Measurements of planar and depth dose distributions using a scintillating fiber-optic image sensor system for dosimetry in radiotherapeutic applications

We developed a scintillating fiber-optic image sensor system (SFISS) using square plastic optical fibers (POFs), a scintillating film, a right-angle mirror, and a complementary metal-oxide semiconductor (CMOS) image camera for dosimetry in radiotherapeutic applications. In this study, the scintillating light images were obtained for measuring two-dimensional planar dose distributions of a 6MV photon beam in a solid-water phantom. We also measured the percentage depth doses (PDDs) of 6 and 15MV photon beams using the SFISS and compared them with those obtained using conventional dosimetry films. The proposed sensor has many advantages, such as real-time readout, high-resolution measurement, and lack of corrections for temperature, pressure, and humidity. From the results of this study, it is expected that a SFISS can be developed to accurately measure the dose distribution in a small beam field for stereotactic radiosurgery (SRS).     

Development of One-dimensional Fiber-Optic Radiation Sensor for Measuring Dose Distributions of High Energy Photon Beams

The purpose of this study was to develop a method for measuring the one-dimensional dose distribution of a high-energy photon beam using a miniaturized high-resolution fiber-optic radiation sensor array. The measurements were made by thin plastic optical fibers with organic scintillating fiber sensor probes that emit the visible wavelength of light. The scintillating light is guided to a silicon photodiode array by plastic optical fibers in order to convert light output to an electrical signal. The one-dimensional spatial dependence of photon beam is measured by a one-dimensional fiberoptic sensor array in a poly(methyl methacrylate) (PMMA) phantom. It is shown that this fiber-optic radiation sensor has better spatial resolution than a conventional ionization chamber and much less time is required to measure one-dimensional dose distribution in the high radiation fields. The real-time and the high spatial resolution measurements due to the small detector volume make this system suitable for dosimetry in radiation therapy.     

Measurements and removal of cerenkov light generated in scintillating fiber-optic sensor induced by high-energy electron beams using a spectrometer

In this study, we measured scintillating and Cerenkov lights generated in a scintillating fiber-optic sensor using highenergy electron beams and a spectrometer. The spectrum of Cerenkov light generated in a plastic optical fiber was measured with a spectrometer and the intensities of Cerenkov light were measured for irradiated lengths of the plastic optical fiber by integrating the photon counts at every wavelength of the spectrum. The intensities of Cerenkov and scintillating lights were also characterized as a function of the incident angle of an electron beam from a clinical linear accelerator (CLINAC). To minimize or remove Cerenkov light, a subtraction method was employed using a background optical fiber.     

Study on energy dependence of PAGAT polymer gel dosimeter evaluated using X-Ray CT

The normoxic polymer gel dosimeter evaluated with X-Ray computed tomography has emerged as a promising tool for measuring the dose delivered during radiotherapy in three dimensions. This study presents the dependence of PAGAT normoxic polymer gel sensitivity to different photon and electron energies. PAGAT polymer gel was prepared under normal atmospheric condition and irradiated with different photon energies of 1.25 MeV from Co-60 and 6 MV and 15 MV from linear accelerator and electron energies of 6, 9, 12, 15, 18 and 21 MeV from linear accelerator. Evaluation of dosimeter was performed with an X-Ray CT scanner. Images were acquired with optimum scanning protocols to reduce the signal-to-noise ratio. The averaged image was subtracted from the unirradiated polymer gel image for background. Central axis depth dose (PDD) curves obtained for each energy and polymer gel dosimeter measurements were in good agreement with diode and film measurements. Hounsfield (HU) – dose response curve for each photon and electron energy were derived from the PDD curve obtained from the gel dosimeter measurements. From the study it was clear that the HU-dose response curve was linear in the region 1–10 Gy. The dosimeter sensitivity was defined as a slope of these linear HU-dose response curves and found that the sensitivity of polymer gel decreases with increase in both photon and electron energies. This trend in dependence of PAGAT gel dosimeter sensitivity to different photon and electron energies was not dosimetrically significant. However, to evaluate the test phantom exposed with one energy using the calibration curve derived at another energy can produce clinically significant error.     

