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1.
Appl Radiat Isot ; 205: 111158, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38159450

RESUMO

The risk of lung cancer or pneumoconiosis mortality, increases with radioactive radon gas exposures. This article report health risk for underground workers exposed to radioactive gas and radon daughters carried by airborne dust at the coal mining in the Central Mountainous Region of Colombia. A set of 33 measurement points located in that mine galleries were selected to monitor radon gas concentration activity, by passive LR-115 detectors, during two months. Resulting values provided radon concentrations, absorbed dose, environmental equivalent dose and the effective dose; miners increased risk of contracting lung cancer is included. It is concluded that the mine ventilation system satisfies the conditions required by the current radiological protection of the miners. Our study point out that Colombia can effectively address the potential risks associated with radon exposure and ensure a safer living environment for its citizens.


Assuntos
Neoplasias Pulmonares , Exposição Ocupacional , Radônio , Humanos , Radônio/efeitos adversos , Radônio/análise , Neoplasias Pulmonares/etiologia , Colômbia , Produtos de Decaimento de Radônio/análise , Carvão Mineral/efeitos adversos , Exposição Ocupacional/efeitos adversos
2.
Appl Radiat Isot ; 199: 110899, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37321051

RESUMO

This work presents the optimized parameters of 3D printing for print bolus using BolusCM material. Printing parameters were selected of the homogeneity and absence of air gaps. The dosimetric features of printed bolus were measured with a plane-parallel ionization chamber and EBT3 radiochromic film. Measured features were compared with those estimated with Monte Carlo methods. BolusCM shows good characteristics to be used as bolus material in radiotherapy with electrons, where the printing process allows personalizing the bolus in function of patient characteristics. The material low-cost, the 3D printing and the dosimetric features are few of the advantages of using BolusCM material in radiotherapy with electrons in skin cancer treatment.


Assuntos
Planejamento da Radioterapia Assistida por Computador , Neoplasias Cutâneas , Humanos , Planejamento da Radioterapia Assistida por Computador/métodos , Elétrons , Dosagem Radioterapêutica , Neoplasias Cutâneas/radioterapia , Impressão Tridimensional , Imagens de Fantasmas
3.
Appl Radiat Isot ; 199: 110908, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37385052

RESUMO

A theoretical-experimental study of the interaction of electron beams with 3 filaments conventionally used for 3D printing is presented in this paper. Pieces of polylactic acid (PLA), acrylonitrile butadiene styrene (ABS) and thermoplastic polyurethane (TPU) are studied using Monte Carlo simulation with Geant4 and experimental measurements with plane-parallel ionization chambers and radiochromic films. Using different printing parameters and computed tomography, the presence of air gaps and the uniformity in the bolus density made with the different materials are evaluated. The main parameters in the Percentage Depth Dose (PDDs) are determined, the manufacturing process is standardized and the printing profiles are generated for each of the materials in order to obtain uniform attenuation characteristics in the pieces and improve adaptation to irregular anatomical areas.

4.
Appl Radiat Isot ; 188: 110360, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35839709

RESUMO

During electron beam stopping on natW target in a linear accelerator, photonuclear (γ, xn) reactions occur; the tungsten converter provides a non-negligible neutron yield with an energy spectrum that significantly depends on surrounding mass nuclei. Reduction of the neutron radiation field is convenient to limit the side-effects that accompany the tumor or cancer radiotherapy. A close-in irradiation geometry is proposed to improve therapy effectiveness. The convenience of the proposed experimental arrangement is assessed using Monte Carlo simulation and experimental results based on nuclear track-etch methodology. Photoneutron yield for two energy groups (thermal and epithermal) are determined experimentally via boron (98%) converter and cadmium-filter employing a passive detector (poly allyl di-glicol carbonate polimer). Etched track diameter histograms are described by distribution functions to determine the ratio between thermal and higher energy neutrons. New insights are given into therapy beam quality and radiotherapy dose delivery based on bar histograms unfolding.


