Hyperfractionated total body irradiation for bone marrow transplantation: I. Early results in leukemia patients.
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Acute Disease↗
Biomedical subjects
C Chui
Publications and source records attributed to C Chui.
Energy and angular distributions of photons from medical linear accelerators.
For accurate three-dimensional treatment planning, new models of dose calculations are being developed which require the knowledge of the energy spectra and angular distributions of the photons incident on the surface of the patient. Knowledge of the spectra is also useful in other applications, including the design of filters and beam modifying devices and determination of factors to convert ionization chamber measurements to dose. We have used Monte Carlo code (EGS) to compute photon spectra for a number of different linear accelerators. Both the target and the flattening filter have been accurately modeled. We find the mean photon energy to have a value lower than the generally perceived value of one-third the maximum energy. As expected, the spectra become softer as the distance from the central axis increases. Verification of the spectra is performed by computing dose distributions and half-value layers in water using the calculated spectra and comparing the results with measured data. We also examined the angular distributions of photons incident on the surface of the phantom. In currently used models of dose computations, it is assumed that the angular distribution of photons with respect to fan lines emanating from the source is negligible. Although the angular spread of photons with respect to the incident direction has been found to be small, its contribution to the diffuseness of the beam boundaries is significant.
Energy Transfer↗
Differential pencil beam dose computation model for photons.
Differential pencil beam (DPB) is defined as the dose distribution relative to the position of the first collision, per unit collision density, for a monoenergetic pencil beam of photons in an infinite homogeneous medium of unit density. We have generated DPB dose distribution tables for a number of photon energies in water using the Monte Carlo method. The three-dimensional (3D) nature of the transport of photons and electrons is automatically incorporated in DPB dose distributions. Dose is computed by evaluating 3D integrals of DPB dose. The DPB dose computation model has been applied to calculate dose distributions for 60Co and accelerator beams. Calculations for the latter are performed using energy spectra generated with the Monte Carlo program. To predict dose distributions near the beam boundaries defined by the collimation system as well as blocks, we utilize the angular distribution of incident photons. Inhomogeneities are taken into account by attenuating the primary photon fluence exponentially utilizing the average total linear attenuation coefficient of intervening tissue, by multiplying photon fluence by the linear attenuation coefficient to yield the number of collisions in the scattering volume, and by scaling the path between the scattering volume element and the computation point by an effective density.
Bone and Bones↗
Monte Carlo simulation of a cobalt-60 beam.
We have used the Stanford Electron Gamma Shower (EGS) Monte Carlo code to compute photon spectra from an AECL Theratron 780 cobalt-60 unit. Particular attention has been paid to the careful modeling of the geometry and material construction of the cobalt-60 source capsule, source housing, and collimator assembly. From our simulation, we conclude that the observed increase in output of the machine with increasing field size is caused by scattered photons from the primary definer and the adjustable collimator. We have also used the generated photon spectra as input to a pencil beam model to calculate the tissue-air ratios in water and compared it to a model which uses a monochromatic photon energy of 1.25 MeV.
Cobalt Radioisotopes↗