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1.
PurposeThis study aims to investigate the relationship between backscatter factors and Al-half-value-layers (Al-HVL) by making the quality index (QI) a parameter for diagnostic kilovoltage x-ray beams.MethodsBackscatter factors, Bw, for x-ray fluence spectra were calculated from the weighted average of Bw for monoenergetic photons of between 8 and 140 keV with field sizes of 10 cm × 10 cm to 40 cm × 40 cm. The value of Bw for monoenergetic photons was calculated from the ratio of the water kerma at the surface of a water phantom and that at the same point free-in-air using the EGSnrc/cavity code. The weighted averaged backscatter factors were validated by comparing them with those of direct Monte Carlo calculations for the x-ray fluence spectra. The Bw for the x-ray fluence spectra were classified by a QI of 0.35, 0.4, 0.5, 0.6, and 0.7 specified by the ratio of the effective energy and maximum energy. The relationship between Bw and Al-HVL was evaluated for the given QI values. The x-ray fluence spectra were generated for tube voltages of 40–140 kVp with Al-HVLs of 0.5–13.2 mm using the SpekCalc program.ResultsThe weighted averaged backscatter factors for x-ray fluence spectra agreed within 0.7% with those of the direct Monte Carlo calculations. The backscatter factors were represented by the fitting curves of R2 > 0.99 with Al-HVL for the given QI values.ConclusionsIt is possible to obtain Bw more accurately by using QI specified by the measured Al-HVL.  相似文献   

2.
This study was carried out to investigate the suitability of using the optically stimulated luminescence dosimeter (OSLD) in measuring surface dose during radiotherapy. The water equivalent depth (WED) of the OSLD was first determined by comparing the surface dose measured using the OSLD with the percentage depth dose at the buildup region measured using a Markus ionization chamber. Surface doses were measured on a solid water phantom using the OSLD and compared against the Markus ionization chamber and Gafchromic EBT3 film measurements. The effect of incident beam angles on surface dose was also studied. The OSLD was subsequently used to measure surface dose during tangential breast radiotherapy treatments in a phantom study and in the clinical measurement of 10 patients. Surface dose to the treated breast or chest wall, and on the contralateral breast were measured. The WED of the OSLD was found to be at 0.4 mm. For surface dose measurement on a solid water phantom, the Markus ionization chamber measured 15.95% for 6 MV photon beam and 12.64% for 10 MV photon beam followed by EBT3 film (23.79% and 17.14%) and OSLD (37.77% and 25.38%). Surface dose increased with the increase of the incident beam angle. For phantom and patient breast surface dose measurement, the response of the OSLD was higher than EBT3 film. The in-vivo measurements were also compared with the treatment planning system predicted dose. The OSLD measured higher dose values compared to dose at the surface (Hp(0.0)) by a factor of 2.37 for 6 MV and 2.01 for 10 MV photon beams, respectively. The measurement of absorbed dose at the skin depth of 0.4 mm by the OSLD can still be a useful tool to assess radiation effects on the skin dermis layer. This knowledge can be used to prevent and manage potential acute skin reaction and late skin toxicity from radiotherapy treatments.  相似文献   

3.
PurposeThis study aims to investigate the energy response of an optically stimulated luminescent dosimeter known as nanoDot for diagnostic kilovoltage X-ray beams via Monte Carlo calculations.MethodsThe nanoDot response is calculated as a function of X-ray beam quality in free air and on a water phantom surface using Monte Carlo simulations. The X-ray fluence spectra are classified using the quality index (QI), which is defined as the ratio of the effective energy to the maximum energy of the photons. The response is calculated for X-ray fluence spectra with QIs of 0.4, 0.5, and 0.6 with tube voltages of 50–137.6 kVp and monoenergetic photon beams. The surface dose estimated using the calculated response is verified by comparing it with that measured using an ionization chamber.ResultsThe nanoDot response in free air for monoenergetic photon beams (QI = 1.0) varies significantly at photon energies below 100 keV and reaches a factor of 3.6 at 25–30 keV. The response differs by up to approximately 6% between QIs of 0.4 and 0.6 for the same half-value layer (HVL). The response at the phantom surface decreases slightly owing to the backscatter effect, and it is almost independent of the field size. The agreement between the surface dose estimated using the nanoDot and that measured using the ionization chamber for assessing X-ray beam qualities is less than 2%.ConclusionsThe nanoDot response is indicated as a function of HVL for the specified QIs, and it enables the direct surface dose measurement.  相似文献   

