1
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Shields L, Nikandrovs M, Vintró LL, Clean BM. Energy-dependence investigation for a range of clinically used detectors from 70 kV to 6 MV. Med Phys 2023; 50:582-589. [PMID: 36004606 DOI: 10.1002/mp.15857] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Revised: 05/26/2022] [Accepted: 05/29/2022] [Indexed: 01/25/2023] Open
Abstract
PURPOSE Accurate measurement of out-of-field dose in radiotherapy directly impacts beam data modeling in treatment planning systems, verification of implanted electronic devices/lens/fetus dose, secondary cancer risk estimation, and organ-at-risk dose reporting. When performing out-of-field dosimetry, it is therefore imperative that the response of the detector has been well characterized. Due to the softening of the radiation beam out-of-field, many detectors will exhibit energy dependence. This study investigated the energy dependence of a range of clinical available detectors over typical energies experienced out-of-field. METHODS The response of detectors to photon beams from 70 kV to 6 MV was measured. The relative change in response from 6 MV down to 70 kV highlighted the expected deviation in the response of detectors that would typically be calibrated in-field for use out-of-field. RESULTS The Pinpoint detector displayed the most energy-independent response over the energy range investigated. The Micro-Lion detector was the only detector to show an under-response to all low-energy beams relative to 6 MV. The diode-type detectors showed the largest energy dependence. CONCLUSIONS When considering detectors for use in out-of-field dose measurements, it is important that the energy dependence is investigated over a low-energy range as out-of-field the energy spectra comprise a larger component of photons in the 50-100-keV range. This study highlights the variation in response of a range of clinically available detectors to low-energy radiation beams relative to 6 MV for out-of-field dosimetry. The Pinpoint detector was the most energy-independent detector with a response close to unity over the entire energy range investigated.
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Affiliation(s)
- Laura Shields
- Medical Physics Department, St. Luke's Radiation Oncology Network, Dublin, Ireland.,School of Physics, University College Dublin, Dublin, Ireland
| | - Mihails Nikandrovs
- Medical Physics Department, St. Luke's Radiation Oncology Network, Dublin, Ireland.,School of Physics, University College Dublin, Dublin, Ireland
| | | | - Brendan Mc Clean
- Medical Physics Department, St. Luke's Radiation Oncology Network, Dublin, Ireland.,School of Physics, University College Dublin, Dublin, Ireland
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2
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Abu Mhanna HY, Omar AF, Radzi YM, Akhdar HF, Al Ewaidat H. Expired EBT3 Films’ Sensitivity for the Measurement of X-ray and UV Radiation: An Optical Analysis. MATERIALS 2022; 15:ma15082903. [PMID: 35454597 PMCID: PMC9027090 DOI: 10.3390/ma15082903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Revised: 03/15/2022] [Accepted: 04/13/2022] [Indexed: 11/25/2022]
Abstract
The aim of this study is to compare the optical responses of external beam therapy 3 (EBT3) films exposed to X-rays and solar ultraviolet rays (SUV-rays), as a dose control technique in the clinical sector for various radiation types, energies, and absorbed doses up to 4 Gy. In this study, EBT3 films with three different expiry dates were prepared and cut into pieces of size 2 by 2 cm2. The first group was exposed to 90 kVp X-rays, while the second group was exposed to the SUV-rays at noon. The analysis was performed using a visible Jaz spectrometer and an EPSON Perfection V370 Photo scanner to obtain the absorbance, the net reflective optical density (ROD) and the red-green-blue (RGB) values of the samples. The results have shown that spectroscopic measurements of the exposed expired EBT3 films with these radiation sources are able to produce primary peaks and secondary peaks at λ = 641.74 nm and λ = 585.98 nm for X-rays, and at λ = 637.93 nm and λ = 584.45 nm for SUV-rays, respectively. According to these findings, compared to 2021 films that expired shortly before the trial start date; 2018 films responded better to the absorbed dose than 2016 films when exposed to both X-ray and SUV-rays. In terms of energy dependence, the expired EBT3 2018 had the largest net ROD value. Using L*a*b* indices extracted from the RGB data, and despite that EBT3 films have expiry dates according to the manufacturer; all the films exhibited a substantial colour change, indicating that these films are still usable for clinical and research purposes.
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Affiliation(s)
- Hamad Yahia Abu Mhanna
- School of Physics, Universiti Sains Malaysia, Penang 11800, Malaysia;
- Correspondence: (H.Y.A.M.); (A.F.O.); (H.F.A.)
| | - Ahmad Fairuz Omar
- School of Physics, Universiti Sains Malaysia, Penang 11800, Malaysia;
- Correspondence: (H.Y.A.M.); (A.F.O.); (H.F.A.)
| | - Yasmin Md Radzi
- School of Physics, Universiti Sains Malaysia, Penang 11800, Malaysia;
| | - Hanan Fawaz Akhdar
- Physics Department, College of Science, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh 13318, Saudi Arabia
- Correspondence: (H.Y.A.M.); (A.F.O.); (H.F.A.)
