Monte Carlo calculation of neutron doses to organs of a female undergoing a pelvic 18 MV irradiation

Applying of high-energy photon beams beside all advantages obstacled by photoneutrons that may cause extra dose to the patient that has not been considered in routine radiotherapy. The purpose of this study is calculation of neutron and gamma doses to a female undergoing a pelvic 18 MV irradiation. A simplified Linac head model as a sphere with 10 cm radius of tungsten and with the total spectrum of an isotropic neutron distribution was located inside a typical bunker. The female anthropomorphic phantom was irradiated with equal weighted four-field pelvic box (18MV). MCNPX (2.4.0) code was used to calculate of absorbed doses. The greatest effective dose, 1.04 mSv Gy-1, was calculated for the AP field while the lowest effective dose, 0.36 mSv Gy-1, was obtained for the RL field. The Percent risk of fatal second malignancy of neutron contamination following a 70 Gy x-ray treatment dose (with equal weights for each field, 17.5 Gy) is 0.152 , including 0.056 for the AP field, 0.033 for the PA field, 0.031 for the RL field and 0.032 for the LL field. If this dose delivered only with the AP field, the risk would be 0.224 , which is 32 higher than that is in case of 4-field irradiation. Our present analysis shows that this simplified model can be used to estimating of photoneutron doses

The effects of backscattered radiation into beam monitor chamber: Study of 6 and 18 MV conventional and removed flattening filter clinical accelerator

In some linear accelerators (Linac), the collected charges in beam monitor chamber (BMC) is partly caused by the backscattered particles from the accelerator components downstream the BMC that influence the Linac output factors. In the intensity modulated radiation therapy technique, the desired dose distribution can be achieved through an unflattened beam. Although removing the flattening filter provides some advantages, the amount of backscatter radiation into BMC can be changed. In this study, contribution of backscattered particles into the BMC response of a Varian 2300 C/D Linac with and without a flattening filter was determined for 6, 18 MV photon beams. The experimental procedure included telescopic method and calculation procedure consisted of Monte Carlo simulation (MCNPX, version 2.4.0), were used to investigate the contribution of backscattered particles into the BMC performance. Our results showed a 2.3 and 3 increase in backscatter for a 0.5 � 0.5 cm2 field compared to a 40 � 40 cm2 field for 6 MV and 18 M V, respectively. The energy deposition from backscattered radiation is mainly caused by backscattered electrons. Removing the flattening filter did not change the BMC performance for a conventional Linac with a flattening filter. However, this result was not valid for small fields (e.g. 0.5 � 0.5 cm2, 18 MV). The corrected backscatter factors is necessary to taking into account the contribution of backscattered radiation in the monitor chamber response for small fields in the case of the free flattening filter Linacs (18 MV)

Comparative assessment of different energy mapping methods for generation of 511-KEV attenuation map from ct images in pet/ct systems: a phantom study

The use of X-ray CT images for CT-based attenuation correction (CTAC) of PET data results in the decrease of overall scanning time and creates a noise-free attenuation map (μmap). The linear attenuation coefficient (LAC) measured with CT is calculated at the x-ray energy rather than at the 511 keV. It is therefore necessary to convert the linear attenuation coefficients obtained from the CT scan to those corresponding to the 511 keV. Several conversion strategies have been developed including scaling, segmentation, hybrid, bilinear and dual-energy decomposition methods. The aim of this study is to compare the accuracy of different energy mapping methods for generation of attenuation map form CT images. An in-house made polyethylene phantom with different concentrations of K2HPO4 was used in order to quantitatively measure the accuracy of the nominated methods, using quantitative analysis of created μmaps. The generated μmaps using different methods compared with theoretical values calculated using XCOM cross section library. Accurate quantitative analysis showed that for low concentrations of K2HPO4 all these methods produce acceptable attenuation maps at 511 keV, but for high concentration of K2HPO4 the last three methods produced the lowest errors (10.1 in hybrid, 9.8 in bilinear, and 4.7 in dual energy method). The results also showed that in dual energy method, combination of 80 and 140 kVps produces the least error (4.2) compared to other combinations of kVps. ©2008 IEEE

The influence of using different reconstruction algorithms on sensitivity of quantitative 18F-FDG-PET volumetric measures to background activity variation

