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K R Hogstrom

Publications and source records attributed to K R Hogstrom.

71 records · Page 4Linked to original sources
PubMedDate not supplied

Pion in vivo dosimetry using aluminum activation.

The method of aluminum activation to 24Na has been shown feasible as a high-LET, in vivo dosimeter for clinical pion beams at the Clinton P. Anderson Meson Physics Facility in Los Alamos. A 3 X 3 in. phi NaI (Tl) well detector measures the 24Na activity following exposure by windowing the 2.75 MeV photopeak. Calculations of the 24Na activity agree well with experiment if one assumes a production ratio of 0.075 24Na/stopped pi- in aluminum, and an in-flight cross section of 26 mb. The activity is produced primarily by stopping pions although 15-25% of the activity is the result of neutrons. Thus, the induced activation is a good measure of high-LET dose. By comparison with high-LET dose measured by a 7.6 mu silicon detector and a Rossi chamber, the amount of high-LET dose per activation is found to be 1.35 X 10(-6) rad/(24Na/gm Al). A clinical setup has been installed and a sample patient measurement is compared with high-LET dose calculated by treatment planning programs.

Aluminum↗
PubMedDate not supplied

Calculation of pion dose distributions in water.

Techniques for calculating negative pion beam depth and off-axis dose distributions in a water phantom have been developed at the Clinton P. Anderson Meson Physics Facility in Los Alamos. The superposition of the unmodulated depth-dose curve produced modulated depth-dose curves. The addition of the collimator neutron dose, which has been shown to depend on field size, to the modulated depth-dose curve yields the collimated depth-dose distributions. Off-axis dose distributions under a collimator are produced by calculating the distortion of the uncollimated beam caused by multiple Coulomb scattering and beam phase space. Several comparisons of calculated and measured distributions are shown with agreement of normally +/- 3% of peak dose of +/- 3 mm for a particular dose contour. These distribution are them modified by computerized tomographic data to give patient isodose distributions.

Elementary Particles↗
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Preclinical studies of dynamic treatment modes in pion therapy.

Preliminary results on a system for delivering dynamic pion radiotherapy treatments are reported. The desired treatment volume is scanned across a small, focused pion beam using a computer-controlled treatment couch. A computer-controlled rangeshifting device modulates the stopping pion depth distribution in coordination with the couch motion to conform the dose to the shape of the treatment volume. For certain shaped tumors, the system can result in substantial normal tissue dose sparing and better field flatness as compared to irradiation by static treatments with broad terms. The characteristics of this new system, plus preliminary results for typical dose distributions as measured with thermoluminescent dosimeters (TLDs), are presented.

Elementary Particles↗
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Prediction of electron beam output factors.

A method to predict square and rectangular field output factors from the measurement of selected fields of electron beams on the Therac 20 Saturne has been developed. A two parameter fit of the square field output factor data, based on the functional dependence as predicted by a pencil beam calculational model, has proven clinically acceptable. The pencil beam distributions are given by the Fermi-Eyges theory of multiple Coulomb scattering. For a rectangular field, the output factor can be calculated from the square root of the product of the two square field output factors wtih sides equal to those of the rectangular field. If however, there is a significant asymmetry between the X and Y collimator systems, then rectangular field output factors should be predicted from the product of the X and Y one-dimensional output factors. One-dimensional output factors are defined as output factors of rectangular fields where one side remains constant and equal to the side of the square reference field. Measured data indicate either of the two methods of determining rectangular field output factors to be clinically acceptable for the Therac 20, the use of one-dimensional output factors demonstrating greater accuracy. Data show agreement to within approximately 1.5% at electron energies of 6, 9, 13, and 17 MeV.

Electrons↗
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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↗
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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

Determination of electron beam output factors for a 20-MeV linear accelerator.

The demands of a busy clinic require that basic machine calculations be performed as accurately, rapidly, and simply as possible. For the electron beam of the Therac 20 Saturne linear accelerator, a method suitable for a programmable calculator is described to predict the dose output from the measurement of selected fields. One-dimensional output factors were measured; these are defined as output factors of rectangular fields where one side is always equal to the side of the square reference field. The output of an arbitrary rectangular field X, Y is given by the product of the output factors OF(X,Y) = OF(X,10) X OF(10,Y), where 10 is the side of the square reference field. The measured data indicate that the output of very large rectangular and square fields is underestimated using this method for the lower energies. A correction factor of the form CF = C X [(X - 10)(Y - 10)/(X - 10)(Y - 10) 1/2] results in agreement with measured data to within 1.5% for all energies.