4.
PurposeEquipment refurbishment was performed to remove the beam-hardening filter (BHF) from the CyberKnife system (CK). This study aimed to confirm the change in the beam characteristics between the conventional CK (present-BHF CK) and CK after the BHF was removed (absent-BHF CK) and evaluate the impact of BHF removal on the beam quality correction factors kQ.MethodsThe experimental measurements of the beam characteristics of the present- and absent-BHF CKs were compared. The CKs were modeled using Monte Carlo simulations (MCs). The energy fluence spectra were calculated using MCs. Finally, kQ were estimated by combining the MC results and analytic calculations based on the TRS-398 and TRS-483 approaches.ResultsAll gamma values for percent depth doses and beam profiles between each CK were less than 0.5 following the 3%/1 mm criteria. The percentage differences for tissue-phantom ratios at depths of 20 and 10 cm and percentage depth doses at 10 cm between each CK were −1.20% and −0.97%, respectively. The MC results demonstrated that the photon energy fluence spectrum of the absent-BHF CK was softer than that of the present-BHF CK. The kQ values for the absent-BHF CK were in agreement within 0.02% with those for the present-BHF CK.ConclusionsThe photon energy fluence spectrum was softened by the removal of BHF. However, no remarkable impact was observed for the measured beam characteristics and kQ. Therefore, the previous findings of the kQ values for the present-BHF CK can be directly used for the absent-BHF CK.  相似文献   

5.
PurposeThis study aims to investigate the impact of the cavity on the sinus wall dose by comparing dose distributions with and without the sinus under magnetic fields using Monte Carlo calculations.MethodsA water phantom containing a sinus cavity (Empty) was created, and dose distributions were calculated for 1, 2, and 4 irradiation fields with 6 MV photons. The sinus in the phantom was then filled with water (Full), and the dose distributions were calculated again. The sinus was set to cubes of 2 cm and 4 cm. The magnetic field was applied to the transverse and inline direction under the magnetic flux densities of 0 T, 0.35 T, 0.5 T, 1.0 T, and 1.5 T. The dose distributions were analyzed by the dose difference, dose volume histogram, and D2 with sinus wall thicknesses of 1 and 5 mm.ResultsD2 in the “Empty” sinus wall under transverse magnetic fields for the 1-field and 4-field cases was 51.9% higher and 3.7% lower than that in the “Full” sinus wall at 1.5 T, respectively. Meanwhile, D2 in the Empty sinus wall under inline magnetic fields for 1-field and 4-fields was 2.3% and 2.6% lower than that in the “Full” sinus at B = 0 T, respectively, whereas D2 was 0.9% and 0.7% larger at 1.0 T, respectively.ConclusionsThe impact of the cavity on the sinus wall dose depends on the magnetic flux density, direction of the magnetic field and irradiation beam, and number of irradiation fields.  相似文献   

6.

Aim

To measure and compare the head scatter factor for 7 MV unflattened and 6 MV flattened photon beam using a home-made designed mini phantom.

Background

The head scatter factor (Sc) is one of the important parameters for MU calculation. There are multiple factors that influence the Sc values, like accelerator head, flattening filter, primary and secondary collimators.

Materials and methods

A columnar mini phantom was designed as recommended by AAPM Task Group 74 with high and low atomic number material for measurement of head scatter factors at 10 cm and dmax dose water equivalent thickness.

