Engineering Papers⌕ Search

SEARCH · Engineering Papers

Results for “DOSIMETRY”

Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 901 records · Page 50

Poster - 15: Air kerma rate measurements using a cylindrical free-air ionization chamber on the 05B1-1 beamline at the Canadian Light Source

Purpose: The BioMedical Imaging and Therapy (BMIT) beamlines at the Canadian Light Source offer the opportunity for investigating novel imaging and therapy applications of synchrotron radiation. A necessary component in advancing this research, and in progressing toward clinical applications, is the availability of accurate dosimetry that is traceable to a standards institution. However, dosimetry in this setting is challenging. These beams are typically small, non-uniform, and highly intense. This work describes air kerma rate measurements on a BMIT beamline using a free-air ionization chamber (FAC). Methods: The measurements were taken at the 05B1-1 beamline (∼8 – 100 keV) for several beam qualities with mean energies between 20.0 and 84.0 keV. The Victoreen Model 480 cylindrical FAC, with a specially fabricated 0.52 mm diameter aperture, was used to measure air kerma rates. The required correction factors were determined using a variety of methods: tabulated data, measurements, theoretical calculations and Monte Carlo simulations (EGSnrc user code egs-fac). Results: The experimental air kerma rates measured between 0.270 ± 13.6% and 312 ± 2.7% Gy/min. At lower energies (low filtration), the most impactful correction factors were those for ion recombination and for x-ray attenuation. Conclusions: These measurements marked the first absolute dosimetry performed at the BMIT beamlines. The experimental and Monte Carlo methods developed will allow air kerma rates to be measured under other experimental conditions, provide a benchmark to which other dosimeters will be compared, and provide a reference for imaging and therapy research programs on this beamline.

60 APPLIED LIFE SCIENCES↗

Predictors of Trigeminal Neuropathy After Radiosurgery for Vestibular Schwannomas

Purpose: To analyze the relationship between dosimetric characteristics and symptoms related to trigeminal neuropathy (TN) observed after radiosurgery (RS) for vestibular schwannomas (VS); to propose guidelines to optimize planification in VS RS regarding TN preservation; and to detail the mechanism of TN impairment after VS RS. Methods and Materials: One hundred seventy-nine patients treated between 2011 and 2013 for VS RS and without trigeminal impairment before RS were included in a retrospective study. Univariate and multivariate analyses were performed to determine predictors of TN among characteristics of the patients, the dosimetry, and the VS. Results: There were 20 Koos grade 1, 99 grade 2, 57 grade 3, and 3 grade 4. Fourteen patients (7.8%) presented a transitory or permanent TN. Between the patients with and without TN after VS RS, there was no significant difference regarding dosimetry or VS volume itself. Significant differences (univariate analysis P<.05, Mann-Whitney test) were found for parameters related to the cisternal portion of the trigeminal nerve: total integrated dose, maximum dose, mean dose, volume of the Vth nerve (Vol{sub v}), and volume of the Vth nerve receiving at least 11 Gy (Vol{sub Vcist>11Gy}), but also for maximal dose to the Vth nerve nucleus and intra-axial portion (Dose max{sub Vax}). After multivariate analysis, the best model predicting TN included Vol{sub Vcist>11Gy} (P=.0045), Dose max{sub Vax} (P=.0006), and Vol{sub v} (P=.0058). The negative predictive value of this model was 97%. Conclusions: The parameters Vol{sub Vcist>11Gy}, Dose max{sub Vax}, and Vol{sub v} should be checked when designing dosimetry for VS RS.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Three-Dimensional Dosimetric Validation of a Magnetic Resonance Guided Intensity Modulated Radiation Therapy System