Measurements of entrance surface dose using a fiber-optic dosimeter in diagnostic radiology

In this study, a fiber-optic dosimeter (FOD) was developed to measure entrance surface dose (ESD) in diagnostic radiology. We measured the scintillating lights in order to obtain ESDs, which changed with the various exposure parameters of a digital radiography (DR) system, such as tube potential, current-time product, focus-surface distance (FSD), and field size, using the fabricated FOD system. From the experimental results, the output light signals of the FOD were similar to the ESDs of the conventional semiconductor dosimeter. In conclusion, we characterized the measured ESDs as functions of exposure parameters by using two different types of dosimeters and demonstrated that the proposed FOD using a plastic scintillating fiber and a plastic optical fiber (POF) makes it possible to measure ESDs in the energy range of diagnostic radiology. From the results of this study, it is anticipated that the FOD will be a useful dosimeter in low-energy photon applications including diagnostic radiology.     

Development of a scintillating fiber-optic dosimeter for measuring the entrance surface dose in diagnostic radiology

As a direct method, a scintillating fiber-optic dosimeter (SFOD) was fabricated using an organic scintillator, a plastic optical fiber, and a photomultiplier tube (PMT) to measure entrance surface doses (ESDs) in diagnostic radiology. In this study, we measured the scintillating lights, which are altered by to the exposure parameters, such as the tube potential, current-time product, and focus-surface distance (FSD), with an SFOD placed on the top of an acrylic and aluminum chest phantom to provide a backscatter medium. The scintillating light signals of the SFOD were compared with the ESDs obtained using conventional dosimeters. The ESDs that were measured using the dose-area product (DAP) meter, as an indirect method, and a semiconductor dosimeter, as a direct method, were distinguished according to differences in the measurement position and the method used. In the case of the two direct methods with the SFOD and the semiconductor dosimeter, the output light signals of the SFOD were similar to the ESDs of the semiconductor dosimeter. It is expected that the SFOD will be a useful dosimeter for diagnostic radiology due to its many advantages, including its small size, lightweight, substantial flexibility, remote sensing, real-time monitoring, and immunity to electromagnetic interference (EMI).     

Studying the potential of point detectors in time-resolved dose verification of dynamic radiotherapy

Modern megavoltage x-ray radiotherapy with high spatial and temporal dose gradients puts high demands on the entire delivery system, including not just the linear accelerator and the multi-leaf collimator, but also algorithms used for optimization and dose calculations, and detectors used for quality assurance and dose verification. In this context, traceable in-phantom dosimetry using a well-characterized point detector is often an important supplement to 2D-based quality assurance methods based on radiochromic film or detector arrays. In this study, an in-house developed dosimetry system based on fiber-coupled plastic scintillator detectors was evaluated and compared with a Farmer-type ionization chamber and a small-volume ionization chamber. An important feature of scintillator detectors is that the sensitive volume of the detector can easily be scaled, and five scintillator detectors of different scintillator length were thus employed to quantify volume averaging effects by direct measurement. The dosimetric evaluation comprised several complex-shape static fields as well as simplified dynamic deliveries using RapidArc, a volumetric-modulated arc therapy modality often used at the participating clinic. The static field experiments showed that the smallest scintillator detectors were in the best agreement with dose calculations, while needing the smallest volume averaging corrections. Concerning total dose measured during RapidArc, all detectors agreed with dose calculations within 1.1 ± 0.7% when positioned in regions of high homogenous dose. Larger differences were observed for high dose gradient and organ at risk locations, were differences between measured and calculated dose were as large as 8.0 ± 5.5%. The smallest differences were generally seen for the small-volume ionization chamber and the smallest scintillators. The time-resolved RapidArc dose profiles revealed volume-dependent discrepancies between scintillator and ionization chamber response, which confirmed that correction factors for ionization chambers in high temporal and spatial dose gradients are dominated by the volume averaging effect. The unique scaling of the scintillator volumes indicated how such time-dependent volume averaging corrections could be quantified. The time-resolved measurements further supported the claim that small-volume water equivalent detectors are most likely to accurately detect changes in dose delivery, although exact positioning of detectors remains critical.     