Results

The Sc values measured with high-Z are higher than the low-Z mini phantoms observed for both 6MV-FB and 7MV-UFB photon energies. Sc values of 7MV-UFB photon beams were smaller than those of the 6MV-FB photon beams (0.6–2.2% (Primus), 0.2–1.4% (Artiste) and 0.6–3.7% (Clinac iX (2300CD))) for field sizes ranging from 10 cm × 10 cm to 40 cm × 40 cm. The SSD had no influence on head scatter for both flattened and unflattened beams. The presence of wedge filters influences the Sc values. The collimator exchange effects showed that the opening of the upper jaw increases Sc irrespective of FF and FFF.

Conclusions

There were significant differences in Sc values measured for 6MV-FB and unflattened 7MV-UFB photon beams over the range of field sizes from 10 cm × 10 cm to 40 cm × 04 cm. Different results were obtained for measurements performed with low-Z and high-Z mini phantoms.  相似文献   

7.
The aim of this study was to determine the surface doses using GafChromic EBT films and compare them with plane-parallel ionization chamber measurements for 6 and 18 MV high energy photon beams. The measurements were made in a water equivalent solid phantom in the build-up region of the 6 and 18 MV photon beams at 100 cm SSD for various field sizes. Markus type plane-parallel ion chamber with fixed-separation between collecting electrodes was used to measure the percent depth doses. GafChromic EBT film measurements were performed both on the phantom surface and maximum dose depth at the same geometry with ion chamber measurements. The surface doses found using GafChromic EBT film were 15%, 20%, 29%and 39% ± 2% (1SD) for 6 MV photons, 6%, 11%, 23% and 32% ± 2% (1SD) for 18 MV photons at 5, 10, 20 and 30 cm2 field sizes, respectively. GafChromic EBT film provides precise measurements for surface dose in the high energy photons. Agreement between film and plane-parallel chamber measurements was found to be within ±3% for 18 MV photon beams. There was 5% overestimate on the surface doses when compared with the plane-parallel chamber measurements for all field sizes in the 6 MV photon beams.  相似文献   

8.
Purpose: Evaluate Acuros® XB dose calculation accuracy following TRS-483 recommendations in small static fields for flattened and un-flattened 6 MV X-ray beams.Methods: Field output factors were measured following TRS-483 recommendations using four radiation detectors. Two sets of field output factors were measured. One set was used to configure the beam model into Acuros® XB down to a jaw-defined field size of 1.0 cm × 1.0 cm. The second set was used to evaluate the differences between calculated and measured field output factors for MLC-fields down to a field size of 0.5 cm × 0.5 cm.Results: Acuros® XB showed an accuracy within 1.5% down to an MLC-field of 1.0 cm × 1.0 cm, for a focal spot size of 1.0 and 0.0 mm in the cross and in-plane directions. For an MLC-field of 0.5 cm × 0.5 cm, an agreement was found within 3% between calculated and measured field output factors. These results were addressed by optimizing the focal spot size to minimize the differences between calculated and measured dose profiles.Conclusions: By optimizing the focal spot size, Acuros® XB showed an acceptable agreement within 3% down to an MLC-field of 0.5 cm × 0.5 cm. The results of this work suggest that if static and modulated delivery of very small targets is planned, then a field output factor table down to a field size of 1.0 cm is required in the beam configuration model.  相似文献   