Purpose: To validate the dosimetric accuracy of a commercially available magnetic resonance guided intensity modulated radiation therapy (MRgIMRT) system using a hybrid approach: 3-dimensional (3D) measurements and Monte Carlo calculations. Methods and Materials: We used PRESAGE radiochromic plastic dosimeters with remote optical computed tomography readout to perform 3D high-resolution measurements, following a novel remote dosimetry protocol. We followed the intensity modulated radiation therapy commissioning recommendations of American Association of Physicists in Medicine Task Group 119, adapted to incorporate 3D data. Preliminary tests (“AP” and “3D-Bands”) were delivered to 9.5-cm usable diameter cylindrical PRESAGE dosimeters to validate the treatment planning system (TPS) for nonmodulated deliveries; assess the sensitivity, uniformity, and rotational symmetry of the PRESAGE dosimeters; and test the robustness of the remote dosimetry protocol. Following this, 4 clinical MRgIMRT plans (“MultiTarget,” “Prostate,” “Head/Neck,” and “C-Shape”) were measured using 13-cm usable diameter PRESAGE dosimeters. For all plans, 3D-γ (3% or 3 mm global, 10% threshold) passing rates were calculated and 3D-γ maps were examined. Point doses were measured with an IBA-CC01 ionization chamber for validation of absolute dose. Finally, by use of an in-house-developed, GPU-accelerated Monte Carlo algorithm (gPENELOPE), we independently calculated dose for all 6 Task Group 119 plans and compared against the TPS. Results: For PRESAGE measurements, 3D-γ analysis yielded passing rates of 98.7%, 99.2%, 98.5%, 98.0%, 99.2%, and 90.7% for AP, 3D-Bands, MultiTarget, Prostate, Head/Neck, and C-Shape, respectively. Ion chamber measurements were within an average of 0.5% (±1.1%) from the TPS dose. Monte Carlo calculations demonstrated good agreement with the TPS, with a mean 3D-γ passing rate of 98.5% ± 1.9% using a stricter 2%/2-mm criterion. Conclusions: We have validated the dosimetric accuracy of a commercial MRgIMRT system using high-resolution 3D techniques. We have demonstrated for the first time that hybrid 3D remote dosimetry is a comprehensive and feasible approach to commissioning MRgIMRT. This may provide better sensitivity in error detection compared with standard 2-dimensional measurements and could be used when implementing complex new magnetic resonance guided radiation therapy technologies.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

GEANT4 investigation of 40 K and 222 Rn interference effects on actinide detection sensitivities of CEMRC BEGe lung detectors

Internal dosimetry measurements of trans-uranic (TRU) radionuclides within the human body can be accomplished by γ-ray spectroscopy using high-purity germanium detectors. While measurements are typically conducted inside shielded chambers in order to minimize the background detector signal, the presence of radioactive 40 K within the body cannot be removed, which produces a high-energy γ ray at 1461 keV. The 40 K, in addition to airborne 222 Rn, contributes to the radiation field within the chamber that increases to the minimum detectable activity that can be achieved in practice. The objective of the present work is to estimate the contributions from 40 K internal to the human body and airborne 222 Rn to the background signal in a lung counter germanium detector array using GEANT4 simulations, with a focus on TRU isotope energy region (17–59 keV). The investigations consisted of three main simulations: 1. Simulating the γ-ray flux at the geometric center of the CEMRC counting chamber arising from a 25 nCi source of 40 K from (a) a point source, and (b) a source distributed throughout a BOMAB phantom. 2. Simulating the response of the CEMRC BEGe detectors arising from a 25 nCi source of 40 K from (a) a point source, and (b) a source distributed throughout a BOMAB phantom. 3. Simulating the response of the CEMRC BEGe detectors to the environmental background in the counting chamber, consisting of airborne 222 Rn (0–4 pCi/L) and 40 K (0–160 nCi) internal to the human body. The results are used to investigate the 40 K background contribution to a routine spectrum recorded by the lung detectors at the CEMRC Internal Dosimetry laboratory over a typical half hour counting interval used in the dosimetry of radiological workers. The minimum detectable activity was calculated for various 222 Rn and 40 K activities and compared to experimentally determined values. The contribution of cosmic rays was not included in this investigation.

