Measurement-based Monte Carlo simulation of high definition dose evaluation for nasopharyngeal cancer patients treated by using intensity modulated radiation therapy

Measurement-based Monte Carlo (MBMC) simulation using a high definition (HD) phantom was used to evaluate the dose distribution in nasopharyngeal cancer (NPC) patients treated with intensity modulated radiation therapy (IMRT). Around nasopharyngeal cavity, there exists many small volume organs-at-risk (OARs) such as the optic nerves, auditory nerves, cochlea, and semicircular canal which necessitate the use of a high definition phantom for accurate and correct dose evaluation. The aim of this research was to study the advantages of using an HD phantom for MBMC simulation in NPC patients treated with IMRT. The MBMC simulation in this study was based on the IMRT treatment plan of three NPC patients generated by the anisotropic analytical algorithm (AAA) of the Eclipse treatment planning system (Varian Medical Systems, Palo Alto, CA, USA) using a calculation grid of 2 mm². The NPC tumor was treated to a cumulative dose of 7000 cGy in 35 fractions using the shrinking-field sequential IMRT (SIMRT) method. The BEAMnrc MC Code was used to simulate a Varian EX21 linear accelerator treatment head. The HD phantom contained 0.5 × 0.5 × 1 mm³ voxels for the nasopharyngeal area and 0.5 × 0.5 × 3 mm³ for the rest of the head area. An efficiency map was obtained for the amorphous silicon aS1000 electronic portal imaging device (EPID) to adjust the weighting of each particle in the phase-space file for each IMRT beam. Our analysis revealed that small volume organs such as the eighth cranial nerve, semicircular canal, cochlea and external auditory canal showed an absolute dose difference of ≥200 cGy, while the dose difference for larger organs such as the parotid glands and tumor was negligible for the MBMC simulation using the HD phantom. The HD phantom was found to be suitable for Monte Carlo dose volume analysis of small volume organs.     

Peripheral doses in radiotherapy: A comparison between IMRT,VMAT and Tomotherapy

The goal of this intercomparison is to determine the peripheral doses during treatment of prostate and head and neck (H&N) cancers. In the case of prostate cancer, two different treatment techniques are compared: intensity-modulated radiation therapy (IMRT – 10 MV and 18 MV), on a Varian Clinac 2100 C/D and Tomotherapy. VMAT (also on a Varian Clinac 2100 C/D) was compared to Tomotherapy, for H&N cancer. The treatment devices are located at the university hospitals of Leuven and Brussels, respectively. A common treatment protocol was agreed between the two clinical centers and this same protocol was used by each partner. For the higher energy modalities (10 MV and 18 MV) we also assessed the neutron contribution to the total dose, by using bubble detectors. In this way, the performance (in terms of peripheral doses) of the different treatment techniques, when faced with the same dose distribution constraints, was evaluated. The doses were evaluated with an anthropomorphic phantom loaded with TLD detectors. Summarizing our results, we can conclude that low energy radiation techniques, namely VMAT and Tomotherapy, have more interesting performances when compared to IMRT at energies of 10 MV and 18 MV, with respect to peripheral dose. On the one hand the former are associated with lower photon doses and, on the other hand, there is no contribution from neutrons to the total dose.     

Organ dose and scattering dose for CT coronary angiography and calcium scoring using automatic tube current modulation

Noninvasive coronary angiography and calcium scoring with the use of multi-detector computed tomography scanners are feasible for reliably detecting coronary artery disease. The purpose of this study is to investigate organ dose and scattering dose for CT coronary angiography and calcium scoring using automatic tube current modulation. Organ doses of an anthropomorphic phantom were estimated using LiF:Mg,Cu,P thermoluminescent dosimeter (TLD) chips. The dose profiles inside and outside the scanning regions were measured. Effective doses for coronary angiography and calcium scoring without using automatic tube current modulation are respectively 12.72 ± 2.06 and 1.69 ± 0.30 mSv. Using automatic tube current modulation can reduce effective dose by 43% for coronary angiography, and 24–32% for calcium scoring. Scatter doses at the point of 10 cm away from the margin of scanning region decreased to 5–9% of in-plane doses. Using automatic tube current modulation can effectively reduce radiation doses inside the CT scanning region.     

