Experimental investigation of the 100 keV X-ray dose response of the high-temperature thermoluminescence in LiF:Mg,Ti (TLD-100): theoretical interpretation using the unified interaction model

The dose response of LiF:Mg,Ti (TLD-100) chips was measured from 1 to 50,000 Gy using 100 keV X rays at the European Synchroton Radiation Facility. Glow curves were deconvoluted into component glow peaks using a computerised glow curve deconvolution (CGCD) code based on first-order kinetics. The normalised dose response, f(D), of glow peaks 4 and 5 and 5b (the major components of composite peak 5), as well as peaks 7 and 8 (two of the major components of the high-temperature thermoluminescence (HTTL) at high levels of dose) was separately determined and theoretically interpreted using the unified interaction model (UNIM). The UNIM is a nine-parameter model encompassing both the irradiation/absorption stage and the thermally induced relaxation/recombination stage with an admixture of both localised and delocalised recombination mechanisms. The effects of radiation damage are included in the present modelling via the exponential removal of luminescent centres (LCs) at high dose levels. The main features of the experimentally measured dose response are: (i) increase in f(D)(max) with glow peak temperature, (ii) increase in D(max) (the dose level at which f(D)(max) occurs) with increasing glow peak temperature, and (iii) decreased effects of radiation damage with increasing glow peak temperature. The UNIM interpretation of this behaviour requires both strongly decreasing values of ks (the relative contribution of localised recombination) as a function of glow peak temperature and, as well, significantly different values of the dose-filling constants of the trapping centre (TC) and LC for peaks 7 and 8 than those used for peaks 4 and 5. This suggests that different TC/LC configurations are responsible for HTTL. The relative intensity of peak 5a (a low-temperature satellite of peak 5 arising from localised recombination) was found to significantly increase at higher dose levels due to preferential electron and hole population of the trapping/recombination complex giving rise to composite glow peak 5. It is also demonstrated that possible changes in the trapping cross section of the LC and the competitive centres due to increasing sample/glow peak temperature do not significantly influence these observations/conclusions.

The effect of rectal heterogeneity on wall dose in high dose rate brachytherapy

When treating prostate cancer using high dose rate (HDR) brachytherapy, overdosing the rectal wall may lead to post-treatment rectal complications. An area of concern is related to how the rectal wall dose is calculated by treatment planning systems (TPSs). TPSs are used to calculate the dose delivered to the rectal wall, but they assume that the rectum is a water-equivalent homogeneous medium of infinite size and do not consider the effect that an air-filled "empty" rectal cavity would have on the dose absorbed along the rectal wall. The aim of this research is to quantify the effect that an air cavity has on the rectal wall dose, as its presence changes the backscatter conditions in the region. The MO Skin and RADFET dosimeters proved capable of measuring absolute dose with increasing distance from the HDR Ir-192 brachytherapy source. However, the anterior rectal wall doses measured by the MOSkin and RADFET in an empty rectal cavity were 14.7 +/- 0.2% and 13.7 +/- 0.6% lower than the dose measured in a homogeneous rectal phantom. Monte Carlo simulations corroborated the experimentally obtained results, reporting a -13.2 +/- 0.6% difference. The dose measured at the posterior wall of an empty rectal cavity was between 22% and 26% greater than the dose measured in a full rectal cavity. The heterogeneity of the rectal volume appears to have a significant effect on the rectal dose when compared to calculated rectal dose.

Dynamic ultrafast laser spatial tailoring for parallel micromachining of photonic devices in transparent materials

Femtosecond laser processing of bulk transparent materials can generate localized positive changes of the refractive index. Thus, by translation of the laser spot, light-guiding structures are achievable in three dimensions. Increasing the number of laser processing spots can consequently reduce the machining effort. In this paper, we report on a procedure of dynamic ultrafast laser beam spatial tailoring for parallel photoinscription of photonic functions. Multispot operation is achieved by spatially modulating the wavefront of the beam with a time-evolutive periodical binary phase mask. The parallel longitudinal writing of multiple waveguides is demonstrated in fused silica. Using this technique, light dividers in three dimensions and wavelength-division demultiplexing (WDD) devices relying on evanescent wave coupling are demonstrated.