38 RADIATION CHEMISTRY, RADIOCHEMISTRY, AND NUCLEA↗

Preparation of waterproof OSL dosimeters from hygroscopic materials with a special reference to NaCl:Cu

Optically stimulated luminescence (OSL) originally developed for geological/archaeological dating, has been found very useful for diverse applications in the field of radiation dosimetry. There is still a scarcity of OSL materials with demonstrated properties suited to dosimetry applications. Progress on the development of OSL materials with engineered properties has been slow and most research has focused on the OSL characterization of existing materials. One of the reasons for availability of only a handful of OSL dosimetry materials with adequate properties is that they have to satisfy certain stringent conditions necessary for such applications. Especially, hygroscopic materials are considered totally unsuitable. The efforts were made in our laboratory to overcome this problem. It is shown here that “water-proof” dosimeters can be prepared from even hygroscopic materials such as NaCl.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Effects of ionising radiation exposure in offspring and next generations: dosimetric aspects and uncertainties

The impact of the exposure to ionizing radiation in the offspring and next generation has been investigated in the last decades and currently is the subject of study of the ICRP Task Group 121. Studying the effects of radiation exposure in pre-conceptional and post-conceptional phases can be a challenge since potential effects to the fetus vary depending on the stage of fetal development. Epidemiology and radiobiology studies are the two sources of information one can use to correlate the radiation dose to the human body and tissues and the resulting effects. For a proper evaluation of the outcomes of such studies, and a correct appraisal of the exposure/dose-effect relationship, (i) reliable dosimetry, (ii) accurate reporting, and (iii) reproducibility of results are required. Although variables related to dose, including for instance source of radiation, geometry of irradiation, dose rate etc., are usually known, especially in radiobiology studies, often important details of the irradiation are not reported. In conclusion, based on standards developed by the National Cancer Institute (NCI), the National Institute of Allergy and Infectious Disease (NIAID) and the National Institute of Standards and Technology (NIST), a review of the scientific studies used by the UNSCEAR to estimate the risk of hereditary effects, and by the ICRP in its current recommendations, was conducted to evaluate the way dosimetry was reported. Dosimetry and the related uncertainties were not adequately described in the vast majority of those studies. This does not necessarily mean that they do not provide relevant information, however it prevents from a thorough verification and reproduction of their findings. In order to guarantee the reliability and robustness of the process of revision of the estimates of risk and detriment it is therefore considered mandatory to include a careful check of the new relevant literature with regard to the criteria on the completeness and reproducibility of the dosimetric information.

63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTAN↗

Evaluation of Triage Methods for Criticality Accidents

Studies indicate that early identification of persons involved in and receiving high doses of radiation in accidents is key to providing life-saving medical treatment. Although the risk of criticality accidents is low the potential impact to workers is significant. For facilities that employ large numbers of workers a key element in the response to a radiological emergency is identifying personnel that received significant, and potentially harmful, doses. Also important is having the ability to screen large numbers of workers to identify persons that did not receive significant exposure so as to reduce the impact on emergency response efforts. At the Y-12 National Security Complex the focus on criticality accident response is the rapid triage of personnel in order to identify persons exposed to large radiation doses and to prioritize those persons receiving the highest exposures. Once identified personnel are transported to local medical facilities including the Radiation Emergency Assistance Center/Training Site (REAC/TS) for medical evaluation and treatment. The Y-12 external dosimetry program utilizes a number of techniques to identify and prioritize workers and these methods were evaluated at a criticality dosimetry intercomparison exercise. Finally, the methods used were shown to perform as intended and other sites may consider incorporating these methods into their accident dosimetry response procedures.