| | - Haytham Al Ewaidat
- Department of Allied Medical Sciences-Radiologic Technology, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid 22110, Jordan;
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3
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Spautz S, Jakobi A, Meijers A, Peters N, Löck S, Knopf AC, Troost EGC, Richter C, Stützer K. Experimental validation of 4D log file-based proton dose reconstruction for interplay assessment considering amplitude-sorted 4DCTs. Med Phys 2022; 49:3538-3549. [PMID: 35342943 DOI: 10.1002/mp.15625] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 02/01/2022] [Accepted: 03/13/2022] [Indexed: 11/06/2022] Open
Abstract
PURPOSE The unpredictable interplay between dynamic proton therapy delivery and target motion in the thorax can lead to severe dose distortions. A fraction-wise four-dimensional (4D) dose reconstruction workflow allows for the assessment of the applied dose after patient treatment while considering the actual beam delivery sequence extracted from machine log files, the recorded breathing pattern and the geometric information from a 4D computed tomography scan (4DCT). Such an algorithm capable of accounting for amplitude-sorted 4DCTs was implemented and its accuracy as well as its sensitivity to input parameter variations was experimentally evaluated. METHODS An anthropomorphic thorax phantom with a movable insert containing a target surrogate and a radiochromic film was irradiated with a monoenergetic field for various 1D target motion forms (sin, sin4) and peak-to-peak amplitudes (5/10/15/20/30 mm). The measured characteristic film dose distributions were compared to the respective sections in the 4D reconstructed doses using a 2D γ-analysis (3mm, 3%); γ-pass rates were derived for different dose grid resolutions (1mm/3mm) and deformable image registrations (DIR, automatic/manual) applied during the 4D dose reconstruction process. In an additional analysis, the sensitivity of reconstructed dose distributions against potential asynchronous timing of the motion and machine log files was investigated for both a monoenergetic field and more realistic 4D robustly optimized fields by artificially introduced offsets of ± 1/5/25/50/250 ms. The resulting dose distributions with asynchronized log files were compared to those with synchronized log files by means of a 3D γ-analysis (1mm, 1%) and the evaluation of absolute dose differences. RESULTS The induced characteristic interplay patterns on the films were well reproduced by the 4D dose reconstruction with 2D γ-pass rates ≥95% for almost all cases with motion magnitudes ≤15 mm. In general, the 2D γ-pass rates showed a significant decrease for larger motion amplitudes and increase when using a finer dose grid resolution but were not affected by the choice of motion form (sin, sin4). There was also a trend, though not statistically significant, towards the manually defined DIR for better quality of the reconstructed dose distributions in the area imaged by the film. The 4D dose reconstruction results for the monoenergetic as well as the 4D robustly optimized fields were robust against small asynchronies between motion and machine log files of up to 5 ms, which is in the order of potential network latencies. CONCLUSIONS We have implemented a 4D log file-based proton dose reconstruction that accounts for amplitude-sorted 4DCTs. Its accuracy was proven to be clinically acceptable for target motion magnitudes of up to 15 mm. Particular attention should be paid to the synchronization of the log file generating systems as the reconstructed dose distribution may vary with log file asynchronies larger than those caused by realistic network delays. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Saskia Spautz
- OncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden - Rossendorf, Dresden, Germany
| | - Annika Jakobi
- OncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden - Rossendorf, Dresden, Germany.,Helmholtz-Zentrum Dresden - Rossendorf, Institute of Radiooncology - OncoRay, Dresden, Germany.,Department of Radiotherapy and Radiation Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Arturs Meijers
- Department of Radiation Oncology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Nils Peters
- OncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden - Rossendorf, Dresden, Germany.,Helmholtz-Zentrum Dresden - Rossendorf, Institute of Radiooncology - OncoRay, Dresden, Germany
| | - Steffen Löck
- OncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden - Rossendorf, Dresden, Germany.,Department of Radiotherapy and Radiation Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.,German Cancer Consortium (DKTK), Partner Site Dresden, and German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Antje-Christin Knopf
- Department of Radiation Oncology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.,Department 1 of Internal Medicine, Center for Integrated Oncology Cologne, University Hospital of Cologne, Cologne, Germany
| | - Esther G C Troost
- OncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden - Rossendorf, Dresden, Germany.,Helmholtz-Zentrum Dresden - Rossendorf, Institute of Radiooncology - OncoRay, Dresden, Germany.,Department of Radiotherapy and Radiation Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.,German Cancer Consortium (DKTK), Partner Site Dresden, and German Cancer Research Center (DKFZ), Heidelberg, Germany.,National Center for Tumor Diseases (NCT), Partner Site Dresden, Germany: German Cancer Research Center (DKFZ), Heidelberg, Germany, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany, and; Helmholtz Association / Helmholtz-Zentrum Dresden - Rossendorf (HZDR), Dresden, Germany
| | - Christian Richter
- OncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden - Rossendorf, Dresden, Germany.,Helmholtz-Zentrum Dresden - Rossendorf, Institute of Radiooncology - OncoRay, Dresden, Germany.,Department of Radiotherapy and Radiation Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.,German Cancer Consortium (DKTK), Partner Site Dresden, and German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Kristin Stützer
- OncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden - Rossendorf, Dresden, Germany.,Helmholtz-Zentrum Dresden - Rossendorf, Institute of Radiooncology - OncoRay, Dresden, Germany
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4
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Hoseinnezhad Zarghani E, Geraily G, Haddad P, Esfahani M, Farzin M, Rastjoo A, Amini MK. Dosimetric comparison of AP/PA and bilateral geometries for total body irradiation treatment. RADIATION AND ENVIRONMENTAL BIOPHYSICS 2021; 60:663-672. [PMID: 34487229 DOI: 10.1007/s00411-021-00933-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Accepted: 08/07/2021] [Indexed: 06/13/2023]
Abstract
Total body irradiation (TBI) is an external radiotherapy technique. Its aim is to deliver a therapeutic dose uniformly within ± 10% of the absorbed dose to the prescription point. In the present study, the TBI technique was implemented in anterior/posterior (AP/PA), and bilateral geometry with photons from a 6 [Formula: see text] and 18 [Formula: see text] accelerator. The TBI technique was implemented on an Alderson Rando phantom at 312 [Formula: see text] source surface distance. During bilateral fraction, rice bags were applied as tissue compensators. To reduce the lung's absorbed dose to the acceptance level, in AP/PA geometry lung blocks made of Cerrobend were used. The required monitor unit (MU) for each fraction was calculated regarding depending on the prescribed dose and beam output. Gafchromic EBT3 films were used for dosimetry between the phantom layers in eight selected points. It is demonstrated that dose uniformity for AP/PA geometry with 6 [Formula: see text] and 18 [Formula: see text] photons was within ± 10%. In contrast, for the bilateral geometry the dose uniformity was not acceptable for both studied energies; However, the results for 18 [Formula: see text] were better than those for 6 [Formula: see text]. Dose accuracy for all measurements was within ± 5 of the prescribed dose. The absorbed dose to the lungs was successfully reduced using the lung blocks. By combining different therapeutic geometries and energies over six fractions, the results of uniformity and accuracy of dose delivery could be improved. It is concluded that the introduced TBI method achieved good dose accuracy and acceptable dose uniformity. Lungs absorbed dose was lower than 10 [Formula: see text] using the lungs blocks. Based on these results, the TBI technique can now be implemented in radiotherapy at Tehran's Imam Hospital. The approach developed in the present study can be used and adapted to match with the conditions at other hospitals.
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Affiliation(s)
- Elham Hoseinnezhad Zarghani
- Department of Medical Physics and Biomedical Engineering, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Ghazale Geraily
- Department of Medical Physics and Biomedical Engineering, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
- Radiation Oncology Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.
| | - Peiman Haddad
- Radiation Oncology Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Mahbod Esfahani
- Radiation Oncology Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Mostafa Farzin
- Radiation Oncology Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
- Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Science, Tehran, Iran
| | - Ali Rastjoo
- Radiation Oncology Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Kazem Amini
- Department of Medical Radiation Engineering, Central Tehran Branch, Islamic Azad University, Tehran, Iran
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5
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A Few MeV Laser-Plasma Accelerated Proton Beam in Air Collimated Using Compact Permanent Quadrupole Magnets. APPLIED SCIENCES-BASEL 2021. [DOI: 10.3390/app11146358] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Proton laser-plasma-based acceleration has nowadays achieved a substantial maturity allowing to seek for possible practical applications, as for example Particle Induced X-ray Emission with few MeV protons. Here we report about the design, implementation, and characterization of a few MeV laser-plasma-accelerated proton beamline in air using a compact and cost-effective beam transport line based on permanent quadrupole magnets. The magnetic beamline coupled with a laser-plasma source based on a 14-TW laser results in a well-collimated proton beam of about 10 mm in diameter propagating in air over a few cm distance.
