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At least 1,369 records · Page 76Linked to original sources

PubMed2001

The Columbia University single-ion microbeam.

A single-ion microbeam facility has been constructed at the Columbia University Radiological Research Accelerator Facility. The system was designed to deliver defined numbers of helium or hydrogen ions produced by a van de Graaff accelerator, covering a range of LET from 30 to 220 keV/microm, into an area smaller than the nuclei of human cells growing in culture on thin plastic films. The beam is collimated by a pair of laser-drilled apertures that form the beam-line exit. An integrated computer control program locates the cells and positions them for irradiation. We present details of the microbeam facility including descriptions of the collimators, hardware, control program, and the various protocols available. Various contributions to targeting and positioning precision are discussed along with our plans for future developments. Beam time for outside users is often available (see www.raraf.org).

Equipment Design↗

PubMed1984

[Stereotaxic irradiation with a linear accelerator].

At least two fundamental requirements must subsist for every stereotaxic radiotherapy treatment: 1) a capacity to administer extremely high doses of radiation to small areas which have been precisely defined in three dimensions; 2) the presence of a steep gradient between adjacent isodose curves so that damage to the tissues close to the target may be reduced to the minimum. The authors have built a special stereotaxic device for the fixing of the head of the patient (together with the chosen intracranial target), once the indispensable neuroradiological evaluations and bioptic controls have been effected, at the isocenter of a linear accelerator (Varian Clinac 4). Once the dimensions of the collimator have been chosen in accordance with the volume and the three dimensional conformation of the target and the dose to be administered has been decided upon in accordance with the histological nature of the lesion, both the linear accelerator and the patient are rotated about the isocenter of the therapy unit. It this way it is possible to reach extremely high dosages with very steep isodose gradients, centered exclusively upon the target ("gamma knife"). The procedure employed is described in full. The dosimetric evaluations which preceded the use of the set-up in clinical practice are illustrated as well. The advantages that this technique offers when compared with interstitial brachytherapy and/or Leksell's radiosurgical procedures are stressed. The described procedure, which is entirely bloodless and thus applicable also to high vascularized lesions, has so far been used in a limited series of cases.

Brain Diseases↗

PubMed1983

[Formation of dose distributions in the combined radiation treatment of patients with endometrial cancer].

The paper is concerned with some features of the dose distribution of fields of a complex shape in gamma-beam irradiation using gamma-therapeutic units and electron linear accelerators in the complex of combined radiotherapy of patients with endometrial carcinoma. The authors have performed a comparative analysis of calculated and experimental results characterizing dose fields in the utilization of individually selected forming matrices and standard splitting units. It has been shown that the utilization of the forming matrices makes it possible to optimize gamma-beam irradiation with a necessary screening of a primary tumor focus and a preset level of dose exposure in the pelvic lateral parts and zones of regional metastases. Spatial dose distribution with the help of matrices gives an opportunity to use intense intracavitary irradiation with high energy sources using an Agat-B unit.

Computers↗

PubMed2003

[Accelerated partial breast irradiation following breast conservative surgery. A review of the literature].

After breast-conservative surgery, radiation therapy delivered to the whole breast to 50 Gy with an additional boost of 10 to 16 Gy is the standard of care. Based upon data showing that the vast majority of the recurrences occur within and surrounding the original tumor site and in order to reduce the morbidity of whole breast radiotherapy and to give the treatment in a shorter time, partial breast irradiation has been developed by several institutions. Partial breast radiotherapy is given by intraoperative radiotherapy (photons or electrons), or brachytherapy (low dose rate or high dose rate) or external radiotherapy using 3D conformal radiation therapy. This is a review of the literature data on this topic.

Aged↗

PubMed1993

Linac-accelerator-radiosurgery.

A survey is given of the actual possibilities and limitations of the use of linear accelerators (Linac radiosurgery systems) for intra = cranial radiosurgery. Depending on the collimator size, spherical fields from 5-54 mm in diameter can be irradiated with dose gradients from 10% (large fields) to 20% (small fields) per millimeter distance between surface and treatment volume. This is comparable to the possibilities of Gamma-Knife and Proton-irradiation. Optimal mechanical adjustment of gantry and linac table are necessary for the required stability of the isocenter. Mechanical inaccuracy should be smaller than 0.8 mm. Advanced computerized 3D-treatment planning systems are indispensable prerequisites for accurate treatment and use of the flexibility of the linac system. Future developments are outlined.