In-phantom dose verification of prostate IMRT and VMAT deliveries using plastic scintillation detectors

The goal of this work was to demonstrate the feasibility of using a plastic scintillation detector (PSD) incorporated into a prostate immobilization device to verify doses in vivo delivered during intensity-modulated radiation therapy (IMRT) and volumetric modulated-arc therapy (VMAT) for prostate cancer. The treatment plans for both modalities had been developed for a patient undergoing prostate radiation therapy. First, a study was performed to test the dependence, if any, of PSD accuracy on the number and type of calibration conditions. This study included PSD measurements of each treatment plan being delivered under quality assurance (QA) conditions using a rigid QA phantom. PSD results obtained under these conditions were compared to ionization chamber measurements. After an optimal set of calibration factors had been found, the PSD was combined with a commercial endorectal balloon used for rectal distension and prostate immobilization during external beam radiotherapy. This PSD-enhanced endorectal balloon was placed inside of a deformable anthropomorphic phantom designed to simulate male pelvic anatomy. PSD results obtained under these so-called “simulated treatment conditions” were compared to doses calculated by the treatment planning system (TPS). With the PSD still inserted in the pelvic phantom, each plan was delivered once again after applying a shift of 1 cm anterior to the original isocenter to simulate a treatment setup error.The mean total accumulated dose measured using the PSD differed the TPS-calculated doses by less than 1% for both treatment modalities simulated treatment conditions using the pelvic phantom. When the isocenter was shifted, the PSD results differed from the TPS calculations of mean dose by 1.2% (for IMRT) and 10.1% (for VMAT); in both cases, the doses were within the dose range calculated over the detector volume for these regions of steep dose gradient. Our results suggest that the system could benefit prostate cancer patient treatment by providing accurate in vivo dose reports during treatment and verify in real-time whether treatments are being delivered according to the prescribed plan.     

Scatter radiation dose at the height of the operator's eye in interventional cardiology

This paper presents the first experimental result for scatter dose at the height of the operator's eye measured for a Polymethyl methacrylate (PMMA) phantom simulating an adult patient in an interventional laboratory at Belo Horizonte, Brazil. Values for scattered radiation doses at the height of the operator's eye are reported for procedures performed with and without a ceiling-suspended screen. Correlations between scatter radiation doses and different angiographic projections, phantom entrance dose and kerma area product, were obtained.Experimental measurements were made in an angiography X-ray system equipped with flat-panel detector. A cine and three fluoroscopy modes: low, medium and high dose were available. Scattered radiation doses were measured at three angiographic projections: anterior-posterior (AP), left anterior oblique 90° and left anterior oblique 45° with cranial 30° (spider) angulations. The detector measuring scatter radiation was positioned at the usual distance of the cardiologist's eye and the detector measuring phantom entrance dose was positioned at the bottom of the PMMA phantom.The phantom entrance dose for fluoroscopy low, medium, high and cine were 15, 29, 36 ± 4 and 184 ± 18 mGy/min, respectively to AP projection. A good linear correlation exists between phantom entrance doses rate and scatter dose rate to AP projection. There is a good linear correlation between the kerma-area product and scatter dose at the height of the operator's eye, coefficient of determination R² were 0.9728 and 0.9913 with and without ceiling-suspended screen. An experimental correlation factor of 0.1 and 3.5 μSv/Gy*cm2 has been found for the AP projection with and without ceiling-suspended screen, respectively. Scatter dose at the eyes cardiologist position depends on the C-arm angulation an increase of the scatter radiation dose by a factor of 5 was found.The highest dose rate in the lens was 19.74 ± 1.97 mSv/h without ceiling-suspended screen in cine mode for “spider” projection. For lateral projection in cine mode, the ceiling-suspended screen reduced dose by a factor 0.01. Interventional operator may therefore easily exceed the lens dose limit if ceiling-suspended screen is not used.     

