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Biomedical subjects

M Rozenfeld

Publications and source records attributed to M Rozenfeld.

At least 19 recordsLinked to original sources

Uncertainty of calibrations at the accredited dosimetry calibration laboratories.

The American Association of Physicists in Medicine, through a subcommittee (formerly Task Group 3) of the Radiation Therapy Committee, has accredited five laboratories to perform calibrations of instruments used to calibrate therapeutic radiation beams. The role of the accredited dosimetry calibration laboratories (ADCLs) is to transfer a calibration factor from an instrument calibrated by the National Institute of Standards and Technology (NIST) to a customer's instrument. It is of importance to the subcommittee, to physicists using the services of the ADCLs, and to the ADCLs themselves, to know the uncertainty of instrument calibrations. The calibration uncertainty has been analyzed by asking the laboratories to provide information about their calibration procedures. Estimates of uncertainty by two procedures were requested: Type A are uncertainties derived as the standard deviations of repeated measurements, while type B are estimates of uncertainties obtained by other methods, again expressed as standard deviations. Data have been received describing the uncertainty of each parameter involved in calibrations, including those associated with measurements of charge, exposure time, and air density, among others. These figures were combined with the uncertainty of NIST calibrations, to arrive at an overall uncertainty which is expressed at the two-standard deviation level. For cable-connected instruments in gamma-ray and x-ray beams of HVL > 1 mm Al, the figure has an upper bound of approximately 1.2%.

Biophysical Phenomena

Treatment planning with external beams. Introduction and historical overview.

In this first of a series of articles on Radiation Treatment Planning based on the Basic Physics Symposium of the American Association of Physicists in Medicine at the 73rd Annual meeting of the RSNA, an attempt has been made to provide a broad overview of the process of designing an optimal radiation therapy regimen. The essentials of treatment planning have been identified and essential terms have been defined. Variables to be selected have been identified and constraints in choosing treatment plans have been noted. The effect of combining multiple beams to achieve the most advantageous distribution of radiation dose within the patient has been discussed and the vital importance of appropriate quality control has been emphasized. Future articles will consider specific aspects of this discipline in detail.

History, 19th Century

Quality assurance of radiation dosage: usefulness of redundancy.

Regulations for maintaining the calibration of radiation-measuring instruments generally require that they be recalibrated periodically, and some also specify periodic spot-checks. There is a finite probability that changes in the instrument sensitivity will occur between these calibrations or periodic checks. Routine spot-checks of the output of a therapy unit, made with a given instrument, should detect changes in either device. Comparisons of reliability obtained by these and other procedures for checking on instrument sensitivity are made using calculations based on estimates of the mean time between failures for sources and instruments. These comparisons demonstrate that significantly greater reliability and efficiency should result from considering each machine spot-check and recalibration as a check on the stability of both the machine and the instrument, as opposed to placing complete dependence upon the instrument during the period between separate checks of its sensitivity.

Probability

Cutaneous metastases from carcinoma of the cervix.

Metastases to the skin from internal malignant neoplasms are an uncommon and often preterminal event. Cutaneous metastases from a carcinoma of the uterine cervix, however, have rarely been reported, even in the advanced stages of the disease. A patient was initially seen with cutaneous metastases and was found to have an extensive tumor in the pelvis, which proved to be a squamous cell carcinoma arising in the cervix.

Abdomen

Californium-252 dosimetry in phantoms of various dimensions.

By using a tissue-equivalent (TE) ionization chamber filled with TE gas and a magnesium ionization chamber filled with argon gas as the dosimeter pair for the twin-chamber method, the authors obtained the neutron and gamma-ray components of the radiation dose from californium 252 (252Cf). The distribution of dose components as a function of different phantom dimensions was determined. The effect of neutron absorption and scattering was evaluated, as well as the absorption and production of gamma rays in the phantom. The results can be used for improvement of 252 Cf dosimetry when using a body of finite dimensions.

Californium

Hidrotic ectodermal dysplasia with diffuse eccrine poromatosis.

Eccrine poromatosis (EP) of remarkable severity has been observed in a patient with hidrotic ectodermal dysplasia (HED), a member of the kindred originally described by Clouston. Neither the EP nor its association with HED has been previously reported.

