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Induced activity due to photonuclear reactions produced in the vacuum window of the accelerating wave-guide, the x-ray target and the beam-flattening filter of an 18 MV Siemens KDS linac has been studied. Measurements were performed using a high-purity portable germanium detector. Radioisotopes such as 196Au, 57Co, 60Co and other traces were detected one week after the last clinical use of the linac.
The behaviour of packaged and unpackaged ESAPMOS4 RadFET radiation detectors (NMRC Cork, Ireland) was investigated when used in the mixed photon and neutron environment of a medical linear accelerator operating above the nucleon separation energy and in a 14 MeV neutron field provided by a D-T generator. Within the uncertainty of the experimental set-up (4% at 95% confidence level) the unpackaged device was found to have essentially zero activation dose-burden whereas the packaged device exhibits a considerable degree of post irradiation absorbed dose due to deactivation radiation.
Spectral changes in the primary photon beam of a high-energy medical electron accelerator have been monitored using photonuclear reactions. The beam across the radiation field was measured using induced activity in Teflon cylinder and copper foil samples at several off-axis angles, at different SSDs in air and in a solid water phantom. The induced activities of the positron emitters were measured using a coincidence detection system. The experimental results are in agreement with Monte Carlo calculations and Schiff's theory.
On-line electronic portal imaging devices are beginning to come into clinical service in support of radiotherapy. A variety of technologies are being explored to provide real-time or near real-time images of patient anatomy within x-ray fields during treatment on linear accelerators. The availability of these devices makes it feasible to verify treatment portals with much greater frequency and clarity than with film. This article reviews the physics of high-energy imaging and describes the operation principles of the electronic portal imaging devices that are under development or are beginning to be used clinically.
Transmission factors for beam modifers such as wedges and blocking trays in dosimetry calculations are very common, but various methods have been used in measuring these factors. A systematic study to measure these factors as a function of field size and point of measurement was carried out. The beam modifiers were a blocking tray and the standard wedges supplied with a cobalt-60 unit and a medical electron accelerator (6- and 18-MV x rays). Several points of measurement were selected, using several depths: dmax, TG-21 calibration depth, 10 cm (wedge angle defining depth, ICRU), 15 cm and in-air (miniphantom), and various field sizes. The results show a small field size dependence in these transmission factors with more dependence found in the point of measurement.
The magnitude and distribution of scattered radiation produced by scatterers inserted into megavoltage therapy beams, including the beams from an 8MV medical linear accelerator and a 60Co teletherapy unit, were investigated. The intensity distribution of scatter depends on the distance from the scatterer to the measurement plane (retraction distance) and also, to a lesser extent, on the atomic number of the scattering material. The effective energy of the scattered radiation was determined by depth dose measurements in tissue equivalent material using thermoluminescent dosimeters and was found to increase with photon beam energy.
Accelerator mass spectrometry (AMS) is the most sensitive method for detecting and quantifying rare long-lived isotopes with high precision. In this chapter, we review the principles underlying AMS-based biomedical studies, focusing on important practical considerations and experimental procedures needed for the detection and quantitation of (14)C- and (3)H-labeled compounds in various experiment types.
Radiobiological studies with proton beams started in the first half of the last century, when the scientific community could profit of the Lawrence idea to accelerate protons. It became soon clear that such a radiation could be favourably used in clinical applications. Since then, the biological effects of protons have been deeply investigated, in a wide energy range and several biological end-points have been studied. Nowadays a partially overlapping research field is expanding aiming at radioprotection of astronauts, a major concern because long-term manned space missions are foreseen.
Dosimetry in radiotherapy with ionization chambers calibrated in 60Co gamma beams in terms of absorbed dose to water, DW, can be performed if a factor conventionally denoted as kQ is known. The factor kQ depends on the beam quality and the chamber characteristics. Calculated values of the kQ factors for many types of ionization chamber have been recently published. In this work the experimental determination of the kQ factors for various ionization chambers was performed for 6 MV and 15 MV photon beams and for a 14 MeV electron beam. The kQ factors were determined by a procedure based on relative measurements performed with the ionization chamber and ferrous sulphate solution in 60Co gamma radiation and accelerator beams, respectively. The experimental kQ values are compared with the calculated values so far published. Theoretical and experimental kQ values are in fairly good agreement. The uncertainty in the experimental kQ factors determined in this work is less than about 1%, that is, appreciably smaller than the uncertainty of about 1.5% reported for the calculated values.
The Varian multi-leaf collimator has a 14.5 cm leaf extension limit from each carriage. This means the target volumes in the head and neck region are sometimes too wide for standard width-modulated fields to provide adequate dose coverage. A solution is to set up asymmetric co-axial overlapping fields. This protects the MLC carriage while in return the MLC provides modulated dose blending in the field overlap region. Planar dose maps for coincident fields from the Pinnacle radiotherapy treatment planning system are compared with planar dose maps reconstructed from radiographic film and electronic portal images. The film and portal images show small leaf-jaw matchlines at each field overlap border. Linear profiles taken across each image show that the observed leaf-jaw matchlines from the accelerator images are not accounted for by the treatment planning system. Dose difference between film reconstructed electronic portal images and planning system are about 2.5 cGy in a modulated field at d(max). While the magnitude of the dose differences are small improved round end leaf modelling combined with a finer dose calculation grid may minimize the discrepancy between calculated and delivered dose.
