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Monte Carlo simulations for the shielding of the future high-intensity accelerator facility FAIR at GSI.

The Gesellschaft für Schwerionenforschung (GSI) is planning a significant expansion of its accelerator facilities. Compared to the present GSI facility, a factor of 100 in primary beam intensities and up to a factor of 10,000 in secondary radioactive beam intensities are key technical goals of the proposal. The second branch of the so-called Facility for Antiproton and Ion Research (FAIR) is the production of antiprotons and their storage in rings and traps. The facility will provide beam energies a factor of approximately 15 higher than presently available at the GSI for all ions, from protons to uranium. The shielding design of the synchrotron SIS 100/300 is shown exemplarily by using Monte Carlo calculations with the FLUKA code. The experimental area serving the investigation of compressed baryonic matter is analysed in the same way. In addition, a dose comparison is made for an experimental area operated with medium energy heavy-ion beams. Here, Monte Carlo calculations are performed by using either heavy-ion primary particles or proton beams with intensities scaled by the mass number of the corresponding heavy-ion beam.

Computer Simulation↗

Primary and leakage radiation calculations at 6, 10 and 25 MeV.

Primary and leakage x-ray spectra for typical clinical accelerators have been calculated using the EGS Monte Carlo code for 3 energies (6, 10 and 25 MeV) and 4 angles (0 degree, 45 degrees, 90 degrees and 135 degrees). Broad-beam transmission curves have been calculated for ordinary concrete using the MORSE program with the EGS spectra as input. A simple analytical model, which is shown to agree rather well with both experimental data and with the MORSE results, is presented and initial and subsequent tenth-value layers are extracted. Finally, the photon spectrum after the concrete shield is obtained with MORSE.

Monte Carlo Method↗

[Measurement and calculation of the air activation caused by 15 MeV continuous radiation emitted by a linear accelerator (author's transl)].

The rate of air activation caused by the 15 MeV continuous radiation of a "Clinac 20" can be concluded from activation measurements in urea tablets. In case of the most unfavourable irradiation conditions, a maximum field size of 35 X 35 cm2, and a distance focus-wall of 450 cm, an air activation of 6, 18 X 10(4) Bq per individual irradiation is calculated. The limit of activity concentration prescribed by the Strahlenschutzverordnung (radioprotection directive) is not reached if a sufficient change of air is guaranteed. This method of measuring the air activation is simple, not time-consuming and can be effected with a high degree of accuracy. Measurements and calculations are compared.

Air↗

Application of scattering foil systems for forming large-sized uniform electron therapy fields.

The methods of forming extended fields in electron therapy using foil systems for scattering electron beams from the LUE-25 medical linear accelerator are discussed. Procedures for calculating shadow compensator parameters are presented. The role of the initial electron beam size in the choice of the parameters of scattering and compensating filters is evaluated. Advantages offered by this beam shaping technique for reducing the bremsstrahlung background level are considered. The experimental results show that highly uniform dose fields can be formed, if shadow compensating systems are used. The depth dose distributions of 27-MeV electrons obtained with a defocusing magnet system and with a system of scattering foils and compensators are compared.

Humans↗

Monte Carlo simulation of electron cones used in electron beam therapy.

A Siemens Mevatron KV2 accelerator installed at the Royal Adelaide Hospital employs cylindrical solid-walled electron cones for some electron collimation. The cones being used at present result in treatment fields that do not always conform with the International Electrotechnical Commission (IEC) Standards (particularly at high energies). The aim of this project was to simulate the existing cones using Monte Carlo methods in order to evaluate potential cone modifications required to overcome the field irregularities. Simulations were performed using the EGS4 (Electron Gamma Shower version 4, distribution II) Monte Carlo code installed on a DEC Alpha workstation at the University of South Australia. To rigorously simulate the existing electron cones it was necessary to also simulate various components within the treatment head of the linear accelerator. Results of simulations for existing cones were found to be consistent with experimental data. (obtained from Royal Adelaide Hospital beam quality assurance measurements). Two proposed changes to the cones were then simulated and the effects of these alterations were assessed. This study has shown how treatment head simulation techniques can be used to assess the changes in dose distribution that result from alterations to the treatment head and accessories. Within practical engineering constraints modifications to an existing electron collimation system were proposed and theoretically evaluated.

Biophysical Phenomena↗

Intraoperative radiation therapy with electrons (ELIOT) in early-stage breast cancer.