Brain↗

PubMedDate not supplied

Stereotactic radiosurgery with linear accelerator.

Stereotactic radiosurgery is a method that applies a radiation dose to a limited and well-defined volume while the irradiation of adjacent healthy tissues is minimized. It is most commonly used in the treatment of intracranial lesions because the skull hardness assures the stable location of its contents. Treatment of the rest of the body has recently been proposed and carried out, using original immobilization systems. Stereotactic radiosurgery was first described in 1951 by the Swedish neurosurgeon Lars Leksell who originally used X-rays and then high-energy protons as a source of radiation. In the '80s photons from linear accelerators were used as radiation source, with various stereotactic systems and computerized treatment planning. The method used with all radiosurgical systems, regardless of the source of irradiation, is similar. The lesion is detected with common diagnostic imaging and adequate location frames. At present, to prevent errors in location, MRI and CT data are matched using an Image Fusion computer program. The objective of stereotactic radiosurgery is to destroy tumor cells or to induce changes in tissues that, as in brain arteriovenous malformations lead to the occlusion of their abnormal vessels. Stereotactic radiosurgery is increasingly used today in the treatment of a variety of intracranial lesions to the patients' benefit.

Brain Neoplasms↗

PubMed2003

Aperture modulated arc therapy.

We show that it is possible to translate an intensity modulated radiation therapy (IMRT) treatment plan and deliver it as a single arc. This technique is referred to in this paper as aperture modulation arc therapy (AMAT). During this arc, the MLC leaves do not conform to the projection of the target PTV and the machine output of the accelerator has a constant value. Dose was calculated using the CORVUS 4.0 IMRT system, which uses a pencil beam dose algorithm, and treatments were delivered using a Varian 2100C/D Clinac. Results are presented for a head and neck and a prostate case, showing the equivalence of the IMRT and the translated AMAT delivery. For a prostate AMAT delivery, coronal plane film dose for the IMRT and AMAT deliveries agreed within 7.19 +/- 6.62%. For a meningioma the coronal plane dose distributions were similar to a value of 4.6 +/- 6.62%. Dose to the isocentre was measured as being within 2% of the planned value in both cases.

Algorithms↗

PubMed2005

Stability of a mobile electron linear accelerator system for intraoperative radiation therapy.

The flexibility of mobile electron accelerators, which are designed to be transported to an operating room and plugged into a normal 3-phase outlet, make them ideal for use in intraoperative radiation therapy. However, their transportability may cause trepidation among potential users, who may question the stability of such an accelerator over a period of use. In order to address this issue, we have studied the short-term stability of the Mobetron system over 20 daily quality assurance trials. Variations in output generally varied within +/-2% for the four energies produced by the unit (4, 6, 9, and 12 MeV) and changes in energy produced an equivalent shift of less than 1 mm on the depth-dose curve. Hours of inactivity, with the Mobetron powered on for use either throughout the day or overnight, led to variations in output of about 1%. Finally, we have tested the long-term stability of the absolute dose output of the Mobetron, which showed a change of about 1% per year.

Electrons↗

PubMedDate not supplied

Characteristics of an 18 MV photon beam from a Therac 20 Medical Linear Accelerator.

The 18 MV photon beam characteristics of a Therac 20 Medical Linear Accelerator manufactured by Atomic Energy of Canada Ltd, are presented. Tissue phantom ratios (TRP's) and percent depth dose data are given; for a 10 x 10 cm field, the percent depth dose at a depth of 10 cm is 78.5 (SSD 100 cm). The relative dose factors (RDF'S) are given and are analyzed to elucidate the relative contributions from phantom scatter, collimator scatter, and backscatter from the top of the collimators into the monitor chambers. The effect of field size and depth on the penumbra is described. Crossplots of the beam at a depth of 5 cm indicate that the flattening filter could be improved; there are hot spots of 108% near the corners of 40 x 40 fields.

Humans↗

PubMed1998

In-phantom dosimetry and spectrometry of photoneutrons from an 18 MV linear accelerator.

