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Biomedical subjects

P Munro

Publications and source records attributed to P Munro.

45 records · Page 3Linked to original sources

Dose errors due to charge storage in electron irradiated plastic phantoms.

Commercial plastics used for radiation dosimetry are good electrical insulators . Used in electron beams, these insulators store charge and produce internal electric fields large enough to measurably alter the electron dose distribution in the plastic. The reading per monitor unit from a cylindrical ion chamber imbedded in a polymethylmethacrylate (PMMA) or polystyrene phantom will increase with accumulated electron dose, the increase being detectable after about 20 Gy of 6-MeV electrons. The magnitude of the effect also depends on the type of the plastic, the thickness of the plastic, the wall thickness of the detector, the diameter and depth of the hole in the plastic, the energy of the electron beam, and the dose rate used. Effects of charge buildup have been documented elsewhere for very low energy electrons at extremely high doses and dose rates. Here we draw attention to the charging effects in plastics at the dose levels encountered in therapy dosimetry where ion chamber or other dosimeter readings may easily increase by 5% to 10% and where a phantom, once charged, will also affect subsequent readings taken in 60Co beams and high-energy electron and x-ray beams for periods of several days to many months. It is recommended that conducting plastic phantoms replace PMMA and polystyrene phantoms in radiation dosimetry.

Electrons↗

Therapy imaging: a signal-to-noise analysis of metal plate/film detectors.

We have measured the modulation transfer functions [MTF (f)'s] and the noise power spectra [NPS (f)] of therapy x-ray detectors irradiated by 60Co, 6- and 18-MV radiotherapy beams. Using these quantities, we have calculated the noise-equivalent quanta [NEQ (f)] and the detective quantum efficiency [DQE (f)] to quantitate the limitations of therapy detectors. The detectors consisted of film or fluorescent screen-film combinations in contact with copper, lead, or tungsten metal plates. The resolution of the detectors was found to be comparable to fluorescent screen-film combinations used in diagnostic radiology, however, the signal-to-noise ratio [SNR (f)] of the detectors was limited due to film granularity. We conclude that improved images can be obtained by using alternative detector systems which have less noise or film granularity.

Cobalt Radioisotopes↗

Therapy imaging: source sizes of radiotherapy beams.

We have developed a novel method, which employs large lead collimators and computed tomography reconstruction techniques, to measure the intensity distributions of x-ray sources of radiotherapy devices. Using this method, we have measured the intensity distributions of x-ray sources from 60Co, 6-, 18-, and 25-MV radiotherapy devices. The x-ray sources of the accelerators were all elliptical in shape, but varied in eccentricity, and the sizes of the accelerator sources varied from 0.7 to 3.3 mm full width at half-maximum. The 60Co source was circular in shape and 20 mm in diameter, however, the output from this source was not uniform across its face. The modulation transfer functions (MTF's) (at the image plane) calculated for the accelerator sources, assuming an image magnification of 1.2, had similar magnitudes at low spatial frequencies as the MTF's of the metal plate/film detectors commonly used for therapy imaging. However, the source MTF's declined much more rapidly at high spatial frequencies. Therefore, for geometries commonly found in radiotherapy, the loss in spatial resolution due to the x-ray source was at least equal to that caused by electron and photon scatter within the metal plate/film detectors.

Cobalt Radioisotopes↗

Therapy imaging: a signal-to-noise analysis of a fluoroscopic imaging system for radiotherapy localization.

We have been developing a digital fluoroscopic imaging system to replace the portal films that are currently used to verify patient positioning during radiotherapy treatments. Our system differs from previously reported devices in the construction of the detector and in the operation of the TV camera. The signal, noise, and signal-to-noise properties of this system have been determined by measuring the modulation transfer function [MTF(f)], the noise power spectra [NPS(f)], and by calculating the detective quantum efficiency [DQE(f)] of the system. The results show: (i) that the spatial resolution of the system is determined largely by the lens of the TV camera and by frame grabber; and (ii) that the noise in the system is dominated by the secondary light quanta, due to the poor light collection efficiency of the optical chain. Despite these physical limitations, a contrast-detail study shows that the fluoroscopic system is better at detecting large, low contrast objects than portal films. Therefore the system is already a reasonable alternative to portal films and modifications to the metal plate/phosphor detector, lens, TV camera, and frame grabber should improve the performance of the system further.