Parotid perfusion in nasopharyngeal carcinoma patients in early-to-intermediate stage after low-dose intensity-modulated radiotherapy: Evaluated by fat-saturated dynamic contrast-enhanced magnetic resonance imaging

PurposeTo investigate parotid perfusion in early-to-intermediate stage after parotid-sparing radiation dose using fat-saturated DCE-MRI, and to verify whether the perfusion alteration was related to radiation dose and the PSV.Methods and MaterialsThirty-two parotid glands from 16 consecutive patients with pathologically proven nasopharyngeal carcinoma treated by IMRT were examined. The parotid glands received a radiation dose of 28.9 ± 3.9 Gy with a PSV of 43.1% ± 13.9%. Perfusion parameters were calculated using time-shifted Brix model from fat-saturated DCE-MRI data before (pre-RT) and in early-to-intermediate stage after (post-RT) IMRT. Paired t-test was used to evaluate perfusion changes, while Pearson's correlation test was used to examine perfusion dependency on radiation dose and PSV. For multiple comparisons Bonferroni correction was applied.ResultsSuccessful fat saturation was achieved in 29 of 32 parotid glands. Compared with pre-RT, the post-RT parotid glands showed significantly higher A, peak enhancement, and wash-in slope, plus a lower K_el, suggesting a mixed effect of increased vascular permeability and acinar loss. Linear regression showed that peak enhancement was positively associated with radiation dose in post-RT parotid glands. K_el and slope were negatively associated with PSV, while time-to-peak was positively associated with PSV significantly.ConclusionsOur results suggest that time-shifted Brix model is feasible for quantifying parotid perfusion using DCE-MRI. The perfusion alterations in early-to-intermediate stage after IMRT might be related to a mixed effect of increased vascular permeability and acinar loss with dose and PSV dependencies.     

Evaluation of the applicability of MOSFET detectors in radiotherapy

MOSFET detectors of 1 mVcGy⁻¹ sensitivity were tested for the accuracy of absorbed dose measurements in radiation therapy with the use of photon and electron beams. Before a detector was used in the study, several calibration coefficients were determined to allow for different factors affecting its operation. Then, the detector exposure response was compared with the dose calculated in the anthropomorphic phantom by the Monaco and MasterPlan treatment planning systems. MOSFET detectors were placed inside the phantom during the irradiation. Three different plans for thorax and pelvis areas were studied. The paper presents the differences between planned and MOSFET measured doses delivered to the selected target areas using conventional and IMRT techniques.     

A preliminary study of the performance of a novel design of multi-element tissue equivalent proportional counter for neutron monitoring

In this study we investigate the dependence of the sensitivity of a TEPC upon its surface area and demonstrate that a compact multi-element tissue equivalent proportional counter (METEPC) has a counting sensitivity comparable to a commercially available 12.7 cm (5 inch) diameter spherical TEPC. The METEPC incorporates 61 cylindrical counting volumes of internal diameter of 0.5 cm and height 5 cm, machined in a single block of tissue equivalent plastic. It is the simplest design available in the multi-element geometrical configuration and is approximately nine times smaller in volume than that of a conventional 12.7 cm spherical TEPC. The neutron sensitivity of commercially available TEPCs and the METEPC simulating a 2 μm tissue site size was examined experimentally using the McMaster University 1.25 MV double stage Tandetron accelerator, which produces low energy neutrons via the ⁷Li(p, n)⁷Be reaction. The mean energy of the neutron beams produced ranged from 34 keV to 354 keV. The results presented in this study suggests that the compact METEPC is able to produce measurements in low dose rate radiation environments with the same precision in a given length of time as could be obtained with a 12.7 cm diameter spherical TEPC.     

