ABSTRACT
This work presents a novel multielectrode array (MEA) to quantitatively assess the dose enhancement factor (DEF) produced in a medium by embedded nanoparticles. The MEA has 16 nanocrystalline diamond electrodes (in a cell-culture well), and a single-crystal diamond divided into four quadrants for X-ray dosimetry. DEF was assessed in water solutions with up to a 1000 µg/mL concentration of silver, platinum, and gold nanoparticles. The X-ray detectors showed a linear response to radiation dose (r2 ≥ 0.9999). Overall, platinum and gold nanoparticles produced a dose enhancement in the medium (maximum of 1.9 and 3.1, respectively), while silver nanoparticles produced a shielding effect (maximum of 37%), lowering the dose in the medium. This work shows that the novel MEA can be a useful tool in the quantitative assessment of radiation dose enhancement due to nanoparticles. Together with its suitability for cells' exocytosis studies, it proves to be a highly versatile device for several applications.
Subject(s)
Diamond , Electrodes , Gold , Metal Nanoparticles , Diamond/chemistry , Metal Nanoparticles/chemistry , Gold/chemistry , Silver/chemistry , Platinum/chemistry , Radiation Dosage , Humans , X-Rays , Nanoparticles/chemistryABSTRACT
PURPOSE: Inhalation of perillyl alcohol (POH) recently emerged as an investigational promising antiglioma strategy. However, little attention has been paid to its therapeutic potential for other brain tumors, especially in the pediatric setting. METHODS: The effects of POH were explored in medulloblastoma cell models belonging to the SHH variant with activation of RAS (ONS-76) or with TP53 mutations (DAOY and UW402), by means of proliferation and invasion assays. Interactions with methotrexate, thiotepa, or ionizing radiation were also assessed. Mice bearing subcutaneous tumors were treated with intraperitoneal injections. Alternatively, animals with intracranial tumors were exposed to intranasal POH alone or combined with radiation. Tumor growth was measured by bioluminescence. Analyses of cytotoxicity to the nasal cavity were also performed, and the presence of POH in the brain, lungs, and plasma was surveyed through chromatography/mass spectrometry. RESULTS: POH decreased cell proliferation and colony formation, with conspicuous death, though the invasive capacity was only affected in the NRAS-mutated cell line. Median-drug effect analysis displayed synergistic combinations with methotrexate. Otherwise, POH showed to be a reasonable radiosensitizer. In vivo, intraperitoneal injection significantly decreased tumor volume. However, its inhalation did not affect orthotopic tumors, neither alone or followed by cranial irradiation. Nasal cavity epithelium showed unimportant alterations, though, no traces of POH or its metabolites were detected in tissue samples. CONCLUSION: POH presents robust in vitro antimedulloblastoma effects and sensitizes cell lines to other conventional therapeutics, reducing tumor volume when administered intraperitoneally. Nevertheless, further improvement of delivery devices and/or drug formulations are needed to better characterize its effectiveness through inhalation.
Subject(s)
Antineoplastic Agents , Cerebellar Neoplasms , Medulloblastoma , Animals , Antineoplastic Agents/pharmacology , Cerebellar Neoplasms/drug therapy , Child , Hedgehog Proteins , Humans , Medulloblastoma/drug therapy , Medulloblastoma/genetics , Mice , Monoterpenes , Tumor Suppressor Protein p53 , ras ProteinsABSTRACT
We report potent radiosensitization of prostate cancers in vitro and in vivo using goserelin-conjugated gold nanorods. Progressive receptor-mediated internalization of conjugated nanorods over time increases the radiation interaction cross-section of cells and contributes to the effects observed in vitro. The low concentrations of gold required, the long interval between injection of nanoparticles and radiation, and the use of megavoltage radiation to generate radiosensitization in vivo foretell the possibility of eventual clinical translation of this approach. FROM THE CLINICAL EDITOR: The ability of gold nanoparticles (AuNPs) to enhance the effect of physical radiation dose on tumor cells is known. This radiosensitization effect is thought to result from an increased number of photoelectric absorption events and the increased number of electrons present in gold. The authors here sought to further increase the amount and specificity of gold accumulation in prostatic cancer cells by conjugating gold nanorods to goserelin, a synthetic luteinizing hormone releasing hormone (LHRH) analogue that would bind to the LHRH receptor overexpressed in prostate cancers. It was shown that tumour cells were more sensitive to megavoltage radiation therapy. It is hoped that there would be eventual clinical translation of this approach.