Local recurrences after breast-conserving surgery occur mostly in the quadrant harbouring primary carcinoma. The main objective of postoperative radiotherapy should be the sterilisation of residual cancer cells in the operative area while irradiation of the whole breast may be avoided. We have developed a new technique of intraoperative radiotherapy of a breast quadrant after the removal of the primary carcinoma (ELIOT). A mobile linear accelerator with a robotic arm is utilised delivering electron beams able to produce energies from 3 to 9 MeV. Different dose levels were tested from 10 to 21 Gy without important side effects. A randomized trial is currently ongoing in order to compare conventional irradiation and ELIOT. More than 400 patients have been enrolled. In addition a new approach for nipple and areola complex conservation, including ELIOT, is under investigation.

Breast Neoplasms↗

Radiotherapy treatment planning with dynamic wedges--an algorithm for generating wedge factors and beam data.

If the jaws of a linear accelerator are moved under computer control during irradiation, dose distributions similar to those with wedge filters can be produced. Varian linear accelerators utilize this effect to give a 'dynamic wedge', using segmented treatment tables (STTs). An algorithm is described to generate the dose per monitor unit at any point in a beam, using the STT values. Dynamically wedged beams are modelled as the superposition of static asymmetric beams, using an algorithm based on beam data measured for symmetric beams. Predictions of wedge factors, depth doses and profiles generated using the algorithm are compared with measurements. Good agreement is found between predictions and measurements. The calculation time is typically 5 ms/dose point on a PC with a 486DX processor.

Algorithms↗

Gas bremsstrahlung and associated photon-neutron shielding calculations for electron storage rings.

The EGS4 electron-photon Monte Carlo code has been used to study the characteristics of the bremsstrahlung x rays generated from the interaction of circulating electrons with the residual gas in accelerator storage rings. Gas bremsstrahlung dose rates are given for various opening angles as a function of the electron beam energy ranging from 0.5-10 GeV. Photon and neutron dose rates, generated from various devices struck by gas bremsstrahlung in a synchrotron radiation beamline, are also presented along with the photon spectral and transmission results. The EGS4-predicted results are found to be in basic agreement with the measurements made at the Stanford Synchrotron Radiation Laboratory. Figures, equations, and a simple method useful for the photon-neutron shielding design for beamlines are provided.

Neutrons↗

Neutron sources in the Varian Clinac 2100C/2300C medical accelerator calculated by the EGS4 code.

The photoneutron yields produced in different components of the medical accelerator heads evaluated in these studies (24-MV Clinac 2500 and a Clinac 2100C/2300C running in the 10-MV, 15-MV, 18-MV and 20-MV modes) were calculated by the EGS4 Monte Carlo code using a modified version of the Combinatorial Geometry of MORSE-CG. Actual component dimensions and materials (i.e., targets, collimators, flattening filters, jaws and shielding for specific accelerator heads) were used in the geometric simulations. Calculated relative neutron yields in different components of a 24-MV Clinac 2500 were compared with the published measured data, and were found to agree to within +/-30%. Total neutron yields produced in the Clinac 2100/2300, as a function of primary electron energy and field size, are presented. A simplified Clinac 2100/2300C geometry is presented to calculate neutron yields, which were compared with those calculated by using the fully-described geometry.

Computer Simulation↗

Commissioning and clinical implementation of a sliding gantry CT scanner installed in an existing treatment room and early clinical experience for precise tumor localization.

