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Evaluation of factors to convert absorbed dose calibrations from graphite to water for the NPL high-energy photon calibration service.

The National Physical Laboratory (NPL) provides a high-energy photon calibration service using 4-19 MV x-rays and 60Co gamma-radiation for secondary standard dosemeters in terms of absorbed dose to water. The primary standard used for this service is a graphite calorimeter and so absorbed dose calibrations must be converted from graphite to water. The conversion factors currently in use were determined prior to the launch of this service in 1988. Since then, it has been found that the differences in inherent filtration between the NPL LINAC and typical clinical machines are large enough to affect absorbed dose calibrations and, since 1992, calibrations have been performed in heavily filtered qualities. The conversion factors for heavily filtered qualities were determined by interpolation and extrapolation of lightly filtered results as a function of tissue phantom ratio 20,10 (TPR20,10). This paper aims to evaluate these factors for all mega-voltage photon energies provided by the NPL LINAC for both lightly and heavily filtered qualities and for 60Co y-radiation in two ways. The first method involves the use of the photon fluence-scaling theorem. This states that if two blocks of different material are irradiated by the same photon beam, and if all dimensions are scaled in the inverse ratio of the electron densities of the two media, then, assuming that all photon interactions occur by Compton scatter the photon attenuation and scatter factors at corresponding scaled points of measurement in the phantom will be identical. The second method involves making in-phantom measurements of chamber response at a constant target-chamber distance. Monte Carlo techniques are then used to determine the corresponding dose to the medium in order to determine the chamber calibration factor directly. Values of the ratio of absorbed dose calibration factors in water and in graphite determined in these two ways agree with each other to within 0.2% (1sigma uncertainty). The best fit to both sets of results agrees with values determined in previous work to within 0.3% (1sigma uncertainty). It is found that the conversion factor is not sensitive to beam filtration.

Calibration↗

Impact of assay parameters on the accuracy of free PSA test: source and stability of calibrator, calibration curve fitting, and level of total PSA in the serum.

The measurement of PSA is recommended for men over 50 years of age for screening of prostate cancer. However, proper differentiation of prostate cancer from benign prostate hyperplasia (BPH) relies on an accurate measurement of free PSA (fPSA) and a correct calculation of percent fPSA. Because of the extremely low concentration of fPSA in the serum, any slight deviation from its true value may produce large errors in percent fPSA calculated. Therefore, we undertook a study examining carefully those parameters of the fPSA assay which might affect the fPSA determination. We found that the integrity of the calibrator, the computer curve-fitting program selected, the source of the calibrator, and the total PSA or fPSA + PSA complexes (tPSA) concentration of the specimen all had an impact on the accuracy of the fPSA value assayed. We found that an examination of the slope of the calibration curve was important to reveal whether the calibrator had or had not been denatured during storage. We also found that the 4-parameter cure fitting program was best suited for plotting the fPSA calibration curve. The calibrator we isolated from LNCaP cells was acceptable for our assay because it had an affinity for the assay antibody very similar to that of serum fPSA. We also determined the effect of tPSA concentration on the fPSA determinations and found that within the concentration range of 4-10 ng/mL the impact on the percent fPSA calculated was not significant. We believe that our assay produces accurate fPSA values when all these assay parameters are well controlled.

Calibration↗

Internal calibrant in the stripping gas. An approach to calibration of membrane extraction with a sorbent interface.

A new technique for calibration in membrane extraction processes by adding an analytically noninterfering internal calibrant in the stripping gas is described. Membrane extraction with a sorbent interface (MESI) system was used to evaluate this method. During the membrane extraction process, the internal calibrant present in the carrier (stripping) gas and the target analyte present in the sample matrix will permeate simultaneously through the membrane in opposite directions. The changes of accumulation amounts of internal calibrant in the microtrap can be used as a means of calibration to correct the variations of extraction rate due to the variation in environmental factors, such as the sample velocity and the membrane temperature. Thus, this approach should allow for more accurate estimates of the concentrations of target analytes at various sampling or monitoring conditions during field analysis. Finally, a group of selected compounds was employed to test this calibration strategy, and the results indicated the advantages of the proposed approach for on-site analysis.

Journal Article↗

Calibration of local systems with lyophilized calibrant plasmas improves the interlaboratory variability of the INR in the Italian external quality assessment scheme.