Adult

An assessment of RBE of Californium-252 for C57-Black/6 mouse fibrosarcoma by a precise afterloading technique.

Afterloading techniques were developed for the in vivo assessment of the RBE of californium-252 with respect of radium-226 using a fibrosarcoma in mice. The afterloading holder positions sources so that the tumor is uniformly irradiated. Using the end points of tumor volumetric studies up to 150 days after irradiation, it was found that the RBE ranged from 5-8 at clinically relevant dose rates and total doses.

Animals

Maintenance of condenser-ion chamber calibration.

Readings made with condenser-ionization chamber systems are frequently suspect because significant changes in calibration can occur without being evident in the normal use of the instruments. These changes can be traced to physical causes that alter the voltage sensitivity of electrical capacitance. Thus, measurement of these electrical parameters will indicate whether or not a change in calibration has occurred. Formulas are presented of calculating such changes and determining which parameter is responsible. Good agreement was obtained between the results of calculations with these formulas and the results of radiation measurements made with a Victoreen Condenser R-Meter after several components had been deliberately maladjusted.

Models, Theoretical

On the application of a liquid-dielectric ionization chamber to 252 Cf dosimetry.

Our investigations of an iso-octane-filled liquid-dielectric ionization chamber indicate that this dosimeter is well suited for the measurement of dose distributions at distances close to 252Cf interstitial implant sources. Initial research has shown that such an instrument provides good discrimination between the radiation components of a mixed field and possesses excellent sensitivity. Calculations indicate that iso-octane will yield a neutron and gamma-ray dose response independent of energy over a major part of the 252Cf spectral range, while transmission measurements have demonstrated that the liquid causes little perturbation of the radiation field.

Californium

Application of fission track detectors to californium-252 neutron dosimetry in tissue near the radiation source.

Fission track detectors were applied to a unique problem in neutron dosimetry. Measurements of neutron doses were required at locations within a tumor of 1 cm diameter implanted on the back of a mouse and surrounded by a square array of four 252Cf medical sources. Measurements made in a tissue-equivalent mouse phantom showed that the neutron dose rate to the center of the tumor was 2.18 rads micrograms-1 h-1 +/- 8.4%. The spatial variation of neutron dose to the tumor ranged from 1.88 to 2.55 rads micrograms-1 h-1. These measurements agree with calculated values of neutron dose to those locations in the phantom. Fission track detectors have been found to be a reliable tool for neutron dosimetry for geometries in which one wishes to know neutron dose values which may vary considerably over distances of 1 cm or less.

Animals

Analytic representation of electron central-axis depth dose data.

We have examined a number of analytic representations of electron central-axis depth dose data current in the literature, testing them against sets of standard depth dose data. One of them, a two-parameter model of Shabason and Hendee, is recommended in situations in which good accuracy (approximately 2%) is desired, with the values of the parameters determined by an approximation formula which we have developed elsewhere. For higher accuracy, we have developed a polynomial model which gives, typically, a standard deviation of the fitting polynomial from the data points of 1%, and a maximum deviation of 2%. Fitting polynomials obtained with this method possess the property of having zero slope at the position of actual maximum dose, and generally a fifth-order polynomial (requiring four nonzero coefficients) provided the most acceptable fit. The four parameters involved are determined through inversion of a 4 x 4 matrix, and we have tabulated these four coefficients for the standard data sets. The polynomial model is designed for interpolation in the range between the 100% dose depth and the 10% dose depth, and another fitting curve of the same type can be adjoined to cover depths less than the 100% dose depth.

Computers

Product representations of teletherapy dose distributions.

Product representations are frequently used for teletherapy dose distributions. For example, the dose in a central plane is often written as the product of two factors, one dependent on the depth and the other on the transverse variable. We have answered the following question: given a (two-dimensional) set of data, how closely is it possible to represent these data by a product of two such factors, and what factors would give a best-fit representation? We thus have developed a quantitative test with which to judge any proposed product representation, for a given set of data. As an example, we have applied our method in analyzing the accuracy of a model proposed by van de Geijn for representing central-plane Cobalt-60 dose data through a product representation on decrement lines intersecting the source.

Humans