of different business models MOSFET, not specific for radiation detection, to demonstrate their potential as sensors for electron beam dosimetry. (Author)

  16. SU-G-TeP2-03: Comparison of Standard Dosimetry Protocol in Japan and AAPM TG-51 Addendum in Order to Establish Optimal Dosimetry for FFF Beam

    Energy Technology Data Exchange (ETDEWEB)

    Matsunaga, T; Adachi, Y [Department of Radiology, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka (Japan); Hayashi, N [Graduate School of Health Sciences, Fujita Health University, Tayoake, Aichi (Japan); Nozue, M [Department of Radiation Oncology, Seirei Hamamtsu General Hospital, Hamamatsu, Shizuoka (Japan)

    2016-06-15

    Purpose: Japan Standard Dosimetry of Absorbed dose to water in external beam radiotherapy (JSDP12) is widely used to measure radiation dose in radiotherapy. However, JSDP12 does not take flattening-filter-free (FFF) beam into consideration. In addition, JSDP12 applied TPR20,10 for dose quality index for photon beam. The purpose of this study is to compare JSDP12 with AAPM TG-51 addendum in order to establish optimal dosimetry procedure for FFF beam. Method: We evaluated the ion-recombination factor (ks) and the correction factor of radial beam profile (Prp) in FFF beam dosimetry. The ks was introduced by 2 voltages method and verified by Jaffe’s plot. The Prp was given by both film measurement and calculation of treatment planning system, and compared them. Next, we compared the dose quality indexes (kQ) between TPR20,10 method and PDD(10)x method. Finally we considered optimal dosimetry protocol for FFF photon beam using JSDP12 with referring TG-51 addendum protocols. The FFF photon beams of 6 MV (6X-FFF) and 10 MV (10X-FFF) from TrueBeam were investigated in this study. Results: The ks for 6X-FFF and 10X-FFF beams were 1.005 and 1.010, respectively. The Prp of 0.6 cc ionization chamber for 6X-FFF and 10X-FFF beams (Film, TPS) were (1.004, 1.008) and (1.005, 1.008), respectively. The kQ for 6X-FFF and 10X-FFF beams (JSDP12, TG-51 addendum) were (0.9950, 0.9947) and (0.9851, 0.9845), respectively. The most effective factor for uncertainty in FFF photon beam measurement was Prp for JSDP12 formalism. Total dosimetric differences between JSDP12 and TG-51 addendum for 6X-FFF and 10X-FFF were -0.47% and -0.73%, respectively. Conclusion: The total dosimetric difference between JSDP12 and TG-51 addendum was within 1%. The introduction of kQ given by JSDP is feasible for FFF photon beam dosimetry. However, we think Prp should be considered for optimal dosimetry procedure even if JSDP12 is used for FFF photon beam dosimetry.

  17. Evaluation of six TPS algorithms in computing entrance and exit doses

    Science.gov (United States)

    Metwaly, Mohamed; Glegg, Martin; Baggarley, Shaun P.; Elliott, Alex

    2014-01-01

    Entrance and exit doses are commonly measured in in vivo dosimetry for comparison with expected values, usually generated by the treatment planning system (TPS), to verify accuracy of treatment delivery. This report aims to evaluate the accuracy of six TPS algorithms in computing entrance and exit doses for a 6 MV beam. The algorithms tested were: pencil beam convolution (Eclipse PBC), analytical anisotropic algorithm (Eclipse AAA), AcurosXB (Eclipse AXB), FFT convolution (XiO Convolution), multigrid superposition (XiO Superposition), and Monte Carlo photon (Monaco MC). Measurements with ionization chamber (IC) and diode detector in water phantoms were used as a reference. Comparisons were done in terms of central axis point dose, 1D relative profiles, and 2D absolute gamma analysis. Entrance doses computed by all TPS algorithms agreed to within 2% of the measured values. Exit doses computed by XiO Convolution, XiO Superposition, Eclipse AXB, and Monaco MC agreed with the IC measured doses to within 2%‐3%. Meanwhile, Eclipse PBC and Eclipse AAA computed exit doses were higher than the IC measured doses by up to 5.3% and 4.8%, respectively. Both algorithms assume that full backscatter exists even at the exit level, leading to an overestimation of exit doses. Despite good agreements at the central axis for Eclipse AXB and Monaco MC, 1D relative comparisons showed profiles mismatched at depths beyond 11.5 cm. Overall, the 2D absolute gamma (3%/3 mm) pass rates were better for Monaco MC, while Eclipse AXB failed mostly at the outer 20% of the field area. The findings of this study serve as a useful baseline for the implementation of entrance and exit in vivo dosimetry in clinical departments utilizing any of these six common TPS algorithms for reference comparison. PACS numbers: 87.55.‐x, 87.55.D‐, 87.55.N‐, 87.53.Bn PMID:24892349

  18. Reshaping of computational system for dosimetry in neutron and photons radiotherapy based in stochastic methods - SISCODES; Remodelagem do sistema computacional para dosimetria em radioterapia por neutrons e fotons baseado em metodos estocasticos - SISCODES

    Energy Technology Data Exchange (ETDEWEB)

    Trindade, Bruno Machado

    2011-02-15

    This work shows the remodeling of the Computer System for Dosimetry of Neutrons and Photons in Radiotherapy Based on Stochastic Methods . SISCODES. The initial description and status, the alterations and expansions (proposed and concluded), and the latest system development status are shown. The SISCODES is a system that allows the execution of a 3D computational planning in radiation therapy, based on MCNP5 nuclear particle transport code. The SISCODES provides tools to build a patient's voxels model, to define a treatment planning, to simulate this planning, and to view the results of the simulation. The SISCODES implements a database of tissues, sources and nuclear data and an interface to access then. The graphical SISCODES modules were rewritten or were implemented using C++ language and GTKmm library. Studies about dose deviations were performed simulating a homogeneous water phantom as analogue of the human body in radiotherapy planning and a heterogeneous voxel phantom, pointing out possible dose miscalculations. The Soft-RT and PROPLAN computer codes that do interface with SISCODES are described. A set of voxels models created on the SISCODES are presented with its respective sizes and resolutions. To demonstrate the use of SISCODES, examples of radiation therapy and dosimetry simulations for prostate and heart are shown. Three protocols were simulated on the heart voxel model: Sm-153 filled balloon and P-32 stent, to prevent angioplasty restenosis; and Tl-201 myocardial perfusion, to imaging. Teletherapy with 6MV and 15MV beams were simulated to the prostate, and brachytherapy with I-125 seeds. The results of these simulations are shown on isodose curves and on dose-volume histograms. The SISCODES shows to be a useful tool for research of new radiation therapy treatments and, in future, can also be useful in medical practice. At the end, future improvements are proposed. I hope this work can contribute to develop more effective radiation therapy

  19. Dosimetry Service

    CERN Multimedia

    2006-01-01

    Cern Staff and Users can now consult their dose records for an individual or an organizational unit with HRT. Please see more information on our web page: http://cern.ch/rp-dosimetry Dosimetry Service is open every morning from 8.30 - 12.00. Closed in the afternoons. We would like to remind you that dosimeters cannot be sent to customers by internal mail. Short-term dosimeters (VCT's) must always be returned to the Service after the use and must not be left on the racks in the experimental areas or in the secretariats. Dosimetry Service Tel. 7 2155 Dosimetry.service@cern.ch http://cern.ch/rp-dosimetry

  20. Individual dosimetry of workers and patients: implementation and perspectives

    International Nuclear Information System (INIS)

    Rannou, A.; Aubert, B.; Lahaye, Th.; Scaff, P.; Casanova, Ph.; Van Bladel, L.; Queinnec, F.; Valendru, N.; Jehanno, J.; Grude, E.; Berard, Ph.; Desbree, A.; Kafrouni, H.; Paquet, F.; Vanhavere, F.; Bridier, A.; Ginestet, Ch.; Magne, S.; Donadille, L.; Bordy, J.M.; Bottollier-Depois, J.F.; Barrere, J.L.; Ferragut, A.; Metivier, H.; Gaillard-Lecanu, E.

    2008-01-01

    These days organised by the section of the technical protection of the S.F.R.P. review the different techniques of dosimetry used in France and Europe, and present the future orientations.The different interventions are as follow: Individual exposures of the workers: historic assessment and perspectives; medical exposure: where are the doses; legal obligations in individual dosimetry: which are the objective and the need on the subject; the dosimetry follow-up of workers by the S.I.S.E.R.I. system: assessment and perspectives; impact of the norm ISO 20553 on the follow-up of internal exposure; the implementation of the patient dose measurement in Belgium; techniques of passive dosimetry used in Europe; Supervision radiation protection at EDF: long term and short term approach; Comparison active and passive dosimetry at Melox; methodology for the choice of new neutron dosemeters; the working group M.E.D.O.R.: guide of internal dosimetry for the use of practitioners; O.E.D.I.P.E.: tool of modeling for the personalized internal dosimetry; the use of the Monte-Carlo method for the planning of the cancer treatment by radiotherapy becomes a reality; the works of the committee 2 of the ICRP; passive dosimetry versus operational dosimetry: situation in Europe; Implementation of the in vivo dosimetry in a radiotherapy department: experience of the Gustave Roussy institute; experience feedback on the in vivo measures in radiotherapy, based on the use of O.S.L. pellets; multi points O.S.L. instrumentation for the radiation dose monitoring in radiotherapy; dosimetry for extremities for medical applications: principle results of the European contract C.O.N.R.A.D.; references and perspectives in dosimetry; what perspectives for numerical dosimetry, an example: Sievert; system of dose management: how to answer to needs; the last technical evolutions in terms of electronic dosimetry in nuclear power plant; the fourth generation type reactors: what dosimetry. (N.C.)

  1. Software tool for portal dosimetry research.

    Science.gov (United States)

    Vial, P; Hunt, P; Greer, P B; Oliver, L; Baldock, C

    2008-09-01

    This paper describes a software tool developed for research into the use of an electronic portal imaging device (EPID) to verify dose for intensity modulated radiation therapy (IMRT) beams. A portal dose image prediction (PDIP) model that predicts the EPID response to IMRT beams has been implemented into a commercially available treatment planning system (TPS). The software tool described in this work was developed to modify the TPS PDIP model by incorporating correction factors into the predicted EPID image to account for the difference in EPID response to open beam radiation and multileaf collimator (MLC) transmitted radiation. The processes performed by the software tool include; i) read the MLC file and the PDIP from the TPS, ii) calculate the fraction of beam-on time that each point in the IMRT beam is shielded by MLC leaves, iii) interpolate correction factors from look-up tables, iv) create a corrected PDIP image from the product of the original PDIP and the correction factors and write the corrected image to file, v) display, analyse, and export various image datasets. The software tool was developed using the Microsoft Visual Studio.NET framework with the C# compiler. The operation of the software tool was validated. This software provided useful tools for EPID dosimetry research, and it is being utilised and further developed in ongoing EPID dosimetry and IMRT dosimetry projects.

  2. Involved Node, Site, Field and Residual Volume Radiotherapy for Lymphoma: A Comparison of Organ at Risk Dosimetry and Second Malignancy Risks.

    Science.gov (United States)

    Murray, L; Sethugavalar, B; Robertshaw, H; Bayman, E; Thomas, E; Gilson, D; Prestwich, R J D

    2015-07-01

    Recent radiotherapy guidelines for lymphoma have included involved site radiotherapy (ISRT), involved node radiotherapy (INRT) and irradiation of residual volume after full-course chemotherapy. In the absence of late toxicity data, we aim to compare organ at risk (OAR) dose-metrics and calculated second malignancy risks. Fifteen consecutive patients who had received mediastinal radiotherapy were included. Four radiotherapy plans were generated for each patient using a parallel pair photon technique: (i) involved field radiotherapy (IFRT), (ii) ISRT, (iii) INRT, (iv) residual post-chemotherapy volume. The radiotherapy dose was 30 Gy in 15 fractions. The OARs evaluated were: breasts, lungs, thyroid, heart, oesophagus. Relative and absolute second malignancy rates were estimated using the concept of organ equivalent dose. Significance was defined as P risks of second cancers were significantly higher with IFRT compared with ISRT for lung, breast and thyroid; INRT and residual volume resulted in significantly lower relative risks compared with ISRT for lung, breast and thyroid. The median excess absolute risks of second cancers were consistently lowest for the residual technique and highest for IFRT in terms of thyroid, lung and breast cancers. The risk of oesophageal cancer was similar for all four techniques. Overall, the absolute risk of second cancers was very similar for ISRT and INRT. Decreasing treatment volumes from IFRT to ISRT, INRT or residual volume reduces radiation exposure to OARs. Second malignancy modelling suggests that this reduction in treatment volumes will lead to a reduction in absolute excess second malignancy. Little difference was observed in second malignancy risks between ISRT and INRT, supporting the use of ISRT in the absence of a pre-chemotherapy positron emission tomography scan in the radiotherapy treatment position. Copyright © 2015 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

  3. The dosimetric control in radiotherapy

    International Nuclear Information System (INIS)

    Veres, A.

    2009-01-01

    The author first presents the thermoluminescent dosimetry method developed by the Equal-Estro Laboratory to control radiotherapy systems, according to which dosimeters are mailed by the radiotherapy centres to the laboratory, and then analyzed with respect to the level of dose bias. In a second part, he discusses the different techniques used for the dosimetric control of new radiotherapy methods (intensity-modulated radiation therapy, tomo-therapy) for which film dosimetry is applied. He also evokes the development of new phantoms and the development of a method for the dosimetric control of proton beams

  4. Performance of two commercial electron beam algorithms over regions close to the lung-mediastinum interface, against Monte Carlo simulation and point dosimetry in virtual and anthropomorphic phantoms.

    Science.gov (United States)

    Ojala, J; Hyödynmaa, S; Barańczyk, R; Góra, E; Waligórski, M P R

    2014-03-01

    Electron radiotherapy is applied to treat the chest wall close to the mediastinum. The performance of the GGPB and eMC algorithms implemented in the Varian Eclipse treatment planning system (TPS) was studied in this region for 9 and 16 MeV beams, against Monte Carlo (MC) simulations, point dosimetry in a water phantom and dose distributions calculated in virtual phantoms. For the 16 MeV beam, the accuracy of these algorithms was also compared over the lung-mediastinum interface region of an anthropomorphic phantom, against MC calculations and thermoluminescence dosimetry (TLD). In the phantom with a lung-equivalent slab the results were generally congruent, the eMC results for the 9 MeV beam slightly overestimating the lung dose, and the GGPB results for the 16 MeV beam underestimating the lung dose. Over the lung-mediastinum interface, for 9 and 16 MeV beams, the GGPB code underestimated the lung dose and overestimated the dose in water close to the lung, compared to the congruent eMC and MC results. In the anthropomorphic phantom, results of TLD measurements and MC and eMC calculations agreed, while the GGPB code underestimated the lung dose. Good agreement between TLD measurements and MC calculations attests to the accuracy of "full" MC simulations as a reference for benchmarking TPS codes. Application of the GGPB code in chest wall radiotherapy may result in significant underestimation of the lung dose and overestimation of dose to the mediastinum, affecting plan optimization over volumes close to the lung-mediastinum interface, such as the lung or heart. Copyright © 2013 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

  5. Thermo-luminescent dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Reither, M; Schorn, B; Schneider, E

    1981-01-01

    The development of paediatric radiology which began in the late 195O's has been characterised by the need to limit the dose of ionising radiation to which the child is subjected. The aim has been to keep radiation exposure as low as possible by the introduction of suitable techniques and by the development of new methods. It is therefore surprising that studies in dosimetry in the paediaytric age range have only been carried out in recent years. One reason for this may have been the fact that a suitable technique of measurement was not available at the time. The introduction of solid state dosimetry based on thermo-luminescence, first into radiotherapy (1968) and subsequently into radiodiagnosis, has made it possible to abandon the previously widely used ionisation chamber. The purpose of the present paper is to indicate the suitability of this form of dose measurement for paediatric radiological purposes and to stimulate its application in this field.

  6. The use of an on-line computer system for radiotherapy planning. Part of a coordinated programme on computer applications in clinical dosimetry

    International Nuclear Information System (INIS)

    Tatcher, M.

    1977-07-01

    The aim of radiotherapy is to deliver a predetermined dose to the volume of a tumor in order to destroy it without at the same time harming healthy tissues nearby. The calculation of the dose distribution in a patient's body in order to determine the optimum arrangement of beam geometry is the central problem in treatment planning. For this task computers are increasingly being used as dose calculations by hand are time-consuming and exclude the application of modern treatment strategies. The objectives of this work were to set up a minimal departmental computer system for cobalt-60 radiotherapy treatment planning. Computer programmes were written for the following radiotherapy applications: Co-60 output charts (monthly charts of dose rate for determination of treatment time); interactive programme for calculating and optimizing isodose distributions to be used for treatment planning; calculation of irregular dose distributions of beams with arbitrary shape; gynecological radiotherapy, using internal Cs-137 and Ra-226 sources; linear isodose charts for 8 MV X-rays by interpolation from measured data. All programmes are written in BASIC. However, as BASIC does not link directly with the graphics devices, all programmes will be converted to FORTRAN, based on CUNNINGHAM's work. Although in principle the treatment planning programme in BASIC is satisfactory, it is not fast enough to replace manual calculations. Routine interactive computerized treatment planning will be possible once the FORTRAN programmes are operational. For all other routine purposes the BASIC radiotherapy programmes are suitable

  7. Dose delivery verification and accuracy assessment of stereotaxy in stereotactic radiotherapy and radiosurgery

    International Nuclear Information System (INIS)

    Pelagade, S.M.; Bopche, T.T.; Namitha, K.; Munshi, M.; Bhola, S.; Sharma, H.; Patel, B.K.; Vyas, R.K.

    2008-01-01

    The outcome of stereotactic radiotherapy (SRT) and stereotactic radiosurgery (SRS) in both benign and malignant tumors within the cranial region highly depends on precision in dosimetry, dose delivery and the accuracy assessment of stereotaxy associated with the unit. The frames BRW (Brown-Roberts-Wells) and GTC (Gill- Thomas-Cosman) can facilitate accurate patient positioning as well as precise targeting of tumours. The implementation of this technique may result in a significant benefit as compared to conventional therapy. As the target localization accuracy is improved, the demand for treatment planning accuracy of a TPS is also increased. The accuracy of stereotactic X Knife treatment planning system has two components to verify: (i) the dose delivery verification and the accuracy assessment of stereotaxy; (ii) to ensure that the Cartesian coordinate system associated is well established within the TPS for accurate determination of a target position. Both dose delivery verification and target positional accuracy affect dose delivery accuracy to a defined target. Hence there is a need to verify these two components in quality assurance protocol. The main intention of this paper is to present our dose delivery verification procedure using cylindrical wax phantom and accuracy assessment (target position) of stereotaxy using Geometric Phantom on Elekta's Precise linear accelerator for stereotactic installation

  8. Establishment of postal audit system in intensity-modulated radiotherapy by radiophotoluminescent glass dosimeters and a radiochromic film.

    Science.gov (United States)

    Okamoto, Hiroyuki; Minemura, Toshiyuki; Nakamura, Mitsuhiro; Mizuno, Hideyuki; Tohyama, Naoki; Nishio, Teiji; Wakita, Akihisa; Nakamura, Satoshi; Nishioka, Shie; Iijima, Kotaro; Fujiyama, Daisuke; Itami, Jun; Nishimura, Yasumasa

    2018-04-01

    We developed an efficient postal audit system to independently assess the delivered dose using radiophotoluminescent glass dosimeters (RPLDs) and the positional differences of fields using EBT3 film at the axial plane for intensity-modulated radiotherapy (IMRT). The audit phantom had a C-shaped target structure as a planning target volume (PTV) with four measurement points for the RPLDs and a cylindrical structure as the organ at risk (OAR) for one measurement point. The phantoms were sent to 24 institutions. Point dose measurements with a 0.6 cm 3 PTW farmer chamber were also performed to justify glass dosimetry in IMRT. The measured dose with the RPLDs was compared to the calculated dose in the institution's treatment planning system (TPS). The mean ± 1.96σ of the ratio of the measured dose with the RPLDs to the farmer chamber was 0.997 ± 0.024 with no significant difference (p = .175). The investigations demonstrated that glass dosimetry was reliable with a high measurement accuracy comparable to the chamber. The mean ± 1.96σ for the dose differences with a reference of the TPS dose for the PTV and the OAR was 0.1 ± 2.5% and -2.1 ± 17.8%, respectively. The mean ± 1.96σ for the right-left and the anterior-posterior direction was -0.9 ± 2.8 and 0.5 ± 1.4 mm, respectively. This study is the first report to justify glass dosimetry for implementation in IMRT audit in Japan. We demonstrate that our postal audit system has high accuracy with a high-level criterion of 3%/3 mm. Copyright © 2018 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

  9. Commissioning and quality assurances of the CMS XIO radiotherapy treatment planning system for external beam photons

    International Nuclear Information System (INIS)

    Muralidhar, K.R.; Anurupa; Soubhagya; Sudhakar; Shiva; Krishnam Raju, A.; Narayana Murthy, P.