61 RADIATION PROTECTION AND DOSIMETRY↗

Toward an organ based dose prescription method for the improved accuracy of murine dose in orthovoltage x-ray irradiators

Purpose: Accurate dosimetry is essential when irradiating mice to ensure that functional and molecular endpoints are well understood for the radiation dose delivered. Conventional methods of prescribing dose in mice involve the use of a single dose rate measurement and assume a uniform average dose throughout all organs of the entire mouse. Here, the authors report the individual average organ dose values for the irradiation of a 12, 23, and 33 g mouse on a 320 kVp x-ray irradiator and calculate the resulting error from using conventional dose prescription methods. Methods: Organ doses were simulated in the Geant4 application for tomographic emission toolkit using the MOBY mouse whole-body phantom. Dosimetry was performed for three beams utilizing filters A (1.65 mm Al), B (2.0 mm Al), and C (0.1 mm Cu + 2.5 mm Al), respectively. In addition, simulated x-ray spectra were validated with physical half-value layer measurements. Results: Average doses in soft-tissue organs were found to vary by as much as 23%–32% depending on the filter. Compared to filters A and B, filter C provided the hardest beam and had the lowest variation in soft-tissue average organ doses across all mouse sizes, with a difference of 23% for the median mouse size of 23 g. Conclusions: This work suggests a new dose prescription method in small animal dosimetry: it presents a departure from the conventional approach of assigninga single dose value for irradiation of mice to a more comprehensive approach of characterizing individual organ doses to minimize the error and uncertainty. In human radiation therapy, clinical treatment planning establishes the target dose as well as the dose distribution, however, this has generally not been done in small animal research. These results suggest that organ dose errors will be minimized by calibrating the dose rates for all filters, and using different dose rates for different organs.

54 ENVIRONMENTAL SCIENCES↗

SU-E-I-19: CTDI Values for All Protocols: Using the Ratio of the DLP Measured in CTDI Phantoms to the Measured Air Exposure

Purpose: To propose a method other than CTDI phantom measurements for routine CT dosimetry QA. This consists of taking a series of air exposure measurements and calculating a factor for converting from this exposure measurement to the protocol's associated head or body CTDI value using DLP. The data presented are the ratios of phantom DLP to air exposure ratios for different scanners, as well as error in the displayed CTDI. Methods: For each scanner, the CTDI is measured at all available tube voltages using both the head and body phantoms. Then, the exposure is measured using a pencil chamber in air at isocenter. A ratio of phantom DLP to exposure in air for a given protocol may be calculated and used for converting a simple air dose measurement to a head or body CTDI value. For our routine QA, the exposure in air for different collimations, mAs, and kVp is measured, and displayed CTDI is recorded. Therefore, the ratio calculated may convert these exposures to CTDI values that may then be compared to the displayed CTDI for a large range of acquisition parameter combinations. Results: It was found that all scanners tend to have a ratio factor that slightly increases with kVp. Also, Philips scanners appear to have less of a dependence on kVp; whereas, GE scanners have a lower ratio at lower kVp. The use of air exposure times the DLP conversion yielded CTDI values that were less than 10% different from the displayed CTDI on several scanners. Conclusion: This method may be used as a primary method for CT dosimetry QA. As a result of the ease of measurement, a dosimetry metric specific to that scanner may be calculated for a wide variety of CT protocols, which could also be used to monitor display CTDI value accuracy.

60 APPLIED LIFE SCIENCES↗

SU-E-J-263: Dosimetric Analysis On Breast Brachytherapy Based On Deformable Image Registration