A combination of three superheated drop detectors with different neutron energy responses was developed to evaluate dose-equivalent and energy distributions of photoneutrons in a phantom irradiated by radiotherapy high-energy x-ray beams. One of the three detectors measures the total neutron dose equivalent and the other two measure the contributions from fast neutrons above 1 and 5.5 MeV, respectively. In order to test the new method, the neutron field produced by the 10 cm X 10 cm x-ray beam of an 18 MV radiotherapy accelerator was studied. Measurements were performed inside a tissue-equivalent liquid phantom, at depths of 1, 5, 10 and 15 cm and at lateral distances of 0, 10, and 20 cm from the central axis. These data were used to calculate the average integral dose to the radiotherapy patient from direct neutrons as well as from neutrons transmitted through the accelerator head. The characteristics of the dosimeters were confirmed by results in excellent agreement with those of prior studies. Track etch detectors were also used and provided an independent verification of the validity of this new technique. Within the primary beam, we measured a neutron entrance dose equivalent of 4.5 mSv per Gy of photons. It was observed that fast neutrons above 1 MeV deliver most of the total neutron dose along the beam axis. Their relative contribution increases with depth, from about 60% at the entrance to over 90% at a depth of 10 cm. Thus, the average energy increases with depth in the phantom as neutron spectra harden.

Biophysical Phenomena↗

PubMed1999

Physical characteristics of a miniature multileaf collimator.

A preliminary study of the physical characteristics of a miniature multileaf collimator (mMLC) used with 4 MV x rays is reported. The mMLC attached to the accessory mount of a class C or D Varian linear accelerator (Varian Oncology Systems, Palo Alto, CA) with a source to aperture distance of 65 cm. The field penumbra using the small leaves was found to be consistent with the anticipated field penumbra using photon jaws at the same source to aperture distance as the mMLC. The percentage depth dose values of square fields were found to be consistent with the fields collimated with the upper and lower jaws. Output factors for the very small fields were found to vary rapidly. Circular fields could be produced with depth dose characteristics similar to those produced using conical tertiary collimators, commonly used for radiosurgery, but with a broader penumbra.

Dose-Response Relationship, Radiation↗

PubMed2004

LET and ion-species dependence for mutation induction and mutation spectrum on hprt locus in normal human fibroblasts.

We have been studying LET and ion species dependence of RBE in mutation frequency and mutation spectrum of deletion pattern of exons in hprt locus. Normal human skin fibroblasts were irradiated with heavy-ion beams, such as carbon- (290 MeV/u and 135 MeV/u), neon- (230 MeV/u and 400 MeV/u), silicon- (490 MeV/u) and iron- (500 MeV/u) ion beams, generated by Heavy Ion Medical Accelerator in Chiba (HIMAC) at national Institute of Radiological Sciences (NIRS). Mutation induction in hprt locus was detected to measure 6-thioguanine resistant colonies and deletion spectrum of exons was analyzed by multiplex PCR. The LET-RBE curves of mutation induction for carbon- and neon-ion beams showed a peak around 75 keV/micrometers and 155 keV/micrometers, respectively. On the other hand, there observed no clear peak for silicon-ion beams. The deletion spectrum of exons was different in induced mutants among different ion species. These results suggested that quantitative and qualitative difference in mutation occurred when using different ion species even if similar LET values.

Carbon↗

PubMed1995

A diagnostic-quality electronic portal imaging system.

Initial clinical experience is presented, on the use of a prototype portal imaging system which is designed to provide diagnostic-quality images on-line at the accelerator. The system comprises a compact diagnostic X-ray unit mounted on the accelerator head, with its source in the isocentric plane exactly 37 degrees around from the therapy source. The image detector is an image intensifier with digital image storage/processing facilities. Images were taken at the accelerator of treatment fields in seven patients (pelvic, head and neck, chest fields) and these images were comparable in anatomical contrast to simulator radiographs. Two techniques for marking the therapy field onto the portal images were successfully demonstrated. One was to mark relevant corners or edges of the therapy light field on the skin using small Pb markers which become clearly visible in the 'diagnostic' portal image. The other was to record a separate 'therapy' image and through the software, extract and superimpose the field edges on to the 'diagnostic' image. The system and method proved fundamentally sound on criteria of image quality, geometric precision of rotation between therapy and imaging conditions, and its potential for development as a practical clinical tool.

Female↗

PubMed1989

A non-docking intraoperative electron beam applicator system.

A non-docking intraoperative radiation therapy electron beam applicator system for a linear accelerator has been designed to minimize the mechanical, electrical, and tumor visualization problems associated with a docking system. A number of technical innovations have been used in the design of this system. These include: (a) a new intraoperative radiation therapy cone design that gives a better dose uniformity in the treatment volume at all depths; (b) a collimation system which reduces the leakage radiation dose to tissues outside the intraoperative radiation therapy cone; (c) a non-docking system with a translational accuracy of 2 mm and a rotational accuracy of 0.5 degrees; and (d) a rigid clamping system for the cones. A comprehensive set of dosimetric characteristics of the intraoperative radiation therapy applicator system is presented.

