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At least 883 records · Page 49Linked to original sources

Build-up curves of scanned high energy electron beams from the Sagittaire linear accelerator.

A study of the build-up curves using an extrapolation chamber for 7, 10, 13, 16, and 19 MeV electron beams, from a Sagittaire linear accelerator, is presented. The effect of the ionization chamber bias polarity, field size, collimation and surface obliquity on the shape of the relative ionization curve was investigated. No clinically significant change is observed except the displacement of the maximum ionization point was observed for the oblique incidence of the beam.

Electrons↗

A simple method of obtaining off-axis half-value layers for megavoltage photon beams.

We describe a simplified technique for the acquisition of off-axis beam-quality data (i.e., half-value layers in water) for medical linear accelerators. A measurement protocol is presented in which an ordinary beam-scanning water phantom is used to accurately position an ionization chamber at appropriate measuring positions. Attenuation coefficients are calculated by performing a regression on the measured data. The technique uses the smallest fields for which lateral electron equilibrium can be established.

Humans↗

A doorless entry system for high-energy radiation therapy rooms.

A doorless entry system has been designed for use in high-energy radiation therapy rooms. The doorless entry improves patient access, safety and throughput, increases the physical safety for the radiation therapists, and avoids the significant cost of heavy shielding doors. The design meets concerns relating to radiation safety, operational ease, and authorized entry. The new system is currently operating in one room housing a cobalt-60 unit and is to be employed in five additional rooms housing dual-energy accelerators (maximum energies of 10 and 18 MV). The doorless entry has received wide approval from the radiation therapists and no concerns have been expressed with respect to unauthorized entry or radiation safety.

Biomedical Engineering↗

Dosimetry for quality assurance in electron-beam sterilization of medical devices.

During recent years, electron-beamed sterilization has quickly moved towards being able to compete with gamma-radiation sterilization, particularly now that several companies are offering high-power accelerators that can deliver electron beams with energies of 10 MeV; these beams are powerful enough to penetrate most medical devices. This article describes the role of dosimetry and the procedures used in the quality assurance and documentation required for electron-beam sterilization.

Electrons↗

Cyclotrons and radiopharmaceuticals in positron emission tomography. Council on Scientific Affairs. Report of the Positron Emission Tomography Panel.

Positron emission tomography (PET) can probe biochemical pathways in vivo and can provide quantitative data; for that purpose, tracers labeled with positron-emitting radioisotopes are essential. This report describes the tracers that are being used or that may have future use, their production by cyclotrons, and other needed resources for PET imaging. Current routine and automated methods for convenient production of labeled compounds, coupled with simple computer-controlled accelerators, can support the creation of clinical PET centers in any large medical institution, obviating the need for in-depth research teams. An alternate approach involves the development of regional centers that provide in-house service and that supply fluorine 18- and carbon 11-labeled compounds to nearby hospitals with PET machines.

Brain↗

Quality assurance in stereotactic radiosurgery using a standard linear accelerator.

Methods have recently been developed for using standard linear accelerators to perform stereotactic radiosurgery. The accuracy necessary to perform this procedure requires an intensive quality assurance program to encompass all aspects of dose calibration and mechanical integrity of the treatment unit, the treatment planning process, and treatment delivery. The programs developed at the Joint Center for Radiation Therapy (JCRT) include testing of the linear accelerator and the stereotactic system, cross checking of the treatment planning process, and a quality assurance check list of the treatment delivery procedure. This report outlines in detail the quality assurance program currently in use at the JCRT.

Humans↗

A d(16) + Be fast neutron beam for therapy.

A fast neutron therapy facility has been established utilizing the classical solid-pole cyclotron of the National Accelerator Centre (CSIR) in Pretoria. The neutron field is generated from the 9Be(d,n)10B reaction using 16 MeV deuterons on a thick target, yielding 0.51 cGy.min-1.microA-1 at an SSD of 135 cm. Essentially the beam characteristics concur with those measured at other centres with comparable energies.

