The clinical translation of plastic scintillation dosimetry

Contemporary radiotherapy focuses on achieving the best patient outcomes by delivering highly targeted treatments that often include small fields and high dose gradients. Plastic scintillators outperform traditional dosimeters in these fields as they are close to water-equivalent. However, the translation of scintillation dosimeters into the clinic has been limited by three roadblocks. The generation of Cerenkov radiation in an optic fibre irradiated by megavoltage radiation contaminates the scintillation signal. Two Cerenkov removal methods (spectral discrimination and air core) were found to be accurate in accounting for Cerenkov radiation and their clinical robustness was improved. The light readout system is often the limiting factor for the accuracy of scintillators. PMTs outperform camera-based systems, though their implementation for array dosimetry is complex. A novel system with a multianode PMT was constructed and enabled multiple light signals from an array to be simultaneously measured. Arrays of scintillation dosimeters are difficult to create due to the complex arrangement of detectors and their optical pathways. Two innovative approaches (square waveguides and 3D printing) were used to build prototype scintillation dosimeter arrays. These arrays showed that scintillation dosimeters can measure dose distributions with high spatial and temporal resolution. Addressing these roadblocks has enabled the clinical translation of scintillation dosimeters. In small field dosimetry, an air core dosimeter was used as a reference to calculate and predict correction factors for existing dosimeters. For brachytherapy, an array of scintillators provided real-time dose measurements that improved the safety of the treatment. For rotational treatments, a cylindrical array was used to verify the dose delivered during simulated stereotactic treatments. Traditional dosimeters cannot be used in these applications and this demonstrates the potential of scintillation dosimetry

Remote sensing of lunar aureole with a sky camera: Adding information in the nocturnal retrieval of aerosol properties with GRASP code

The use of sky cameras for nocturnal aerosol characterization is discussed in this study. Two sky cameras are configured to take High Dynamic Range (HDR) images at Granada and Valladolid (Spain). Some properties of the cameras, like effective wavelengths, sky coordinates of each pixel and pixel sensitivity, are characterized. After that, normalized camera radiances at lunar almucantar points (up to 20° in azimuth from the Moon) are obtained at three effective wavelengths from the HDR images. These normalized radiances are compared in different case studies to simulations fed with AERONET aerosol information, giving satisfactory results. The obtained uncertainty of normalized camera radiances is around 10% at 533 nm and 608 nm and 14% for 469 nm. Normalized camera radiances and six spectral aerosol optical depth values (obtained from lunar photometry) are used as input in GRASP code (Generalized Retrieval of Aerosol and Surface Properties) to retrieve aerosol properties for a dust episode over Valladolid. The retrieved aerosol properties (refractive indices, fraction of spherical particles and size distribution parameters) are in agreement with the nearest diurnal AERONET products. The calculated GRASP retrieval at night time shows an increase in coarse mode concentration along the night, while fine mode properties remained constant.This work was supported by the Andalusia Regional Government (project P12-RNM-2409) and by the “Consejería de Educación, Junta de Castilla y León” (project VA100U14).Spanish Ministry of Economy and Competitiveness and FEDER funds under the projects CGL2013-45410-R, CMT2015-66742-R, CGL2016-81092-R.“Juan de la Cierva-Formación” program (FJCI-2014-22052).European Union's Horizon 2020 research and innovation programme through project ACTRIS-2 (grant agreement No 654109)

Conception and performance of IViST : a novel platform for real-time In Vivo Source Tracking in brachytherapy

