Intercomparison of Gafchromic™ films,TL detectors and TL foils for the measurements of skin dose in interventional radiology

Several passive solid state dosemeters, such as Gafchromic™ films and thermoluminescence (TL) detectors, are used to estimate and monitor patient skin doses in interventional radiology. To determine the suitability of XR-TypeR Gafchromic™ films and of detectors based on TL materials: pellets, chips and foils to measure skin dose, an intercomparison exercise has been organized within European Dosimetry Radiation Group – Working Group 12 “European Medical ALARA Network” (EURADOS WG12). To test response detectors were exposed to X-ray beams of energies and qualities applied clinically. A blind test was also performed to investigate the accuracy of the dose estimate by detectors exposed to unknown doses. We found the response of films to be strongly dependent on beam quality and filtration (increasing by up to 80% with respect to reference beam quality). The response of TL detectors was found to be less dependent on beam quality (less than 25% variation), with TL foils showing less than 10% variation with respect to reference beam quality. To accurately estimate patient skin doses in interventional radiology it is important to choose the quality of the calibration beam to be as close as possible to the quality of beams actually applied in clinical work.     

Gafchromic® film dosimetry for low energy X radiation

Recent developments have produced low energy X ray systems capable of providing a radiation dose to adequate volumes suitable for sterile inset programmes. To support the adoption of these new systems, the performance of the Gafchromic^® HD-810 dosimetry system previously used for gamma irradiation needed to be better understood at the lower photon energies. For low energy photons, the optical density of the irradiated Gafchromic HD-810 film dosimeters significantly depends on the material surrounding them. For example, if paper, Mylar^® or PVC is used to house the dosimeter during irradiation, the optical density can vary by as much as a factor of three or more for the same dose. This paper is an attempt to elucidate the performance of the Gafchromic HD-810 film dosimeters for such low energy X radiation (∼150 keV). Our data show that this behaviour can be explained by the fact that these materials have significantly different photon mass attenuation coefficient. This conclusion was reinforced with mathematical simulation using Monte Carlo modelling. We also show that with the different structure of another Gafchromic film dosimeter (MD-V2-55) this effect is virtually non-existent. An understanding of the behaviour of thin film dosimeters like Gafchromic HD-810 under radiation is crucial for reliable dosimetry. We hope that this work can also provide guidance in the use of other thin film dosimeters at similar low photon energies.     

Characterization and optimization of EBT2 radiochromic films dosimetry system for precise measurements of output factors in small fields used in radiotherapy

The accurate determination of absorbed dose in small photon beams, especially for stereotactic radiation therapy, is a difficult task with commercially available detectors. As these small fields are characterized by high dose gradients, a lack of lateral particle equilibrium and a variation of energy spectra with beam sizes, a dosimeter with high resolution, tissue-equivalence and high precision is required. The new radiochromic film EBT2, which meets these criteria, was fully characterized in Institut de Radioprotection et Sûreté Nucléaire (IRSN) for this application. This type of film was tested with the reading system EPSON Dual Lens Perfection V700 flatbed scanner in transmission mode. Warm-up effects of the scanner were studied as well as the influence of the scanner light. Uniformity of unirradiated and irradiated EBT2 films in terms of pixel value was found to be respectively 0.3% (1 SD) and 0.5% (1 SD). An original, accurate and efficient radiochromic film dosimetry protocol was established. The overall uncertainty for dose measurement with EBT2 films using this protocol was estimated at less than 2% (1 SD). Encouraging measurements of output factors were performed on a Novalis system.     

Tridimensional dosimetry for prostate IMRT treatments using MAGIC-f gel by MRI

Intensity-modulated radiation therapy is able to deliver complex dose distributions and a system able to determine tridimensional dose distribution during the quality assurance of the treatments would be of great interest. In this context polymeric gels can be a useful dosimeter. This work aims to apply this tridimensional dosimetry technique for two prostate IMRT treatments, using MAGIC-f as a gel dosimeter combined with the magnetic resonance imaging to determinate the dose distributions. Dose images obtained by the gel were compared with the treatment planning images and the gamma index was calculated as a quantitative comparison. In both plans a high pass rate was achieved in the gamma analyses (95.5% and 94.0% for plans 1 and 2 respectively) showing that they were approved in the tridimensional quality assurance.     