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6
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Sanchez-Parcerisa D, Sanz-García I, Ibáñez P, España S, Espinosa A, Gutiérrez-Neira C, López A, Vera JA, Mazal A, Fraile LM, Udías JM. Radiochromic film dosimetry for protons up to 10 MeV with EBT2, EBT3 and unlaminated EBT3 films. Phys Med Biol 2021; 66. [PMID: 33910190 DOI: 10.1088/1361-6560/abfc8d] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Accepted: 04/28/2021] [Indexed: 11/12/2022]
Abstract
Passive dosimetry with radiochromic films is widely used in proton radiotherapy, both in clinical and scientific environments, thanks to its simplicity, high spatial resolution and dose-rate independence. However, film under-response for low-energy protons, the so-called linear-energy transfer (LET) quenching, must be accounted and corrected for. We perform a meta-analysis on existing film under-response data with EBT, EBT2 and EBT3 GAFchromic™ films and provide a common framework to integrate it, based on the calculation of dose-averaged LET in the active layer of the films. We also report on direct measurements with the 10 MeV proton beam at the Center for Microanalysis of Materials (CMAM) for EBT2, EBT3 and unlaminated EBT3 films, focusing on the 20-80 keVμm-1LET range, where previous data was scarce. Measured film relative efficiency (RE) values are in agreement with previously reported data from the literature. A model on film RE constructed with combined literature and own experimental values in the 5-80 keVμm-1LET range is presented, supporting the hypothesis of a linear decrease of RE with LET, with no remarkable differences between the three types of films analyzed.
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Affiliation(s)
- Daniel Sanchez-Parcerisa
- Grupo de Física Nuclear, EMFTEL and IPARCOS, Universidad Complutense de Madrid, CEI Moncloa, Madrid, Spain.,Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.,Sedecal Molecular Imaging, Algete, Madrid, Spain
| | - Irene Sanz-García
- Grupo de Física Nuclear, EMFTEL and IPARCOS, Universidad Complutense de Madrid, CEI Moncloa, Madrid, Spain
| | - Paula Ibáñez
- Grupo de Física Nuclear, EMFTEL and IPARCOS, Universidad Complutense de Madrid, CEI Moncloa, Madrid, Spain.,Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain
| | - Samuel España
- Grupo de Física Nuclear, EMFTEL and IPARCOS, Universidad Complutense de Madrid, CEI Moncloa, Madrid, Spain.,Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.,Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain
| | - Andrea Espinosa
- Grupo de Física Nuclear, EMFTEL and IPARCOS, Universidad Complutense de Madrid, CEI Moncloa, Madrid, Spain.,Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain
| | - Carolina Gutiérrez-Neira
- Grupo de Física Nuclear, EMFTEL and IPARCOS, Universidad Complutense de Madrid, CEI Moncloa, Madrid, Spain.,Centro de Microanálisis de Materiales (CMAM), Universidad Autónoma de Madrid, Spain.,ALBA Synchrotron Light Source (CELLS-ALBA), Cerdanyola del Vallès, Barcelona, Spain
| | - Alfonso López
- Dept. de Radiofísica y Protección Radiológica, Hospital de Fuenlabrada, Madrid, Spain
| | - Juan Antonio Vera
- Centro de Protonterapia de Quirónsalud, Pozuelo de Alarcón, Madrid, Spain
| | - Alejandro Mazal
- Centro de Protonterapia de Quirónsalud, Pozuelo de Alarcón, Madrid, Spain
| | - Luis Mario Fraile
- Grupo de Física Nuclear, EMFTEL and IPARCOS, Universidad Complutense de Madrid, CEI Moncloa, Madrid, Spain.,Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain
| | - José Manuel Udías
- Grupo de Física Nuclear, EMFTEL and IPARCOS, Universidad Complutense de Madrid, CEI Moncloa, Madrid, Spain.,Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain
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7
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Evaluation of the surface dose for total body irradiation (TBI) technique with parallel-opposed anterior posterior geometry. JOURNAL OF RADIOTHERAPY IN PRACTICE 2021. [DOI: 10.1017/s1460396921000121] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Abstract
Aim:
Total body irradiation (TBI) is an external radiotherapy technique in which the whole body including the superficial regions is required to receive the therapeutic dose. The purpose of this study is to evaluate the received surface dose during TBI technique.
Methods and materials:
The anterior/posterior (AP/PA) TBI was implemented with 18-MV photon beam at 312-cm treatment distance for human-like phantom. The GAFCHROMIC-EBT3 films were used for superficial dose measurements.
Results and discussion:
The percentage of surface-absorbed dose relative to the prescription point for 8 points of measurements was between 102·78–121·48% and 104·51–127·43% at 5 and 10 mm depth, respectively. In the chest wall region due to the presence of lung blocks, the absorbed dose was below the acceptable level, so an electron boost was required to increase the chest wall absorbed dose.
Conclusions:
According to the results, the implemented technique was able to deliver sufficient dose to the shallow surface of phantom’s body.
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8
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Radiochromic Films for the Two-Dimensional Dose Distribution Assessment. APPLIED SCIENCES-BASEL 2021. [DOI: 10.3390/app11052132] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Radiochromic films are mainly used for two-dimensional dose verification in photon, electron, and proton therapy treatments. Moreover, the radiochromic film types available today allow their use in a wide dose range, corresponding to applications from low-medical diagnostics to high-dose beam profile measurements in charged particle medical accelerators. An in-depth knowledge of the characteristics of radiochromic films, of their operating principles, and of the dose reading techniques is of paramount importance to exploit all the features of this interesting and versatile radiation detection system. This short review focuses on these main aspects by considering the most recent works on the subject.
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9
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Grilj V, Buonanno M, Welch D, Brenner DJ. Proton Irradiation Platforms for Preclinical Studies of High-Dose-Rate (FLASH) Effects at RARAF. Radiat Res 2020; 194:646-655. [PMID: 32926735 DOI: 10.1667/rade-20-00062.1] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Accepted: 07/31/2020] [Indexed: 11/03/2022]
Abstract
Limited availability of proton irradiators optimized for high-dose-rate studies makes the preclinical research of proton FLASH therapy challenging. We assembled two proton irradiation platforms that are capable of delivering therapeutic doses to thin biological samples at dose rates equal to and above 100 Gy/s. We optimized and tested dosimetry protocols to assure accurate dose delivery regardless of the instantaneous dose rate. The simplicity of the experimental setups and availability of custom-designed sample holders allows these irradiation platforms to be easily adjusted to accommodate different types of samples, including cell monolayers, 3D tissue models and small animals. We have also fabricated a microfluidic flow-through device for irradiations of biological samples in suspension. We present one example of a measurement with accompanying preliminary results for each of the irradiation platforms. One irradiator was used to study the role of proton dose rate on cell survival for three cancer cell lines, while the other was used to investigate the depletion of oxygen from an aqueous solution by water radiolysis using short intense proton pulses. No dose-rate-dependent variation was observed between the survival fractions of cancer cells irradiated at dose rates of 0.1, 10 and 100 Gy/s up to 10 Gy. On the other hand, irradiations of Fricke solution at 1,000 Gy/s indicated full depletion of oxygen after proton doses of 107 Gy and 56 Gy for samples equilibrated with 21% and 4% oxygen, respectively.