Assuntos
Nêutrons , Aceleradores de Partículas , Boro , Simulação por Computador , Método de Monte Carlo
5.
Appl Radiat Isot ; 183: 110154, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35217326

RESUMO

Features of new material to be used as bolus in external radiotherapy were determined and their performance were evaluated. The characterization was carried out using Monte Carlo methods with the Geant4 code where the Percentage Depth Dose (PDD) due to electrons was estimated. In the Monte Carlo model the linear accelerator head was included. Calculated results were experimentally validated with measurements made for 6, 9, 12 and 16 MeV electron beams. The key characteristics of the implemented material were identified, guaranteeing a low cost bolus, easy to be customized and to be used in clinical applications. In comparison with commercial materials the new materials are superior from the cost to the effectiveness of their use in clinical treatments.


Assuntos
Elétrons , Dosagem Radioterapêutica , Radioterapia/métodos , Humanos , Método de Monte Carlo , Aceleradores de Partículas , Radiometria , Neoplasias Cutâneas/radioterapia
6.
Biomed Phys Eng Express ; 8(1)2021 11 11.
Artigo em Inglês | MEDLINE | ID: mdl-34727526

RESUMO

This study was devoted to determining the unwanted dose due to scattered photons to the out-of-field organs and subsequently estimate the risk of secondary cancers in the patients undergoing pelvic radiotherapy. A typical 18 MV Medical Linear Accelerator (Varian Clinac 2100 C/D) was modeled using MCNPX®code to simulate pelvic radiotherapy with four treatment fields: anterior-posterior, posterior-anterior, right lateral, left lateral. Dose evaluation was performed inside Medical Internal Radiation Dose (MIRD) revised female phantom. The average photon equivalent dose in out-of-field organs is 8.53 mSv Gy-1, ranging from 0.17 to 72.11 mSv Gy-1, respectively, for the organs far from the Planning Treatment Volume (Brain) and those close to the treatment field (Colon). Evidence showed that colon with 4.3049% and thyroid with 0.0020% have the highest and lowest risk of secondary cancer, respectively. Accordingly, this study introduced the colon as an organ with a high risk of secondary cancer which should be paid more attention in the follow-up of patients undergoing pelvic radiotherapy. The authors believe that this simple Monte Carlo (MC) model can be also used in other radiotherapy plans and mathematical phantoms with different ages (from childhood to adults) to estimate the out-of-field dose. The extractable information by this simple MC model can be also employed for providing libraries for user-friendly applications (e.g. '.apk') which in turn increase the public knowledge about fatal cancer risk after radiotherapy and subsequently decrease the concerns in this regard among the public.


Assuntos
Aceleradores de Partículas , Fótons , Adulto , Criança , Feminino , Humanos , Método de Monte Carlo , Imagens de Fantasmas , Fótons/uso terapêutico , Dosagem Radioterapêutica
7.
Appl Radiat Isot ; 169: 109521, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33390281

RESUMO

Soil radon gas movement depends on soil geology, environmental thermodynamic parameters and, micro-seismic telluric activity. Mapping radon time dependent concentration at the relaxation depth in a selected area, provide transport direction in a seismically high-risk region. Nuclear track methodology is employed to determine main gradient vector for radon transport. Applying the gradient definition, a "radon rose" graph is constructed from which prone area can be promptly identified. Results show that short time interval, Rn-transport direction may change unpredictably, however, the length of each "spoke" around the circle provides information on the soil Rn-gas probable shifts towards or from a direction per time interval. The new graph is a novelty and provide improved approach for environmental protection and radon dosimetry.

8.
Appl Radiat Isot ; 162: 109142, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32501224

RESUMO

This paper presents three new materials composed of TiXV0,035XCuX-1,035 (X = 2, 4 and 6%), is proposed as Linear Accelerator target. Its response to electron beam based on photoneutron production, is assessed by MC simulation and nuclear track-etch methodology. The outcome is compared to a tungsten target irradiated by energetic 16 MeV electron beam. Photoneutron yield, of two energy groups (thermal and epithermal) were determined via converter matter 10B (98%) and Cd-filter by PADC-track density comparison. The multi-metal Ti2V0,07Cu97.93 target related to therapy beam quality, resulted advantageous in comparison to that provided by W-target, commonly used in the LINAC.


