Miller analogies test: a note on permissive retesting.
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Aptitude Tests↗
Biomedical subjects
R G Lane
Publications and source records attributed to R G Lane.
Prior immobilization and positioning for more efficient radiotherapy.
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Costs and Cost Analysis↗
Characteristics of Clinac-18 wedged fields for 10-MV x rays.
The characteristics of wedged fields which affect their clinical use have been examined for the 10-MV x-ray beam from the Clinac-18. The methods used for obtaining and analyzing the wedged-field data are discussed. These characteristics have been examined in terms of (a) the wedge angle, (b) the variation of the wedge angle with field size, (c) the variation in the angle through which isodose curves between the approximate depths of 5 and 15 cm are turned relative to the central axis as a function of depth, and (d) the variation of wedge central-axis transmission factor with field size. Analysis of the data pertinent to these categories is presented for the 15-, 30-, 45-, and 60-deg wedges. In addition, the effect of the 60-deg wedge upon the position of maximum dose on the central axis was determined.
Particle Accelerators↗
Dosimetry of pion therapy beams.
Cellular, animal, and human radiobiology studies are in progress at the Los Alamos Meson Physics Facility as part of a joint University of New Mexico and Los Alamos Scientific Laboratory pion therapy project. To support these activities, dosimetry has been performed on many different pion beam configurations. The effect of both static and dynamic momentum spreaders and of collimators on beam profiles, depth-dose distributions, and peak-to-plateau ratios have been studied. The absorbed dose is obtained by the application of Bragg-Gray cavity theory to ionization chamber measurements. Calculations have been made for the effective W values and average mass-stopping-power ratios needed for the Bragg-Gray equation. Kerma corrections are applied to transform the dose from the chamber wall to dose in muscle.
Elementary Particles↗
Satellite digital display for the Clinac-18.
A satellite digital display of the gantry and collimator positions has been mounted on the Clinac-18 console. This module provides simultaneous digital readout of the gantry angle, collimator rotation angle, upper-jaw position, and lower-jaw position. Continuous display of these parameters during the treatment is important in minimizing patient treatment errors.
Data Display↗
Measurement of the effect of inhomogeneities and compensating bolus in clinical pion beams.
Measurement of the effects of Telfon and air inhomogeneities on the ionization distributions of clinical negative-pion beams have been made at the Los Alamos Meson Physics Facility. Inhomogeneity location and pion-beam energy vary the effect of multiple coulomb scattering on the dose distribution lying in the penumbra of the inhomogeneity. CH2 bolus adequately corrects for the effects of these inhomogeneities. Bolus misalignment less than 0.5 cm does not seem critical because of large multiple coulomb scattering of the pion beam. However, this and secondary particles emitted from pion stars prevent the pion beam from being precisely shaped with sharp edges, as demonstrated by measurements under a patient bolus.
Elementary Particles↗
Accuracy of a two-sensor sonic digitizer.
Digitizing devices are typically used in radiotherapy computer treatment planning for entering patient anatomy, the locations of internal radioactive source, and the outlines of irregularly shaped external beams. The errors encountered in the use of a large-area two-sensor sonic digitizer for computer input have been studied. Conversion of data from triangular to Cartesian coordinates makes the precision of the digitizer nonuniform over the sensitive area. The response of each senor has been measured and found to be a nonlinear function of distance. The assumption of linearity in computing the triangular distances from the sensor readings produces errors in the computed distances of up to 0.8%. An alternative method of computing the distances using a fitted cubic function reduces the errors to less than 0.1%. For a test pattern, the maximum position error was reduced from 0.5 to 0.1 cm.
Computers↗
Computer interface for a linear accelerator.
A computer interface for the Clinac-18 linear accelerator has been developed, using a standard CAMAC interface plus buffer amplifiers to isolate the CAMAC from the accelerator electronics. Buffer amplifiers are employed because direct connection of the CAMAC system to the accelerator was found to affect accelerator operation. The total interface accommodates the four gantry position analog signals and thirteen digital signals describing all available treatment options. The interface also allows the computer to inhibit beam operation.
