Electron arc therapy treatment planning verification with alanine/EPR dosimetry.

Alanine/EPR dosimetry was applied to measure dose distributions during electron arc therapy treatments generated by electron beams moving isocentrically over a stated arc. Alanine-polyethylene pellets, prepared at ISS according to the NIST recipe, inserted in a homogeneous cylindrical and anthropomorphic phantoms, were used. Preliminary, alanine response to static electron beams in the (6-20) MeV nominal energy range was studied. Then alanine dosimetry was applied to determine the dose versus the gantry angle at a reference point in a cylindrical homogeneous phantom. Finally, arc therapy treatment planning verification was performed in anthropomorphic phantom.     

A unique calibration curve for alanine EPR dosimetry systems

The alanine EPR dose-response curve was proposed to follow a saturating exponential function. In this study the characteristic parameter D₃₇3of the exponential function was estimated for two types of dosimeters and different EPR spectrometer configurations. The results suggest that only below about 0.3 mW the alanine EPR signal is not saturated with microwave power. A unique alanine calibration curve is suggested for measurements with non-saturating microwave power.     

Features of EPR dosimetry with CaSO4:Dy phosphor.

The electron paramagnetic resonance(EPR) technique was used to study the paramagnetic centers induced by ionizing radiation in thermoluminescent CaSO4:Dy. Two different radiation induced centers, detectable in the (1-10(7)) Gy dose range and attributed to (SO3)- and Ca-vacancy center, (VCa)2-, respectively, can be used for dosimetry purpose. The (VCa)2- center is detectable only upon sample annealing at temperatures higher than about 180 degrees C. A reliable dose assessment can be performed in the (1-10(7)) Gy dose range and likely over 10(7) Gy. The sensitivity decreases with thermal cycles, while the yield of both centers increases with accumulated dose (pumping effect), at a greater extent for (VCa)2- center. (VCa)2- center is stable with time, while (SO3)- center shows a dose-dependent fading. Among the applications that can be imaged for this dosimeter, very high dose assessment capability is of particular importance.     

EPR dosimetry with tooth enamel: A review

When tooth enamel is exposed to ionizing radiation, radicals are formed, which can be detected using electron paramagnetic resonance (EPR) techniques. EPR dosimetry using tooth enamel is based on the (presumed) correlation between the intensity or amplitude of some of the radiation-induced signals with the dose absorbed in the enamel. In the present paper a critical review is given of this widely applied dosimetric method. The first part of the paper is fairly fundamental and deals with the main properties of tooth enamel and some of its model systems (e.g., synthetic apatites). Considerable attention is also paid to the numerous radiation-induced and native EPR signals and the radicals responsible for them. The relevant methods for EPR detection, identification and spectrum analyzing are reviewed from a general point of view. Finally, the needs for solid-state modelling and studies of the linearity of the dose response are investigated. The second part is devoted to the practical implementation of EPR dosimetry using enamel. It concerns specific problems of preparation of samples, their irradiation and spectrum acquisition. It also describes how the dosimetric signal intensity and dose can be retrieved from the EPR spectra. Special attention is paid to the energy dependence of the EPR response and to sources of uncertainties. Results of and problems encountered in international intercomparisons and epidemiological studies are also dealt with. In the final section the future of EPR dosimetry with tooth enamel is analyzed.     

Development of a secondary standard for the absorbed dose to water based on the alanine EPR dosimetry system.

The primary measurand in the dosimetry for radiation therapy is the absorbed dose to water, D(W). An alanine/EPR based secondary standard for D(W) for high-energy photon and electron radiation is presently under construction at the Physikalisch-Technische Bundesanstalt. A technique of transfer dosimetry that makes it possible to reduce the reproducibility to a level below 0.5% in the 5-50 Gy range is presented. It takes advantage of a reference sample. Results of investigations of some effects, such as environmental humidity, are presented.     

Dosimetry of blood irradiation using an alanine/ESR dosimeter.

