• Journal of the Korean Society of Radiology
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• v.11 no.4
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• pp.197-203
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• 2017

This study purpose is propose the basic data for selecting the optimal target material by analyzing the photon characteristics of various materials which was located in the head of medical linear accelerator. In this study, energy spectrum of 6, 15 MV photon beams were compared and analyzed for 13 target materials using MCNPX of Monte Carlo method. The mean energy for the 6 MV energy spectrum was 1.69 ~ 1.84 MeV and that for the 15 MV was 3.38 ~ 3.56 MeV, according to the target material. The flux for the 6 MV energy spectrum was $1.64{\times}10^{-5}{\sim}1.80{\times}10^{-5}{\sharp}/cm^2/e$ and that for the 15 MV was $1.76{\times}10^{-4}{\sim}1.85{\times}10^{-4}{\sharp}/cm^2/e$. The analysis shows that the average energy and flux increase with higher atomic number of the target material. Based on this study, it is possible to present the basic data about the physical characteristics of the photon, and it will be possible to select the target later considering economic, efficiency and physical aspect.

• Radiation Oncology Journal
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• v.6 no.1
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• pp.93-99
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• 1988

Some modern accerelators provide a dual energy for photon beam treatment. The main advantages of dual energy in the treatment of rectosigmoid or rectal cancer are as fellows. 1. Dose in the critical organ such as small intestine, bladder and genital organ are reduced. 2. Presacral and perineal area is fully covered. Dose distribution analysis such as calculation of dose in a target volume, isocenter, $D_{nax}$ and dose spectrum in any region of interest are possible. Examples of plan are given and results are discussed.

• Journal of the Korean Society of Radiology
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• v.7 no.1
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• pp.93-98
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• 2013

The purpose of this study is to investigate the calibration of an optically stimulated luminescent nanoDot dosimeter(OSLnD) to 6 MV photon beam. Dose ranges of the calibration of linear and non-linear from the analysis of dose response of the OSLnD were decided. To evaluate the accuracy of calibration equation and the calibration, the sets of the calibration and quality control dosimeter were used to make. The calibrations were performed by the linear and the non-linear in the dose range of 0~300 cGy and 20~1300 cGy, respectively. The errors of the calibration were acquired less than 0.1% respectively from the measurement of the quality control dosimeters for the calibration of linear and the non-linear. This study provides the calibration equation of the OSLnD to the 6 MV photon beam.

• Radiation Oncology Journal
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• v.8 no.1
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• pp.115-124
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• 1990

The characteristics of 23 MV photon beam have been presented with respect to clinical parameters of central axis depth dose, tissue-maxi mum ratios, scatter-maximum ratios, surface dose and scatter correction factors. The nominal accelerating potential was found to be $18.5\pm0.5$ MV on the central axis. The half-value layer (HVL) of this photon beam was measured with narrow beam geometry from central axis, and it has been showed the thickness of $24.5\;g/cm^2$. The tissue-maximum ratio values have been determined from measured percentage depth dose data. In our experimental dosimetry, the surface dose of maximum showed only $9.6\%$ of maximum dose at $10\times10\;cm^2$, 100 cm SSD, without blocking tray in. The TMR'S of $0\times0$ field size have been determined to get average $2.3\%$ uncertainties from three different methodis; are zero effective attenuation coefficient, non-ilnear least square fit of TMR's data and effective linear attenuation coefficient from the HVL of 23 MV photon beams of dual energy linear accelerator.

• Journal of the Korean Magnetics Society
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• v.27 no.1
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• pp.18-22
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• 2017

The purpose of this study was to present an improved method of dose modulation over the increase of build-up for existing 6 MV photon beam. Two neodymium permanent magnets with a strength of 0.5 T (Tesla) were applied with a magnetic field perpendicular to the photon beam. The effects of dose on build-up region with or without the magnetic field were measured according to the magnet-to-magnet distance (MMS) and the magnet-to-surface distance (MSD). For MMS = 6 cm and MSD = 2.5 cm, $D_{0mm}$, $D_{2mm}$, $D_{5mm}$, and $D_{10mm}$ showed improved doses of 6.8 %, 14.6 %, 6.9 %, and 2.1 %, respectively, as compared with 6 MV open beam. In this study, the device with low strength magnetic field can be applied directly to the outside of the human body when the target volume located close to the skin is delivered with radiation. It is expected that the method of build-up modulation using a low strength magnetic field will be feasible in the clinical applications.

• The Journal of Korean Society for Radiation Therapy
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• v.8 no.1
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• pp.75-81
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• 1996

When high energy photon beam is incident upon an air cavity interface the effect of ionization build-up observed . This phenomenon is resulting from the surface layers of the lesions are significant deficiency of electrons reaching the layers because of the replacement, of solid scattering material by the air cavity, that is lack of electronic equilibrium. Measurement have been made in an acrylic phantom with a parallel plate chamber and high energy photon beams, CO-60, 4MV, 6MV and 10MV X-rays have been investigated. The result of our study show that a significant effect was measured and was determined to be very dependent on field size, air cavity dimension and photon energy. The reductions were much larger for 10MV beam, underdosage at the interface was 12, 12.2, 16.9 and $20.6\%$ for the CO-60, 4MV, 6MV and 10MV, respectively. It was found that this non-equilibrium effect at the interface is more severe for the higher energy beams than that of lower energy beams and the larger cavity dimensions the larger beam reductions occur. This problem is of clinical concern when lesions such as carcinoma beyond air cavities are irradiated, such as larynx, glottic and the patients with maxillectomy and ethmoidectomy and so forth.