Purpose: To quantitatively compare and evaluate the dosimetry difference between breast brachytherapy protocols with different fractionation using deformable image registration. Methods: The accumulative dose distribution for multiple breast brachytherapy patients using four different applicators: Contura, Mammosite, Savi, and interstitial catheters, under two treatment protocols: 340cGy by 10 fractions in 5 days and 825cGy by 3 fractions in 2days has been reconstructed using a two stage deformable image registration approach. For all patients, daily CT was acquired with the same slice thickness (2.5mm). In the first stage, the daily CT images were rigidly registered to the initial planning CT using the registration module in Eclipse (Varian) to align the applicators. In the second stage, the tissues surrounding the applicator in the rigidly registered daily CT image were non-rigidly registered to the initial CT using a combination of image force and the local constraint that enforce zero normal motion on the surface of the applicator, using a software developed in house. We calculated the dose distribution in the daily CTs and deformed them using the final registration to convert into the image domain of the initial planning CT. The accumulative dose distributions were evaluated by dosimetry parameters including D90, V150 and V200, as well as DVH. Results: Dose reconstruction results showed that the two day treatment has a significant dosimetry improvement over the five day protocols. An average daily drop of D90 at 1.3% of the prescription dose has been observed on multiple brachytherapy patients. There is no significant difference on V150 and V200 between those two protocols. Conclusion: Brachytherapy with higher fractional dose and less fractions has an improved performance on being conformal to the dose distribution in the initial plan. Elongated brachytherapy treatments need to consider the dose uncertainty caused by the temporal changes of the soft tissue.

60 APPLIED LIFE SCIENCES↗

SU-E-T-12: A Feasibility Study of Patient Specific QA Using Gafchromic Film of Dynamic Feathering in Junctions of Craniospinal Irradiation

Purpose: Cranio-spinal irradiation is the most complicated format of the conventional external beam radiation therapy because it involves matches of non-coplanar beams which are susceptible to daily setup errors. This study explores the efficacy of Gafchromic film dosimetry to quantitatively verify the junctions for cranio-spinal radiation feathered with field in field technique. Methods: 15cm in thickness of solid water phantom was scanned vertically and exported to the Pinnacle TPS as primary phantom data set. A patient cranio-spinal plan, consisted of two bilateral whole brain beams dynamically matched with a posterior spinal beam using field in field technique, was transferred to the phantom and recalculated for one fraction with set monitor units identical to the original plan. Next, planar dose distribution on the phantom was exported to the FilmQA Pro 2013 software (Ashland, Inc.) in binary format for comparison with the measured dose distribution. An EBT2 film was sandwiched in the middle of the phantom and the phantom was set up according to the QA plan based on the room laser system. The shifts instructions associated with the patient original plan were made and the beams from the patient original plan delivered to the solid water phantom via the record and verify system in QA mode. The dose distribution from the measured film was compared with the planned reference distribution using gamma analysis and profile comparison. Results: Gamma passing rate of 91 % with DTA 3mm and 5% dose difference was obtained within the junction region, significantly greater passing rate above 95 % was obtained in the homogeneous region of the brain field. Conclusion: This study confirms that Gafchromic film dosimetry can be used to validate the efficacy of FIF feathering technique for cranio-spinal treatment. FIF technique with Gafchromic dosimetry may now be the new standard for delivering efficient and accurate cranio-spinal radiation with confidence.

60 APPLIED LIFE SCIENCES↗

SU-E-T-58: Calculation of Dose Distribution of Accuboost Brachytherapy in Deformable Polyvinil Alcohol Breast Phantom Using Biomechanical Modeling and Monte Carlo Simulation