Subject(s)
Gold/therapeutic use , Goserelin/therapeutic use , Metal Nanoparticles/therapeutic use , Prostate/radiation effects , Prostatic Neoplasms/radiotherapy , Radiation-Sensitizing Agents/therapeutic use , Animals , Gold/chemistry , Gold/pharmacokinetics , Goserelin/chemistry , Goserelin/pharmacokinetics , Humans , Male , Metal Nanoparticles/chemistry , Mice , Nanotubes/chemistry , Prostate/pathology , Prostatic Neoplasms/pathology , Radiation-Sensitizing Agents/chemistry , Radiation-Sensitizing Agents/pharmacokineticsABSTRACT
Metrobras, a private company in Brazil, is developing a new laboratory for the calibration of neutron detectors in collaboration with the National Laboratory for Metrology of Ionizing Radiation (LNMRI). This work aimed at assessing neutron spectra, ambient dose equivalent rates, and neutron scattering in the calibration room of Metrobras Neutron Detectors Calibration Laboratory (LCDNM) using Monte Carlo simulation with MCNP5. Three models were simulated: vacuum, air, and the complete with the several materials employed in the actual room. Neutron spectra as a function of the distance from the source were obtained, compared, and used to calculate ambient dose equivalent at different points in the calibration room and results were compared to other neutron laboratories. Results show that LCDNM ambient dose equivalent rates are comparable to those of other neutron laboratories with 531.2 µSv . h-1 at 100 cm from the 592 GBq activity 241AmBe source. This work shows that LCDNM may be used as a calibration laboratory for neutron detectors in accordance with ISO 8529.
Subject(s)
Laboratories , Radiation Protection , Americium/analysis , Brazil , Calibration , Computer Simulation , Monte Carlo Method , Neutrons , Radiation Dosage , Radiation Protection/methodsABSTRACT
The purpose of this study is to evaluate the performance of dose calculation algorithms used in radiotherapy treatment planning systems (TPSs) in comparison with Monte Carlo (MC) simulations in nonelectronic equilibrium conditions. MC simulations with PENELOPE package were performed for comparison of doses calculated by pencil beam convolution (PBC), analytical anisotropy algorithm (AAA), and Acuros XB TPS algorithms. Relative depth dose curves were calculated in heterogeneous water phantoms with layers of bone (1.8 g/cm3) and lung (0.3 g/cm3) equivalent materials for radiation fields between 1 × 1 cm2 and 10 × 10 cm2. Analysis of relative depth dose curves at the water-bone interface shows that PBC and AAA algorithms present the largest differences to MC calculations (uMC = 0.5%), with maximum differences of up to 4.3% of maximum dose. For the lung-equivalent material and 1 × 1 cm2 field, differences can be up to 24.3% for PBC, 11.5% for AAA, and 7.5% for Acuros. Results show that Acurus presents the best agreement with MC simulation data with equivalent accuracy for modeling radiotherapy dose deposition especially in regions where electronic equilibrium does not hold. For typical (nonsmall) fields used in radiotherapy, AAA and PBC can exhibit reasonable agreement with MC results even in regions of heterogeneities.
Subject(s)
Radiotherapy Planning, Computer-Assisted/methods , Algorithms , Humans , Monte Carlo MethodABSTRACT
Computed tomography (CT) has a high level of sensitivity and specificity for the diagnosis and follow-up of pathologies of the abdomen-pelvis region. Some features, such as automatic tube current modulation (ATCM), permits the acquisition of quality images with low radiation doses. This study evaluated the image quality and radiation dose of abdomen-pelvis CT protocols with ATCM technique. Were performed five CT protocols using 16-slice and 64-slice scanners, an anthropomorphic phantom for dosimetric measurements, an analytical phantom and retrospective examinations for image quality analysis. Were found significant reduction in effective dose. The highest absorbed doses were found in the stomach and spleen (56.1 and 47.2 mGy, respectively). Objective parameters as noise, low contrast and spatial resolution did not significantly differ between the protocols (p > 0.05). All protocols received the range of 'Optimum/Acceptable' in patient's image quality analysis. This methodology can be reproduced in any clinical routine to optimize CT protocols.