A batch of 80 DL-alanine dosimeters was supplied to Hemocentro of the Hospital and Clinics of Faculdade de Medicina de Ribeir?o Preto (HC-FM RP) SP, Brazil for the purpose of quality control of the radiation dose delivered to blood bags. The irradiation was made using two (40 x 40) cm2 parallel opposed radiation fields each with 80 cm of source to surface distance in the Radiotherapy Section of HC-FMRP with the 60Co teletherapy unit. The calculated radiation absorbed dose at the center of the box was 20 Gy. The dosimeter readings were performed using a Varian E-4 ESR Spectrometer operating in X-band. For the 80 dosimeters and over the irradiation volume throughout a blood bag, the minimum and maximum doses were 14 and 23 Gy, respectively. The mean dose was (18 +/- 2) Gy (1sigma), and the coefficient of variability was 11.1%. Alanine dosimeters demonstrated easy handling, good precision and adequate sensitivity for this application.     

Some aspects of EPR dosimetry of liquidators.

Doses of few hundred liquidators were reconstructed using EPR dosimetric technique, developed and routinely used in SCRM. Both cumulative and accidental dose values were determined. Obtained results are analyzed and discussed.     

Application of high-resolution radiochromic film dosimetry in verifying a small-field stereotactic radiosurgery plan.

A high-resolution radiochromic film dosimetry (Hr-RCFD) method has been applied to verify a small-field stereotactic radiosurgery (SRS) plan. This was done by exposing a RCF in a Perspex head phantom undergoing the same treatment plan as the patient. The dose distribution obtained by the Hr-RCFD was verified against that calculated by the stereotactic treatment planning system and the result was satisfactory. The Hr-RCFD method has been found to be an accurate and practical tool in verifying small-field SRS plans.     

Study of dental enamel and synthetic hydroxyapatite irradiated by EPR at K-band.

In this preliminary work the EPR spectra of a small dental enamel block and a synthetic B-type hydroxyapatite in powder form, both irradiated with gamma rays, were analyzed in K-band. The spectra of the dental enamel block allow the analysis of independent components with different angular orientations, while the study of the dosimetric properties of the synthetic hydroxyapatites showed good performance of this spectrometer. K-band spectra show better resolution when compared to X-band, while using significantly less sample material.     

One year of experience with alanine dosimetry in radiotherapy

Commercially available alanine dosimeters from different manufacturers were purchased for this study. The response of the detectors was evaluated with ⁶⁰Co gamma radiation in the dose range 0.2–200 Gy, using a small EPR spectrometer dedicated to dosimetry. The batch sensitivity, inter-specimen scattering and background signal for the different selection of dosimeters were evaluated. The usefulness of the alanine dosimetry system for clinical routine is illustrated by in vivo measurements during ¹⁹²Ir brachytherapy of cervix carcinoma.     

Spectrum file size optimization for EPR tooth dosimetry.

Spectral acquisition time is one of the limiting factors in electron paramagnetic resonance (EPR) retrospective biodosimetry in teeth. Acquisition times for one sample can be from 2 to 4h. This problem is even more acute for in vivo EPR measurements in L-band. Patients cannot be expected to remain stationary for these lengths of time. In order to overcome this limitation, we investigated the dependence of EPR dose measurements on the number of data points in an EPR spectrum. We have shown that this number could be reduced from 1024 to 256 (factor of 4 reduction in spectral acquisition time) at 5 mT magnetic field sweep without a loss of precision in the dose measurements.     

Sand for high-dose dosimetry using the EPR technique.

The electronic paramagnetic resonance (EPR) technique was utilized to study sand samples from different Brazilian beaches for high-dose dosimetry. Sand also contains concentrations of heavy minerals. Sand samples were studied in relation to their main dosimetric properties: response reproducibility, reutilization, batch uniformity, detection range and dose response. The EPR signal grows significantly as a function of absorbed dose for g=1.999. All studied sand samples can be used as EPR dosimeters for different applications in medical, agricultural and industrial areas.     

