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The application of CaSO4:Dy (TLD-900) to diagnostic x-ray exposures.

The properties of a new commercial thermoluminescent dosimeter, CaSO4:Dy without a LiF binder (TLD-900) was studied for low-exposure measurements in diagnostic radiology. The former TLD-900 had a LiF binder (herein referred to as "TLD-900/LiF"). The principle features of this dosimeter are its high sensitivity to low-energy radiation and its relatively low fading which permits measurements down to less than 2.6 X 10(-8) C kg (0.1 mR) with an accuracy better than 20%. The characteristics, annealing procedures, light sensitivity, energy response, reproducibility, and fading, of TLD-900 are discussed and compared with TLD-900/LiF. When the precautions presented in this paper are used, the dosimeters can be used for the measurement of x-ray exposures.

Calcium Sulfate↗

Response of LiF powder to 125I photons.

125I seeds are being used to treat a variety of diseases, including brain tumors. However, the uncertainty in the energy response of LiF for 125I photons relative to megavoltage radiation limits the accuracy of dosimetry with this material. An array of 12 40-mCi 125I seeds was used to irradiate LiF powder in throwaway capsules, and an ion chamber was used to measure the absorbed dose. A comparison of the response of these LiF dosimeters with the response of capsules given a similar dose of 60Co radiation has yielded values of 1.39 +/- 0.03 (dose to water) and 1.32 +/- 0.03 (dose to muscle) for the LiF response for 125I relative to that for 60Co. Details of the procedure and sources of uncertainty are discussed.

Brachytherapy↗

A technique for routine calibration of thermoluminescent dosimeters in the diagnostic energy range.

Four different techniques for calibrating lithium fluoride thermoluminescent dosimeters were compared at two beam qualities in the diagnostic energy range. The techniques included in-air, saturation backscatter, and Bureau of Radiological Health (BRH) test stand geometry with and without an ionization chamber. The results indicate that there are no statistical differences between any of the calibration techniques evaluated. Hence, the technique using the BRH test stand with an ionization chamber is a simple and reproducible calibration procedure which may be used in a routine diagnostic radiology quality assurance program.

Fluorides↗

Thermoluminescent characteristics of LiF:Mg,Ti from three manufacturers.

LiF:Mg,Ti thermoluminescent dosimeters (TLD's) were obtained from three manufacturers with the specification that they all lie within +/- 5% of the mean. All were chips of size 3 mm x 3 mm x 1 mm. The three sample groups were compared on the basis of their energy response, linearity of the thermoluminescent (TL) response with increasing exposure, sensitivity, and reproducibility of TL response. All TLD groups showed similar characteristics in energy response and linearity. This is to be expected since the base material and dopants were the same. However, the sensitivity varied among the three groups by as much as 40% and reproducibility measurements gave standard deviations ranging from 7% to 14% among the groups. Annealing procedures were identical in all cases, as were irradiation and readout conditions.

Fluorides↗

A precise investigation on the TL behavior of LiF: Mg, Cu, P (GR-200A).

LiF: Mg, Cu, P is a TL material presenting unique dosimetric features. The TL sensitivity of this material was studied as a function of the annealing temperature and of the repeated cycles of annealing-irradiation-readout. A fading study was carried out over a period of 40 days with the purpose of checking the stability of the stored dosimetric information as a function of different annealing temperatures. A detailed statistical analysis of sets of data, obtained from repeated measurements on a group of ten dosimeters, is presented.

Fluorides↗

Thermoluminescent dosimetry in electron beams: energy dependence.

The response of thermoluminescent dosimeters to electron irradiations depends on the radiation dose, mean electron energy at the position of the dosimeter in phantom, and the size of the dosimeter. In this paper the semi-empirical expression proposed by Holt et al. [Phys. Med. Biol. 20, 559-570 (1975)] is combined with the calculated electron dose fraction to determine the thermoluminescent dosimetry (TLD) response as a function of the mean electron energy and the dosimeter size. The electron and photon dose fractions, defined as the relative contributions of electrons and bremsstrahlung photons to the total dose for a clinical electron beam, are calculated with Monte Carlo techniques using EGS4. Agreement between the calculated and measured TLD response is very good. We show that the considerable reduction in TLD response per unit dose at low electron energies, i.e., at large depths in phantom, is offset by an ever-increasing relative contribution of bremsstrahlung photons to the total dose of clinical electron beams. This renders the TLD sufficiently reliable for dose measurements over the entire electron depth dose distribution despite the dependence of the TLD response on electron beam energy.

Electrons↗

Comparison of effectiveness of thermoluminescent crystals LiF:Mg,Ti, and LiF:Mg,Cu,P for clinical dosimetry.

This study compared the relative effectiveness of TLD crystals LiF:Mg,Ti (TLD-100) and LiF:Mg,Cu,P (TLD-700H) for clinical dosimetry, focusing on reproducibility, linearity, and energy response. Experimental results indicated that TLD-700H was superior to TLD-100 with regard to reproducibility, lack of supralinearity, and the absence of variation in TL signal with radiation quality. TLD-700H also had the additional advantages of higher sensitivity and immediate readability. The investigators conclude that this relatively new TLD crystal shows promising potential for clinical dosimetry.

Biophysical Phenomena↗

Lithium borate TLD for determining the backscatter factors for low-energy x rays: comparison with chamber-based and Monte Carlo derived values.