Purpose: the accuboost is the most modern method of breast brachytherapy that is a boost method in compressed tissue by a mammography unit. the dose distribution in uncompressed tissue, as compressed tissue is important that should be characterized. Methods: In this study, the mechanical behavior of breast in mammography loading, the displacement of breast tissue and the dose distribution in compressed and uncompressed tissue, are investigated. Dosimetry was performed by two dosimeter methods of Monte Carlo simulations using MCNP5 code and thermoluminescence dosimeters. For Monte Carlo simulations, the dose values in cubical lattice were calculated using tally F6. The displacement of the breast elements was simulated by Finite element model and calculated using ABAQUS software, from which the 3D dose distribution in uncompressed tissue was determined. The geometry of the model is constructed from MR images of 6 volunteers. Experimental dosimetery was performed by placing the thermoluminescence dosimeters into the polyvinyl alcohol breast equivalent phantom and on the proximal edge of compression plates to the chest. Results: The results indicate that using the cone applicators would deliver more than 95% of dose to the depth of 5 to 17mm, while round applicator will increase the skin dose. Nodal displacement, in presence of gravity and 60N forces, i.e. in mammography compression, was determined with 43% contraction in the loading direction and 37% expansion in orthogonal orientation. Finally, in comparison of the acquired from thermoluminescence dosimeters with MCNP5, they are consistent with each other in breast phantom and in chest's skin with average different percentage of 13.7±5.7 and 7.7±2.3, respectively. Conclusion: The major advantage of this kind of dosimetry is the ability of 3D dose calculation by FE Modeling. Finally, polyvinyl alcohol is a reliable material as a breast tissue equivalent dosimetric phantom that provides the ability of TLD dosimetry for validation.

60 APPLIED LIFE SCIENCES↗

SU-E-T-75: Commissioning Optically Stimulated Luminescence Dosimeters for Fast Neutron Therapy

Purpose: Fast neutrons therapy used at the University of Washington is clinically proven to be more effective than photon therapy in treating salivary gland and other cancers. A nanodot optically stimulated luminescence (OSL) system was chosen to be commissioned for patient in vivo dosimetry for neutron therapy. The OSL-based radiation detectors are not susceptible to radiation damage caused by neutrons compared to diodes or MOSFET systems. Methods: An In-Light microStar OSL system was commissioned for in vivo use by radiating Landauer nanodots with neutrons generated from 50.0 MeV protons accelerated onto a beryllium target. The OSLs were calibrated the depth of maximum dose in solid water localized to 150 cm SAD isocenter in a 10.3 cm square field. Linearity was tested over a typical clinical dose fractionation range i.e. 0 to 150 neutron-cGy. Correction factors for transient signal fading, trap depletion, gantry angle, field size, and wedge factor dependencies were also evaluated. The OSLs were photo-bleached between radiations using a tungsten-halogen lamp. Results: Landauer sensitivity factors published for each nanodot are valid for measuring photon and electron doses but do not apply for neutron irradiation. Individually calculated nanodot calibration factors exhibited a 2–5% improvement over calibration factors computed by the microStar InLight software. Transient fading effects had a significant impact on neutron dose reading accuracy compared to photon and electron in vivo dosimetry. Greater accuracy can be achieved by calibrating and reading each dosimeter within 1–2 hours after irradiation. No additional OSL correction factors were needed for field size, gantry angle, or wedge factors in solid water phantom measurements. Conclusion: OSL detectors are a useful for neutron beam in vivo dosimetry verification. Dosimetric accuracy comparable to conventional diode systems can be achieved. Accounting for transient fading effects during the neutron beam calibration is a critical component for achieving comparable accuracy.

07 ISOTOPE AND RADIATION SOURCES↗

SU-E-T-413: Experience-Based VMAT Plan Quality Database

Purpose: To quantify VMAT plan quality using a retrospective study of over 200 clinical treated VMAT plans created using the Eclipse Treatment Planning System to create benchmarks of plan quality for a few categories of treatment sites. Methods: Using a controlled phantom geometry, various dosimetric indices were investigated to quantify dosimetric plan quality as a function of isocenter displacement from center of mass, average path length, number of arcs and PTV proximity to critical structures. Beginning with published dosimetry indices from SRS and SBRT evaluations, UDI (Unified Dosimetry Index) and modified UDI were tested before creating a new factor VMAT-DI. VMAT-DI was developed within boundaries of this project and it includes renormalized factors of conformity index, coverage index, modified gradient index and homogeneity index as well as indices based on routine clinical practice such as absolute dose max index. The plans were then evaluated using the VMAT-DI such that benchmarks for planning could be created. Results: The majority of the plans evaluated could be assigned VMAT-DI values within a range for each treatment site. However, the outliers were results of difficult planning parameters such as very irregular targets, inhomogeneities or difficult to achieve critical structure constraints. To effectively use VMAT-DI for guidance, especially for prediction of the plan quality for body sites new to the practice, VMATDI database needs to be subdivided by target complexity and by body site index/average path length factor. Conclusion: An experienced-based VMAT-DI database can be used to help analyze plans before evaluation by the physician to show that it adheres to the clinical standards of previously treated VMAT plans which will make a guideline for concluding the optimization. The introduction of institution-wide clinical planning protocols, standardizing OAR naming and constraints will make it possible to incorporate a cumulative critical structure dosimetry index such as NTCP.

