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Calculation of kQ factors for Farmer-type ionization chambers following the recent recommendations on new key dosimetry data
摘要： Purpose: To calculate by Monte Carlo simulations kQ factors for Farmer-type ionization chambers in megavoltage photon beams using the new key dosimetry data recommended by the International Commission on Radiation Units and Measurements (ICRU) Report 90. Methods: Monte Carlo calculations were performed with the EGSnrc code system using both the ICRU 90 and the ICRU 37 data. Farmer-type ionization chambers with graphite and plastic walls and with graphite wall and a plastic waterproofing sleeve were considered (Nuclear Enterprise NE 2571, IBA FC65-G and FC65-P). kQ factors were calculated for photon beams in the range 6–25 MV using phase-space files as input radiation sources. The photon beam qualities in terms of TPR20,10 and %dd(10)x were established by simulating the depth-dose curves in water. Absorbed doses to the air cavity and to water were calculated using the egs_chamber user code with a target statistical uncertainty below 0.1%. Results: The update of key dosimetry data according to the ICRU report 90 had an impact of ?0.2% in the absorbed dose to water and up to 0.5% in the absorbed dose to the air cavity. Nevertheless, changes partially offset each other when entering in kQ as ratio, and the final impact on the kQ values was below 0.3%. Conclusions: The calculated values of kQ tend to be lower than the current values in the IAEA TRS-398 protocol with differences up to about 0.5%. A slightly better agreement (within 0.3%) is observed with the Monte-Carlo calculated values provided by the addendum to the AAPM’s TG-51 protocol.
关键词： Monte-Carlo calculated kQ,Beam quality correction factor,kQ,Radiotherapy dosimetry,ICRU 90
更新于2025-09-19 17:15:36
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Image quality and dose evaluation of MVCT TomoTherapy acquisitions: A phantom study
摘要： Background: The aim of this study is to evaluate the dose delivered and the image quality of pre-treatment MVCT images with Hi-Art TomoTherapy system, varying acquisition and reconstruction parameters. Materials and methods: Catphan 500 MVCT images were acquired with all acquisition pitch and reconstruction intervals; image quality was evaluated in terms of noise, uniformity, contrast linearity, contrast-to-noise ratio (CNR) and spatial resolution with the Modulation Transfer Function (MTF). Dose was evaluated as Multi Slice Average Dose (MSADw) and measurements were performed with the Standard TomoTherapy? Quality Assurance Kit composed by the TomoTherapy Phantom, the Exradin A1SL ion chamber and TomoElectrometer. For each pitch-reconstruction interval, acquisitions were repeated 5 times. Results: Differences in noise and uniformity, though statistically significant in some cases, were very small: noise ranged from 2.3% for Coarse – 3 mm to 2.4% for Coarse – 6 mm, while uniformity passed from 99.5% for Coarse – 6 mm to 99.8% for Normal – 4 mm. No differences at all were found for CNR for high and low density inserts, while MTF was higher for pitch Coarse, even if no differences in spatial resolution were observed visually (spatial resolution was up to 4 lp/cm for all combinations of pitch and reconstruction interval). Dose was dependent on pitch, being 1.0 cGy for Coarse, 1.5 cGy for Normal and 2.85 cGy for Fine. Conclusions: We observed negligible differences in image quality among different pitch and reconstruction interval, thus, considerations regarding pre-treatment imaging modalities should be based only on dose delivered and on the desired resolution along the cranio-caudal axis for image-guided radiotherapy and adaptive radiotherapy purposes.
关键词： Image guided radiotherapy,Pre-treatment imaging,Tomotherapy,Image quality,Megavoltage computed tomography
更新于2025-09-19 17:15:36
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Preliminary result of definitive radiotherapy in patients with non-small cell lung cancer who have underlying idiopathic pulmonary fibrosis: comparison between X-ray and proton therapy
摘要： Background: Idiopathic pulmonary fibrosis (IPF) is associated with fatal complications after radiotherapy (RT) for lung cancer patients; however, the role of proton therapy to reduce the incidence of life-threatening complications is unclear. Herein, we present the preliminary results of early-stage lung cancer patients having IPF and treated with RT, with a focus on the comparison between X-ray and proton therapy. Methods: From January 2010 to October 2017, we retrospectively reviewed the medical records of 264 patients with stage I-II non-small cell lung cancer (NSCLC) treated with definitive RT alone. Ultimately, 30 patients (11.4%) who had underlying IPF were analyzed. Among these, X-ray and proton RT were delivered to 22 and 8 patients, respectively. Treatment-related complications and survival outcomes were compared between X-ray and proton therapy. Results: The median follow-up duration was 11 months (range, 2 to 51 months). All living patients were followed-up at least 9 months. Treatment-related death occurred in four patients (18.2%) treated with X-ray but none with proton therapy. Most patients died within one month after the onset of pulmonary symptoms in spite of aggressive treatment. In addition, the 1-year overall survival (OS) rate in patients treated with X-ray and proton was 46.4 and 66.7%, respectively, and patients treated with proton therapy showed a tendency of better survival compared to X-ray (p = 0.081). Especially, in GAP stage II and III subgroups, patients treated with proton therapy showed significantly increased survival outcomes compared to X-ray (1-year OS rate; 50.0% versus 26.4%, p = 0.036) in univariate analysis. Conclusions: RT is associated with serious treatment-related complications in patients with IPF. Proton therapy may be helpful to reduce these acute and fatal complications.
