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Unwanted photon and neutron radiation resulting from collimated photon beams interacting with the body of radiotherapy patients.

Monte Carlo calculations have been made to determine the energies delivered by photons and neutrons to the human body irradiated by collimated photon beams. The beams were monoenergetic and ranged from 100 keV to 40 MeV. The energy deposition in the body was sorted into two regions: inside and outside the irradiated volume. Most of the results obtained were for a beam size of 100 cm2 although some calculations were also made to 600 cm2 beams. The effect of beam size on energy deposition in the two regions was investigated for 60Co gamma rays. Graphs are presented which give the integral doses delivered by neutrons and photons to the two regions for therapy beams of various energies. These graphs can be used to calculate the integral doses which are delivered inside and outside the treatment volume for photon spectra from most medical accelerators. Calculations of energy deposition were also made for the spectra from two particular accelerators. These were done using Monte Carlo as well as by simply "folding" the spectra into the results for monoenergetic photons. The results obtained by both methods were in good agreement and indicated that the integral doses deposited outside the treatment volume by neutrons are more than two orders of magnitude smaller than those deposited by scattered photons.

Cobalt Radioisotopes↗

A note on equivalent circles, squares, and rectangles.

The scatter dose in the center of a circular beam of photons can be represented by a serial expansion, the first term of which is proportional to the radius. If this term only is used in a scatter integration, the expression becomes proportional to the average radius r of the field contour, whatever its shape. For a square, the ratio between its side and the average diameter d = 2r is s/d = 0.891, the relation between the equivalent circular and square fields for small fields. For rectangles, r is given by the area-to-perimeter ratio multiplied by a function that increases slowly with the elongation ratio. The error term resulting from the use of only the linear term to describe scatter remains small under a variety of conditions.

Elementary Particles↗

A differential method for inhomogeneity correction on dose in a photon beam.

For a uniform slab of inhomogeneity in a supervoltage beam, correction factors can be calculated from the Batho equation. In this report, we present a method for calculating the effect of an annular inhomogeneity, concentric about the beam axis, upon the dose at a point on the axis and below the annulus. A derivation of the equation required in the calculation for supervoltage radiation is given. Results from measurements made in 60Co beams for polystyrene foam, cedar, and aluminum annuli, all having 3.0 x 2.0 cm2 in cross section but with different inside diameters, are compared with correction values calculated by the method. For situations where the annulus is just submerged in the phantom, measured and calculated values are in good agreement. For a general situation, two calculation types are proposed and the data show that in general the measured scatter perturbation lies between the calculated values of the two types. Application of our technique predicts a sign reversal in the scatter perturbation due to an inhomogeneity. This reversal has previously been observed and reported and is also demonstrated in our measurements.

Cobalt Radioisotopes↗

The effect of the momentum transfer on the sensitivity of a photon scattering method for the characterization of tissues.

The ratio of coherent to Compton photon scattered by a tissue-like material depends on its effective atomic number. This ratio can, therefore, be used for the in vivo characterization of tissues. The intrinsic sensitivity of this measurement is defined as the change in the coherent-to-Compton ratio for a given change in the atomic number. The effect of the scatter angle on the sensitivity has already been described by us in a paper recently submitted to this journal. In this study, the dependence of the sensitivity on the energy of the incident photons is investigated in two ways. The first approach is quasitheoretical and is based on computations of the cross sections of the coherent and Compton scattering for various energies. The second approach is experimental and it involves the measurement of the scatter ratio from a series of K2HPO4 solutions for three primary photon energies: 60, 81, and 140 keV. The combined effect of both the photon energy and the scatter angle on the sensitivity can be described by a single parameter which is the momentum transfer. It is concluded that for the limited range of the atomic numbers which apply to trabecular bone (8 less than or equal to Z less than or equal to 11) the momentum transfer reflects completely the effect of the scatter angle and photon energy on the sensitivity.