Assuntos
Nêutrons , Fótons , Radiocirurgia/métodos , Radioterapia/métodos , Simulação por Computador , Método de Monte Carlo
9.
Appl Radiat Isot ; 162: 109173, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32501227

RESUMO

In this work, the seasonal variation of the concentration of radon in soil and its contribution to concentrations inside of a bunker used for the storage and operation of radioactive material was studied. The measurements obtained inside and outside of the installation allowed establish a method for the calculation of the diffusion coefficient for the concrete, variable that directly influences the concentration of radon gas inside of the bunker. With the obtained results of the gamma dose rate and the concentration of radon inside the bunker, the S-index was calculated in order to determine whether the bunker would require some remediation process. The high radon gas concentration rates to which workers are exposed led to study the relative risk of contracting lung cancer (RRLC).

10.
Appl Radiat Isot ; 161: 109175, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32321697

RESUMO

Paraffin, water and water-extended polyester (WEP) were used as main moderator to design a mobile shielding for a 666 GBq 241Am-Be source used in oil industry. The shielding performance was estimated using Monte Carlo methods where the γ-rays induced by the neutron interaction with the shielding materials were also included. The spectra of neutrons and γ-rays around the shielding were estimated, as well as the total neutron and g-ray total fluences per history. The neutron source strength was used to calculate ambient dose equivalent rates, aiming to satisfy the international recommendation (2 mSv/h at the shielding surface). Moderators modify the neutron spectrum of the source reducing the amount of fast neutrons (0.5-11 MeV) and producing epithermal and thermal neutrons. During neutron transport in the moderator neutron capture and inelastic scattering produce gamma-rays. Paraffin has the best shielding performance however it is not suitable because can be affected by extreme temperatures. WEP and water have similar shielding performance, however water do not satisfy the international recommendations because at one site the neutron and γ-ray doses rates are larger than 2 mSv/h. WEP is the best option because fulfill the international recommendations, it is stable and temperatures where paraffin fails. The WEP-based shielding weights 66 kg.

11.
J Environ Manage ; 249: 109381, 2019 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-31419670

RESUMO

It is presented an alternative biological method based on biomineralization mechanisms of Magnetotactic Bacteria (MTB) for the removal in groundwater, of soluble elements such as Fe+2and Mn+2. In first place, it was compared the effectiveness of MTB retention methods for obtention of concentrated volumes in microorganisms, then, it was carried out an inoculation process in groundwater samples and evaluate the removal rate of Fe+2 and Mn+2 in constant conditions of pH and temperature. It was identified electromagnetic method is more efficient in MTB retention, and that the inoculation processes of an enriched solution with MTB in groundwater samples allow to get average removal rates of 47.86% for Fe+2 and 15.26% for Mn+2. In addition, it was evaluated the removal rate of other metals due to magnetic properties of biominerals inside of MTB magnetosome. The highest removal in all cases occurred between the interval of 3 and 5 min of interaction and tended to stabilize in time.


Assuntos
Água Subterrânea , Magnetossomos , Bactérias Aeróbias , Ferro , Manganês
12.
Appl Radiat Isot ; 148: 1-6, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30889528

RESUMO

In a simultaneous Bimodal System with Positron Emission Tomography and Computed Tomography, the X-rays from a collimated X-ray tube are scattered over an anatomical region on the patient being scanning and cause a contamination effect on the signal received by the detectors distributed in the shape of a ring of the PET system. To study this phenomenon, each of the components of a bimodal system was modeled and simulated by the Monte Carlo method in Geant4 an X-ray beam produced in a RTW tube MCBM 65B with typical fluences used in medical diagnosis of small animals hitting a cylindrical phantom with a diameter greater than Field of View (FOV) in the tomographic center. The number of ionization events that occur in each of the phoswich detectors of the PET were obtained, the spatial distribution of the scattered X-rays was studied according to three maximum energies of the spectrum and calculation was made to find a filter that was located at the input of the phoswich detector that attenuates the X-rays by 98% and that would allow transmitting the gamma rays of annihilation also by 98%. For this, simulations were carried out using various filter materials, finding that copper is an excellent candidate and were found an optimum thicknesses between 0.5 mm and 1.3 mm, according to the average energy of the X-rays used in the different exploration techniques.