关键词： Non-small cell lung cancer,Radiotherapy,Complication,Proton therapy,Idiopathic pulmonary fibrosis
更新于2025-09-19 17:15:36
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Implementation of immobilization accessories for positioning of small animals for radiation therapy
摘要： Radiation therapy is a modality that is presenting great advances in veterinary medicine worldwide. In Brazil, this therapeutic option is underachieved. The success of this method depends on several factors, including the use of appropriate accessories for protection and immobilization of patients. For the immobilization of small animals during treatment, in addition to sedation and anesthesia, immobilizing accessories, similar to those used in human radiotherapy, are used. This study aimed to present proposals for immobilizing accessories adapted to the positioning of small animals in order to be used in radiotherapy planning. In order to achieve results, accessories were made and tested in a living animal simulating a radiotherapy planning, which proved to be favorable to use in positioning small animals undergoing radiotherapy and for implementation processes.
关键词： small animals,immobilizing accessories,veterinary radiotherapy
更新于2025-09-19 17:15:36
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Investigation of 3D diamond detector dosimetric characteristics
摘要： Recently, a polycrystalline chemical vapor deposited (pCVD) 3D diamond detector with graphitic in bulk electrodes, fabricated using a pulsed laser technique has been evaluated for photon beam radiation dosimetry during in-air exposure. The same 3D diamond detector, has now been investigated to evaluate its performance under clinically relevant conditions putting the detector inside a Polymethylmethacrylate (PMMA) phantom, to obtain higher precision dosimetric measurements. The detector leakage current was of the order of ±25 pA or less for bias voltages up to ?100 V. The 3D detector was tested for time stability and repeatability showing excellent performance with less than 0.6% signal variation. It also showed a linear response for low dose rates with a deviation from linearity of 2%. It was also possible to verify the detector response as a function of the depth in PMMA up to 18 cm.
关键词： Diamond Detectors,Radiotherapy concepts,Dosimetry concepts and apparatus
更新于2025-09-19 17:15:36
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CT/MRI-Guided Synergistic Radiotherapy and X-ray Inducible Photodynamic Therapy Using Tb-Doped Gd-W-Nanoscintillators
摘要： The use of X-rays instead of UV/Vis light to trigger photodynamic therapy, named X-ray inducible photodynamic therapy, holds tremendous promise due to a high penetration capacity in tissues and is worthy of in-depth study. In this study, a novel multifunctional nanoagent based on Merocyanine 540-coupled Gd2(WO4)3:Tb nanoscintillators and the vitalization of its abilities for dual-modal computed tomography and the magnetic-resonance-imaging-guided synergistic radio-/X-ray inducible photodynamic therapy of tumors is reported. Synergistic therapies show a higher tumor growth inhibition efficiency at a lower X-ray dose than radiotherapy alone. Through this proof-of-concept work, a way to tactfully understand and utilize nanoscintillators for cancer theranostics is shown.