Fast Neutrons↗

Accidental beta radiation burns from an electron accelerator.

A 61-year-old man presented to the emergency department after accidental exposure to beta radiation and low dose x radiation from an industrial linear electron accelerator. Over 40 days he developed burns on the extremities, abdomen, and face which eventually healed with topical silver sulfadiazine treatment, but suffered no acute x or gamma radiation symptoms. Beta burns and other radiation effects are discussed.

Administration, Topical↗

[Mounting device for constancy tests of linear accelerators according to DIN 6847-5].

According to the German Industrial Norm DIN 6847-5 for constancy tests of linear accelerators, the measurements of the dose-monitor calibration and of the flatness of electron and photon beams for four different gantry angles are mandatory. The mounting devices developed in the Clinic for Radiation Therapy in Augsburg offer the possibility to perform all necessary constancy tests.

Electrons↗

Attenuation of primary and scatter radiation in concrete and steel for 18 MV X-rays from a Clinac-20 linear accelerator.

With the increasing number of high-energy linear accelerators being installed in radiation-therapy facilities, an increasing need exists for carefully measured data concerning the shielding parameters of photon radiation in the energy range above 10 MeV. In this study, the 18 MV X-ray beam from a Varian Clinac 20 linear accelerator was employed. Transmission parameters were measured for the primary X-ray beam in concrete and steel. The tenth value layer for steel was 11.3 +/- 0.6 cm and for concrete 45.0 +/- 2.0 cm. Also measured were the transmission parameters for scattered radiation vs angle in concrete and steel.

Construction Materials↗

The estimation of dose equivalent from the activation of plastic scintillators.

It is shown that the dose equivalent to be attributed to the fluence measured by the activation of 11C in a plastic scintillator when exposed outside the shielding of a high-energy proton accelerator is close to the value of 28 fSv m2 in current use at the European Organization for Nuclear Research (CERN) when the neutron component of the field alone is considered. However the presence of significant numbers of pions and protons in stray fields would raise this conversion factor to approx. 45 fSv m2.

Carbon Radioisotopes↗

Analysis of utilization-related parameters on a 6-MV linear accelerator.

An analysis of unscheduled downtime and of patient treatment data for a 6-MV linear accelerator is presented for a 7-yr period. Following the initial year of clinical use, the unscheduled downtime has averaged 2.4%, with a corresponding loss of 1.3% in patient treatments. The quality assurance, preventive maintenance, and repairs are handled in-house, with an investment of approximately 500 man-hours annually.

Humans↗

The use of a BF3 remmeter to calibrate neutron activation foils in the medical linear accelerator environment.

A technique has been developed for radiation protection purposes whereby it is possible to measure the dose-equivalent due to neutrons from a dual energy medical linear accelerator using a conventional BF3 neutron remmeter to calibrate gold foils. This technique has been applied to measuring the neutron dose-equivalent from a Philips SL75-20 medical linear accelerator. The tenth value distance for the entrance maze is 3.3 +/- 0.5m compared to a typically quoted value of 5m. This suggests that the use of wood and boron tiles in the construction of the entrance maze can reduce neutron propagation down the maze.

Calibration↗

A proposed alternative to phase-space recycling using the adaptive kernel density estimator method.