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Affiliation(s)
- V Grilj
- Center for Radiological Research, Columbia University Irving Medical Center, New York, New York
| | - M Buonanno
- Center for Radiological Research, Columbia University Irving Medical Center, New York, New York
| | - D Welch
- Center for Radiological Research, Columbia University Irving Medical Center, New York, New York
| | - D J Brenner
- Center for Radiological Research, Columbia University Irving Medical Center, New York, New York
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10
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Stanley FKT, Berger ND, Pearson DD, Danforth JM, Morrison H, Johnston JE, Warnock TS, Brenner DR, Chan JA, Pierce G, Cobb JA, Ploquin NP, Goodarzi AA. A high-throughput alpha particle irradiation system for monitoring DNA damage repair, genome instability and screening in human cell and yeast model systems. Nucleic Acids Res 2020; 48:e111. [PMID: 33010172 PMCID: PMC7641727 DOI: 10.1093/nar/gkaa782] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 08/27/2020] [Accepted: 09/08/2020] [Indexed: 12/14/2022] Open
Abstract
Ionizing radiation (IR) is environmentally prevalent and, depending on dose and linear energy transfer (LET), can elicit serious health effects by damaging DNA. Relative to low LET photon radiation (X-rays, gamma rays), higher LET particle radiation produces more disease causing, complex DNA damage that is substantially more challenging to resolve quickly or accurately. Despite the majority of human lifetime IR exposure involving long-term, repetitive, low doses of high LET alpha particles (e.g. radon gas inhalation), technological limitations to deliver alpha particles in the laboratory conveniently, repeatedly, over a prolonged period, in low doses and in an affordable, high-throughput manner have constrained DNA damage and repair research on this topic. To resolve this, we developed an inexpensive, high capacity, 96-well plate-compatible alpha particle irradiator capable of delivering adjustable, low mGy/s particle radiation doses in multiple model systems and on the benchtop of a standard laboratory. The system enables monitoring alpha particle effects on DNA damage repair and signalling, genome stability pathways, oxidative stress, cell cycle phase distribution, cell viability and clonogenic survival using numerous microscopy-based and physical techniques. Most importantly, this method is foundational for high-throughput genetic screening and small molecule testing in mammalian and yeast cells.
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Affiliation(s)
- Fintan K T Stanley
- Robson DNA Science Centre, Departments of Biochemistry and Molecular Biology and Oncology, Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
| | - N Daniel Berger
- Robson DNA Science Centre, Departments of Biochemistry and Molecular Biology and Oncology, Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
| | - Dustin D Pearson
- Robson DNA Science Centre, Departments of Biochemistry and Molecular Biology and Oncology, Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
| | - John M Danforth
- Robson DNA Science Centre, Departments of Biochemistry and Molecular Biology and Oncology, Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
| | - Hali Morrison
- Division of Medical Physics, Department of Oncology, Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
| | - James E Johnston
- Robson DNA Science Centre, Departments of Biochemistry and Molecular Biology and Oncology, Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
| | - Tyler S Warnock
- Robson DNA Science Centre, Departments of Cancer Epidemiology and Prevention Research and Community Health Sciences, Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
| | - Darren R Brenner
- Robson DNA Science Centre, Departments of Cancer Epidemiology and Prevention Research and Community Health Sciences, Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
| | - Jennifer A Chan
- Department of Pathology and Laboratory Medicine, Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
| | - Greg Pierce
- Division of Medical Physics, Department of Oncology, Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
| | - Jennifer A Cobb
- Robson DNA Science Centre, Departments of Biochemistry and Molecular Biology and Oncology, Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
| | - Nicolas P Ploquin
- Division of Medical Physics, Department of Oncology, Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
| | - Aaron A Goodarzi
- Robson DNA Science Centre, Departments of Biochemistry and Molecular Biology and Oncology, Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
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11
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Curry CB, Dunning CAS, Gauthier M, Chou HGJ, Fiuza F, Glenn GD, Tsui YY, Bazalova-Carter M, Glenzer SH. Optimization of radiochromic film stacks to diagnose high-flux laser-accelerated proton beams. THE REVIEW OF SCIENTIFIC INSTRUMENTS 2020; 91:093303. [PMID: 33003776 DOI: 10.1063/5.0020568] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Accepted: 08/26/2020] [Indexed: 06/11/2023]
Abstract
Here, we extend flatbed scanner calibrations of GafChromic EBT3, MD-V3, and HD-V2 radiochromic films using high-precision x-ray irradiation and monoenergetic proton bombardment. By computing a visibility parameter based on fractional errors, optimal dose ranges and transitions between film types are identified. The visibility analysis is used to design an ideal radiochromic film stack for the proton energy spectrum expected from the interaction of a petawatt laser with a cryogenic hydrogen jet target.
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Affiliation(s)
- C B Curry
- High Energy Density Science Division, SLAC National Accelerator Laboratory, Menlo Park, California 94025, USA
| | - C A S Dunning
- Department of Physics and Astronomy, University of Victoria, Victoria, British Columbia V8P 5C2, Canada
| | - M Gauthier
- High Energy Density Science Division, SLAC National Accelerator Laboratory, Menlo Park, California 94025, USA
| | - H-G J Chou
- High Energy Density Science Division, SLAC National Accelerator Laboratory, Menlo Park, California 94025, USA
| | - F Fiuza
- High Energy Density Science Division, SLAC National Accelerator Laboratory, Menlo Park, California 94025, USA
| | - G D Glenn
- High Energy Density Science Division, SLAC National Accelerator Laboratory, Menlo Park, California 94025, USA
| | - Y Y Tsui
- Department of Electrical and Computer Engineering, University of Alberta, Edmonton, Alberta T6G 1H9, Canada
| | - M Bazalova-Carter
- Department of Physics and Astronomy, University of Victoria, Victoria, British Columbia V8P 5C2, Canada
| | - S H Glenzer
- High Energy Density Science Division, SLAC National Accelerator Laboratory, Menlo Park, California 94025, USA
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12
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Resch AF, Heyes PD, Fuchs H, Bassler N, Georg D, Palmans H. Dose- rather than fluence-averaged LET should be used as a single-parameter descriptor of proton beam quality for radiochromic film dosimetry. Med Phys 2020; 47:2289-2299. [PMID: 32166764 PMCID: PMC7318138 DOI: 10.1002/mp.14097] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Revised: 01/24/2020] [Accepted: 02/05/2020] [Indexed: 11/06/2022] Open
Abstract
PURPOSE The dose response of Gafchromic EBT3 films exposed to proton beams depends on the dose, and additionally on the beam quality, which is often quantified with the linear energy transfer (LET) and, hence, also referred to as LET quenching. Fundamentally different methods to determine correction factors for this LET quenching effect have been reported in literature and a new method using the local proton fluence distribution differential in LET is presented. This method was exploited to investigate whether a more practical correction based on the dose- or fluence-averaged LET is feasible in a variety of clinically possible beam arrangements. METHODS The relative effectiveness (RE) was characterized within a high LET spread-out Bragg peak (SOBP) in water made up by the six lowest available energies (62.4-67.5 MeV, configuration " b 1 ") resulting in one of the highest clinically feasible dose-averaged LET distributions. Additionally, two beams were measured where a low LET proton beam (252.7 MeV) was superimposed on " b 1 ", which contributed either 50% of the initial particle fluence or 50% of the dose in the SOBP, referred to as configuration " b 2 " and " b 3 ," respectively. The proton LET spectrum was simulated with GATE/Geant4 at all measurement positions. The net optical density change differential in LET was integrated over the local proton spectrum to calculate the net optical density and therefrom the beam quality correction factor. The LET dependence of the film response was accounted for by an LET dependence of one of the three parameters in the calibration function and was determined from inverse optimization using measurement " b 1 ." This method was then validated on the measurements of " b 2 " and " b 3 " and subsequently used to calculate the RE at 900 positions in nine clinically relevant beams. The extrapolated RE set was used to derive a simple linear correction function based on dose-averaged LET ( L d ) and verify the validity in all points of the comprehensive RE set. RESULTS The uncorrected film dose deviated up to 26% from the reference dose, whereas the corrected film dose agreed within 3% in all three beams in water (" b 1 ", " b 2 " and " b 3 "). The LET dependence of the calibration function started to strongly increase around 5 keV/μm and flatten out around 30 keV/μm. All REs calculated from the proton fluence in the nine simulated beams could be approximated with a linear function of dose-averaged LET (RE = 1.0258-0.0211 μm/keV L d ). However, no functional relationship of RE- and fluence-averaged LET could be found encompassing all beam energies and modulations. CONCLUSIONS The film quenching was found to be nonlinear as a function of proton LET as well as of the dose-averaged LET. However, the linear relation of RE on dose-averaged LET was a good approximation in all cases. In contrast to dose-averaged LET, fluence-averaged LET could not describe the RE when multiple beams were applied.