Radiotherapy out-of-field dosimetry: Experimental and computational results for photons in a water tank

The first objective of this work was to check and select a set of four kinds of passive photon, dosimeters (two thermo-luminescence dosimeter (TLD) types, one radiophotoluminescence (RPL) dosimeter and one optically stimulated luminescence (OSL) dosimeter) together with a common measurement protocol. Dosimeters were calibrated in a reference clinical linear acccelerator beam in a water tank at a reference facility at the Laboratoire National Henri Becquerel (CEA LIST/LNE LNHB, Saclay. Radiation qualities of 6, 12 and 20 MV were used with standard calibration conditions described in IAEA TRS 398 and non-standard conditions. Profile and depth dose ion chamber measurements were also made to provide reference values. Measurements were made in a water tank into which pipes could be inserted which held dosimeters in pre-determined and reproducible positions. The water tank was built to enable investigation of doses up to 60 cm from the beam axis. A first set of experiments was carried out with the beam passing through the tank. From this first experiment, penumbra and out-of-field dose profiles including water and collimator scatter and leakage were found over three orders of magnitude. Two further sets of experiments using the same experimental arrangement with the beam outside the tank, to avoid water scatter, were designed to measure collimator scatter and leakage by closing the jaws of the collimator. Depending on the energy, typical leakage and collimator scatter represents 10–40% and 30–50% of the total out-of-field doses respectively. It was concluded that all dosimeters can be used for out-of-field photon dosimetry. All show good uniformity, good reproducibility, and can be used down to low doses expected at distances remote from the subsequent radiotherapy target volume.     

Dosimetric evaluation of alanine-in-glass dosimeters at clinical dose levels using high-energy X-rays from a linear accelerator

This study presents the first dosimetric evaluation of the alanine-in-glass dosimeter in radiation therapy. The dosimeter is composed of a Pyrex glass tube filled with pure polycrystalline alanine. 6 MV X-ray beams from a linear accelerator were used to irradiate the dosimeter in a solid water phantom to therapy-level doses ranging from 0 to 30 Gy. An X-band electron paramagnetic resonance (EPR) spectrometer was utilized to measure the absorbed dose of the dosimeter. The doses measured by the dosimeter were compared to those from ion chamber dosimetry. It was found that the dosimeter exhibited a linear response in the dose range from 0.1 to 30 Gy. The deviation between measured and delivered doses was 0.11% over the 0.5–30 Gy range, whereas the deviation increased to about 25% at 0.1 Gy. The lowest detectable dose with an acceptable deviation limit of 5% or less was found to be 0.3 Gy. The inaccuracy in measurements at low doses can be attributed to background signals and instrument noise. The accuracy can be improved by proper selection of measurement conditions and better optimization of equipment. The findings of this study show that the alanine-in-glass dosimeter is suitable for dose measurements with acceptable accuracy down to 0.3 Gy. The dosimeter is therefore has the potential to be employed in radiotherapy applications and quality control procedures.     

A comparison of the dosimetric characteristics of a glass rod dosimeter and a thermoluminescent dosimeter for mailed dosimeter

A radiophotoluminescent glass rod dosimeter (RPL-GRD) system has recently become commercially available. The purpose of this study was to investigate the dosimetric characteristics (reproducibility, linearity, fading, energy dependence and angular dependence) of the RPL-GRD for a mailed dosimeter and to compare it with LiF-TLD powder. In this study, the model GD-301 GRD and TLD-700 were powder type used. All measurements with the exception of angular dependence were performed in a water phantom using a holder stand. The RPL-GRD has better reproducibility than the TLD for the Co-60 beam as well as for the clinical photon beam. The RPL-GRD signal was linear as a function of applied dose in the range of 0.5–3 Gy for the Co-60 gamma rays. The fading of the RPL-GRD after a received dose of 2 Gy was initially found to be within 1.7% for five months. The energy dependence of both dosimeters was found to be less than 1.6% for photon beams, but was less than 5.0% for electron beams, which was in agreement with published data. The angular dependence of the RPL-GRD was measured to be approximately 1.4% for angles ranging ±90° from the beam axis using a spherical polystyrene phantom. The measurements comparing RPL-GRD and TLD dosimetric characteristics demonstrated that the RPL-GRD is suitable for mailed dosimetry in a quality assurance (QA) audit program.     