Extrapolated surface dose measurements using a NdFeB magnetic deflector for 6 MV x-ray beams

Extrapolated surface dose measurements have been performed using radiographic film to measure 2-Dimensional maps of skin and surface dose with and without a magnetic deflector device aimed at reducing surface dose. Experiments are also performed using an Attix parallel plate ionisation chamber for comparison to radiographic film extrapolation surface dose analysis. Extrapolated percentage surface dose assessments from radiographic film at the central axis of a 6 MV x-ray beam with magnetic deflector for field size 10 x 10 cm2, 15 x 15 cm2 and 20 x 20 cm2 are 9 +/- 3%, 13 +/- 3% and 16 +/- 3%, these compared to 14 +/- 3%, 19 +/- 3%, and 27 +/- 3% for open fields, respectively. Results from Attix chamber for the same field size are 12 +/- 1%, 15 +/- 1% and 18 +/- 1%, these compared to 16 +/- 1%, 21 +/- 1% and 27 +/- 1% for open fields, respectively. Results are also shown for profiles measured in-plane and cross-plane to the magnetic deflector and compared to open field data. Results have shown that the surface dose is reduced at all sites within the treatment field with larger reductions seen on one side of the field due to the sweeping nature of the designed magnetic field. Radiographic film extrapolation provides an advanced surface dose assessment and has matched well with Attix chamber results. Film measurement allows for easy 2 dimensional dose assessments.

Measurement of magnetic fields produced by a “Magnetic deflector” for the removal of electron contamination in radiotherapy

Electron contamination generated from interactions of x-rays with components in a medical linear accelerator's head can increase damage to skin and subcutaneous tissue during radiotherapy through increased dose deposition. Skin and subcutaneous dose from high energy x-rays can be reduced using magnetic fields to sweep the electron contamination away from the radiation treatment field. This work is aimed at investigating the magnetic fields generated by an improved magnetic deflector which utilizes Nd2Fe14B magnets. Magnetic field strengths generated by the deflector have been simulated using Vizimag 3.0 magnetic modelling software. The improved deflector has a more uniform magnetic field strength than its predecessor and is optimised to easily fit on a clinical linear accelerator. Experimental measurements of the magnetic field strengths produced have also been performed for comparison. Results show a relatively good match to Vizimag modelling in the central regions of the deflector. Reductions of skin and subcutaneous dose up to 34% of original values were seen for a 20 x 20 cm2 field at 6MV x-ray energy.

Measurement and production of electron deflection using a sweeping magnetic device in radiotherapy

The deflection and removal of high energy electrons produced by a medical linear accelerator has been attained by a Neodymium Iron Boron (NdFeB) permanent magnetic deflector device. This work was performed in an attempt to confirm the theoretical amount of electron deflection which could be produced by a magnetic field for removal of electrons from a clinical x-ray beam. This was performed by monitoring the paths of mostly monoenergetic clinical electron beams (6 MeV to 20 MeV) swept by the magnetic fields using radiographic film and comparing to first order deflection models. Results show that the measured deflection distance for 6 MeV electrons was 18 +/- 6 cm and the calculated deflection distance was 21.3 cm. For 20 MeV electrons, this value was 5 +/- 2 cm for measurement and 5.1 cm for calculation. The magnetic fields produced can thus reduce surface dose in treatment regions of a patient under irradiation by photon beams and we can predict the removal of all electron contaminations up to 6 MeV from a 6 MV photon beam with the radiation field size up to 10 x 10 cm2. The model can also estimate electron contamination still present in the treatment beam at larger field sizes.

Charge collection imaging of a monolithic DeltaE-E telescope for radiation protection applications

The development of microdosimeters and particle telescopes is important for risk assessment in space and aviation applications. The charge collection properties of a monolithic particle telescope, suitable for both microdosimetry and fluence based approaches, were studied using an ion microprobe.

Matchline dosimetry in step and shoot IMRT fields: a film study

The Varian millennium 120 multileaf collimator has curved leaf ends. Transmission through the leaf ends generates a small asymmetric penumbral dose effect. This design can lead to hot spots between neighbouring beam segments during step and shoot IMRT dose delivery. We have observed some matchlines with film for clinical beams optimized using the pinnacle radiotherapy treatment planning system; hence we sought to verify the optimum leaf offset required to minimize the matchline effect. An in-house program was created to control the MLC leaf banks in 2 cm steps with a 2 cm gap. The gap was varied by the following offset values from 0.0 to 0.1 cm. Two types of radiographic films (Kodak EDR and XV films) and a radiochromic film (Gafchromic MD-55-2) were used to measure the optical density maps. The films were positioned in a solid water phantom perpendicular to the beam axis and irradiated at d(max) using a 6 MV photon beam. An ion chamber (IC4) was used to measure point doses for normalization in a beam umbral minima position. The relative mean peak to valley dose ratios measured with no leaf offset were 1.31, 1.30 and 1.31 for the XV, EDR2 and Gafchromic films, respectively. For a 0.07 cm gap per leaf and a performance of end leaf repeatability of 0.01 cm, the central matchline was reduced to about 1.0 for all dosimeters, with two mini-peaks measured as 1.05, 1.05 and 1.08 each side of the matchline, for XV, EDR2 and Gafchromic, respectively. The average relative dose across the umbra for this offset was XO-mat V = 1.01, EDR = 1.01 and radiochromic film = 1.02, respectively. While we expected the beam penumbral tails from segment neighbours to cause overprediction of the dose in the central valley regions due to the energy response of radiographic films, by normalizing all dosimeters to an ion chamber reading in the minimum we could not observe any major shape distortion between the radiographic film and radiochromic film results. In conclusion, relative doses measured by radiographic and radiochromic films agree well with IC4 within +/-2%.