Introduction: This study aims to investigate the influence of background activity variation on image quantification in differently reconstructed PET/CT images. Methods: Measurements were performed on a Discovery-690 PET/CT scanner using a custom-built NEMA-like phantom. A background activity level of 5.3 and 2.6 kBq/ml 18F-FDG were applied. Images were reconstructed employing four different reconstruction algorithms: HD (OSEM with no PSF or TOF), PSF only, TOF only, and TOFPSF, with Gaussian filters of 3 and 6.4 mm in FWHM. SUVmax and SUVpeak were obtained and used as cut-off thresholding; Metabolic Tumor Volume (MTV) and Total Lesion Glycolysis (TLG) were measured. The volume recovery coefficients (VRCs), the relative percent error (�MTV), and Dice similarity coefficient were assessed with respect to true values. Results: SUVmax and SUVpeak decreased and MTV increased as function of increasing the background dose. The most differences occur in smaller volumes with 3-mm filter; Non-TOF and Non-PSF reconstruction methods were more sensitive to increasing the background activity in the smaller and larger volumes, respectively. The TLG values were affected in the small lesions (decrease up to 12). In a range of target volumes, differences between the mean �MTV in the high and low background dose varied from -11.8 to 7.2 using SUVmax and from 2.1 to 7.6 using SUVpeak inter reconstruction methods. Conclusion: The effect of the background activity variation on SUV-based quantification in small lesion was more noticeable than large lesion. The HD and TOFPSF algorithms had the lowest and the highest sensitivity to background activity, respectively. © 2018 Iranian Journal of Nuclear Medicine. All Rights Reserved

Is correction for metallic artefacts mandatory in cardiac SPECT/CT imaging in the presence of pacemaker and implantable cardioverter defibrillator leads?

Introduction: Metallic artifacts due to pacemaker/ implantable cardioverter defibrillator (ICD) leads in CT images can produce artifactual uptake in cardiac SPECT/CT images. The aim of this study was to determine the influence of the metallic artifacts due to pacemaker and ICD leads on myocardial SPECT/CT imaging. Methods: The study included 9 patients who underwent myocardial perfusion imaging (MPI). A cardiac phantom with an inserted solid defect was used. The SPECT images were corrected for attenuation using both artifactual CT and CT corrected using metal artifact reduction (MAR). VOI-based analysis was performed in artifactual regions. Results: In phantom studies, mean-of-relative-difference in white-region, between artifact-free attenuation-map without/with MAR were changed from 9.2 and 2.1 to 3.7 and 1.2 for ICD and pacemaker lead, respectively. However, these values for typical patient were 9.7±7.0 and 3.8±2.4 for ICD and pacemaker leads respectively, in white-region. MAR effectively reduces the artifacts in white-regions while this reduction is not significant in black-regions. Conclusion: Following application of MAR, visual and quantification analyses revealed that while quality of CT images were significantly improved, the improvements in the SPECT/CT images were not as pronounced or significant. Therefore cardiac SPECT images corrected for attenuation using CT in the presence of metallic-leads can be interpreted without correction for metal artefacts. © 2018 Tehran University of Medical Sciences. All rights reserved

A full quantitative analysis of 18 MV photon beam from 2100 C/D-Varian clinical linear accelerator with and without flattening filter

Background: During intensity modulated radiation therapy (IMRT) technique, theoretically, presence of flattening filter (FF) across the beamline of clinical linear accelerator (linac) is not essential to obtain uniform lateral profiles due to intensity modulation of photon beams by multileaf collimators (MLCs). The aim of this study was to investigate the dosimetrical properties of 18 MV photon beam-Varian linac with and without FF. Materials and Methods: All dose measurements were performed on 18 MV, FF mode-Varian 2100C/D linac. The FF and flattening filter free (FFF) modes of linac were modeled by MCNPX 2.4. code. The photon and contaminant electrons spectra, dose rate, present depth doses (PDD), lateral dose profiles, total and collimator scatter factors and out of field doses were calculated and compared with and without FF. Results: Removing the FF increased the photon and contaminant electron fluences by factors of 5.48 and 3.94 for a 5 � 5 cm2 field size, respectively. The surface dose increased up to 155. The flatness of dose profile was disturbed and deteriorated with increase of field size. Despite the dependence of the total scattering factor on field size, the variation of collimator scattering factors was neglected. The out-of-field dose decreased about 81.5 for a 5 � 5 cm2 field size. Conclusion: Removing FF from the linac head increases the dose rate and decreases the out-of-field dose, but the increased skin dose and deteriorated flatness of lateral dose profile are the main disadvantages of the FFF mode. © 2019 Novin Medical Radiation Institute. All rights reserved

Monte carlo estimation of electron contamination in a 18 MV clinical photon beam

Background: The electron contamination may reduce or even diminish the skin sparing property of the megavoltage beam. The detailed characteristics of contaminant electrons are presented for different field sizes and cases. Materials and Methods: The Monte Carlo code, MCNPX, has been used to simulate 18 MV photon beam from a Varian Linac-2300 accelerator. All dose measurements were carried out using a PTW-MP2 scanner with an ionization chamber (0.6 CC) at the water phantom. Results: The maximum electron contaminant dose at the surface ranged from 6.1 for 5 � 5 cm2 to 38.8 for 40 � 40 cm2 and at the depth of maximum dose was 0.9 up to 5.77 for the 5 � 5 cm2 to the 40 � 40 cm2 field sizes, respectively. The additional contaminant electron dose at the surface for the field with tray increased 2.3 for 10 � 10 cm2, 7.3 for 20 � 20 cm2, and 21.4 for 40 � 40 cm2 field size comparing to the standard field without any accessories. This increase for field with tray and shaping block was 5.3 and 13.3 for 10 � 10 and 20 � 20 cm2, respectively, while, the electron contamination decreased for the fields with wedge, i.e. 2.2 for the 10 � 10 cm2 field. Conclusion: The results have provided more comprehensive knowledge of the high-energy clinical beams and may be useful to develop the accurate treatment planning systems capable of taking the electron contamination in to account