• Journal of Radiation Protection and Research
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• v.38 no.4
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• pp.194-201
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• 2013

To investigate monitoring unit (MU) efficiency and plan quality of volumetric modulated arc therapy (VMAT) using flattening-filter free (FFF) photon beam in association with target size and location. A virtual patient was generated in Eclipse$^{TM}$ (ver. A10, Varian Medical Systems, Palo Alto, USA) treatment planning system. The length of major and minor axis in axial view was 50 cm and 30 cm, respectively. Cylindrical-shaped targets were generated inside that patient at the center (symmetric target) and in the periphery (asymmetric target, 7.5 cm away from the center of the patient to the right direction) of the virtual patient. The longitudinal length was 10 cm and the diameters were 2, 5, 10 and 15 cm. Total 8 targets were generated. RapidArc$^{TM}$ plans using TrueBeam STx$^{TM}$ were generated for each target. Two full arcs were used and the axis of rotation of the gantry was set to be at the center of the virtual patient. Total MU, homogeneity index (HI), target mean dose, the value of gradient measure and body mean dose were calculated. In the case of symmetric targets, averaged total MU of FFF plan was 23% and 19% higher than that of flattening filter (FF) plan when using 6 MV and 10 MV photons, respectively. The difference of HI, target mean dose, gradient measure and body mean dose between FF and FFF was less than 0.04, 2.6%, 0.1 cm and 2.2%, respectively. For the asymmetric targets, total MU of FFF plan was 21% and 32% was higher than that of FF when using 6 MV and 10 MV photons, respectively. The homogeneity of the target was always worse when using FFF than using FF. The maximum difference of HI was 0.22. The target mean dose of FFF was 3.2% and 4.1% higher than that of FF for the 6 MV and 10 MV, respectively. The difference of gradient measure was less than 0.1 cm. The body mean dose was higher when using FFF than FF about 4.2% and 2.8% for the 6 MV and 10 MV, respectively. No significant differences between VMAT plans of FFF beam and FF beam were observed in terms of quality of treatment plan. The HI was higher when using FFF 10 MV photons for the asymmetric targets. The MU was increased noticeably when using FFF photon beams.

• Journal of the Korean Society of Radiology
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• v.8 no.5
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• pp.249-254
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• 2014

Medical linear accelerator is used for radiotherapy since it was developed in 1952, the utilization rate is further increased. It is used high energy radiotherapy using the energy of the photon of 6 MeV or more is universal at present, but the creation of the neutron by photonuclear reaction cause a problem that is radiation exposure of patients and operators. Therefore, in this study, to analyze the spectrum of the photon beam of 6 to 24 MV that occurred in the medical linear accelerator using the Monte Carlo code MCNPX, the number of photons of 7.41 MeV or more, which is a neutron production threshold energy of tungsten and average energy. The result of 24 MV in the beginning and the 8 MV was 0.59% of the total number of detected photons and it was founded that the number of photons are increased which are possible to cause the photonuclear reaction.

• Journal of Radiation Protection and Research
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• v.13 no.1
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• pp.21-30
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• 1988

The 6 MV photon beam of a linear accelerator (Mevatron 67) was studied for electron contamination. The surface dose, attributable almost entirely to contamination electrons, has a linear dependence on field width for square fields and an inverse square dependence on distance from the bottom of the fixed head assembly. Build-up and surface dose measurements were taken with and without an acrylic blocking tray in place. Further measurements were made with a copper filter designed to reduce secondary electrons emitted by photon interactions with the acrylic tray. The results are discussed in relation to skin sparing effect for radiation therapy patients. To achieve the maximum skin sparing effect, the selection of the optimum SSD and TSD is needed.

• Progress in Medical Physics
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• v.23 no.2
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• pp.99-105
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• 2012

We investigated the influence of photon energy, couch and collimator angle differences between arcs on dose distribution of RapidArc treatment planning for prostate cancer. RapidArc plans were created for 6 MV and 10 MV photons using 2 arcs coplanar and noncoplanar fields. The collimator angle differences between two arcs were $0^{\circ}$, $15^{\circ}$, $30^{\circ}$, $45^{\circ}$, $60^{\circ}$, $75^{\circ}$ and $90^{\circ}$. The plans were optimized using same dose constrains for target and OAR (organ at risk). To evaluate the dose distribution, plans were analyzed using CI (conformity index), HI (homogeneity index), QOC (quality of coverage), etc. Photon energy, couch and collimator angle differences between arcs had a little influence on the target and OAR. The difference of dosimetric indices was less than 3.6% in the target and OAR. However, there was significant increase in the region exposed to low dose. The increase of V15% in the femur was 6.4% (left) and 5.5% (right) for the 6 MV treatment plan and 23.4% (left), 24.1% (right) for the noncoplanar plan. The increase of V10% in the Far Region distant from target was 54.2 cc for the 6 MV photon energy, 343.4 cc for the noncoplanar and 457.8 cc for the no collimator rotation between arcs.