Evaluation of the dosimetric characteristics of a radiophotoluminescent glass dosimeter for high-energy photon and electron beams in the field of radiotherapy

We aimed to evaluate the suitability of a glass dosimeter (GD) for high-energy photon and electron beams in experimental and clinical use, especially for radiation therapy. We examined the expanded dosimetric characteristics of GDs including dose linearity up to 500 Gy, uniformity among GD lots and for individual GDs, the angular dependence, and energy dependence of 4 therapeutic x-ray qualities. In addition, we measured the dosimetric features (dose linearity, uniformity, angular dependence, and energy dependence) of the GD for electron beams of 10 different electron energy qualities. All measurements with the exception of dose linearity for photon beam were performed in a water phantom. For high-energy photon beams, dose linearity has a linear relationship for a dose ranging from 1 to 500 Gy with the coefficient of determination; R² of 0.998. The uniformity of each GD of dose measurements was within ±0.5% for four GD lots and within ±1.2% for 80 GDs. In terms of the effects of photon beam angle, lower absorbed doses of within 1.0% were observed between 60° and 105° than at 90°. The GD energy dependence of 4 photon beam energy qualities was within ±2.0%. On the other hand, the result of the dose linearity for high-energy electron beams showed well fitted regression line with the coefficient of determination; R² of 0.999 between 6 and 20 MeV. The uniformity of GDs exposed to the nominal electron energies 6, 9, 12, 16, and 20 MeV was ±1.2%. In terms of the angular dependence to electron beams, absorbed doses were within 2.0% between 60° and 105° than at 90°. In evaluation of the energy dependence of the GD at nominal electron energies between 5 and 20 MeV, we obtained responses between 1.1% and 3.5% lower than that for a cobalt-60 beam. Our results show that GDs can be used as a detector for determining doses when a high-energy photon beam is used, and that it also has considerable potential for dose measurement of high-energy electron beam.     

Characterization of GaN dosimetry for 6 MV photon beam in clinical conditions

We characterized a recently proposed implantable GaN-based dosimeter in clinical conditions, for its application in external radiotherapy according to ESTRO (European Society for Radiotherapy & Oncology) practical guidelines. Our studies were carried out using a 6 MV photon beam with the dosimeter under test in a water tank or a PMMA phantom. They were focused on evaluating short term and long term reproducibility of measurements, and assessing the effects of parameters such as field size, source-skin distance, use of wedge filter, beam incidence, dose rate, accumulated dose, GaN-induced dose perturbation, air cavities and temperature. The estimated repeatability and reproducibility are better than 0.5% and 2% at 1σ respectively. There are no significant effects of the parameters under our studies, apart from field size and temperature. The field-size dependence is due to over-compensation of the GaN response method of the dosimeter, the resulting errors remain lower than 5% for field sizes up to 10 × 10 cm². The temperature dependence mainly results from the GaN luminescence properties, and causes the GaN response to decrease steadily when increasing temperature, with a sensitivity of −1.4%/°C. The observed quasi-linear temperature dependence may facilitate the correction to improve the accuracy of measurements.     

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

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 cm², where the differences in percent depth dose at great depths exceed the uncertainties estimated in this study.     

