Abstract: In this study, the absorbed dose of human organs after injection of 177Lu-DOTATOC was studied based on the biodistribution of the complex in adenocarcinoma breast cancer bearing mice. For this purpose, the biodistribution of the radiolabelled complex was studied and compartmental modeling was applied to calculate the absorbed dose with high precision. As expected, 177Lu-DOTATOC illustrated a notable specific uptake in tumor and pancreas, organs with high level of somatostatin receptor on their surface and the effectiveness of the radio-conjugate for targeting of the breast adenocarcinoma tumors was indicated. The elicited results of modeling were the exponential equations, and those are utilized for obtaining the cumulated activity data by taking their integral. The results also exemplified that non-target absorbed-doses such as the liver, spleen and pancreas were approximately 0.008, 0.004, and 0.039, respectively. While these values were so much lower than target (tumor) absorbed-dose, it seems due to this low toxicity, this complex is a good agent for therapy.
Abstract: Dosimetry is an indispensable and precious factor in patient treatment planning to minimize the absorbed dose in vital tissues. In this study, compartmental model was used in order to estimate the human absorbed dose of 177Lu-DOTATOC from the biodistribution data in wild type rats. For this purpose, 177Lu-DOTATOC was prepared under optimized conditions and its biodistribution was studied in male Syrian rats up to 168 h. Compartmental model was applied to mathematical description of the drug behaviour in tissue at different times. Dosimetric estimation of the complex was performed using radiation absorbed dose assessment resource (RADAR). The biodistribution data showed high accumulation in the adrenal and pancreas as the major expression sites for somatostatin receptor (SSTR). While kidneys as the major route of excretion receive 0.037 mSv/MBq, pancreas and adrenal also obtain 0.039 and 0.028 mSv/MBq. Due to the usage of this method, the points of accumulated activity data were enhanced, and further information of tissues uptake was collected that it will be followed by high (or improved) precision in dosimetric calculations.
Abstract: The estimation of accumulated radiation doses in people professionally exposed to ionizing radiation was performed using methods of biological (chromosomal aberrations frequency in lymphocytes) and physical (radionuclides analysis in urine, whole-body radiation meter, individual thermoluminescent dosimeters) dosimetry. A group of 84 "A" category employees after their work in the territory of former Semipalatinsk test site (Kazakhstan) was investigated. The dose rate in some funnels exceeds 40 μSv/h. After radionuclides determination in urine using radiochemical and WBC methods, it was shown that the total effective dose of personnel internal exposure did not exceed 0.2 mSv/year, while an acceptable dose limit for staff is 20 mSv/year. The range of external radiation doses measured with individual thermo-luminescent dosimeters was 0.3-1.406 µSv. The cytogenetic examination showed that chromosomal aberrations frequency in staff was 4.27±0.22%, which is significantly higher than at the people from non-polluting settlement Tausugur (0.87±0.1%) (р ≤ 0.01) and citizens of Almaty (1.6±0.12%) (р≤ 0.01). Chromosomal type aberrations accounted for 2.32±0.16%, 0.27±0.06% of which were dicentrics and centric rings. The cytogenetic analysis of different types group radiosensitivity among «professionals» (age, sex, ethnic group, epidemiological data) revealed no significant differences between the compared values. Using various techniques by frequency of dicentrics and centric rings, the average cumulative radiation dose for group was calculated, and that was 0.084-0.143 Gy. To perform comparative individual dosimetry using physical and biological methods of dose assessment, calibration curves (including own ones) and regression equations based on general frequency of chromosomal aberrations obtained after irradiation of blood samples by gamma-radiation with the dose rate of 0,1 Gy/min were used. Herewith, on the assumption of individual variation of chromosomal aberrations frequency (1–10%), the accumulated dose of radiation varied 0-0.3 Gy. The main problem in the interpretation of individual dosimetry results is reduced to different reaction of the objects to irradiation - radiosensitivity, which dictates the need of quantitative definition of this individual reaction and its consideration in the calculation of the received radiation dose. The entire examined contingent was assigned to a group based on the received dose and detected cytogenetic aberrations. Radiosensitive individuals, at the lowest received dose in a year, showed the highest frequency of chromosomal aberrations (5.72%). In opposite, radioresistant individuals showed the lowest frequency of chromosomal aberrations (2.8%). The cohort correlation according to the criterion of radio-sensitivity in our research was distributed as follows: radio-sensitive (26.2%) — medium radio-sensitivity (57.1%), radioresistant (16.7%). Herewith, the dispersion for radioresistant individuals is 2.3; for the group with medium radio-sensitivity — 3.3; and for radio-sensitive group — 9. These data indicate the highest variation of characteristic (reactions to radiation effect) in the group of radio-sensitive individuals. People with medium radio-sensitivity show significant long-term correlation (0.66; n=48, β ≥ 0.999) between the values of doses defined according to the results of cytogenetic analysis and dose of external radiation obtained with the help of thermoluminescent dosimeters. Mathematical models based on the type of violation of the radiation dose according to the professionals radiosensitivity level were offered.