Biophysical Phenomena↗
PubMedDate not supplied

Effects of finite angular steps and extent of profile data on the calculation of rotational x-ray dose distributions.

Computer algorithms for rotational therapy beams, in most cases, perform dose calculations by summing stored fixed beam data at finite angular steps. Such an algorithm, based on the Bentley beam model, was evaluated by comparing calculations with measured data for an 18-MV x-ray beam. Measurements were made in a specially constructed cylindrical water phantom of 15-cm radius using a 0.1-cm3 ionization chamber for an arc of 180 degrees and for a field size of 7.2 X 7.2 cm2 at 100-cm source-axis distance. This study revealed that the Bentley beam model, with fixed beams summed every 10 degrees, predicts the dose in the treatment volume, centered about the isocenter, with an accuracy of approximately 2%. However, dose at depths between the phantom surface and the treatment volume could be underestimated by as much as 10% (3% of isocenter). This was shown to be partially due to the truncated tails of the off-axis profiles in the Bentley model, which extend only 8 mm outside the edge of the radiation field, and the large angular increment of integration (10 degrees). Using beam profiles extending to 4 cm outside the edge of the radiation field and angular steps of 5 degrees or less for summation of fixed beams reduced errors to less than 5%. Therefore, extended beam profiles and smaller angular steps for summing fixed beams are recommended for photon rotation calculation when increased accuracy is required.

Algorithms↗
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Dosimetric evaluation in heterogeneous tissue of anterior electron beam irradiation for treatment of retinoblastoma.

A dosimetric study of anterior electron beam irradiation for treatment of retinoblastoma was performed to evaluate the influence of tissue heterogeneities on the dose distribution within the eye and the accuracy of the dose calculated by a pencil beam algorithm. Film measurements were made in a variety of polystyrene phantoms and in a removable polystyrene eye incorporated into a tissue substitute phantom constructed from a human skull. Measurements in polystyrene phantoms were used to demonstrate the algorithm's ability to predict the effect of a lens block placed in the beam, as well as the eye's irregular surface shape. The eye phantom was used to measure dose distributions within the eye in both the sagittal and transverse planes in order to test the algorithm's ability to predict the dose distribution when bony heterogeneities are present. Results show (1) that previous treatment planning conclusions based on flat, uniform phantoms for central-axis depth dose are adequate; (2) that a three-dimensional heterogeneity correction is required for accurate dose calculations; and (3) that if only a two-dimensional heterogeneity correction is used in calculating the dose, it is more accurate for the sagittal than the transverse plane.

Electrons↗
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The exposure rate constant for a silver wire 125I seed.

The physical characteristics of the newer silver wire 125I seed were measured with a scintillation spectrometer to compare them with those of the original gold sphere 125I seed. The exposure rate constant was determined by converting the count rate from a scintillation spectrometer into the photon-fluence rate incident upon the detector, then calculating the exposure rate from the photon-fluence rate. The exposure rate constant measured perpendicular to the long axis of the seed is 1.361 R cm2/mCi h (1.192 cGy cm2/mCi h) +/- 3.7%, a value that compares favorably with the theoretical exposure rate constant of 1.354 R cm2/mCi h (1.186 cGy cm2/mCi h) calculated from the 125I emissions data. A value of 1.309 R cm2/mCi h was previously reported for the gold sphere 125I seed using the same technique. The angular intensity distribution and anisotropy factor of the silver wire 125I seed are shown to be very similar to those of the gold sphere 125I seed, leading to the conclusion that the clinical application of the two types of 125I seeds need not change.

Brachytherapy↗
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Measurement of dose distributions using film in therapeutic electron beams.