Assuntos
Imagens de Fantasmas , Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada/métodos , Espalhamento de Radiação , Animais , Desenho de Equipamento , Humanos , Método de Monte Carlo , Simulação de Paciente , Raios X
13.
Appl Radiat Isot ; 145: 131-136, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30597403

RESUMO

Inhaled radon and its progenies induce health concern due to high activity-concentration in selected thermal spas of Boyacá region. Hydrogeothermal water sources in a high risk seismic area, are studied to determine by water bubbling method radon concentration values; their occurrence is between few hundreds and 2000 Bq dm-3. Deposits, existing in this area, reach at the surface soil gas radon concentration up to 210 kBq m-3. Maintenance workers, health tourists and visitor's possible detrimental health effects, are discussed in relation to radon balneotherapy beneficial aspects.


Assuntos
Balneologia , Fontes Termais/análise , Radônio/análise , Poluentes Radioativos da Água/análise , Colômbia , Humanos , Turismo Médico , Exposição Ocupacional/efeitos adversos , Exposição Ocupacional/análise , Monitoramento de Radiação , Radônio/efeitos adversos , Poluentes Radioativos do Solo/efeitos adversos , Poluentes Radioativos do Solo/análise , Poluentes Radioativos da Água/efeitos adversos
14.
J Environ Radioact ; 192: 342-348, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30031316

RESUMO

Radioactive related pollution due to suspended particulate matter dispersion is an important workplace and health care issue. Recycling oil production ducts and contaminated production equipment, represent a health hazard to workers and public alike. Radioactive plate-out NORM scales with crystal deposit is analyzed by different techniques; results provide proper information on physico-chemical features and emitted alpha particles. Recommendations for handling and recycling procedures are included in relation to health risk and radiological hazard.


Assuntos
Poluentes Ocupacionais do Ar/análise , Partículas alfa , Exposição Ocupacional/estatística & dados numéricos , Indústria de Petróleo e Gás , Material Particulado/análise , Humanos , Reciclagem
15.
Appl Radiat Isot ; 141: 228-233, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29747904

RESUMO

A bimodal tomographic system with a RTW MCBM 65B-50Mo X-ray tube and a XPAD3s semiconductor camera that contains 8 bars, each one with 67,200 hybrid pixels are modeled in GEANT4 simulation code. Several conical X-ray spectra were simulated, particularly a spectrum with a peak energy of 17.4 keV used in tomography on small animals. Three phantoms located in the tomographic center were added to the simulation to evaluate the image quality and its magnification based on the simulation of different photon fluences and the rotation effect of the tomographic system with an average angular velocity of 360o per minute. The images were recorded and analyzed in 2D through ROOT software toolkit in virtual XPAD3 detector. The quantitative method 20-80% of the maximum intensity of radiation was used for obtain the contouring of the phantoms, this method is used in radiotherapy and radiodiagnosis imaging. For this purpose, the images were taken to DICOM format in order to estimate the optical density of the contours and to evaluate the optimum and minimum photon fluence to be used in the tomographic system in order to reduce the absorbed doses in the individuals. This study allowed to determine the optimal fluence to validate it with realistic fluences used in the tomographic prototype ClearPET /XPAD-CT and to make an intercomparison with the absorbed doses measured with detectors located in the tomographic center.