Abstract: Extrapolation chambers were designed to be used as primary standard dosimeter for measuring absorbed dose in a medium in beta radiation and low energy x-rays. The International Organization for Standardization established series of reference x-radiation for calibrating and determining the energy dependence of dosimeters that are to be reproduced in metrology laboratories. Standardization of the low energy x-ray beams with tube potential lower than 30 kV may be affected by the instrument used for dosimetry. In this work, parameters of a 23392 model PTW extrapolation chamber were determined aiming its use in low energy x-ray beams as a reference instrument.
Abstract: Usually, phosphate deposits contain 238U and 232Th in addition to their decay products. Due to their different pathways in the environment, the 238U/232Th activity concentration ratio usually found to be greater than unity in phosphate sediments. The presence of these radionuclides creates a potential need to control exposure of workers in the mining and processing activities of the phosphate minerals in accordance with IAEA safety standards. The greatest dose to workers comes from exposure to radon, especially 222Rn from the uranium series, and has to be controlled. In this regard, radon (222Rn) was measured in the atmosphere (indoor and outdoor) of Al-Jalamid phosphate-mines working area using a portable radon-measurement instrument RAD7, in a purpose of radiation protection. Radon was measured in 61 sites inside the open phosphate mines, the phosphate upgrading facility (offices and rooms of the workers, and in some open-air sites) and in the dwellings of the workers residence-village that lies at about 3 km from the mines working area. The obtained results indicated that the average indoor radon concentration was about 48.4 Bq/m3. Inside the upgrading facility, the average outdoor concentrations were 10.8 and 9.7 Bq/m3 in the concentrate piles and crushing areas, respectively. It was 12.3 Bq/m3 in the atmosphere of the open mines. These values are comparable with the global average values. Based on the average values, the annual effective dose due to radon inhalation was calculated and risk estimates have been done. The average annual effective dose to workers due to the radon inhalation was estimated by 1.32 mSv. The potential excess risk of lung cancer mortality that could be attributed to radon, when considering the lifetime exposure, was estimated by 53.0x10-4. The results have been discussed in detail.
Abstract: Abstract—[Tris (1,10-phenanthroline) lanthanum(III)]
trithiocyanate is a new compound that has shown high ability for
stopping the synthesis of DNA and also acting as a photosensitizer.
Nowadays, the radiation dose assessment resource (RADAR) method
is known as the most common method for absorbed dose calculation.
177Lu was produced by (n, gamma) reaction in a research reactor.
177Lu-PL3 was prepared in the optimized condition. The
radiochemical yield was checked by ITLC method. The
biodistribution of the complex was investigated by intravenously
injection to wild-type rats via their tail veins. In this study, the
absorbed dose of 177Lu-PL3 to human organs was estimated by
RADAR method. 177Lu was prepared with a specific activity of 2.6-3
GBq.mg-1 and radionuclide purity of 99.98 %. Final preparation of
the radiolabelled complex showed high radiochemical purity of >
99%. The results show that liver and spleen have received the highest
absorbed dose of 1.051 and 0.441 mSv/MBq, respectively. The
absorbed dose values for these two dose-limiting tissues suggest
more biological studies special in tumor-bearing animals.
