Field Test of the MiniRadMeter Gamma and Neutron Detector for the EU Project CLEANDEM.

In the framework of the H2020 CLEANDEM project, a small robotic vehicle was equipped with a series of different sensors that were developed for the preliminary inspection of areas possibly contaminated by radiation. Such unmanned inspection allows to identify dangerous locations prior to the possible start of human operations. One of the developed devices, named the MiniRadMeter, is a compact low-cost sensor that performs gamma and neutron radiation field mapping in the environment. The MiniRadMeter was successfully tested in a simulated field mission with four "hidden" radioactive sources and a neutron generator. In this work, we describe the test procedure and the results, which were supported by the outcome of dedicated Monte Carlo simulations.

The Gamma and Neutron Sensor System for Rapid Dose Rate Mapping in the CLEANDEM Project.

The decommissioning of nuclear installations, as well as the possible necessary accident remediations, requires the physical presence of human operators in potentially radiologically hostile environments. The number of active nuclear reactors worldwide is greater than 400, and most of them are 40 to 50 years old, thus implying that soon they will have to be dismantled. In the framework of the H2020 CLEANDEM project, a small robotic vehicle is being developed that is equipped with a series of different sensors for areas that are significantly contaminated by radiation. In this work, we describe the MiniRadMeter system, a compact low-cost sensor capable of being used to perform quick gamma and neutron radiation field mapping of environments prior to the possible start of human operations. The miniature gamma sensor is a 1 cm3 scintillator counter with moderate spectroscopic features read out by means of a 6 × 6 mm2 SiPM, whereas neutrons are detected by means of a silicon diode coupled to a layer of 6LiF and placed inside a 6 × 6 × 6 cm3 polyethylene box. The front-end and data acquisition electronics were developed based on a Raspberry Pi4 microcomputer. In this paper, the system performance and the preliminary test results are described.

A Scintillator Array Table with Spectroscopic Features.

In the framework of radioactive material handling, such as in radwaste sorting and segregation operations, the availability of a simple tool to quickly detect and locate gamma radiation spots can be quite convenient. Additional spectroscopic features, even with moderate energy resolutions, could provide a useful benefit. As a proof of principle for such a tool, we developed a gamma detector prototype featuring an array of 10 × 10 CsI(Tl) scintillators (1 × 1 × 1 cm3) providing readouts by means of a corresponding array of 6 × 6 mm2 silicon photo multipliers (SiPM). Such a detector table could be easily incorporated into a work desk for quick scanning of possibly radioactive objects. The proposed detector has a good counting efficiency and energy resolution, while the simulations and tests show interesting hot-spot localization capabilities.

SiLiF Neutron Counters to Monitor Nuclear Materials in the MICADO Project.

In the framework of the MICADO (Measurement and Instrumentation for Cleaning And Decommissioning Operations) European Union (EU) project, aimed at the full digitization of low- and intermediate-level radioactive waste management, a set of 32 solid state thermal neutron detectors named SiLiF has been built and characterized. MICADO encompasses a complete active and passive characterization of the radwaste drums with neutrons and gamma rays, followed by a longer-term monitoring phase. The SiLiF detectors are suitable for the monitoring of nuclear materials and can be used around radioactive waste drums possibly containing small quantities of actinides, as well as around spent fuel casks in interim storage or during transportation. Suitable polyethylene moderators can be exploited to better shape the detector response to the expected neutron spectrum, according to Monte Carlo simulations that were performed. These detectors were extensively tested with an AmBe neutron source, and the results show a quite uniform and reproducible behavior.

Micro X-ray Fluorescence Imaging in a Tabletop Full Field-X-ray Fluorescence Instrument and in a Full Field-Particle Induced X-ray Emission End Station.