Dynamic stereotactic radiosurgery is a radiosurgical technique based on a medium-energy isocentric linear accelerator and a stereotactic frame. The technique uses concurrent and continuous rotations of both the gantry (300 degrees, from 30 to 330 degrees) and the couch (150 degrees, from 75 to -75 degrees). It gives a uniform dose (+/- 5%) within the target volume and dose fall-offs outside the target volume comparable to those obtained from presently known radiosurgical techniques.
Accelerator mass spectrometry (AMS) counts individual rare, usually radio-, isotopes such as radiocarbon at high efficiency and specificity in milligram-sized samples. AMS traces very low chemical doses (micrograms) and radiative doses (100 Bq) of isotope-labeled compounds in animal models and directly in humans for pharmaceutical, nutritional, or toxicological research. Absorption, metabolism, distribution, binding, and elimination are all quantifiable with high precision after appropriate sample definition.
Germinomas are successfully treated with radiation therapy; we have observed six cases that have been stereotactically irradiated by means of a linear accelerator (radiosurgery). In most cases a single dose of stereotactic irradiation effects the reduction of the tumor volume in a few days. External whole brain and, in two cases, spinal irradiation completed the treatment to avoid seeding of tumor cells. The technique and the advantages of this original therapeutical approach to intracranial germinomas are described and discussed.
The variation of the wedge factor (WF) with field size is an important piece of data which determines the radiation output in treatments using wedge filters. WF is closely related with the accelerator head layout, and the choice of the wedge tray mounted above or below the jaws plays a predominant role. In this work we have studied the WF variations in our linac and found that, in apparent contradiction with the literature, the WF remains constant with field size. Nevertheless, these results cannot be used directly in other linacs, and individual dosimetry must be carried out.
Very low energy ( ultrasoft ) x-rays of 0.3-5 keV have provided a unique tool for investigation of mechanisms of radiation action, especially with respect to the energy and spatial properties of critical radiation damage in mammalian cells. Experimental investigations to date have been partially limited by the availability and characteristics of suitable ultrasoft x-ray sources. The suitability of small electrostatic proton accelerators, such as exist in many laboratories, have been investigated as a means of producing a secondary beam of ultrasoft x-rays suitable for irradiation of biological and biochemical systems. Results are presented on the physical characteristic of carbon K (0.28 keV) and aluminium K (1.5 keV) ultrasoft x-ray beams produced by bombardment of solid targets of carbon and aluminium with protons of energies up to 750 kV and currents up to 500 microA. These characteristics are compared with those of a cold cathode discharge ultrasoft x-ray tube previously used for mammalian cell investigations. It is seen that the proton accelerator produces much more versatile beams of characteristic ultrasoft x-rays which greatly extend the scope for future experiments on mammalian cells, micro-organisms and biochemical systems. Nevertheless there are situations in which the cold-cathode discharge tube will remain the source of choice and there are other situations, requiring for example energies between characteristic lines, where the greatly more complex synchrotron radiation sources are required.
The tongue and groove effect is an underdosing effect which can occur in certain applications of multileaf collimators. It results from the need to overlap adjacent leaves of a multileaf collimator in order to limit leakage between leaves. The applications in which the effect can occur are the abutment of fields where the beam edges are defined by the leaf edge and the production of intensity-modulated fields by dynamic collimation. The effect has been measured for the 'worst case' when just two MLC fields are matched along leaf edges which have overlapping steps. Measurements of the dose have been made at d(max) and also at a more clinically relevant depth of 87 mm in Perspex for beam energies of 6 MV, 8 MV and 20 MV on two Philips SL series accelerators. Dose distributions were recorded on radiographic film which was subsequently digitized for analysis. The dose reduction of the tongue and groove effect was found to be 15-28% and spread over a width of 3.8 to 4.2 mm. This is somewhat shallower and wider than would be expected from a simple, idealized model of the effect which would predict a dose reduction of 80% over a width of 1 mm.
Three patients with Crosti's lymphoma were treated with radiotherapy using electron accelerators. The energy radiations ranged from 5 to 9 Mev. with large fields. The total dose was 40 Gy, delivered in 2 Gy fractions daily. The treatment lasted four weeks. No side effects were reported and no recurrence was remarked after 24 months.
Developments in electron-beam technology have led to its increased use in the sterilization of medicosurgical equipment. The author asserts that this method is fast, flexible, and precise. In his description of a 10-MeV electron-beam sterilization unit, this claim is substantiated by reference to tests and experiments carried out by the company. The high dose rate and short exposure time involved in the process are seen as particularly advantageous for the sterilization of polymers.