Abstract: The measurement of organ radiation exposure dose is
one of the most important steps to be taken initially, for developing a
new radiopharmaceutical. In this study, the dosimetric studies of a
novel agent for SPECT-imaging of the bone metastasis, 111In-
1,4,7,10-tetraazacyclododecane-1,4,7,10 tetraethylene phosphonic
acid (111In-DOTMP) complex, have been carried out to estimate the
dose in human organs based on the data derived from rats. The
radiolabeled complex was prepared with high radiochemical purity in
the optimal conditions. Biodistribution studies of the complex was
investigated in the male Syrian rats at selected times after injection
(2, 4, 24 and 48 h). The human absorbed dose estimation of the
complex was made based on data derived from the rats by the
radiation absorbed dose assessment resource (RADAR) method.
111In-DOTMP complex was prepared with high radiochemical purity
of >99% (ITLC). Total body effective absorbed dose for 111In-
DOTMP was 0.061 mSv/MBq. This value is comparable to the other
111In clinically used complexes. The results show that the dose with
respect to the critical organs is satisfactory within the acceptable
range for diagnostic nuclear medicine procedures. Generally, 111In-
DOTMP has interesting characteristics and can be considered as a
viable agent for SPECT-imaging of the bone metastasis in the near
future.
Abstract: Equivalent fields are frequently used for central axis depth-dose calculations of rectangular and irregular shaped photon beam. Since most of the proposed models to calculate the equivalent square field, are dosimetry-based, a simple physical-based method to calculate the equivalent square field size was used as the basis of this study. The table of the sides of the equivalent square for rectangular fields was constructed and then compared with the well-known tables of BJR and Venselaar with the average relative error percentage of 2.5±2.5 % and 1.5±1.5 % respectively. To evaluate the accuracy of this method, the PDDs were measured for some special irregular symmetric and asymmetric treatment fields and their equivalent squares for Siemens Primus Plus linear accelerator for both energies 6 and 18MV. The mean relative differences of PDDs measurement for these fields and their equivalent square was approximately 1% or less. As a result, this method can be employed to calculate equivalent field not only for rectangular fields but also for any irregular symmetric or asymmetric field.
Abstract: The aim of the study is evaluation of absorbed doses for thyroids by using neck phantoms. For this purpose, it was arranged the irradiation set with different phantoms. Three different materials were used for phantom materials as, water, parafine and wood. The phantoms were three different dimensions for simulation of different ages and human race for each material. Co-60 gammao source was used for irradiation and the experimental procedure applied rigorously with narrow beam geometry. As the results of the experiments the relative radiation doses are evaluated for therapic applications for thyroids and backscattering factors were calculated and shown that water, parafine and wood can appropriate for phantom material with the converge values of backscattering factors.
Abstract: In this study three commercial semiconductor devices
were characterized in the laboratory for computed tomography
dosimetry: one photodiode and two phototransistors. It was evaluated
four responses to the irradiation: dose linearity, energy dependence,
angular dependence and loss of sensitivity after X ray exposure. The
results showed that the three devices have proportional response with
the air kerma; the energy dependence displayed for each device
suggests that some calibration factors would be applied for each one;
the angular dependence showed a similar pattern among the three
electronic components. In respect to the fourth parameter analyzed,
one phototransistor has the highest sensitivity however it also showed
the greatest loss of sensitivity with the accumulated dose. The
photodiode was the device with the smaller sensitivity to radiation,
on the other hand, the loss of sensitivity after irradiation is negligible.
Since high accuracy is a desired feature for a dosimeter, the
photodiode can be the most suitable of the three devices for
dosimetry in tomography. The phototransistors can also be used for
CT dosimetry, however it would be necessary a correction factor due
to loss of sensitivity with accumulated dose.
Abstract: Organ motion, especially respiratory motion, is a technical challenge to radiation therapy planning and dosimetry. This motion induces displacements and deformation of the organ tissues within the irradiated region which need to be taken into account when simulating dose distribution during treatment. Finite element modeling (FEM) can provide a great insight into the mechanical behavior of the organs, since they are based on the biomechanical material properties, complex geometry of organs, and anatomical boundary conditions. In this paper we present an original approach that offers the possibility to combine image-based biomechanical models with particle transport simulations. We propose a new method to map material density information issued from CT images to deformable tetrahedral meshes. Based on the principle of mass conservation our method can correlate density variation of organ tissues with geometrical deformations during the different phases of the respiratory cycle. The first results are particularly encouraging, as local error quantification of density mapping on organ geometry and density variation with organ motion are performed to evaluate and validate our approach.