16.
Appl Radiat Isot ; 138: 56-59, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28511893

RESUMO

We developed an experimental set-up by using a continuous emission X-ray (Pantak DXT-3000) and three types of Pb aprons, with thicknesses of 0.25, 0.5, and 0.75mm, coated with Mylar fiber on their surface. Aprons were placed at a distance of 2.5m from the focus. Aluminum filtration was performed at the beam output to reproduce the qualities of narrow beams, N40 (Eeffective =33keV), N80 (Eeffective =65keV), and N100 (Eeffective =83keV), according to the ISO standard 4037 (1-3). Each apron was fixed with 10 thermoluminescent dosimeters (TLDs) over its surface, five dosimeters before and five dosimeters after irradiation with X-rays. Dosimeter readings were noted, and the attenuation coefficients for each effective energy were calculated. To confirm the method of effective energy of ISO-4037 and evaluate the effectiveness of aprons according to the energy range required for different medical practices, a Monte Carlo simulation using GEANT4 code was performed. Thus, the fluence and the absorbed dose in each of the dosimeters were determined, and then the coefficients of linear attenuation were calculated and compared with the experimental data and with those reported by the National Institute of Standards and Technology. Results were consistent between theoretical calculations and experimental measures. This work will serve to make assessments for other personalized radiation protectors made of Pb.

17.
Comput Math Methods Med ; 2017: 3621631, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28769998

RESUMO

Different types the spectrum of photons were studied; they were emitted from the flattening filter of a LINAC Varian 2100 C/D that operates at 15 MV. The simplified geometry of the LINAC head was calculated using the MCNPX code based on the studies of the materials of the flattening filter, namely, SST, W, Pb, Fe, Ta, Al, and Cu. These materials were replaced in the flattening filter to calculate the photon spectra at the output of this device to obtain the spectrum that makes an impact with the patient. The different spectra obtained were analyzed and compared to the emission from the original spectra configuration of the LINAC, which uses material W. In the study, different combinations of materials were considered in order to establish differences between the use of different materials and the original material, with the objective of establishing advantages and disadvantages from a clinical standpoint.


Assuntos
Ciência dos Materiais , Método de Monte Carlo , Aceleradores de Partículas/instrumentação , Fótons
18.
Med Phys ; 39(5): 2854-66, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22559658

RESUMO

PURPOSE: To calculate absorbed doses due to neutrons in 87 organs/tissues for anthropomorphic phantoms, irradiated in position supine (head first into the gantry) with orientations anteroposterior (AP) and right-left (RLAT) with a 18 MV accelerator. Conversion factors from monitor units to µGy per neutron in organs, equivalent doses in organs/tissues, and effective doses, which permit to quantify stochastic risks, are estimated. METHODS: MAX06 and FAX06 phantoms were modeled with MCNPX and irradiated with a 18 MV Varian Clinac 2100C/D accelerator whose geometry included a multileaf collimator. Two actual fields of a pelvic treatment were simulated using electron-photon-neutron coupled transport. Absorbed doses due to neutrons were estimated from kerma. Equivalent doses were estimated using the radiation weighting factor corresponding to an average incident neutron energy 0.47 MeV. Statistical uncertainties associated to absorbed doses, as calculated by MCNPX, were also obtained. RESULTS: Largest doses were absorbed in shallowest (with respect to the neutron pathway) organs. In µGyMU(-1), values of 2.66 (for penis) and 2.33 (for testes) were found in MAX06, and 1.68 (for breasts), 1.05 (for lenses of eyes), and 0.94 (for sublingual salivary glands) in FAX06, in AP orientation. In RLAT, the largest doses were found for bone tissues (leg) just at the entrance of the beam in the body (right side in our case). Values, in µGyMU(-1), of 1.09 in upper leg bone right spongiosa, for MAX06, and 0.63 in mandible spongiosa, for FAX06, were found. Except for gonads, liver, and stomach wall, equivalent doses found for FAX06 were, in both orientations, higher than for MAX06. Equivalent doses in AP are higher than in RLAT for all organs/tissues other than brain and liver. Effective doses of 12.6 and 4.1 µSvMU(-1) were found for AP and RLAT, respectively. The organs/tissues with larger relative contributions to the effective dose were testes and breasts, in AP, and breasts and red marrow, in RLAT. Equivalent and effective doses obtained for MAX06/FAX06 were smaller (between 2 and 20 times) than those quoted for the mathematical phantoms ADAM/EVA in ICRP-74. CONCLUSIONS: The new calculations of conversion coefficients for neutron irradiation in AP and RLAT irradiation geometries show a reduction in the values of effective dose by factors 7 (AP) and 6 (RLAT) with respect to the old data obtained with mathematical phantoms. The existence of tissues or anatomical regions with maximum absorbed doses, such as penis, lens of eyes, fascia (part of connective tissue), etc., organs/tissues that classic mathematical phantoms did not include because they were not considered for the study of stochastic effects, has been revealed. Absorbed doses due to photons, obtained following the same simulation methodology, are larger than those due to neutrons, reaching values 100 times larger as the primary beam is approached. However, for organs far from the treated volume, absorbed photon doses can be up to three times smaller than neutron ones. Calculations using voxel phantoms permitted to know the organ dose conversion coefficients per MU due to secondary neutrons in the complete anatomy of a patient.


