Hydrogels for three-dimensional ionizing-radiation dosimetry

Radiation-sensitive gels are among the most recent and promising developments for radiation therapy (RT) dosimetry. RT dosimetry has the twofold goal of ensuring the quality of the treatment and the radiation protection of the patient. Benchmark dosimetry for acceptance testing and commissioning of RT systems is still based on ionization chambers. However, even the smallest chambers cannot resolve the steep dose gradients of up to 30–50% per mm generated with the most advanced techniques. While a multitude of systems based, e.g., on luminescence, silicon diodes and radiochromic materials have been developed, they do not allow the truly continuous 3D dose measurements offered by radiation-sensitive gels. The gels are tissue equivalent, so they also serve as phantoms, and their response is largely independent of radiation quality and dose rate. Some of them are infused with ferrous sulfate and rely on the radiation-induced oxidation of ferrous ions to ferric ions (Fricke-gels). Other formulations consist of monomers dispersed in a gelatinous medium (Polyacrylamide gels) and rely on radiation-induced polymerization, which creates a stable polymer structure. In both gel types, irradiation causes changes in proton relaxation rates that are proportional to locally absorbed dose and can be imaged using magnetic resonance imaging (MRI). Changes in color and/or opacification of the gels also occur upon irradiation, allowing the use of optical tomography techniques. In this work, we review both Fricke and polyacrylamide gels with emphasis on their chemical and physical properties and on their applications for radiation dosimetry

IMPROVEMENT OF ESR DOSIMETRY FOR THERMAL NEUTRON BEAMS THROUGH THE ADDITION OF GADOLINIUM

In this paper the addition of gadolinium nucleus is proposed as useful tool to enhance the ESR sensitivity of organic compounds to thermal neutrons. The target of this work is the detection of the thermal neutron fluence in a mixed field of photons and neutrons through the ESR technique. The gadolinium nucleus was chosen because it offers a very high capture cross section to thermal neutrons (255000 barns). The nuclear reaction with neutron induces complex inner shell transitions that generate, besides the other particles, also some Auger electrons which release their energy in the neighborhood (only several nanometers) of the reaction place. Two organic compounds were doped with gadolinium: the alanine and the ammonium tartrate. The main result is a greater neutron sensitivity for the dosimeters with gadolinium than for those without gadolinium for both the organic compounds used. Because the use of a dosimeter pair is required to discriminate the two components of the mixed field, we studied the response of each dosimeters pair to the mixed field. Through a blind test we tested the goodness of this dosimetric system and we obtained an estimate of the fluence in the mixed field with maximum uncertainty of 3% using the dosimeters pair of alanine and alanine with gadolinium

Transcranial Magnetic Resonance Imaging-Guided Focused Ultrasound Treatment at 1.5 T: A Retrospective Study on Treatment- and Patient-Related Parameters Obtained From 52 Procedures

Objective: To present a retrospective analysis of patient- and sonication-related parameters of a group of patients treated with a transcranial magnetic resonance imaging (MRI)-guided focused ultrasound (tcMRgFUS) system integrated with a 1.5-T MRI unit. Methods: The data obtained from 59 patients, who underwent the tcMRgFUS procedure from January 2015 to April 2019, were retrospectively reviewed for this study. The following data, among others, were mainly collected: skull density ratio (SDR), skull area (SA), number of available transducer elements (Tx), and estimated focal power at target (FP). For each of the four different treatment stages, we calculated the number of sonication processes (S-n), user-defined sonication power (S-p), effective measured power (S-mp), sonication duration (S-d), user-defined energy (E), effective measured energy (E-m), maximum temperature (T-max), and MR thermometry plane orientation. Furthermore, the time delay between each sonication (S-t) and the total treatment time (T-t) were recorded. Results: Fifty-two patients (40 males and 12 females; age 64.51 +/- SD 11.90 years; range 26-86 years), who underwent unilateral Vim thalamotomy (left = 50, 96.15%; right = 2, 3.85%) for medication-refractory essential tremor (n = 39; 78%) or Parkinson tremor (n = 13; 22%) were considered. A total of 1,068 (95.10%) sonication processes were included in our final analysis (average S-n per treatment: 20.65 +/- 6.18; range 13-41). The energy released onto the planned target was found to decrease with the SDR for all temperature ranges. A positive correlation was observed between the slope of T-max vs. E-m plot and the SDR (R-2 = 0.765; p < 0.001). In addition, the T-max was positively correlated with SDR (R-2 = 0.398; p < 0.005). On the contrary, no significant correlation was found between SDR and SA or Tx. An analysis of the MR thermometry scanning plane indicated that, at our site, the axial and the coronal planes were used (on average) 10.4 (SD +/- 3.8) and 7.7 (SD +/- 3.0) times, respectively, whereas the sagittal plane was used only 2.5 (SD +/- 3.0) times per treatment. Conclusion: Our results confirm the factors that significantly influence the course of a tcMRgFUS procedure even when a 1.5-T MRI scanner is used for procedure guidance. The experience we gained in this study indicates that the SDR remains one of the most significant technical parameters to be considered in a tcMRgFUS procedure. The possibility of prospectively setting the sonication energy according to the presented curves of energy delivery as a function of SDR for each treatment stage could provide a further understanding and a greater awareness of this emerging technology

Diffusional Kurtosis Imaging in the Diffusion Imaging in Python Project.