Calibration with lyophilized calibrant plasmas certified in terms of PT with International Reference Preparations for thromboplastin has been proposed to minimize the effect of coagulometers on the INR. Aim of this study was to test the ability of local calibration with lyophilized calibrant plasmas, combined with a modified statistical approach, to improve the interlaboratory variability of the INR measured on two test plasmas (one coumarin and one artificially-depleted) by participants in the External Quality Assessment Scheme (EQAS). Sets of lyophilized calibrant and test plasmas were sent to the participants in the EQAS, who were asked to determine PT with their own reagent/ instrument combination (local system). Results were returned as PT together with information on the type of local system, the stated International Sensitivity Index (ISI) and the geometric mean of PTs determined by testing with the local system fresh plasmas from 20 healthy subjects. Ninety-two participants using 9 and 11 brands of reagents and instruments returned results. The CV of the INR determined with the stated ISI for the coumarin (Mean INR = 4.39) and artificially-depleted (Mean INR = 4.23) test plasmas were 11.2% and 10.3% and were reduced on the average by 34% and 54%, respectively, when the INR was calculated with the local ISI. In conclusions, results from this field study involving laboratories and testing systems representative of the real situation in oral anticoagulant monitoring in our country, indicate that local calibration by artificially-depleted plasmas, combined with the proposed statistical approach, is suitable to improve the interlaboratory agreement on the INR.

Freeze Drying↗

Periodical in-situ re-calibration of force platforms: a new method for the robust estimation of the calibration matrix.

The paper provides a new technique based on a least-squares approach for the accurate estimation of a force platform calibration matrix using simple manual procedures, when the direction of the applied loads cannot be perfectly aligned with the axes of the platform. This new procedure can be applied to all force platforms and allows the combined application of vertical and horizontal forces, both static and time-varying. The robust calibration method includes the angular errors in the least-squares parameter vector, thus reducing the bias in the estimated calibration matrix parameters. The performance of the robust method was compared with the conventional one, using a numerical simulation approach starting from a known calibration matrix. With the conventional approach, in noiseless conditions, the maximum error due to load misalignment (SD = 3 degrees) was 6% for the direct terms and over 10% for the cross-talk terms. With the robust method, these errors reduced to zero and were always below 0.4%, even when realistic noise was superimposed on the measures. With perfectly aligned loads and realistic output noise, the confidence intervals of the calibration matrix parameters were very similar for the two methods, demonstrating that the increased number of parameters did not affect the reliability of the estimate.

Biomechanical Phenomena↗

Experimental determination of calibration settings of a commercially available radionuclide calibrator for various clinical measurement geometries and radionuclides.

Following the approach of the National Primary Laboratory of the UK (NPL) for the calibration of radionuclide calibrators, but using a commercially available instrument with no data available in the literature, the radionuclide calibrator response was investigated as a function of different measurement geometries at the "Regina Elena" National Cancer Institute (IRE) in Rome. Working with Italian National Metrology Institute for ionising radiation quantities (ENEA-INMRI), specific calibration factors with traceability to national primary standards were determined for different types of glass vials, solid capsules and plastic syringes, investigating three radionuclides with different energy spectra (Tc-99m, In-111, I-131). For each kind of syringe, calibration correction factors for different filling volumes were calculated. For Tc-99m and I-131 the difference between measured and true activity was in the range 2-7%, depending on measurement geometry. For In-111 a large percentage deviation from the true activity value was found in each geometry considered, reaching 35%. The magnitude of this difference is particularly dependent on the energies of the emitted photons.

Calibration↗

System ISI calibration: a universally applicable scheme is possible only when coumarin plasma calibrants are used.

Coagulometer-induced errors in International Normalized Ratios (INR) may be corrected by assigning an International Sensitivity Index (ISI) specific for the local combination of coagulometer and thromboplastin reagent (System ISI). In the present study, 57 laboratories determined the INR of eight frozen coumarin plasmas. There was considerable variation in INR reported at the different centres, with coefficients of variation (CV) ranging from 11.30% to 17.29%. In addition, their consensus mean INR values were consistently higher than those obtained manually. The overall mean percentage deviation was 20.06%, indicating that correction was required to reduce the over-estimation of INR that occurred even in those Systems incorporating a thromboplastin reagent with an instrument-specific ISI. Local correction using coumarin plasma calibrants reduced this value to < or = 7% with current reference thromboplastins BCT 441, OBT 79 and RBT 90 and also lowered the CV to < 5%. In contrast, when adsorbed plasma calibrants were employed, mean percentage deviations were 7.87% with BCT 441, 12.47% with OBT 79 and 77.37% with RBT 90 as reference respectively. This difference may be due, in part, to the difficulty in assigning an INR to adsorbed plasma calibrants, which contain no protein induced by vitamin K antagonists (PIVKA). This study demonstrates that coumarin plasma calibrants are superior in System ISI calibration.