The primary objective of the present study is to demonstrate that a unique computed tomography (CT)-linear accelerator combination can be used to reduce uncertainties caused by organ motion and setup inaccuracy. The acceptance, commissioning, and clinical implementation of a sliding gantry CT scanner installed in an existing linear accelerator room are reported in this paper. A Siemens CT scanner was installed directly opposite to an existing accelerator. The scanner is movable on a pair of horizontal rails mounted parallel to the longitudinal axis of the treatment couch replaced with a carbon fiber tabletop. Acceptance and commissioning of the CT scanner were verified with phantom studies. For clinical implementation, quality assurance (QA) procedures have been instituted to ensure the integrity of the CT gantry axis alignment and the accuracy of its movement using a phantom designed in house. A clinical example employing the CT-Linac combination to correct the isocenter positioning caused by organ motion and setup inaccuracy was presented for a prostate irradiation. Dose calculations were performed to study the effects on tumor coverage without the adjustments of the isocenter. A summary of the isocenter adjustments for the first 30 patients is also presented. The geometric accuracy of the CT scanner is < or =1 mm. An isocenter deviation of > or =2 mm from the original plan can be detected. For the clinical example of a prostate patient, the average movement of the prostate gland was found to be approximately 3mm in the anterior-posterior (AP/PA) direction and 5 mm in the cephalic-caudal direction. Variations in the isocenter position may result in underdosage of the PTV if correction is not made for the change in the isocenter position. Our experience with the first 30 patients indicates that while the left-right adjustment of the isocenter is minimal, in the AP/PA direction, about 33% of treatments required an adjustment of 3-5 mm, and about 18% required a 5.1-mm to 10-mm adjustment. In the caudal-cephalic direction, about 26% required an adjustment of 3-5 mm, and 8% required a 5.1-mm to 10-mm adjustment. Retrofitting a CT scanner in an existing linear accelerator room requires careful planning and well-coordinated efforts from all personnel involved. Special QA procedures are needed to ensure the mechanical integrity and imaging accuracy of the CT scanner. A CT scan of the patient prior to irradiation provides valuable information on organ motion. Any deviations from treatment plan can be corrected before dose delivery. Significant deviation from the planning isocenter may occur due to daily variations in the rectal filling. The CT-Linac combination has significant implications for the treatment of prostate cancer.

Humans↗

Investigation of buildup dose from electron contamination of clinical photon beams.

The contribution made by contaminating electrons present in a clinical photon beam to the buildup dose in a polystyrene phantom has been calculated and compared to measurements. A Monte Carlo technique was employed. The calculation was divided into two parts. First, the accelerator treatment head was simulated in detail using the EGS-PEGS electromagnetic shower code. Then, information obtained from these calculations was used to compute dose curves in a polystyrene phantom. Two cases were considered, one in which both electrons and photons were incident upon the phantom, and another in which electrons were eliminated from the incident beam. Results of these calculations agree with recent experimental findings. A decrease in buildup dose as well as a shift in dmax was observed when electrons were eliminated from the beam.

Electrons↗

Quantitative analysis of resolving power for computed radiographic portal images.

This study presents a quantitative analysis method of resolution for computed radiography (CR) portal images using three different types of cassettes. A copper wire chart (test piece, Shimadzu Medical Corp.) for fluoroscopy was selected as the test tool for analysis. Images of the test chart were obtained on a linear accelerator operating at nominal beam energies of 4 MV. The CR portal imaging data were transmitted to a personal computer via a DICOM network system. The imaging data were imported into NIH Image, which is public domain software. The extent of analysis was established on the chart image (160 x 540 pixels). A density profile plot was generated based on the current rectangular selection and this plot was used was used for quantitative analysis of the resolution. This quantitative analysis method using NIH Image is expected to prove useful for digital portal images.

Diagnostic Imaging↗

[Physico-technical aspects of total skin irradiation with high-intensity-dose electrons].

The authors have addressed the physical and technical problems involved in the total skin irradiation with a linear accelerator Varian Clinac 2100 C expressly preset for this modality with electrons of 6 MeV nominal energy and dose rate of about 2500 UM/min at the isocenter. The six dual field technique has been implemented and the effect of interposed degrading filters has been evaluated with film dosimetry on an anthropomorphic phantom. It was verified that the total skin electron irradiation expressly offered by the manufacturer as an established treatment option on the Clinac 2100 C with high performance ionizing chambers and high dose rate makes the all procedure safer and simpler.

Electrons↗

Effect of collimator setting on the output of rectangular fields from linear accelerators.

The output (cGy/mu) of a rectangular field from a linear accelerator is not always the same as that of its equivalent square field. We have summarized output variations with upper and lower collimator setting for 4, 6, and 24 MV X-rays. It is concluded that an error in output on the order of a few percent is introduced for elongated fields if lower set of collimator jaws is used for setting the longer dimension of the field, and computing the output using equivalent square method. It is recommended that specific guidelines be developed regarding rectangular field setting on high energy linacs.

Humans↗

Radiation dosimetry of an accidental overexposure using EPR spectrometry and imaging of human bone.

On 11 December 1991 a radiation accident occurred at an industrial accelerator facility. A description of the facility and details of the accident are reported in Schauer et al., 1993a). In brief, during maintenance on the lower window pressure plate of a 3 MV potential drop accelerator, an operator placed his hands, head, and feet in the radiation beam. The filament voltage of the electron source was turned 'off', but the full accelerating potential was on the high voltage terminal. The operator's body, especially his extremities and head, were exposed to electron dark current. At approx. 3 months post-irradiation, the four digits of the victim's right hand and most of the four digits of his left hand were amputated. Electron paramagnetic resonance (EPR) spectrometry was used to estimate the radiation dose to the victim's extremities. Extremity dose estimates ranged from 55.0 Gy (+/- 4.7 Gy) to 108 Gy (+/- 24.1 Gy).