07 ISOTOPE AND RADIATION SOURCES↗

SU-E-T-448: On the Perturbation Factor P-cav of the Markus Parallel Plate Ion Chambers in Clinical Electron Beams, Monte Carlo Based Reintegration of An Historical Experiment

Purpose: All present dosimetry protocols recommend well-guarded parallel-plate ion chambers for electron dosimetry. For the guard-less Markus chamber an energy dependent fluence perturbation correction pcav is given. This perturbation correction was experimentally determined by van der Plaetsen by comparison of the read-out of a Markus and a NACP chamber, which was assumed to be “perturbation-free”. Aim of the present study is a Monte Carlo based reiteration of this experiment. Methods: Detailed models of four parallel-plate chambers (Roos, Markus, NACP and Advanced Markus) were designed using the Monte Carlo code EGSnrc and placed in a water phantom. For all chambers the dose to the active volume filled with low density water was calculated for 13 clinical electron spectra (E{sub 0}=6-21 MeV) at the depth of maximum and at the reference depth under reference conditions. In all cases the chamber's reference point was positioned at the depth of measurement. Moreover, the dose to water DW was calculated in a small water voxel positioned at the same depth. Results: The calculated dose ratio D{sub NACP}/D{sub Markus}, which according to van der Plaetsen reflects the fluence perturbation correction of the Markus chamber, deviates less from unity than the values given by van der Plaetsen's but exhibits a similar energy dependence. The same holds for the dose ratios of the other well guarded chambers. But, in comparison to water, the Markus chamber reveals the smallest overall perturbation correction which is nearly energy independent at both investigated depths. Conclusion: The simulations principally confirm the energy dependence of the dose ratio D{sub NACP}/D{sub Markus} as published by van der Plaetsen. But, as shown by our simulations of the ratio D{sub W}/D{sub Markus}, the conclusion drawn in all dosimetry protocols is questionable: in contrast to all well-guarded chambers the guard-less Markus chamber reveals the smallest overall perturbation correction and also the smallest energy dependence.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

MO-A-18C-01: Proton Therapy I: Basics of Proton Therapy

The goal of this session is to introduce the audience to the physics, dosimetry and treatment planning procedures used in proton therapy. The course material covers the basic physics of proton interaction with matter and physical characteristics of clinical proton beams. It will provide information on proton delivery systems and beam delivery techniques for scattered and scanning proton beams. It will include the requirements for dosimetry measurements and present the equipment needed for commissioning of proton beams for clinical use and quality assurance checks as well as methods used for proton beam calibration and dose verification of patient treatment fields. The session covers the treatment planning strategies for various anatomical sites, methods to address uncertainties in proton therapy and uncertainty mitigation to generate robust treatment plans. Challenges involved in the motion management in proton therapy will also be discussed. Learning Objectives: Gain knowledge on physics, dosimetry, treatment planning and quality assurance for proton therapy. Understand the uncertainties associated with proton therapy and currently used strategies for their mitigation in treatment planning.