Segments of a commercial Ge-doped optical fiber as a thermoluminescent dosimeter in radiotherapy

Optical fibers have been proposed as dosimeters in both diagnostic and radiotherapy applications. A commercial germanium (Ge)-doped silica fiber with a 50 μm core diameter which showed good thermoluminescence (TL) properties was selected for this study. The radiation sources used were a high dose rate brachytherapy iridium-192, MV photon and MeV electron beams from a linear accelerator. The coating of the fiber was chemically removed and then annealed at 400 °C for 1 h prior to irradiation. After irradiation, the fiber was read on a Harshaw Model 3500 TLD reader. The optical fiber had one well-defined glow peak at 327 ± 2 °C at all the radiotherapy energies. The dose response was linear within the clinical relevant dose for all these energies. Reproducibility was mainly within 4–6% (one standard deviation) for high energy photons and electrons. The fiber was found to be energy independent within the MV photon energy range. At room temperature the fading up until 1 month was around 6% which was within the 6% uncertainty of the sensitivity calibration of the fiber. Re-using the fiber four times did not significantly alter the sensitivity factor. The optical fiber was found to be dose rate as well as angular independent. Central axis depth dose curves of both 10 MV photons and 12 MeV electrons using the fiber showed relatively good agreement to standard depth dose curves in water within 4%. The Ge-doped fiber is a promising TL dosimeter but improvements have to be made to reduce the reproducibility within 3% for high energy photons and electrons.     

Characterisation of a real-time fibre-coupled beryllium oxide (BeO) luminescence dosimeter in X-ray beams

For the first time the feasibility of using beryllium oxide (BeO) ceramics as a fibre-coupled radioluminescent dosimeter is investigated. BeO ceramic exhibits both radioluminescence (RL) and optically stimulated luminescence (OSL), and has the potential to be a near tissue equivalent alternative to Al₂O₃:C. A BeO fibre-coupled radioluminescence dosimeter is demonstrated and characterised for 6 MV X-rays and superficial X-ray energies, 150 kVp and 120 kVp. Based on the results, we demonstrate the capability of the RL BeO FOD for accurate and reproducible dose measurements with a linear dose rate and dose response. It has also been found that the percentage depth dose curves for 6 MV agreed with ion chamber measurements to within 2%, except in the build up region. For the 150 kVp and 120 kVp photon beams, the depth dose measurements agreed with ion chamber measurements to within 2.5% and 4%, respectively.     

Al2O3:Cr荧光屏Fen+束流面分布诊断

为满足加速器束流诊断的特殊要求，对束流面分布诊断方法进行了研究，建立了一套基于荧光屏的离子束流面分布测量装置。采用Fen+(n=5~12)离子束流对测量装置进行了实验检验，结果表明，在几十至上百nA量级束流强度Fen+离子束的轰击下，面分布图像产生了饱和现象。进一步的实验结果表明，饱和现象是由荧光屏发光的光强过强造成的，采用特别研制的具有光强衰减和滤波功能的成像光路可以解决光强饱和的问题。在低束流条件下，面分布图像的灰度值与束流强度呈近似的线性关系，对这种线性关系产生的原因进行了具体的分析。     

Synchrotron X‐ray microbeam dosimetry with a 20 micrometre resolution scintillator fibre‐optic dosimeter

Cancer is one of the leading causes of death worldwide. External beam radiation therapy is one of the most important modalities for the treatment of cancers. Synchrotron microbeam radiation therapy (MRT) is a novel pre‐clinical therapy that uses highly spatially fractionated X‐ray beams to target tumours, allowing doses much higher than conventional radiotherapies to be delivered. A dosimeter with a high spatial resolution is required to provide the appropriate quality assurance for MRT. This work presents a plastic scintillator fibre optic dosimeter with a one‐dimensional spatial resolution of 20 µm, an improvement on the dosimeter with a resolution of 50 µm that was demonstrated in previous work. The ability of this probe to resolve microbeams of width 50 µm has been demonstrated. The major limitations of this method were identified, most notably the low‐light signal resulting from the small sensitive volume, which made valley dose measurements very challenging. A titanium‐based reflective paint was used as a coating on the probe to improve the light collection, but a possible effect of the high‐Z material on the probes water‐equivalence has been identified. The effect of the reflective paint was a 28.5 ± 4.6% increase in the total light collected; it did not affect the shape of the depth‐dose profile, nor did it explain an over‐response observed when used to probe at low depths, when compared with an ionization chamber. With improvements to the data acquisition, this probe design has the potential to provide a water‐equivalent, inexpensive dosimetry tool for MRT.     