Bone and Bones↗

Modeling the output ratio in air for megavoltage photon beams.

The output ratio in air, OR, for a high-energy x-ray beam describes how the incident central axis photon fluence varies with collimator setting. For field sizes larger than 3 x 3 cm2, its variation is caused by the scatter of photons in structures in the accelerator head (primarily the flattening filter and the wedge, if one is used) and by the backscatter of radiation into the monitor ionization chamber. The objective of this study was to evaluate the use of an analytical function to parametrize OR for square collimator setting c: OR = (1 + a1.c).[1 + a2.erf(c/lambda)2].H0. For open beams, these parameters can be attributed to explicit physical meanings within the systematical uncertainty of the model: a1 accounts for backscatter into the monitor, a2 is the maximum scatter-to-primary ratio for head-scattered photons, and lambda represents the effective width of the "source" of head-scatter photons. H0 is a constant that sets OR = 1 for c = 10 cm. This formula also fits OR for wedge beams and a Co-60 unit, although the fitting parameters lose their physical interpretations. To calculate the output ratio for a rectangular field, cx x cy, an equivalent square can be used: c = (1 + k).cy x cx/(k.cx + cy), where k is a constant. The study included a number of different accelerators and a cobalt-60 unit. The fits for square fields agreed with measurements with a standard deviation (SD) of less than 0.5%. Using k = lx.(f - ly)/ly.(f - lx), where lx and ly are the source-to-collimator distances and f is the source-to-detector distance, measurements and calculations agreed within a SD of 0.7% for rectangular fields. Sufficient data for the three parameters are presented to suggest constraints that can be used for quality assurance of the measured output ratio in air.

Air↗

Determination of maximum leaf velocity and acceleration of a dynamic multileaf collimator: implications for 4D radiotherapy.

The dynamic multileaf collimator (MLC) can be used for four-dimensional (4D), or tumor tracking radiotherapy. However, the leaf velocity and acceleration limitations become a crucial factor as the MLC leaves need to respond in near real time to the incoming respiration signal. The aims of this paper are to measure maximum leaf velocity, acceleration, and deceleration to obtain the mechanical response times for the MLC, and determine whether the MLC is suitable for 4D radiotherapy. MLC leaf sequence files, requiring the leaves to reach maximum acceleration and velocity during motion, were written. The leaf positions were recorded every 50 ms, from which the maximum leaf velocity, acceleration, and deceleration were derived. The dependence on the velocity and acceleration of the following variables were studied: leaf banks, inner and outer leaves, MLC-MLC variations, gravity, friction, and the stability of measurements over time. Measurement results show that the two leaf banks of a MLC behave similarly, while the inner and outer leaves have significantly different maximum leaf velocities. The MLC-MLC variations and the dependence of gravity on maximum leaf velocity are statistically significant. The average maximum leaf velocity at the isocenter plane of the MLC ranged from 3.3 to 3.9 cm/s. The acceleration and deceleration at the isocenter plane of the MLC ranged from 50 to 69 cm/s2 and 46 to 52 cm/s2, respectively. Interleaf friction had a negligible effect on the results, and the MLC parameters remained stable with time. Equations of motion were derived to determine the ability of the MLC response to fluoroscopymeasured diaphragm motion. Given the present MLC mechanical characteristics, 4D radiotherapy is feasible for up to 97% of respiratory motion. For the largest respiratory motion velocities observed, beam delivery should be temporarily stopped (beam hold).

Algorithms↗

Fast and slow neutrons in an 18-MV photon beam from a Philips SL/75-20 linear accelerator.

Fast- and slow-neutron contamination in an 18-MV photon beam from a Philips SL/75-20 linear accelerator has been measured. Aluminum and indium foils were activated to determine fast- and slow-neutron fluence, which were largely independent of field sizes. Measured fast-neutron fluences were typically 13.9 X 10(4) and 4.4 X 10(4) neutrons/cm2/rad of x ray inside and 5 cm outside the field, respectively. Slow-neutron fluences, 1.3 X 10(4) neutrons/cm2/rad of x ray, remained relatively constant inside and outside the field. The reported results are about three times higher than neutron fluences recently reported with a betatron operated at the same energy.

Elementary Particles↗