    2008-01-01

    The commissioning of XIO treatment planning system (TPS) was carried out by Computerized Medical Devices, USA for Siemens and Elekta linear accelerators. The Commissioning and quality assurance of the CMS XIO radiotherapy treatment planning system involves many steps, beginning from beam data acquisition and entry into the computerized TPS, through patient data acquisition, to treatment plan generation and the final transfer of data to the treatment machine and quality assurance of TPS

  10. MRI-guided single fraction ablative radiotherapy for early-stage breast cancer : a brachytherapy versus volumetric modulated arc therapy dosimetry study

    NARCIS (Netherlands)

    Charaghvandi, Ramona K; den Hartogh, Mariska D; van Ommen, Anne-Mar L N; de Vries, Wilfred J H; Scholten, Vincent; Moerland, Rien; Philippens, Mariëlle E P; Schokker, Rogier I; van Vulpen, Marco; van Asselen, B; van den Bongard, Desirée H J G

    2015-01-01

    BACKGROUND AND PURPOSE: A radiosurgical treatment approach for early-stage breast cancer has the potential to minimize the patient's treatment burden. The dosimetric feasibility for single fraction ablative radiotherapy was evaluated by comparing volumetric modulated arc therapy (VMAT) with an

  11. Modeling of a planning system in radiotherapy and Nuclear Medicine using the MCNP6 code

    International Nuclear Information System (INIS)

    Massicano, Felipe

    2015-01-01

    Cancer therapy has many branches and one of them is the use of radiation sources as treatment leading method. Radiotherapy and nuclear medicine are examples of these treatment types. For using the ionization radiation as main tool for the therapy, there is the need of crafting many treatment simulation in order to maximum the tumoral tissue dose without surpass the dose limit in health tissue surrounding. Treatment planning systems (TPS) are systems which have the purpose of simulating these therapy types. Nuclear medicine and radiotherapy have many distinct features linked to the therapy mode and consequently they have different TPS destined for each. The radiotherapy TPS is more developed than the nuclear medicine TPS and by that reason the development of a TPS that was similar to the radiotherapy TPS, but enough generic for include other therapy types, it will contribute with significant advances in nuclear medicine and in others therapy types with radiation. Based on this, the goal of work was to model a TPS that utilizes the Monte Carlo N-Particle Transport code (MCNP6) in order to simulate radiotherapy therapy, nuclear medicine therapy and with potential for simulating other therapy types too. The result of this work was the creation of a Framework in Java language, object oriented, named IBMC which will assist in the development of new TPS with MCNP6 code. The IBMC allowed to develop rapidly and easily TPS for radiotherapy and nuclear medicine and the results were validated with systems already consolidated. The IBMC showed high potential for developing TPS by new therapy types. (author)

  12. Computational voxel phantom, associated to anthropometric and anthropomorphic real phantom for dosimetry in human male pelvis radiotherapy; Fantoma computacional de voxel, associado a fantoma real antropomorfico antropometrico, para dosimetria em radioterapia de pelve masculina

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Cleuza Helena Teixeira; Campos, Tarcisio Passos Ribeiro de [Minas Gerais Univ., Belo Horizonte, MG (Brazil). Programa de Pos-graduacao em Ciencias e Tecnicas Nucleares]. E-mail: campos@nuclear.ufmg.br

    2005-07-01

    This paper addresses a computational model of voxels through MCNP5 Code and the experimental development of an anthropometric and anthropomorphic phantom for dosimetry in human male pelvis brachytherapy focusing prostatic tumors. For elaboration of the computational model of the human male pelvis, anatomical section images from the Visible Man Project were applied. Such selected and digital images were associated to a numeric representation, one for each section. Such computational representation of the anatomical sections was transformed into a bi-dimensional mesh of equivalent tissue. The group of bidimensional meshes was concatenated forming the three-dimensional model of voxels to be used by the MCNP5 code. In association to the anatomical information, data from the density and chemical composition of the basic elements, representatives of the organs and involved tissues, were setup in a material database for the MCNP-5. The model will be applied for dosimetric evaluations in situations of irradiation of the human masculine pelvis. Such 3D model of voxel is associated to the code of transport of particles MCNP5, allowing future simulations. It was also developed the construction of human masculine pelvis phantom, based on anthropometric and anthropomorphic dates and in the use of representative equivalent tissues of the skin, fatty, muscular and glandular tissue, as well as the bony structure.This part of work was developed in stages, being built the bony cast first, later the muscular structures and internal organs. They were then jointly mounted and inserted in the skin cast. The representative component of the fatty tissue was incorporate and accomplished the final retouchings in the skin. The final result represents the development of two important essential tools for elaboration of computational and experimental dosimetry. Thus, it is possible its use in calibrations of pre-existent protocols in radiotherapy, as well as for tests of new protocols, besides

  13. ESR Dosimetry

    International Nuclear Information System (INIS)

    Baffa, Oswaldo; Rossi, Bruno; Graeff, Carlos; Kinoshita, Angela; Chen Abrego, Felipe; Santos, Adevailton Bernardo dos

    2004-01-01

    ESR dosimetry is widely used for several applications such as dose assessment in accidents, medical applications and sterilization of food and other materials. In this work the dosimetric properties of natural and synthetic Hydroxyapatite, Alanine, and 2-Methylalanine are presented. Recent results on the use of a K-Band (24 GHz) ESR spectrometer in dosimetry are also presented

  14. Dosimetry Service

    CERN Multimedia

    2005-01-01

    Please remember to read your dosimeter at least once a month. Regular read-outs are vital to ensure that your personal dose is periodically monitored. Dosimeters should be read even if you have not visited the controlled areas. Dosimetry Service - Tel. 7 2155 http://cern.ch/rp-dosimetry

  15. Dosimetry Service

    CERN Multimedia

    Dosimetry Service

    2005-01-01

    Please remember to read your dosimeter at least once a month. Regular read-outs are vital to ensure that your personal dose is periodically monitored. Dosimeters should be read even if you have not visited the controlled areas. Dosimetry Service Tel. 7 2155 http://cern.ch/rp-dosimetry

  16. Dosimetry Service

    CERN Multimedia

    2005-01-01

    Please remember to read your dosimeter at least once a month. Regular read-outs are vital to ensure that your personal dose is periodically monitored. Dosimeters should be read even if you have not visited the controlled areas. Dosimetry Service - Tel. 72155 http://cern.ch/rp-dosimetry

  17. SU-F-T-17: A Feasibility Study for the Transit Dosimetry with a Glass Dosimeter in Brachytherapy

    Energy Technology Data Exchange (ETDEWEB)

    Moon, S; Yoon, M [Korea University, Seoul (Korea, Republic of); Chung, W; Chung, M; Kim, D [Kyung Hee University Hospital at Gangdong, Gangdonggu, Seoul (Korea, Republic of)

    2016-06-15

    Purpose: Confirming the dose delivered to a patient is important to make sure the treatment quality and safety of the radiotherapy. Measuring a transit dose of the patient during the radiotherapy could be an interesting way to confirm the patient dose. In this study, we evaluated the feasibility of the transit dosimetry with a glass dosimeter in brachytherapy. Methods: We made a phantom that inserted the glass dosimeters and placed under patient lying on a couch for cervix cancer brachytherapy. The 18 glass dosimeters were placed in the phantom arranged 6 per row. A point putting 1cm vertically from the source was prescribed as 500.00 cGy. Solid phantoms of 0, 2, 4, 6, 8, 10 cm were placed between the source and the glass dosimeter. The transit dose was measured each thickness using the glass dosimeters and compared with a treatment planning system (TPS). Results: When the transit dose was smaller than 10 cGy, the average of the differences between measured values and calculated values by TPS was 0.50 cGy and the standard deviation was 0.69 cGy. If the transit dose was smaller than 100 cGy, the average of the error was 1.67 ± 4.01 cGy. The error to a point near the prescription point was −14.02 cGy per 500.00 cGy of the prescription dose. Conclusion: The distances from the sources to skin of the patient generally are within 10 cm for cervix cancer cases in brachytherapy. The results of this preliminary study showed the probability of the glass dosimeter as the transit dosimeter in brachytherapy.

  18. Recent progress in application of JAERI alanine/ESR dosimetry system

    International Nuclear Information System (INIS)

    Kojima, T.

    1995-01-01

    Feasibility studies of application of JAERI alanine/ESR dosimetry system were performed on radiotherapy level dosimetry, low dose-rate dosimetry for residual life estimation of cable insulators used in nuclear power facilities, and dose monitoring for electron processing. (author)

  19. The influence of non-radiation induced ESR background signal from paraffin-alanine probes for dosimetry in the radiotherapy dose range

    International Nuclear Information System (INIS)

    Wieser, A.; Lettau, C.; Fill, U.; Regulla, D.F.

    1993-01-01

    The yield of radicals induced by ionizing radiation in the amino acid alanine and its quantification by ESR spectroscopy has proven excellent reproducibility. Those radicals trapped in the crystal lattice are prevented from recombination providing a thermally very stable system. This allows alanine to be applied as a transfer dosemeter. With paraffin-alanine probes ESR dosimetry can be performed with a standard deviation of ± 0.5% in the dose range from 20 Gy up to 100 kGy. At 1 Gy dose level the error increases to ± 6%. This dose level is three orders of magnitude higher than the calculated detection threshold for alanine with modern X-band ESR spectrometers. It was found that the poor standard deviation at the 1 Gy dose level, is not mainly produced by a bad signal-to-noise ratio but by a variable non-radiation induced ESR background signal from the alanine probes within a batch. In the present study the main sources of error for ESR dosimetry in the dose range below 20 Gy were analyzed. The influences of the production process, UV light and humidity upon the ESR background signal from paraffin-alanine probes were investigated. Measurements are shown indicating a second stable structure of the alanine radical at room temperature. (author)

  20. TU-G-213-03: IEC Subcommittee 62C (Equipment for Radiotherapy, Nuclear Medicine and Radiation Dosimetry): Recent and Active Projects

    Energy Technology Data Exchange (ETDEWEB)

    Culberson, W. [University of Wisconsin - Madison (United States)

    2015-06-15

    The International Electrotechnical Commission (IEC) writes standards that manufacturers of electrical equipment must comply with. Medical electrical equipment, such as medical imaging, radiation therapy, and radiation dosimetry devices, fall under Technical Committee 62. Of particular interest to medical physicists are the standards developed within Subcommittees (SC) 62B, which addresses diagnostic radiological imaging equipment, and 62C, which addresses equipment for radiation therapy, nuclear medicine and dosimetry. For example, a Working Group of SC 62B is responsible for safety and quality assurance standards for CT scanners and a Working Group of SC 62C is responsible for standards that set requirements for dosimetric safety and accuracy of linacs and proton accelerators. IEC standards thus have an impact on every aspect of a medical physicist’s job, including equipment testing, shielding design, room layout, and workflow. Consequently, it is imperative that US medical physicists know about existing standards, as well as have input on those under development or undergoing revision. The structure of the IEC and current standards development work will be described in detail. The presentation will explain how US medical physicists can learn about IEC standards and contribute to their development. Learning Objectives: Learn about the structure of the IEC and the influence that IEC standards have on the design of equipment for radiology and radiation therapy. Learn about the mechanisms by which the US participates in the development and revision of standards. Understand the specific requirements of several standards having direct relevance to diagnostic and radiation therapy physicists.

  1. Dosimetry analysis on radiation-induced acute esophagitis after three-dimensional conformal radiotherapy for non-small cell lung cancer

    International Nuclear Information System (INIS)

    ZZhu Shuchai; Cui Yanli; Li Juan; Liu Zhikun; Shen Wenbin; Su Jingwei; Wang Yuxiang

    2010-01-01

    Objective: To analyze the related factors with radiation-induced esophagitis after threedimensional conformal radiotherapy for non-small cell lung cancer (NSCLC), in order to explore the predictors for optimizing the treatment planning of NSCLC. Methods: From Aug 2000 to Dec 2004, 104 NSCLC patients received radiotherapy and were eligible for this study, 45 cases squamous cell carcinoma, 20 cases adenocarcinoma, 33 cases carrying with cancer cells by test and 6 case with no definitive pathologic feature.46 patients were treated with three dimensional conformal radiotherapy (3DCRT), the other 58 patients conventional radiotherapy (CRT) before later-course 3DCRT. All the patients received the prescribed dose between 60-78 Gy and the median dose 66 Gy. The correlation of the variables were evaluated by Spearman relationship analysis. The morbidity of radiation-induced esophagitis was analyzed by X 2 test. The multivariate effect on radiation-induced esophagitis was statistically processed by Logistic regression model. Results: In 104 patients, the morbidity of radiation- induced esophagitis was 46.2%, including 32 cases at grade 1, 15 cases at grade 2, 1 case at grade 3. Univariate analysis showed the maximal and mean dose of esophagus, the volume of esophagus irradiated, the values of V 40 , V 45 , V 50 , V 55 , V 60 , LETT 45 , LETT 50 , LETT 55 , LETT 60 for the esophagus were correlated with radiation-induced esophagitis. Logistic regression model showed that the maximum dose received by the esophagus was the independent factor of ≥ 2 grade radiation-induced esophagitis. Conclusions: The maxmal dose of esophagus received might be the important factor of radiation-induced esophagitis. (authors)

  2. Tissue equivalence in neutron dosimetry

    International Nuclear Information System (INIS)

    Nutton, D.H.; Harris, S.J.

    1980-01-01

    A brief review is presented of the essential features of neutron tissue equivalence for radiotherapy and gives the results of a computation of relative absorbed dose for 14 MeV neutrons, using various tissue models. It is concluded that for the Bragg-Gray equation for ionometric dosimetry it is not sufficient to define the value of W to high accuracy and that it is essential that, for dosimetric measurements to be applicable to real body tissue to an accuracy of better than several per cent, a correction to the total absorbed dose must be made according to the test and tissue atomic composition, although variations in patient anatomy and other radiotherapy parameters will often limit the benefits of such detailed dosimetry. (U.K.)

  3. Application of numerical analysis methods to thermoluminescence dosimetry

    International Nuclear Information System (INIS)

    Gomez Ros, J. M.; Delgado, A.

    1989-01-01

    This report presents the application of numerical methods to thermoluminescence dosimetry (TLD), showing the advantages obtained over conventional evaluation systems. Different configurations of the analysis method are presented to operate in specific dosimetric applications of TLD, such as environmental monitoring and mailed dosimetry systems for quality assurance in radiotherapy facilities. (Author) 10 refs

  4. Development of manual procedures for care of pregnant patients in radiotherapy service; Desarrollo de manual de procedimentos para atencion de pacientes embarazadas en servicio de radioterapia

    Energy Technology Data Exchange (ETDEWEB)

    Scarabino, M.L., E-mail: maliscarabino@gmail.com [Hospital Italiano de Buenos Aires (HIBA), Buenos Aires (Argentina); Ruggeri, R.M.; Colombo, S.; Mairal, L.; Sardi, M.E., E-mail: ricardoruggeri@gmail.com [Mevaterapia Centro Medico, Buenos Aires (Argentina)

    2013-11-01

    The work involves the creation of a manual of procedures for the care of pregnant patients in a radiotherapy center in which each instance of treatment is included, from the obstetrician-oncology comprehensive assessment during admission to establishing controls newborn and its subsequent development in multidisciplinary team. For the preparation of the manual had to design an anthropomorphic phantom that resembles a pregnant woman, which was used to carry out internal and external dosimetry. In turn imparted calculations fetal doses using TPS, imaging tests with MRI, avoiding the use of the tomograph and adapted to the resonator involved were carried immobilizer. All experiences and progress made during the treated cases are introduced in the procedures manual, making it a dynamic tool for continuous improvement for the institution.

  5. Introduction to radiological physics and radiation dosimetry

    CERN Document Server

    Attix, Frank Herbert

    2004-01-01

    A straightforward presentation of the broad concepts underlying radiological physics and radiation dosimetry for the graduate-level student. Covers photon and neutron attenuation, radiation and charged particle equilibrium, interactions of photons and charged particles with matter, radiotherapy dosimetry, as well as photographic, calorimetric, chemical, and thermoluminescence dosimetry. Includes many new derivations, such as Kramers X-ray spectrum, as well as topics that have not been thoroughly analyzed in other texts, such as broad-beam attenuation and geometrics, and the reciprocity theorem

  6. Accuracy Requirements in Medical Radiation Dosimetry

    International Nuclear Information System (INIS)

    Andreo, P.

    2011-01-01

    The need for adopting unambiguous terminology on 'accuracy in medical radiation dosimetry' which is consistent with international recommendations for metrology is emphasized. Uncertainties attainable, or the need for improving their estimates, are analysed for the fields of radiotherapy, diagnostic radiology and nuclear medicine dosimetry. This review centres on uncertainties related to the first step of the dosimetry chain in the three fields, which in all cases involves the use of a detector calibrated by a standards laboratory to determine absorbed dose, air kerma or activity under reference conditions in a clinical environment. (author)

  7. Applicability of thermoluminescent dosimeters in X-ray organ dose determination and in the dosimetry of systemic and boron neutron capture radiotherapy

    International Nuclear Information System (INIS)

    Aschan, C.

    1999-01-01

    The main detectors used for clinical dosimetry are ionisation chambers and semiconductors. Thermoluminescent (TL) dosimeters are also of interest because of their following advantages: (i) wide useful dose range, (ii) small physical size, (iii) no need for high voltage or cables, i.e. stand alone character, and (iv) tissue equivalence (LiF) for most radiation types. TL detectors can particularly be used for the absorbed dose measurements performed with the aim to investigate cases where dose prediction is difficult and not as part of a routine verification procedure. In this thesis, the applicability of TL detectors was studied in different clinical applications. Particularly, the major phenomena (e.g. energy dependence, sensitivity to high LET radiation, reproducibility) affecting on the precision and accuracy of TL detectors in the dose estimations were considered in this work. In organ dose determinations of diagnostic X-ray examinations, the TL detectors were found to be accurate within 5% (1 S.D.). For in viva studies using internal irradiation source, i.e. for systemic radiation therapy, a method for determining the absorbed doses to organs was introduced. The TL method developed was found to be able to estimate the absorbed doses to those critical organs near the body surface within 50%. In the mixed neutron-gamma field of boron neutron capture therapy (BNCT), TL detectors were used for gamma dose and neutron fluence measurements. They were found able to measure the neutron dose component with the accuracy of 16%, and therefore to be a useful addition to the activation foils in BNCT neutron dosimetry. The absorbed gamma doses can be measured with TL detectors within 20% in the mixed neutron-gamma field, which enables in viva measurements at BNCT beams with approximately the same accuracy. In this study, the uncertainties of TL dosimeters were found to be high but not essentially greater than those in other measurement techniques used for clinical dosimetry

  8. Radiotherapy for MTRA/RT; Strahlentherapie fuer MTRA/RT

    Energy Technology Data Exchange (ETDEWEB)

    Luetter, Christiana [Bonn Univ. (Germany). Radiologische Klinik

    2012-07-01

    The radiological practice textbook covers the following issues: tumor diseases, tumor diagnostics, fundamentals of radiotherapy, DIN, irradiation planning, documentation and quality assurance, strategies of tumor therapy, basic physics of radiotherapy and dosimetry, radiation protection - regulations and guidelines, radiobiology, biological radiation effects, special organ toxicity, psychological and medical attendance of patients, special oncology of the most important organ carcinomas, palliative radiotherapy, radiotherapy of benign diseases, other indications of radiotherapy, supportive therapy.

  9. Dosimetry methods

    DEFF Research Database (Denmark)

    McLaughlin, W.L.; Miller, A.; Kovacs, A.

    2003-01-01

    Chemical and physical radiation dosimetry methods, used for the measurement of absorbed dose mainly during the practical use of ionizing radiation, are discussed with respect to their characteristics and fields of application....

  10. Evolution of virtual simulation and three-dimensional dosimetry practices in mammary pathology in 18 radiotherapy departments of the Grand-East region; Evolution des pratiques de simulation virtuelle et de dosimetrie tridimensionnelle en pathologie mammaire de 18 services de radiotherapie du Grand-Est

    Energy Technology Data Exchange (ETDEWEB)

    Marchal, C.; Marchesi, V.; Peiffert, D. [Centre Alexis-Vautrin, 54 - Nancy (France); Nguyen Tan, D. [Centre Jean-Godinot, 51 - Reims (France)

    2010-10-15

    Based on questionnaires and regional meetings, the authors report the assessment of the evolution of professional practices as far passing from conventional simulation to virtual simulation, and from two-dimensional to three-dimensional dosimetry is concerned, particularly in the field of mammary pathology. Short communication

  11. Overexposure of radiotherapy patients in Panama: Dosimetric aspects

    International Nuclear Information System (INIS)

    Borras, C.; Rudder, D.; Amer, A.