Verification of gamma knife based fractionated radiosurgery with newly developed head-thorax phantom

ObjectivePurpose of the study is to verify the Gamma Knife Extend™ system (ES) based fractionated stereotactic radiosurgery with newly developed head-thorax phantom.MethodsPhantoms are extensively used to measure radiation dose and verify treatment plan in radiotherapy. A human upper body shaped phantom with thorax was designed to simulate fractionated stereotactic radiosurgery using Extend™ system of Gamma Knife. The central component of the phantom aids in performing radiological precision test, dosimetric evaluation and treatment verification. A hollow right circular cylindrical space of diameter 7.0 cm was created at the centre of this component to place various dosimetric devices using suitable adaptors. The phantom is made of poly methyl methacrylate (PMMA), a transparent thermoplastic material. Two sets of disk assemblies were designed to place dosimetric films in (1) horizontal (xy) and (2) vertical (xz) planes. Specific cylindrical adaptors were designed to place thimble ionization chamber inside phantom for point dose recording along xz axis. EBT3 Gafchromic films were used to analyze and map radiation field. The focal precision test was performed using 4 mm collimator shot in phantom to check radiological accuracy of treatment. The phantom head position within the Extend™ frame was estimated using encoded aperture measurement of repositioning check tool (RCT). For treatment verification, the phantom with inserts for film and ion chamber was scanned in reference treatment position using X-ray computed tomography (CT) machine and acquired stereotactic images were transferred into Leksell Gammaplan (LGP). A patient treatment plan with hypo-fractionated regimen was delivered and identical fractions were compared using EBT3 films and in-house MATLAB codes.ResultsRCT measurement showed an overall positional accuracy of 0.265 mm (range 0.223 mm–0.343 mm). Gamma index analysis across fractions exhibited close agreement between LGP and film measured dose with ≥90% (max 93%) pixel pass rate at 1 mm of spatial and 1% of dosimetric tolerances. The focal precision test showed the variation of 0.465 mm between radiological and planned iso-centre.ConclusionsThe study demonstrated the suitability of newly developed head-thorax phantom for dosimetric verification of fractionated stereotactic radiosurgery using Extend™ system of Gamma Knife.     

Characterization of ferric ions diffusion in Fricke gel dosimeters by using inverse problem techniques

Diffusion of ferric ions in ferrous sulfate (Fricke) gels represents one of the main drawbacks of some radiation detectors, such as Fricke gel dosimeters. In practice, this disadvantage can be overcome by prompt dosimeter analysis, and constraining strongly the time between irradiation and analysis, implementing special dedicated protocols aimed at minimizing signal blurring due to diffusion effects. This work presents a novel analytic modeling and numerical calculation approach of diffusion coefficients in Fricke gel radiation sensitive materials. Samples are optically analyzed by means of visible light transmission measurements by capturing images with a charge-coupled device camera provided with a monochromatic filter corresponding to the XO-infused Fricke solution absorbance peak. Dose distributions in Fricke gels are suitably delivered by assessing specific initial conditions further studied by periodical sample image acquisitions. Diffusion coefficient calculations were performed using a set of computational algorithms based on inverse problem formulation. Although 1D approaches to the diffusion equation might provide estimations of the diffusion coefficient, it should be calculated in the 2D framework due to the intrinsic bi-dimensional characteristics of Fricke gel layers here considered as radiation dosimeters. Thus a suitable 2D diffusion model capable of determining diffusion coefficients was developed by fitting the obtained algorithm numerical solutions with the corresponding experimental data. Comparisons were performed by introducing an appropriate functional in order to analyze both experimental and numerical values. Solutions to the second-order diffusion equation are calculated in the framework of a dedicated method that incorporates finite element method. Moreover, optimized solutions can be attained by gradient-type minimization algorithms. Knowledge about diffusion coefficient for a Fricke gel radiation detector is helpful in accounting for effects regarding elapsed time between dosimeter irradiation and further analysis. Hence, corrections might be included in standard dependence of optical density differences and actual, non-diffused, absorbed dose distributions. The obtained values for ferric ion diffusion coefficient are around 0.65 mm² h^?1, being in good agreement with previous works corresponding to similar Fricke gel dosimeter compositions. Therefore, more accurate 2D and 3D dose mapping might be attained, thus constituting valuable improvements in Fricke gel dosimetry, and parallely a high precision method of diffusion modeling and calculation has been developed.     