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Affiliation(s)
- Andreas Franz Resch
- Division Medical Radiation Physics, Department of Radiotherapy, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna/AKH Wien, Währinger Gürtel 18-20, 1090, Vienna, Austria
| | - Paul David Heyes
- Division Medical Radiation Physics, Department of Radiotherapy, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna/AKH Wien, Währinger Gürtel 18-20, 1090, Vienna, Austria
| | - Hermann Fuchs
- Division Medical Radiation Physics, Department of Radiotherapy, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna/AKH Wien, Währinger Gürtel 18-20, 1090, Vienna, Austria
| | - Niels Bassler
- Medical Radiation Physics, Department of Physics, Stockholm University, Stockholm, Sweden.,Department of Oncology and Pathology, Medical Radiation Physics, Karolinska Institutet, Stockholm, Sweden.,Department of Experimental Clinical Oncology, Aarhus University Hospital, Aarhus, Denmark
| | - Dietmar Georg
- Division Medical Radiation Physics, Department of Radiotherapy, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna/AKH Wien, Währinger Gürtel 18-20, 1090, Vienna, Austria
| | - Hugo Palmans
- MedAustron Ion Therapy Centre/EBG MedAustron, Marie-Curie-Straße 5, 2700, Wiener Neustadt, Austria.,Medical Radiation Science, National Physical Laboratory, Hampton Road, TW11 0LW, Teddington, United Kingdom
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13
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Track and dose-average LET dependence of Gafchromic EBT3 and MD-V3 films exposed to low-energy photons. Sci Rep 2020; 10:2361. [PMID: 32047227 PMCID: PMC7012855 DOI: 10.1038/s41598-020-59233-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 01/28/2020] [Indexed: 11/25/2022] Open
Abstract
Gafchromic films are widely used in radiotherapy using photons, electrons and protons. Dosimetric characteristics of the films in terms of beam-quality is of great importance for a better evaluation of the absorbed-dose in the clinic. In proton-therapy, film’s response has been reported in terms of track-average, LΔ,T, or dose-average, LΔ,D, linear energy transfer (LET), concluding that LΔ,D is a more reliable parameter than LΔ,T. Nonetheless, in photon-beams, the film’s response is generally scrutinised in terms of photon-energy. This work aimed at investigating, the total (TEF) and secondary (SE) electron fluence produced in EBT3 and MD-V3 films exposed to 20 kV-160 kV x-ray and 60Co beams and their corresponding LΔ,T and LΔ,D to determine their influence on the film’s relative-efficiency, REFilm. Regardless the film-model, at energies below 100 keV, LΔ,D for TEF are about 1.7 to 2.5 times those of LΔ,T while for SE they are relatively similar (8–29%). For 60Co-gamma, LΔ,D for TEF and SE are approximately 9 and 4 times LΔ,T, respectively, which implies that LΔ,D is more important for high-photon energies. Independent of the electron-fluence and film-model, REFilm is almost constant at low average-LET, rapidly increases and thereafter steadily rises with average-LET. The REFilm−LET curve indicated that LΔ,D is more sensitive to small change than LΔ,T and if it is evaluated for SE, it would even be more appropriate to better describing the dosimeter response induced by photons in terms of ionization-density instead of LΔ,T for TEF, as generally done. Based on these results, once can conclude that the effect of the average-LET on the film’s response should be considered when use for clinical-dosimetry using photons and not only the energy.
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14
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De Angelis C, Ampollini A, Bazzano G, Della Monaca S, Ghio F, Giuliani F, Lucentini M, Montereali RM, Nenzi P, Notaro C, Placido C, Piccinini M, Ronsivalle C, Santavenere F, Soriani A, Spurio A, Strigari L, Surrenti V, Trinca E, Vadrucci M, Cisbani E, Picardi L. THE TOP-IMPLART PROTON LINEAR ACCELERATOR: INTERIM CHARACTERISTICS OF THE 35 MEV BEAM. RADIATION PROTECTION DOSIMETRY 2019; 186:113-118. [PMID: 31141142 DOI: 10.1093/rpd/ncz142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2018] [Revised: 03/30/2019] [Accepted: 05/07/2019] [Indexed: 06/09/2023]
Abstract
In the framework of the Italian TOP-IMPLART project (Regione Lazio), ENEA-Frascati, ISS and IFO are developing and constructing the first proton linear accelerator based on an actively scanned beam for tumor radiotherapy with final energy of 150 MeV. An important feature of this accelerator is modularity: an exploitable beam can be delivered at any stage of its construction, which allows for immediate characterization and virtually continuous improvement of its performance. Currently, a sequence of 3 GHz accelerating modules combined with a commercial injector operating at 425 MHz delivers protons up to 35 MeV. Several dosimetry systems were used to obtain preliminary characteristics of the 35-MeV beam in terms of stability and homogeneity. Short-term stability and homogeneity better than 3% and 2.6%, respectively, were demonstrated; for stability an improvement with respect to the respective value obtained for the previous 27 MeV beam.