Uncertainty and routine use of Aerial l-alanine – Electron spin resonance dosimetry system

Aerial l-alanine pellet dosimeter is characterized by MiniScope MS300 electron spin resonance spectrometer measurements using Aer'EDE Version 2.0.4. software for dose calculation. The measurement traceability is achieved by Aerial dosimetry laboratory where dosimeters for calibration curve were irradiated by electron beam accelerator. Dose determinations in Aerial are traceable to National Physical Laboratory (NPL). The software used for construction of calibration curve gives also the standard deviation of the residuals of measurements for calibration that is used for dose uncertainty calculation. In aim to determine whether this value can actually be taken as absorbed dose uncertainty during usage of this dosimetry system, alanine dosimeters were irradiated with doses between 5 and 32 kGy by ⁶⁰Co laboratory source for internal calibration. The dose rate at the places for irradiation was (20 ± 0.5) mGy s⁻¹ determined by Fricke dosimeter. Measurement of each irradiated dosimeter was repeated ten times in ten days. The results of measurements were analyzed to identify the sources of uncertainty, as well as their quantification in evaluation of total measurement uncertainty. In addition to statistical effects, the very low dose rate that was used for the irradiation of alanine dosimeters affects the measurements of absorbed dose, particularly for higher absorbed doses where the measured dose can be up to 3% lower than the real.     

Development of a personal dosimeter badge system using sintered LiF:Mg,Cu,Na,Si TL detectors for photon fields

The badge system of personal thermoluminescence (TL) dosimeter for photon fields using LiF:Mg,Cu,Na,Si TL material, which was developed by Korea Atomic Energy Research Institute (KAERI) a few years ago, was developed by taking advantage of its dosimetric properties including energy dependencies. A badge filter system was designed by practical irradiation experiments supported by computational modeling using Monte Carlo simulation. Design properties and dosimetric characteristics such as photon energy response and angular dependence of new TL dosimeter system examined through the irradiation experiments are presented. Based on the experiments for the developed dosimeter, it is demonstrated that the deep dose response of dosimeter provided the value between 0.78 and 1.08, which is within the design limit by ISO standard. This multi-element TL dosimeter badge system allows the discrimination of the incident radiation type between photon and beta by using the ratios of the four TL detectors. Personal TL dosimeter using sintered LiF:Mg,Cu,Na,Si TL detectors has the ability to measure a personal dose equivalent H_p(d) for a wide range of photon energies.     

Validation of Monte Carlo simulation of 6 MV photon beam produced by Varian Clinac 2100 linear accelerator using BEAMnrc code and DOSXYZnrc code

The Monte Carlo model for the photon-beam output from the Varian Clinac 2100 linear accelerator was validated to compare the calculated to measured PDD and beam dose profiles The Monte Carlo calculation method is considered to be the most accurate method for dose calculation in radiotherapy. The objective of this study is to build a Monte Carlo geometry of Varian Clinac 2100 linear accelerator as realistically as possible. The Monte Carlo codes used in this work were the BEAMnrc code to simulate the photons beam and the DOSXYZnrc code to examinate the absorbed dose in the water phantom. We have calculated percentage depth dose (PDD) and beam profiles of the 6 MV photon beam for the 6 × 6 cm², 10 × 10 cm² and 15 × 15 cm² field sizes. We have used the gamma index technique for the quantitative evaluation to compare the measured and calculated distributions. Good agreement was found between calculated PDD and beam profile compared to measured data. The comparison was evaluated using the gamma index method and the criterions were 3% for dose difference and 3 mm for distance to agreement. The gamma index acceptance rate was more than 97% of both distribution comparisons PDDs and dose profiles and our results were more developed and accurate. The Varian Clinac 2100 linear accelerator was accurately modeled using Monte Carlo codes: BEAMnrc and DOSXYZnrc codes package.