    2001-01-01

    In March 2001, after treatment received in the National Oncological Institute of Panama, 28 patients over reacted due to a radiation overdose calculated by mistake through the algorithm of a Computerized Therapy Planning System (TPS) with Radiotherapy. Medical Physicists planned a four blocks simultaneous digitization, even though the TPS briefings only allowed the digitization of one block per time, but the software didn't notified that the procedure was not authorized, producing serious medical consequences for all the patients [es

  12. Individual dosimetry of workers and patients: implementation and perspectives; La dosimetrie individuelle des travailleurs et de patients: mise en oeuvre et perspectives

    Energy Technology Data Exchange (ETDEWEB)

    Rannou, A.; Aubert, B.; Lahaye, Th.; Scaff, P.; Casanova, Ph.; Van Bladel, L.; Queinnec, F.; Valendru, N.; Jehanno, J.; Grude, E.; Berard, Ph.; Desbree, A.; Kafrouni, H.; Paquet, F.; Vanhavere, F.; Bridier, A.; Ginestet, Ch.; Magne, S.; Donadille, L.; Bordy, J.M.; Bottollier-Depois, J.F.; Barrere, J.L.; Ferragut, A.; Metivier, H.; Gaillard-Lecanu, E

    2008-07-01

    These days organised by the section of the technical protection of the S.F.R.P. review the different techniques of dosimetry used in France and Europe, and present the future orientations.The different interventions are as follow: Individual exposures of the workers: historic assessment and perspectives; medical exposure: where are the doses; legal obligations in individual dosimetry: which are the objective and the need on the subject; the dosimetry follow-up of workers by the S.I.S.E.R.I. system: assessment and perspectives; impact of the norm ISO 20553 on the follow-up of internal exposure; the implementation of the patient dose measurement in Belgium; techniques of passive dosimetry used in Europe; Supervision radiation protection at EDF: long term and short term approach; Comparison active and passive dosimetry at Melox; methodology for the choice of new neutron dosemeters; the working group M.E.D.O.R.: guide of internal dosimetry for the use of practitioners; O.E.D.I.P.E.: tool of modeling for the personalized internal dosimetry; the use of the Monte-Carlo method for the planning of the cancer treatment by radiotherapy becomes a reality; the works of the committee 2 of the ICRP; passive dosimetry versus operational dosimetry: situation in Europe; Implementation of the in vivo dosimetry in a radiotherapy department: experience of the Gustave Roussy institute; experience feedback on the in vivo measures in radiotherapy, based on the use of O.S.L. pellets; multi points O.S.L. instrumentation for the radiation dose monitoring in radiotherapy; dosimetry for extremities for medical applications: principle results of the European contract C.O.N.R.A.D.; references and perspectives in dosimetry; what perspectives for numerical dosimetry, an example: Sievert; system of dose management: how to answer to needs; the last technical evolutions in terms of electronic dosimetry in nuclear power plant; the fourth generation type reactors: what dosimetry. (N.C.)

  13. Two residues determine the product profile of the class II diterpene synthases TPS14 and TPS21 of Tripterygium wilfordii

    DEFF Research Database (Denmark)

    Hansen, Nikolaj Lervad; Nissen, Jakob N.; Hamberger, Björn Robert

    2017-01-01

    residue gave mixed product profiles. Two mutants, TwTPS14:Y265H and TwTPS21:A325V, also produced ent-copalyl diphosphate, highlighting the evolutionary potential of enzymes of this family to drive rapid diversification of plant diterpene biosynthesis through neo-functionalization. Our study contributes......The medicinal plant Tripterygium wilfordii (Celastraceae) contains a pair of class II diterpene synthases (diTPS) of specialized labdane-type metabolism that, despite remarkably close homology, form strikingly different products. TwTPS21 catalyzes bicyclization of the linear C20 precursor......-directed mutagenesis, we generated a panel of six variants, where one, or both positions were exchanged between the enzymes. In coupled heterologous assays with a corresponding class I diTPS, TwTPS2, complete product interchange was observed in variants with both reciprocal mutations, while substitutions of either...

  14. Remote Cherenkov imaging-based quality assurance of a magnetic resonance image-guided radiotherapy system.

    Science.gov (United States)

    Andreozzi, Jacqueline M; Mooney, Karen E; Brůža, Petr; Curcuru, Austen; Gladstone, David J; Pogue, Brian W; Green, Olga

    2018-06-01

    Tools to perform regular quality assurance of magnetic resonance image-guided radiotherapy (MRIgRT) systems should ideally be independent of interference from the magnetic fields. Remotely acquired optical Cherenkov imaging-based dosimetry measurements in water were investigated for this purpose, comparing measures of dose accuracy, temporal dynamics, and overall integrated IMRT delivery. A 40 × 30.5 × 37.5 cm 3 water tank doped with 1 g/L of quinine sulfate was imaged using an intensified charge-coupled device (ICCD) to capture the Cherenkov emission while being irradiated by a commercial MRIgRT system (ViewRay™). The ICCD was placed down-bore at the end of the couch, 4 m from treatment isocenter and behind the 5-Gauss line of the 0.35-T MRI. After establishing optimal camera acquisition settings, square beams of increasing size (4.2 × 4.2 cm 2 , 10.5 × 10.5 cm 2 , and 14.7 × 14.7 cm 2 ) were imaged at 0.93 frames per second, from an individual cobalt-60 treatment head, to develop projection measures related to percent depth dose (PDD) curves and cross beam profiles (CPB). These Cherenkov-derived measurements were compared to ionization chamber (IC) and radiographic film dosimetry data, as well as simulation data from the treatment planning system (TPS). An intensity-modulated radiotherapy (IMRT) commissioning plan from AAPM TG-119 (C4:C-Shape) was also imaged at 2.1 frames per second, and the single linear sum image from 509 s of plan delivery was compared to the dose volume prediction generated by the TPS using gamma index analysis. Analysis of standardized test target images (1024 × 1024 pixels) yielded a pixel resolution of 0.37 mm/pixel. The beam width measured from the Cherenkov image-generated projection CBPs was within 1 mm accuracy when compared to film measurements for all beams. The 502 point measurements (i.e., pixels) of the Cherenkov image-based projection percent depth dose curves (pPDDs) were compared to p

  15. Advances in biomedical dosimetry

    International Nuclear Information System (INIS)

    1981-01-01

    Full text: Radiation dosimetry, the accurate determination of the absorbed dose within an irradiated body or a piece of material, is a prerequisite for all applications of ionizing radiation. This has been known since the very first radiation applications in medicine and biology, and increasing efforts are being made by radiation researchers to develop more reliable, effective and safe instruments, and to further improve dosimetric accuracy for all types of radiation used. Development of new techniques and instrumentation was particularly fast in the field of both medical diagnostic and therapeutic radiology. Thus, in Paris in October the IAEA held the latest symposium in its continuing series on dosimetry in medicine and biology. The last one was held in Vienna in 1975. High-quality dosimetry is obviously of great importance for human health, whether the objectives lie in the prevention and control of risks associated with the nuclear industry, in medical uses of radioactive substances or X-ray beams for diagnostic purposes, or in the application of photon, electron or neutron beams in radiotherapy. The symposium dealt with the following subjects: General aspects of dosimetry; Special physical and biomedical aspects; Determination of absorbed dose; Standardization and calibration of dosimetric systems; and Development of dosimetric systems. The forty or so papers presented and the discussions that followed them brought out a certain number of dominant themes, among which three deserve particular mention. - The recent generalization of the International System of Units having prompted a fundamental reassessment of the dosimetric quantities to be considered in calibrating measuring instruments, various proposals were advanced by the representatives of national metrology laboratories to replace the quantity 'exposure' (SI unit = coulomb/kg) by 'Kerma' or 'absorbed dose' (unit joule/kg, the special name of which is 'gray'), this latter being closer to the practical

  16. A study to compare the motorised wedge output factor of an elekta synergy linear accelerator with reference data (TPS Data)

    International Nuclear Information System (INIS)

    Akosah, Kinsley

    2016-07-01

    For external beam radiotherapy treatments, high doses are delivered to the cancerous cell. Accuracy and precision of dose delivery are primary requirements for effective and efficient cancer treatment. The dose delivered to the patient might not be uniform and therefore need to be compensated for. In treatment these inhomogeneities are taken care of by using wedge filters and incorporating wedge factors in the Treatment Planning System. Computer controlled wedges were alternatives introduced by different manufacturers of which Motorized wedges (MW) is one of them. The MW was introduced by ELEKTA and this helps to overcome some of the shortcomings of physical wedges. The objectives of this study were to measure MW output factors for 6 MV and 15 MV photon energies for an ELEKTA Synergy. Secondly, to compare the results of MWOF obtained to that of the treatment planning system data. The Motorized Wedge Output Factors (MWOF) were measured for the ELEKTA Synergy for both 6 MV and 15 MV photon energies. With the help of PMMA solid water slabs phantom, the Elekta synergy, thermometer, barometer, PTW farmer type ionization chamber 30010 charges were collected at 100 cm source to surface distance for various square field sizes from 5x5 cm to 30x30 cm and depth of 1.5 cm and 2.5 cm for 6 MV and 15 MV photon energies. Comparing the results with the TPS data, an excellent agreement was found for 6 MV MWOF, with the percentage differences ranging from 0.03% to 1.50%, with a mean of 0.03%. The coefficient of variation of MWOF ranged from 0.023% to 1.07% and 0.001% to 12.89% for the two beams (6 MV and 15 MV) respectively. The relative differences between the calculated and the measured MWOFs increases with field size. In conclusion, there was general agreement between the calculated and measured MWOFs. The consistency of values provide further support that a standard dataset of photon and electron dosimetry could be established as a guide for future commissioning, beam modeling

  17. Clinical dosimetry

    International Nuclear Information System (INIS)

    Rassow, J.

    1973-01-01

    The main point of this paper on clinical dosimetry which is to be understood here as application of physical dosimetry on accelerators in medical practice, is based on dosimetric methodics. Following an explanation of the dose parameters and description of the dose distribution important for clinical practice as well as geometric irradiation parameters, the significance of a series of physical parameters such as accelerator energy, surface energy of average stopping power etc. is dealt with in detail. Following a section on field homogenization with bremsstrahlung and electron radiation, details on dosimetry in clinical practice are given. Finally, a few problems of dosemeter or monitor calibration on accelerators are described. The explanations are supplemented by a series of diagrams and tables. (ORU/LH) [de

  18. Development of virtual CT DICOM images of patients with tumors: application for TPS and Monte Carlo dose evaluation

    International Nuclear Information System (INIS)

    Milian, F. M.; Attili, A.; Russo, G; Marchetto, F.; Cirio, R.; Bourhaleb, F.

    2013-01-01

    A novel procedure for the generation of a realistic virtual Computed Tomography (CT) image of a patient, using the advanced Boundary RE Presentation (BREP)-based model MASH, has been implemented. This method can be used in radiotherapy assessment. It is shown that it is possible to introduce an artificial cancer, which can be modeled using mesh surfaces. The use of virtual CT images based on BREP models presents several advantages with respect to CT images of actual patients, such as automation, control and flexibility. As an example, two artificial cases, namely a brain and a prostate cancer, were created through the generation of images and tumor/organ contours. As a secondary objective, the described methodology has been used to generate input files for treatment planning system (TPS) and Monte Carlo code dose evaluation. In this paper, we consider treatment plans generated assuming a dose delivery via an active proton beam scanning performed with the INFN-IBA TPS kernel. Additionally, Monte Carlo simulations of the two treatment plans were carried out with GATE/GEANT4. The work demonstrates the feasibility of the approach based on the BREP modeling to produce virtual CT images. In conclusion, this study highlights the benefits in using digital phantom model capable of representing different anatomical structures and varying tumors across different patients. These models could be useful for assessing radiotherapy treatment planning systems (TPS) and computer simulations for the evaluation of the adsorbed dose. (author)

  19. Osteoradionecrosis following treatment for head and neck cancer and the effect of radiotherapy dosimetry: the Guy's and St Thomas' Head and Neck Cancer Unit experience.

    Science.gov (United States)

    De Felice, Francesca; Thomas, Christopher; Patel, Vinod; Connor, Steve; Michaelidou, Andriana; Sproat, Chris; Kwok, Jerry; Burke, Mary; Reilly, Damien; McGurk, Mark; Simo, Ricard; Lyons, Andrew; Oakley, Richard; Jeannon, Jean-Pierre; Lei, Mary; Urbano, Teresa Guerrero

    2016-07-01

    To analyze clinical features, dosimetric parameters, and outcomes of osteoradionecrosis (ORN). Thirty-six patients with ORN who had been previously treated with radiotherapy (RT) were retrospectively identified between January 2009 and April 2014. ORN volumes were contoured on planning computed tomography (CT) scans. Near maximum dose (D2%), minimum dose (Dmin), mean dose (Dmean), and percentage of bone volume receiving 50 Gy (V50) were examined. Clinical and dosimetric variables were considered to compare ORN resolution versus ORN persistence. Median interval time from end of RT to development of ORN was 6 months. Of the ORN cases, 61% were located in the mandible. Dmean to affected bone was 57.6 Gy, and 44% had a D2% 65 Gy or greater. Smoking was associated with ORN persistence on univariate analysis, but no factors were found to impact ORN resolution or progression on logistic regression. Prevention strategies for ORN development should be prioritized. Dose-volume parameters could have a role in preventing ORN. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Time-resolved dosimetry using a pinpoint ionization chamber as quality assurance for IMRT and VMAT

    Energy Technology Data Exchange (ETDEWEB)

    Louwe, Robert J. W., E-mail: rob.louwe@ccdbh.org.nz; Satherley, Thomas; Day, Rebecca A.; Greig, Lynne [Department of Radiation Oncology, Wellington Blood and Cancer Centre, Wellington Hospital, Wellington 6242 (New Zealand); Wendling, Markus; Monshouwer, René [Department of Radiation Oncology, Radboud University Medical Center, Nijmegen 6500 HB (Netherlands)

    2015-04-15

    Purpose: To develop a method to verify the dose delivery in relation to the individual control points of intensity modulated radiotherapy (IMRT) and volumetric modulated arc therapy (VMAT) using an ionization chamber. In addition to more effective problem solving during patient-specific quality assurance (QA), the aim is to eventually map out the limitations in the treatment chain and enable a targeted improvement of the treatment technique in an efficient way. Methods: Pretreatment verification was carried out for 255 treatment plans that included a broad range of treatment indications in two departments using the equipment of different vendors. In-house developed software was used to enable calculation of the dose delivery for the individual beamlets in the treatment planning system (TPS), for data acquisition, and for analysis of the data. The observed deviations were related to various delivery and measurement parameters such as gantry angle, field size, and the position of the detector with respect to the field edge to distinguish between error sources. Results: The average deviation of the integral fraction dose during pretreatment verification of the planning target volume dose was −2.1% ± 2.2% (1 SD), −1.7% ± 1.7% (1 SD), and 0.0% ± 1.3% (1 SD) for IMRT at the Radboud University Medical Center (RUMC), VMAT (RUMC), and VMAT at the Wellington Blood and Cancer Centre, respectively. Verification of the dose to organs at risk gave very similar results but was generally subject to a larger measurement uncertainty due to the position of the detector at a high dose gradient. The observed deviations could be related to limitations of the TPS beam models, attenuation of the treatment couch, as well as measurement errors. The apparent systematic error of about −2% in the average deviation of the integral fraction dose in the RUMC results could be explained by the limitations of the TPS beam model in the calculation of the beam penumbra. Conclusions: This

  1. Environmental dosimetry

    International Nuclear Information System (INIS)

    Gold, R.

    1977-01-01

    For more than 60 years, natural radiation has offered broad opportunities for basic research as evidenced by many fundamental discoveries. Within the last decade, however, dramatic changes have occurred in the motivation and direction of this research. The urgent need for economical energy sources entailing acceptably low levels of environmental impact has compelled the applied aspects of our radiation environment to become overriding considerations. It is within this general framework that state-of-the-art environmental dosimetry techniques are reviewed. Although applied motivation and relevance underscores the current milieu for both reactor and environmental dosimetry, a perhaps even more unifying force is the broad similarity of reactor and environmental radiation fields. In this review, a comparison of these two mixed radiation fields is presented stressing the underlying similarities that exist. On this basis, the evolution of a strong inner bond between dosimetry methods for both reactor and environmental radiation fields is described. The existence of this bond will be illustrated using representative examples of observed spectra. Dosimetry methods of particularly high applicability for both of these fields are described. Special emphasis is placed on techniques of high sensitivity and absolute accuracy which are capable of resolving the components of these mixed radiation fields

  2. The work programme of EURADOS on internal and external dosimetry.

    Science.gov (United States)

    Rühm, W; Bottollier-Depois, J F; Gilvin, P; Harrison, R; Knežević, Ž; Lopez, M A; Tanner, R; Vargas, A; Woda, C

    2018-01-01

    Since the early 1980s, the European Radiation Dosimetry Group (EURADOS) has been maintaining a network of institutions interested in the dosimetry of ionising radiation. As of 2017, this network includes more than 70 institutions (research centres, dosimetry services, university institutes, etc.), and the EURADOS database lists more than 500 scientists who contribute to the EURADOS mission, which is to promote research and technical development in dosimetry and its implementation into practice, and to contribute to harmonisation of dosimetry in Europe and its conformance with international practices. The EURADOS working programme is organised into eight working groups dealing with environmental, computational, internal, and retrospective dosimetry; dosimetry in medical imaging; dosimetry in radiotherapy; dosimetry in high-energy radiation fields; and harmonisation of individual monitoring. Results are published as freely available EURADOS reports and in the peer-reviewed scientific literature. Moreover, EURADOS organises winter schools and training courses on various aspects relevant for radiation dosimetry, and formulates the strategic research needs in dosimetry important for Europe. This paper gives an overview on the most important EURADOS activities. More details can be found at www.eurados.org .

  3. Biokinetics and dosimetry in patients administered with 111In-DOTA-Tyr3-octreotide: implications for internal radiotherapy with 90Y-DOTATOC

    International Nuclear Information System (INIS)

    Cremonesi, M.; Ferrari, M.; Maecke, H.R.; Tosi, G.; Zoboli, S.; Chinol, M.; Fiorenza, M.; Paganelli, G.; Stabin, M.G.; Orsi, F.O.; Jermann, E.; Robertson, C.