Organ point dose measurements in clinical multi slice computed tomography (MSCT) examinations with the MOSkin™ radiation dosimeter

This study reports on the application of the MOSkin™ dosimeter in MSCT imaging for the real-time measurement of absorbed organ point doses in a tissue-equivalent female anthropomorphic phantom. MOSkin™ dosimeters were placed within the phantom to measure absorbed point organ doses for 2 commonly applied clinical scan protocols, namely the renal calculus scan and the pulmonary embolus scan. Measured organ doses in the imaged field of view were found to be in the dose range 4.7–9.5 mGy and 16.2–27.4 mGy for the renal calculus scan and pulmonary scan protocols respectively. For the derivation of effective dose, using the more recent ICRP 103 tissue weighting factors (w_T) compared to that of the ICRP 60 w_T resulted in a difference in the derived effective dose by up to 0.8 mSv (−20%) in the renal calculus protocol and up to 1.8 mSv (18%) in the pulmonary embolus protocol. This difference is attributed to the reduced radiosensitivity of the gonads and the increased radiosensitivity of breast tissue in the latest ICRP 103 assigned w_T. The results of this study show that the MOSkin™ dosimeter is a useful real-time tool for the direct assessment of organ doses in clinical MSCT examinations.     

Characterization of Gafchromic EBT3 films for ultraviolet radiation dosimetry

A newly released processless Gafchromic EBT3 film was investigated for its response to ultraviolet radiation (UVR) at three different wavelengths: 365 (UVA), 302 (UVB) and 254 nm (UVC). The change in the film's optical density was dependent on the radiance exposure and UV wavelength and was found to correlate with the UV intensity. The dynamic range of the EBT3 films is ～5 to ～60 J/cm² for UVA and UVB and ～5 to ～300 J/cm² for UVC. The dose sensitivity of EBT3 films for UVA and UVB radiation was approximately 10 times higher than that for UVC radiation. The results indicate the suitability of EBT3 films for quantitative and qualitative measurements of UVR exposure.     

Photon dosimetry methods outside the target volume in radiation therapy: Optically stimulated luminescence (OSL), thermoluminescence (TL) and radiophotoluminescence (RPL) dosimetry

Dosimetry methods outside the target volume are still not well established in radiotherapy. Luminescence detectors due to their small dimensions, very good sensitivity, well known dose and energy response are considered as an interesting approach in verification of doses outside the treated region. The physical processes of thermoluminescence (TL), radiophotoluminescence (RPL) and optically stimulated luminescence (OSL) are very similar and can be described in terms of the energy band model of electron-hole production following irradiation.This work is a review of the main dosimetric characteristics of luminescence detectors which were used in experiments performed by EURADOS Working Group 9 for in-phantom measurements of secondary radiation (scattered and leakage photons). TL LiF:Mg,Ti detectors type MTS-7 (IFJ PAN, Poland), types TLD-100 and TLD-700 (Harshaw), OSL Al₂O₃:C detectors type nanoDot™ (Landauer Inc.) and RPL rod glass elements type GD-352M (Asahi Techno Glass Coorporation) are described. The main characteristics are discussed, together with the readout and calibration procedures which lead to a determination of absorbed dose to water.All dosimeter types used show very good uniformity, batch reproducibility and homogeneity. For improved accuracy, individual sensitivity correction factors should be applied for TL and OSL dosimeters while for RPL dosimeters there is no need for individual sensitivity corrections.The dose response of all dosimeters is linear for a wide range of doses.The energy response of GD-352M type dosimeters (with Sn filter) used for out-of-field measurements is flat for medium and low energy X-rays.The energy dependence for TLDs is low across the range of photon energies used and the energy correction was neglected. A significant over response of Al₂O₃:C OSLDs irradiated in kilovoltage photon beams was taken into account. The energy correction factor f_en was calculated by using the 2006 PENELOPE Monte Carlo code.With suitable calibration, all dosimeter types are appropriate for out-of-field dose measurements as well as for the in-phantom measurements of radiotherapy MV X-rays beams.     