Deep-JASC: joint attenuation and scatter correction in whole-body 18F-FDG PET using a deep residual network

Objective: We demonstrate the feasibility of direct generation of attenuation and scatter-corrected images from uncorrected images (PET-nonASC) using deep residual networks in whole-body 18F-FDG PET imaging. Methods: Two- and three-dimensional deep residual networks using 2D successive slices (DL-2DS), 3D slices (DL-3DS) and 3D patches (DL-3DP) as input were constructed to perform joint attenuation and scatter correction on uncorrected whole-body images in an end-to-end fashion. We included 1150 clinical whole-body 18F-FDG PET/CT studies, among which 900, 100 and 150 patients were randomly partitioned into training, validation and independent validation sets, respectively. The images generated by the proposed approach were assessed using various evaluation metrics, including the root-mean-squared-error (RMSE) and absolute relative error (ARE ) using CT-based attenuation and scatter-corrected (CTAC) PET images as reference. PET image quantification variability was also assessed through voxel-wise standardized uptake value (SUV) bias calculation in different regions of the body (head, neck, chest, liver-lung, abdomen and pelvis). Results: Our proposed attenuation and scatter correction (Deep-JASC) algorithm provided good image quality, comparable with those produced by CTAC. Across the 150 patients of the independent external validation set, the voxel-wise REs () were � 1.72 ± 4.22, 3.75 ± 6.91 and � 3.08 ± 5.64 for DL-2DS, DL-3DS and DL-3DP, respectively. Overall, the DL-2DS approach led to superior performance compared with the other two 3D approaches. The brain and neck regions had the highest and lowest RMSE values between Deep-JASC and CTAC images, respectively. However, the largest ARE was observed in the chest (15.16 ± 3.96) and liver/lung (11.18 ± 3.23) regions for DL-2DS. DL-3DS and DL-3DP performed slightly better in the chest region, leading to AREs of 11.16 ± 3.42 and 11.69 ± 2.71, respectively (p value < 0.05). The joint histogram analysis resulted in correlation coefficients of 0.985, 0.980 and 0.981 for DL-2DS, DL-3DS and DL-3DP approaches, respectively. Conclusion: This work demonstrated the feasibility of direct attenuation and scatter correction of whole-body 18F-FDG PET images using emission-only data via a deep residual network. The proposed approach achieved accurate attenuation and scatter correction without the need for anatomical images, such as CT and MRI. The technique is applicable in a clinical setting on standalone PET or PET/MRI systems. Nevertheless, Deep-JASC showing promising quantitative accuracy, vulnerability to noise was observed, leading to pseudo hot/cold spots and/or poor organ boundary definition in the resulting PET images. © 2020, Springer-Verlag GmbH Germany, part of Springer Nature

Characterization of scattered radiation profile in volumetric 64 slice CT scanner: Monte Carlo study using GATE

It is commonly understood that scattered radiation in X-ray computed tomography (CT) reduces the CT number and degrades the quality of reconstructed images. This effect is more pronounced in multi detector CT scanners with extended detector aperture mostly using cone-beam configurations, which are much less immune to scatter than fan-beam and single-slice CT scanners. To perform accurate scatter correction, it is essential to characterize scattered radiation in Volumetric CT. As characterization of scattered radiation behavior using experimental measurement is a difficult and time consuming approach, Monte Carlo simulation can be an ideal method. In this study we used Geant4-based simulation package, GATE, to model x-ray photon interactions in the phantom and detector. The Monte Carlo simulation was validated through comparison with experimental measurement data. Thereafter, the effect of different parameters such as tube voltage and phantom material on the scatter profile and Scatter to Primary Ratio (SPR) was calculated. We also compared the simulated SPR curves with experimental data which was measured with array blocker method. The experimental technique assumed to be the gold standard technique. The comparison between simulation and experimental data in SPR showed error less than 5 . The results indicate that the GATE Monte Carlo code is a useful tool for investigation of scattered radiation characterization in CT scanners. Moreover, there is a possibility of take advantage of GATE for simulation of PET and CT scanners in order to simultaneously asses the contribution of scattered radiation in PET/CT scanners. © 2011 IEEE