9.
Silver(I) acylpyrazolonate derivatives of formula [Ag(Q)(R3P)]2 and [Ag(Q)(R3P)2], (QH=1-phenyl-3-methyl-4-R′(CO)-pyrazol-5-one; QOH, R′=furane; QSH, R′=thiophene; R=Ph, Cy, o-tol), have been synthesised and characterised, both in the solid state and in solution. The derivatives [Ag(Q)(R3P)]2 contain dinuclear AgO2NP units with the acylpyrazolonate coordinating in a bridging O,O′-Q-N fashion. The [Ag(Q)(R3P)2] are tetrahedral species, with the distortion from ideal geometry increasing with the bulk of the phosphine. The [Ag(Q)(R3P)2] derivatives are fluxional in chloroform solution when R3P is sterically hindered (R=Cy or o-tol), dissociating partially to the [Ag(Q)(R3P)] fragment and free R3P. [Ag(QS)(Ph3P)]2 reacts with 1-methyl-2-mercaptoimidazole (Hmimt) affording the compound [Ag(Hmimt)(Ph3P)(QS)] and [Ag(QO)(Ph3P)]2 reacts with 1-methyl-imidazole (Meim) affording the compound [Ag(Meim)(Ph3P)(QO)], whereas [Ag(QS)(Ph3P)]2 reacts with 1,10-phenanthroline (phen), affording the compound [Ag(phen)(Ph3P)](QS). Finally [Ag(QS)(Ph3P)2] reacts with phen producing the ionic species [Ag(phen)(Ph3P)2](QS).  相似文献   

10.
《Phytomedicine》2013,21(14):1280-1287
AimIn this study, the pharmacological interactions between a Rhodiola rosea ethanol extract and B-vitamins such as thiamine (B1), riboflavine (B2), pyridoxine (B6), cyanocobalamin (B12) and a mixture of vitamins B1 + B6 + B12 was investigated in the mouse formalin test.MethodsIndividual dose response curves of the Rhodiola rosea ethanol extract, as well as B-vitamins alone or in a mixture were evaluated in mice in which nociception was induced with 2% formalin intraplantarly. The antinociceptive mechanisms of the Rhodiola rosea were investigated by exploring the role of the opioid and serotonin receptors and the nitric oxide pathway. Isobolographic analysis was used to evaluate the pharmacological interactions between the Rhodiola rosea ethanol extract and each B-vitamin individually or the mixture of vitamins B1 + B6 +B12 by using the ED30 and a fixed 1:1 ratio combination.ResultsAdministration of the Rhodiola rosea extract alone or in combination with all of the vitamins produced a significant and dose-dependent antinociceptive response. The antinociceptive effect of the Rhodiola rosea extract (ED50 = 81 mg/kg, p.o.) was significant and reverted in the presence of antagonists of the 5-HT1A, GABA/BDZs and opioid receptors and by blocking mediators of the nitric oxide/cGMP/K+ channels pathway. Isobolograms demonstrate that all of the combinations investigated in this study produced a synergistic interaction experimental ED30 values were significantly smaller than those calculated theoretically.ConclusionsThese results provide evidence that a Rhodiola rosea ethanol extract in combination with B-vitamins produces a significant diminution in the nociceptive response in a synergistic manner, which is controlled by various mechanisms. These findings could aid in the design of clinical studies and suggest that these combinations could be applied for pain therapy.  相似文献   

11.
PurposeThis work compares Monte Carlo dose calculations performed using the RayStation treatment planning system against data measured on a Varian Truebeam linear accelerator with 6 MV and 10 MV FFF photon beams.MethodsThe dosimetric performance of the RayStation Monte Carlo calculations was evaluated in a variety of irradiation geometries employing homogeneous and heterogeneous phantoms. Profile and depth dose comparisons against measurement were carried out in relative mode using the gamma index as a quantitative measure of similarity within the central high dose regions.ResultsThe results demonstrate that the treatment planning system dose calculation engine agrees with measurement to within 2%/1 mm for more than 95% of the data points in the high dose regions for all test cases. A systematic underestimation was observed at the tail of the profile penumbra and out of field, with mean differences generally <0.5 mm or 1% of curve dose maximum respectively. Out of field agreement varied between evaluated beam models.ConclusionsThe RayStation implementation of photon Monte Carlo dose calculations show good agreement with measured data for the range of scenarios considered in this work and is deemed sufficiently accurate for introduction into clinical use.  相似文献   