    1999-01-01

    Recent advances in receptor-mediated tumour imaging have resulted in the development of a new somatostatin analogue, DOTA-dPhe 1 -Tyr 3 -octreotide. This new compound, named DOTATOC, has shown high affinity for somatostatin receptors, ease of labelling and stability with yttrium-90 and favourable biodistribution in animal models. The aim of this work was to evaluate the biodistribution and dosimetry of DOTATOC radiolabelled with indium-111, in anticipation of therapy trials with 90 Y-DOTATOC in patients. Eighteen patients were injected with DOTATOC (10 μg), labelled with 150-185 MBq of 111 In. Blood and urine samples were collected throughout the duration of the study (0-2 days). Planar and single-photon emission tomography images were acquired at 0.5, 3-4, 24 and 48 h and time-activity curves were obtained for organs and tumours. A compartmental model was used to determine the kinetic parameters for each organ. Dose calculations were performed according to the MIRD formalism. Specific activities of >37 GBq/ μmol were routinely achieved. Patients showed no acute or delayed adverse reactions. The residence time for 111 In-DOTATOC in blood was 0.9±0.4 h. The injected activity excreted in the urine in the first 24 h was 73%±11%. The agent localized primarily in spleen, kidneys and liver. The residence times in source organs were: 2.2±1.8 h in spleen, 1.7±1.2 h in kidneys, 2.4±1.9 h in liver, 1.5±0.3 h in urinary bladder and 9.4±5.5 h in the remainder of the body; the mean residence time in tumour was 0.47 h (range: 0.03-6.50 h). Based on our findings, the predicted absorbed doses for 90 Y-DOTATOC would be 7.6±6.3 (spleen), 3.3±2.2 (kidneys), 0.7±0.6 (liver), 2.2±0.3 (bladder), 0.03±0.01 (red marrow) and 10.1 (range: 1.4-31.0) (tumour) mGy/MBq. These results indicate that high activities of 90 Y-DOTATOC can be administered with low risk of myelotoxicity, although with potentially high radiation doses to the spleen and kidneys. Tumour doses were high

  4. Biokinetics and dosimetry in patients administered with {sup 111}In-DOTA-Tyr{sup 3}-octreotide: implications for internal radiotherapy with {sup 90}Y-DOTATOC

    Energy Technology Data Exchange (ETDEWEB)

    Cremonesi, M.; Ferrari, M.; Maecke, H.R.; Tosi, G. [Department of Health Physics, European Institute of Oncology, Milan (Italy); Zoboli, S.; Chinol, M.; Fiorenza, M.; Paganelli, G. [Division of Nuclear Medicine, European Institute of Oncology, via Ripamonti, 435, I-20141-Milan (Italy); Stabin, M.G. [Nuclear Energy Department, Recife, Pernambuco (Brazil); Orsi, F.O. [Department of Radiology, European Institute of Oncology, Milan (Italy); Jermann, E. [Nuclear Medicine Department, University of Basel (Switzerland); Robertson, C. [Department of Epidemiology and Biostatistics, European Institute of Oncology, Milan (Italy)

    1999-08-01

    Recent advances in receptor-mediated tumour imaging have resulted in the development of a new somatostatin analogue, DOTA-dPhe{sup 1}-Tyr{sup 3}-octreotide. This new compound, named DOTATOC, has shown high affinity for somatostatin receptors, ease of labelling and stability with yttrium-90 and favourable biodistribution in animal models. The aim of this work was to evaluate the biodistribution and dosimetry of DOTATOC radiolabelled with indium-111, in anticipation of therapy trials with {sup 90}Y-DOTATOC in patients. Eighteen patients were injected with DOTATOC (10 {mu}g), labelled with 150-185 MBq of {sup 111}In. Blood and urine samples were collected throughout the duration of the study (0-2 days). Planar and single-photon emission tomography images were acquired at 0.5, 3-4, 24 and 48 h and time-activity curves were obtained for organs and tumours. A compartmental model was used to determine the kinetic parameters for each organ. Dose calculations were performed according to the MIRD formalism. Specific activities of >37 GBq/ {mu}mol were routinely achieved. Patients showed no acute or delayed adverse reactions. The residence time for {sup 111}In-DOTATOC in blood was 0.9{+-}0.4 h. The injected activity excreted in the urine in the first 24 h was 73%{+-}11%. The agent localized primarily in spleen, kidneys and liver. The residence times in source organs were: 2.2{+-}1.8 h in spleen, 1.7{+-}1.2 h in kidneys, 2.4{+-}1.9 h in liver, 1.5{+-}0.3 h in urinary bladder and 9.4{+-}5.5 h in the remainder of the body; the mean residence time in tumour was 0.47 h (range: 0.03-6.50 h). Based on our findings, the predicted absorbed doses for {sup 90}Y-DOTATOC would be 7.6{+-}6.3 (spleen), 3.3{+-}2.2 (kidneys), 0.7{+-}0.6 (liver), 2.2{+-}0.3 (bladder), 0.03{+-}0.01 (red marrow) and 10.1 (range: 1.4-31.0) (tumour) mGy/MBq. These results indicate that high activities of {sup 90}Y-DOTATOC can be administered with low risk of myelotoxicity, although with potentially high radiation

  5. Biokinetics and dosimetry in patients administered with [sup 111]In-DOTA-Tyr[sup 3]-octreotide: implications for internal radiotherapy with [sup 90]Y-DOTATOC

    Energy Technology Data Exchange (ETDEWEB)

    Cremonesi, M.; Ferrari, M.; Maecke, H.R.; Tosi, G. (Department of Health Physics, European Institute of Oncology, Milan (Italy)); Zoboli, S.; Chinol, M.; Fiorenza, M.; Paganelli, G. (Division of Nuclear Medicine, European Institute of Oncology, via Ripamonti, 435, I-20141-Milan (Italy)); Stabin, M.G. (Nuclear Energy Department, Recife, Pernambuco (Brazil)); Orsi, F.O. (Department of Radiology, European Institute of Oncology, Milan (Italy)); Jermann, E. (Nuclear Medicine Department, University of Basel (Switzerland)); Robertson, C. (Department of Epidemiology and Biostatistics, European Institute of Oncology, Milan (Italy))

    1999-08-01

    Recent advances in receptor-mediated tumour imaging have resulted in the development of a new somatostatin analogue, DOTA-dPhe[sup 1]-Tyr[sup 3]-octreotide. This new compound, named DOTATOC, has shown high affinity for somatostatin receptors, ease of labelling and stability with yttrium-90 and favourable biodistribution in animal models. The aim of this work was to evaluate the biodistribution and dosimetry of DOTATOC radiolabelled with indium-111, in anticipation of therapy trials with [sup 90]Y-DOTATOC in patients. Eighteen patients were injected with DOTATOC (10 [mu]g), labelled with 150-185 MBq of [sup 111]In. Blood and urine samples were collected throughout the duration of the study (0-2 days). Planar and single-photon emission tomography images were acquired at 0.5, 3-4, 24 and 48 h and time-activity curves were obtained for organs and tumours. A compartmental model was used to determine the kinetic parameters for each organ. Dose calculations were performed according to the MIRD formalism. Specific activities of >37 GBq/ [mu]mol were routinely achieved. Patients showed no acute or delayed adverse reactions. The residence time for [sup 111]In-DOTATOC in blood was 0.9[+-]0.4 h. The injected activity excreted in the urine in the first 24 h was 73%[+-]11%. The agent localized primarily in spleen, kidneys and liver. The residence times in source organs were: 2.2[+-]1.8 h in spleen, 1.7[+-]1.2 h in kidneys, 2.4[+-]1.9 h in liver, 1.5[+-]0.3 h in urinary bladder and 9.4[+-]5.5 h in the remainder of the body; the mean residence time in tumour was 0.47 h (range: 0.03-6.50 h). Based on our findings, the predicted absorbed doses for [sup 90]Y-DOTATOC would be 7.6[+-]6.3 (spleen), 3.3[+-]2.2 (kidneys), 0.7[+-]0.6 (liver), 2.2[+-]0.3 (bladder), 0.03[+-]0.01 (red marrow) and 10.1 (range: 1.4-31.0) (tumour) mGy/MBq. These results indicate that high activities of [sup 90]Y-DOTATOC can be administered with low risk of myelotoxicity, although with potentially high radiation

  6. Development of targeted radiotherapy systems

    International Nuclear Information System (INIS)

    Ferro, Guillermina; Villarreal, Jose E.; Garcia, Laura; Tendilla, Jose I.; Paredes, Lydia; Murphy, Consuelo A.; Pedraza, Martha

    2001-01-01

    Conventional or external beam radiotherapy, has been a viable alternative for cancer treatment. Although this technique is effective, its use is limited if the patient has multiple malignant lesions (metastases). An alternative approach is based on the design of radiopharmaceuticals that, to be administered in the patient, are directed specifically toward the target cell producing a selective radiation delivery. This treatment is known as targeted radiotherapy. We have summarized and discussed some results related to our investigations on the development of targeted radiotherapy systems, including aspects of internal dosimetry

  7. MO-B-BRB-04: 3D Dosimetry in End-To-End Dosimetry QA

    Energy Technology Data Exchange (ETDEWEB)

    Ibbott, G. [UT MD Anderson Cancer Center (United States)

    2016-06-15

    Full three-dimensional (3D) dosimetry using volumetric chemical dosimeters probed by 3D imaging systems has long been a promising technique for the radiation therapy clinic, since it provides a unique methodology for dose measurements in the volume irradiated using complex conformal delivery techniques such as IMRT and VMAT. To date true 3D dosimetry is still not widely practiced in the community; it has been confined to centres of specialized expertise especially for quality assurance or commissioning roles where other dosimetry techniques are difficult to implement. The potential for improved clinical applicability has been advanced considerably in the last decade by the development of improved 3D dosimeters (e.g., radiochromic plastics, radiochromic gel dosimeters and normoxic polymer gel systems) and by improved readout protocols using optical computed tomography or magnetic resonance imaging. In this session, established users of some current 3D chemical dosimeters will briefly review the current status of 3D dosimetry, describe several dosimeters and their appropriate imaging for dose readout, present workflow procedures required for good dosimetry, and analyze some limitations for applications in select settings. We will review the application of 3D dosimetry to various clinical situations describing how 3D approaches can complement other dose delivery validation approaches already available in the clinic. The applications presented will be selected to inform attendees of the unique features provided by full 3D techniques. Learning Objectives: L. John Schreiner: Background and Motivation Understand recent developments enabling clinically practical 3D dosimetry, Appreciate 3D dosimetry workflow and dosimetry procedures, and Observe select examples from the clinic. Sofie Ceberg: Application to dynamic radiotherapy Observe full dosimetry under dynamic radiotherapy during respiratory motion, and Understand how the measurement of high resolution dose data in an

  8. Thermoluminescence in medical dosimetry; Termoluminiscencia en dosimetria medica

    Energy Technology Data Exchange (ETDEWEB)

    Rivera, T., E-mail: trivera@ipn.mx [IPN, Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada, Av. Legaria 694, Col. Irrigacion, 11500 Mexico D. F. (Mexico)

    2011-10-15

    The dosimetry by thermoluminescence (Tl) is applied in the entire world for the dosimetry of ionizing radiations specially to personal and medical dosimetry. This dosimetry method has been very interesting for measures in vivo because the Tl dosimeters have the advantage of being very sensitive in a very small volume and they are also equivalent to tissue and they do not need additional accessories (for example, cable, electrometer, etc.) The main characteristics of the diverse Tl materials to be used in the radiation measures and practical applications are: the Tl curve, the share homogeneity, the signal stability after the irradiation, precision and exactitude, the response in function with the dose and the energy influence. In this work a brief summary of the advances of the radiations dosimetry is presented by means of the thermally stimulated luminescence and its application to the dosimetry in radiotherapy. (Author)

  9. SU-D-213-03: Towards An Optimized 3D Scintillation Dosimetry Tool for Quality Assurance of Dynamic Radiotherapy Techniques

    Energy Technology Data Exchange (ETDEWEB)

    Rilling, M [Département de physique, de génie physique et d’optique, Université Laval, Quebec City, QC (Canada); Centre de Recherche sur le Cancer, Hôtel-Dieu de Québec, Quebec City, QC (Canada); Département de radio-oncologie, CHU de Québec, Quebec City, QC (Canada); Center for Optics, Photonics and Lasers, Université Laval, Quebec City, QC, CA (Canada); Goulet, M [Département de radio-oncologie, CHU de Québec, Quebec City, QC (Canada); Thibault, S [Département de physique, de génie physique et d’optique, Université Laval, Quebec City, QC (Canada); Center for Optics, Photonics and Lasers, Université Laval, Quebec City, QC, CA (Canada); Archambault, L [Département de physique, de génie physique et d’optique, Université Laval, Quebec City, QC (Canada); Centre de Recherche sur le Cancer, Hôtel-Dieu de Québec, Quebec City, QC (Canada); Département de radio-oncologie, CHU de Québec, Quebec City, QC (Canada)

    2015-06-15

    Purpose: The purpose of this work is to simulate a multi-focus plenoptic camera used as the measuring device in a real-time three-dimensional scintillation dosimeter. Simulating and optimizing this realistic optical system will bridge the technological gap between concept validation and a clinically viable tool that can provide highly efficient, accurate and precise measurements for dynamic radiotherapy techniques. Methods: The experimental prototype, previously developed for proof of concept purposes, uses an off-the-shelf multi-focus plenoptic camera. With an array of interleaved microlenses of different focal lengths, this camera records spatial and angular information of light emitted by a plastic scintillator volume. The three distinct microlens focal lengths were determined experimentally for use as baseline parameters by measuring image-to-object magnification for different distances in object space. A simulated plenoptic system was implemented using the non-sequential ray tracing software Zemax: this tool allows complete simulation of multiple optical paths by modeling interactions at interfaces such as scatter, diffraction, reflection and refraction. The active sensor was modeled based on the camera manufacturer specifications by a 2048×2048, 5 µm-pixel pitch sensor. Planar light sources, simulating the plastic scintillator volume, were employed for ray tracing simulations. Results: The microlens focal lengths were determined to be 384, 327 and 290 µm. A realistic multi-focus plenoptic system, with independently defined and optimizable specifications, was fully simulated. A f/2.9 and 54 mm-focal length Double Gauss objective was modeled as the system’s main lens. A three-focal length hexagonal microlens array of 250-µm thickness was designed, acting as an image-relay system between the main lens and sensor. Conclusion: Simulation of a fully modeled multi-focus plenoptic camera enables the decoupled optimization of the main lens and microlens

  10. Neutron personnel dosimetry

    International Nuclear Information System (INIS)

    Griffith, R.V.

    1981-01-01

    The current state-of-the-art in neutron personnel dosimetry is reviewed. Topics covered include dosimetry needs and alternatives, current dosimetry approaches, personnel monitoring devices, calibration strategies, and future developments

  11. Hematological dosimetry

    International Nuclear Information System (INIS)

    Fluery-Herard, A.

    1991-01-01

    The principles of hematological dosimetry after acute or protracted whole-body irradiation are reviewed. In both cases, over-exposure is never homogeneous and the clinical consequences, viz medullary aplasia, are directly associated with the mean absorbed dose and the seriousness and location of the overexposure. The main hematological data required to assess the seriousness of exposure are the following: repeated blood analysis, blood precursor cultures, as indicators of whole-body exposure; bone marrow puncture, medullary precursor cultures and medullary scintigraphy as indicators of the importance of a local over-exposure and capacity for spontaneous repair. These paraclinical investigations, which are essential for diagnosis and dosimetry, are also used for surveillance and for the main therapeutic issues [fr

  12. In vivo Tl dosimetry for the quality control in Radiotherapy with {sup 60} Co and brachytherapy of low dose rate; Dosimetria Tl in vivo para el control de calidad en Radioterapia con {sup 60} Co y Braquiterapia de baja tasa de dosis

    Energy Technology Data Exchange (ETDEWEB)

    Velez, G.; Bustos, S.; Balmaceda, O.; Gutierrez, S.; Ferraris, M. [Servicio de Radioterapia, Hospital San Roque. Rosario de Santa Fe 374. CP 5000. Cordoba (Argentina)

    1998-12-31

    In vivo dosimetry is used every time with more frequency as a valuable tool for the quality control in Radiotherapy. The measurements of input and output doses provide us information about the technique accuracy or the treatment procedure used; likewise the dose measurement which rectum or bladder receive in gynecologic implants contribute to the improving and adjusting the procedures in brachytherapy. Besides, it may be identify systematic errors in particular situations which allow to optimize the treatment and to minimize errors. It was realized a study at the Radiotherapy service in San Roque Hospital (Cordoba) to control the procedures used in the treatment of distinct oncologic pathologies. Its were selected patients, which were realized the routine planning with the planning system of computerized treatments Prowess 3000, that later its were controlled with In vivo thermoluminescent dosimetry using the Ceprocor Services (Cordoba). Its were realized dose skin measurements in treatments of mammary gland, pelvis, thorax, head and neck and it were measured doses in body cavities, as oral cavity, rectum, esophagus, etc. arranging the TLD inside special catheters. In the case of dose skin, the dosemeters were arranged in acrylic porta-dosemeters, at pairs, which later they were enveloped and sealed. It was founded a very good agreement among the In vivo measurements and the predicted by the planner. In some cases, the control allows to modify the treatment for to avoid over or sub dosages of the distinct organs affected by the radiation field. (Author)

  13. Skin Dosimetry in Breast Teletherapy on a Phantom Anthropomorphic and Anthropometric Phantom

    International Nuclear Information System (INIS)

    Batista Nogueira, Luciana; Lemos Silva, Hugo Leonardo; Donato da Silva, Sabrina; Passos Ribeiro Campos, Tarcisio

    2015-01-01

    This paper addresses the breast teletherapy dosimetry. The goal is to evaluate and compare absorbed doses in equivalent skin tissue, TE-skin, of an anthropomorphic and anthropometric breast phantom submitted to breast radiotherapy. The methodology involved the reproduction of a set of tomographic images of the phantom; the elaboration of conformational radiotherapy planning in the SOMAVISION and CadPlan (TPS) software; and the synthetic breast irradiation by parallel opposed fields in 3D conformal teletherapy at 6 MV linear accelerator Clinac-2100 C from VARIAN with prescribed dose (PD) of 180 cGy to the target volume (PTV), referent to the glandular tissue. Radiochromic films EBT2 were selected as dosimeters. Two independent calibration processes of films with solid water Gammex 457 plates and water filled box were produced. Curves of optical density (OD) versus absorbed dose were produced. Dosimeters were positioned in the external region of the breast phantom in contact with TE-skin, area of 4.0 cm 2 each. The irradiation process was prepared in duplicate to check the reproducibility of the technique. The radiochromic films were scanned and their response in RGB (Red, Green, Blue) analyzed by the ImageJ software. The optical density was obtained and converted to dose based on the calibration curves. Thus, the spatial dose distribution in the skin was reproduced. The absorbed doses measured on the radiochromic films in TE-skin showed values between upper and lower quadrants at 9 o'clock in the range of 54% of PD, between the upper and lower quadrants 3 o'clock in the range of 72% and 6 o'clock at the lower quadrant in the range of 68 % of PD. The values are ±64% (p <0.05) according to the TPS. It is concluded that the depth dose measured in solid water plates or water box reproduce equivalent dose values for both calibration processes of the radiochromic films. It was observed that the skin received doses ranging from 50% to 78% of the prescribed

  14. Skin Dosimetry in Breast Teletherapy on a Phantom Anthropomorphic and Anthropometric Phantom

    Energy Technology Data Exchange (ETDEWEB)

    Batista Nogueira, Luciana [Anatomy and Imaging Department, Federal University of Minas Gerais, Belo Horizonte (Brazil); Lemos Silva, Hugo Leonardo [Santa Casa Hospital, Belo Horizonte (Brazil); Donato da Silva, Sabrina; Passos Ribeiro Campos, Tarcisio [Nuclear Engineering Department, Federal University of Minas Gerais, Belo Horizonte (Brazil)

    2015-07-01

    This paper addresses the breast teletherapy dosimetry. The goal is to evaluate and compare absorbed doses in equivalent skin tissue, TE-skin, of an anthropomorphic and anthropometric breast phantom submitted to breast radiotherapy. The methodology involved the reproduction of a set of tomographic images of the phantom; the elaboration of conformational radiotherapy planning in the SOMAVISION and CadPlan (TPS) software; and the synthetic breast irradiation by parallel opposed fields in 3D conformal teletherapy at 6 MV linear accelerator Clinac-2100 C from VARIAN with prescribed dose (PD) of 180 cGy to the target volume (PTV), referent to the glandular tissue. Radiochromic films EBT2 were selected as dosimeters. Two independent calibration processes of films with solid water Gammex 457 plates and water filled box were produced. Curves of optical density (OD) versus absorbed dose were produced. Dosimeters were positioned in the external region of the breast phantom in contact with TE-skin, area of 4.0 cm{sup 2} each. The irradiation process was prepared in duplicate to check the reproducibility of the technique. The radiochromic films were scanned and their response in RGB (Red, Green, Blue) analyzed by the ImageJ software. The optical density was obtained and converted to dose based on the calibration curves. Thus, the spatial dose distribution in the skin was reproduced. The absorbed doses measured on the radiochromic films in TE-skin showed values between upper and lower quadrants at 9 o'clock in the range of 54% of PD, between the upper and lower quadrants 3 o'clock in the range of 72% and 6 o'clock at the lower quadrant in the range of 68 % of PD. The values are ±64% (p <0.05) according to the TPS. It is concluded that the depth dose measured in solid water plates or water box reproduce equivalent dose values for both calibration processes of the radiochromic films. It was observed that the skin received doses ranging from 50% to 78% of the

  15. Oxidatively Stable Flexible Aerogel Composites for Reusable TPS, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — NASA?s Next Generation Launch Vehicle Technology Program has an interest in robust TPS materials with the highest level of thermal performance at the lowest possible...

  16. Fiber-Coupled Spectrometer for TPS Materials, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — Heat shield technology is a critical component of manned spaceflight. In particular, the new Crew Exploration Vehicle (CEV) requires thermal protection systems (TPS)...

  17. Quantitative evaluation of patient-specific quality assurance using online dosimetry system

    Science.gov (United States)

    Jung, Jae-Yong; Shin, Young-Ju; Sohn, Seung-Chang; Min, Jung-Whan; Kim, Yon-Lae; Kim, Dong-Su; Choe, Bo-Young; Suh, Tae-Suk

    2018-01-01

    In this study, we investigated the clinical performance of an online dosimetry system (Mobius FX system, MFX) by 1) dosimetric plan verification using gamma passing rates and dose volume metrics and 2) error-detection capability evaluation by deliberately introduced machine error. Eighteen volumetric modulated arc therapy (VMAT) plans were studied. To evaluate the clinical performance of the MFX, we used gamma analysis and dose volume histogram (DVH) analysis. In addition, to evaluate the error-detection capability, we used gamma analysis and DVH analysis utilizing three types of deliberately introduced errors (Type 1: gantry angle-independent multi-leaf collimator (MLC) error, Type 2: gantry angle-dependent MLC error, and Type 3: gantry angle error). A dosimetric verification comparison of physical dosimetry system (Delt4PT) and online dosimetry system (MFX), gamma passing rates of the two dosimetry systems showed very good agreement with treatment planning system (TPS) calculation. For the average dose difference between the TPS calculation and the MFX measurement, most of the dose metrics showed good agreement within a tolerance of 3%. For the error-detection comparison of Delta4PT and MFX, the gamma passing rates of the two dosimetry systems did not meet the 90% acceptance criterion with the magnitude of error exceeding 2 mm and 1.5 ◦, respectively, for error plans of Types 1, 2, and 3. For delivery with all error types, the average dose difference of PTV due to error magnitude showed good agreement between calculated TPS and measured MFX within 1%. Overall, the results of the online dosimetry system showed very good agreement with those of the physical dosimetry system. Our results suggest that a log file-based online dosimetry system is a very suitable verification tool for accurate and efficient clinical routines for patient-specific quality assurance (QA).

