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Biomedical subjects

Haijun Song

Publications and source records attributed to Haijun Song.

10 recordsLinked to original sources

Limitations of silicon diodes for clinical electron dosimetry.

This work investigates the relevance of several factors affecting the response of silicon diode dosemeters in depth-dose scans of electron beams. These factors are electron energy, instantaneous dose rate, dose per pulse, photon/electron dose ratio and electron scattering angle (directional response). Data from the literature and our own experiments indicate that the impact of these factors may be up to +/-15%. Thus, the different factors would have to cancel out perfectly at all depths in order to produce true depth-dose curves. There are reports of good agreement between depth-doses measured with diodes and ionisation chambers. However, our measurements with a Scantronix electron field detector (EFD) diode and with a plane-parallel ionisation chamber show discrepancies both in the build-up and in the low-dose regions, with a ratio up to 1.4. Moreover, the absolute sensitivity of two diodes of the same EFD model was found to differ by a factor of 3, and this ratio was not constant but changed with depth between 5 and 15% in the low-dose regions of some clinical electron beams. Owing to these inhomogeneities among diodes even of the same model, corrections for each factor would have to be diode-specific and beam-specific. All these corrections would have to be determined using parallel plane chambers, as recommended by AAPM TG-25, which would be unrealistic in clinical practice. Our conclusion is that in general diodes are not reliable in the measurement of depth-dose curves of clinical electron beams.

Dose-Response Relationship, Radiation↗

Evaluation of the EDR-2 film for relative dosimetry of high-energy photon and electron beams.

A sensitometric study of Kodak XV and EDR-2 radiographic films (Eastman Kodak Company, Rochester, NY) was performed using photons ranging from 75 kV to 18 MV and electrons ranging from 6 to 20 MeV. To investigate the applicability of the EDR-2 film for clinical radiation dosimetry, percentage depth-doses, profiles and distributions in open and dynamically wedged fields were measured using film and compared with data from a linear diode. Moreover, conventional quality assurance dose parameters were measured, including open-field dose profiles to determine flatness and symmetry of photon and electron beams. Finally, film was employed to validate dose distributions produced by complex computerised treatment planning techniques. Our conclusion is that the EDR-2 film is an effective tool for relative dosimetry of photon and electron beams.

Dose-Response Relationship, Radiation↗

A method to implement full six-degree target shift corrections for rigid body in image-guided radiotherapy.

Treatment position setup errors often introduce temporal variations in the position of target relative to the planned external radiation beams. The errors can be introduced by the movement of a target relative to external setup marks or to other relevant landmarks that are used to position a patient for radiotherapy. Those variations can cause dose deviations from the planned doses and result in suboptimal treatments where part of the target is not fully irradiated or a critical structure receives more than desired radiation doses. Clinically available technology for image-guided radiotherapy can detect variations of target position. In this study, a method has been developed to correct for target position variations and restore the original beam geometries relative to the target. The technique involves three matrix transformations: (1) transformation of beams from the machine coordinate system to the patient coordinate system as in the patient geometry in the approved dosimetric plan; (2) transformation of beams from the patient coordinate system in the approved plan to the patient coordinate system that is identified at the time of treatment; (3) transformation of beams from the patient coordinate system at the time of treatment in the treatment patient geometry back to the machine coordinate system. The transformation matrix used for the second transformation is determined through the use of image-guided radiotherapy technology and image registration. By using these matrix transformations, the isocenter shift, the gantry, couch and collimator angles of the beams for the treatment, adjusted for the target shift, can be derived. With the new beam parameters, the beams will possess the same positions and orientations relative to the target as in the plan for a rigid body. This method was applied to a head phantom study, and it was found that the target shift was fully corrected in treatment and excellent agreement was found in target dose coverage between the plan and the treatment.

Algorithms↗

Application of Gafchromic film in the dosimetry of an intravascular brachytherapy source.

The methodology of brachytherapy source dosimetry with Gafchromic MD 55-2 film (ISP Technologies, Inc.) is examined with an emphasis on the nonlinearity of the optical density-dose relation within the dynamic dose range, the radial distance-dependent measurement uncertainty, and the format of data presentation. The specific source chosen for this study was a Checkmate (Cordis Corporation) intravascular brachytherapy system. The two-dimensional dose distribution around the source was characterized by a comprehensive analysis of measurement uncertainties. A comparative analysis of the dosimetric data from the vendor and from the scientific literature showed a substantial consistency of the information available for the Checkmate source. Our two-dimensional dosimetric data for the Checkmate source trains is presented in the form of measured along and away dose tables.