Basic characteristics of tissue-equivalent phantom thermoluminescence slab dosimeter using new TL phosphor Li3B7012:Cu

Here we investigate the basic characteristics of the tissue-equivalent phantom thermoluminescence slab dosimeter with synthetic resin type 1 (TEP-TLSD/SR1), a two-dimensional TLD based on TL phosphor Li₃B₇0₁₂:Cu developed by the Urushiyama Research Group. Li₃B₇O₁₂:Cu has a single glow peak at 120 °C at a heating rate of 0.317 °C s⁻¹. The dose response is linear between 0.1 and 10 Gy. The phosphor, when combined with a synthetic resin, can be molded into 200 mm × 200 mm × 2.5 mm slabs. The system has a Charge Coupled Device (CCD) dependent spatial resolution (pixel pitch) of 640 μm and a pixel response standard deviation of 1.33%. Using simple pixel-based noise compensation, we were able to improve the signal-to-noise ratio (SNR) in the final image. In tests as a TEP, this system gives off axis ratio and percentage dose depth results highly correlated with those of an ion chamber suspended in a water phantom. The TEP-TLSD/SR1 produces similar images to Gafchromic film for X-ray imaging. This TEP-TLSD/SR1 is not only larger than the prototype, but also has a better SNR and improved usability. With further improvements in tissue equivalence, we foresee a system where a TEP and dosimeter are combined into a three-dimensional dosimeter.     

Characterization of the gafchromic EBT3 films for dose distribution measurements in stereotactic radiotherapy

Radiochromic film dosimetry is a promising technique, but at this time there are some artefacts, including non-uniformity, energy dependence and scanner artefacts. Accurate dosimetry with radiochromic films requires characterizing the film as well as the scanning and analysis procedures. In this work, the performance of the EBT3 films in combination with the EPSON Dual Lens Perfection V700 scanner for dose distribution measurements in stereotactic radiotherapy has been evaluated. It has been shown that it was necessary to perform 20 blank scans to obtain the stability of the scanner. In order to reduce the uncertainties due to the non-uniformity of the scan field, it was then decided to use the 12 × 12 cm² central part of the scanner bed. Regarding EBT3 films, intra-sheet and inter-sheet uniformity of unexposed EBT3 films in terms of pixel value has been found to be respectively 0.27% (1 SD) and 0.15% (1 SD). No significant energy dependence has been observed above 30 keV and no angular dependence has been found.     

Dosimetric verification of treatment planning system superficial dose calculations for proton beam

To investigate the accuracy of Eclipse treatment planning system (TPS) dose calculations at the surface. It is desirable to know the accuracy of the proton treatment planning system in predicting dose at superficial region. All measurements were performed in a clinical proton beam at the National Cancer Center in Korea. Proton treatment plans were developed for a superficial planning target volume (PTV) contoured on a cylindrical polymethylmethacrylate phantom specially designed for this study. Dose was then measured at the surface and also in the PTV for these treatment plans and compared against the TPS calculations. For our study, a model GD-301 glass dosimeters were used. The proton treatment planning system overestimated the superficial dose without use of bolus as much as by 7–14% when compared to glass dosimeter. On the other hand, with use of bolus to cover the superficial region, surface dose between the calculation from Eclipse and measurement using the glass dosimeter are approximately within 3%.     