Subject(s)
Image Processing, Computer-Assisted/methods , Pelvis/diagnostic imaging , Phantoms, Imaging , Radiography, Abdominal/standards , Tomography, X-Ray Computed/methods , Tomography, X-Ray Computed/standards , Adult , Humans , Male , Radiation Dosage , Retrospective StudiesABSTRACT
The response to radiation of polymer gel dosimeters has previously been measured by magnetic resonance imaging (MRI) in terms of changes in the water transverse relaxation rate (R 2w) or magnetization transfer (MT) parameters. Here we report a new MRI approach, based on detecting nuclear Overhauser enhancement (NOE) mediated saturation transfer effects, which can also be used to detect radiation and measure dose distributions in MAGIC-f (Methacrylic and Ascorbic Acid and Gelatin Initiated by Copper Solution with formaldehyde) polymer gels. Results show that the NOE effects produced by low powered radiofrequency (RF) irradiation at specific frequencies offset from water may be quantified by appropriate measurements and over a useful range depend linearly on the radiation dose. The NOE effect likely arises from the polymerization of methacrylic acid monomers which become less mobile, facilitating dipolar through-space cross-relaxation and/or relayed magnetization exchange between polymer and water protons. Our study suggests a potential new MRI method for polymer gel dosimetry.
Subject(s)
Magnetic Resonance Imaging/methods , Radiation Dosimeters , Ascorbic Acid , Copper Sulfate , Gelatin , Hydroquinones , Magnetic Resonance Imaging/instrumentation , Methacrylates , Polymers , Radiometry/instrumentation , Radiometry/methodsABSTRACT
PURPOSE: The aim of the present study was to determine the efficiency of six methods for calculate the effective dose (E) that is received by health professionals during vascular interventional procedures. METHODS: We evaluated the efficiency of six methods that are currently used to estimate professionals' E, based on national and international recommendations for interventional radiology. Equivalent doses on the head, neck, chest, abdomen, feet, and hands of seven professionals were monitored during 50 vascular interventional radiology procedures. Professionals' E was calculated for each procedure according to six methods that are commonly employed internationally. To determine the best method, a more efficient E calculation method was used to determine the reference value (reference E) for comparison. RESULTS: The highest equivalent dose were found for the hands (0.34±0.93mSv). The two methods that are described by Brazilian regulations overestimated E by approximately 100% and 200%. The more efficient method was the one that is recommended by the United States National Council on Radiological Protection and Measurements (NCRP). The mean and median differences of this method relative to reference E were close to 0%, and its standard deviation was the lowest among the six methods. CONCLUSIONS: The present study showed that the most precise method was the one that is recommended by the NCRP, which uses two dosimeters (one over and one under protective aprons). The use of methods that employ at least two dosimeters are more efficient and provide better information regarding estimates of E and doses for shielded and unshielded regions.
Subject(s)
Occupational Exposure , Radiation Dosage , Radiation Monitoring/methods , Radiology, Interventional , Health Personnel , Humans , Radiation ProtectionABSTRACT
PURPOSE: To perform a complete evaluation on radiation doses, received by primary and assistant medical staff, while performing different vascular interventional radiology procedures. MATERIALS AND METHODS: We evaluated dose received in different body regions during three categories of vascular procedures: lower limb angiography (Angiography), lower limb percutaneous transluminal angioplasty (Angioplasty) and stent graft placement for abdominal aortic aneurysm treatment (A. A. A. Treatment). We positioned the dosimeters near the eye lens, thyroid, chest, abdomen, hands, and feet of the interventional physicians. Equivalent dose was compared with annual dose limits for workers in order to determine the maximum number of procedures per year that each physician could perform. We assessed 90 procedures. RESULTS: We found the highest equivalent doses in the A. A. A. Treatment, in which 90% of the evaluations indicated at least one region receiving more than 1mSv per procedure. Angioplasty was the only procedural modality that provided statistically different doses for different professionals, which is an important aspect on regards to radiological protection strategies. In comparison with the dose limits, the most critical region in all procedures was the eye lens. CONCLUSIONS: Since each body region of the interventionist is exposed to different radiation levels, dose distribution measurements are essential for radiological protection strategies. These results indicate that dosimeters placed in abdomen instead of chest may represent more accurately the whole body doses received by the medical staff. Additional dosimeters and a stationary shield for the eye lens are strongly recommended.