Elementary Particles↗

Studies of x-ray energy absorption and quantum noise properties of x-ray screens by use of Monte Carlo simulation.

The imaging properties of the phosphor layer in fluorescent screens or image intensifiers are related to its x-ray absorption characteristics. In this study, we applied Monte Carlo methods for the simulation of x-ray photon diffusion in a phosphor layer. The K-reabsorption factor, absorbed x-ray energy, quantum absorption efficiency, statistical factor, and noise-equivalent absorption were determined as a function of the incident energy and angle of the x rays for eight commonly used phosphor layers. These basic physical quantities will be useful for the prediction of the information transfer properties of a phosphor layer.

Elementary Particles↗

A simple model combining quantum noise and anatomical variation in radiographs.

A model is presented for the detection of uniform lesions by means of an ideal photon detector. The difference of observed photons between an area overlaying the embedded lesion and an adjacent reference area of equal size constitutes the signal to be detected. Application of ROC analysis reveals that the exact probability distribution of this photon count difference can be approximated well by a Gaussian, on condition that modulation less than 0.1 and signal-to-noise ratio (SNR) greater than 1. Moreover, within these constraints, SNR emerged as the more salient parameter characterizing detection performance. It is shown that in the absence of anatomical variation, lesions of arbitrarily small size may be detected at any prescribed level of confidence, provided one is willing to accept the required high photon exposure. The effect of anatomical variation on detection performance is conveniently demonstrated in a graph of SNR versus exposure. There, two global regions are identified, each characterized by an asymptote, corresponding to either photon-limited or photon-saturated imaging. Under the first condition, quantum fluctuations are dominating the noise, and thus, detection performance is influenced by the photon exposure. Under the second, anatomical variations limit the SNR to an upper value, irrespective of exposure magnitude. Data obtained from dental radiographs demonstrate that anatomical variation is amenable to experimental measurement, and that it sets the upper limit for the SNR achievable in the diagnostic task of detecting incipient carious lesions.

Elementary Particles↗

Effects of a bolus and inhomogeneities on pion stopping distributions.

In radiotherapy treatments with negative pion beams, an external bolus is often used to compensate for inhomogeneities within the body in order that the pions will have the proper stopping distribution within a tumor. However, angular beam divergence, multiple Coulomb scattering, and elastic and inelastic nuclear scattering limit the degree to which the pion stopping region can be controlled. We have used the Monte Carlo computer code PION-I to calculate pion stopping distributions for several idealized cases in order to show explicitly the effects of a number of factors on stopping distributions. Calculations have also been made for the same geometrical configurations used in measurements of pion stopping distributions in the biomedical beam at the Los Alamos Meson Physics Facility, and the calculated results are compared with experiment.

Computers↗

Detection of pion-induced radioactivity by autoradiography and positron emission tomography.

An autoradiographic technique incorporating a new imaging system was used to detect pion-induced radioactivity in Plexiglass and the results were compared with aluminium activation and PET imaging. The activity distribution in the region of the pion-stopping peak was similar in all three cases. Another large signal in the entrance region due to in-flight interactions [12C(pi-, pi- n) 11C] was detected by autoradiography and by PET but was not reflected in the aluminium activation measurements. This new technique is capable of defining the stopping region in phantoms with a better resolution than PET scanning and is useful as a complementary technique to other methods of pion dosimetry.

Autoradiography↗

Neutron source strength measurements for Varian, Siemens, Elekta, and General Electric linear accelerators.