12.
Purpose: Dosimetry of ionizing radiation quantifies the energy deposited by an incident beam to the medium. This study presents the relative response of two types of gel dosimeters describing their differences by estimating radiation chemical yields produced in water radiolysis.Methods: Two types of gel dosimeter were used, namely an acid ferrous ion solution infused with xylenol orange known as Fricke gel and a polymer gel based on acrylamide and N,N’-methylenebis(acrylamide) known as PAGAT. Samples were irradiated using two photon beam energies, one from a conventional X-ray tube operated at 44 kV and the other one from a LINAC operated at 6 MV. The dosimeters were analyzed by optical absorbance and magnetic resonance imaging. Additionally, the linear energy transfer of each beam was calculated using Monte Carlo simulations for further estimation of the radiation chemical yields produced during water radiolysis.Results: Obtained results for both gel dosimeters indicate that their response at 44 kV and 6 MV are different, regardless of the read-out technique. On average, the sensitivity at 44 kV was found to be 65 % of the response at 6 MV. The calculated radiation chemical yields are in agreement with the observed experimental results.Conclusions: The main reason for the difference in the response of the dosimeters may be related to the linear energy transfer of each photon beam, which varies the production of primary chemical species during water radiolysis.  相似文献   

13.
PurposeTo evaluate damage reduction in cardiac implantable electronic devices (CIEDs) caused by photoneutrons in high-energy X-ray radiotherapy using a neutron-shielding sheet (NSS).MethodsThe NSS consists of a bolus with a thickness of 1 or 2 cm (Bls1 or Bls2) as a moderator and several absorbers (20%, 50%, or 80% B4C silicone sheet [B4C20, B4C50, or B4C80] or a 40% LiF silicone sheet [LiF40]). First, a linear accelerator (LINAC) with a water-equivalent phantom was modeled in the simulation and measured experimentally. Several NSSs were placed on the phantom, a Eu:LiCaAlF6 scintillator was placed between the phantom and the NSS, and X-rays were irradiated. The relative counts (Cr = counts when placing the NSS or Bls2) were compared between the experiment and simulation. Second, CIED damage was evaluated in the simulation. The relative damage (Dr = damage when placing or not placing the NSS) was compared among all the NSSs. In addition, the γ-ray and leaking X-ray dose from B4C was measured using a dosimetric film. After determining the optimal NSS combination, Dr value analysis was performed by changing the length of one side and the thickness.ResultsThe Cr values of the simulation and experiment agreed within a 30% percentage difference, except for Bare or LiF40-only. The Dr value was reduced by 43% when Bls2 + B4C80 was applied. The photon dose was less than 5 cGy/1500 MU. The Dr values were smaller for the smaller lengths of one side of B4C80 and decreased as the M-layer thickness increased.ConclusionsThe CIED damage induced by photoneutrons generated by a LINAC was effectively reduced by applying the optimal NSS.  相似文献   

14.
We conducted an open-top chamber experiment for 3?years to examine the effect of elevated CO2 and temperature on soil respiration in experimental stands of Quercus glauca, an evergreen tree species common in the warm temperate zone of Japan. Seedlings of Q. glauca were planted in open-top chambers and treated with factorial combinations of ambient and elevated (ambient?×?1.4, ambient?×?1.8) CO2 concentrations and ambient and elevated (+3°C) air temperatures. Elevated CO2 significantly increased the total soil respiration rate (P?<?0.001) and the soil respiration rate at 15°C (R 15) (P?<?0.05) but had no significant effect on the temperature coefficient Q 10. Although temperature significantly affected total soil respiration rate (P?<?0.05), neither the R 15 nor the Q 10 of total soil respiration was affected significantly by the air temperature increase. Annual soil respiration rate, estimated from R 15, Q 10, and soil temperature data, tended to increase with elevated CO2 concentration. These results suggest that soil respiration rate in Japanese warm temperate broad-leaved forests dominated by Q. glauca is sensitive to elevated CO2 and is likely to increase under future climatic conditions.  相似文献   

