A Sub-Picoampere Measurement Algorithm for Use in Dosimetry of Time-Varying Radiation Fields.

Dosimetry based on gas detectors operating in the recombination and saturation region provides unique research opportunities but requires high-quality electrometers with a measuring range below 1 pA (10-12 A). The standard approach in electrometry is to strive to increase the accuracy and precision of the measurement, ignoring the importance of its duration. The article presents an algorithm for the measurement of low current values (from 100 fA) that allows both a fast measurement (with a step of 2.3 ms) and high accuracy (measurement error below 0.1%), depending on the measurement conditions and the expected results. A series of tests and validations of the algorithm were carried out in a measurement system with a Keithley 6517B electrometer and a REM-2 recombination chamber under conditions of constant and time-varying radiation fields. The result of the work is a set of parameters that allow for the optimisation of the operation of the algorithm, maximising the quality of the measurements according to needs and the expected results. The algorithm can be used in low current measurement systems, e.g., for dosimetry of mixed radiation fields using recombination methods and chambers.

A dosimetric comparison of 3D-CRT, IMRT and IMAT treatment techniques - assessment from radiation protection point of view.

Background: The purpose was to assess the impact of irradiation technique type and beam energy on the mixed radiation field around the medical linear accelerator (linac) in terms of radiation quality and related radiation protection quantities. Materials and methods: Seven radiotherapeutic plans with Alderson-Rando anthropomorphic phantom [different techniques: conventional three-dimensional conformal radiotherapy (3D-CRT), intensity-modulated radiotherapy (IMRT) and intensity modulated arc therapy (IMAT), different beams: 6 MV or 18 MV, and their arrangements) were prepared for the case of prostate malignancy. Recombination chambers REM-2 and GW2 were positioned on the treatment couch 100 cm from the beam axis at the height of the isocentre. Recombination chambers REM-2 and GW2 were used for recombination index of radiation quality Q4 determination, measurement of total tissue dose Dt and calculation of gamma and neutron components to Dt. Estimation of Dt and Q4 allowed for the ambient dose equivalent H*(10) calculations for each plan. Results: For plans prepared with 6 MV beams, Q4 values within the limits of uncertainty were equal to one, which confirms the correctness of the measurement method. For plans implemented with 18 MV beams, the value of Q4 was in the range of 3.7-5.7. Comparison between treatment techniques indicates that the lowest exposure resulting from out-of-field doses comes from 6 MV IMAT (0.7 mSv), whereas the highest one is from 18 MV IMRT (55.1 mSv). Conclusion: With the recombination chambers technique it was confirmed that the choice of beam energy directly affects the generation of photoneutrons. The treatment plan technique can have a significant impact on the out-of-field dose.

On the optimization of bone SPECT/CT in terms of image quality and radiation dose.

INTRODUCTION: The purpose of this study was to present the optimization process of CT parameters to reduce patient exposure during bone SPECT/CT without affecting the quality of SPECT images with attenuation correction (AC). MATERIAL AND METHODS: A fillable phantom reflecting realistic bone scintigraphy conditions was developed and acquired on an AnyScan SC. SPECT/CT scans were carried out with different x-ray tube current values (10, 20, 30, 40, 50, 60, 70, 90, 110, 130, 150, and 200 mA) at three different high-voltage values (80, 100, and 120 kV). The contrast (C) and coefficients of variation (CV) in the SPECT images as well as the signal-to-noise ratio (SNR) and noise (SDCT ) in the CT images with CTDIvol were measured. An optimal acquisition protocol that obtained SPECT/CT images with no artifacts on both CT and SPECT images, acceptable C, SNR, CV, and SDCT values, and the largest reduction in patient exposure compared to the reference acquisition procedure was sought. RESULTS: The optimal set of parameters for bone SPECT/CT was determined based on a phantom study. It has been implemented in clinical practice. Two groups of patients were examined according to the baseline and optimized protocols, respectively. The new SPECT/CT protocol substantially reduced patients' radiation exposure compared to the old protocol while maintaining the required diagnostic quality of SPECT and CT images. CONCLUSIONS: In the study, we present a methodology that finds a compromise between diagnostic information and patient exposure during bone SPECT/CT procedures.

Unfolding of 239Pu-Be and 252Cf neutron energy spectra using passive multi-layer neutron spectrometer.

