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J R Palta

Publications and source records attributed to J R Palta.

17 recordsLinked to original sources
PubMed1996

Characterizing output for dynamic wedges.

The output factor for the dynamic wedge, unlike that for the physical wedge, is a complex function of the field dimension along the moving jaw and wedge angle. The large change in output (varying as much as 40% for 45 degrees and 60 degrees wedge angles) can be attributed clearly to the segmented treatment tables (STTs), which specify cumulative monitor unit weighting as a function of jaw position, y. We found that the output factor (in air or water) on the central axis for the dynamic wedge can be characterized by multiplying the output factor (in air or water) for an open field by a normalization factor, which is determined from the STTs, thus indicating that collimator scatter is similar for both the dynamic wedge field and the open field. The introduction of the normalization factor decreases the commissioning time for dynamic wedges significantly and is useful for quality assurance.

Biophysical Phenomena↗
PubMed1996

Dosimetric considerations for a multileaf collimator system.

A commercial linear accelerator with a factory-fitted multileaf collimator (MLC) was commissioned for clinical use. Measurements made of dosimetric parameters included central axis depth-dose, field-size factors, wedge factors, penumbra, and leaf leakage for the 6-MV and 15-MV photon beams available on this accelerator. The depth-dose characteristics, output factors, and transmission factors were similar to those reported in the literature for a machine by the same manufacturer with a standard treatment head. Because of scalloping, the effective penumbra for the MLC was 3 to 4 mm wider than that for the conventional collimator jaws. The output for the fields shaped by the MLC was generally lower than that for similar fields shaped with Lipowitz's metal (Cerrobend). The magnitude of the difference was field-size dependent and ranged from 0.5% to 4.5% for open shaped fields, increasing to 1% to 5% in the presence of wedges. Further analysis of this observation has shown it to be primarily due to differences in the scattered radiation from the collimator head.

Biophysical Phenomena↗
PubMed1995

Intraoperative electron beam radiation therapy: technique, dosimetry, and dose specification: report of task force 48 of the Radiation Therapy Committee, American Association of Physicists in Medicine.

Intraoperative radiation therapy (IORT) is a treatment modality whereby a large single dose of radiation is delivered to a surgically open, exposed cancer site. Typically, a beam of megavoltage electrons is directed at an exposed tumor or tumor bed through a specially designed applicator system. In the last few years, IORT facilities have proliferated around the world. The IORT technique and the applicator systems used at these facilities vary greatly in sophistication and design philosophy. The IORT beam characteristics vary for different designs of applicator systems. It is necessary to document the existing techniques of IORT, to detail the dosimetry data required for accurate delivery of the prescribed dose, and to have a uniform method of dose specification for cooperative clinical trials. The specific charge to the task group includes the following: (a) identify the multidisciplinary IORT team, (b) outline special considerations that must be addressed by an IORT program, (c) review currently available IORT techniques, (d) describe dosimetric measurements necessary for accurate delivery of prescribed dose, (e) describe dosimetric measurements necessary in documenting doses to the surrounding normal tissues, (f) recommend quality assurance procedures for IORT, (g) review methods of treatment documentation and verification, and (h) recommend methods of dose specification and recording for cooperative clinical trials.

Combined Modality Therapy↗
PubMed1995

Fetal dose from radiotherapy with photon beams: report of AAPM Radiation Therapy Committee Task Group No. 36.

Approximately 4000 women per year in the United States require radiotherapy during pregnancy. This report presents data and techniques that allow the medical physicist to estimate the radiation dose the fetus will receive and to reduce this dose with appropriate shielding. Out-of-beam data are presented for a variety of photon beams, including cobalt-60 gamma rays and x rays from 4 to 18 MV. Designs for simple and inexpensive to more complex and expensive types of shielding equipment are described. Clinical examples show that proper shielding can reduce the radiation dose to the fetus by 50%. In addition, a review of the biological aspects of irradiation enables estimates of the risks of lethality, growth retardation, mental retardation, malformation, sterility, cancer induction, and genetic defects to the fetus.

Female↗
PubMed1989

A non-docking intraoperative electron beam applicator system.

A non-docking intraoperative radiation therapy electron beam applicator system for a linear accelerator has been designed to minimize the mechanical, electrical, and tumor visualization problems associated with a docking system. A number of technical innovations have been used in the design of this system. These include: (a) a new intraoperative radiation therapy cone design that gives a better dose uniformity in the treatment volume at all depths; (b) a collimation system which reduces the leakage radiation dose to tissues outside the intraoperative radiation therapy cone; (c) a non-docking system with a translational accuracy of 2 mm and a rotational accuracy of 0.5 degrees; and (d) a rigid clamping system for the cones. A comprehensive set of dosimetric characteristics of the intraoperative radiation therapy applicator system is presented.

Combined Modality Therapy↗
PubMed1989

Asymmetric field arc rotations.