Fluoroscopy↗

Activity distribution of a cobalt-60 teletherapy source.

In the course of quantifying the effect of radiation source size on the spatial resolution of portal images, a concentric ring structure in the activity distribution of a Cobalt-60 teletherapy source has been observed. The activity distribution was measured using a strip integral technique and confirmed independently by a contact radiograph of an identical but inactive source replica. These two techniques suggested that this concentric ring structure is due to the packing configuration of the small 60Co pellets that constitute the source. The source modulation transfer function (MTF) showed that this ring structure has a negligible influence on the spatial resolution of therapy images when compared to the effect of the large size of the 60Co source.

Cobalt Radioisotopes↗

A review of electronic portal imaging devices (EPIDs).

On-line electronic portal imaging devices are beginning to come into clinical service in support of radiotherapy. A variety of technologies are being explored to provide real-time or near real-time images of patient anatomy within x-ray fields during treatment on linear accelerators. The availability of these devices makes it feasible to verify treatment portals with much greater frequency and clarity than with film. This article reviews the physics of high-energy imaging and describes the operation principles of the electronic portal imaging devices that are under development or are beginning to be used clinically.

Humans↗

Display equalization: a new display method for portal images.

A method of displaying portal images which permits the user to optimize the display contrast (windowing and leveling) without clipping parts of the image has been developed. The method finds the average signal (brightness) in small regions of the image, generally 1/64th of the total image area. The difference between the average signal in each small region and the global average over the entire image is subtracted from the original image. This eliminates changes in average signal that occur over large spatial dimensions, such as those due to varying patient thickness, without obscuring changes in signal that occur over small spatial dimensions, such as those due to anatomic structures. The technique is conceptually simple, does not introduce any visually distracting noise into the image, and is not computationally intensive. The display method has been shown to work well with images acquired from a TV camera-based imaging system used in radiation therapy.

Biophysical Phenomena↗

X-ray sources of medical linear accelerators: focal and extra-focal radiation.

A computerized tomography (CT) reconstruction technique has been used to make quantitative measurements of the size and shape of the focal spot in medical linear accelerators. Using this technique, we have measured the focal spots in a total of nine accelerators, including (i) two Varian Clinac 2100c's, (ii) two Atomic Energy of Canada Ltd. (AECL) Therac-25's, (iii) two AECL Therac 6's, (iv) a Siemens KD-2, (v) a Varian Clinac 600c (4 MV), and (vi) an AECL Therac-20. Some of these focal spots were monitored for changes over a 2-yr period. It has been found that (i) the size and shape of the source spot varies greatly between accelerators of different design ranging from 0.5 to 3.4 mm in full width at half maximum (FWHM); and (ii) for accelerators of the same design, the focal spots are very similar. In addition to the measurements of the focal spot, a new technique for measuring the magnitude and distribution of extra-focal radiation originating from the linear accelerator head (flattening filter, primary collimator) has also been developed. The extra-focal radiation produced by a Varian Clinac 2100c accelerator was measured using this technique and it was found that the extra-focal radiation accounts for as much as 8% of the total photon fluence reaching the isocenter. The majority (75%) of this extra-focal radiation originates from within a circle 6 cm in diameter at the target plane. The source MTFs for each of the measured focal spots have been calculated in order to assess their influence on the spatial resolution of verification images. The limiting spatial resolution (i.e., 10% modulation) for all the source MTFs is 1.8 mm-1 or greater when used for transmission radiography at a magnification of 1.2. The extra-focal radiation, which produces a low-frequency drop in the source MTFs of up to 8%, changes with field size. As a result, the source MTFs of linear accelerators depend not only on the design of individual accelerators and image magnification, but also on the field size used when forming an image.

Biophysical Phenomena↗