Blood Coagulation Tests↗

[Water-energy dosage calibration and standard ion dosage calibration--a comparison in ultrahard x-ray radiation].

Ten ionization chambers (PTW), partly of different type, which all have been calibrated in terms of absorbed dose to water, were used to compare the absorbed dose indicated in a reference geometry at 8 MV X-rays. The standard deviation of the mean value of the absorbed dose determined for all chambers was 0.5%. Since 4 chambers have been calibrated in terms of absorbed dose to water and in exposure, the absorbed dose to water was determined from indicated value according to both calibration procedures. The dose values obtained via the energy dose calibration turned out to be about 2.5% less compared to the result when applying the exposure calibration factor.

Calibration↗

Surrogate materials for calibration and control: the use of latex particles as calibrants for red cell volume measurements.

Latex particles, including BCR Certified Reference Material CRM 166a, have important applications for checking linearity and for calibrating aperture-impedance instruments used to determine red-cell volumes. Studies performed on Coulter Counters, e.g. the ZBi/C1000, ZM/C256 and Model S Plus IV, using a series of three different mono-sized latex particles have shown linearity but non-zero intercepts. This emphasizes the importance of calibrating instruments at more than one point. Latex particles also have an important role in calibration of red-cell volume measurements provided that a relative latex: red-cell shape factor has been assigned when the instrument is calibrated with fresh blood. Such relative shape factors are independent of latex particle size but need to be specific for instrument type and probably also for the orifice and diluent to be used. Nevertheless latex calibrants can serve an important role in standardizing red-cell volume measurements.

Calibration↗

Calibration of the NPL secondary standard radionuclide calibrator for 125I seeds used for prostate brachytherapy. National Physical Laboratory.

In the therapeutic use of radionuclides, by far the most rapid growth in recent years is that of 125I seeds used for the treatment of prostate cancer. Large numbers of these seeds are used in each treatment and there is a need for a simple but accurate means of confirming their dose rates. This mechanism requires a transfer device for which the calibration factors are traceable to national standards. The NPL secondary standard radionuclide calibrator, because of its guaranteed reproducibility and traceable calibration procedure, is ideally suited for this purpose. A series of characterisation measurements have been performed on the NPL radionuclide calibrator in order to estimate the uncertainty levels that can be achieved and these are presented together with the relevant calibration factors for some typical seeds.

Brachytherapy↗

Calibration in three dimensions: optimizing a two-parameter calibration technique to extend the range of an immunoturbidimetric urinary albumin assay into antigen excess.

I describe a general technique, called "two-parameter calibration," which allows precise determination of analyte from non-monotonic calibration plots and the calibration of immunoturbidimetric assays in antigen excess. Using three-dimensional calibration plots and relative-sensitivity curves, two optimal parameters may be selected from a number of possible options by using criteria presented here. Choosing two different values of delta At1-t2, the change in absorbance from time t1 to t2--as the reaction parameters in an immunoturbidimetric assay for albumin, I have optimized the choice of time interval for two-parameter calibration and extended the working range of the assay by three- to fourfold. The albumin assay shows excellent agreement of observed and expected values (r = 0.996) and also with results of a routine kinetic dye-binding method used on diluted plasma samples (r = 0.970).

Albumins↗

Calibration of the Capintec CRC-712M dose calibrator for (18)F.

Primary standardisation was performed on a solution of (18)F using the 4pibeta-gamma coincidence counting efficiency-tracing extrapolation method with (60)Co used as a tracer nuclide. The result was used to calibrate the ANSTO secondary standard ionisation chamber which is used to disseminate Australian activity standards for gamma emitters. Using the secondary activity standard for (18)F, the Capintec CRC-712M dose calibrator at the Australian National Medical Cyclotron (NMC) Positron Emission Tomography (PET) Quality Control (QC) Section was calibrated. The dial setting number recommended by the manufacturer for the measurement of the activity of (18)F is 439. In this work, the dial setting numbers for the activity measurement of the solution of (18)F in Wheaton vials were experimentally determined to be 443+/-12, 446+/-12, 459+/-11, 473+/-15 for 0.1, 1, 4.5 and 9ml solution volumes, respectively. The uncertainties given above are expanded uncertainties (k=2) giving an estimated level of confidence of 95%. The activities determined using the manufacturer recommended setting number 439 are 0.8%, 1.4%, 4.0% and 6.5% higher than the standardised activities, respectively. It is recommended that a single dial setting number of 459 determined for 4.5ml is used for 0.1-9ml solution in Wheaton vials in order to simplify the operation procedure. With this setting the expended uncertainty (k=2) in the activity readout from the Capintec dose calibrator would be less than 6.2%.