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Affiliation(s)
- C De Angelis
- Core Facilities, Istituto Superiore di Sanità, Viale Regina Elena 299, Rome, Italy
| | - A Ampollini
- Department of Fusion and Nuclear Security, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Via E. Fermi 45, Frascati Rome, Italy
| | - G Bazzano
- Department of Fusion and Nuclear Security, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Via E. Fermi 45, Frascati Rome, Italy
| | - S Della Monaca
- Core Facilities, Istituto Superiore di Sanità, Viale Regina Elena 299, Rome, Italy
| | - F Ghio
- National Center for Innovative Technologies in Public Health, Istituto Superiore di Sanità Viale Regina Elena 299, Rome, Italy
| | - F Giuliani
- National Center for Innovative Technologies in Public Health, Istituto Superiore di Sanità Viale Regina Elena 299, Rome, Italy
| | - M Lucentini
- National Center for Innovative Technologies in Public Health, Istituto Superiore di Sanità Viale Regina Elena 299, Rome, Italy
| | - R M Montereali
- National Center for Innovative Technologies in Public Health, Istituto Superiore di Sanità Viale Regina Elena 299, Rome, Italy
| | - P Nenzi
- National Center for Innovative Technologies in Public Health, Istituto Superiore di Sanità Viale Regina Elena 299, Rome, Italy
| | - C Notaro
- National Center for Innovative Technologies in Public Health, Istituto Superiore di Sanità Viale Regina Elena 299, Rome, Italy
| | - C Placido
- National Center for Innovative Technologies in Public Health, Istituto Superiore di Sanità Viale Regina Elena 299, Rome, Italy
| | - M Piccinini
- Department of Fusion and Nuclear Security, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Via E. Fermi 45, Frascati Rome, Italy
| | - C Ronsivalle
- Department of Fusion and Nuclear Security, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Via E. Fermi 45, Frascati Rome, Italy
| | - F Santavenere
- National Center for Innovative Technologies in Public Health, Istituto Superiore di Sanità Viale Regina Elena 299, Rome, Italy
| | - A Soriani
- Laboratory of Medical Physics, IRCCS - Regina Elena National Cancer Institute, Via E. Chianesi 53, Rome, Italy
| | - A Spurio
- National Center for Innovative Technologies in Public Health, Istituto Superiore di Sanità Viale Regina Elena 299, Rome, Italy
| | - L Strigari
- Laboratory of Medical Physics, IRCCS - Regina Elena National Cancer Institute, Via E. Chianesi 53, Rome, Italy
- Department of Medical Physics, S. Orsola Malpighi University Hospital, Via Massarenti 9, Bologna, Italy
| | - V Surrenti
- Department of Fusion and Nuclear Security, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Via E. Fermi 45, Frascati Rome, Italy
| | - E Trinca
- Department of Fusion and Nuclear Security, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Via E. Fermi 45, Frascati Rome, Italy
| | - M Vadrucci
- Department of Fusion and Nuclear Security, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Via E. Fermi 45, Frascati Rome, Italy
| | - E Cisbani
- National Center for Innovative Technologies in Public Health, Istituto Superiore di Sanità Viale Regina Elena 299, Rome, Italy
| | - L Picardi
- Department of Fusion and Nuclear Security, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Via E. Fermi 45, Frascati Rome, Italy
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15
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Vallières S, Bienvenue C, Puyuelo-Valdes P, Salvadori M, d'Humières E, Schiettekatte F, Antici P. Low-energy proton calibration and energy-dependence linearization of EBT-XD radiochromic films. THE REVIEW OF SCIENTIFIC INSTRUMENTS 2019; 90:083301. [PMID: 31472601 DOI: 10.1063/1.5109644] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Accepted: 07/11/2019] [Indexed: 06/10/2023]
Abstract
In this work, we calibrate the newly developed EBT-XD radiochromic films (RCFs) manufactured by Gafchromictm using protons in the energy range of 4-10 MeV. Irradiation was performed on the 2 × 6 MV tandem linear accelerator located at the Université de Montréal. The RCFs were digitized using an Epson Perfection V700 flatbed scanner using both the red-green-blue and grayscale channels. The proton fluences were measured with Faraday cups calibrated in absolute terms. The linear energy transfer function within the active layer of the films was calculated using the mass stopping power tables coming from the PSTAR database from the National Institute of Standards and Technology (NIST) to allow retrieval of the deposited dose. We find that the calibration curves for 7 and 10 MeV protons are nearly equivalent. The 4 MeV calibration curves exhibit a quenching effect due to the Bragg peak that falls close to the active layer. A linearization of this energy dependence was developed using a semiempirical parametric model to allow the generation of calibration curves for any incident proton energy within the present range. Excellent correspondence (<5% dose difference for the same netOD) of the 10 MeV calibration curves was noted when compared to existing high-energy proton (148.2 MeV) calibration curves reported in the literature. Our calibration extends the range of operation of EBT-XD films to low-energy proton beam dosimetry.
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Affiliation(s)
- S Vallières
- INRS-EMT, 1650 Blvd. Lionel-Boulet, Varennes, Quebec J3X 1P7, Canada
| | - C Bienvenue
- INRS-EMT, 1650 Blvd. Lionel-Boulet, Varennes, Quebec J3X 1P7, Canada
| | - P Puyuelo-Valdes
- INRS-EMT, 1650 Blvd. Lionel-Boulet, Varennes, Quebec J3X 1P7, Canada
| | - M Salvadori
- INRS-EMT, 1650 Blvd. Lionel-Boulet, Varennes, Quebec J3X 1P7, Canada
| | - E d'Humières
- CELIA, University of Bordeaux, 351 Cours de la Libération, Talence 33400, France
| | - F Schiettekatte
- University of Montreal, 2900 Boulevard Edouard-Montpetit, Montréal, Quebec H3T 1J4, Canada
| | - P Antici
- INRS-EMT, 1650 Blvd. Lionel-Boulet, Varennes, Quebec J3X 1P7, Canada
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16
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Soliman K, Adili M, Alrushoud A. Radiation dose verification of an X-ray based blood irradiator using EBT3 radiochromic films calibrated using Gamma Knife machine. Rep Pract Oncol Radiother 2019; 24:369-374. [PMID: 31198412 DOI: 10.1016/j.rpor.2019.05.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Revised: 03/06/2019] [Accepted: 05/11/2019] [Indexed: 11/20/2022] Open
Abstract
Aim Blood irradiators (BI) initial acceptance testing and routine annual dosimetry checks require radiation dose measurements in order to comply with regulatory requirements. Background Traditionally thermo-luminescence dosimeters (TLD) have been used to measure the dose. The EBT3 film is reported to be a better dosimeter for low energy X-rays than its predecessors EBT2 and EBT. To the best of our knowledge, the use of EBT3 films to perform dosimetry on X-ray based BI has not been reported yet. Materials and methods We performed routine radiation dosimetry checks using EBT3 films on a new X-ray based BI and compared the results with TLD dosimetry. Calibration films were irradiated with radiation beam from a Co-60 Gamma Knife (GK) radiosurgery machine and, alternatively, using an Ir-192 high dose rate (HDR) brachytherapy device. The films were calibrated to cover a wide dose range from 1 to 40 Gy. Such a wide dose range has not been reported yet in BI film dosimetry. Results We obtained a relative difference of about 6.6% between doses measured using TLD and those measured using EBT3 films. Both irradiation methods using GK or HDR were found to be adequate for the calibration of the EBT3 Gafchromic films. Conclusions We recommend the use of EBT3 films in routine X-ray based BI dosimetry checks. The presented method takes advantage of available radiotherapy equipment that can be efficiently used for EBT3 films calibration. The method is fast, reproducible and saves valuable medical physicist's time.