  18. Jejak Karbon Pengolahan Sampah Di Tps Tlogomas Malang

    OpenAIRE

    Sunarto; P. Hadi, Sudharto; Purwanto

    2014-01-01

    JEJAK KARBON PENGOLAHAN SAMPAH DI tps tlogomas malang Carbon Footprint of Solid Waste Processing At TPS Tlogomas MalangSunarto1, Sudharto P. Hadi2, Purwanto31,2,3Program Doktor Ilmu Lingkungan Universitas DiponegoroAlamat korespondensi : Jl. Imam Bardjo, SH No. 3 Semarang 50241Email: 1) , 2) ste sector is one of human activities that cause global warming. Decomposition of organic waste in landfill produces greenhouse gas emissions in the form...

  19. Advances in electron dosimetry of irregular fields

    International Nuclear Information System (INIS)

    Mendez V, J.

    1998-01-01

    In this work it is presented an advance in Electron dosimetry of irregular fields for beams emitted by linear accelerators. At present diverse methods exist which are coming to apply in the Radiotherapy centers. In this work it is proposed a method for irregular fields dosimetry. It will be allow to calculate the dose rate absorbed required for evaluating the time for the treatment of cancer patients. Utilizing the results obtained by the dosimetric system, it has been possible to prove the validity of the method describe for 12 MeV energy and for square field 7.5 x 7.5 cm 2 with percentile error less than 1 % . (Author)

  20. Contribution to the planning and dosimetry of photon beams applied to radiosurgery and stereotactic radiotherapy; Contribuicao ao planejamento e a dosimetria de feixes de fotons aplicados a radiocirurgia e a radioterapia estereotaxica

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Walter Menezes

    2003-08-15

    Radiosurgery and stereotactic radiotherapy are irradiation techniques that use small diameter photon beams for treating intracranial lesions such as pituitary adenomas, acoustic tumors and arterio-venous malformations which are inaccessible for surgery. These treatment techniques are characterized by the use of very small radiation beams which deliver a precisely measured dose to the target volume, while sparing the surrounding healthy tissue. Treatment can be performed by using multiple {sup 60}Co gamma-ray sources (in the so-called 'Gamma Knife'), charged particles or X-ray beams produced by linear accelerators. The prescribed dose can be given in a single session or in multiple fractions, as in conventional radiotherapy. The success of the treatment depends, among other factors, of the accurate determination of the parameters that characterize the radiation beam produced by the equipment, as well as, of a well designed quality assurance program. In this study, the dosimetric parameters of a set of collimating cones of a Radionics{sup TM} treatment system applied to two 6 MV- photon beams (Clinac 600C - Varian{sup TM}, and Mevatron MD2 - Siemens{sup TM}) were evaluated by using a water filled PMMA simulator. Measurements were carried out for photon beam diameters ranging from 12.5 to 40.0 mm for the Clinac-600C and from 5.0 to 50.0 mm for the Mevatron MD2. The parameters were evaluated by using a parallel plate ionization chamber (Markus), Kodak X-Omat V dosimetric films, thermoluminescent dosemeters (Harschaw, TLD-100) and photodiodes. The maximum tissue-ratio, the off-axis profile and the output factors were determined and the results were compared to those reported elsewhere. A study of the dosimetric characteristics of some commercially available phototransistors was also carried out. The results showed that these electronic components can be successfully used for measuring the dosimetric parameters of small diameter photon beans used in

  1. Contribution to the planning and dosimetry of photon beams applied to radiosurgery and stereotactic radiotherapy; Contribuicao ao planejamento e a dosimetria de feixes de fotons aplicados a radiocirurgia e a radioterapia estereotaxica

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Walter Menezes

    2003-08-15

    Radiosurgery and stereotactic radiotherapy are irradiation techniques that use small diameter photon beams for treating intracranial lesions such as pituitary adenomas, acoustic tumors and arterio-venous malformations which are inaccessible for surgery. These treatment techniques are characterized by the use of very small radiation beams which deliver a precisely measured dose to the target volume, while sparing the surrounding healthy tissue. Treatment can be performed by using multiple {sup 60}Co gamma-ray sources (in the so-called 'Gamma Knife'), charged particles or X-ray beams produced by linear accelerators. The prescribed dose can be given in a single session or in multiple fractions, as in conventional radiotherapy. The success of the treatment depends, among other factors, of the accurate determination of the parameters that characterize the radiation beam produced by the equipment, as well as, of a well designed quality assurance program. In this study, the dosimetric parameters of a set of collimating cones of a Radionics{sup TM} treatment system applied to two 6 MV- photon beams (Clinac 600C - Varian{sup TM}, and Mevatron MD2 - Siemens{sup TM}) were evaluated by using a water filled PMMA simulator. Measurements were carried out for photon beam diameters ranging from 12.5 to 40.0 mm for the Clinac-600C and from 5.0 to 50.0 mm for the Mevatron MD2. The parameters were evaluated by using a parallel plate ionization chamber (Markus), Kodak X-Omat V dosimetric films, thermoluminescent dosemeters (Harschaw, TLD-100) and photodiodes. The maximum tissue-ratio, the off-axis profile and the output factors were determined and the results were compared to those reported elsewhere. A study of the dosimetric characteristics of some commercially available phototransistors was also carried out. The results showed that these electronic components can be successfully used for measuring the dosimetric parameters of small diameter photon beans used in radiosurgery

  2. The ESTRO-EQUAL quality assurance network for photon and electron radiotherapy beams in Germany

    International Nuclear Information System (INIS)

    Ferreira, I.H.; Dutreix, A.; Richter, J.; Bridier, A.; Chavaudra, J.; Svensson, H.

    2001-01-01

    Background: In 1998 an ESTRO Quality Assurance Network for radiotherapy (EQUAL) has been set up for 25 European countries for photon and electron beams in reference and non-reference conditions. Material and Methods: Measurements are done using LiF powder (DTL937-Philitech, France) that is processed with the PCL3 automatic reader (Fimel-PTW). The participating centers irradiate the TLDs with an absorbed dose of 2 Gy according to the clinical routine. Results: Until September 2000 EQUAL has checked 135 photon beams (including the beams rechecked) from 51 radiotherapy centers in Germany out of 86 accepted centers. The results show that 2% of the beam outputs in reference conditions and 3% of the percentage depth doses are outside the tolerance level (deviation > ± 5%). 6% of the beam output variations and of the wedge transmission factors show deviations > ± 5%. The global analysis of results shows deviations > ± 5% in at least one parameter for 18 beams out of the 135 beams checked. Five rechecked beams present one ''real dosimetric'' problem in one or more parameters, corresponding to 4% of the 114 beams for which the deviations cannot be attributed to set-up errors. - The EQUAL network has checked 89 electron beams in Germany. The results show that all beam outputs checked are within the tolerance level. The standard deviation for the beam output in reference conditions is 2.0% and 2.2% for the beam output for the others field sizes. The percentage of deviations > 3% and ≤ 5% for the reference beam output is higher for electron beams than for photon beam checks. Therefore the electron beam calibration and the TPS algorithms should be improved to increase the accuracy of the patient dosimetry for radiotherapy. (orig.) [de

  3. Phantom dosimetry at 15 MV conformal radiation therapy

    International Nuclear Information System (INIS)

    Thompson, Larissa; Campos, Tarcisio P.R.; Dias, Humberto G.

    2013-01-01

    The main goal of this work was to evaluate the spatial dose distribution into a tumor simulator inside a head phantom exposed to a 15MV 3D conformal radiation therapy in order to validate internal doses. A head and neck phantom developed by the Ionizing Radiation Research Group (NRI) was used on the experiments. Therapy Radiation planning (TPS) was performed based on those CT images, satisfying a 200 cGy prescribed dose split in three irradiation fields. The TPS assumed 97% of prescribed dose cover the prescribed treatment volume (PTV). Radiochromic films in a solid water phantom provided dose response as a function of optical density. Spatial dosimetric distribution was generated by radiochromic film samples inserted into tumor simulator and brain. The spatial dose profiles held 70 to 120% of the prescribed dose. In spite of the stratified profile, as opposed to the smooth dose profile from TPS, the tumor internal doses were within a 5% deviation from 214.4 cGy evaluated by TPS. 83.2% of the points with a gamma value of less than 1 (3%/3mm) for TPS and experimental values, respectively. At the tumor, a few dark spots in the film caused the appearance of outlier points in 13-15% of dose deviation percentage. As final conclusion, such dosimeter choice and the physical anthropomorphic and anthropometric phantom provided an efficient method for validating radiotherapy protocols. (author)

  4. Phantom dosimetry at 15 MV conformal radiation therapy

    International Nuclear Information System (INIS)

    Thompson, Larissa; Campos, Tarcisio P.R.

    2015-01-01

    The main goal of this work was to evaluate the spatial dose distribution into a tumor simulator inside a head phantom exposed to a 15MV 3D conformal radiation therapy in order to validate internal doses. A head and neck phantom developed by the Ionizing Radiation Research Group (NRI) was used on the experiments. Therapy Radiation planning (TPS) was performed based on those CT images, satisfying a 200 cGy prescribed dose split in three irradiation fields. The TPS assumed 97% of prescribed dose cover the prescribed treatment volume (PTV). Radiochromic films in a solid water phantom provided dose response as a function of optical density. Spatial dosimetric distribution was generated by radiochromic film samples inserted into tumor simulator and brain. The spatial dose profiles held 70 to 120% of the prescribed dose. In spite of the stratified profile, as opposed to the smooth dose profile from TPS, the tumor internal doses were within a 5% deviation from 214.4 cGy evaluated by TPS. 83.2% of the points with a gamma value of less than 1 (3%/3mm) for TPS and experimental values, respectively. At the tumor, a few dark spots in the film caused the appearance of outlier points in 13-15% of dose deviation percentage. As final conclusion, such dosimeter choice and the physical anthropomorphic and anthropometric phantom provided an efficient method for validating radiotherapy protocols. (author)

  5. INL Advanced Radiotherapy Research Program Annual Report 2004

    Energy Technology Data Exchange (ETDEWEB)

    James Venhuizen

    2005-06-01

    This report summarizes the activities and major accomplishments for the Idaho National Laboratory Advanced Radiotherapy Research Program for calendar year 2004. Topics covered include boron analysis in biological samples, computational dosimetry and treatment planning software development, medical neutron source development and characterization, and collaborative dosimetry studies at the RA-1 facility in Buenos Aires, Argentina.

  6. Antibacterial activity of sulfamethoxazole transformation products (TPs): general relevance for sulfonamide TPs modified at the para position.

    Science.gov (United States)

    Majewsky, Marius; Wagner, Danny; Delay, Markus; Bräse, Stefan; Yargeau, Viviane; Horn, Harald

    2014-10-20

    Sulfonamide antibiotics undergo transformation in the aquatic environment through biodegradation, photolysis, or hydrolysis. In this study, the residual antibacterial activity of 11 transformation products (TPs) of sulfamethoxazole (SMX) was investigated with regard to their in vitro growth and luminescence inhibition on Vibrio fischeri (30 min and 24 h exposure). Two transformation products, 4-hydroxy-SMX and N(4)-hydroxy-acetyl-SMX, were synthesized in-house and confirmed by nuclear magnetic resonance and high-resolution mass spectrometry. Results of individual compound experiments showed that TPs modified at the para amino group still exhibit clear antibacterial effects, whereas TPs resulting from breakdown of the SMX structure lost this mechanism of action. 4-NO2- and 4-OH-SMX were found to inhibit growth to a clearly greater extent than the parent compound, SMX. In contrast, the N(4)-acetyl- and N(4)-hydroxy-acetyl-derivatives retain less than 10 and 5% of the effect of SMX on growth and luminescence inhibition, respectively. The effect of a mixture of para-modified TPs was observed to be additive. Considering the homologous series of sulfa drugs widely prescribed and their common mechanism of action, the potential environmental impact must consider the total amount of sulfonamide antibiotics and their derivative TPs, which might end up in a water body. Extrapolating the results obtained here for the para TPs of SMX to other sulfa drugs and determining the persistence and occurrence of these compounds in the aquatic environment is required for improved risk assessment.

  7. Why is a high accuracy needed in dosimetry

    International Nuclear Information System (INIS)

    Lanzl, L.H.

    1976-01-01

    Dose and exposure intercomparisons on a national or international basis have become an important component of quality assurance in the practice of good radiotherapy. A high degree of accuracy of γ and x radiation dosimetry is essential in our international society, where medical information is so readily exchanged and used. The value of accurate dosimetry lies mainly in the avoidance of complications in normal tissue and an optimal degree of tumor control

  8. Neutron Dosimetry

    International Nuclear Information System (INIS)

    Vanhavere, F.

    2001-01-01

    The objective of SCK-CEN's R and D programme on neutron dosimetry is to improve the determination of neutron doses by studying neutron spectra, neutron dosemeters and shielding adaptations. In 2000, R and D focused on the contiued investigation of the bubble detectors type BD-PND and BDT, in particular their sensitivity and temperature dependence; the updating of SCK-CEN's criticality dosemeter, the investigation of the characteristics of new thermoluminescent materials and their use in neutron dosemetry; and the investigation of neutron shielding

  9. Neutron Dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Vanhavere, F

    2001-04-01

    The objective of SCK-CEN's R and D programme on neutron dosimetry is to improve the determination of neutron doses by studying neutron spectra, neutron dosemeters and shielding adaptations. In 2000, R and D focused on the contiued investigation of the bubble detectors type BD-PND and BDT, in particular their sensitivity and temperature dependence; the updating of SCK-CEN's criticality dosemeter, the investigation of the characteristics of new thermoluminescent materials and their use in neutron dosemetry; and the investigation of neutron shielding.

  10. Topics in radiation dosimetry radiation dosimetry

    CERN Document Server

    1972-01-01

    Radiation Dosimetry, Supplement 1: Topics in Radiation Dosimetry covers instruments and techniques in dealing with special dosimetry problems. The book discusses thermoluminescence dosimetry in archeological dating; dosimetric applications of track etching; vacuum chambers of radiation measurement. The text also describes wall-less detectors in microdosimetry; dosimetry of low-energy X-rays; and the theory and general applicability of the gamma-ray theory of track effects to various systems. Dose equivalent determinations in neutron fields by means of moderator techniques; as well as developm

  11. Role of TPS in 125I brachytherapy for orbital tumors

    International Nuclear Information System (INIS)

    Ren Ling; Dai Haojie; Li Quan

    2012-01-01

    Objective: To investigate the role of TPS in 125 I brachytherapy for orbital tumors. Methods: Sixty-six patients with orbital tumor treated with 125 I seeds from 2005 to 2009 were retrospectively analyzed. Forty-three patients were treated using TPS guided brachytherapy and the prescribed dose was 140 Gy. Other 23 patients were treated without TPS but simply implanted with 125 I seeds at 1 cm intervals in parallel with each other intraoperatively. CT and TPS quality verification were performed postoperatively in all patients. Also, CT and (or) MRI examination were performed at 3, 6, 12 and 24 months after brachytherapy for follow-up. χ 2 test and Kaplan-Meier survival analysis with log-rank significance test were used with SPSS 17.0. Results: A total of 1070 125 I seeds were implanted in 66 cases, on average, (16.2 ± 7.3) seeds for each patient. The satisfaction rates of postoperative quality verification in patients with and without TPS pre-plans were 79.07% (34/43) and 43.48% (10/23) respectively (χ 2 =8.542, P=0.003). Ten patients were lost in follow-up. Local recurrence rates in patients with favorable postoperative quality verification were 0 (0/37) in 3 months, 6.25% (2/32) in 6 months, 13.64% (3/22) in 12 months and 3/9 in 24 months respectively, which were significantly different from those (5.26% (1/19), 16.67% (3/18), 30.77% (4/13), 6/6) in the patients with inferior postoperative quality verification (χ 2 =9.017, P=0.0003). Conclusions: TPS plays an important role in 125 I brachytherapy for orbital tumors. Also, postoperative quality verification by TPS may help predict the local recurrence after brachytherapy. (authors)

  12. SU-C-201-02: Dosimetric Verification of SBRT with FFF-VMAT Using a 3-D Radiochromic/Optical-CT Dosimetry System

    Energy Technology Data Exchange (ETDEWEB)

    Na, Y; Black, P; Wuu, C [Columbia University, New York, NY (United States); Adamovics, J [Department of Chemistry and Biology, Rider University, Skillman, NJ (United States)

    2016-06-15

    Purpose: With an increasing use of small field size and high dose rate irradiation in the advances of radiotherapy techniques, such as stereotactic body radiotherapy (SBRT) and stereotactic radiosurgery (SRS), an in-depth quality assurance (QA) system is required. The purpose of this study is to investigate a high resolution optical CT-based 3D radiochromic dosimetry system for SBRT with intensity modulated radiotherapy (IMRT) and flattening filter free (FFF) volumetric modulated arc therapy (VMAT). Methods: Cylindrical PRESAGE radiochromic dosimeters of 10cm height and 11cm diameter were used to validate SBRT. Four external landmarks were placed on the surface of each dosimeter to define the isocenter of target. SBRT plans were delivered using a Varian TrueBeam™ linear accelerator (LINAC). Three validation plans, SBRT with IMRT (6MV 600MU/min), FFF-VMAT (10MV 2400MU/min), and mixed FFF-VMAT (6MV 1400MU/min, 10MV 2400MU/min), were delivered to the PRESAGE dosimeters. Each irradiated PRESAGE dosimeter was scanned using a single laser beam optical CT scanner and reconstructed with a 1mm × 1mm high spatial resolution. The comparison of measured dose distributions of irradiated PRESAGE dosimeters to those calculated by Pinnacle{sup 3} treatment planning system (TPS) were performed with a 10% dose threshold, 3% dose difference (DD), and 3mm distance-to-agreement (DTA) Gamma criteria. Results: The average pass rates for the gamma comparisons between PRESAGE and Pinnacle{sup 3} in the transverse, sagittal, coronal planes were 94.6%, 95.9%, and 96.4% for SBRT with IMRT, FFF-VMAT, and mixed FFF-VMAT plans, respectively. A good agreement of the isodose distributions of those comparisons were shown at the isodose lines 50%, 70%, 80%, 90% and 98%. Conclusion: This study demonstrates the feasibility of the high resolution optical CT-based 3D radiochromic dosimetry system for validation of SBRT with IMRT and FFF-VMAT. This dosimetry system offers higher precision QA with 3D

  13. Electronic database of patients in radiotherapy: Amedatos

    International Nuclear Information System (INIS)

    Perez Guevara, Adrian; Rodriguez Zayas, Michael; Gonzalez Perez, Yelina; Sola Rodriguez, Yeline; Reyes Gonzalez, Tommy; Caballero, Roberto

    2009-01-01

    Registration and monitoring of patients in the departments of radiotherapy in our country are taken manually, which is difficult when very large number of patients and treatment units in service. Due to these problems in the Department of Radiotherapy 'Hospital Hermanos Ameijeiras' AMEDATOS program was designed in Microsoft Excel. The main program relates different books, macros are used to improve visualization and facilitate the management of data on different sheets (dosimetry, Team, Daily Record, Record monitoring, patient data, dosimetry data, not treated and four sheets of Report). (Author)

  14. MOSFET dosimetry on modern radiation oncology modalities

    International Nuclear Information System (INIS)

    Rosenfeld, A.B.