Abstract: To investigate the applicability of the EDR-2 film for
clinical radiation dosimetry, percentage depth-doses, profiles and
distributions in open and dynamically wedged fields were measured
using film and compared with data from a Treatment Planning
system.The validity of the EDR2 film to measure dose in a plane
parallel to the beam was tested by irradiating 10 cm×10 cm and 4
cm×4 cm fields from a Siemens, primus linac with a 6MV beam and
a source-to-surface distance of 100 cm. The film was placed
Horizontally between solid water phantom blocks and marked
with pin holes at a depth of 10 cm from the incident beam surface.
The film measurement results, in absolute dose, were compared with
ion chamber measurements using a Welhoffer scanning water tank
system and Treatment Planning system. Our results indicate a
maximum underestimate of calculated dose of 8 % with Treatment
Planning system.
Abstract: The Brazilian legislation has only established
diagnostic reference levels (DRLs) in terms of Multiple Scan
Average Dose (MSAD) as a quality control parameter for computed
tomography (CT) scanners. Compliance with DRLs can be verified
by measuring the Computed Tomography Kerma Index (Ca,100) with
a pencil ionization chamber or by obtaining the kerma distribution in
CT scans with radiochromic films or rod shape lithium fluoride
termoluminescent dosimeters (TLD-100). TL dosimeters were used
to record kerma profiles and to determine MSAD values of a Bright
Speed model GE CT scanner. Measurements were done with
radiochromic films and TL dosimeters distributed in cylinders
positioned in the center and in four peripheral bores of a standard
polymethylmethacrylate (PMMA) body CT dosimetry phantom.
Irradiations were done using a protocol for adult chest. The
maximum values were found at the midpoint of the longitudinal axis.
The MSAD values obtained with three dosimetric techniques were
compared.
Abstract: Raman spectroscopy are used to characterize the
chemical changes in normoxic polyhydroxyethylacrylate gel
dosimeter (PHEA) induced by radiation. Irradiations in the low dose
region are performed and the polymerizations of PHEA gels are
monitored by the observing the changes of Raman shift intensity of
the carbon covalent bond of PHEA originated from both monomer
and the cross-linker. The variation in peak intensities with absorbed
dose was observed. As the dose increase, the peak intensities of
covalent bond of carbon in the polymer gels decrease. This point out
that the amount of absorbed dose affect the polymerization of
polymer gels. As the absorbed dose increase, the polymerizations
also increase. Results verify that PHEA gel dosimeters are sensitive
even in lower dose region.
Abstract: Prior to the use of detectors, characteristics
comparison study was performed and baseline established. In patient
specific QA, the portal dosimetry mean values of area gamma,
average gamma and maximum gamma were 1.02, 0.31 and 1.31 with
standard deviation of 0.33, 0.03 and 0.14 for IMRT and the
corresponding values were 1.58, 0.48 and 1.73 with standard
deviation of 0.31, 0.06 and 0.66 for VMAT. With ImatriXX 2-D
array system, on an average 99.35% of the pixels passed the criteria
of 3%-3 mm gamma with standard deviation of 0.24 for dynamic
IMRT. For VMAT, the average value was 98.16% with a standard
deviation of 0.86. The results showed that both the systems can be
used in patient specific QA measurements for IMRT and VMAT.
The values obtained with the portal dosimetry system were found to
be relatively more consistent compared to those obtained with
ImatriXX 2-D array system.
