• Title/Summary/Keyword: Medical dosimetry

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PIXEL-BASED CORRECTION METHOD FOR GAFCHROMIC®EBT FILM DOSIMETRY

  • Jeong, Hae-Sun;Han, Young-Yih;Kum, O-Yeon;Kim, Chan-Hyeong;Ju, Sang-Gyu;Shin, Jung-Suk;Kim, Jin-Sung;Park, Joo-Hwan
    • Nuclear Engineering and Technology
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    • v.42 no.6
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    • pp.670-679
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    • 2010
  • In this paper, a new approach using a pixel-based correction method was developed to fix the non-uniform responses of flat-bed type scanners used for radiochromic film dosimetry. In order to validate the method's performance, two cases were tested: the first consisted of simple dose distributions delivered by a single port; the second was a complicated dose distribution composed of multiple beams. In the case of the simple individual dose condition, ten different doses, from 8.3 cGy to 307.1 cGy, were measured, horizontal profiles were analyzed using the pixel-based correcton method and compared with results measured by an ionization chamber and results corrected using the existing correction method. A complicated inverse pyramid dose distribution was made by piling up four different field shapes, which were measured with GAFCHROMIC$^{(R)}$EBT film and compared with the Monte Carlo calculation; as well as the dose distribution corrected using a conventional method. The results showed that a pixel-based correction method reduced dose difference from the reference measurement down to 1% in the flat dose distribution region or 2 mm in a steep dose gradient region compared to the reference data, which were ionization chamber measurement data for simple cases and the MC computed data for the complicated case, with an exception for very low doses of less than about 10 cGy in the simple case. Therefore, the pixel-based scanner correction method is expected to enhance the accuracy of GAFCHROMIC$^{(R)}$EBT film dosimetry, which is a widely used tool for two-dimensional dosimetry.

Measurement of Radiation Using Tissue Equivalent Phantom in ICR Treatment (자궁강내 근접방사선조사시 인체조직등가 팬톰을 이용한 방사선량 측정)

  • Jang, Hong-Seok;Suh, Tae-Suk;Yoon, Sei-Chul;Ryu, Mi-Ryeong;Bahk, Yong-Whee;Shinn, Kyung-Sub
    • Journal of Radiation Protection and Research
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    • v.20 no.1
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    • pp.45-52
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    • 1995
  • This study is to compare A point doses in human pelvic phantom by film dosimetry, computer planning and manual calculation by using of along-away table. We developed tissue equivalent human pelvic phantom composed of four pieces of cylindrical acryl tubes with water, to simulate intracavitary radiation (ICR) in patients with cervix cancer. When the phantom assembled from 4 pieces, it has a small space for inserting Fletcher-Suit-Delclos applicator like a human vagina. Fletcher-Suit-Delclos applicator inserted into the space was packed tightly with furacin gauzes, and three $^{137}Cs$ sources with radioactivity of $15.7mg\;Ra-eq$ were inserted into the tandem. For the film dosimetry, two pieces of X-OMAT V film (Kodak Co.) of which planes include point A, were arranged orthogonally in the slits between phantoms. A point dose and iso-dose curves were measured by means of optical densitometer. A point doses by film dosimetry, RTP system and manual calculation by using of along-away table were compared, and iso-dose curves by film dosimetry and computer planning were also compared. The dose of A point was 51.2cGy/hr by film dosimetry, 46.7cGy/hr by RTP system and 47.9 cGy/hr by along-away table. A point dose by computer planning was similar to the dose by calculation using of along-away table with acceptable accuracy $({\pm}3%)$, however, the dose by film dosimetry was different from two others with about 10% error. Since most clinical beams contains a scatter component of low energy photons, the correlation between optical density and dose becomes tenuous. In addition, film suffers from several potential errors such as changes in processing conditions, interfilm emulsion differences, and artifacts caused by air pockets adjacent to the film. For these reasons, absolute dosimetry with film is impractical, however, it is very useful for checking qualitative patterns of a radiation distribution. In future, solid state dosimeter such as TLD must be used for the dosimetry of ionizing radiation. When considerable care is used, precision of approximately 3% may be obtained using TLD.