Blood Vessels↗

Dosimetric characteristics of the Novoste Beta-Cath 90Sr/Y source trains at submillimeter distances.

Measurements were performed on the 30, 40, and 60 mm 90Sr/Y beta-emitter source trains used in the Novoste Beta-Cath system to determine their dosimetric characteristics at submillimeter distances and provide the necessary TG-60 parameters for mapping their dose distributions. These measurements were carried out in a Solid Water phantom where MD55-2 Gafchromic films were placed in direct contact with a 5 French (F) catheter used for the 30 and 60 mm source trains and a 3.5F catheter used for thinner 30 and 40 mm source trains. A data set consisted of three pieces of Gafchromic film irradiated for periods of 1.5, 5, and 10 minutes, respectively. This 3-film irradiation technique provided reliable dose data at short, intermediate and long distances from a source train. Three data sets per source train were collected in this study. For the 30 mm source train with a 5F catheter, data were collected with the source axis at proximal (0.41 mm) and distal (1.19 mm) positions to the film surface in order to investigate dosimetric effects due to the off centering of the source train lumen within the catheter. Absolute doses were determined by calibrating the Gafchromic film in a high-energy electron beam from a radiotherapy accelerator. The absolute dose rates at a distance of 2 mm along the source trains transverse axis were found to be within 13.7% of the values provided by Novoste. Radial dose functions were within 13% compared to 90Sr/Y source train data constructed from Soares' 90Sr/Y single seed data and within 17% and 25% compared to Monte Carlo data by Ye et al., and Wang et al., respectively. Discrepancies of 33% and 19% were observed at short radial distances (< or = 1 mm) between the Novoste Monte Carlo and the 3.5F and 5F catheter measured data, respectively. The source off centering data showed higher dose contribution from the source train at its distal rather than proximal position. Radial dose function comparisons between the Novoste Monte Carlo and the measured data, calculated as a function of radial distance from the catheter's center showed good agreement (< or = 10%).

Brachytherapy↗

Protocols for the dosimetry of high-energy photon and electron beams: a comparison of the IAEA TRS-398 and previous international codes of practice. International Atomic Energy Agency.

A new international Code of Practice for radiotherapy dosimetry co-sponsored by several international organizations has been published by the IAEA, TRS-398. It is based on standards of absorbed dose to water, whereas previous protocols (TRS-381 and TRS-277) were based on air kerma standards. To estimate the changes in beam calibration caused by the introduction of TRS-398, a detailed experimental comparison of the dose determination in reference conditions in high-energy photon and electron beams has been made using the different IAEA protocols. A summary of the formulation and reference conditions in the various Codes of Practice, as well as of their basic data, is presented first. Accurate measurements have been made in 25 photon and electron beams from 10 clinical accelerators using 12 different cylindrical and plane-parallel chambers, and dose ratios under different conditions of TRS-398 to the other protocols determined. A strict step-by-step checklist was followed by the two participating clinical institutions to ascertain that the resulting calculations agreed within tenths of a per cent. The maximum differences found between TRS-398 and the previous Codes of Practice TRS-277 (2nd edn) and TRS-381 are of the order of 1.5-2.0%. TRS-398 yields absorbed doses larger than the previous protocols, around 1.0% for photons (TRS-277) and for electrons (TRS-381 and TRS-277) when plane-parallel chambers are cross-calibrated. For the Markus chamber, results show a very large variation, although a fortuitous cancellation of the old stopping powers with the ND,w/NK ratios makes the overall discrepancy between TRS-398 and TRS-277 in this case smaller than for well-guarded plane-parallel chambers. Chambers of the Roos-type with a 60Co ND,w calibration yield the maximum discrepancy in absorbed dose, which varies between 1.0% and 1.5% for TRS-381 and between 1.5% and 2.0% for TRS-277. Photon beam calibrations using directly measured or calculated TPR20,10 from a percentage dose data at SSD = 100 cm were found to be indistinguishable. Considering that approximately 0.8% of the differences between TRS-398 and the NK-based protocols are caused by the change to the new type of standards, the remaining difference in absolute dose is due either to a close similarity in basic data or to a fortuitous cancellation of the discrepancies in data and type of chamber calibration. It is emphasized that the NK-ND,air and ND,w formalisms have very similar uncertainty when the same criteria are used for both procedures. Arguments are provided in support of the recommendation for a change in reference dosimetry based on standards of absorbed dose to water.

Air↗

Accelerator-based neutron brachytherapy.