Abstract: Purpose: Planning and dosimetry of different VMAT algorithms (SmartArc, Ergo++, Autobeam) is compared with IMRT for Head and Neck Cancer patients. Modelling was performed to rule out the causes of discrepancies between planned and delivered dose. Methods: Five HNC patients previously treated with IMRT were re-planned with SmartArc (SA), Ergo++ and Autobeam. Plans were compared with each other and against IMRT and evaluated using DVHs for PTVs and OARs, delivery time, monitor units (MU) and dosimetric accuracy. Modelling of control point (CP) spacing, Leaf-end Separation and MLC/Aperture shape was performed to rule out causes of discrepancies between planned and delivered doses. Additionally estimated arc delivery times, overall plan generation times and effect of CP spacing and number of arcs on plan generation times were recorded. Results: Single arc SmartArc plans (SA4d) were generally better than IMRT and double arc plans (SA2Arcs) in terms of homogeneity and target coverage. Double arc plans seemed to have a positive role in achieving improved Conformity Index (CI) and better sparing of some Organs at Risk (OARs) compared to Step and Shoot IMRT (ss-IMRT) and SA4d. Overall Ergo++ plans achieved best CI for both PTVs. Dosimetric validation of all VMAT plans without modelling was found to be lower than ss-IMRT. Total MUs required for delivery were on average 19%, 30%, 10.6% and 6.5% lower than ss-IMRT for SA4d, SA2d (Single arc with 20 Gantry Spacing), SA2Arcs and Autobeam plans respectively. Autobeam was most efficient in terms of actual treatment delivery times whereas Ergo++ plans took longest to deliver. Conclusion: Overall SA single arc plans on average achieved best target coverage and homogeneity for both PTVs. SA2Arc plans showed improved CI and some OARs sparing. Very good dosimetric results were achieved with modelling. Ergo++ plans achieved best CI. Autobeam resulted in fastest treatment delivery times.
Abstract: The overall penumbra is usually defined as the
distance, p20–80, separating the 20% and 80% of the dose on the beam axis at the depth of interest. This overall penumbra accounts
also for the fact that some photons emitted by the distal parts of the source are only partially attenuated by the collimator. Medulloblastoma is the most common type of childhood brain tumor
and often spreads to the spine. Current guidelines call for surgery to remove as much of the tumor as possible, followed by radiation of the brain and spinal cord, and finally treatment with chemotherapy.
The purpose of this paper was to present results on an Uniformity of dose distribution in radiation fields surrounding the spine using film
dosimetry and comparison with 3D treatment planning software.
Abstract: An electronic portal image device (EPID) has become
a method of patient-specific IMRT dose verification for radiotherapy.
Research studies have focused on pre and post-treatment verification,
however, there are currently no interventional procedures using EPID
dosimetry that measure the dose in real time as a mechanism to
ensure that overdoses do not occur and underdoses are detected as
soon as is practically possible. As a result, an EPID-based real time
dose verification system for dynamic IMRT was developed and was
implemented with MATLAB/Simulink. The EPID image acquisition
was set to continuous acquisition mode at 1.4 images per second. The
system defined the time constraint gap, or execution gap at the image
acquisition time, so that every calculation must be completed before
the next image capture is completed. In addition, the
Abstract: The purpose of this study was to investigate the
response of the newly released Gafchromic HD-V2 film for alpha
particle of 5.5 MeV. Gafchromic HD-V2 was exposed to alpha
particles of energy 5 MeV from 241Am for different durations. Then
the films were scanned with a flatbed scanner. The dose response
curve up to 2200 Gy has been achieved. The film’s reproducibility
and sensitivity were evaluated. The results obtained show that the net
optical density increases almost exponentially with the increase in the
exposure time, and it becomes saturated after prolonged exposure
times. The red channel shows the highest sensitivity, with a value of
4 x 10-3 Gy-1 at netOD of 0.4. The inter-film reproducibility was
measured and the relative uncertainty found was 1.7 %, 2.1 % and 2.3
% for grey, red and green channels, respectively.
Abstract: Computed tomography (CT) dosimetry normally uses
an ionization chamber 100 mm long to estimate the computed
tomography dose index (CTDI), however some reports have already
indicated that small devices could replace the long ion chamber to
improve quality assurance procedures in CT dosimetry. This paper
presents a novel dosimetry system based in a commercial
phototransistor evaluated for CT dosimetry. Three detector
configurations were developed for this system: with a single, two and
four devices. Dose profile measurements were obtained with them
and their angular response were evaluated. The results showed that
the novel dosimetry system with the phototransistor could be an
alternative for CT dosimetry. It allows to obtain the CT dose profile
in details and also to estimate the CTDI in longer length than the
100 mm pencil chamber. The angular response showed that the one
device detector configuration is the most adequate among the three
configurations analyzed in this study.