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W Fernando

Publications and source records attributed to W Fernando.

7 recordsLinked to original sources
PubMed2004

An IMRT dose distribution study using commercial verification software.

The introduction of IMRT requires users to confirm that the isodose distributions and relative doses calculated by their planning system match the doses delivered by their linear accelerators. To this end the commercially available software, VeriSoft (PTW-Freiburg, Germany) was trialled to determine if the tools and functions it offered would be of benefit to this process. The CMS XiO (Computerized Medical System, St. Louis, MO) treatment planning system was used to generate IMRT plans that were delivered with an upgraded Elekta SL15 linac. Kodak EDR2 film sandwiched in RW3 solid water (PTW-Freiburg, Germany) was used to measure the IMRT fields delivered with 6 MV photons. The isodose and profiles measured with the film generally agreed to within +/- 3% or +/- 3 mm with the planned doses, in some regions (outside the field) the match fell to within +/- 5%. The isodose distributions of the planning system and the film could be compared on screen, allowing for electronic records of the comparison to be kept if desired. The features of this software would be of benefit to an IMRT QA program.

Benchmarking↗
PubMed2001

Transit dose of an Ir-192 high dose rate brachytherapy stepping source.

Clinical dosimetry for high dose rate (HDR) brachytherapy with a single stepping source generally neglects the transit dose. This study investigates the effects of the transit dose in the target volume of an HDR brachytherapy stepping source. A video method was used to analyse the entrance, exit and the interdwell transit speed of the source for different path lengths and step sizes ranging from 2.5 mm to 995 mm. The transit speed was found to vary with the step size and path length. For the travelled distances of 2.5, 5.0, 10.0, 230 and 995 mm, the average transit speeds were 54, 72, 233, 385 and 467 mm s(-1) respectively. The results also show that the manufacturer has attempted to compensate for the effects of interdwell transit dose by reducing the actual dwell time of the source. A well-type chamber was used to determine the dose differences between two sets of measurements, one being the stationary dose only and the other being the sum of stationary and transit doses. Single catheters of active lengths of 20 and 40 mm, different dwell times of 0.5, 1, 2 and 5 s and different step sizes of 2.5, 5 and 10 mm were used in the measurements with the well-type chamber. Most of the measured dose differences between stationary and stationary plus interdwell source movement were within 2%. The additional dose due to the source transit can be as high as 24.9% for the case of 0.5 s dwell time, 10 mm step size and 20 mm active length. The dose difference is mainly due to the entrance and exit source movement but not the interdwell movement.

Biophysical Phenomena↗
PubMed1999

Verification of brachytherapy dosimetry with radiochromic film.

The aim of this work is to empirically validate the optimized dose distribution calculated by the Nucletron Brachytherapy Planning System (v. 13.3) at a distance of 1.0 cm from a stepping source of high-dose-rate-iridium 192 (192Ir). The longitudinal dose distribution at 1.0 cm from a straight pathway of multiple-source positions is measured using radiochromic film and compared with the planning system's calculated results. The optical density of the exposed films was determined with a modified Scanditronix film scanner, and the film was calibrated with 192Ir using manually calculated exposure times. A calibration equation was used to convert scanner output to dose. Our results illustrate the significance of exacting geometry in the experimental setup due to the inverse square law and the small distances involved. The dose distribution calculated by the Nucletron Brachytherapy Planning System (v. 13.3), at a distance of 1.0 cm, is validated to within +/-4% of the measured dose distribution. The advantages and limitations of radiochromic film as a dosimetry tool are also addressed in this work.

Brachytherapy↗
PubMed1999

Dose errors in the near field of an HDR brachytherapy stepping source.

The dose rate at point P at 0.25 cm in water from the transverse bisector of a straight catheter with an active stepping source (Nucletron microSelectron HDR source) with a dwell length of 2 cm was calculated using Monte Carlo code MCNP 4.A. The source step sizes were 1 cm and 0.25 cm. The Monte Carlo (MC) results were used for comparison with the results calculated with the Nucletron brachytherapy planning system (BPS) formalism, first with BPS variants and then with its respective MC calculated radial dose function and anisotropy function. The dose differences at point P calculated using the BPS formalism and variants are +15.4% and +3.1% for the source step size of 1 cm and 0.25 cm respectively. This reduction in dose difference is caused by the increased importance of errors in the anisotropy function with the smaller step size, which counter the errors in the radial dose function. Using the MC calculated radial dose function and anisotropy function with the BPS formalism. 1% dose calculation accuracy can be achieved, even in the near field, with negligible extra demand on computation time.

Algorithms↗
PubMed1998

Standard linear plans in single channel high dose rate brachytherapy: a dosimetric analysis.

The use of standard linear plans is proposed for single channel intraluminal High Dose Rate brachytherapy. This technique employs the optimized dwell times derived from a straight line within a curved geometry. Such standardization of the planning procedure ensures expedient delivery of treatment. The 3-D dose distribution resulting from the use of standard linear plans within various curved geometries is investigated. In this study a comparison is made between the dose delivered to the perimeter of the target volume from both standard linear plans and individually optimized plans. Our results demonstrate that the use of a standard linear plan is acceptable in curved geometries, given the current practice of dose and volume specification for high dose rate intraluminal brachytherapy.

Brachytherapy↗
PubMed1998

Monte Carlo dosimetry of the microselectron HDR 192Ir brachytherapy source using MCNP4A.

This study examines the transverse radial dose distribution around the Nucletron MicroSelectron high dose rate (HDR) 192Ir brachytherapy source using the Monte Carlo radiation transport code MCNP (Monte Carlo N Particle) version 4A. The geometry modeled consisted of an identical simulation of the geometry of the MicroSelectron HDR source within the centre of a cylindrical water phantom of 80 cm diameter and height. Doses were calculated at 0.1 cm intervals in the 1 cm closest to the source, whilst extending to 1 cm intervals 15 cm from the source. Conversion to the clinically relevant unit of air-kerma strength to describe source activity enables absolute comparison of Monte Carlo dose calculations to current treatment planning computer results. Most HDR brachytherapy planning computers utilise algorithms based on a point source with attenuation and scatter corrections based on the Van Kleffen and Starr or Meisberger equations. Significant differences between the planning computer algorithms and the Monte Carlo dose calculations occur in the near field (radius less than 1 cm) and the far field (radius greater than 8 cm) which in some cases may have important clinical consequences. These results are consistent with Monte Carlo calculations of previous authors examining the MicroSelectron HDR 192Ir source and also show that far field uncertainties are increased as the size of the phantom is reduced to a more realistic patient size.

Brachytherapy↗