The Chernobyl accident: EPR dosimetry on dental enamel of children.

The radiation dose on tooth enamel of children living close to Chernobyl has been evaluated by EPR. The sample preparation was reduced to a minimum of mechanical steps to remove a piece of enamel. A standard X-ray tube at low energy was used for additive irradiation. The filtration effect of facial soft tissue was taken into account. The radiation dose for a group of teeth slightly exceeds the annual dose, whereas for another group the dose very much exceeds the annual dose. Since the higher dose is found in teeth whose enamel have much lower EPR sensitivity to the radiation, it can be suggested that for these teeth the native signal could alter the evaluation of the smaller radiation signal.     

Tooth enamel EPR dosimetry: sources of errors and their correction.

Some of the most important sources of systematic errors in dose determination using tooth enamel EPR spectroscopy and ways of reducing those errors are discussed. Enamel from the outside of the front teeth should not be used for dose determination because of induction of paramagnetic centers by solar light. The accuracy of the method in the low dose range is limited by variation in the shape of the EPR signal of unirradiated enamel, which can be described by an initial intrinsic signal and which varies for different samples with standard deviation of 20-30 mGy. The energy dependence of enamel sensitivity should be taken into account in the form of a correction factor. The value of this factor is estimated at 1.1-1.3 for real radiation fields in radiation contaminated territories. Variation in enamel sensitivity for different samples is shown to be within limits of 10-15% of the average value.     

Use of the entire spectrum of irradiated alanine for dosimetry.

Alanine is an amino acid commonly used in ESR dosimetry as a reference detector. The classic approach for the measurement of irradiated samples is to determine the amplitude of the central peak of the first derivative spectrum. It is generally considered that this technique represents the best and most reproducible solution for achieving an accurate proportionality between the concentration of free radicals inside the resonant cavity, characterized by the amplitude, and the dose. It is also accepted that this central peak corresponds to the free radical CH3CHCOO-. The hyperfine structure of this radical in the spectrum shows five main peaks with the approximate ratios 1:4:6:4:1 as regards coupling. This paper presents another approach featuring analysis of the entire spectrum: (i) ratios of identified peaks, (ii) ratio variation vs time with regard to several parameters affecting fading. These variations in the alanine spectrum are probably correlated with the variation of the concentrations of different free radical species. These variations and their positions in the spectrum are very important constraints that increase the uncertainty of this type of measurement.     

Use of alanine for dosimetry intercomparisons among Italian radiotherapy centers.

A pilot program of postal dosimetry intercomparison among 16 Italian Radiotherapy Centers was performed using the ISS Alanine/EPR dosimetry as a transfer system. Dosimeters were irradiated at 10 Gy with high-energy photon beams, both in reference condition in a water phantom and in an anthropomorphic phantom during the simulated treatment of rectum cancer. Intercomparison design along with alanine performances analyzing the different contributions to the combined uncertainty in dose assessment are reported. Main results of the pilot intercomparison, terminated in 2002, are also presented.     

Application of EPR retrospective dosimetry for large-scale accidental situation.

Above 3000 tooth enamel samples, collected at population of radioactive contaminated territories after Chernobyl accident, the Chernobyl liquidators, the retired military of high radiation risk and the population of control radiation free territories were investigated by EPR spectroscopy method in order to obtain accumulated individual exposure doses. Results of EPR spectra measurements are stored in data bank; enamel samples are also stored in order to provide the possibility to repeat the measurements in future. Statistical analysis of results has allowed to detect the contribution into EPR signal in tooth enamel due to the action of the natural background radiation, and the radioactive contamination of territory. In general, the average doses of external exposure of the population obtained with EPR spectroscopy of teeth enamel are consistent with results based on other methods of direct and retrospective dosimetry. Essential exceeding of the individual doses above the average level within the population groups was observed for some persons. That gave the possibility to detect the individuals with overexposure, which were included into groups for medical monitoring.