The development and evaluation of a new approach to neutron brachytherapy is described. This approach, accelerator-based fast neutron brachytherapy, involves the interstitial or intracavity insertion of a narrow, evacuated accelerator beam tube such that its tip, containing the neutron-producing target, is placed in or near the tumor. Tumor irradiation via brachytherapy should result in a reduction in the healthy tissue complication rate observed when poorly collimated and/or low energy external neutron beam are used for treatment. Use of a variable energy accelerator provides an advantage over isotope sources for neutron brachytherapy in that the neutron beam can be turned on and off and the neutron energy spectrum varied for different treatment applications. A prototype accelerator-based fast neutron brachytherapy device, 10 cm long and 6 mm outer diameter, has been constructed and evaluated in terms of its dosimetric output, treatment time, and practical feasibility. The prototype device is a tube-in-tube design with cooling water running between the inner and outer tubes to cool a beryllium target located at the tip of the inner tube. Cooling experiments were performed and coupled with Monte Carlo simulations to determine treatment times as a function of heat load for various neutron-producing reactions. Using the 9Be(d,n) 10B reaction at Ed= 1.5 MeV, 66 RBE-Gy (12 Gy physical dose) can be delivered to the boundary of a 4.5-cm-diam treatment volume in 8 min at a heat load of 130 W. Other reactions offer similar treatment times at somewhat higher bombarding energies and also show higher potential for dose enhancement with the boron-10 neutron capture reaction due to their softer neutron spectra. Dose distributions in a water phantom were measured with the prototype brachytherapy tube using the dual-ion chamber technique for the 9Be(d,n) 10B reaction at Ed = 1.5 MeV. The measurements and simulations agree within uncertainties and demonstrate that fast neutrons contribute more than 90% of the dose to the target volume.

Brachytherapy↗

Comparison of characteristics of photon and electron beams generated by Philips/Elekta and Varian linear accelerators.

Commissioning data of the common energy of 6 MV photon beams are analyzed for seven Philips/ Elekta linacs of five different models: SL 75/5, SL 15, SL 25, SLi Precise, and SLi. The observed beam quality %dd(10)x of 67.7% +/- 0.3 agrees with the manufacturer's specification of 67.5% +/- 2% but with a much smaller variation, suggesting the possibility of a more accurate beam quality guideline for acceptance commissioning of these linac models. Field size factors are less uniform, especially for the biggest field size of 40 x 40 cm2, but all agree within 1.1% between the five models. These 6 MV photon beams are also shown to be 0.4 MV harder than the Varian 2100C model. For commissioning electron beams generated by the Philips/Elekta models SL 15, SLi Precise and SLi, guidelines can be found from this work for the following parameters: actual field size at 100 SSD (up to +/- 0.6%) (different from manufacturer specified values at 95 SSD), and virtual source distance (up to +/- 0.7%). Significant differences are seen for R50 (up to 3.7 mm), sigma-theta-x, effective source distance, and cone size factor. However, except for R50 where Varian 2100C datasets are not available for comparison, the differences between the different Philips/Elekta models are comparable to those between the same Varian 2100C model linacs measured by us and Watts.

Electrons↗

Measured TG-60 dosimetric parameters of the Novoste Beta-Cath 90Sr/Y source trains for intravascular brachytherapy.

Measurements were performed on the 30, 40 and 60-mm 90Sr/Y beta-emitter source trains used in the Novoste Beta-Cath system to determine the dosimetric characteristics of the sources at millimeter distances and provide the necessary TG-60 dosimetry parameters for mapping the dose distributions. These measurements were carried out in a Solid Water phantom where MD-55-2 Gafchromic films were placed in direct contact with a 5 French (F) catheter used for the 30 and 60-mm source trains and a 3.5 F catheter used for a thinner 40-mm source train. The dosimetric analysis was performed according to the AAPM TG-60 formalism. For the 30-mm source train, data were collected with the source axis at distances of 0.41 and 1.19 mm from the film surface, respectively, in order to investigate possible dosimetric effects due to the intrinsic off centering of the source train lumen within the 5 F catheter. Absolute dose rates at 2 mm were determined by calibrating the radiochromic film in a high energy electron beam from a radiotherapy accelerator. The dose rates at a radial distance of 2 mm were found to be within 10% of the values provided by Novoste. Radial dose functions from this study were in good agreement (< or = 10%) with a 30-mm, 90Sr/Y source train dose data generated from C. G. Soares et al. 90Sr/Y single seed data. However, larger differences were observed at distances shorter than 1 mm when compared to radial dose functions from the Novoste Monte Carlo data.

Beta Particles↗