A self consistent normalized calibration protocol for three dimensional magnetic resonance gel dosimetry

In a clinical setting, mixed and inconsistent results have been reported using Magnetic Resonance Relaxation imaging of irradiated aqueous polymeric gels as a three-dimensional dosimeter, for dose verification of conformal radiation therapy. The problems are attributed to the difficulty of identifying an accurate dose calibration protocol for each delivered gel at the radiation site in a clinical setting. While careful calibration is done at the gel manufacturing site in a controlled laboratory setting, there is no guarantee that the dose sensitivity of the gels remains invariant upon delivery, irradiation, magnetic resonance imaging and storage at the clinical site. In this study, we have compared three different dose calibration protocols on aqueous polymeric gels for a variety of irradiation scenarios done in a clinical setting. After acquiring the three-dimensional proton relaxation maps of the irradiated gels, the dose distributions were generated using the off-site manufacturer provided calibration curve (Cal-1), the on-site external tube gel calibration (Cal-2) and the new on-site internal normalized gel calibration (Cal-3) protocols. These experimental dose distributions were compared with the theoretical dose distributions generated by treatment-planning systems. We observed that the experimental dose distributions generated from the Cal-1 and Cal-2 protocols were off by 10% to 40% and up to 200% above the predicted maximum dose, respectively. On the other hand, the experimental dose distributions generated from the Cal-3 protocol matched reasonably well with the theoretical dose distributions to within 10% difference. Our result suggests that an independent on-site normalized internal calibration must be performed for each batch of gel dosimeters at the time of MR relaxation imaging in order to account for the variations in dose sensitivity caused by various uncontrollable conditions in a clinical setting such as oxygen contamination, temperature changes and shelf life of the delivered gel between manufacturing and MR acquisitions.     

Investigation of the dose rate dependency of the PAGAT gel dosimeter at low dose rates

Medical physicists need dosimeters such as gel dosimeters capable of determining three-dimensional dose distributions with high spatial resolution. To date, in combination with magnetic resonance imaging (MRI), polyacrylamide gel (PAG) polymers are the most promising gel dosimetry systems. The purpose of this work was to investigate the dose rate dependency of the PAGAT gel dosimeter at low dose rates. The gel dosimeter was used for measurement of the dose distribution around a Cs-137 source from a brachytherapy LDR source to have a range of dose rates from 0.97 Gy h^?1 to 0.06 Gy h^?1. After irradiation of the PAGAT gel, it was observed that the dose measured by gel dosimetry was almost the same at different distances (different dose rates) from the source, although the points nearer the source had been expected to receive greater doses. Therefore, it was suspected that the PAGAT gel is dose rate dependent at low dose rates. To test this further, three other sets of measurements were performed by placing vials containing gel at different distances from a Cs-137 source. In the first two measurements, several plastic vials were exposed to equal doses at different dose rates. An ionization chamber was used to measure the dose rate at each distance. In addition, three TLD chips were simultaneously irradiated in order to verify the dose to each vial. In the third measurement, to test the oxygen diffusion through plastic vials, the experiment was repeated again using plastic vials in a nitrogen box and glass vials. The study indicates that oxygen diffusion through plastic vials for dose rates lower than 2 Gy h^?1 would affect the gel dosimeter response and it is suggested that the plastic vials or (phantoms) in an oxygen free environment or glass vials should be used for the dosimetry of low dose rate sources using PAGAT gel to avoid oxygen diffusion through the vials.     

Elastic 3He scattering from even Ar isotopes and backward-angle anomalies in the systematics of elastic 3He scattering

Angular distributions have been measured for ³He elastic scattering from ^{36, 38, 40}Ar at 26.5 MeV and from ³⁶Ar and ⁴⁰Ca at energies between 24.5 and 28 MeV. This scattering clearly shows features of “anomalous” backward-angle scattering, which is discussed in the systematics of ³He scattering from heavier target nuclei. The data for “anomalous” scattering can be described by optical potentials which show features significantly different from those of “normal” scattering. These features are smaller radius parameters for the real optical potential and a strongly reduced volume integral for the imaginary potential.     