Quartz luminescence response to a mixed alpha-beta field: Investigations on Romanian loess

Previous SAR-OSL dating studies using quartz extracted from Romanian and Serbian loess samples report SAR-OSL dose–response curves on fine grained (4–11 μm) quartz that grow to much higher doses compared to those of coarse-grained (63–90, 90–125, 125–180 μm) quartz. Furthermore, quartz SAR-OSL laboratory dose response curves do not reflect the growth of the OSL signal in nature. A main difference in coarse- and fine-grained quartz dating lies in the alpha irradiation history, but the effect of mixed alpha-beta fields has so far received little attention. In the present study we investigate whether the alpha dose experienced by fine grains over geological cycles of irradiation and bleaching may have an effect on the saturation characteristics of the laboratory dose response. By applying time resolved optically stimulated luminescence we confirm that the OSL signals induced in quartz by alpha and beta radiation follow the same recombination path. We also show that a mixed alpha-beta dose response reproduces the beta dose response only up to about 800 Gy. Assuming an a-value of 0.04 we have shown that laboratory alpha and beta dose response curves overlap up to effective alpha doses of ∼50 Gy. Based on these results, we conclude that exposure of fine grains to alpha radiation during burial and transport cycles prior to deposition, as well exposure to the mixed radiation field experienced during burial are not responsible for the age discrepancies previously reported on fine and coarse grained quartz extracted from Romanian and Serbian loess.     

Development of a compact on-beam SEOP neutron spin filter

We have designed and demonstrated a prototype on-beam spin-exchange optical pumping (SEOP) ³He neutron spin filter (NSF). It is designed as the incident neutron polarizer for spallation neutron sources, where the installation space is limited due to thick radiation shielding. The size of the NSF is roughly 50 cm×50 cm×25 cm including the diode-laser optics with a frequency narrowing external cavity, and a cylindrical ³He cell as large as a diameter of 5 cm and a length of 10 cm can fit. A neutron beam test was performed at the NOP beamline of JRR-3 to see the performance of the NSF.     

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.     

Energy response of the new EBT2 radiochromic film to x-ray radiation

Gafchromic EBT2, Radiochromic film is assessed for its change in optical density response to x-ray radiation over a broad energy range, from low energy kilovoltage to megavoltage x-rays. A small energy dependence was found with variations in the change in optical density when scanned in the red component of a desktop scanner light source per unit dose of 6.5% from 50 kVp to 10 MV. This produces a slightly smaller and thus even more energy independent film than its predecessor, EBT film whose response varied by 7.7% over the same energy range. The energy response peaked at 100 kVp with a 5% over response compared to 6 MV x-rays and the minimum response found at both 50 kVp and 250 kVp being a 1.5% under response. It should be noted that the shape of the energy dependence response curve increases from 50 kVp up to 100 kVp followed by a decrease through to higher energies whilst the original EBT was found to increase in response from 50 kVp through to 10 MV. A reflected net optical density change of 0.215 ± 0.006 OD for the first Gray of radiation was found for EBT2 analysed in reflection mode at 6 MV x-ray energy. The minimal energy dependence of the EBT2 film provides further enhancement compared to EBT for its accuracy with respect to spectral changes in the beam to measure beams such as IMRT where complex field and multileaf collimator configurations exist causing small spectral changes to occur over the treatment field or at depth where spectral changes also occur.     

Radiation dose measurements for staff members involved in holmium-166 preclinical trial

AimNeutron-activated holmium-166 (¹⁶⁶Ho) is an excellent radionuclide for internal radiation therapy (Eβmax = 1.84 MeV) with an appropriate half-life (26.8 h), which emits photons (81 keV, 6.2%) suitable to be detected by gamma cameras. Preparing and injecting radiopharmaceuticals containing beta/gamma emitting holmium-166 implies a risk of exceeding the upper limit for skin and hand radiation equivalent doses (500 mSv/an). This study was aimed to estimate the whole body and finger exposure for staff responsible for dose preparation, dose dispensing, and dose injection of holmium-166 therapy.MethodsTo measure the finger dose from external exposure, all staff members wore TLD dosimeters. Personal dose equivalents Hp(10) were measured using electronic personal dosimeters (EPD MK2, Thermo Fischer Scientific) placed on the left side of the chest. During our study, staff members administered more than 40 ¹⁶⁶Ho-based therapies for preclinical trial. Appropriate radiation safety procedures and shielding were applied at each stage.ResultsIn this study, the whole body doses were 2.80 ± 1.56 nSv MBq⁻¹ for one ¹⁶⁶Ho-therapy preparation/formulation, and 2.68 ± 1.70 nSv MBq⁻¹ for one intravenous injection. Maximum finger doses were 2.9 ± 0.2 μSv MBq⁻¹ and 2.5 ± 0.3 μSv MBq⁻¹ for preparation and injection, respectively (activities injected: 72 ± 3 MBq).ConclusionExtrapolated annual doses from 300 ¹⁶⁶Ho radionuclide therapies were lower than the annual limit doses for skin and the whole body, 500 mSv and 20 mSv, respectively, reported in the European Directive EURATOM 96/29 when applying appropriate radiation protection standards. However, these doses have to be added to other diagnostic or therapeutic protocols, performed in preclinical facilities.     