Assuntos
Nêutrons/uso terapêutico , Imagens de Fantasmas , Radioterapia Assistida por Computador/instrumentação , Adulto , Humanos , Especificidade de Órgãos , Pelve/efeitos da radiação , Radiometria
19.
Appl Radiat Isot ; 71 Suppl: 75-80, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22494894

RESUMO

A Monte Carlo calculation, using the MCNPX code, was carried out in order to estimate the photon and neutron spectra in two locations of two linacs operating at 15 and 18 MV. Detailed models of both linac heads were used in the calculations. Spectra were estimated below the flattening filter and at the isocenter. Neutron spectra show two components due to evaporation and knock-on neutrons. Lethargy spectra under the filter were compared to the spectra calculated from the function quoted by Tosi et al. that describes reasonably well neutron spectra beyond 1 MeV, though tends to underestimate the energy region between 10(-6) and 1 MeV. Neutron and the Bremsstrahlung spectra show the same features regardless of the linac voltage.


Assuntos
Nêutrons , Aceleradores de Partículas , Fótons , Método de Monte Carlo
20.
Radiat Prot Dosimetry ; 148(4): 457-64, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21750004

RESUMO

In this work, the ambient dose equivalent, H*(10), due to neutrons outside three bunkers that house a 15- and a 18-MV Varian Clinac 2100C/D and a 15-MV Elekta Inor clinical linacs, has been calculated. The Monte Carlo code MCNPX (v. 2.5) has been used to simulate the neutron production and transport. The complete geometries including linacs and full installations have been built up according to the specifications of the manufacturers and the planes provided by the corresponding medical physical services of the hospitals where the three linacs operate. Two of these installations, those lodging the Varian linacs, have an entrance door to the bunker while the other one does not, although it has a maze with two bends. Various treatment orientations were simulated in order to establish plausible annual equivalent doses. Specifically anterior-posterior, posterior-anterior, left lateral, right lateral orientations and an additional one with the gantry rotated 30° have been studied. Significant dose rates have been found only behind the walls and the door of the bunker, near the entrance and the console, with a maximum of 12 µSv h(-1). Dose rates per year have been calculated assuming a conservative workload for the three facilities. The higher dose rates in the corresponding control areas were 799 µSv y(-1), in the case of the facility which operates the 15-MV Clinac, 159 µSv y(-1), for that with the 15-MV Elekta, and 21 µSv y(-1) for the facility housing the 18-MV Varian. A comparison with measurements performed in similar installations has been carried out and a reasonable agreement has been found. The results obtained indicate that the neutron contamination does not increase the doses above the legal limits and does not produce a significant enhancement of the dose equivalent calculated. When doses are below the detection limits provided by the measuring devices available today, MCNPX simulation provides an useful method to evaluate neutron dose equivalents based on a detailed description of linac, patient and bunker.


Assuntos
Radiometria/métodos , Radioterapia/instrumentação , Radioterapia/métodos , Algoritmos , Simulação por Computador , Elétrons , Desenho de Equipamento , Humanos , Método de Monte Carlo , Nêutrons , Distribuição Normal , Aceleradores de Partículas , Imagens de Fantasmas , Dosagem Radioterapêutica
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