Accumulated dose implications from systematic dose-rate transients in gated treatments with Viewray MRIdian accelerators.

The combination of magnetic resonance (MR) imaging and linear accelerators (linacs) into MR-Linacs enables continuous MR imaging and advanced gated treatments of patients. Previously, a dose-rate transient (∼8% reduced dose rate during the initial 0.5 s of each beam) was identified for a Viewray MRIdian MR-Linac (Klavsenet al2022Radiation Measurement106759). Here, the dose-rate transient is studied in more detail at four linacs of the same type at different hospitals. The implications of dose-rate transients were examined for gated treatments. The dose-rate transients were investigated using dose-per pulse measurements with organic plastic scintillators in three experiments: (i) A gated treatment with the scintillator placed in a moving target in a dynamic phantom, (ii) a gated treatment with the same dynamic conditions but with the scintillator placed in a stationary target, and (iii) measurements in a water-equivalent material to examine beam quality deviations at a dose-per-pulse basis. Gated treatments (i) compared with non-gated treatments with a static target in the same setup showed a broadening of accumulated dose profiles due to motion (dose smearing). The linac with the largest dose-rate transient had a reduced accumulated dose of up to (3.1 ± 0.65) % in the center of the PTV due to the combined dose smearing and dose-rate transient effect. Dose-rate transients were found to vary between different machines. Two MR-Linacs showed initial dose-rate transients that could not be identified from conventional linearity tests. The source of the transients includes an initial change in photon fluence rate and an initial change in x-ray beam quality. For gated treatments, this caused a reduction of more than 1% dose delivered at the central part of the beam for the studied, cyclic-motion treatment plan. Quality assurance of this effect should be considered when gated treatment with the Viewray MRIdian is implemented clinically.

Thermal pre-treatment in the OSL dating of quartz: is it necessary?

Thermal treatment before optically stimulated luminescence (OSL) measurement is an important step in all widely accepted OSL dating procedures used with quartz. This is a major constraint on the design of a portable luminescence instrument for estimating ages in the field. Preliminary experiments show that using a standard dating protocol without heating caused a 30-50% underestimation of equivalent dose. This underestimate arises mainly from OSL derived from the 110 degrees C thermoluminescence (TL) trap; because of the thermal instability of this trap, this OSL contribution is only present in unheated laboratory-regenerated signals, but not in the natural signal. An alternative to thermal pre-treatment is investigated, based on the mathematical separation of the stable dosimetry OSL signal from the total OSL; the latter is the sum of signals from several traps, including the 110 degrees C TL trap. Our results show consistency with dose estimates obtained using a standard measurement protocol including pre-heating.