Intensity modulated radiation therapy: Film verification of planar dose maps

A new slow response radiographic film (Kodak EDR) is compared with a more traditional faster responding dosimetry film (Kodak XV) in an intensity modulated radiation therapy x-ray field. Dose profiles derived from the two films are compared with doses obtained using a radiotherapy dose planning system (Philips-Pinnacle) which calculates planar dose using a collapsed cone convolution algorithm. Comparisons of the dose maps delivered from film with the Pinnacle dose maps are useful to ensure accurate dose delivery. The Pinnacle dose maps agreed with measurement using both film types to within +/- 3% (in the umbral region) at depths ranging from d(max) to 15 cm. Both XV and EDR films can be used to verify IMRT. EDR film is better suited for dosimetry for combined field dose maps due to its useful dose range of 1-5 Gy. We found XV to be more suitable for individual field dose maps (dose range 0-1 Gy) as no scaling of monitor units were required to achieve acceptable optical density response.

MOSFET dosimetry for microbeam radiation therapy at the European Synchrotron Radiation Facility

Preclinical experiments are carried out with approximately 20-30 microm wide, approximately 10 mm high parallel microbeams of hard, broad-"white"-spectrum x rays (approximately 50-600 keV) to investigate microbeam radiation therapy (MRT) of brain tumors in infants for whom other kinds of radiotherapy are inadequate and/or unsafe. Novel physical microdosimetry (implemented with MOSFET chips in the "edge-on" mode) and Monte Carlo computer-simulated dosimetry are described here for selected points in the peak and valley regions of a microbeam-irradiated tissue-equivalent phantom. Such microbeam irradiation causes minimal damage to normal tissues, possible because of rapid repair of their microscopic lesions. Radiation damage from an array of parallel microbeams tends to correlate with the range of peak-valley dose ratios (PVDR). This paper summarizes comparisons of our dosimetric MOSFET measurements with Monte Carlo calculations. Peak doses at depths <22 mm are 18% less than Monte Carlo values, whereas those depths >22 mm and valley doses at all depths investigated (2 mm-62 mm) are within 2-13% of the Monte Carlo values. These results lend credence to the use of MOSFET detector systems in edge-on mode for microplanar irradiation dosimetry.

Simulations of silicon microdosimetry measurements in fast neutron therapy

Experimental silicon microdosimetry measurements were performed at a Fast Neutron Therapy facility. Monte Carlo based calculations of these measurements were made using the GEANT4 toolkit. Reasonable agreement between theoretical and experimental results was obtained and the contribution of elastic and inelastic reaction products to the final microdosimetric spectrum was determined.

Surface charging and impulsive ion ejection during ultrashort pulsed laser ablation

We report time-resolved studies using femtosecond laser pulses, accompanied by model calculations, that illuminate the difference in the dynamics of ultrashort pulsed laser ablation of different materials. Dielectrics are strongly charged at the surface on the femtosecond time scale and undergo an impulsive Coulomb explosion. This is not seen from metals and semiconductors where the surface charge is effectively quenched.

Measurements in radiotherapy beams using on-line MOSFET detectors

When acquiring data to characterise radiation beams for radiotherapy treatment planning measurements in steep dose gradients such as beam penumbra or dose build-up are often required. A metal oxide semiconductor field effect transistor (MOSFET) with its inherent high spatial resolution was used for penumbra measurements in a 120 kVp X ray beam. The customised MOSFET system features a pulsed readout that allows the acquisition of data points in user defined time intervals of less than 1 s. Using a modified scanning beam data acquisition system the penumbra was acquired on-line in 0.1 mm steps. Measurements were made at different distances behind the beam collimator. From the extrapolation of the penumbra width to a location directly under the block the spatial resolution of the MOSFET system can be estimated to be better than 0.1 mm. This excellent spatial resolution has many potential applications in radiotherapy dosimetry, including the characterisation of multileaf collimator systems.

Statutory and regulatory recognition for clinical nurse specialists in Oregon

Clinical nurse specialists (CNSs) in Oregon initiated the process of achieving statutory and regulatory recognition several years ago. Throughout this process, specific phases of activity and events helped CNSs to identify what was required to achieve this goal. The resulting lessons learned are shared in this report. Statutory recognition of CNSs in Oregon occurred in 1999, and the administrative rules for CNS practice were published in 2001. These administrative rules delineate the CNS scope of practice and other aspects of CNS practice consistent with national standards.