The feasibility of using film dosimetry data as the input data for patient treatment planning was evaluated. The central-axis depth dose and the off-axis ratios obtained from film measurements in a solid phantom were compared with those of ion-chamber measurements in water. Two techniques were used to generate isodose distributions. The first technique used only the film data, i.e., the central-axis depth dose and the off-axis ratios used for the reconstruction were determined from the film optical density (corrected for film nonlinearity). In the second technique, the central-axis depth dose measured by an ion chamber in a water phantom was combined with the off-axis ratios measured using film in the "solid water" phantom. The resulting isodose distributions from both techniques were compared with the ion-chamber measurements in water for 7-, 12-, and 18-MeV electrons, and the second technique showed better agreement with the ion-chamber measurements than did the first technique. The differences were within a clinically acceptable range.

Electrons↗
PubMedDate not supplied

Pencil-beam redefinition algorithm for electron dose distributions.

A pencil-beam redefinition algorithm has been developed for the calculation of electron-beam dose distributions on a three-dimensional grid utilizing 3-D inhomogeneity correction. The concept of redefinition was first used for both fixed and arced electron beams by Hogstrom et al. but was limited to a single redefinition. The success of those works stimulated the development of the pencil-beam redefinition algorithm, the aim of which is to solve the dosimetry problems presented by deep inhomogeneities through development of a model that redefines the pencil beams continuously with depth. This type of algorithm was developed independently by Storchi and Huizenga who termed it the "moments method." Such a pencil beam within the patient is characterized by a complex angular distribution, which is approximated by a Gaussian distribution having the same first three moments as the actual distribution. Three physical quantities required for dose calculation and subsequent radiation transport--namely planar fluence, mean direction, and root-mean-square spread about the mean direction--are obtained from these moments. The primary difference between the moments method and the redefinition algorithm is that the latter subdivides the pencil beams into multiple energy bins. The algorithm then becomes a macroscopic method for transporting the complete phase space of the beam and allows the calculation of physical quantities such as fluence, dose, and energy distribution. Comparison of calculated dose distributions with measured dose distributions for a homogeneous water phantom, and for phantoms with inhomogeneities deep relative to the surface, show agreement superior to that achieved with the pencil-beam algorithm of Hogstrom et al. in the penumbral region and beneath the edges of air and bone inhomogeneities. The accuracy of the redefinition algorithm is within 4% and appears sufficient for clinical use, and the algorithm is structured for further expansion of the physical model if required for site-specific treatment planning problems.

Algorithms↗
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Verification data for electron beam dose algorithms.

The Collaborative Working Group (CWG) of the National Cancer Institute (NCI) electron beam treatment planning contract has performed a set of 14 experiments that measured dose distributions for 28 unique beam-phantom configurations that simulated various patient anatomic structures and beam geometries. Multiple dose distributions were measured with film or diode detectors for each configuration, resulting in 78, 2-D planar dose distributions and one, 1-D depth-dose distribution. Measurements were made for 9- and 20-MeV electron beams, using primarily 6 x 6- and 15 x 15-cm applicators at several SSDs. Dose distributions were measured for shaped fields, irregular surfaces, and inhomogeneities (1-D, 2-D, and 3-D), which were designed to simulate many clinical electron treatments. The data were corrected for asymmetries, and normalized in an absolute manner. This set of measured data can be used for verification of electron beam dose algorithms and is available to others for that purpose.

Algorithms↗
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Electron bolus design for radiotherapy treatment planning: bolus design algorithms.

Computer algorithms to design bolus for electron beam radiotherapy treatment planning were investigated. Because of the significant electron multiple scatter, there is no unique solution to the problem of bolus design. However, using a sequence of operators, a bolus can be designed that attempts to meet three important criteria: adequate dose delivery to the target volume, avoidance of critical structures, and dose homogeneity within the target volume. Initial calculation of bolus shape was based upon creation operators forcing either the physical or the effective depths of the distal surface of the target volume to a specified value. Modification operators were then applied to the bolus to alter the shape to better meet the design criteria. Because the operators each address a single dosimetric issue, they can often adversely affect some other attribute of the dose distribution. In addition, an extension operator is used to design the bolus thickness outside the target volume. Application of these operators is therefore carried out in certain sequences and each may be used more than once in the design of a particular bolus. The effects of these operators on both the bolus and the resulting dose distribution are investigated for test geometries and patient geometries in the nose, parotid, and paraspinal region.

Algorithms↗