Subject(s)
Occupational Exposure/analysis , Radiation Exposure/analysis , Radiology, Interventional , Angiography , Angioplasty , Aortic Aneurysm, Abdominal/therapy , Humans , Organ Specificity , Radiation Dosage , Radiation Protection , StentsABSTRACT
The archaeological dose (AD) was measured in three tooth samples of giant mammals that belonged to Brazilian megafauna using electron spin resonance (ESR) spectroscopy at X-band (nu approximately 9.5 GHz) and K-band (nu approximately 24 GHz). Samples were collected in Lagoa de Dentro, Puxinanã city in Paraiba, a northeast state in Brazil and were identified as Haplomastodon waringi (Holland) (two teeth) and one tooth sample of Xenorhinotherium bahiense (Cartele and Lessa). The average AD led to an age for the Haplomastodon samples of 11.6 ky bp. For one sample (Haplomastodon) K-band was also employed to evaluate the AD. The K-band spectrum had three components, determined using spectral simulation as follows: a wide isotropic line with g factor 2.0048, an orthorhombic line with g(x)=2.0034, g(y)=2.0022 and g(z)=1.9974, and another isotropic line with g factor 2.0008. The amplitude of these three signals increase with the added dose and the average dose found was 26+/-5 Gy. This result is compatible with the AD determined with X-band 21+/-3 Gy.
Subject(s)
Electron Spin Resonance Spectroscopy/methods , Fossils , Mammals , Paleontology/methods , Age Determination by Teeth , Animals , Archaeology/methods , Brazil , Dental Enamel/chemistry , Dose-Response Relationship, Radiation , Potassium/analysisABSTRACT
The spatial accuracy of magnetic resonance imaging (MRI) Fricke-gel dosimetry is limited by diffusion of ferric ions. This paper describes a honeycomb structure to limit diffusion of Fe3+ ions in a three-dimensional phantom. Such a phantom containing the dosimeter gel was irradiated to a known dose distribution. Maps of dose distributions were produced from the MR images acquired at 2 and 24 hours after the dose was given. The dose distribution maps verified that the honeycomb structure precludes ion diffusion from one honeycomb cell to another, thus improving the usefulness of MRI Fricke-gel dosimetry.
Subject(s)
Ferrous Compounds/radiation effects , Gels/radiation effects , Magnetic Resonance Imaging/instrumentation , Radiometry/instrumentation , Solutions/radiation effects , Cobalt Radioisotopes , Dose-Response Relationship, Radiation , Equipment Design , Image Enhancement/instrumentation , Image Enhancement/methods , Magnetic Resonance Imaging/methods , Phantoms, Imaging , Quality Control , Radiometry/methods , Radiotherapy Planning, Computer-Assisted/instrumentation , Radiotherapy Planning, Computer-Assisted/methods , Reproducibility of Results , Sensitivity and Specificity , Sepharose/radiation effectsABSTRACT
Radiation dose assessment is essential for several medical treatments and diagnostic procedures. In this context, nanotechnology has been used in the development of improved radiation sensors, with higher sensitivity as well as smaller sizes and energy dependence. This paper deals with the synthesis and characterization of gold/alanine nanocomposites with varying mass percentage of gold, for application as radiation sensors. Alanine is an excellent stabilizing agent for gold nanoparticles because the size of the nanoparticles does not augment with increasing mass percentage of gold, as evidenced by UV-vis spectroscopy, dynamic light scattering, and transmission electron microscopy. X-ray diffraction patterns suggest that the alanine crystalline orientation undergoes alterations upon the addition of gold nanoparticles. Fourier transform infrared spectroscopy indicates that there is interaction between the gold nanoparticles and the amine group of the alanine molecules, which may be the reason for the enhanced stability of the nanocomposite. The application of the nanocomposites as radiation detectors was evaluated by the electron spin resonance technique. The sensitivity is improved almost 3 times in the case of the nanocomposite containing 3% (w/w) gold, so it can be easily tuned by changing the amount of gold nanoparticles in the nanocomposites, without the size of the nanoparticles influencing the radiation absorption. In conclusion, the featured properties, such as homogeneity, nanoparticle size stability, and enhanced sensitivity, make these nanocomposites potential candidates for the construction of small-sized radiation sensors with tunable sensitivity for application in several medical procedures.