Optimal treatment planning of target volume that surrounds a vital critical structure is often very difficult. Treatment techniques using moving beam therapy with fields asymmetric with respect to rotational axis of the collimator head allow treatment of such target volumes with minimal dose to critical structures. The availability of independent motion of the collimator jaws on new medical accelerators allows easy setting up of asymmetric treatment portals. Therefore, treatment techniques utilizing asymmetric field arc rotations with acceptable dose distributions have been possible.

Bone Neoplasms↗
PubMed1988

Dosimetric characteristics of a 6 MV photon beam from a linear accelerator with asymmetric collimator jaws.

Dosimetric measurements have been made of a 6 MV photon beam from a linear accelerator equipped with asymmetric jaws. The field size factors for asymmetrically set fields are compared to those for symmetrically set fields. The change of beam quality has been measured as a function of off-axis position of the asymmetric fields to assess its effect on depth dose. Additional measurements include beam penumbra and shape of isodose curves for open and wedge fields as the field opening is moved asymmetrically from the central ray.

Particle Accelerators↗
PubMed1984

Dosimetric evaluation of a pencil-beam algorithm for electrons employing a two-dimensional heterogeneity correction.

The accuracy of a pencil-beam algorithm for electrons employing a two-dimensional heterogeneity correction is demonstrated by comparing calculation with measurement. Ionization measurements have been made in a water phantom for a variety of non-standard geometries. Geometries to demonstrate the effect of an extended treatment distance, a sloping skin surface, and an irregular skin surface have been selected. Additionally, thermoluminescent dosimeters have been used to measure distributions in tissue-substitute phantoms, which were designed from individual patient computerized tomographic scans. Three patient scans have been selected: (1) diffuse hystiocytic lymphoma of the left buccal mucosa and retromolar trigone; (2) squamous cell carcinoma of the nose at the columnella ; and (3) carcinoma of the maxillary antrum. Results demonstrate the algorithm's ability to simultaneously account for the isodose shifting as a result of internal heterogeneities and for sidescatter non-equilibrium caused by lateral discontinuities of the skin surface and internal anatomy. The algorithm is shown to generally be accurate to within +/- 4% in the treatment volume or +/- 4 mm in regions of sharp dose gradients as found in the penumbra and distal edge of the beam. Examples of greater disagreement are shown and their physical interpretation discussed.

Carcinoma, Squamous Cell↗
PubMedDate not supplied

Radiotherapy for early vocal cord cancer: a dosimetric analysis of 60CO versus 6 MV photons.

BACKGROUND: Currently, many patients with early vocal cord cancers are treated with 6 MV photons, but almost all the published radiotherapy data are based on patients treated with 60Co, 2-MV, or 4-MV X-rays. A theoretical risk of underdosage exists with higher energy beams due to lack of dose build-up. This dosimetric study compares 6-MV photons with 60Co. METHODS: A tissue-equivalent phantom was constructed of a stack of 0.5-cm-thick acrylic plates. With a male subject in treatment position as the model, the external surfaces of the phantom were machined to match the contour of the neck. To precisely represent the internal contour of the airway, computed tomography (CT) was performed on the subject in treatment position, with images at 0.5-cm intervals, and the airway shown on the CT was cut out of each corresponding acrylic plate. Thermoluminescent dosimetry (TLD) rods were inserted into the phantom. For each measurement, a calculated tumor dose of 10 Gy was delivered to the volume specified as the entire right true vocal cord in the phantom, with either 60Co or 6-MV photons (15 measurements were made with each). In a second series of eight experiments with each modality, TLD minichips were used to measure the dose received by the immediate surface of the vocal cords with delivery of a calculated tumor dose of 0.5 Gy. RESULTS: The doses received at the vocal cords, as well as a point 6 mm beneath the anterior skin surface, did not differ significantly for the two energies compared. The dose delivered to the skin and a point 3 mm beneath the anterior skin surface was significantly lower with the use of 6-MV photons. CONCLUSION: Although there is no difference in the dose received by the vocal cords, underdosage of the anterior tissues may occur with the use of 6-MV photons.

Humans↗
PubMedDate not supplied

Neutron leakage measurements from a medical linear accelerator.

The McCall method has been used to measure neutron leakage from the Mevatron 77, 18- and 15-MV photon beams. Gold foil activation has been used employing a beta counting technique for the 18-MV beam and a gamma counting technique for both the 18- and 15-MV beam. The two counting techniques were used to evaluate their relative merit. The measurements were made at various locations in the patient-treatment plane for different field sizes. The results show that the thermal-neutron dose equivalent contributes only about 1%-2% of the total neutron dose equivalent. At 100 cm, the neutron dose equivalent for the 18-MV beam is approximately six times that of the 15-MV beam, slightly exceeding the 0.1% of the useful beam criteria used by some of the regulatory agencies. In light of the uncertainty in fluence to dose equivalent conversion factors, the increased dose equivalent above 0.1% is insignificant.