Diffusion-weighted magnetic resonance imaging (dMRI) measurements and models provide information about brain connectivity and are sensitive to the physical properties of tissue microstructure. Diffusional Kurtosis Imaging (DKI) quantifies the degree of non-Gaussian diffusion in biological tissue from dMRI. These estimates are of interest because they were shown to be more sensitive to microstructural alterations in health and diseases than measures based on the total anisotropy of diffusion which are highly confounded by tissue dispersion and fiber crossings. In this work, we implemented DKI in the Diffusion in Python (DIPY) project-a large collaborative open-source project which aims to provide well-tested, well-documented and comprehensive implementation of different dMRI techniques. We demonstrate the functionality of our methods in numerical simulations with known ground truth parameters and in openly available datasets. A particular strength of our DKI implementations is that it pursues several extensions of the model that connect it explicitly with microstructural models and the reconstruction of 3D white matter fiber bundles (tractography). For instance, our implementations include DKI-based microstructural models that allow the estimation of biophysical parameters, such as axonal water fraction. Moreover, we illustrate how DKI provides more general characterization of non-Gaussian diffusion compatible with complex white matter fiber architectures and gray matter, and we include a novel mean kurtosis index that is invariant to the confounding effects due to tissue dispersion. In summary, DKI in DIPY provides a well-tested, well-documented and comprehensive reference implementation for DKI. It provides a platform for wider use of DKI in research on brain disorders and in cognitive neuroscience

Characterization of the terminal column of TRIGA Mark II reactor of Mainz through of alanine pellets.

We have studied the ESR response of alanine pellets with and without gadolinium exposed to the thermal column of the TRIGA Mark II research reactor at the University of Mainz (Germany). The choice of Gd as additive nucleus is due to its very high capture cross section to thermal neutrons and to the possibility for secondary particles produced after interaction with thermal neutrons of releasing their energy in the neighborhood of the reaction site. In particular, it was found that low concentration (5% by weight) of Gd brings about a neutron sensitivity enhancement of more than 10 times without heavily reducing tissue equivalence. Monte Carlo (MC) simulations of both response of alanine and Gd-alanine pellets with FLUKA code were performed and the results were compared with the experimental values

Alanine films for EPR dosimetry of low-energy (1-30 keV) X-ray photons

L-alpha-alanine has aroused considerable interest for use in radiation EPR dosimetry and has been formally accepted as a secondary standard for high-dose (kGy) and transfer dosimetry of high-energy photons and electrons. In this work, we extended the investigation of the energy response of alanine EPR films in the low energy range for X-photons (1-30 keV). Electron Paramagnetic Resonance (EPR) measurements were performed on Kodak BioMax alanine films exposed to low-energy X-rays from a Cu-, W- and Mo-targets tube operating at voltages up to 30 kV. Films were chosen because of the low penetration of the soft X-rays used. The response of alanine to low-energy X-rays was characterized experimentally and the relative response (with respect to high energy photons) was found to be between 0.8 and 0.9 for Cu- and W-tube X-rays, and 1.0 for Mo-tube X-rays. The attenuation profiles were investigated and it was found that 1 mm of film material reduces the intensity of the X-ray-beam by about 70%, 50% and 40% for Cu-, W- and Mo-tube X-rays, respectively. Monte Carlo simulations were performed to model the energy release as well as the depth dose profiles for the various radiation beams used. These data are considered relevant for dosimetric applications in low energy beams such the high-gradient treatment fields used in monoenergetic microbeam radiation therapy (MRT) with synchrotron radiation as well as in brachytherapy with low energy sources, for instance Yb-169