Recently, new backscatter factors for low-energy x rays derived from Monte Carlo calculations have been recommended in the UK code of practice for kilovoltage dosimetry published by (IPEMB). As these data, presented as a function of half-value layer, do not take account of the variation of the x-ray spectra for a given HVL, we have undertaken an experimental study in order to determine BSG for the beam qualities provided by a Darpac 2000 therapy unit. A RTL detector such as Li2B4O7:Cu and parallel-plate ion chambers specially designed for low-energy x-ray dosimetry have been used. The results obtained show very good agreement between the TLD and the Monte Carlo calculations, confirming values obtained by other authors with lithium borate TLD. On the contrary, the results obtained with plane-parallel ion chambers show discrepancies up to 9% that are discussed.

Borates↗

Dosimetry of a W-188/Re-188 beta line source for endovascular brachytherapy.

PURPOSE: The objective was to determine the dosimetry of a potential endovascular brachytherapy source consisting of a coiled tungsten wire mounted on the distal end of a drive wire and neutron-activated to contain the parent-daughter nuclides tungsten-188 (188W) and rhenium-188 (188Re). METHODS: A coiled tungsten wire 40 mm in length was neutron-activated by double-neutron capture for 78 hours at 1.9 x 10(15) h/cm2/s to contain 925 MBq (25 mCi) of 188W/188Re in equilibrium. The dose-fall off from this source was determined using three independent methods: (a) Thermoluminescence dosimetry with small LiF-100 rods, (b) Gafchromic film dosimetry, and (c) Bang gel dosimetry. In addition, a Monte Carlo simulation was performed to compute the beta-dose. RESULTS: Each of the three measurement methods recorded similar values for the dose fall-off within the distances useful for endovascular brachytherapy. The Monte Carlo calculations closely approximated the measured results in the treatment range between 1 and 3 mm and may thus be useful for evaluating changing geometries in the development of catheters and source setups. A 2 min restenosis treatment delivering 20 Gy at a radius of 2 mm would require a source of 1384.8 MBq/cm (37.4 mCi/cm). CONCLUSIONS: The dose distribution from a 188W/188Re source is similar to that of a 90Y-source. An added advantage of the 188W/188Re source is that it can be used for at least two months and still provides fast treatment times because of the parent isotope's half-life of 69 days. The additional gamma emission from the source is too small to impose a serious radiological hazard. The high atomic number and density of the source material allows direct fluoroscopic imaging without additional markers.

Beta Particles↗

In-phantom response of LiF TLD-100 for dosimetry of 192Ir HDR source.

An experiment was carried out to reevaluate the response of LiF TLD-100 rods (1 mmx1 mmx6 mm) at different depths in a water substituting phantom to provide an answer to a prevailing controversy about the over-response of LiF to the softened photon spectra of 192Ir HDR source at depths in phantom due to its photon energy dependence. Claims of some authors that LiF TLDs over-responds by 8.5% at 10 cm depth in phantom, necessitating depth-dependent correction factors even for an 192Ir source and of some others for no over-response were evaluated. The over-response of LiF TLD-100 rods, against a calibrated ion chamber having a photon energy-independent response within 2%, was found to be not exceeding 2.5% at a depth of 10 cm in the phantom as compared to a depth at 1 cm, for a precision of the order of +/- 1% (1sigma) in the TLD measurements. By using ISO equivalent photon beams, photon energy dependence of the dosimeters was evaluated and for LiF TLD-100 rods it was found to be in close agreement (within 3%) with the ratios of mass energy absorption coefficients of LiF and water in the range of effective photon energy from 26 keV to 1.25 MeV. Parameters that could contribute to the discrepancy in the reported values of experimental results have been discussed.

Biophysical Phenomena↗

Molecular effects of lithium.

Bipolar affective disorder is a common, severe, chronic, and often life-threatening illness, associated with other medical and psychiatric conditions (i.e., co-morbidity). The treatment of this devastating disorder was revolutionized by the discovery of lithium's antimanic effects over fifty years ago. Recent molecular and cellular biological studies have identified a number of unexpected targets for this monovalent cation, notably glycogen synthase kinase-3 and neurotrophic signaling cascades. These findings are leading to a reconceptualization of the biological underpinnings of bipolar disorder and are resulting in considerable interest in utilizing lithium for the treatment of certain neurodegenerative disorders. We review recent insights into lithium's actions including its direct inhibitory actions on inositol monophosphatase, inositol polyphosphate 1-phosphatase, glycogen synthase kinase-3, fructose 1,6-bisphosphatase, bisphosphate nucleotidase, and phosphoglucomutase enzymes. We also discuss lithium's intracellular downstream targets including adenylate cyclase, the phosphoinositol cascade (and its effect on protein kinase C), arachidonic acid metabolism, and effects on neurotrophic cascades. Many of the new insights of lithium's actions may lead to the strategic development of improved therapeutics for the treatment of bipolar disorder.

Bipolar Disorder↗

Solubilization and renaturation of overexpressed aggregates of mutant tryptophan synthase alpha-subunits.

Certain Escherichia coli tryptophan synthase mutant alpha-subunits encoded from mutagenized trpA-containing plasmids were overexpressed as insoluble aggregates which were seen as large, intracellular inclusion bodies. The insoluble aggregates were solubilized to various degrees by several neutral, chaotropic salts. The order of effectiveness of these salts (KSCN, NaI greater than NaNO3, LiBr greater than CaCl2) followed that for the Hofmeister series. Optimum conditions for the use of KSCN resulted in a maximum 70 to 75% solubilization of the aggregate forms for all mutant alpha-subunits examined. Removal of KSCN by dialysis resulted in the recovery of biological activity and of certain characteristic structural properties. Such salts may be a useful alternative for other recombinant protein aggregates which resist complete renaturation by commonly used treatments with guanidine or urea.

Bromides↗