EPR tooth dosimetry of SNTS area inhabitants

The determination of external dose to teeth of inhabitants of settlements near the Semipalatinsk Nuclear Test Site (SNTS) was conducted using the EPR dosimetry technique to assess radiation doses associated with exposure to radioactive fallout from the test site. In this study, tooth doses have been reconstructed for 103 persons with all studied teeth having been formed before the first nuclear test in 1949. Doses above those received from natural background radiation, termed “accident doses”, were found to lie in the range from zero to approximately 2 Gy, with one exception, a dose for one person from Semipalatinsk city was approximately 9 Gy. The variability of reconstructed doses within each of the settlements demonstrated heterogeneity of the deposited fallout as well as variations in lifestyle. The village mean external gamma doses for residents of nine settlements were in the range from a few tens of mGy to approximately 100 mGy.     

Photoluminescence and radioluminescence study of Eu and Mn doped RbMgF3 nanoparticles

Photoluminescence (PL) and radioluminescence (RL) measurements were made on RbMgF₃ nanoparticles doped with Mn or Eu. We find that the Mn doped samples contain only Mn²⁺ and the Eu doped samples contained Eu³⁺ and Eu²⁺. The Mn²⁺ PL lifetimes are nearly independent of Mn²⁺ concentration but the RL spectra increases at high doses for 1% Mn²⁺ and decreases slightly at high doses for 5% Mn²⁺. The 5% Mn²⁺ is more radiation hard and the integrated RL intensity only starts to significantly decrease above 1 kGy. The Eu doped sample displays a PL lifetime that is lower for high Eu concentrations and this can be accounted for by a model where there is energy transfer between Eu³⁺ and more nonradiative decay sites at the surface. The RL is independent of dose between 10 mGy and ∼200 Gy, where the 1% Eu sample is more radiation hard and the Eu³⁺ RL intensity has decreased by only 3.4% at 6.7 kGy.     

Enhancement of cavity selectivity in relativistic gyrotrons operated at axisymmetric modes

Mode selection is a key problem from the viewpoint of maintaining the single-mode generation regime in high-power gyrotrons operated at axisymmetric modes. In this paper, we propose several electrodynamic methods of mode selection, which allow separating the electrically strong axisymmetric higher-order mode from spurious modes. The possibility of suppressing the nearest spurious modes efficiently, by using either wide slits in the cavity, or azimuthal corrugations on the walls of the tapered cavity, is shown. A method of mode selection at cyclotron frequency harmonics is proposed. The results of studying two types of gyrotron cavities experimentally at a low power level confirmed their high selective properties. The cavities were calculated aiming at using them as the basis for creation of a gyrotron operated at the TE0.3 mode and producing a power of 5–10 MW in 1 μs long pulses at a wavelength of 1 cm. Translated from Izvestiya Vysshikh Uchebnykh Zavedenii, Radiofizika, Vol. 51, No. 10, pp. 837–849, October 2008.     