Combined Modality Therapy↗

PubMed2006

A pulse-rate dependence of dose per monitor unit and its significant effect on wedged-shaped fields delivered with variable dose rate and a moving jaw.

Wedge-shaped dose distributions are delivered on some modern linear accelerators with a virtual wedge, combining variable dose rate and a moving jaw. Drift in the wedge factor and wedge angle of a 20 X 20 cm field for the 60 degree virtual wedge was found commonplace in several models of linear accelerator from one manufacturer. It was found that errors in dose delivery both on and off axis could exceed 5% if quality assurance checks are limited to 10 X 10 cm or smaller fields or wedge angles of 45 degrees or less. A procedure to easily identify and remedy the problem is presented. In each case the change was due to variation in dose per monitor unit (D/MU) with the electron beam pulse rate. The variation was traced to a pair of circuit boards in the dosimetry system, one for each output measurement channel. Wedge factors and dose profiles measured before and after board replacement on 4 accelerators, and for a set of defective boards placed on one of the accelerators, were compared. The effect was largest for the wedge with the steepest profile (60 degree wedge angle) and the largest field measured: 20 X 20 cm. In this case, a 1% variation in D/MU with a factor of 5 reduction in pulse rate corresponded to an average 0.8% change in wedge factor and 0.8% change in the off axis ratio at 8.5 cm off axis on the high dose side of the wedge field, 0.3% on the low dose side. After board replacement, wedge factors and profiles measured on the 4 machines generally agreed to 2% for the full range of wedge angles and field sizes. Quality assurance of virtual wedges is discussed in light of the new findings.

Equipment Design↗

PubMed1996

Economic incentives and the distribution of extracorporeal shock wave lithotripters and linear accelerators in Spain.

We studied the role of economic incentives for private providers in explaining Spain's disproportionately large number of extracorporeal shock wave lithotripters (ESWLs) and low number of linear accelerators (linacs) per million population (pmp) in comparison to other countries of the Organization for Economic Cooperation and Development (OECD). We found that the reimbursement policy for 1990 allowed an average profit per private ESWL of $732,000, but no profit for linacs. Regional per-capita income was positively correlated with ESWLs pmp in Spain (R2 = 0.49; p = .001), but not with linacs. Sixty-nine percent of ESWLs were privately held versus only 16% of linacs. To avoid these types of distortions, financial incentives should be based on a reasonable relationship between cost and charges and should be associated with the appropriateness of medical care.

Capital Expenditures↗

PubMed2003

Investigating the TEPC radiation quality factor response for low energy accelerator based clinical applications.

The use of a tissue equivalent proportional counter (TEPC) filled with propane based tissue equivalent gas simulating a 2 microm diameter tissue sphere has been investigated to estimate the radiation quality factor of the neutron fields used in in vivo neutron activation measurements at the McMaster University 3 MV Van de Graaff accelerator. The counter response to estimate the effective quality factor based on the definitions of Q(L) provided in ICRP 26 and 60 as a function of neutron energy has been examined experimentally using monoenergetic and continuous neutron spectra in the energy range of 35 to 600 keV. In agreement with other studies, the counter failed to provide a flat R(Q) response and showed a sharp drop below 200 keV neutron energy. Development of an algorithm to evaluate the quality factors using measured dose-mean lineal energy, yD, and comparison of the algorithm with other reported algorithms and analytical methods developed for the improvement in TEPC dose equivalent response has been reported.

Algorithms↗

PubMedDate not supplied

Simulation studies of 4-MV x-ray spectral reconstruction by numerical analysis of transmission data.

The use of transmission measurements with combinations of attenuating materials has been investigated as a method of determining the x-ray energy spectrum from a 4-MV linear accelerator. Simulation studies have been made with three 4-MV x-ray spectra of slightly different shapes. From each of these spectra, the narrow beam transmission curve was calculated, using lead to attenuate the beam for the first several points. Aluminum was then added to attenuate the beam to 0.001 of its initial intensity. A computer program using an iterative least-squares technique has been developed to analyze the transmission data and determine the spectrum by applying some physically reasonable sensible constraints. The calculated transmission values agreed with the simulated data within the estimated experimental uncertainties, and it is concluded that the technique is reliable for the spectral reconstruction and is sensitive to small spectral changes.

Computers↗