Whole skin electron beam rotational therapy using a Varian Clinac 18/10 linear accelerator.
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The fundamental principles of construction, the operational data, handling and safety devices of the first linear electron accelerator type Therac 20-Saturne (CGR MeV) installed in Germany are described. Relevant characteristics of the radiation field for therapy with 12 and 18-MV photons and also the dosimetric data are reported. Observance of the tolerances recommended by the IEC is guaranteed with this accelerator.
The conception of radiosurgery now more than 40 years old is realized in clinical practice during last 25 years. There were elaborated 3 main methods: focused irradiation by gamma knife, by accelerated heavy charged particles and by linear accelerator. The results led radiosurgery spread over the world. The main indications are vascular malformations (44%), benign intracranial tumours (33%), malignant tumours including metastasis (21%) and functional disorders (2%). The pathological lesions can be controlled or liquidated in 80-95%. The hospital story is minimal, 1-2 days, and there is no risk of mortality and morbidity is minimal. Only the time of healing is prolonged to some years with indispensable follow-up. Further technical improvement and growing number of patients treated by radiosurgery can be expected.
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An etched-track method was applied for a measurement of the effective dose of natural background neutrons. Ten assemblies of polycarbonate film and 10B were placed at the center of a rem-counter type moderator. The assemblies were put in an air-tight container in order to avoid a continuous contribution from radon. Electrochemical etching was adopted. The sensitivity of the detector was 0.21 +/- 0.02 microSv pit(-1) cm2. After a period of storage of 4.3 y, the number of recorded artifact pits in the films corresponded to an effective dose rate of 0.8 +/- 0.2 microSv y(-1). The effective dose rate of natural background neutrons was 18.1 +/- 3.6 microSv year(-1) for the same period, with an artifact dose being subtracted. The total net number of etched-track pits of the present detector was 75 +/- 15 when used for measuring an effective dose of natural background level neutrons for 1 mo, which gives enough counting statistics. The method can thus be applied for monitoring the effective dose of neutrons around nuclear sites and high-energy accelerator facilities.
This work describes a method to obtain "star-shots" of the mechanical and optical isocenters of linear accelerators, similar to the star-shots of radiation isocenters normally obtained using films. In this method a digital camera is connected to a personal computer so that multiply exposed images can be taken at a fixed camera position. A mechanical pointer or a wire aligned along the optical axis can then be imaged by the camera. Multiple exposures at varying gantry angles are then superimposed on a digital image which can be analyzed by the computer to give a high-resolution star-shot. The method provides a convenient way for a linear accelerator quality assurance procedure.
A concise approximate formula computed by Schiff for the intensity spectrum of bremsstrahlung photons has been a valuable starting point for many medical physics applications, including the Task Group 21 protocols. This paper provides a brief review of the literature related to determination of the bremsstrahlung spectrum and to the Schiff formula in particular. It describes the approximations Schiff made to obtain this formula, including the Born approximation, and the exponential nuclear screening potential, the infinite-mass nucleus approximation, and the "extreme relativistic" approximation. A derivation of a more exact formula that avoids the last of these approximations is presented. This provides a check on the accuracy of the Schiff spectrum for linear accelerator energies used clinically. Comparisons with the Schiff thin-target result are presented. A thick-target bremsstrahlung spectrum is calculated and compared with the forward spectrum obtained from Monte Carlo simulations of the x-ray production in two linear accelerator treatment heads.
A simple electron cone-collimator interlock system has been developed for the Clinac-18. Each cone is assigned a special slot in the storage cabinet and, upon being taken for treatment setup, sends out a binary coded decimal (BCD) signal to the control console. The voltage from the collimator setting must match the BCD signal or a comparator logic will drive the fault matrix to prevent the accelerator from energizing.
The MM50 is a racetrack microtron capable of taking out photon beams and electron beams with energies of up to 50 MeV. It flattens the beam by the beam-scanning method, while the microtron MM22 utilizes a flattening filter. The head-scatter factors (hereafter called S(h)), which are important for evaluating the output of the photon beam of the MM50 and MM22, were measured using a mini-phantom and build-up cap. S(h) measured with the build-up cap showed the influence of contaminated electrons, whereas S(h) measured with the mini-phantom showed less influence, even for 50 MV photon beams. Compared with the MM22, the MM50 showed less change in S(h) according to field size and energy. The reason for this seemed to be that the MM50 has a smaller extra-focal region than other accelerators equipped with flattening filters and, therefore, can essentially be considered a point source by using the beam-scanning method without a flattening filter. This study demonstrated that photons scattered by the flattening filter used for beam flattening in typical medical accelerators mainly contribute to S(h).