    2002-01-01

    The development of MOSFET dosimetry is presented with an emphasis on the development of a scanning MOSFET dosimetry system for modern radiation oncology modalities. Fundamental aspects of MOSFETs in relation to their use as dosemeters are briefly discussed. The performance of MOSFET dosemeters in conformal radiotherapy, hadron therapy, intensity-modulated radiotherapy and microbeam radiation therapy is compared with other dosimetric techniques. In particular the application of MOSFET dosemeters in the characterisation and quality assurance of the steep dose gradients associated with the penumbra of some modern radiation oncology modalities is investigated. A new in vivo, on-line, scanning MOSFET read out system is also presented. The system has the ability to read out multiple MOSFET dosemeters with excellent spatial resolution and temperature stability and minimal slow border trapping effects. (author)

  15. A comparative study on patient specific absolute dosimetry using slab phantom, acrylic body phantom and goat head phantom

    Directory of Open Access Journals (Sweden)

    Om Prakash Gurjar

    2015-01-01

    Full Text Available Purpose: To compare the results of patient specific absolute dosimetry using slab phantom, acrylic body phantom and goat head phantom. Methods: Fifteen intensity modulated radiotherapy (IMRT plans already planned on treatment planning system (TPS for head-and-neck cancer patients were exported on all three kinds of phantoms viz. slab phantom, acrylic body phantom and goat head phantom, and dose was calculated using anisotropic analytic algorithm (AAA. All the gantry angles were set to zero in case of slab phantom while set to as it is in actual plan in case of other two phantoms. All the plans were delivered by linear accelerator (LA and dose for each plan was measured by 0.13 cc ion chamber. The percentage (% variations between planned and measured doses were calculated and analyzed. Results: The mean % variations between planned and measured doses of all IMRT quality assurance (QA plans were as 0.65 (Standard deviation (SD: 0.38 with confidence limit (CL 1.39, 1.16 (SD: 0.61 with CL 2.36 and 2.40 (SD: 0.86 with CL 4.09 for slab phantom, acrylic head phantom and goat head phantom respectively. Conclusion: Higher dose variations found in case of real tissue phantom compare to results in case of slab and acrylic body phantoms. The algorithm AAA does not calculate doses in heterogeneous medium as accurate as it calculates in homogeneous medium. Therefore the patient specific absolute dosimetry should be done using heterogeneous phantom mimicking density wise as well as design wise to the actual human body.  

  16. TPS/LDPE blends reinforced with lignocellulose fibers; Compositos TPS/LDPE reforcados com fibras lignocelulosicas

    Energy Technology Data Exchange (ETDEWEB)

    Lopes, G.K.; Andrade, C.T., E-mail: kloc@ima.ufrj.b [Universidade Federal do Rio de Janeiro (IMA/UFRJ), RJ (Brazil). Inst. de Macromoleculas Eloisa Mano

    2010-07-01

    Because of their abundance, availability, low abrasiveness and mechanical properties, cellulose fibers have been frequently chosen as reinforcing fillers in composites. Castor bean cake, the residue from biodiesel production, is rich in lignocellulose fibers and proteins. One of these proteins is ricin, a toxin protein. In this work, ricin was denatured by heat treatment in water at 90 deg C for 4 h. Thermoplastic starch (TPS), low density polyethylene (LDPE), maleated polyethylene (used as the compatibilizing agent), and an organophilic clay were processed in the presence of different contents of heat treated castor bean cake. Processing was carried out in a single-screw extruder, at 400 rpm, with heat zones at 130 deg C, 135 deg C, 135 deg C and 130 deg C (from feed zone to die end). The structural and mechanical properties of the resulting polymeric composites were investigated, and revealed the reinforcing effect of the partially purified cellulose fibers. (author)

  17. Dosimetry and treatment planning of Occu-Prosta 125I seeds for intraocular lesions

    International Nuclear Information System (INIS)

    Chaudhari, Suresh; Deshpande, Sudesh; Anand, Vivek; De, Sandeep; Kannan, V.; Saxena, Sanjay; Dash, A.; Basu, Mahua; Samant, Preetam

    2008-01-01

    Intraocular malignant lesions are frequently encountered in clinical practice. Plaque brachytherapy represents an effective means of treatment for intraocular lesions. Recently Radiopharmaceutical Division, BARC, Mumbai, has indigenously fabricated reasonable-cost 125 I sources. Here we are presenting the preliminary experience of dosimetry of sources, configuration of treatment planning system (TPS) and quality assurance (QA) for eye plaque therapy with Occu-Prosta 125 I seeds, treated in our hospital, for a patient with ocular lesions. 125 I seeds were calibrated using well-type chamber. BrachyVision TPS was configured with Monte Carlo computed radial dose functions and anisotropy functions for 125 I sources. Dose calculated by TPS at different points in central axis and off axis was compared with manually calculated dose. Eye plaque was fabricated of 17 karat pure gold, locally. The seeds were arranged in an outer ring near the edge of the plaque and in concentric rings throughout the plaque. The sources were manually digitized on the TPS, and dose distribution was calculated in three dimensions. Measured activity using cross-calibrated well-type chamber was within ± 10% of the activity specified by the supplier. Difference in TPS-calculated dose and manually calculated dose was within 5%. Treatment time calculated by TPS was in concordance with published data for similar plaque arrangement. (author)

  18. SU-E-T-407: Evaluation of Four Commercial Dosimetry Systems for Routine Patient-Specific Tomotherapy Delivery Quality Assurance

    International Nuclear Information System (INIS)

    Xing, A; Arumugam, S; Deshpande, S; George, A; Holloway, L; Vial, P; Goozee, G

    2014-01-01

    Purpose: The purpose of this project was to evaluate the performance of four commercially available dosimetry systems for Tomotherapy delivery quality assurance (DQA). Methods: Eight clinical patient plans were chosen to represent a range of treatment sites and typical clinical plans. Four DQA plans for each patient plan were created using the TomoTherapy DQA Station (Hi-Art version 4.2.1) on CT images of the ScandiDose Delta4, IBA MatriXX Evolution, PTW Octavius 4D and Sun Nuclear ArcCHECK phantoms. Each detector was calibrated following the manufacture-provided procedure. No angular response correction was applied. All DQA plans for each detector were delivered on the Tomotherapy Hi-Art unit in a single measurement session but on different days. The measured results were loaded into the vendor supplied software for each QA system for comparison with the TPS-calculated dose. The Gamma index was calculated using 3%/3mm, 2%/2mm with 10% dose threshold of maximum TPS calculated dose. Results: Four detector systems showed comparable gamma pass rates for 3%/3m, which is recommended by AAPM TG119 and commonly used within the radiotherapy community. The averaged pass rates ± standard deviation for all DQA plans were (98.35±1.97)% for ArcCHECK, (99.9%±0.87)% for Matrix, (98.5%±5.09)% for Octavius 4D, (98.7%±1.27)% for Delata4. The rank of the gamma pass rate for individual plans was consistent between detectors. Using 2%/2mm Gamma criteria for analysis, the Gamma pass rate decreased on average by 9%, 8%, 6.6% and 5% respectively. Profile and Gamma failure map analysis using the software tools from each dosimetry system indicated that decreased passing rate is mainly due to the threading effect of Tomo plan. Conclusion: Despite the variation in detector type and resolution, phantom geometry and software implementation, the four systems demonstrated similar dosimetric performance, with the rank of the gamma pass rate consistent for the plans considered

  19. Why Radiotherapy Works. Chapter 6

    International Nuclear Information System (INIS)

    Tashiro, S.; Nishibuchi, I.; Wondergem, J.

    2017-01-01

    The history of radiotherapy began in 1895, when Röntgen discovered X rays, and in the following year, radiation was used for medical treatment. In the early days, the development of radiotherapy was based extensively on empiricism. Radiotherapists worked closely with radiation biologists in attempting to describe and understand the phenomena produced by ionizing radiation in the clinic and in biological systems. During the ensuing 120 years, radiotherapy has been improved significantly and, in addition to radiation biology, medical physics has played an important role in the design and development of equipment, quality assurance and dosimetry. Over recent decades, advances have been made in the field of molecular biology. Currently available techniques enable us to elucidate the molecular mechanisms of cellular response to ionizing irradiation, and it is anticipated that the role and contributions of radiation biology in radiotherapy will remain relevant. This chapter describes the clinically important biological points, including knowledge from current molecular biology.

  20. Radiation dosimetry

    International Nuclear Information System (INIS)

    Harper, M.W.; Thomas, B.; Conway, J.

    1977-01-01

    A dosemeter is described that is based on the TSCD principle (thermally stimulated current dosimetry). Basically this involves irradiating a responsive material and then heating it,whereby an electric current is produced. If the material is heated in an electric field the peak value of the thermally stimulated current or alternatively the total charge released by heating, can be related to the radiation dose received. The instrument described utilises a sheet coated with a thermoplastic polymer, such as a poly4-methylpent-l-ene. The polymer should have a softening point not lower than 150 0 C with an electrical resistivity of at least 10 16 chms/cm at 150 0 C. The polymer may also be PTFE. Heating should be in the range 150 0 C to 200 0 C and the electric field in the range 50 to 10,000V/mm. (U.K.)

  1. Physical fundamentals of the application of heavy charged particles in radiotherapy

    International Nuclear Information System (INIS)

    Bueche, G.

    1977-01-01

    In the chapter 'Medical Applications' A 'Radiotherapy' of the study, the following subjects are treated in detail by various authors: Physical fundamentals of the application of heavy charged particles in radiotherapy-radiation-biological fundamentals; clinical aspects of radiotherapy with protons and negative pions; patients and clinical dosimetry. (MG) [de

  2. Organ dosimetry

    International Nuclear Information System (INIS)

    Kaul, Dean C.; Egbert, Stephen D.; Otis, Mark D.; Kuhn, Thomas; Kerr, George D.; Eckerman, Keith F.; Cristy, Mark; Ryman, Jeffrey C.; Tang, Jabo S.; Maruyama, Takashi

    1987-01-01

    This chapter describes the technical approach, complicating factors, and sensitivities and uncertainties of calculations of doses to the organs of the A-bomb survivors. It is the object of the effort so described to provide data that enables the dosimetry system to determine the fluence, kerma, absorbed dose, and similar quantities in 14 organs and the fetus, specified as being of radiobiological interest. This object was accomplished through the use of adjoint Monte Carlo computations, which use a number of random particle histories to determine the relationship of incident neutrons and gamma rays to those transported to a target organ. The system uses these histories to correlate externally-incident energy- and angle-differential fluences with the fluence spectrum (energy differential only) within the target organ. In order for the system to work in the most efficient manner possible, two levels of data were provided. The first level, represented by approximately 6,000 random adjoint-particle histories, enables the computation of the fluence spectrum with sufficient precision to provide statistically reliable (± 6 %) mean doses within any given organ. With this limited history inventory, the system can be run rapidly for all survivors. Mean organ dose and dose uncertainty are obtainable in this mode. The second mode of operation enables the system to produce a good approximation to fluence spectrum within any organ or to produce the dose in each of an array of organ subvolumes. To be statistically reliable, this level of detail requires far more random histories, approximately 40,000 per organ. Thus, operation of the dosimetry system in this mode (i.e., with this data set) is intended to be on an as-needed, organ-specific basis, since the system run time is eight times that in the mean dose mode. (author)

  3. The IAEA/WHO thermoluminescent dosimetry intercomparison used for the improvement of clinical dosimetry

    International Nuclear Information System (INIS)

    Racoveanu, N.T.

    1981-01-01

    Results of thermoluminescent dosimetry collected over 5 years in the Eastern Mediterranean region of WHO were analyzed in an attempt to improve clinical dosimetry. Data for 16 radiotherapy departments showed considerable inconsistencies. It was found that the clinical dosemeters used by 3 of the departments were not working properly. The remainder of the departments had one or more dosemeters in perfect working order but the procedure for measuring machine output was inadequate or the correction factors (pressure, temperature) were wrongly applied due to lack of reliable instruments for such measurements. Problems encountered in the sending and returning of TLD dosemeters for assessment are discussed

  4. Woven TPS Enabling Missions Beyond Heritage Carbon Phenolic

    Science.gov (United States)

    Stackpoole, Margaret M.; Venkatapathy, Ethiraj; Feldman, Jay D.

    2013-01-01

    NASAs Office of the Chief Technologist (OCT) Game Changing Division recently funded an effort to advance a Woven TPS (WTPS) concept. WTPS is a new approach to producing TPS architectures that uses precisely engineered 3D weaving techniques to customize material characteristics needed to meet specific missions requirements for protecting space vehicles from the intense heating generated during atmospheric entry. Using WTPS, sustainable, scalable, mission-optimized TPS solutions can be achieved with relatively low life cycle costs compared with the high costs and long development schedules currently associated with material development and certification. WTPS leverages the mature state-of-the-art weaving technology that has evolved from the textile industry to design TPS materials with tailorable performance. Currently, missions anticipated encountering heat fluxes in the range of 1500 4000 Wcm2 and pressures greater than 1.5 atm are limited to using fully dense Carbon Phenolic. However, fully dense carbon phenolic is only mass efficient at higher heat fluxes g(reater than 4000 Wcm2), and current mission designs suffer this mass inefficiency for lack of an alternative mid-density TPS. WTPS not only bridges this mid-density TPS gap but also offers a replacement for carbon phenolic, which itself requires a significant and costly redevelopment effort to re-establish its capability for use in the high heat flux missions recently prioritized in the NRC Decadal survey, including probe missions to Venus, Saturn and Neptune. This presentation will overview the WTPS concept and present some results from initial testing completed comparing WTPS architectures to heritage carbon phenolic.

  5. Computational dosimetry and risk assessment of radioinduced cancer: studies in mammary glands radiotherapy, radiopharmaceuticals and internal contamination; Dosimetria computacional e estimativa de risco de câncer radioinduzido: estudos em radioterapia de mama, radiofármacos e contaminação interna

    Energy Technology Data Exchange (ETDEWEB)

    Mendes, Bruno Melo

    2017-07-01

    The use of Ionizing radiation (IR) in medicine has increased considerably. The benefits generated by diagnostic and therapy techniques with IR are proven. Nevertheless, the risks arising from these uses should not be underestimated. Justification, a basic radiation protection, states that the benefits from exposures must outweigh detriment. The cancer induction is one of the detriment components. Thus, the study of the benefit/detriment ratio should take into account cancer incidence and mortality estimations resulting from a given diagnosis or therapy radiological technique. The risk of cancer induction depends on the absorbed doses in the irradiated organs and tissues. Thus, IR dosimetry is essential to evaluate the benefit/detriment ratio. The present work aims to perform computational dosimetric evaluations and estimations of cancer induction risk after ionizing radiation exposure. The investigated situations cover nuclear medicine, radiological contamination and radiotherapy fields. Computational dosimetry, with MCNPx Monte Carlo Code, was used as a tool to calculate the absorbed dose in the interest organs of the voxelized human models. The simulations were also used to obtain calibration factors and optimization of in vivo monitoring systems for internal contamination dosimetry. A breast radiotherapy (RT) standard protocol was simulated using the MCNPx code. The calculation of the radiation-induced cancer risk was adapted from the BEIR VII methodology for the Brazilian population. The absorbed doses used in the risk calculations were obtained through computational simulations of different exposure scenarios. During this work, two new computational phantoms, DM{sub B}RA and VW, were generated from tomographic images. Additional twelve voxelized phantoms, including the reference phantoms, RCP{sub A}M and RCP{sub A}F, and the child, baby, and fetus models were adapted to run on MCNP. Internal Dosimetry Protocols (IDP) for radiopharmaceuticals and for internal

  6. Metrological issues in molecular radiotherapy

    International Nuclear Information System (INIS)

    D'Arienzo, Marco; Capogni, Marco; Smyth, Vere; Cox, Maurice; Johansson, Lena; Bobin, Christophe

    2014-01-01

    The therapeutic effect from molecular radiation therapy (MRT), on both tumour and normal tissue, is determined by the radiation absorbed dose. Recent research indicates that as a consequence of biological variation across patients the absorbed dose can vary, for the same administered activity, by as much as two orders of magnitude. The international collaborative EURAMET-EMRP project Metrology for molecular radiotherapy (MetroMRT) is addressing this problem. The overall aim of the project is to develop methods of calibrating and verifying clinical dosimetry in MRT. In the present paper an overview of the metrological issues in molecular radiotherapy is provided. (authors)

  7. Comparative study of different Al{sub 2}O{sub 3}:C dosimeters using OSL technique for dosimetry on Volumetric Modulated Arc Radiotherapy Treatment (VMAT); Estudo comparativo de diferentes dosimetros de Al{sub 2}O{sub 3}:C pela tecnica OSL na dosimetria de tratamentos Radioterapicos por Arco Modulado Volumetrico (VMAT)

    Energy Technology Data Exchange (ETDEWEB)

    Villani, Daniel; Campos, LetIcia L., E-mail: dvillani@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil); Mancini, Anselmo; Haddad, Cecilia M.K. [Hospital Sirio-Libanes, Sao Paulo, SP (Brazil). Centro de Radioterapia

    2016-07-01

    In modern radiotherapy, the VMAT technique has become a successful treatment alternative. Due to its complexity, a quality assurance program must be established by evaluating, among other items, the dosimetric factors. This paper aims to compare the performance between the OSL aluminum oxide (Al{sub 2}O{sub 3}:C) nanoDot™ dosimeters (Inlight™ system) manufactured by Landauer Inc. and TLD-500 Al{sub 2}O{sub 3}:C dosimeters manufactured by Rexon™ for VMAT dosimetry using an anthropomorphic phantom. The results showed that both type of Al{sub 2}O{sub 3}:C dosimeters presented good repeatability and agreement between the doses measured and calculated by planning system. However, the need of sophisticated readers to OSL analysis of the TLD-500, turns it less practical for routine usage, comparing to Inlight™ system. (author)

  8. QA programme in external radiotherapy in Romania - status and perspective

    International Nuclear Information System (INIS)

    Dumitrescu, A.; Milu, C.

    2008-01-01

    Full text: Recognizing the importance of quality assurance in radiotherapy and the need to make access to radiation standards traceable to the international measurement system for every radiotherapy center, the Romanian national secondary standard dosimetry laboratory (SSDL) has started in 1999 - together with IAEA - a national quality audit programme in all the centers for external radiotherapy from Romania. At present, there are 17 radiotherapy centers in Romania, and a total of 19 teletherapy units and 4 LINCs. The programme has 3 phases: the first phase was to organize a survey in all radiotherapy centers, to collect general information on their radio therapists, medical physicists, type of equipment, dosimeters, etc. Following the survey, a quality assurance network was set up, and on-site dosimetry reviews were arranged according to a suitable timetable. The second phase consisted in performing the reference dosimetry and the calibration of the equipment. Then, a quality audit system based on mailed TLDs has been applied to all radiation beams produced by cobalt-60 therapy units and medical accelerators, in order to identify discrepancies in dosimetry larger than ± 3%. At the same time, the beam calibration performed by the SSDLs was verified. The results of the first survey were analyzed, and corrective actions were taken. A second survey was then organized, based on the mailed TLDs. This paper presents in detail the entire QA programme, its results, and the actions that are to be taken in order to improve the accuracy and consistency of the dosimetry in clinical radiotherapy in Romania. (author)

  9. Implementation of MRI gel dosimetry in radiation therapy

    International Nuclear Information System (INIS)

    Baeck, S.Aa.J.

    1998-12-01

    Gel dosimetry was used together with magnetic resonance imaging (MRI) to measure three-dimensional absorbed dose distributions in radiation therapy. Two different dosimeters were studied: ferrous- and monomer gel, based on the principles of radiation-induced oxidation and polymerisation, respectively. Single clinical electron and photon beams were evaluated and gel dose distributions were mainly within 2% of conventional detector results. The ferrous-gel was also used for clinical proton beams. A decrease in signal per absorbed dose was found close to the end of the range of the protons (15-20%). This effect was explained as a linear energy transfer dependence, further supported with Monte Carlo simulations. A method for analysing and comparing data from treatment planning system (TPS) and gel measurements was developed. The method enables a new pixel by pixel evaluation, isodose comparison and dose volume histogram verification. Two standard clinical radiation therapy procedures were examined using the developed TPS verification method. The treatment regimes included several beams of different radiation qualities. The TPS calculated data were in very good agreement with the dose distribution measured by the ferrous-gel. However, in a beam abutment region, larger dose difference was found. Beam adjustment errors and a minor TPS underestimation of the lateral scatter contribution outside the primary electron beam may explain the discrepancy. The overall uncertainty in the ferrous-gel dose determination was considerably reduced using an optimised MRI acquisition protocol and a new MRI scanner. The relative dose uncertainty was found to be better than 3.3% for all dose levels (95% confidence level). Using the method developed for comparing measured gel data with calculated treatment plans, the gel dosimetry method was proven to be a useful tool for radiation treatment planning verification

  10. Implementation of MRI gel dosimetry in radiation therapy

    Energy Technology Data Exchange (ETDEWEB)

    Baeck, S.Aa.J

    1998-12-01

    Gel dosimetry was used together with magnetic resonance imaging (MRI) to measure three-dimensional absorbed dose distributions in radiation therapy. Two different dosimeters were studied: ferrous- and monomer gel, based on the principles of radiation-induced oxidation and polymerisation, respectively. Single clinical electron and photon beams were evaluated and gel dose distributions were mainly within 2% of conventional detector results. The ferrous-gel was also used for clinical proton beams. A decrease in signal per absorbed dose was found close to the end of the range of the protons (15-20%). This effect was explained as a linear energy transfer dependence, further supported with Monte Carlo simulations. A method for analysing and comparing data from treatment planning system (TPS) and gel measurements was developed. The method enables a new pixel by pixel evaluation, isodose comparison and dose volume histogram verification. Two standard clinical radiation therapy procedures were examined using the developed TPS verification method. The treatment regimes included several beams of different radiation qualities. The TPS calculated data were in very good agreement with the dose distribution measured by the ferrous-gel. However, in a beam abutment region, larger dose difference was found. Beam adjustment errors and a minor TPS underestimation of the lateral scatter contribution outside the primary electron beam may explain the discrepancy. The overall uncertainty in the ferrous-gel dose determination was considerably reduced using an optimised MRI acquisition protocol and a new MRI scanner. The relative dose uncertainty was found to be better than 3.3% for all dose levels (95% confidence level). Using the method developed for comparing measured gel data with calculated treatment plans, the gel dosimetry method was proven to be a useful tool for radiation treatment planning verification 103 refs, 20 figs, 6 tabs

  11. Fast neutron dosimetry

    International Nuclear Information System (INIS)

    DeLuca, P.M. Jr.; Pearson, D.W.