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Affiliation(s)
- Khaled Soliman
- Medical Physics Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Marouf Adili
- Medical Physics Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Abdullah Alrushoud
- Medical Physics Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
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17
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Smith BR, Pankuch M, Hammer CG, DeWerd LA, Culberson WS. LET response variability of Gafchromic TM EBT3 film from a 60 Co calibration in clinical proton beam qualities. Med Phys 2019; 46:2716-2728. [PMID: 30740699 DOI: 10.1002/mp.13442] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Revised: 11/01/2019] [Accepted: 02/02/2019] [Indexed: 11/11/2022] Open
Abstract
PURPOSE To establish a method of accurate dosimetry required to quantify the expected linear energy transfer (LET) quenching effect of EBT3 film used to benchmark the dose distribution for a given treatment field and specified measurement depth. In order to facilitate this technique, a full analysis of film calibration which considers LET variability at the plane of measurement and as a function of proton beam quality is demonstrated. Additionally, the corresponding uncertainty from the process was quantified for several measurement scenarios. MATERIALS AND METHODS The net change in optical density (OD) from a single version of Gafchromic TM EBT3 film was measured using an Epson flatbed scanner and NIST-traceable OD filters. Film OD response was characterized with respect to the known dose to water at the point of measurement for both a NIST-traceable 60 Co beam at the UWADCL and several clinical single-energy and spread-out Bragg peak (SOBP) proton beam qualities at the Northwestern Medicine Chicago Proton Center. Increasing proton LET environments were acquired by placing film at increasing depths of Gammex HE Solid Water® whose water-equivalent thickness was characterized prior to measurement. RESULTS A strong LET dependence was observed near the Bragg peak (BP) consistent with previous studies performed with earlier versions of EBT3 film. The influence of range straggling on the film's LET response appears to have a uniform effect toward the BP regardless of the nominal beam energy. Proximal to this depth, the film's response decreased with decreasing energy at the same dose-average LET. The opposite trend was observed for depths past the BP. Changes in the SOBP energy modulation showed a linear relationship between the film's relative response and dose-averaged LET. Relative effectiveness factors (RE) were observed to range between 2%-7% depending on the width of the SOBP and depth of the film. Using the field-specific calibration technique, a total k = 1 uncertainty in the absorbed dose to water was estimated to range from 4.68%-5.21%. CONCLUSION While EBT3 film's strong LET dependence is a common problem in proton beam dosimetry, this work has shown that the LET dependence can be taken into account by carefully considering the depth and energy modulation across the film using field-specific corrections. RE factors were determined with a combined k = 1 uncertainty of 3.57% for SOBP environments and between 3.17%-4.69% for uniform, monoenergetic fields proximal to the distal 80% of the BP.
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Affiliation(s)
- Blake R Smith
- Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, 53705, USA
| | - Mark Pankuch
- Division of Medical Physics, Northwestern Medicine Chicago Proton Center, 4455 Weaver Parkway, Warrenville, IL, 60555, USA
| | - Clifford G Hammer
- Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, 53705, USA
| | - Larry A DeWerd
- Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, 53705, USA
| | - Wesley S Culberson
- Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, 53705, USA
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18
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Anderson SE, Grams MP, Wan Chan Tseung H, Furutani KM, Beltran CJ. A linear relationship for the LET-dependence of Gafchromic EBT3 film in spot-scanning proton therapy. ACTA ACUST UNITED AC 2019; 64:055015. [DOI: 10.1088/1361-6560/ab0114] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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19
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Abstract
The change in optical properties of GafChromic films depends not only on the absorbed dose, but also on the linear energy transfer (LET) of the ionizing radiation. The influence of LET on the film dose-response relationship is especially important when films are applied for dosimetry of energetic charged particles. In the present study, we examined the response of the unlaminated EBT3 and MD-V3 films to proton, deuterium and helium beams with energies in the range of several megaelectronvolts (MeV). Films were exposed to doses up to 200 Gy and a model based on the bimolecular chemical reaction was chosen to fit the measured film signals. The LET in the active layers of the films and the dose correction factors were computed with Monte Carlo software TRIM. Signal quenching, observed for all ion beams in comparison to x-rays, was investigated as a function of the LET in the range of 10-100 keV µm-1. The response of the films got weaker with increasing the LET and showed no dependence on the ion species. The LET effect was quantified by introducing a modified expression for the relative effectiveness (RE) by which a unique RE value is assigned to a single LET. The RE defined in that way decreased from about 90% for LET of 10 keV µm-1 to less than 50% for LET of 100 keV µm-1. Similar behavior was observed for EBT3 and MD-V3 film models.
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Affiliation(s)
- V. Grilj
- Center for Radiological Research, Columbia University Irving Medical Center, New York, NY, USA
| | - D. J. Brenner
- Center for Radiological Research, Columbia University Irving Medical Center, New York, NY, USA
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20
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Giordanengo S, Palmans H. Dose detectors, sensors, and their applications. Med Phys 2018; 45:e1051-e1072. [DOI: 10.1002/mp.13089] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2017] [Revised: 06/19/2018] [Accepted: 06/21/2018] [Indexed: 12/20/2022] Open
Affiliation(s)
- Simona Giordanengo
- Istituto Nazionale di Fisica Nucleare, Section of Torino Via Giuria 1 10125 Torino Italy
| | - Hugo Palmans
- National Physical Laboratory Medical Radiation Science Hampton Road Teddington Middlesex TW11 0LW UK
- EBG MedAustron GmbH Marie‐Curiestraße 5 A‐2700 Wiener Neustadt Austria
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21
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Howard ME, Beltran C, Anderson S, Tseung WC, Sarkaria JN, Herman MG. Investigating Dependencies of Relative Biological Effectiveness for Proton Therapy in Cancer Cells. Int J Part Ther 2018; 4:12-22. [PMID: 30159358 DOI: 10.14338/ijpt-17-00031.1] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Purpose Relative biological effectiveness (RBE) accounts for the differences in biological effect from different radiation types. The RBE for proton therapy remains uncertain, as it has been shown to vary from the clinically used value of 1.1. In this work we investigated the RBE of protons and correlated the biological differences with the underlying physical quantities. Materials and Methods Three cell lines were irradiated (CHO, Chinese hamster ovary; A549, human lung adenocarcinoma; and T98, human glioma) and assessed for cell survival by using clonogenic assay. Cells were irradiated with 71- and 160-MeV protons at depths along the Bragg curve and 6-MV photons to various doses. The dose-averaged lineal energy ( y‒D ) was measured under similar conditions as the cells by using a microdosimeter. Dose-averaged linear energy transfer (LETd) was also calculated by using Monte Carlo (MC) simulations. Survival data were fit by using the linear quadratic model. The RBE values were calculated by comparing the physical dose (D6MV/Dp) that results in 50% (RBE0.5) and 10% (RBE0.1) cell survival, and survival after 2 Gy (RBE2Gy). Results Proton RBE values ranged from 0.89 to 2.40. The RBE for all 3 cell lines increased with decreasing proton energy and was higher at 50% survival than at 10% survival. Additionally, both A549 and T98 cells generally had higher RBE values relative to the CHO cells, indicating a greater biological response to protons. An increase in RBE corresponded with an increase in y‒D and LETd. Conclusion Proton RBE was found to depend on mean proton energy, survival end point, and cell type. Changes in both y‒D and LETd were also found to impact proton RBE values, but consideration of the energy spectrum may provide additional information. The RBE values in this study vary greatly, indicating the clinical value of 1.1 may not be suitable in all cases.
