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.     

K-band EPR dosimetry: small-field beam profile determination with miniature alanine dosimeter.

The use of small-size alanine dosimeters presents a challenge because the signal intensity is less than the spectrometer sensitivity. K-band (24 GHz) EPR spectrometer seems to be a good compromise between size and sensitivity of the sample. Miniature alanine pellets were evaluated for small-field radiation dosimetry. Dosimeters of DL-alanine/PVC with dimensions of 1.5 mm diameter and 2.5 mm length with 5 mg mass were developed. These dosimeters were irradiated with 10 MV X-rays in the dose range 0.05-60 Gy and the first harmonic (1h) spectra were recorded. Microwave power, frequency and amplitude of modulation were optimized to obtain the best signal-to-noise ratio (S/N). For beam profile determination, a group of 25 dosimeters were placed in an acrylic device with dimensions of (7.5 x 2.5 x 1)cm3 and irradiated with a (3 x 3)cm2 10 MV X-rays beam field size. The dose at the central region of the beam was 20 Gy at a depth of 2.2 cm (build up for acrylic). The acrylic device was oriented perpendicular to the beam axis and to the gantry rotation axis. For the purposes of comparison of the spatial resolution, the beam profile was also determined with a radiographic film and 2 mm aperture optical densitometer; in this case the dose was 1 cGy. The results showed a similar spatial resolution for both types of dosimeters. The dispersion in dose reading was larger for alanine in comparison with the film, but alanine dosimeters can be read faster and more directly than film over a wide dose range.     

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.     

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.     

Accuracy considerations in EPR dosimetry

A brief overview of some of the potential sources of inaccuracies that are common to all kinds of electron paramagnetic resonance (EPR) dosimetry is given. The instrumental sources discussed are inaccuracies of receiver gain calibration, instability of the spectrometer sensitivity, and neglect of inhomogeneity of the fields in the resonators. The discussed sources of inaccuracies related to data processing are violations of basic assumptions of the used version of the least-squares technique, incorrect model selection for fitting the data, and nonoptimal design of the calibration experiment. Methods for detecting and correcting such inaccuracies are briefly discussed and references to the original literature are given.     

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.     

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.     

EPR dosimetry using commercial glasses for high gamma doses.

Commercial transparent and colored (bronze, brown, and green) glasses were studied as possible dosimeters for high gamma doses using electronic paramagnetic resonance (EPR). All EPR spectra showed the characteristic Fe3+ signals, g=4.27 and 2.01. The signal at g=2.01 presented a more useable behavior for the calibration curve. All samples showed their usefulness as high dose dosimeters.     

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.     

An automated system for the measurement of alanine/EPR dosimeters

NPL for several years has offered mailed reference dosimetry services based on alanine/EPR dosimeters, both at industrial and therapy dose levels. Compared to other methods of reference dosimetry, operator involvement in alanine/EPR has been found to be relatively high, and contributes significantly to the overall economics of the process. Commercially available sample changers are not suitable for high accuracy applications, and it has proved necessary to develop a dedicated automation system to handle NPL alanine dosimeter pellets. In this paper we describe an automatic sample changer for placing and retrieving alanine pellets into and out of the cavity of a standard research grade EPR spectrometer. Up to 32 pellets can be held in each removable sample tray. The sample changer software has been interfaced into the spectrometer control software to enable complete automation of the measurement process, including the optimization of spectrometer settings and rotation of the sample within the cavity.     

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.     

Uncertainties in alanine dosimetry in the therapeutic dose range

A method for evaluating the overall uncertainty of alanine EPR transfer dosimetry in the therapeutic dose range is described. The method uses experimental data on EPR signal reproducibility from replicate dosimeters irradiated to low doses (1–5 Gy), estimates of Type B uncertainties, and Monte Carlo simulations of heteroscedastic orthogonal linear regression. A Bruker ECS106 spectrometer and Bruker alanine dosimeters have been used for this evaluation. The results demonstrate that alanine dosimetry can be used for transfer dosimetry in that range with the overall uncertainty 1.5–4% (1σ) depending on the dose, the number of replicate dosimeters, and the duration of the calibration session (the session should not exceed one working day).     

Application of an alanine dosimetry system for industrial irradiation and radiation protection

This paper reports the application of alanine dosimetry in radiation processing. Continuous checks of the EPR measuring conditions as well as using high-quality alanine dosimeters and consistent technique for dose determination guarantee an accuracy of about ±3% intermediate dose levels. The alanine dosimetry system was applied for dose mapping measurements during irradiator qualification and performance qualification of different products, routine dosimetry, and special radiation protection application within the gamma irradiator.     

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.     

Optimal registration conditions for tooth EPR dosimetry at low accumulated dose

The spectrum registration under rapid passage conditions (the second harmonic phase quadrature of the absorption signal) allows one to enhance substantially the sensitivity of tooth enamel and bone EPR dosimetry at a low accumulated dose. In the present work the dependencies of the radiation and background signals on EPR spectrometer parameters are described and the optimal conditions in RPM for EPR dosimetry are obtained.     

Application of jade samples for high-dose dosimetry using the EPR technique

The dosimeter characteristics of jade samples were studied for application in high-dose dosimetry. Jade is the common denomination of two silicates: jadeite and actinolite. The EPR spectra of different jade samples were obtained after irradiation with absorbed doses of 100 Gy up to 20 kGy. The jade samples present signals that increase with the absorbed dose (g-factors around 2.00); they can be attributed to electron centers. The EPR spectra obtained for the USA jade samples and their main dosimetric properties as reproducibility, calibration curves and energy dependence were investigated.     

Measurements with alanine and film dosimeters for industrial 10 MeV electron reference dosimetry

Alanine and radiochromic film dosimeters were irradiated with absorbed doses from 3 to 10 kGy at a 10 MeV electron accelerator under typical radiation processing conditions. The nominal doses were measured by graphite calorimeters and the dosimeters were irradiated in graphite phantoms. The dosimeters were calibrated by irradiation with ⁶⁰Co photons.The ratios of calorimeter to film and alanine dosimeter readings were generally within 0.99 ± 0.01 for 10 mm phantoms, but larger differences were observed for 20 mm phantoms. The discrepancies may be due to uncertainties in irradiation geometry, or in the stopping power ratios applied.     

Psychophysical evaluation of calibration curve for diagnostic LCD monitor

Purpose In 1998, Digital Imaging Communications in Medicine (DICOM) proposed a calibration tool, the grayscale standard display function (GSDF), to obtain output consistency of radiographs. To our knowledge, there have been no previous reports of investigating the relation between perceptual linearity and detectability on a calibration curve. Materials and methods To determine a suitable calibration curve for diagnostic liquid crystal display (LCD) monitors, the GSDF and Commission Internationale de l'Eclairage (CIE) curves were compared using psychophysical gradient δ and receiver operating characteristic (ROC) analysis for clinical images. Results We succeeded in expressing visually recognized contrast directly using δ instead of the just noticeable difference (JND) index of the DICOM standard. As a result, we found that the visually recognized contrast at low luminance areas on the LCD monitor calibrated by the CIE curve is higher than that calibrated by the GSDF curve. On the ROC analysis, there was no significant difference in tumor detectability between GSDF and CIE curves for clinical thoracic images. However, the area parameter Az of the CIE curve is superior to that of the GSDF curve. The detectability of tumor shadows in the thoracic region on clinical images using the CIE curve was superior to that using the GSDF curve owing to the high absolute value of δ in the low luminance range. Conclusion We conclude that the CIE curve is the most suitable tool for calibrating diagnostic LCD monitors, rather than the GSDF curve.