    1991-01-01

    During 1988--1990 the magnetic resonance dosimetry project was completed, as were the 250 MeV proton shielding measurements. The first cellular experiment using human cells in vitro at the 1 GeV electron storage ring was also accomplished. More detail may be found in DOE Report number-sign DOE/EV/60417-002 and the open literature cited in the individual progress subsections. We report Kinetic Energy Released in Matter (KERMA), factor measurements in several elements of critical importance to neutron radiation therapy and radiation protection for space habitation and exploration for neutron energies below 30 MeV. The results of this effort provide the only direct measurements of the oxygen and magnesium kerma factors above 20 MeV neutron energy, and the only measurements of the iron kerma factor above 15 MeV. They provide data of immediate relevance to neutron radiotherapy and impose strict criteria for normalizing and testing nuclear models used to calculate kerma factors at higher neutron energies

  12. Experiences with alanine dosimetry in afterloading brachytherapy

    International Nuclear Information System (INIS)

    Eberhardt, H.-J.; Gohs, U.

    1996-01-01

    At the present, the most commonly used dosimetry for radiotherapy applications are ionisation chambers and thermoluminescent dosimeters (TLD). However, there are some undesirable characteristics of these dosimetry systems, such as large detection volume (ionisation chamber) as well as fading of the radiation induced signal with time and destructive readout (TLG). The present study is an investigation into the use of the alanine/ESR dosimetry in fractionated afterloading brachytherapy during the whole radiotherapy course. There are some qualities which make alanine dosimetry attractive. These are the linear energy response, low fading under standard conditions, and the nondestructive readout. Thus the alanine dosimetry makes possible cumulative dose measurements during the radiotherapy course and an archival storage. By ionizing radiation (gamma, e, n, p, charged particles) free radicals (unpaired electrons) are produced in the amino acid alanine. The continuous wave electron spin resonance (ESR) spectroscopy is used to determine the number of free radicals, which is proportional to the absorbed dose and the alanine content of the dosimeter. The ESR measurements were made at room temperature using a Bruker EPR analyzer EMS-104. The dosimeters used in the test are alanine pellets (23.72 mg weight, 4.9 mm diameter, 1 mm height) as well as flexible alanine film dosimeters (thickness about 500 μm). The dosimeters consist of a blend of L-alpha-alanine and a binder. The alanine content of the pellets and the film dosimeters is about 88 % and 50 % by weight, respectively. The dosimeters for the calculation of the dose-effect-relationship were irradiated at the Physical-Technical Bundesanstalt in Braunschweig by a standard 60Co source. The maximum deviation from the calculated linear function is about 0.12 Gy in the dose range up to 80 Gy. The goal of medical applications was the superficial dose measurement in afterloading brachytherapy during the radiotherapy course in

  13. MO-B-BRB-00: Three Dimensional Dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2016-06-15

    Full three-dimensional (3D) dosimetry using volumetric chemical dosimeters probed by 3D imaging systems has long been a promising technique for the radiation therapy clinic, since it provides a unique methodology for dose measurements in the volume irradiated using complex conformal delivery techniques such as IMRT and VMAT. To date true 3D dosimetry is still not widely practiced in the community; it has been confined to centres of specialized expertise especially for quality assurance or commissioning roles where other dosimetry techniques are difficult to implement. The potential for improved clinical applicability has been advanced considerably in the last decade by the development of improved 3D dosimeters (e.g., radiochromic plastics, radiochromic gel dosimeters and normoxic polymer gel systems) and by improved readout protocols using optical computed tomography or magnetic resonance imaging. In this session, established users of some current 3D chemical dosimeters will briefly review the current status of 3D dosimetry, describe several dosimeters and their appropriate imaging for dose readout, present workflow procedures required for good dosimetry, and analyze some limitations for applications in select settings. We will review the application of 3D dosimetry to various clinical situations describing how 3D approaches can complement other dose delivery validation approaches already available in the clinic. The applications presented will be selected to inform attendees of the unique features provided by full 3D techniques. Learning Objectives: L. John Schreiner: Background and Motivation Understand recent developments enabling clinically practical 3D dosimetry, Appreciate 3D dosimetry workflow and dosimetry procedures, and Observe select examples from the clinic. Sofie Ceberg: Application to dynamic radiotherapy Observe full dosimetry under dynamic radiotherapy during respiratory motion, and Understand how the measurement of high resolution dose data in an

  14. Personnel neutron dosimetry

    International Nuclear Information System (INIS)

    Hankins, D.

    1982-04-01

    This edited transcript of a presentation on personnel neutron discusses the accuracy of present dosimetry practices, requirements, calibration, dosemeter types, quality factors, operational problems, and dosimetry for a criticality accident. 32 figs

  15. Monte Carlo simulations to replace film dosimetry in IMRT verification

    International Nuclear Information System (INIS)

    Goetzfried, Thomas; Trautwein, Marius; Koelbi, Oliver; Bogner, Ludwig; Rickhey, Mark

    2011-01-01

    Patient-specific verification of intensity-modulated radiation therapy (IMRT) plans can be done by dosimetric measurements or by independent dose or monitor unit calculations. The aim of this study was the clinical evaluation of IMRT verification based on a fast Monte Carlo (MC) program with regard to possible benefits compared to commonly used film dosimetry. 25 head-and-neck IMRT plans were recalculated by a pencil beam based treatment planning system (TPS) using an appropriate quality assurance (QA) phantom. All plans were verified both by film and diode dosimetry and compared to MC simulations. The irradiated films, the results of diode measurements and the computed dose distributions were evaluated, and the data were compared on the basis of gamma maps and dose-difference histograms. Average deviations in the high-dose region between diode measurements and point dose calculations performed with the TPS and MC program were 0.7 ± 2.7% and 1.2 ± 3.1%, respectively. For film measurements, the mean gamma values with 3% dose difference and 3 mm distance-to-agreement were 0.74 ± 0.28 (TPS as reference) with dose deviations up to 10%. Corresponding values were significantly reduced to 0.34 ± 0.09 for MC dose calculation. The total time needed for both verification procedures is comparable, however, by far less labor intensive in the case of MC simulations. The presented study showed that independent dose calculation verification of IMRT plans with a fast MC program has the potential to eclipse film dosimetry more and more in the near future. Thus, the linac-specific QA part will necessarily become more important. In combination with MC simulations and due to the simple set-up, point-dose measurements for dosimetric plausibility checks are recommended at least in the IMRT introduction phase. (orig.)

  16. KOMPARASI MODEL PEMBELAJARAN TPS DAN SFE TERHADAP KEMAMPUAN PEMAHAMAN KONSEP

    Directory of Open Access Journals (Sweden)

    Febri Susanto

    2014-03-01

    Full Text Available Penelitian ini bertujuan untuk mengetahui apakah pembelajaran model Think Pair Share (TPS dan model Student Facilitator and Explaining (SFE pada siswa kelas X materi jarak pada bangun ruang dapat mencapai ketuntasan belajar dan untuk mengetahui manakah yang lebih efektif antara pembelajaran model Think Pair Share (TPS dan model Student Facilitator and Explaining (SFE. Populasi dalam penelitian ini adalah siswa kelas X SMA N 1 Kota Tegal tahun pelajaran 2012/2013 yang berada dalam sembilan kelas. Sembilan kelas tersebut kemudian dipilih dua kelas secara acak untuk dijadikan sampel dalam penelitian ini yaitu kelas X 2 sebagai kelas eksperimen 1 dan kelas X 1 sebagai kelas eksperimen 2. Uji ketuntasan belajar memberikan hasil yaitu siswa kelas eksperimen 1 dan 2 telah mencapai ketuntasan belajar. Uji kesamaan dua proporsi memberikan hasil yakni proporsi ketuntasan belajar pada aspek pemahaman konsep siswa kelas eksperimen 1 sama baiknya dibanding proporsi ketuntasan belajar pada aspek pemahaman konsep siswa kelas eksperimen 2. Hasil Penelitian menunjukkan pembelajaran model TPS dan SFE pada materi jarak pada bangun ruang telah mencapai ketuntasan belajar dan model pembelajaran TPS sama efektifnya dengan pembelajaran model SFE.

  17. Dosimetry for radiation processing

    DEFF Research Database (Denmark)

    Miller, Arne

    1986-01-01

    During the past few years significant advances have taken place in the different areas of dosimetry for radiation processing, mainly stimulated by the increased interest in radiation for food preservation, plastic processing and sterilization of medical products. Reference services both...... and sterilization dosimetry, optichromic dosimeters in the shape of small tubes for food processing, and ESR spectroscopy of alanine for reference dosimetry. In this paper the special features of radiation processing dosimetry are discussed, several commonly used dosimeters are reviewed, and factors leading...

  18. Dosimetry for audit and clinical trials: challenges and requirements

    International Nuclear Information System (INIS)

    Kron, T; Haworth, A; Williams, I

    2013-01-01

    Many important dosimetry audit networks for radiotherapy have their roots in clinical trial quality assurance (QA). In both scenarios it is essential to test two issues: does the treatment plan conform with the clinical requirements and is the plan a reasonable representation of what is actually delivered to a patient throughout their course of treatment. Part of a sound quality program would be an external audit of these issues with verification of the equivalence of plan and treatment typically referred to as a dosimetry audit. The increasing complexity of radiotherapy planning and delivery makes audits challenging. While verification of absolute dose delivered at a reference point was the standard of external dosimetry audits two decades ago this is often deemed inadequate for verification of treatment approaches such as Intensity Modulated Radiation Therapy (IMRT) and Volumetric Modulated Arc Therapy (VMAT). As such, most dosimetry audit networks have successfully introduced more complex tests of dose delivery using anthropomorphic phantoms that can be imaged, planned and treated as a patient would. The new challenge is to adapt this approach to ever more diversified radiotherapy procedures with image guided/adaptive radiotherapy, motion management and brachytherapy being the focus of current research.

  19. Chemical dosimetry techniques for various applications under different geometries

    CERN Document Server

    Gupta, B L; Narayan, G R; Nilekani, S R

    2000-01-01

    This paper gives the results of dosimetry for various applications under different geometrical arrangements. These applications include: gamma chambers, blood irradiators, radiotherapy using both sup 6 sup 0 Co and accelerators, animal irradiations with different types of radiation sources, fluid irradiators for sludge and rubber latex and industrial electron irradiators. The dosimeters used were Fricke, FBX and alanine/glutamine (spectrophotometric readout).

  20. 3D dosimetry on Ru-106 plaque for ocular melanoma treatments

    International Nuclear Information System (INIS)

    Gueli, A.M.; Mannino, G.; Troja, S.O.; Asero, G.; Burrafato, G.; De Vincolis, R.; Greco, C.; Longhitano, N.; Occhipinti, A.

    2011-01-01

    For a few years at the Azienda Ospedaliero - Universitaria “Policlinico - Vittorio Emanuele” of Catania (Italy), ocular melanoma brachytherapic treatments with Ru-106 plaques have been made. This type of treatment is planned using the specific Treatment Planning System (TPS) BEBIG “Plaque Simulator” software that simulates the delivered dose distribution from the source used on the eye tissue. Improving dosimetry for ophthalmic therapeutic applications is worthwhile. Accurate dose measurements require detectors of adequate dimensions with respect to small distances involved. The main objective of the work is the improvement of dosimetry accuracy with a high sensitivity and spatial resolution system such as EBT2 Gafchromic ® film. The relative depth dose, the 2D and 3D distributions, the source uniformity and asymmetry were obtained using custom tissue equivalent phantom. Experimental results were compared with manufacturer’s calibration certificate data, TPS calculated values and Monte Carlo simulation results.

  1. Neutron dosimetry - A review

    Energy Technology Data Exchange (ETDEWEB)

    Baum, J W

    1955-03-29

    This review summarizes information on the following subjects: (1) physical processes of importance in neutron dosimetry; (2) biological effects of neutrons; (3) neutron sources; and (4) instruments and methods used in neutron dosimetry. Also, possible improvements in dosimetry instrumentation are outlined and discussed. (author)

  2. Thermal, mechanical and morphological behavior of starch thermoplastic (TPS) and polycaprolactone (PCL)

    International Nuclear Information System (INIS)

    Campos, Adriana de; Marconcini, Jose M.; Mattoso, Luiz H.C.

    2011-01-01

    Thermal, mechanical and morphological properties of thermoplastic starch (TPS) and polycaprolactone (PCL) blend obtained by extrusion was studied. The results showed that TPS/PCL blends are immiscible, however it is suggested some interaction in the interphase between TPS and PCL as observed by crystallinity decrease of the blend. The PCL addition in the TPS improves the properties and decreases the cost of the blend. (author)

  3. High-temperature behavior of advanced spacecraft TPS

    Science.gov (United States)

    Pallix, Joan

    1994-05-01

    The objective of this work has been to develop more efficient, lighter weight, and higher temperature thermal protection systems (TPS) for future reentry space vehicles. The research carried out during this funding period involved the design, analysis, testing, fabrication, and characterization of thermal protection materials to be used on future hypersonic vehicles. This work is important for the prediction of material performance at high temperature and aids in the design of thermal protection systems for a number of programs including programs such as the National Aerospace Plane (NASP), Pegasus and Pegasus/SWERVE, the Comet Rendezvous and Flyby Vehicle (CRAF), and the Mars mission entry vehicles. Research has been performed in two main areas including development and testing of thermal protection systems (TPS) and computational research. A variety of TPS materials and coatings have been developed during this funding period. Ceramic coatings were developed for flexible insulations as well as for low density ceramic insulators. Chemical vapor deposition processes were established for the fabrication of ceramic matrix composites. Experimental testing and characterization of these materials has been carried out in the NASA Ames Research Center Thermophysics Facilities and in the Ames time-of-flight mass spectrometer facility. By means of computation, we have been better able to understand the flow structure and properties of the TPS components and to estimate the aerothermal heating, stress, ablation rate, thermal response, and shape change on the surfaces of TPS. In addition, work for the computational surface thermochemistry project has included modification of existing computer codes and creating new codes to model material response and shape change on atmospheric entry vehicles in a variety of environments (e.g., earth and Mars atmospheres).

  4. SU-F-T-562: Validation of EPID-Based Dosimetry for FSRS Commissioning

    International Nuclear Information System (INIS)

    Song, Y; Saleh, Z; Obcemea, C; Chan, M; Tang, X; Lim, S; Lovelock, D; Ballangrud, A; Mueller, B; Zinovoy, M; Gelblum, D; Mychalczak, B; Both, S

    2016-01-01

    Purpose: The prevailing approach to frameless SRS (fSRS) small field dosimetry is Gafchromic film. Though providing continuous information, its intrinsic uncertainties in fabrication, response, scan, and calibration often make film dosimetry subject to different interpretations. In this study, we explored the feasibility of using EPID portal dosimetry as a viable alternative to film for small field dosimetry. Methods: Plans prescribed a dose of 21 Gy were created on a flat solid water phantom with Eclipse V11 and iPlan for small static square fields (1.0 to 3.0 cm). In addition, two clinical test plans were computed by employing iPlan on a CIRS Kesler head phantom for target dimensions of 1.2cm and 2.0cm. Corresponding portal dosimetry plans were computed using the Eclipse TPS and delivered on a Varian TrueBeam machine. EBT-XD film dosimetry was performed as a reference. The isocenter doses were measured using EPID, OSLD, stereotactic diode, and CC01 ion chamber. Results: EPID doses at the center of the square field were higher than Eclipse TPS predicted portal doses, with the mean difference being 2.42±0.65%. Doses measured by EBT-XD film, OSLD, stereotactic diode, and CC01 ion chamber revealed smaller differences (except OSLDs), with mean differences being 0.36±3.11%, 4.12±4.13%, 1.7±2.76%, 1.45±2.37% for Eclipse and −1.36±0.85%, 2.38±4.2%, −0.03±0.50%, −0.27±0.78% for iPlan. The profiles measured by EPID and EBT-XD film resembled TPS (Eclipse and iPlan) predicted ones within 3.0%. For the two clinical test plans, the EPID mean doses at the center of field were 2.66±0.68% and 2.33±0.32% higher than TPS predicted doses. Conclusion: We found that results obtained with EPID portal dosimetry were slightly higher (∼2%) than those obtained with EBT-XD film, diode, and CC01 ion chamber with the exception of OSLDs, but well within IROC tolerance (5.0%). Therefore, EPID has the potential to become a viable real-time alternative method to film dosimetry.

  5. SU-F-T-562: Validation of EPID-Based Dosimetry for FSRS Commissioning

    Energy Technology Data Exchange (ETDEWEB)

    Song, Y; Saleh, Z; Obcemea, C; Chan, M; Tang, X; Lim, S; Lovelock, D; Ballangrud, A; Mueller, B; Zinovoy, M; Gelblum, D; Mychalczak, B; Both, S [Memorial Sloan Kettering Cancer Center, NY (United States)

    2016-06-15

    Purpose: The prevailing approach to frameless SRS (fSRS) small field dosimetry is Gafchromic film. Though providing continuous information, its intrinsic uncertainties in fabrication, response, scan, and calibration often make film dosimetry subject to different interpretations. In this study, we explored the feasibility of using EPID portal dosimetry as a viable alternative to film for small field dosimetry. Methods: Plans prescribed a dose of 21 Gy were created on a flat solid water phantom with Eclipse V11 and iPlan for small static square fields (1.0 to 3.0 cm). In addition, two clinical test plans were computed by employing iPlan on a CIRS Kesler head phantom for target dimensions of 1.2cm and 2.0cm. Corresponding portal dosimetry plans were computed using the Eclipse TPS and delivered on a Varian TrueBeam machine. EBT-XD film dosimetry was performed as a reference. The isocenter doses were measured using EPID, OSLD, stereotactic diode, and CC01 ion chamber. Results: EPID doses at the center of the square field were higher than Eclipse TPS predicted portal doses, with the mean difference being 2.42±0.65%. Doses measured by EBT-XD film, OSLD, stereotactic diode, and CC01 ion chamber revealed smaller differences (except OSLDs), with mean differences being 0.36±3.11%, 4.12±4.13%, 1.7±2.76%, 1.45±2.37% for Eclipse and −1.36±0.85%, 2.38±4.2%, −0.03±0.50%, −0.27±0.78% for iPlan. The profiles measured by EPID and EBT-XD film resembled TPS (Eclipse and iPlan) predicted ones within 3.0%. For the two clinical test plans, the EPID mean doses at the center of field were 2.66±0.68% and 2.33±0.32% higher than TPS predicted doses. Conclusion: We found that results obtained with EPID portal dosimetry were slightly higher (∼2%) than those obtained with EBT-XD film, diode, and CC01 ion chamber with the exception of OSLDs, but well within IROC tolerance (5.0%). Therefore, EPID has the potential to become a viable real-time alternative method to film dosimetry.

  6. In vivo dosimetry: measurement of entrance and exit dose using MOSFET dosimeter

    International Nuclear Information System (INIS)

    Gopiraj, A.; Billimagga, Ramesh S.; Rekha, M.; Ramasubramaniam, V.

    2007-01-01

    Patient dose verification is an essential part of a Quality Assurance (QA) program in a Radiotherapy Department. As the transition is made from the conventional two-dimensional (2D) to three-dimensional (3D) conformal and intensity modulated therapy, it is recommended that new treatment techniques be checked systematically to guarantee accurate dose delivery by means of a comprehensive in vivo dosimetry program (i.e. real-time dosimetry during patient treatment). The authors conducted a study to assess the clinical utility of in vivo dosimetry in the Dept. of Radiation Oncology using MOSFET dosimetry system

  7. Chemical dosimetry principles in high dose dosimetry

    International Nuclear Information System (INIS)

    Mhatre, Sachin G.V.