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Affiliation(s)
| | - Chris Beltran
- Department of Radiation Oncology, Mayo Clinic, Rochester, MN, USA
| | - Sarah Anderson
- Department of Radiation Oncology, Mayo Clinic, Rochester, MN, USA
| | - Wan Chan Tseung
- Department of Radiation Oncology, Mayo Clinic, Rochester, MN, USA
| | - Jann N Sarkaria
- Department of Radiation Oncology, Mayo Clinic, Rochester, MN, USA
| | - Michael G Herman
- Department of Radiation Oncology, Mayo Clinic, Rochester, MN, USA
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Lee KH, Shin JY, Kim EH. Measurement of activity distribution in an Am-241 disc source using peeled-off Gafchromic EBT3 films. Appl Radiat Isot 2018; 135:192-200. [PMID: 29413837 DOI: 10.1016/j.apradiso.2018.01.037] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Revised: 01/26/2018] [Accepted: 01/26/2018] [Indexed: 11/25/2022]
Abstract
Commercial alpha-emitting sources are fabricated mainly in a disc type. An alpha particle irradiator in Radiation Bioengineering Laboratory at Seoul National University was installed with an Am-241 disc source. Commercial Am-241 disc sources are fabricated by incorporating the radioactive element into a thin substrate layer. Those disc sources are utilized assuming that the radioactive element is uniformly distributed in the active layer of disc sources. In this study, we employed peeled-off Gafchromic EBT3 films to investigate the uniformity of areal radioactivity density over the disc source and to measure the effect of non-uniform activity distribution on dose distribution at the bottom of the cell culture dish positioned in a varying distance from the source. The measurements with the peeled-off EBT3 films informed that the areal activity density in the disc source differed by up to approximately 45% from the average. However, the inhomogeneous Am-241 distribution in a disc source did not affect the radial distribution of fluence rate at the inner bottom of cell dish when the dish is apart from the source sufficiently. The dose distribution measured with an EBT3 film nearly accorded with that obtained by Monte Carlo simulation assuming the uniform Am-241 activity distribution in the active layer of the disc source. Finally, the dose to a single-cell layer of 5 μm in a nominal thickness was obtained by Monte Carlo simulation assuming a uniform Am-241 activity distribution in the disc source at distances of 20 and 30 mm from the source. The cellular dose estimates were higher than the film dose estimates at all radial distances. The cellular dose decreased with an increasing radial distance from the center to a smaller extent than the EBT3 film dose did.
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Affiliation(s)
- Kwang-Ho Lee
- Department of Nuclear Engineering, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Republic of Korea
| | - Ji-Yong Shin
- Department of Nuclear Engineering, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Republic of Korea
| | - Eun-Hee Kim
- Department of Nuclear Engineering, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Republic of Korea.
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Giordanengo S, Manganaro L, Vignati A. Review of technologies and procedures of clinical dosimetry for scanned ion beam radiotherapy. Phys Med 2017; 43:79-99. [DOI: 10.1016/j.ejmp.2017.10.013] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2017] [Revised: 09/23/2017] [Accepted: 10/18/2017] [Indexed: 12/17/2022] Open
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Chan MF, Chen CC, Shi C, Li J, Tang X, Li X, Mah D. Patient-Specific QA of Spot-Scanning Proton Beams using Radiochromic Film. ACTA ACUST UNITED AC 2017; 6:111-123. [PMID: 28620561 DOI: 10.4236/ijmpcero.2017.62011] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Radiochromic film for spot-scanning QA provides high spatial resolution and efficiency gains from one-shot irradiation for multiple depths. However, calibration can be a tedious procedure which may limit widespread use. Moreover, since there may be an energy dependence, which manifests as a depth dependence, this may require additional measurements for each patient. We present a one-scan protocol to simplify the procedure. A calibration using an EBT3 film, exposed by a 6-level step-wedge plan on a Proteus®PLUS proton system (IBA, Belgium), was performed at depths of 18, 20, 24cm using Plastic Water® (CIRS, Norfolk, VA). The calibration doses ranged from 65-250 cGy(RBE) (relative biological effectiveness) for proton energies of 170-200 MeV. A clinical prostate+nodes plan was used for validation. The planar doses at selected depths were measured with EBT3 films and analyzed using One-scan protocol (one-scan digitization of QA film and at least one film exposed to a known dose). The gamma passing rates, dose-difference maps, and profiles of 2D planar doses measured with EBT3 film and IBA MatriXX-PT, versus the RayStation TPS calculations were analyzed and compared. The EBT3 film measurement results matched well with the TPS calculation data with an average passing rate of ~95% for 2%/2mm and slightly lower passing rates were obtained from an ion chamber array detector. We were able to demonstrate that the use of a proton step-wedge provided clinically acceptable results and minimized variations between film-scanner orientation, inter-scan, and scanning conditions. Furthermore, for relative dosimetry (calibration is not done at the time of experiment) it could be derived from no more than two films exposed to known doses (one could be zero) for rescaling the master calibration curve at each depth. The sensitivity of the calibration to depth variations has been explored. One-scan protocol results appear to be comparable to that of the ion chamber array detector. The use of a proton step-wedge for calibration of EBT3 film potentially increases efficiency in patient-specific QA of proton beams.
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Affiliation(s)
- Maria F Chan
- Dept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Chin-Cheng Chen
- Dept. of Radiation Physics, ProCure Proton Center, Somerset, NJ
| | - Chengyu Shi
- Dept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Jingdong Li
- Dept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Xiaoli Tang
- Dept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Xiang Li
- Dept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Dennis Mah
- Dept. of Radiation Physics, ProCure Proton Center, Somerset, NJ
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Castriconi R, Ciocca M, Mirandola A, Sini C, Broggi S, Schwarz M, Fracchiolla F, Martišíková M, Aricò G, Mettivier G, Russo P. Dose–response of EBT3 radiochromic films to proton and carbon ion clinical beams. Phys Med Biol 2016; 62:377-393. [DOI: 10.1088/1361-6560/aa5078] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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26
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Ford E, Emery R, Huff D, Narayanan M, Schwartz J, Cao N, Meyer J, Rengan R, Zeng J, Sandison G, Laramore G, Mayr N. An image-guided precision proton radiation platform for preclinicalin vivoresearch. Phys Med Biol 2016; 62:43-58. [DOI: 10.1088/1361-6560/62/1/43] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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