Occupational doses of medical staff and their relation to patient exposure incurred in coronary angiography and intervention

Patient kerma–area product P_KA, cumulative kerma in the air K_IRP, fluoroscopic time t, personal dose equivalent (in terms of Hp(10), Hp(0.07) and Hp(3)) for most common interventional cardiology procedures were measured. P_KA and K_IRP measurements were used for patients and thermoluminescent dosimetry for the personnel. Dosemeters for personal doses measurements containing MCP-N (LiF: Mg, Cu, P) type thermoluminescence detectors (TLDs), were read out at the Institute of Nuclear Physics Polish Academy of Science (IFJ PAN) dosimetry service.The patient and personal doses were similar to those reported by other authors. The mean values of total kerma–area product (P_KA) were 22.7 (7.3–50.9) Gy·cm² for coronary angiography (CA) and 43.1 (3.2–86.4) Gy·cm² for percutaneous coronary intervention (PCI). In general, doses received by the staff performing PCI procedures were found to be systematically higher than those after CA procedures, by some 30% or more. Within the medical team, operators always received the highest doses, followed by nurses and technicians. Maximum eye lens doses, skin doses and whole body doses were 165 μSv, 962 μSv and 30 μSv per procedure, respectively. Annual eye lens doses received by the operators, especially in PCI procedures, may well exceed the value of the recently recommended annual dose limit of 20 mSv and should be monitored.No meaningful correlation could be established between occupational doses and patient exposure, however some degree of correlation was observed between values of dose to the eye lens and whole body dose.     

Ionization density dependence of the curve shape and ratio of blue to UV emissions of Al2O3:C optically stimulated luminescence detectors exposed to 6-MV photon and therapeutic proton beams

In this work we characterized the dose and linear energy transfer (LET) (ionization density) dependence of commercial Al₂O₃:C optically stimulated luminescence (OSL) detectors (OSLDs) exposed to clinical photon and proton beams. We characterized the dose-dependence of the OSL signal, OSL curve shape, and the relative intensities of the blue and ultraviolet (UV) OSL emission bands using different readout protocols and beam qualities. We irradiated OSLDs with absorbed doses ranging from 0.1 Gy to 100 Gy in a 6-MV photon beam and from 0.1 Gy to 50 Gy in 140- and 250-MeV proton beams. Readouts were done with both continuous-wave (CWOSL) and pulsed (POSL) stimulation. The linearity of the OSLD dose–response depended on readout protocol and radiation type. Improved linearity was found for OSLDs irradiated with beams of increased LET, and for OSL signals containing only the blue emission band of Al₂O₃:C (which remained linear for doses up to 10 Gy for 140-MeV proton beam irradiations). The OSL curve shape did not vary with dose in the low-dose region (below 5 Gy depending on readout protocol), but beyond this, curves decayed more rapidly with increasing dose. Similarly, the ratio of blue to UV emission band intensities in the OSL signal did not vary with dose up to 5 Gy (depending on readout protocol), beyond which the ratio decreased with increasing dose. Because both the OSL curve shape and the ratio of blue to UV emission intensities have been investigated as potential parameters for measurements of LET, the constancy of these two quantities at doses relevant to radiotherapy is encouraging for the potential development of novel OSL methods to measure LET. Our findings are expected to contribute to the development of (i) improved readout protocols for commercially available Al₂O₃:C OSLDs and (ii) methods to measure radiation quality and LET.     

Secondary doses delivered to an anthropomorphic male phantom under prostate irradiation with proton and carbon ion beams

Secondary radiation exposure of patients undergoing radiation therapy with light ions is of great concern due to possible tissue damage and risk of induction of secondary cancers.Secondary particles such as neutrons, protons and heavier ions are produced when the primary ions interact through nuclear inelastic reactions with the beam-line components, and with the tissues of the patient.Evaluations of secondary doses delivered to an anthropomorphic male phantom under prostate irradiation with ¹H and ¹²C ion beams with energies 172 MeV and 330 MeV/u, respectively, have been performed with the Monte Carlo code SHIELD-HIT.Fluences of secondary particles with atomic mass A = 1–7 and energies up to 200–600 MeV/u are observed in organs even at larger distances (40–50 cm) from the irradiated volume. The secondary absorbed doses in selected organs are discussed taking into account the dose contribution from secondary neutrons, and the contribution from charged fragments that are not the products of neutron interactions. For ¹²C ion irradiation, a substantial contribution to the absorbed organ dose is due to charged fragments. This contribution decreases from 81% in the organs close to the irradiated volume to 35–40% in the organs at larger distances.     

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.