La curiethérapie à haut débit de dose (HDR pour High Dose Rate) est une modalité de traitement du cancer qui délivre au volume cible la dose prescrite avec un débit de dose élevé. Malgré les distributions de doses hautement conformes obtenues avec cette modalité de traitement, le traitement lui-même n’est pas exempt d’erreurs. En raison des forts gradients de dose, typique de la curiethérapie, de petites erreurs dans le positionnement de la source peuvent entraîner des conséquences néfastes pour les patients. L’utilisation systématique de systèmes de vérification en temps réel est le seul moyen de savoir quelles doses ont été réellement données à la tumeur et aux organes à risque. Cette thèse présente les démarches effectuées pour créer et valider un système de dosimétrie à scintillateurs plastiques multipoints (mPSD pour Multipoint Plastic Scintillation Detector) capable d’effectuer avec précision des mesures in vivo en curiethérapie HDR. Un prototype a été optimisé, caractérisé et testé dans des conditions typiques de la curiethérapie HDR. Une analyse exhaustive a été réalisée pour obtenir un modèle optimisé du détecteur, capable de maximiser la collection de lumière de scintillation produite par l’interaction des photons ionisants. Il a été constaté que le scintillateur de longueur d’onde plus courte devrait toujours être placé plus près du photodétecteur, alors que le scintillateur émettant dans la longueur d’onde la plus élevée doit être en position distale. Si la configuration, comme mentionnée précédemment, n’est pas utilisée, des effets d’excitation et d’auto-absorption entre les scintillateurs peuvent se produire, et en conséquence, la transmission de la lumière à travers la fibre collectrice n’est pas optimale. Le détecteur a été rendu étanche à la lumière. Son noyau de 1 mm de diamètre permet son utilisation dans la majorité des applicateurs utilisés pour le parcours de la source en curiethérapie HDR avec l’192Ir. Pour la meilleure configuration du détecteur multipoints (3 mm de BCF10, 6 mm de BCF12, 7 mm BCF60), une optimisation numérique a été effectuée pour sélectionner les composants optiques (miroir dichroïque, filtre et tube photomultiplicateur (PMT pour Photomultiplier Tube)) qui correspondent le mieux au profil d’émission recherché. Ceci permet la déconvolution du signal en utilisant une approche multispectrale, en extrayant la dose de chaque élément tout en tenant compte de l’effet de tige Cerenkov. Le système de luminescence optimisé a été installé dans une boîte protectrice pour assurer la stabilité des composantes optiques lors de la manipulation. Les performances dosimétriques du système IViST (In Vivo Source Tracking) ont été évaluées en curiethérapie HDR, sur une plage clinique réaliste allant jusqu’à 10 cm de distance entre la source et les capteurs du mPSD. IViST peut simultanément mesurer la dose, trianguler la position et mesurer le temps d’arrêt de la source. En effectuant 100 000 mesures/s, IViST échantillonne suffisamment de données pour effectuer rapidement des tâches QA / QC clés, telles que l’identification d’un mauvais temps d’arrêt individuel ou des tubes de transfert interchangés. En utilisant 3 capteurs colinéaires et des informations planifiées pour une géométrie d’implant provenant des fichiers DICOM RT, la plateforme peut également trianguler la position de la source en temps réel avec une précision de positionnement de 1 mm jusqu’à 6 cm de la source. Le détecteur ne présentait aucune dépendance angulaire. Un essai clinique est actuellement en cours avec ce système.High Dose Rate (HDR) brachytherapy is a cancer treatment modality that delivers to the target volume high doses in short amount of time in a few fractions. Despite the highly conformal dose distributions achieved with this treatment modality, the treatment itself is not free from errors. Because of the high dose gradient characteristics of the brachytherapy techniques, small errors in the source positioning can result in harmful consequences for patients. The routine use of a real-time verification system is the only way to know what dose was actually delivered to the tumor and organs at risk. This thesis presents the investigation done to obtain a Multi-point Plastic Scintillation Detector (mPSD) system capable of accurately performing in vivo dosimetry measurements in HDR brachytherapy. A first system’s prototype was optimized, characterized, and tested under typical HDR brachytherapy conditions. An exhaustive analysis was carried out to obtain an optimized mPSD design that maximizes the scintillation light collection produced by the interaction of ionizing photons. We found that the shorter wavelength scintillator should always be placed closer to the photodetector and the longer wavelength scintillator in the distal position for the best overall light-yield collection. If the latter configuration is not used, inter-scintillator excitation and self-absorption effects can occur, and as a consequence, the light transmission through the collecting fiber is not optimal. The detector was made light-tight to avoid environmental light, and its 1 mm diameter core allows their usage in most applicator channel used in 192Ir HDR brachytherapy. For the best mPSD design (3 mm of BCF10, 6 mm of BCF12, 7 mm BCF60), a numerical optimization was done to select the optical components (dichroic mirror, filter and Photomultiplier Tube (PMT)) that best match the light emission profile. It allows for signal deconvolution using a multispectral approach, extracting the dose to each element while taking into account the Cerenkov stem effect. The optimized luminescence system was enclosed into a custom-made box to preserve the optical chain stability and easy manipulation. The In Vivo Source Tracking (IViST) system’s dosimetric performance has been evaluated in HDR brachytherapy, covering a range of 10 cm of source movement around the mPSD’s sensors. IViST can simultaneously measure dose, triangulate source position, and measure dwell time. By making 100 000 measurements/s, IViST samples enough data to quickly perform key QA/QC tasks such as identifying wrong individual dwell time or interchanged transfer tubes. By using 3 co-linear sensors and planned information for an implant geometry (from DICOM RT), the platform can also triangulate source position in real-time with 1 mm positional accuracy up to 6 cm from the source. The detector further exhibited no angular dependence. A clinical trial is presently on-going using the IViST system

