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Biomedical subjects

K R Hogstrom

Publications and source records attributed to K R Hogstrom.

At least 55 records · Page 3Linked to original sources
PubMed1986

Thermoluminescence of 7LiF in therapeutic high linear energy transfer (LET) charged-particle beams.

The thermoluminescence of the 200 and 260 degrees C peaks of 7LiF has been measured and compared with off-axis dose and depth-dose distributions for three therapeutic high-LET beams: negative pions, helium ions and neon ions. The methods of analysis consisted of both a single-peak analysis and the dual-peak analysis methods of Hogstrom and Irifune and Hoffmann et al. The results indicate that 7LiF, analysed by the dual-peak analysis methods, is potentially useful for extracting total dose, high-LET dose, and beam quality of helium-ion and negative-pion beams. For the higher-LET neon beam, differences in sensitivity between the 200 and 260 degrees C peaks of 7LiF were found to be independent of variations in LET within the beam; consequently, only the single-peak analysis method is applicable in which case the dosemeter at best can only estimate total dose.

Fluorides↗
PubMed1985

Improving the therapeutic ratio of craniospinal irradiation in medulloblastoma.

Radiation therapy delivered to the entire cerebrospinal axis is indicated for a number of pediatric brain tumors, especially medulloblastoma. Improved radiotherapy techniques have changed the near fatal prognosis for children with medulloblastoma to a 50%, 5-year survival. Nevertheless, the treatment results in substantial acute toxicity, and many survivors have serious sequelae. Further improvement in survival with optimal surgery and radiotherapy is not expected unless chemotherapy is added. Refinements in radiotherapy technique, however, can improve the therapeutic ratio of the treatment by lowering its side effects. In the last year children who required craniospinal irradiation at M. D. Anderson Hospital were treated with 6 MV photons to the brain and primary tumor and with 15-17 MeV electrons to the spinal canal. The elective dose to the whole brain was 30 Gy in 17 fractions and 30 Gy in 20 fractions to the spine. The primary tumor received an additional 20-25 Gy. An electron-beam dose distribution was drawn on a computerized tomography (CT) reconstructed sagittal plane. The electron energy was selected so that the 90% isodose line was at least 3 mm anterior to the cord after correction for bone heterogeneity. The treatment was well tolerated in the first five patients. It is projected that the current technique will cause fewer late effects and improve the tolerance to chemotherapy.

Brain↗
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↗
PubMed1983

Comparison of experimental and calculated dose distributions. Electron beam dose planning at the M.D. Anderson Hospital.

An algorithm for inhomogeneity correction of electron beam dose distributions has been developed at M. D. Anderson Hospital and Tumor Institute. The algorithm uses a pencil beam calculation model to correct for air gap, tissue inhomogeneity and field shape. Computed tomography data provide surface contour and tissue inhomogeneity information. The accuracy of the calculation model has been confirmed by TLD measurements in tissue substitute phantoms reconstructed from CT patient scans and is within +/- 4 per cent or +/- 4 mm. This algorithm is currently in clinical use in selected patients with head and neck disorders. A variety of clinical examples demonstrate the effect of tissue inhomogeneity on electron beam dose planning.

Carcinoma, Squamous Cell↗
PubMed1981

Electron beam dose calculations.

Electron beam dose distributions in the presence of inhomogeneous tissue are calculated by an algorithm that sums the dose distribution of individual pencil beams. The off-axis dependence of the pencil beam dose distribution is described by the Fermi-Eyges theory of thick-target multiple Coulomb scattering. Measured square-field depth-dose data serve as input for the calculations. Air gap corrections are incorporated and use data from'in-air' measurements in the penumbra of the beam. The effective depth, used to evaluate depth-dose, and the sigma of the off-axis Gaussian spread against depth are calculated by recursion relations from a CT data matrix for the material underlying individual pencil beams. The correlation of CT number with relative linear stopping power and relative linear scattering power for various tissues is shown. The results of calculations are verified by comparison with measurements in a 17 MeV electron beam from the Therac 20 linear accelerator. Calculated isodose lines agree nominally to within 2 mm of measurements in a water phantom. Similar agreement is observed in cork slabs simulating lung. Calculations beneath a bone substitute illustrate a weakness in the calculation. Finally a case of carcinoma in the maxillary antrum is studied. The theory suggests an alternative method for the calculation of depth-dose of rectangular fields.

Electrons↗
PubMed1980

Thermoluminescent response of LiF and Li2B4O7:Mn to pions.