Computers↗
The effect of geometric errors in the reconstruction of iridium-192 seed implants.
In the treatment of tumors using interstitial implants of radioactive seeds, the accuracy of computed dose distributions depends upon the accuracy with which the three-dimensional source geometries are reconstructed from radiographs of the implants. The effect of geometric reconstruction errors in iridium-192 seed implants were studied, using tumor dose as the measure. Tumor dose was defined as the average dose around the periphery of the treatment volume. Three ideal mathematical implants and five actual patient implants were used. The implants were distorted by randomly moving a specified number of seeds a specified distance. Tumor doses were directly calculated for the ideal implants. For the actual implants, isodose distributions were plotted and were read by a radiotherapist. For both types of implants, percentage errors in the tumor doses were calculated for the distorted reconstructions relative to the correct reconstructions. It was found that the tumor dose was accurate to within 5% if all the seeds were reconstructed to within 0.5 cm of their actual positions. Furthermore, up to 5% of the seeds could be mismatched between films, or otherwise incorrectly reconstructed, with position errors as large as 20 cm, and not change the tumor dose by more than 5%.
Brachytherapy↗
An equivalent squares template.
A template for calculating equivalent squares of irregularly shaped fields is described. Calculations using the template are essentially scatter summations. Comparisons with a computer program showed good agreement in equivalent squares and tumor doses (within 0.8%). Comparisons with area-perimeter ratio methods of computing equivalent squares showed consistently better accuracy using the template. For highly irregular fields, the template calculation required 3-10 min for central axis computation, comparable to that required by the other manual methods.
Humans↗
Long term variation in beam symmetry as a function of gantry angle for a computer-controlled linear accelerator.
Testing computer-controlled linear accelerators for patient safety and proper patient dose delivery requires that certain beam characteristics be monitored over an extended period of time. Computer-controlled conformal radiation therapy using asymmetric collimator jaw settings necessitates stable symmetric treatment beams. Long term beam symmetry measurements have been performed on a Philips SL20 dual energy computer-controlled linear accelerator. Symmetry in both the radial and transverse axis of each x-ray beam was monitored for eight gantry positions. These measurements were undertaken to determine the effectiveness of the SL20 beam steering system during dose delivery of 50 monitor units (MU) per field. Evaluation of the data shows that careful beam steering setup procedures result in x-ray beams in which fluctuations in symmetry as a function of gantry angle are within +/- 1.5%. Day to day instabilities produce a total overall variation in beam symmetry on the order of +/- 2.0%. Results suggest the measurement of symmetry as a function of gantry position become a routine quality assurance procedure for this accelerator.
Computers↗
Collimator scatter in modeling radiation beam profiles.
In computer dose calculations using scatter-air ratio sector summation algorithms, the primary dose from the target to points away from the central axis of a beam is computed using an exponential intensity model of the source and a transmission parameter for the collimator. This model works well inside the beam and near edges but is inaccurate outside the beam at distances of more than 1-2 cm from beam edges. We have modified the standard beam profile model to include a dose contribution representing photon radiation scattered from the collimators. Collimator edges are treated mathematically as line sources and an adjustable parameter is introduced which represents the activity per unit length of the collimator edges. Dose from the collimator edges is assumed to decrease purely geometrically as the inverse of the square of the distance and no modification is made for tissue attenuation. With these assumptions, the total collimator scatter dose to a point is most accurately computed by a line integral over the edges of the beam outline. This modification fits naturally into the standard scatter-air ratio sector summation computer algorithm but adds significantly to dose computation time. Some approximations eliminate the line integration and lead to a collimator scatter term which is proportional to field perimeter and independent of off-axis distance. The modified dose model was tested by comparing measured dose profiles with computed ones using x-ray beams from Philips (6 and 15 MV) and Varian (4 and 6 MV) accelerators. There was significant improvement in fit compared to the standard beam model for points outside the radiation beam.
Computer Simulation↗
Dose-volume considerations with linear programming optimization.