Characterization of a scintillating fiber-optic dosimeter for photon beam therapy

Abstact  A scintillating fiber-optic dosimeter has many advantages such as real-time readout, high-resolution measurement, water-equivalence and no corrections for temperature, pressure and humidity. Organic scintillator which has water or tissue equivalent characteristics is very important to measure absorbed dose, dose rate and dose distributions exactly without any corrections and due to its small size, the sensitive volume enables accurate dose measurements in regions of high dose gradients with high spatial resolution. In this study, a scintillating fiber-optic dosimeter with an organic scintillator is fabricated to measure high-energy photon beam from a clinical linear accelerator. And we have measured linear responses of a fiber-optic dosimeter according to dose rates and monitor units of a clinical linear accelerator. Also, a percent depth dose curve for 6MV photon beam with different field sizes are obtained.     

Development of a micro-size dosimeter using an optical fiber probe based on photostimulable phosphorescence

We have developed a novel micro-size dosimeter using an optical fiber probe coupled with a photostimulable storage phosphor, such as BaFBr:Eu²⁺. Our micro-size dosimeter is based on the concept in which the radiation dose response is temporally compressed by using integrating-type dosimeter elements, such as a photostimulable storage phosphor, and the signal-to-noise ratio is improved to downsize the dosimeter probe. We fabricate the prototype dosimeter probe which has the detectable volume of 100 μm thick and 400 μm diameter and the outer diameter of 900 μm. The lower limit of detectable dose, which is defined as three times the noise level, is evaluated to be 0.9 mGy. This value is much smaller than the typical irradiation dose (a few Gy per treatment) in the radiotherapy. We, therefore, conclude that the proposed micro-size dosimeter can be a promising candidate of in-vivo and on-line dose monitor in the radiotherapy.     

紫外波段有机染料DMT掺杂SiO2薄膜的光谱特性

本文采用溶胶凝胶法合成了紫外波段有机染料DMT掺杂SiO₂薄膜和块体材料薄膜中掺杂浓度高达124×10^-2mol/L,块体材料浓度掺至15×10^-3mol/L由于SiO₂“笼”的束缚作用,在荧光光谱中未观察到荧光猝灭现象;由于SiO₂“笼”的极化作用,370nm的发射峰较其在环己烷中发生了34～44nm左右的红移;580～590nm的发射峰的量子效率比370nm的发射峰略高.     

Investigation of emission spectra,dose response and stability of luminescence from NaCl

The thermoluminescence (TL) from common salt (NaCl) is investigated to determine its suitability as an opportunistic retrospective dosimeter. In this study the TL is analysed from a wide range of domestic salts, sourced from Australasia, Europe, Asia and America. The emission spectra for pre-existing or “Natural” TL (NTL) and laboratory-irradiated “Artificial” TL (ATL) were analysed using a Fourier Transform spectrometer, giving luminescence intensity as a function of temperature and photon energy. Fading behaviour in the candidate TL emission peaks, observed at 200–260 °C under the measurement conditions used, was investigated at various storage temperatures and storage intervals between irradiation and read-out. This included TL emission spectral measurements at storage intervals ranging from minutes to months. Nearly all samples showed strong ATL emission at 590 nm, with much weaker emission from the commonly measured UV-blue region. NTL was very small or undetected for most samples. The storage tests showed that the TL in the 260 °C region is relatively stable and we conclude that TL from NaCl possesses suitable dose sensitivity and stability for use as an opportunistic retrospective dosimeter.     

Influence of ion bombardment on growth and properties of PLD created DLC films

A hybrid PLD system with ion bombardment of films was developed. Growing DLC films were modified during the laser deposition (10 J?cm^?2) by argon ions with energy in the range from 40 eV to 210 eV and cathode current of 0.15 A and 0.5 A. The content of sp² “graphitic” and sp³ “diamond” bonds was measured using XPS. Sp³ bonds changed from 60 % to 81 %. We found the highest sp³ content for energy of 40 eV. Hardness (and reduced Young’s modulus) were determined by nanoindentation and reached 49 GPa (277 GPa). Film adhesion was studied using the scratch test and was up to 14 N for titanium substrates. Relations among deposition conditions and measured properties are presented.