Calibration↗

Improved RSA accuracy with DLT and balanced calibration marker distributions with an assessment of initial-calibration.

Roentgen stereophotogrammetric analysis (RSA) has been used for over 25 years for accurate micromotion measurement in a wide variety of orthopaedic applications. This study investigated two possible improvements to the method. First, direct linear transformation (DLT) was compared to the traditional RSA reconstruction algorithm. The two methods were considered with respect to standard extrapolation and interpolation calibration cages. Matlab simulations showed that reconstruction accuracy was greatly improved (>60%) by combining DLT with an even distribution of enclosing calibration markers. Second, a benchtop study using phantoms translated at 0.0254-mm intervals showed initial-calibration, followed by removal of the interpolation cage for subsequent exposures, was potentially twice as accurate as self-calibration with an extrapolation cage. These results showed optimizations for the application of RSA when unobstructed space is required.

Algorithms↗

A transparent tool for seemingly difficult calibrations: the parallel calibration method.

A new easy-to-understand calibration method for the analysis of spectral data is developed. The "parallel calibration" method is logically simple and intuitive yet often provides an improvement over more complex standard calibration methods. A description of the algorithm with a technical justification for the parallel algorithm is presented, underscoring the simplicity of the approach. In addition, performance as compared to that of the standard methods of classical least-squares (CLS) and partial least-squares (PLS) regression is studied. Calibrations are carried out on a computer-generated simulation data set as well as two scientific data sets. The results show that the parallel method gives results comparable to or better than those of CLS and PLS methods in terms of mean squared error.

Algorithms↗

Calibration of the NPL secondary standard radionuclide calibrator for 192Ir brachytherapy sources.

Safe and effective treatment with brachytherapy sources requires an accurate knowledge of the local tissue absorbed dose rate derived from the source reference air kerma rate. It is desirable that these air kerma rate measurements be traceable to national standards. The NPL has embarked on a programme that will enable the user to assay brachytherapy sources in a convenient manner prior to treatment. Calibration figures have been derived for the NPL secondary standard radionuclide calibrator for 192Ir brachytherapy sources manufactured by Amersham International plc. The calibration figures enable the user to accurately estimate the reference air kerma rate and activity of such sources by measuring the ionization chamber response. Calibration figures for other brachytherapy sources are also being derived.

Brachytherapy↗

A comparison of calibrated and non-calibrated 5.07 nylon monofilaments.

The study compares the mechanical performance of two types of nylon monofilaments used in testing for the presence of protective sensation in diabetics with peripheral neuropathy. Comparisons of the application force between a group of calibrated and a group of non-calibrated 5.07 nylon monofilaments were conducted to determine the properties of each type of filament. The analysis demonstrated that there was no significant difference in the application force generated between calibrated and non-calibrated nylon monofilaments.

Calibration↗

Multicenter comparison of calibration and cross calibration of PET scanners.

UNLABELLED: The purpose of this study was to compare the calibration of PET scanners and their cross calibration to peripheral devices in a multicenter study. METHODS: Twenty-three dedicated PET scanners were investigated, applying standardized protocols. To ensure exact determination of the activity used, dose calibrators were checked using (68)Ge standards. RESULTS: Nine of 19 and 11 of 20 scanners displayed an error of <5% in 3-dimensional and 2-dimensional acquisition modes, respectively. Four and 5 scanners displayed an error of 10% in 3-dimensional and 2-dimensional modes, respectively. All other scanners yielded errors of 5% to <10%. Because of hardware and software problems, the measurements performed on 1 scanner could not be adequately analyzed. CONCLUSION: An investigation of calibration is mandatory. Especially for quantitative analyses in clinical multicenter trials, identification of potentially miscalibrated scanners is necessary.

Calibration↗