15.
AimThe aim of this study was to characterize the radiation contamination inside and outside the megavoltage radiotherapy room.BackgroundRadiation contamination components in the 18 MV linac room are the secondary neutron, prompt gamma ray, electron and linac leakage radiation.Materials and MethodsAn 18 MV linac modeled in a typical bunker employing the MCNPX code of Monte Carlo. For fast calculation, phase-space distribution (PSD) file modeling was applied and the calculations were conducted for the radiation contamination components dose and spectra at 6 locations inside and outside the bunker.ResultsThe results showed that the difference of measured and calculated percent depth-dose (PDD) and photo beam-profile (PBP) datasets were lower than acceptable values. At isocenter, the obtained photon dose and neutron fluence were 2.4 × 10−14 Gy/initial e° and 2.22 × 10-8 n°/cm2, respectively. Then, neutron apparent source strength (QN) value was found as 1.34 × 1012 n°/Gy X at isocenter and the model verified to photon and neutron calculations. A surface at 2 cm below the flattening filter was modeled as phase-space (PS) file for PDD and PBP calculations. Then by use of a spherical cell in the center of the linac target as a PS surface, contaminant radiations dose, fluence and spectra were estimated at 6 locations in a considerably short time, using the registered history of all particles and photons in the 13GB PSD file as primary source in the second step.ConclusionDesigning the PSD file in MC modeling helps user to solve the problems with complex geometry and physics precisely in a shorter run-time.  相似文献   

16.
We warmed the top soil of a mature coniferous forest stand by means of heating cables on control and trenched plots within 24 h by 10°C at 1 cm soil depth (9°C at 5 cm depth) and measured the effect on the autotrophic (RA) and heterotrophic (RH) component of total soil CO2 efflux (RS). The short time frame of warming enabled us to exclude confounding fluctuations in soil moisture and carbon (C) flow from the canopy. The results of the field study were backed up by a lab soil incubation experiment. During the first 12 h of warming, RA strongly responded to soil warming; The Q 10 values were 5.61 and 6.29 for 1 and 5 cm soil depth temperature. The Q 10 values for RA were almost twice as high as the Q 10 values of RH (3.04 and 3.53). Q 10 values above 5 are above reasonable plant physiological values for root respiration. We see interactions of roots, mycorrhizae and heterotrophic microbes, combined with fast substrate supply to the rhizosphere as an explanation for the high short-term temperature response of RA. When calculated over the whole duration (24 h) of the field soil-warming experiment, temperature sensitivities of RA and RH were similar (no significant difference at P < 0.05); Q 10 values were 3.16 and 3.96 for RA and 2.94 and 3.35 for RH calculated with soil temperatures at 1 and 5 cm soil depth, respectively. Laboratory incubation showed that different soil moisture contents of trenched and control plots affected rates of RH, but did not affect the temperature sensitivity of RH. We conclude that a single parameter is sufficient to describe the temperature sensitivity of RS in soil C models which operate on larger temporal and spatial scales. The strong short-term response of RA may be of relevance in soils suspected to experience increasingly strong diurnal temperature variations.  相似文献   