Atti del Workshop: Tecniche Speciali e Avanzate di Dosimetria e Radioprotezione

Atti del Workshop organizzato dall'Associazione Italiana di Radioprotezione (AIRP) in collaborazione con l'Università degli Studi di Palermo, dal titolo "Tecniche Speciali e Avanzate in Dosimetria e Radioprotezione" che si svolgerà venerdì 24 Giugno a Palermo presso l'Aula Magna del Dipartimento di Fisica e Chimica, Viale delle Scienze Edificio 18. L'evento rientra tra i 210 Eventi organizzati per i 210 anni dalla fondazione dell'Ateneo palermitano su iniziativa del Magnifico Rettore, Prof. Fabrizio Micari. L’evento prevede la discussione di 4 tematiche in ambito della dosimetria e della radioprotezione in campo sanitario ed ambientale (Dosimetria Clinica, Dosimetria Ambientale, Dosimetria Retrospettiva e Tecniche Dosimetriche avanzate in Radioprotezione) ciascuna delle quali ha una relazione generale ad invito e alcune brevi comunicazioni orali. Le sessioni sono moderate da Dirigenti Fisici medici di due delle più importanti Aziende Ospedaliere Siciliane, Dirigenti dell’Istituto Superiore di Sanità e l’ex Rettore dell’Ateneo e membro del CdA del CNR, il Prof. Roberto Lagalla. Interverranno il magnifico Rettore dell’Università di Palermo, l’Assessore alla Sanità della Regione Sicilia, il Direttore dell’Istituto Zooprofilattico Sperimentale di Sicilia, il Direttore Generale dell’Agenzia per la Protezione dell’Ambiente Sicilia, il Direttore del Dipartimento di Fisica e Chimica, il Direttore di ATeN Center (Advanced Technologies Network), Dirigenti Fisici dell’Istituto Superiore di Sanità e dell’Istituto Europeo Oncologico di Milano. Hanno contribuito alla parte organizzativa e scientifica Dirigenti dell’ARPA Sicilia, Dirigenti dell’ARNAS Civico di Palermo, Docenti dell’Università di Palermo e di Milano, Ricercatori del CNR e Specializzandi UniPa. Questo evento è di grande rilevanza nazionale in termini di divulgazione scientifica vista la presenza dei relatori e moderatori invitati che ne danno lustro e rilevanza. Sarà un'occasione di confronto e di analisi retrospettiva a quarant'anni della giornata di studio “Problemi e prospettive della Fisica Sanitaria nel settore medico” organizzata dalla Prof.ssa Maria Brai

Cumulative doses analysis in young trauma patients: a single-centre experience

Multidetector computed tomography (MDCT) represents the main source of radiation exposure in trauma patients. The radiation exposure of young patients is a matter of considerable medical concern due to possible long-term effects. Multiple MDCT studies have been observed in the young trauma population with an increase in radiation exposure. We have identified 249 young adult patients (178 men and 71 women; age range 14\u201340 years) who had received more than one MDCT study between June 2010 and June 2014. According to the International Commission on Radiological Protection publication, we have calculated the cumulative organ dose tissue-weighting factors by using CT-EXPO software\uae. We have observed a mean cumulative dose of about 27 mSv (range from 3 to 297 mSv). The distribution analysis is characterised by low effective dose, below 20 mSv, in the majority of the patients. However, in 29 patients, the effective dose was found to be higher than 20 mSv. Dose distribution for the various organs analysed (breasts, ovaries, testicles, heart and eye lenses) shows an intense peak for lower doses, but in some cases high doses were recorded. Even though cumulative doses may have long-term effects, which are still under debate, high doses are observed in this specific group of young patients

Dosimetry to Electron Spin Resonance (ESR) using organic compounds (alanine and ammonium tartrate) for mixed neutron-gamma fields

Alongside with the development of Neutron Capture Therapy (NCT) and the use of thermal neutrons for radiotherapeutic purposes, many efforts have been devoted to the characterization of the beam in order to optimize therapy procedures. Reliable dose measurements should be able to determine the various (neutrons and photonic) components of the mixed beam usually employed for therapy. This paper studies the effect of additives such as Boric and Gadolinium nuclei on the sensitivity of neutron organic (alanine and ammonium tartrate) dosimeters analyzed through Electron Spin Resonance (ESR) technique. These dosimeters were exposed to a mixed (neutron-gamma) field mainly composed of thermal neutrons. The choice of 10B and 64Gd as nuclei additives is due to their very high capture cross section for thermal neutrons. Also, after the nuclear reaction with thermal neutrons are emitted particles, which in turn release their energy in the vicinity of the reaction site. The irradiation with mixed (neutron-gamma) field were performed within the thermal column of the TRIGA reactor, University of Pavia. Dosimeters readout was performed through the Electron Spin Resonance (ESR) spectrometer Bruker ECS106 located at the Laboratory of Dosimetry ESR / TL of the Department of Physics and Chemistry - University of Palermo. We found that the addition of Gadolinium allows to largely increase the sensitivity of the dosimeters for thermal neutrons. In particular, a low concentration (5% by weight) of gadolinium oxide leads to an improvement of the sensitivity of neutrons more than 10 times. In addition, for this low content of gadolinium the photon tissue equivalence is not heavily reduced. This experimental analyses are compared with computational analyses carried out by means of Monte Carlo simulations performed with the MCNP (Monte Carlo N-Particle) transport code. A good agreement was observed for alanine dosimeters

Comparative analysis for the assessment of restoration treatments on stone material from the roman theater of Merida (Spain)

The overall goal of the project is the study of effects of conservation treatments applied on stone material from archaeological sites, i n terms of superficial changes, effectiveness and durability. In this sense, one of the first premises is characterize the surface of the treated and untreated material in order to determine changes in physical and chemical properties