关键词： magnetic resonance imaging,nanoscintillators,computed tomography,X-ray inducible photodynamic therapy,radiotherapy
更新于2025-09-19 17:15:36
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Annihilation gamma imaging for carbon ion beam range monitoring using Si/CdTe Compton camera
摘要： In this study, we performed on-beam monitoring of 511-keV annihilation gamma emissions using a Compton camera. Beam monitoring experiments were conducted using carbon ion beams of 290 MeV/u irradiated on a polymethyl methacrylate (PMMA) phantom. The intensity of the beams was 3×10^9 particles per pulse, with 20 pulses per minute. A Compton camera based on a silicon/cadmium telluride (Si/CdTe) detector was used to monitor the annihilation gamma rays emitted from the phantom. We successfully reconstructed the energy events of 511-keV annihilation gamma rays and developed Compton images using a simple back-projection method. The distribution of the annihilation gamma ray generation traced the beam trajectory and the peak intensity position was a few millimeters shorter than the Bragg peak position. Moreover, the effect of the beam range shifter with 30-, 60-, and 90-mm water equivalent thickness was clearly visualized in the reconstructed Compton images. The experimentally measured values of the corresponding range shifts in the PMMA phantom (28.70 mm, 52.49 mm, and 76.77 mm, respectively) were consistent with the shifts of the Bragg peak position (25.50 mm, 51.30 mm and 76.70 mm, respectively) evaluated by Monte Carlo simulation. The results show that the Si/CdTe Compton camera has strong potential for on-beam monitoring of annihilation gamma rays in particle therapy in clinical situations.
关键词： Compton camera,Beam monitoring,Annihilation gamma imaging,Carbon ion radiotherapy
更新于2025-09-19 17:15:36
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Biochemical Changes in Irradiated Oral Mucosa: A FTIR Spectroscopic Study
摘要： Radiation exposure during the course of treatment in head and neck cancer (HNC) patients can induce both structural and biochemical anomalies. The present study is focused on utilizing infrared imaging for the identification of the minor biochemical alterations in the oral mucosa. Chemical maps generated using glycoprotein band indicates its differential distribution along the superficial layer. Spectra extracted from this layer suggests changes in overall nucleic acid and protein content in response to the therapeutic irradiation. Discrimination among control and irradiated groups have been achieved using principal component analysis. Findings of this preliminary study further support prospective utilization of Fourier Transform InfraRed (FTIR) imaging as a non-destructive, label-free tool for objective assessment of the oral mucosa in patient groups with or without radiation therapy.
关键词： radiotherapy,head and neck cancer,FTIR spectroscopy
更新于2025-09-19 17:15:36
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Evaluating the performance characteristics of some ion chamber dosimeters in high dose per pulse intraoperative electron beam radiation therapy
摘要： Employing routine dosimetry protocols for intraoperative electron beam needs further refinements to obtain reliable results. In this regard, the performance of some cylindrical and parallel plate ion chambers for both relative and absolute dosimetry of intraoperative electron beam has been evaluated. Materials and methods: Four different ion chambers including Semiflex and PinPoint cylindrical chambers as well as Advanced Markus and Roos parallel plate ones were employed for PDD measurement and dose rate determination in reference condition of the electron beam produced by LIAC intraoperative accelerator. The results of PDD measurements were compared with those of Gafchromic EBT2 film. Specific recommendations were followed to determine the chamber correction factors including ks and kQ,Q0 for absolute dosimetry in intraoperative reference condition. Results: There was good agreement between PDDs measured by employed chambers and EBT2 film at all nominal energies. Nevertheless, Advanced Markus chamber had the best performance based on the gamma analysis results. Obtained kQ,Q0 and ks for studied ion chambers largely differed from expected values by TRS-398 protocol. The difference of measured dose rates at 12 MeV energy by investigated chambers was less than 1.1% and Advanced Markus had the best accordance with pre-set dose rate by manufacture. Conclusion: Results showed that ignoring the specific recommended procedures in determining the chamber correction factors causes the overestimation of the measured dose. Therefore, dedicated dosimetry protocol should be developed for high dose per pulse intraoperative electron dosimetry including all of the updated correction factors and deviations from routine ionometric electron dosimetry formalisms.
关键词： Intraoperative electron radiotherapy,Ion chamber dosimeter,Reference dosimetry,Ionometric dosimetry
更新于2025-09-19 17:15:36
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Empirical Law to Evaluate the Skin Dose with Photon Beam Energy and Irradiation Field Size
摘要： The objective of this study is to evaluate mathematically an empirical law governs the skin dose with photon beam energy and irradiation field size based on experiment data of dose distributions. The dose distributions were expressed on percentage depth dose (PDD). The measurements of PDDs were done as a function of irradiation field size with an uncertainty of 2% as recommended by IAEA protocols. The skin dose corresponds to PDD at depth of 0 mm for photon beam energy of 6 and 18 MV. For these both photon beam energies, the skin dose increased linearly with irradiation field size and the skin dose rate decreased in power law as a function of irradiation field size with mathematical error under to 10%. This law allows us to predict the skin dose with irradiation field size for high radiotherapy quality and high protection of organ at risks.
关键词： skin dose,linac,dosimetry,radiotherapy,PDD
更新于2025-09-19 17:15:36