In the study, the passive multi-layer neutron spectrometer, based on thermoluminescence detectors, was tested in a calibration laboratory with 239Pu-Be and 252Cf isotopic sources. MCNP code was used for the calculation of the response functions for the neutron energy range from 1 meV to 100 MeV. It was also utilised for initial guess spectra calculations. Deconvolution was performed with MAXED and GRAVEL deconvolution codes resulting in the neutron spectra defined at the measuring point in the calibration laboratory.

Multisignal ionization chamber with a B4C coating as an active neutron beam spectrometer: Monte Carlo simulations.

In this study, the influence of additional 10B4C polarizing electrodes coating on KW-1 multisignal ionization chamber performance was investigated. Using the FLUKA Monte Carlo code energy deposition, neutron fluence and neutron track-length distributions were simulated. Further calculations allow us to obtain response functions for monoenergetic neutron beams in the energy range from 1 meV to 30 MeV. Results indicate further upgrades that can be adapted for moderator-based gaseous detectors for the neutron beam spectrometry approach.

Inadvertent Detachment of Stent Retrievers during Mechanical Thrombectomy-A Clinical and Biomechanical Perspective.

BACKGROUND: The inadvertent detachment of stent retrievers during mechanical thrombectomy is an extremely rare but feared complication associated with poor clinical outcomes. We discuss management considerations after an unexpected disconnection of the pRESET stent retriever during mechanical thrombectomy, based on clinical experience and mechanical and phantom studies. METHODS: We present a clinical course of rare accidents of stent-retriever separation inside an intracranial vessel that occurred in patients in a comprehensive stroke centre between 2018 and 2020. We designed a phantom study to assess the Tigertriever's ability to remove a detached stent retriever from intercranial vessels. In the mechanical study, several types of stent retrievers were evaluated in order to find the weakest point at which detachment occurred. RESULTS: Two patients (~0.7%) with inadvertent stent-retriever detachment were found in our database. Failed attempts of endovascular removal with no recanalization at the end of procedure were reported in both cases. mRS after 3 months was three and four respectively. In the mechanical study, the Tigertriever was the most resistant to detachment and was followed by Embotrap > pRESET > 3D Separator. In the phantom study, the pRESET device detached in a configuration resembling the M1 segment was successfully removed with the Tigertriever. CONCLUSIONS: Conservative management of the inadvertent detachment of stent retrievers during mechanical thrombectomy in large vessel occlusion may be acceptable in order to avoid further periprocedural complications after unsuccessful device removal attempts. Based on the phantom and mechanical studies, the Tigertriever may be a useful tool for the removal of detached pRESET devices.

Neutron radiography as a diagnostic tool in human osteology.

X-ray radiography (XR) is a standard imaging tool in human osteology. Here we compare a series of human bone and tooth images taken using both X-ray and thermal neutron radiography (TNR) to identify the possible applications of the latter method. The TNR imaging is superior in case of bones contaminated with soil, and combined TNR and XR images may be used to find the areas with high proportion of organic fraction (i.e., collagen) in bone and dentin.

INVESTIGATION OF SECONDARY MIXED RADIATION FIELD AROUND A MEDICAL LINEAR ACCELERATOR.

The aim of this study is to investigate secondary mixed radiation field around linac, as the first part of an overall assessment of out-of-field contribution of neutron dose for new advanced radiation dose delivery techniques. All measurements were performed around Varian Clinic 2300 C/D accelerator at Maria Sklodowska-Curie Memorial, Cancer Center and Institute of Oncology, Krakow Branch. Recombination chambers REM-2 and GW2 were used for recombination index of radiation quality Q4 determination (as an estimate of quality factor Q), measurement of total tissue dose Dt and calculation of gamma and neutron components to Dt. Estimation of Dt and Q4 allowed for the ambient dose equivalent H*(10) per monitor unit (MU) calculations. Measurements around linac were performed on the height of the middle of the linac's head (three positions) and on the height of the linac's isocentre (five positions). Estimation of secondary radiation level was carried out for seven different configurations of upper and lower jaws position and multileaf collimator set open or closed in each position. Study includes the use of two photon beam modes: 6 and 18 MV. Spatial distribution of ambient dose equivalent H*(10) per MU on the height of the linac's head and on the standard couch height for patients during the routine treatment, as well as relative contribution of gamma and neutron secondary radiation inside treatment room were evaluated.