The shielding calculations for high energy (>10 MV) linear accelerators must include the photoneutron production within the head of the accelerator. Procedures have been described to calculate the treatment room door shielding based on the neutron source strength (Q value) for a specific accelerator and energy combination. Unfortunately, there is currently little data in the literature stating the neutron source strengths for the most widely used linear accelerators. In this study, the neutron fluence for 36 linear accelerators, including models from Varian, Siemens, Elekta/Philips, and General Electric, was measured using gold-foil activation. Several of the models and energy combinations had multiple measurements. The neutron fluence measured in the patient plane was independent of the surface area of the room, suggesting that neutron fluence is more dependent on the direct neutron fluence from the head of the accelerator than from room scatter. Neutron source strength, Q, was determined from the measured neutron fluences. As expected, Q increased with increasing photon energy. The Q values ranged from 0.02 for a 10 MV beam to 1.44(x10(12)) neutrons per photon Gy for a 25 MV beam. The most comprehensive set of neutron source strength values, Q, for the current accelerators in clinical use are presented for use in calculating room shielding.

Elementary Particles↗

Inhibition of Chlamydia trachomatis replication in HEp-2 cells by human monocyte-derived macrophages.

Monocytes (M) and macrophages are important components of the immune response to foreign agents. Using an in vitro system, we studied the influence of human M and M-derived macrophages (MdM) on the replication of Chlamydia trachomatis (L2/434) in HEp-2 cells. M or MdM were added to infected cells at a ratio of 4:1, and the resultant chlamydial yield was evaluated in one-step growth experiments. Chlamydial DNA production was evaluated by dot hybridization. Both M and MdM reduced chlamydial yield and DNA production, but the reductions caused by MdM were more pronounced. Electron microscopy showed that while control HEp-2 cells at 48 h postinfection contained large inclusions in which most particles were elementary bodies, the infected HEp-2 cells exposed to MdM contained small vacuoles with abnormal reticulate bodies and very few typical elementary bodies. Separation of the MdM from the HEp-2 cells by a membrane reduced the inhibitory effect of the MdM relative to that of MdM in direct contact with the infected cells. Addition of tumor necrosis factor antibodies to C. trachomatis-infected HEp-2 cells exposed to MdM (either in direct contact or separated by a membrane from the infected cells) reduced the inhibition of chlamydial DNA production. These data suggest the possibility that MdM may modulate C. trachomatis replication in vivo.

Cell Line↗

Establishment of a particle-counting method for purified elementary bodies of chlamydiae and evaluation of sensitivities of the IDEIA Chlamydia kit and DNA probe by using the purified elementary bodies.

To evaluate the sensitivity of commercially available test kits for detection of chlamydiae, we established a method of purifying Chlamydia trachomatis and Chlamydia pneumoniae elementary bodies (EBs). We then subjected the purified EBs, together with the purified EBs of Chlamydia psittaci, to the IDEIA Chlamydia (IDEIA) and DNA probe test kits to determine the EB numbers at the detection limits. The sensitivities of the test kits were thus compared. The results can be summarized as follows. (i) Intact EBs in the purified preparations were present at 100, 96.3, and 97% for the C. psittaci Cal 10, C. trachomatis L2/434/Bu (L2), and C. pneumoniae TW-183 strains, respectively. The preparations of the L2 and TW-183 EBs contained a few EB envelopes, which reacted with antilipopolysaccharide monoclonal antibodies, as did the intact EBs, indicating that elimination of EB envelopes is not required for testing of the IDEIA kit's sensitivity. (ii) We established a method of counting intact EBs and EB envelopes under a scanning electron microscope after sedimentation of EBs on a coverslip by centrifugation. (iii) The EB numbers per assay at the cutoff level, which is set up in the IDEIA kit, were 9.6 x 10(2), 6.5 x 10(3), and 2.5 x 10(4) for the L2, TW-183, and Cal 10 strains, respectively. When the same EB preparations were applied to the DNA probe kit, the EB number at the cutoff level was 7.5 x 10(3) per assay for the L2 strain, but no reaction occurred for the Cal 10 and TW-183 strains at any EB number, indicating that the DNA probe kit is highly specific for C. trachomatis. Although the IDEIA kit designed for detection of C. trachomatis showed a sensitivity superior to that of the DNA probe, the chlamydial species was not determined by the IDEIA kit.

Bacteriological Techniques↗