Subject(s)
Alanine/chemistry , Alanine/radiation effects , Gold/chemistry , Gold/radiation effects , Nanoparticles/chemistry , Nanoparticles/radiation effects , Radiometry/instrumentation , Equipment Design , Equipment Failure Analysis , Feasibility Studies , Radiation Dosage , TransducersABSTRACT
Silver/alanine nanocomposites with varying mass percentage of silver have been produced. The size of the silver nanoparticles seems to drive the formation of the nanocomposite, yielding a homogeneous dispersion of the silver nanoparticles in the alanine matrix or flocs of silver nanoparticles segregated from the alanine crystals. The alanine crystalline orientation is modified according to the particle size of the silver nanoparticles. Concerning a mass percentage of silver below 0.1%, the nanocomposites are homogeneous, and there is no particle aggregation. As the mass percentage of silver is increased, the system becomes unstable, and there is particle flocculation with subsequent segregation of the alanine crystals. The nanocomposites have been analyzed by transmission electron microscopy (TEM), UV-Vis absorption spectroscopy, X-ray diffraction (XRD), and Fourier transform infrared (FTIR) spectroscopy and they have been tested as radiation detectors by means of electron spin resonance (ESR) spectroscopy in order to detect the paramagnetic centers created by the radiation. In fact, the sensitivity of the radiation detectors is optimized in the case of systems containing small particles (30 nm) that are well dispersed in the alanine matrix. As the agglomeration increases, particle growth (up to 1.5 µm) and segregation diminish the sensitivity. In conclusion, nanostructured materials can be used for optimization of alanine sensitivity, by taking into account the influence of the particles size of the silver nanoparticles on the detection properties of the alanine radiation detectors, thus contributing to the construction of small-sized detectors.
Subject(s)
Alanine/chemistry , Metal Nanoparticles/chemistry , Particle Size , Silver/chemistry , Electron Spin Resonance Spectroscopy , Metal Nanoparticles/ultrastructure , Polystyrenes/chemistry , Spectroscopy, Fourier Transform Infrared , X-Ray DiffractionABSTRACT
Blends of L-alanine (85% weight proportion) with KI (10%) and with PbI2 (10%), these last two compounds acting as dopants, and with PVA (5%) acting as binder, were prepared in water at 80 degrees C. A blend of pure L-alanine (95%) with PVA (5%) was also prepared. The three blends were irradiated with photon beams of different energies (120 kV, Co, and 10 MV) to a unique dose of 30 Gy to compare their sensitivities for those three energies. EPR spectra of the three irradiated blends were recorded in a K-Band spectrometer (24 GHz) taking aliquots of about 4 mg for each blend. The energy sensitivity of a blend was defined as the peak-to-peak amplitude of its EPR spectrum central line. For the Co energy (1.25 MeV) the blends presented practically the same sensitivity, indicating that the presence of the dopants does not affect the sensitivity of L-alanine. For 10 MV x-rays, there was an increment (around 10%-20%) in sensitivity for the two L-alanine doped blends compared with the pure L-alanine blend (not doped). In the case of 120 kV x-rays, the blends ala+KI and ala+PbI showed increments of 10 and 20 times more sensitivity than the pure L-alanine blend. It is concluded that the dopants KI and PbI2 produce a great enhancement of the L-alanine sensitivity to low-energy photons. For the same dopant's content (10%) in the blend, PbI2 showed a better performance. Increasing the PbI2 proportion (30%) in the blend allows the detection of radiation dose as low as 10 mGy for 120 kV x-rays. These results encourage the authors to try to enhance the sensitivity of L-alanine even more by increasing the dopant's content in the blend and diminishing the lower limit detection. Application of these L-alanine doped blends in the dosimetry in diagnostic radiology could be possible.