07 ISOTOPE AND RADIATION SOURCES↗

MO-E-17A-09: Has Cancer Risk for Pediatric CT Increased Or Decreased? An Analysis of Cohort Data From 2004-2013

Purpose: To analyze CT radiation dosimetry trends in a pediatric population imaged with modern (2004-2013) CT technology Methods: The institutional review board approved this retrospective review. Two cohorts of pediatric patients that received CT scans for treatment or surveillance for Wilms tumor (n=73) or Neuroblastoma (n=74) from 2004–2013 were included in this study. Patients were scanned during this time period on a GE Ultra (8 slice; 2004–2007), a GE VCT (2008–2011), or a GE VCT-XTe (2011–2013). Each patient's individual or combined chest, abdomen, and pelvic CT exams (n=4138) were loaded onto a PACS workstation (Intelerad, Canada) and measured to calculate their effective diameter and SSDE. Patient SSDE was used to estimate patient organ dosimetry based on previously published data. Patient's organ dosimetry were sorted by gender, weight, age, scan protocol (i.e., chest, abdomen, or pelvis), and CT scanner technology and averaged accordingly to calculate population averaged absolute and effective dose values. Results: Patient radiation dose burden calculated for all genders, weights, and ages decreased at a rate of 0.2 mSv/year (4.2 mGy/year; average organ dose) from 2004–2013; overall levels decreased by 50% from 3.0 mSv (60.0 mGy) to 1.5 mSv (25.9 mGy). Patient dose decreased at equal rates for both male and female, and for individual scan protocols. The greatest dose savings was found for patients between 0–4 years old (65%) followed by 5-9 years old (45%), 10–14 years old (30%), and > 14 years old (21%). Conclusion: Assuming a linear-nothreshold model, there always will be potential risk of cancer induction from CT. However, as demonstrated among these patient populations, effective and organ dose has decreased over the last decade; thus, potential risk of long-term side effects from pediatric CT examinations has also been reduced.

60 APPLIED LIFE SCIENCES↗

WE-F-16A-04: Micro-Irradiator Treatment Verification with High-Resolution 3D-Printed Rodent-Morphic Dosimeters

Purpose: Pre-clinical micro-radiation therapy studies often utilize very small beams (∼0.5-5mm), and require accurate dose delivery in order to effectively investigate treatment efficacy. Here we present a novel high-resolution absolute 3D dosimetry procedure, capable of ∼100-micron isotopic dosimetry in anatomically accurate rodent-morphic phantoms Methods: Anatomically accurate rat-shaped 3D dosimeters were made using 3D printing techniques from outer body contours and spinal contours outlined on CT. The dosimeters were made from a radiochromic plastic material PRESAGE, and incorporated high-Z PRESASGE inserts mimicking the spine. A simulated 180-degree spinal arc treatment was delivered through a 2 step process: (i) cone-beam-CT image-guided positioning was performed to precisely position the rat-dosimeter for treatment on the XRad225 small animal irradiator, then (ii) treatment was delivered with a simulated spine-treatment with a 180-degree arc with 20mm x 10mm cone at 225 kVp. Dose distribution was determined from the optical density change using a high-resolution in-house optical-CT system. Absolute dosimetry was enabled through calibration against a novel nano-particle scintillation detector positioned in a channel in the center of the distribution. Results: Sufficient contrast between regular PRESAGE (tissue equivalent) and high-Z PRESAGE (spinal insert) was observed to enable highly accurate image-guided alignment and targeting. The PRESAGE was found to have linear optical density (OD) change sensitivity with respect to dose (R{sup 2} = 0.9993). Absolute dose for 360-second irradiation at isocenter was found to be 9.21Gy when measured with OD change, and 9.4Gy with nano-particle detector- an agreement within 2%. The 3D dose distribution was measured at 500-micron resolution Conclusion: This work demonstrates for the first time, the feasibility of accurate absolute 3D dose measurement in anatomically accurate rat phantoms containing variable density PRESAGE material (tissue equivalent and bone equivalent). This method enables precise treatment verification of micro-radiation therapies, and enhances the robustness of tumor radio-response studies. This work was supported by NIH R01CA100835.

60 APPLIED LIFE SCIENCES↗