17.
Although the temperature response of soil respiration (Rs) has been studied extensively, several issues remain unresolved, including hysteresis in the Rs–temperature relationship and differences in the long- vs. short-term Rs sensitivity to temperature. Progress on these issues will contribute to reduced uncertainties in carbon cycle modeling. We monitored soil CO2 efflux with an automated chamber system in a Pinus tabulaeformis plantation near Beijing throughout 2011. Soil temperature at 10-cm depth (Ts) exerted a strong control over Rs, with the annual temperature sensitivity (Q 10) and basal rate at 10°C (Rs 10) being 2.76 and 1.40 µmol m−2 s−1, respectively. Both Rs and short-term (i.e., daily) estimates of Rs 10 showed pronounced seasonal hysteresis with respect to Ts, with the efflux in the second half of the year being larger than that early in the season for a given temperature. The hysteresis may be associated with the confounding effects of microbial population dynamics and/or litter input. As a result, all of the applied regression models failed to yield unbiased estimates of Rs over the entire annual cycle. Lags between Rs and Ts were observed at the diel scale in the early and late growing season, but not in summer. The seasonality in these lags may be due to the use of a single Ts measurement depth, which failed to represent seasonal changes in the depth of CO2 production. Daily estimates of Q 10 averaged 2.04, smaller than the value obtained from the seasonal relationship. In addition, daily Q 10 decreased with increasing Ts, which may contribute feedback to the climate system under global warming scenarios. The use of a fixed, universal Q 10 is considered adequate when modeling annual carbon budgets across large spatial extents. In contrast, a seasonally-varying, environmentally-controlled Q 10 should be used when short-term accuracy is required.  相似文献   

18.
Transient absorption changes induced by excitation of isolated reaction centers (RCs) from Rhodobacter sphaeroides with 600 nm laser pulses of 20 fs (full width at half maximum) were monitored in the wavelength region of 420–560 nm. The spectral features of the spectrum obtained are characteristic for an electrochromic band shift of the single carotenoid (Car) molecule spheroidene, which is an integral constituent of these RCs. This effect is assigned to an electrochromic bandshift of Car due to the local electric field of the dipole moment formed by electronic excitation of bacteriochlorophyll (BChl) molecule(s) in the neighborhood of Car. Based on the known distances between the pigments, the monomeric BChl (BB) in the inactive B-branch is inferred to dominate this effect. The excitation of BB at 600 nm leads to a transition into the S2 state (Qx band), which is followed by rapid internal conversion to the S1 state (Qy band), thus leading to a change of strength and orientation of the dipole moment, i.e., of the electric field acting on the Car molecule. Therefore, the time course of the electrochromic bandshift reflects the rate of the internal conversion from S2 to S1 of BB. The evaluation of the kinetics leads to a value of 30 fs for this relaxation process. This article is part of a Special Issue entitled: Photosynthesis Research for Sustainability: from Natural to Artificial.  相似文献   

19.
20.
PurposeTo estimate fetal dose and its components from three-dimensional conformal radiotherapy for several malignancies presented during pregnancy.Materials and methodsFetal dose was measured from radiotherapy for Hodgkin's lymphoma and for tumors in the region of nasopharynx, breast and lung. Anthropomorphic phantoms were used to simulate an average pregnant patient at the first, second and third trimesters of gestation. Thermoluminescent dosemeters (TLD) were employed for fetal dose measurements. Phantom exposures were also performed to estimate fetal dose due to head leakage, scatter from collimators and beam modifiers and scatter generated inside the phantom (Din). All treatments were delivered for 6 MV photon beams.ResultsRadiotherapy of Hodgkin's lymphoma resulted in a fetal dose of 5.6–57.9 cGy depending upon the gestational age and the distance between the fetal level and the field edge. The corresponding dose ranges for treatment of nasopharyngeal, breast and lung cancer was 4.0–17.1 cGy, 3.9–24.8 cGy and 5.7–74.3 cGy, respectively. The Din at the first trimester of gestation was always smaller than 10 cGy for all examined malignancies. Pregnancy progression resulted in Din values above or below 10 cGy depending upon the treatment site and gestational age.ConclusionThis study provides data about the fetal exposure and the contribution of Din to the total fetal dose from conformal radiation therapy. The Din knowledge prior to patient's irradiation enables radiation oncologists and medical physicists to decide whether fetal dose may be limited to 10 cGy or less with or without the introduction of special shielding materials.  相似文献   

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