Subject(s)
Alanine/chemistry , Alanine/radiation effects , Algorithms , Electron Spin Resonance Spectroscopy/methods , Radiometry/methods , Dose-Response Relationship, Radiation , Energy Transfer , Photons , Radiation Dosage , Reproducibility of Results , Sensitivity and SpecificityABSTRACT
This work presents Vibro-acoustography (VA) as a tool to visualize absorbed dose distributions in a polymer gel dosimeter. VA uses the radiation force of focused ultrasound to vibrate a small region of the sample. Different modalities of VA were used to investigate the feasibility of this technique to evaluate dose distribution in irradiated 'MAGIC' polymer gel. A phantom was designed using this polymer with 2% w/w added glass microspheres having an average diameter range between 40-75 microm. The phantom was irradiated using conventional 10 MeV X-rays from a linear accelerator at a distance of 100 cm. An absorbed dose of 50 gray was delivered to the gel. To study the phenomena of dose distribution, continuous wave (CW), toneburst and multifrequency VA were applied to the phantom. Images were generated from the phase and magnitude of the emitted sound from the irradiated area. The comparative accuracy of the different VA results were validated using transverse relaxation rate (R2) image analysis by Magnetic Resonance Imaging (MRI) and a treatment planning system. A contour map of R2 was registered with the transverse CW images, obtained with the focal point on the top surface, and a good correlation was found between the images. The axial profile of irradiated inclusion from the toneburst VA image obtained with excitation frequency of 75 kHz showed the best accuracy compared to other VA modalities. The results show that VA imaging has potential to visualize dose distribution in a polymer gel dosimeter.
Subject(s)
Elasticity Imaging Techniques/instrumentation , Gels/chemistry , Gels/radiation effects , Radiometry/instrumentation , Elasticity Imaging Techniques/methods , Equipment Design , Equipment Failure Analysis , Phantoms, Imaging , Radiation Dosage , Radiometry/methods , Reproducibility of Results , Scattering, Radiation , Sensitivity and SpecificityABSTRACT
OBJETIVO: Determinar, por simulação Monte Carlo, os espectros de feixes de cobaltoterapia em profundidade na água e fatores de correção para doses absorvidas em dosímetros termoluminescentes de fluoreto de lítio. MATERIAIS E MÉTODOS: As simulações dos espectros secundários da fonte clínica de cobalto-60 foram realizadas com o código Monte Carlo PENELOPE, em diversas profundidades na água. Medidas experimentais de dose profunda foram obtidas com dosímetros termoluminescentes e câmara de ionização em condições de referência em radioterapia. Os fatores de correção para os dosímetros termoluminescentes foram obtidos através da razão entre as absorções relativas ao espectro de baixa energia e ao espectro total. RESULTADOS: A análise espectral em profundidade revelou a existência de espectros secundários de baixa energia responsáveis por uma parcela significativa da deposição de dose. Foram observadas discrepâncias de 3,2 por cento nas doses medidas experimentalmente com a câmara de ionização e com os dosímetros termoluminescentes. O uso dos fatores de correção nessas medidas permitiu diminuir a discrepância entre as doses absorvidas para, no máximo, 0,3 por cento. CONCLUSÃO: Os espectros simulados permitem o cálculo de fatores de correção para as leituras de dosímetros termoluminescentes utilizados em medidas de dose profunda, contribuindo para a redução das incertezas associadas ao controle de qualidade de feixes clínicos em radioterapia.
OBJECTIVE: To calculate spectra of cobalt-60 beam at water depth and correction factors for absorbed dose measurements obtained with lithium fluoride thermoluminescent dosimeters using Monte Carlo simulation. MATERIALS AND METHODS: The simulations of secondary spectra of clinical cobalt-60 sources were performed with the PENELOPE Monte Carlo code at different water depths. Experimental measurements of deep doses were obtained with thermoluminescent dosimeters and ionization chamber under reference conditions for radiotherapy. Correction factors for the thermoluminescent dosimeters detectors were obtained through the ratio between the relative energy absorption for the low energy spectrum and the total spectrum. RESULTS: Deep spectral analysis has demonstrated the presence of secondary low-energy spectra responsible for a significant portion of the dose deposition. Discrepancies of 3.2 percent were observed among the doses measured with ionization chamber and thermoluminescent dosimeters. The adoption of correction factors has allowed a reduction in the discrepancy among absorbed doses to a maximum of 0.3 percent. CONCLUSION: Simulated spectra allow the calculation of correction factors for reading of thermoluminescent dosimeters utilized in the measurement of deep doses, contributing for the reduction of uncertainties associated with quality control of clinical beams in radiotherapy.
Subject(s)
Monte Carlo Method , Radiotherapy , Spectrum Analysis , Radiation Dosimeters , Quality ControlABSTRACT
O objetivo deste trabalho foi avaliar a eficácia da adição de cilindros localizadores com colimadores retangulares, de comprimento curto e longo, na dose de exposição em radiografias periapicais...