Neutrons↗
PubMedDate not supplied

Demonstration of relatively new electron dosimetry measurement techniques on the Mevatron 80.

A comprehensive set of electron dosimetry measurements at 7, 10, 12, 15, and 18 MeV was made on a Mevatron 80. Dosimetry measurements presented include percentage depth dose, dose in the buildup region, field size dependence of output, output at extended distances, lead transmission measurements, and isodose curves. These beam measurements are presented to document the electron beam characteristics of this linear accelerator. Three relatively new dosimetry techniques, which have not been standardly used in the past, are illustrated. One technique determines the depth dose of fields too small to measure. A second technique accurately converts depth dose measured in polystyrene to depth dose in water. A third technique calculates the output at extended distances.

Electrons↗
PubMedDate not supplied

Dosimetric characterization of the 18-MV photon beam from the Siemens Mevatron 77 linear accelerator.

A comprehensive set of dosimetric measurements has been made on the Mevatron 77.80.67 18-MV photon beam. Percentage depth dose, dose in the buildup region, field size dependence of output, transmission through lead, tray attenuation, and isodose curves for the open and wedged fields were measured using an ionization chamber in water and polystyrene phantoms. These dosimetric measurements sufficiently characterized the beam to permit clinical use. The depth dose at 10-cm depth for a 10 X 10 cm2 field at 100-cm source-to-skin distance (SSD) is 80.9%, which meets design specifications. Central axis depth-dose data were fitted to within 0.5% by a set of polynomial equations utilizing a two-dimensional linear regression analysis. Tissue-maximum ratios calculated from depth-dose data agree with measured data to within 2%. Output differences as large as 2.5% were measured for rectangular fields depending on which collimator jaws defined the long dimension of the field. The field size dependence of output was fit to within +/- 0.1% by a linear regression. The half-value thickness of the beam was measured to be 13 mm of lead.

Models, Structural↗
PubMedDate not supplied

Field size dependence of wedge factors.

The radiation output in the presence of wedge filters is characterized by the wedge transmission factor and open beam field size factors. Conventionally, the wedge factor for high-energy photons is measured in a water phantom at depth of maximum dose for a reference field size. Experimental measurements on different wedges indicate that the wedge factors are a function of field size. An analysis of these data show that this is primarily caused by the change in scattered radiation from the treatment head in the presence of wedge filters. The change in phantom scatter and radiation backscattered to the monitor chamber are minimal. For 4- or 6-MV x rays with a 60 degrees wedge, the use of a single wedge factor measured for 10 cm X 10 cm field introduces errors of up to 3.5%, for a 16-cm-wide field. For a 20-cm-wide field with this wedge, the error is 7%. Thinner wedges exhibit less differences.

Humans↗
PubMedDate not supplied

Electron beam characteristics on a Philips SL25.

Dosimetry measurements at nominal electron energies of 4, 6, 8, 10, 12, 15, 17, 20, and 22 MeV were made for different sized, open-sided applicators on two Philips SL25 linear accelerators. Measurements include beam flatness, percentage depth dose, surface dose, isodose curves, field size dependence, output at extended distances, virtual source position, and required low melting point alloy thickness for field shaping. These measurements are presented to document the characteristics of electron beams with a new type of applicator design on this series of Philips accelerators.

Electrons↗
PubMedDate not supplied

Characteristics of photon beams from Philips SL25 linear accelerators.

The Philips SL25 accelerator is a multimodality machine offering asymmetric collimator jaws and a new type of beam bending and transport system. It produces photon beams, nominally at 6 and 25 MV, and a scattered electron beam with nine selectable energies between 4 and 22 MeV. Dosimetric characteristics for the 6- and 25-MV photon beams are presented with respect to field flatness, surface and depth dose characteristics, isodose distribution, field size factors for both open and wedged fields, and narrow beam transmission data in different materials.

Humans↗
PubMedDate not supplied

Experimental verification of a three-dimensional dose calculation algorithm using a specially designed heterogeneous phantom.

A solid heterogeneous phantom made up of 25- and 50-mm cubes of materials with different electron densities was used to verify the accuracy of a three-dimensional (3-D) dose calculation algorithm. This algorithm uses 3-D information obtained from contiguous CT (computed tomography) slices, spaced 5 mm apart. Primary and scatter doses at a point are calculated by using information from ray-tracing CT voxels. The algorithm was developed on a Stardent model 1500 Supergraphic workstation. Cubes of materials with different electron densities were stacked up to simulate finite heterogeneities in three dimensions. This design allows verification of the algorithm for surface contour corrections and finite heterogeneities in the treatment field. Thermoluminescent lithium fluoride chips were placed in grooves milled on the cubes for dose measurement at various points. Different experiments were performed to investigate both the accuracy of the dose calculation algorithm and the utility of the versatile test phantom.

Algorithms↗