A method of incorporating dose-volume considerations within the framework of conventional linear programming is presented. This method is suitable for the optimization of beam weights and angles using a conformal treatment philosophy (i.e., tailoring the high-dose region to the target volume only). Dose-volume constraints are introduced using the concept that volumes of normal tissue nearer the target volume will be allowed higher dose constraints than volumes of normal tissue distal to the target volume. Each involved normal structure is divided into high-dose and low-dose volumes. These two volume partitions are represented by constraint points with either high-dose or low-dose constraints, respectively. Optimized treatment plans for three clinical sites demonstrate that this technique meets or surpasses the original dose-volume constraints for a conformal-type treatment plan using straightforward linear programming in a time frame that is comparable to other linear programming problems.
Humans↗
Treatment plan optimization using linear programming.
Linear programming is a versatile mathematical tool for optimizing radiation therapy treatment plans. For planning purposes, dose constraint points, possible treatment beams, and an objective function are defined. Dose constraint points are specified in and about the target volume and normal structures with minimum and maximum dose values assigned to each point. A linear objective function is designed that defines the goal of optimization. A list of potential treatment beams is defined by energy, angle, and wedge selection. Then, linear programming calculates the relative weights of all the potential beams such that the objective function is optimized and doses to all constraint points are within the prescribed limits. Historically, linear programming has been used to improve conventional treatment techniques. It can also be used to create sophisticated, complex treatment plans suitable for delivery by computer-controlled therapy techniques.
Humans↗
Optimized dynamic rotation with wedges.
Dynamic rotation is a computer-controlled therapy technique utilizing an automated multileaf collimator in which the radiation beam shape changes dynamically as the treatment machine rotates about the patient so that at each instant the beam shape matches the projected shape of the target volume. In simple dynamic rotation, the dose rate remains constant during rotation. For optimized dynamic rotation, the dose rate is varied as a function of gantry angle. Optimum dose rate at each gantry angle is computed by linear programming. Wedges can be included in the optimized dynamic rotation therapy by using additional rotations. Simple and optimized dynamic rotation treatment plans, with and without wedges, for a pancreatic tumor have been compared using optimization cost function values, normal tissue complication probabilities, and positive difference statistic values. For planning purposes, a continuous rotation is approximated by static beams at a number of gantry angles equally spaced about the patient. In theory, the quality of optimized treatment planning solutions should improve as the number of static beams increases. The addition of wedges should further improve dose distributions. For the case studied, no significant improvements were seen for more than 36 beam angles. Open and wedged optimized dynamic rotations were better than simple dynamic rotation, but wedged optimized dynamic rotation showed no definitive improvement over open beam optimized dynamic rotation.
Humans↗
Assessment of a linear accelerator for segmented conformal radiation therapy.
Segmented conformal radiation therapy is a new computer-controlled treatment technique under investigation in which the target volume is subdivided into thick transverse segments each of which is then treated individually by rectangular transverse abutting fields. In order to obtain uniform dose at abutments, the machine isocenter remains fixed in the patient and field edges are defined by independently moving focused collimator jaws to give matching geometric divergence. Mechanical variation in jaw and gantry positioning will create some dose variation at field abutments. Film dosimetry was used to study the radiation field positioning accuracy and precision of a commercial linear accelerator. A method of field position calibration was developed using multiple nonabutting fields exposed on the same radiograph. Verification of collimator jaw calibration measurements was performed using multiple abutting fields exposed on a single radiograph. Measurements taken over 5 months of clinical accelerator operation studied the effects of simple jaw motion, simple gantry motion, and combined jaw/gantry motion on jaw position precision and accuracy. The inherent precision and accuracy of radiation field positioning was found to be better than +/- 0.3 mm for both jaws with all types of motions except for the Y2 jaw under combined jaw/gantry motion. When the ability to deliver abutting beams was verified in clinical mode, the average dose variation at abutments was less than 6% at all gantry angles except for one. However, due to accelerator software limitations in clinical mode, the settings for collimator positions could not take advantage of the maximum accuracy of which the hardware is capable.(ABSTRACT TRUNCATED AT 250 WORDS)
Biophysical Phenomena↗