Innovative detection methods for radiation hardness

The thesis deals with new methods for the characterization of ion beams and detection of radiation used in radiation hardness applications, namely charged particles, X- and gamma-radiation and neutrons. As far as the detection of charged particles, X- and gamma- rays the radiochromic films, dosimeters intensively employed in medical physics, were found suitable for these purposes. The calibration of radiochromic films was carried out with the law that describe the physical phenomenon of the film darkening. On this line the independence of the response of a kind of film to incident radiation type, energy and dose rate was demonstrated. These results were crucial for the full dosimetry characterization of a 90-Sr/90-Y beta source, recently proposed as irradiation source for Total Ionizing Dose tests as alternative to the well-established 60-Co source. Furthermore, since standard methods of reading of radiochromic films do not allow real-time dosimetry, the design, development and related tests of a new opto-electronic-based real-time radiochromic film reader is presented in this thesis. Owing to the wide employment of radiochromic films in the applications and to the potential diffusion on the market, a National Patent was filed in January 2018 through the INFN Tech-Transfer. The problem of neutron detection and production has been addressed at two charged particle accelerators. In particular, for the first time a neutron beam line was implemented at the IBA 18/18 medical cyclotron of University of Bern and the test of a new prototype of polysiloxane-based scintillator was carried out at the tandem accelerator of Laboratori Nazionali del Sud (LNS) in Catania. All these topics are discussed in this thesis and in dedicated publications on international scientific journals

A systems genetics approach to the characterization of differential low dose radiation responses in BXD recombinant inbred mice

High doses of radiation (HDR) are clearly detrimental to human health, but relatively little is known about the health consequences following exposure to low doses of radiation (LDR, \u3c10cGy). Understanding the risks associated with LDR is of great importance to the general public due to the recent dramatic increase in diagnostic radiological imaging. While HDR clearly suppress immune function, there is evidence that LDR can be immunostimulatory. Within the organism, defining the consequences of LDR is further complicated by the impact of genetic background, particularly in systems such as the immune system for which both radiosensitivity and genetic effects are profound. We addressed the issue of genetic susceptibility to LDR using the immune system as a target system and treated the LDR response as a complex trait analyzed using a systems genetics framework. Using the BXD recombinant inbred strain mouse panel as a genetic reference population allowed us to address the radiation response within the context of natural genetic variation. Our overarching hypothesis is that, within a population, the immunological effects of LDR exposure depend in part on the individual’s baseline immunoprofile and gene expression which are ultimately dependent upon genetic background. We began by establishing the immunophenotypic variation (i.e., T:B cell ratio, CD4:CD8 ratio) within the BXD panel and used baseline spleen transcriptome profiling to identify putative candidate genes controlling these traits, specifically Acp1 and Ptprk for CD4:CD8 ratio. The same set of BXD strains was exposed to LDR (10cGy gamma radiation) to determine effects on immune function and oxidative stress. LDR significantly enhanced neutrophil phagocytosis in a manner that was independent of genetic background. In contrast, genetic background significantly impacted LDR-induced changes in spleen superoxide dismutase activity. By integrating these results with our previous analyses of BXD RI strains, we have demonstrated that baseline expression of Sod2 correlates with LDR-induced SOD activity, and baseline CD4:CD8 ratio is inversely correlated with LDR-induced neutrophil phagocytosis. In addition, spleen transcriptomic data from the BXD parental strains further highlighted the impact of genetic background on LDR responses. These data provide the groundwork for predicting LDR responses using baseline expression, immunophenotypes, and/or genotype

The SuperCam Instrument Suite on the Mars 2020 Rover: Science Objectives and Mast-Unit Description

On the NASA 2020 rover mission to Jezero crater, the remote determination of the texture, mineralogy and chemistry of rocks is essential to quickly and thoroughly characterize an area and to optimize the selection of samples for return to Earth. As part of the Perseverance payload, SuperCam is a suite of five techniques that provide critical and complementary observations via Laser-Induced Breakdown Spectroscopy (LIBS), Time-Resolved Raman and Luminescence (TRR/L), visible and near-infrared spectroscopy (VISIR), high-resolution color imaging (RMI), and acoustic recording (MIC). SuperCam operates at remote distances, primarily 2-7 m, while providing data at sub-mm to mm scales. We report on SuperCam's science objectives in the context of the Mars 2020 mission goals and ways the different techniques can address these questions. The instrument is made up of three separate subsystems: the Mast Unit is designed and built in France; the Body Unit is provided by the United States; the calibration target holder is contributed by Spain, and the targets themselves by the entire science team. This publication focuses on the design, development, and tests of the Mast Unit; companion papers describe the other units. The goal of this work is to provide an understanding of the technical choices made, the constraints that were imposed, and ultimately the validated performance of the flight model as it leaves Earth, and it will serve as the foundation for Mars operations and future processing of the data.In France was provided by the Centre National d'Etudes Spatiales (CNES). Human resources were provided in part by the Centre National de la Recherche Scientifique (CNRS) and universities. Funding was provided in the US by NASA's Mars Exploration Program. Some funding of data analyses at Los Alamos National Laboratory (LANL) was provided by laboratory-directed research and development funds