Operational characteristics of two types of sealed-tube fast-neutron radiotherapy installations.
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Biomedical subjects
Publications and source records attributed to D Greene.
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Rat tails were re-irradiated to necrosis levels at about six months after various fractionated treatments with 290 kV X rays or 14 MeV neutrons. The X ray dose required to produce necrosis in half of a group of tails (ND50), which had been heavily X-irradiated six months before, was 91+/-4% of the ND50 for aged controls. After prior neutron-irradiation, however, this value was 87+/-4% (neutrons in second treatment) or 75+/-5% (X rays in second course). The "effective" oxygenation of mouse tails at this time after X-irradiation was similar to that of controls; thus these percentage dose values indicate the remarkable tolerance of this organized tissue to a second course of X-irradiation, and the presence of more residual injury in neutron-irradiated tissues.
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The microcolony assay technique has been used to test the validty of summing equivalent doses per fraction of 14 MeV neutrons and gamma rays for mouse intestinal damage. For a 4-daily fraction schedule, in which the first one or two fractions are given as neutrons and the remainder as gamma rays, combined dose fractions calculated from a 4-fraction schedule of either radiation type alone produce the same level of damage within the limits of accuracy of the experiment.
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The rat tail has been used as a model system to study the necrosis of an organized tissue following fractionated doses of collimated D-T neutrons or 290 kV X rays. RBE values for tail tolerance - 10 per cent of tails necrosing after the early skin reactions - rise from about 1-7 (single doses) to about 3-1 (16 fractions in 22 days). Neutron tolerance doses are almost independent of fractionation from 2 to 16 fractions. The tissues at risk are shown to be rather hypoxic. Early skin reaction levels can be used to predict the fraction of tails that will necrose. Early peak reactions for a given fraction of necrotic tails were slightly higher for neutrons than for X rays, and this difference was consistent for all the dose fractionation schedules employed.
The dose given to a polythene energy absorber in the radiation field from a 14 MeV neutron generator has been measured calorimetrically. The calorimeter was calibrated by giving the energy absorber a known dose of gamma-rays. The dose measured in this way was compared with that determined with a polythene-ethylene ionization chamber, and the two results agreed to better than 1%, though the estimated uncertainties on the calorimeter and ionization chamber results were each about 4%. This result can be used to determine a value of the ratio Wn/We, for 14 MeV neutrons in ethylene, where Wn is the W value for the charged particles generated in the neutron field in ethylene, and We is the W value for electrons in the same gas. The measured value of Wn/We was found to be 1.07 plus or minus 3.9%. The significance of the 'thermal defect' in polythene is discussed.
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Extension of hypernephroma into the inferior vena cava was demonstrated by ultrasound. When a solid renal lesion is encountered, it is suggested that the inferior vena cava be scanned. The possible significance of gray scale scanning as a more precise diagnostic tool and its use in tumor staging are discussed.
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