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DEVELOPMENT AND EVALUATION OF A PHANTOM FOR MULTI-PURPOSE DOSIMETRY IN INTENSITY-MODULATED RADIATION THERAPY

  • Jeong, Hae-Sun;Han, Young-Yih;Kum, O-Yeon;Kim, Chan-Hyeong;Park, Joo-Hwan
    • Nuclear Engineering and Technology
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    • v.43 no.4
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    • pp.399-404
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    • 2011
  • A LEGO-type multi-purpose dosimetry phantom was developed for intensity-modulated radiation therapy (IMRT), which requires various types of challenging dosimetry. Polystyrene, polyethylene, polytetrafluoroethylene (PTFE), and polyurethane foam (PU-F) were selected to represent muscle, fat, bone, and lung tissue, respectively, after considering the relevant mass densities, elemental compositions, effective atomic numbers, and photon interaction coefficients. The phantom, which is composed of numerous small pieces that are similar to LEGO blocks, provides dose and dose distribution measurements in homogeneous and heterogeneous media. The phantom includes dosimeter holders for several types of dosimeters that are frequently used in IMRT dosimetry. An ion chamber and a diode detector were used to test dosimetry in heterogeneous media under radiation fields of various sizes. The data that were measured using these dosimeters were in disagreement when the field sizes were smaller than $1.5{\times}1.5\;cm^2$ for polystyrene and PTFE, or smaller than $3{\times}3\;cm^2$ for an air cavity. The discrepancy was as large as 41% for the air cavity when the field size was $0.7{\times}0.7\;cm^2$, highlighting one of the challenges of IMRT small field dosimetry. The LEGO-type phantom is also very useful for two-dimensional dosimetry analysis, which elucidates the electronic dis-equilibrium phenomena on or near the heterogeneity boundaries.

Are Medical Personnel Safe from Radiation Exposure from Patient Receiving Radioiodine Ablation Therapy? (갑상선 암의 방사성요오드 치료 시 의료진은 방사선 피폭으로부터 안전한가?)

  • Kim, Chang-Guhn;Kim, Dae-Weung
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.4
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    • pp.259-279
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    • 2009
  • Radioiodine ablation therapy has been considered to be a standard treatment for patient with differentiated thyroid cancer after total thyroidectomy. Patients may need to be hospitalized to reduce radiation exposure of other people and relatives from radioactive patients receiving radioiodine therapy. Medical staffs, nursing staffs and technologists sometimes hesitate to contact patients in radioiodine therapy ward. The purpose of this paper is to introduce radiation dosimetry, estimate radiation dose from patients and emphasize the safety of radiation exposure from patients treated with high dose radioiodine in therapy ward. The major component of radiation dose from patient is external exposure. However external radiation dose from these patients treated with typical therapeutic dose of 4 to 8 GBq have a very low risk of cancer induction compared with other various risks occurring in daily life. The typical annual radiation dose without shielding received by patient is estimated to be 5 to 10 mSv, which is comparable with 100 to 200 times effective dose received by chest PA examination. Therefore, when we should keep in mind the general principle of radiation protection, the risks of radiation exposure from patients are low and the medical personnel are considered to be safe from radiation exposure.

Use of Cylindrical Chambers as Substitutes for Parallel-Plate Chambers in Low-Energy Electron Dosimetry

  • Chun, Minsoo;An, Hyun Joon;Kang, Seong-Hee;Cho, Jin Dong;Park, Jong Min;Kim, Jung-in
    • Progress in Medical Physics
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    • v.29 no.1
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    • pp.16-22
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    • 2018
  • Current dosimetry protocols recommend the use of parallel-plate chambers in electron dosimetry because the electron fluence perturbation can be effectively minimized. However, substitutable methods to calibrate and measure the electron output and energy with the widely used cylindrical chamber should be developed in case a parallel-plate chamber is unavailable. In this study, we measured the correction factors and absolute dose-to-water of electrons with energies of 4, 6, 9, 12, 16, and 20 MeV using Farmer-type and Roos chambers by varying the dose rates according to the AAPM TG-51 protocol. The ion recombination factor and absolute dose were found to be varied across the chamber types, energy, and dose rate, and these phenomena were remarkable at a low energy (4 MeV), which was in good agreement with literature. While the ion recombination factor showed a difference across chamber types of less than 0.4%, the absolute dose differences between them were largest at 4 MeV at approximately 1.5%. We therefore found that the absolute dose with respect to the dose rate was strongly influenced by ion-collection efficiency. Although more rigorous validation with other types of chambers and protocols should be performed, the outcome of the study shows the feasibility of replacing the parallel-plate chamber with the cylindrical chamber in electron dosimetry.