    2016-01-01

    In radiation processing, activities of principal concern are process validation and process control. The objective of such formalized procedures is to establish documentary evidence that the irradiation process has achieved the desired results. The key element of such activities is inevitably a well characterized reliable dosimetry system that is traceable to recognized national and international dosimetry standards. Only such dosimetry systems can help establish the required documentary evidence. In addition, industrial radiation processing such as irradiation of foodstuffs and sterilization of health careproducts are both highly regulated, in particular with regard to dose. Besides, dosimetry is necessary for scaling up processes from the research level to the industrial level. Thus, accurate dosimetry is indispensable

  8. A Finnish national code of practice for reference dosimetry of radiation therapy

    International Nuclear Information System (INIS)

    Kosunen, A.; Sipilae, P.; Jaervinen, H.; Parkkinen, R.; Jokelainen, I.

    2002-01-01

    Full text: A national Code of Practice (CoP) for reference dosimetry of radiation therapy in Finland will be established during 2002 and will be implemented from the beginning of 2003. The CoP will cover dosimetry of the conventional radiotherapy modalities used in Finland i.e. external radiotherapy with megavoltage photon and electron beams, external radiotherapy with low energy kilovoltage X-ray beams and brachytherapy. The formalisms for external radiation beam dosimetry are those of TRS 389. For brachytherapy the formalism will follow the general guidelines of TECDOC-1274. The CoP will be prepared by the SSDL of STUK in close co-operation with the Finnish radiotherapy physicists. For external beam radiotherapy, the main objective of the national Code of Practice for radiation therapy dosimetry is to maintain the achieved good level of consistency of the dosimetry procedures in external beam radiotherapy as the 'absorbed dose to water' based approach of TRS 389 is implemented in Finland. In the CoP the dosimetry the procedures are described for the whole dosimetry chain starting from the calibration of the ionisation chambers at the SSDL of STUK and ending to the calibration of the beam monitor ionisation chamber of a linear accelerator. For brachytherapy dosimetry the aim is to fix the national practice for reference air kerma rate calibrations both for radioactive sources and for well-type ionisation chambers. Although the dosimetry procedures are described independently of the SSDL service, CoP makes use of the special features of the calibration service offered by the SSDL of STUK. For ionisation chambers used for photon dosimetry the calibration factors for the user measurement chain are given not only for the actual reference beam quality ( 60 Co) but also for a set of user beam qualities. Furthermore, SSDL of STUK offers calibration services for plane parallel ionisation chambers in an electron beam of a user linac. For brachytherapy SSDL of STUK has

  9. Dosimetry system 1986

    International Nuclear Information System (INIS)

    Woolson, William A.; Egbert, Stephen D.; Gritzner, Michael L.

    1987-01-01

    In May 1983, the authors proposed a dosimetry system for use by the Radiation Effects Research Foundation (RERF) that would incorporate the new findings and calculations of the joint United States - Japan working groups on the reassessment of A-bomb dosimetry. The proposed dosimetry system evolved from extensive discussions with RERF personnel, numerous meetings of the scientists from Japan and the United States involved in the dosimetry reassessment research, and requirements expressed by epidemiologists and radiobiologists on the various review panels. The dosimetry system proposed was based on considerations of the dosimetry requirements for the normal work of RERF and for future research in radiobiology, the computerized input data on A-bomb survivors available in the RERF data base, the level of detail, precision, and accuracy of various components of the dosimetric estimates, and the computer resources available at RERF in Hiroshima. These discussions and our own experience indicated that, in light of the expansion of computer and radiation technologies and the desire for more detail in the dosimetry, an entirely new approach to the dosimetry system was appropriate. This resulted in a complete replacement of the T65D system as distinguished from a simpler approach involving a renormalization of T65D parameters to reflect the new dosimetry. The proposed dosimetry system for RERF and the plan for implementation was accepted by the Department of Energy (DOE) Working Group on A-bomb Dosimetry chaired by Dr. R.F. Christy. The dosimetry system plan was also presented to the binational A-bomb dosimetry review groups for critical comment and was discussed at joint US-Japan workshop. A prototype dosimetry system incorporating preliminary dosimetry estimates and applicable to only a limited set of A-bomb survivors was installed on the RERF computer system in the fall of 1984. This system was successfully operated at RERF and provided an initial look at the impact of

  10. Applications of gel dosimetry

    International Nuclear Information System (INIS)

    Ibbott, Geoffrey S

    2004-01-01

    Gel dosimetry has been examined as a clinical dosimeter since the 1950s. During the last two decades, however, a rapid increase in the number of investigators has been seen, and the body of knowledge regarding gel dosimetry has expanded considerably. Gel dosimetry is still considered a research project, and the introduction of this tool into clinical use is proceeding slowly. This paper will review the characteristics of gel dosimetry that make it desirable for clinical use, the postulated and demonstrated applications of gel dosimetry, and some complications, set-backs, and failures that have contributed to the slow introduction into routine clinical use

  11. TLD Quality Assurance (QA) network in radiotherapy and radiology in the Czech Republic

    International Nuclear Information System (INIS)

    Kroutilikova, D.; Novak, N.; Novotny, J.

    2002-01-01

    Full text: The Czech TLD QA network was established in 1997, as a part of the External Auditing Group (EAG) originated in 1995, in order to perform an independent quality audit in external beam therapy for two purposes: a) to unify the dose within radiotherapy departments, b) to impact state supervision. On basis of a good experience with this network in radiotherapy, new methods were developed to expand the network also to radiology in order to simplify the operation of state supervision. The TLD QA network in dental radiology has been brought into practice in 2001. Both the TLD audits performed in radiotherapy and radiology are realized via mailed dosimetry. In radiotherapy, two modes of the audit are used. Basic mode of TLD audit covers measurements under reference conditions, specifically beam calibration checks for all clinically used photon and electron beams. According to Czech regulations every beam must be checked in this way at least once during two years' period. Advanced mode consists of measurements under both reference and non- reference conditions using Leuven multi-purpose phantom for photon beams. It enables to check a substantial part of the treatment planning process inclusive of final dose realization of the planned radiotherapy. The radiotherapy centers are instructed to deliver absorbed dose of 2 Gy to the TLDs on central beam axis based on calculated treatment time or monitor units by their treatment planning system for a particular treatment set-up. In this way the TLD measured doses are compared with the calculated ones. Deviations of ±3% are considered acceptable for both basic and advanced modes of the audit, deviations up to ±6% are still tolerable, but new audit is repeated as soon as possible to solve the dosimetry problem. Deviations above ±6% leads immediately to investigation by EAG. There are 34 centers in the Czech Republic, which provide external beam radiotherapy. Since they must undergo the basic TLD audit regularly every

  12. High-accuracy dosimetry study for intensity-modulated radiation therapy(IMRT) commissioning

    International Nuclear Information System (INIS)

    Jeong, Hae Sun

    2010-02-01

    Intensity-modulated radiation therapy (IMRT), an advanced modality of high-precision radiotherapy, allows for an increase in dose to the tumor volume without increasing the dose to nearby critical organs. In order to successfully achieve the treatment, intensive dosimetry with accurate dose verification is necessary. A dosimetry for IMRT, however, is a challenging task due to dosimetric ally unfavorable phenomena such as dramatic changes of the dose at the field boundaries, dis-equilibrium of the electrons, non-uniformity between the detector and the phantom materials, and distortion of scanner-read doses. In the present study, therefore, the LEGO-type multi-purpose dosimetry phantom was developed and used for the studies on dose measurements and correction. Phantom materials for muscle, fat, bone, and lung tissue were selected after considering mass density, atomic composition, effective atomic number, and photon interaction coefficients. The phantom also includes dosimeter holders for several different types of detectors including films, which accommodates a construction of different designs of phantoms as necessary. In order to evaluate its performance, the developed phantom was tested by measuring the point dose and the percent depth dose (PDD) for small size fields under several heterogeneous conditions. However, the measurements with the two types of dosimeter did not agree well for the field sizes less than 1 x 1 cm 2 in muscle and bone, and less than 3 x 3 cm 2 in air cavity. Thus, it was recognized that several studies on small fields dosimetry and correction methods for the calculation with a PMCEPT code are needed. The under-estimated values from the ion chamber were corrected with a convolution method employed to eliminate the volume effect of the chamber. As a result, the discrepancies between the EBT film and the ion chamber measurements were significantly decreased, from 14% to 1% (1 x 1 cm 2 ), 10% to 1% (0.7 x 0.7 cm 2 ), and 42% to 7% (0.5 x 0

  13. High-accuracy dosimetry study for intensity-modulated radiation therapy(IMRT) commissioning

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Hae Sun

    2010-02-15

    Intensity-modulated radiation therapy (IMRT), an advanced modality of high-precision radiotherapy, allows for an increase in dose to the tumor volume without increasing the dose to nearby critical organs. In order to successfully achieve the treatment, intensive dosimetry with accurate dose verification is necessary. A dosimetry for IMRT, however, is a challenging task due to dosimetric ally unfavorable phenomena such as dramatic changes of the dose at the field boundaries, dis-equilibrium of the electrons, non-uniformity between the detector and the phantom materials, and distortion of scanner-read doses. In the present study, therefore, the LEGO-type multi-purpose dosimetry phantom was developed and used for the studies on dose measurements and correction. Phantom materials for muscle, fat, bone, and lung tissue were selected after considering mass density, atomic composition, effective atomic number, and photon interaction coefficients. The phantom also includes dosimeter holders for several different types of detectors including films, which accommodates a construction of different designs of phantoms as necessary. In order to evaluate its performance, the developed phantom was tested by measuring the point dose and the percent depth dose (PDD) for small size fields under several heterogeneous conditions. However, the measurements with the two types of dosimeter did not agree well for the field sizes less than 1 x 1 cm{sup 2} in muscle and bone, and less than 3 x 3 cm{sup 2} in air cavity. Thus, it was recognized that several studies on small fields dosimetry and correction methods for the calculation with a PMCEPT code are needed. The under-estimated values from the ion chamber were corrected with a convolution method employed to eliminate the volume effect of the chamber. As a result, the discrepancies between the EBT film and the ion chamber measurements were significantly decreased, from 14% to 1% (1 x 1 cm{sup 2}), 10% to 1% (0.7 x 0.7 cm{sup 2}), and 42

  14. The physics of small megavoltage photon beam dosimetry.

    Science.gov (United States)

    Andreo, Pedro

    2018-02-01

    The increased interest during recent years in the use of small megavoltage photon beams in advanced radiotherapy techniques has led to the development of dosimetry recommendations by different national and international organizations. Their requirement of data suitable for the different clinical options available, regarding treatment units and dosimetry equipment, has generated a considerable amount of research by the scientific community during the last decade. The multiple publications in the field have led not only to the availability of new invaluable data, but have also contributed substantially to an improved understanding of the physics of their dosimetry. This work provides an overview of the most important aspects that govern the physics of small megavoltage photon beam dosimetry. Copyright © 2017 Elsevier B.V. All rights reserved.

  15. Audits for advanced treatment dosimetry

    Science.gov (United States)

    Ibbott, G. S.; Thwaites, D. I.

    2015-01-01

    Radiation therapy has advanced rapidly over the last few decades, progressing from 3D conformal treatment to image-guided intensity modulated therapy of several different flavors, both 3D and 4D and to adaptive radiotherapy. The use of intensity modulation has increased the complexity of quality assurance and essentially eliminated the physicist's ability to judge the validity of a treatment plan, even approximately, on the basis of appearance and experience. Instead, complex QA devices and procedures are required at the institutional level. Similarly, the assessment of treatment quality through remote and on-site audits also requires greater sophistication. The introduction of 3D and 4D dosimetry into external audit systems must follow, to enable quality assurance systems to perform meaningful and thorough audits.

  16. Audits for advanced treatment dosimetry

    International Nuclear Information System (INIS)

    Ibbott, G S; Thwaites, D I

    2015-01-01

    Radiation therapy has advanced rapidly over the last few decades, progressing from 3D conformal treatment to image-guided intensity modulated therapy of several different flavors, both 3D and 4D and to adaptive radiotherapy. The use of intensity modulation has increased the complexity of quality assurance and essentially eliminated the physicist's ability to judge the validity of a treatment plan, even approximately, on the basis of appearance and experience. Instead, complex QA devices and procedures are required at the institutional level. Similarly, the assessment of treatment quality through remote and on-site audits also requires greater sophistication. The introduction of 3D and 4D dosimetry into external audit systems must follow, to enable quality assurance systems to perform meaningful and thorough audits

  17. Application of numerical analysis methods to thermoluminescence dosimetry; Aplicacion de metodos de analisis numerico a la dosimetria por termoluminiscencia

    Energy Technology Data Exchange (ETDEWEB)

    Gomez Ros, J M; Delgado, A

    1989-07-01

    This report presents the application of numerical methods to thermoluminescence dosimetry (TLD), showing the advantages obtained over conventional evaluation systems. Different configurations of the analysis method are presented to operate in specific dosimetric applications of TLD, such as environmental monitoring and mailed dosimetry systems for quality assurance in radiotherapy facilities. (Author) 10 refs.

  18. Conformal Ablative Thermal Protection Systems (CA-TPS) for Venus and Saturn Backshells

    Science.gov (United States)

    Beck, R.; Gasch, M.; Stackpoole, M.; Wilder, M.; Boghozian, T.; Chavez-Garcia, J.; Prabhu, Dinesh; Kazemba, Cole D.; Venkatapathy, E.

    2016-01-01

    This poster provides an overview of the work performed to date on the Conformal Ablative TPS (CA-TPS) element of the TPSM project out of GCDP. Under this element, NASA is developing improved ablative TPS materials based on flexible felt for reinforcement rather than rigid reinforcements. By replacing the reinforcements with felt, the resulting materials have much higher strain-to-failure and are much lower in thermal conductivity than their rigid counterparts. These characteristics should allow for larger tile sizes, direct bonding to aeroshells and even lower weight TPS. The conformal phenolic impregnated carbon felt (C-PICA) is a candidate for backshell TPS for both Venus and Saturn entry vehicles.

  19. Radiotherapy and brachytherapy

    International Nuclear Information System (INIS)

    2007-02-01

    This presentation first defines the radiotherapy and brachytherapy techniques, indicates the used ionizing radiations (electromagnetic and particles), describes the mechanisms and processes of action of ionizing radiations: they can be physical by photon-matter interactions (Compton effect and photoelectric effect) or due to electron-matter interactions (excitation, ionization), physical-chemical by direct or indirect action (DNA damage), cellular (mitotic or apoptotic death), tissue (sane and tumorous tissues and differential effect). It discusses the biological efficiency of these treatments which depends on different parameters: intrinsic radio-sensitivity, time (session fractioning and organisation in time), oxygen, radiation quality, cellular cycle, dose rate, temperature. It presents the different types of radiotherapy: external radiotherapy (general sequence, delineation, dosimetry, protection of critical organs, treatment session, quality control, monitoring consultation) and briefly presents some specific techniques (total body irradiation, total cutaneous electron therapy, pre-operation radiotherapy, radio-surgery, hadron-therapy). It proposes an overview of the main indications for this treatment: brain tumours, upper aero digestive tract tumours, bronchial tumours, oesophagus, stomach and pancreas tumours, breast tumours, cervix cancer, rectum tumour, and so on, and indicates the possible associated treatments. The next part addresses brachytherapy. It presents the principles and comments the differences with radiotherapy. It indicates the used radio-elements (Caesium 137, Iridium 192, Iodine 125), describes the implementation techniques (plastic tubes, use of iodine 125, intracavitary and endo-luminal radiation therapy). It proposes an overview of the different treated tumours (skin, breast, prostates, bronchial, oesophagus, ENT) and indicates possible early and late secondary effects for different organs

  20. Cellular dosimetry

    International Nuclear Information System (INIS)

    Humm, J.L.; Chin, L.M.

    1989-01-01

    Radiation dose is a useful predictive parameter for describing radiation toxicity in conventional radiotherapy. Traditionally, in vitro radiation biology dose-effect relations are expressed in the form of cell survival curves, a semilog plot of cell survival versus dose. However, the characteristic linear or linear quadratic survival curve shape, for high- and low-LET radiations respectively, is only strictly valid when the radiation dose is uniform across the entire target population. With an external beam of 60 Co gamma rays or x-rays, a uniform field may be readily achievable. When radionuclides are incorporated into a cell milieu, several new problems emerge which can result in a departure from uniformity in energy deposition throughout a cell population. This nonuniformity can have very important consequences for the shape of the survival curve. Cases in which perturbations of source uniformity may arise include: 1. Elemental sources may equilibrate in the cell medium with partition coefficients between the extracellular, cytosol, and nuclear compartments. The effect of preferential cell internalization or binding to cell membrane of some radionuclides can increase or decrease the slope of the survival curve. 2. Radionuclides bound to antibodies, hormones, metabolite precursors, etc., may result in a source localization pattern characteristic of the carrier agent, i.e., the sources may bind to cell surface receptors or antigens, be internalized, bind to secreted antigen concentrated around a fraction of the cell population, or become directly incorporated into the cell DNA. We propose to relate the distribution of energy deposition in cell nuclei to biological correlates of cellular inactivation. The probability of each cell's survival is weighted by its individual radiation burden, and the summation of these probabilities for the cell population can be used to predict the number or fraction of cell survivors

  1. Evaluation of detector array technology for the verification of advanced intensity-modulated radiotherapy

    Science.gov (United States)

    Hussien, Mohammad

    Purpose: Quality assurance (QA) for intensity modulated radiotherapy (IMRT) has evolved substantially. In recent years, various ionization chamber or diode detector arrays have become commercially available, allowing pre-treatment absolute dose verification with near real-time results. This has led to a wide uptake of this technology to replace point dose and film dosimetry and to facilitate QA streamlining. However, arrays are limited by their spatial resolution giving rise to concerns about their response to clinically relevant deviations. The common factor in all commercial array systems is the reliance on the gamma index (γ) method to provide the quantitative evaluation of the measured dose distribution against the Treatment Planning System (TPS) calculated dose distribution. The mathematical definition of the gamma index presents computational challenges that can cause a variation in the calculation in different systems. The purpose of this thesis was to evaluate the suitability of detector array systems, combined with their implementation of the gamma index, in the verification and dosimetry audit of advanced IMRT. Method: The response of various commercial detector array systems (Delta4®, ArcCHECK®, and the PTW 2D-Array seven29™ and OCTAVIUS II™ phantom combination, Gafchromic® EBT2 and composite EPID measurements) to simulated deliberate changes in clinical IMRT and VMAT plans was evaluated. The variability of the gamma index calculation in the different systems was also evaluated by comparing against a bespoke Matlab-based gamma index analysis software. A novel methodology for using a commercial detector array in a dosimetry audit of rotational radiotherapy was then developed. Comparison was made between measurements using the detector array and those performed using ionization chambers, alanine and radiochromic film. The methodology was developed as part of the development of a national audit of rotational radiotherapy. Ten cancer centres were

  2. HASIL BELAJAR DAN PEMBELAJARAN KOOPERATIF TIPE THINK PAIR SHARE (TPS

    Directory of Open Access Journals (Sweden)

    Loli Jasdilla

    2017-03-01

    Full Text Available The objectives of this research is to improve social science outcomes by using Think Pair Share (TPS for the fourth grade in elementary school. This research is classroom action research. The procedure of this research conducted planning, acting, observation, and reflection. Subject of this research was 22 students for the fourth grade in SD 20 Kalumbuk, Padang. Techniques of collecting data were using test and observation. Data analyzed by using thematic analysis. Data validated by using triangulation, member checking, and reflecivity. The students’ learning outcomes improved from 76,75% into 89,67% (very good. The result of this research shows that cooperative model of Think Pair Share (TPS type can improve social science outcomes for the fourth grade students of elementary school.

  3. Verification of the precision and accuracy of the TPS dosimetric calculations using the 3.0 version MIRS TECDOC-1583 of the IAEA (2008)

    International Nuclear Information System (INIS)

    Gonzalez Perez, Yelina; Rodriguez Zayas, Michael; Perez Guevara, Adrian; Sola Rodriguez, Yeline; Reyes Gonzalez, Tommy; Sanchez Zamora; Luis; Caballero, Roberto

    2009-01-01

    Radiotherapy is one of the basic therapeutic tools to treat malignant tumors. The treatment of a tumor with ionizing radiation is a continuous process with distinct stages, which is the computerized planning, being a fundamental component within this process, it is in this phase are designed and calculated the patient treatment. Systems for Radiotherapy Treatment Planning (TPS) are the tools to perform the treatment planning. The Radiotherapy Service of the Hospital Hermanos Ameijeiras acquired MIRS software version 3.0, which has potential as conventional radiation therapy planning tools and compliance with 3D, multiple imaging studies and calculation of dose according to patient data and equipment. For the complexity of these calculations and the reliability which must have the same, the software should be subjected to rigorous acceptance testing. We verify the precision and accuracy of the TPS dosimetric calculation by applying the most recent protocol of acceptance of the IAEA for these systems (2008). After implementation of the testing set is unable to verify the dose calculations are within the tolerances allowed. (Author)

  4. In vivo dosimetry in radiation therapy in Sweden; In vivo-dosimetri inom straalbehandling i Sverige