LiF (TLD-100, TLD-600, and TLD-700) and Li2B4O7:Mn (TLD-800) have been exposed to pi+ and pi- beams over the clinically useful range of 0.05-4 Gy (5-400 rad). Thermoluminescence response curves were determined for the 200 degrees C and 260 degrees C and 260 degrees C glow peaks in LiF and for the 200 degrees C peak in Li2B4O7 when the dosemeters were exposed in the peak and plateau regions of the Bragg curve. TLD-700 appears to be suited for use in pion dosimetry since it is capable of measuring both total and high-LET dose by utilising the 200 and 260 degrees C peaks. TLD-100, TLD-600, and TLD-800 will not be useful because the neutrons emitted from pi- capture result in an enhanced dose to the thermoluminescence dosemeters via (n, alpha) reactions which cannot be extracted from the data. Linearity and fading of each glow peak was also investigated.

Elementary Particles↗
PubMed1980

Depth dose and off-axis characteristics of TLD in therapeutic pion beams.

The thermoluminescent (TL) response of LiF (TLD-100, TLD-600, TLD-700) and Li2B4O7 (TLD-800) has been measured as a function of depth and off-axis position in a therapeutic negative-pion beam in order to evaluate their usefulness in pion radiotherapy. TLD-100, TLD-600, and TLD-800 have been shown to be of little use as in vivo dosemeters because the neutron kerma relative to that in tissue changes grossly with depth. The neutron source comes primarily from pion absorption in the lead-alloy collimator. The 200 degrees C TLD-700 response agrees well with the depth dose spectra, except for small changes due to the varying linear energy transfer (LET) distributions. This variation can be partially accounted for by incorporating the known LET response of LiF. The 260 degrees C peak of TLD-700 has been found to be approximately four times more sensitive than the 200 degrees C peak to high LET dose. Using a simple model of the LET responses, the measured 200 degrees C and 260 degrees C peaks predict total dose within +/- 4% and high LET dose within +/- 50%, therefore indicating TLD-700 to be a good in vivo dosemeter for total dose but only an indicator of high LET dose.

Elementary Particles↗
PubMed1979

Comparative late effects of X-rays and negative pimesons on the mouse kidney.

A system is described for comparing various modalities and fractionation schedules of radiation by means of their long-term morphologic effects upon the mouse kidney. The comparison system utilizes a grading scale for histopathologic changes in which a given histologic grade depends upon meeting defined threshold criteria, rather than quantitation of a particular measurement. Renal tubular alterations served as the basis for comparison, since they appeared more reliably defined than glomerular changes. The radiation dose that induced a specific threshold effect in kidneys from 50% of the animals at 6 months was defined as the effective dose-50%, or ED50.ED50 was found for x-rays and negative pimesons administered in 1, 2, or 5 fractions. From these data, the relative biologic effectiveness (RBE) of negative pi-mesons with respect to x-rays was determined for each fractionation schedule.

Animals↗
PubMedDate not supplied

Computer dosimetry for flattened and wedged fast-neutron beams.

Beam flattening by the use of polyethylene filters has been developed for the 50-MeV d in equilibrium Be fast-neutron therapy beam at the Texas A&M Variable-Energy Cyclotron (TAMVEC) as a result of the need for a more uniform dose distribution at depth within the patient. A computer algorithm has been developed that allows the use of a modified decrement line method to calculate dose distributions; standards decrement line methods do not apply because of off-axis peaking. The dose distributions for measured flattened beams are transformed into distributions that are physically equivalent to an unflattened distribution. In the transformed space, standard decrement line theory yields a distribution for any field size which, by applying the inverse transformation, generates the flattened dose distribution, including the off-axis peaking. A semiempirical model has been constructed that allows the calculation of dose distributions for wedged beams from open-beam data.

Computers↗
PubMedDate not supplied

Dosimetry of pion therapy beams.

Cellular, animal, and human radiobiology studies are in progress at the Los Alamos Meson Physics Facility as part of a joint University of New Mexico and Los Alamos Scientific Laboratory pion therapy project. To support these activities, dosimetry has been performed on many different pion beam configurations. The effect of both static and dynamic momentum spreaders and of collimators on beam profiles, depth-dose distributions, and peak-to-plateau ratios have been studied. The absorbed dose is obtained by the application of Bragg-Gray cavity theory to ionization chamber measurements. Calculations have been made for the effective W values and average mass-stopping-power ratios needed for the Bragg-Gray equation. Kerma corrections are applied to transform the dose from the chamber wall to dose in muscle.

Elementary Particles↗
PubMedDate not supplied

Measurement of the effect of inhomogeneities and compensating bolus in clinical pion beams.

Measurement of the effects of Telfon and air inhomogeneities on the ionization distributions of clinical negative-pion beams have been made at the Los Alamos Meson Physics Facility. Inhomogeneity location and pion-beam energy vary the effect of multiple coulomb scattering on the dose distribution lying in the penumbra of the inhomogeneity. CH2 bolus adequately corrects for the effects of these inhomogeneities. Bolus misalignment less than 0.5 cm does not seem critical because of large multiple coulomb scattering of the pion beam. However, this and secondary particles emitted from pion stars prevent the pion beam from being precisely shaped with sharp edges, as demonstrated by measurements under a patient bolus.

Elementary Particles↗