Scattered photons as the cause for the observed dmax shift with field size in high-energy photon beams.

Measurements on the Sagittaire linear accelerator and Allis-Chalmers betatron at M. D. Anderson Hospital indicate that the observed dmax shift with field size is due to the presence of Compton-scattered photons in the therapy beam, and not electrons as proposed by others. Separating the primary from other radiation components indicates that the secondary fraction represents a percentage contribution to the overall beam that increases as the collimators are opened. This is consistent with what would be expected from Compton scattering and explains the effective softening of the beam as field size increases.

Management of radiation oncology patients with implanted cardiac pacemakers: report of AAPM Task Group No. 34. American Association of Physicists in Medicine.

Contemporary cardiac pacemakers can fail from radiation damage at doses as low as 10 gray and can exhibit functional changes at doses as low as 2 gray. A review and discussion of this potential problem is presented and a protocol is offered that suggests that radiation therapy patients with implanted pacemakers be planned so as to limit accumulated dose to the pacemaker to 2 gray. Although certain levels and types of electromagnetic interference can cause pacemaker malfunction, there is evidence that this is not a serious problem around most contemporary radiation therapy equipment.

Optimisation of field flatness and depth-dose for therapy electron beams.

Curves relating beam energy, scattering foil thickness, central-axis depth-dose, and beam flatness have been generated using data taken on a Siemens 200A betatron. The curve set allows a single combination of tungsten foil thickness and electron beam energy to be chosen that will provide the optimum depth-dose distribution and sufficient field flatness for any specific clinical requirement.

A comparative evaluation of loading times and exposures for permanent prostate brachytherapy.

The loading of needles for loose seed implantation of the prostate gland results requires a significant amount of effort and some radiation exposure to members of the medical staff. This study was performed to quantify the time spent and exposure levels associated with implant preparation, as well as to investigate any improvement in the time or exposure burden due to the introduction of a new loading device. The movements and radiation exposures for two single, highly experienced dosimetrists were monitored for ten conventionally loaded iodine implant cases. These same cases were reloaded with dummy sources using the sleeved system to determine time savings, if any. Two of these ten cases were then loaded with live sources using the sleeved system to determine relative exposure to the loading staff between the two methods. The results were then analyzed to generate per-seed and per-needle loading time and exposure burdens. Formulas are presented that may be used to determine the average time to load implants and the resultant staff exposure, both with the conventional technique and with the sleeved method. On the average, it takes an experienced loader 48 min to prepare an implant for the operating room, receiving a hand dose of about 10 mrem and a whole body dose of about 1 mrem. The sleeved system reduced these values by at least half. The time and exposure burden associated with the preparation of iodine loose seed implants has been characterized. The use of the sleeved needles resulted in significant time and exposure reductions for the medical staff.