We have implemented a nonparametric density estimation technique, the adaptive kernel density estimator (AKDE), to generate additional phase space (PS) variables in the vicinity of simulated PS points in Monte Carlo linear accelerator simulation. The method involves the placement of kernels at simulated PS points that have a "window width" that depends on the density of simulated PS points. This method has been tested on known one-dimensional (1-D) and two-dimensional (2-D) probability density functions (PDFs) and has been used to sample (photons only) from PS files generated from accelerator simulations. The original simulated PS vector (x, y, u, v, E) was reduced to a rotationally invariant PS vector (r, theta, alpha, E) that takes advantage of the azimuthal symmetry (phi) above the collimating jaws. The new PS vector (r', theta', alpha', E') is sampled in the vicinity of the sampled PS vector (r, theta, alpha, E). The first step in assessing the accuracy of the method was a correlation analysis among the AKDE generated PS variables compared with correlations among the original PS variables. "In-air" particle fluence distributions between AKDE samples and the original PS distribution showed agreement within 2% (-8.8% to 6.8%) across the entire phase space plane. Central axis energy distributions and angular distributions agreed on average to within 1.5% (range = -1.5% to 6.6%) and 0.1% (range = 0 to 3.0%), respectively. Dose profiles were calculated for field sizes 3 x 3 cm2, 10 x 10 cm2, and 30 x 30 cm2 for AKDE and compared against calculations performed with PS recycling. AKDE calculated depth doses and profiles were within 2% and 2%/1 mm, respectively, of those computed using PS recycling.

Algorithms↗

A linear accelerator couch attachment for extended SSD treatments.

An attachment to an existing linear accelerator couch is described that extends the range of SSD's at which patients can be treated. This couch attachment, which is mounted on castors for ease of mobility, is attached to and locks into the rail of the accelerator couch such that the axis of the new device is normal to the existing couch. All motions of this assembly are then under the control of the existing couch. The overall size of the couch attachment is 215 cm x 90 cm, sufficiently large to treat all clinically used fields.

Equipment Design↗

A diagnostic X ray field verification device for a 10 MV linear accelerator.

The quality of portal films taken at megavoltage energies is frequently poor, despite the use of various techniques such as lead screens to improve the image. When critical structures, such as the spinal cord, are to be blocked out of the treatment field, it is frequently difficult to determine whether the block is correctly placed. To solve this problem, a diagnostic X ray source has been mounted on the side of a 10 MV linear accelerator to provide accurate verification of patient positioning and location of shielding blocks. The coincidence between the mechanical, 10 MV and diagnostic X ray isocenters is about 1 mm. The system has been designed so that procedures to monitor this coincidence, and adjustment procedures to maintain it, are easily performed.

Humans↗

Stereotactic radiosurgery for intracranial arteriovenous malformations using a standard linear accelerator.

We have previously described the development of a technique which utilizes a standard linear accelerator to provide stereotactic, limited field radiation. The radiation is delivered using a modified and carefully calibrated 6 MV linear accelerator. Precise target localization and patient immobilization is achieved using a Brown-Roberts-Wells (BRW) stereotactic head frame which is in place during angiography, CT scanning, and treatment. Seventeen arteriovenous malformations (AVMs) have been treated in 16 patients from February 1986 to July 1988. Single doses of 1500-2500 cGy were delivered using multiple non-coplanar arcs with small, sharp edged x-ray beams to lesions less than 2.7 cm in greatest diameter. The dose distribution from this technique has a very rapid dropoff of dose beyond the target volume. Doses were prescribed at the periphery of the AVMs, typically to the 80-90% isodose line. Eleven of 16 patients have been followed by repeat angiography at least 1 year following treatment. Five of 11 have had complete obliteration of their AVM in 1 year and an additional three patients have achieved complete obliteration by 24 months. There have been no incidences of rebleeding or serious complications in any patient. We conclude that stereotactic radiosurgery using a standard linear accelerator is an effective and safe technique in the treatment of intracranial AVMs and the results compare favorably to the more expensive and elaborate systems that are currently available for stereotactic treatments.

Adolescent↗

Optimization of an accelerator-based epithermal neutron source for neutron capture therapy.

A modeling investigation was performed to choose moderator material and size for creating optimal epithermal neutron beams for BNCT based on a proton accelerator and the (7)Li(p,n)(7)Be reaction as a neutrons source. An optimal configuration is suggested for the beam shaping assembly made from polytetrafluoroethylene and magnesium fluorine to be placed on high current IPPE proton accelerator KG-2.5. Results of calculation were experimentally tested and are in good agreement with measurements.

Boron Neutron Capture Therapy↗