Cytogenetic and Medical Examination Report of Accidental Exposure of Nuclear Power Plant Worker using Multiple Assays (원자력 발전소 피폭자 건강영향평가 사례보고)

  • Lee, Jung-Eun;Yang, Kwang-Hee;Jang, Yun-Kun;Jeong, Mee-Seon;Kim, Chong-Soon;Jin, Young-Woo
    • Journal of Radiation Protection and Research
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    • v.32 no.3
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    • pp.111-115
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    • 2007
  • A deuterium oxide leakage accident occurred on October 4, 1999, at nuclear power plant in Korea. The concentration of tritium in air increased and 22 workers were exposed by tritium at that time. It is well known that tritium causes internal exposure. Therefore, we examined complete blood cell count, physical and biological dosimetry fur 13 workers among whole 22 workers to check the health effect and to evaluate the dose estimation of tritium exposure. The leukocyte count test, one of general blood test, was normal. The estimated doses were 0 - 4.44 mSv by physical dosimetry and 0-37 mGy by biological dosimetry. This dose does not exceed radiation dose limit, and the clinical symptoms of the exposed workers were not shown. The consistency between clinical sign and estimated dose means that physical and biological dosimetry were very useful especially in accident evaluation.

Comparison of Air Kerma­based and Absorbed Dose to Water­based Protocols in the Dosimetry of High Energy Electron Beams (고 에너지 전자선에 대한 공기커마와 물 흡수선량에 기반한 프로토콜간의 비교)

  • 박창현;신동오;박성용
    • Progress in Medical Physics
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    • v.14 no.4
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    • pp.249-258
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    • 2003
  • A few years ago, a proposal was made to change the dosimetry from the air kerma-based reference dosimetry to the absorbed dose-based reference dosimetry for all radiotherapy beams of ionizing radiation to improve the accuracy of dosimetry. Here, we present a dosimetry study in which the two most widespread absorbed dose­based protocols (IAEA TRS­398 and AAPM TG­51) were compared with an air kerma­based protocol (IAEA TRS-277) by measuring the absorbed dose in the same reference depth. Measurements were performed in three clinical electron beam energies using a PTW 30002 cylindrical chamber, and Markus and Roos plane­parallel chambers. $^{60}$ Co calibration factors were obtained from the KFDA. The absorbed dose differences between the air kerma­based and absorbed dose­based protocols were within 2.0% for all chambers in all beams. The results thus show that the obtained absolute dose values will be not significantly altered by changing from the air kerma­based dosimetry to the absorbed dose­based dosimetry. It was also shown that absorbed dose values between the absorbed dose­based protocols agreed by deviations of less than 0.5% for a cylindrical chamber and less than 0.7% for plane­parallel chambers using cross­calibration factors. Although the use of a cylindrical chamber and plane­parallel chambers resulted in a difference of less than 2% for all situations investigated here, to reduce errors, the plane­parallel chambers are recommended for electron energies in which the use of cylindrical chamber is not permitted in each protocol.

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Development of Dose Verification Method for In vivo Dosimetry in External Radiotherapy (방사선치료에서 투과선량을 이용한 체내선량 검증프로그램 개발)

  • Hwang, Ui-Jung;Baek, Tae Seong;Yoon, Myonggeun
    • Progress in Medical Physics
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    • v.25 no.1
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    • pp.23-30
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    • 2014
  • The purpose of this study is to evaluate the developed dose verification program for in vivo dosimetry based on transit dose in radiotherapy. Five intensity modulated radiotherapy (IMRT) plans of lung cancer patients were used in the irradiation of a homogeneous solid water phantom and anthropomorphic phantom. Transit dose distribution was measured using electronic portal imaging device (EPID) and used for the calculation of in vivo dose in patient. The average passing rate compared with treatment planning system based on a gamma index with a 3% dose and a 3 mm distance-to-dose agreement tolerance limit was 95% for the in vivo dose with the homogeneous phantom, but was reduced to 81.8% for the in vivo dose with the anthropomorphic phantom. This feasibility study suggested that transit dose-based in vivo dosimetry can provide information about the actual dose delivery to patients in the treatment room.