A full field-X-ray camera (FF-XRC) was developed for performing the simultaneous mapping of chemical elements with a high lateral resolution. The device is based on a conventional CCD detector coupled to a straight shaped polycapillary. Samples are illuminated at once with a broad primary beam that can consist of X-rays or charged particles in two different analytical setups. The characteristic photons induced in the samples are guided by the polycapillary to the detector allowing the elemental imaging without the need for scanning. A single photon counting detection operated in a multiframe acquisition mode and a processing algorithm developed for event hitting reconstruction have enabled one to use the CCD as a high energy resolution X-ray detector. A novel software with a graphical user interface (GUI) programmed in Matlab allows full control of the device and the real-time imaging with a region-of-interest (ROI) method. At the end of the measurement, the software produces spectra for each of the pixels in the detector allowing the application of a least-squares fitting with external analytical tools. The FF-XRC is very compact and can be installed in different experimental setups. This work shows the potentialities of the instrument in both a full field-micro X-ray fluorescence (FF-MXRF) tabletop device and in a full field-micro particle induced X-ray emission (FF-MPIXE) end-station operated with an external proton beam. Some examples of applications are given as well.

Macro and micro full field x-ray fluorescence with an X-ray pinhole camera presenting high energy and high spatial resolution.

This work describes a tabletop (50 cm × 25 cm × 25 cm) full field X-ray pinhole camera (FF-XPC) presenting high energy- and high spatial-resolution. The FF-XPC consists of a conventional charge-coupled device (CCD) detector coupled, in a coaxial geometry, to a pinhole collimator of small diameter. The X-ray fluorescence (XRF) is induced on the samples with an external low-power X-ray tube. The use of the CCD as an energy dispersive X-ray detector was obtained by adopting a multi-image acquisition in single photon counting and by developing a processing algorithm to be applied in real-time to each of the acquired image-frames. This approach allowed the measurement of X-ray spectra with an energy resolution down to 133 eV at the reference value of 5.9 keV. The detection of the X-ray fluorescence through the pinhole-collimator allowed the two-dimensional elemental mapping of the irradiated samples. Two magnifications (M), determined by the relative sample-pinhole-CCD distances, are used in the present setup. A low value of M (equal to 0.35×) allows the macro-FF-XRF of large area samples (up to 4 × 4 cm(2)) with a spatial resolution down to 140 µm; a large magnification (M equal to 6×) is used for the micro-FF-XRF of small area samples (2.5 × 2.5 mm(2)) with a spatial resolution down to 30 µm.

Short course radiotherapy and delayed surgery for locally advanced rectal cancer in frail patients: is it a valid option?

OBJECTIVE: The endpoint of the present study was to evaluate the outcomes of short-course radiotherapy (SCRT) and SCRT with delayed surgery (SCRT-DS) on a selected subgroup of frail patients with locally advanced middle/low rectal adenocarcinoma. METHODS: From January 2008 to December 2018, a total of 128 frail patients with locally advanced middle-low rectal adenocarcinoma underwent SCRT and subsequent restaging for eventual delayed surgery. Rates of complete pathological response, down-staging, disease free survival (DFS) and overall survival (OS) were analyzed. RESULTS: 128 patients completed 5 × 5 Gy pelvic radiotherapy. 69 of these were unfit for surgery; 59 underwent surgery 8 weeks (average time: 61 days) after radiotherapy. Downstaging of T occurred in 64% and down-staging of N in 50%. The median overall survival (OS) of SCRT alone was 19.5 months. The 1-year, 2-year, 3-year and 5-year OS was 48%, 22%, 14% and 0% respectively. In the surgical group, the median disease-free survival (DFS) and median OS were, respectively, 67 months (95% CI 49.8-83.1 months) and 72.1 months (95% CI 57.5-86.7 months). The 1, 2, 3, 5-year OS was 88%, 75%, 51%, 46%, respectively. Post-operative morbidity was 22%, mortality was 3.4%. CONCLUSIONS: Frail patients with advanced rectal cancer are often "unfit" for long-term neoadjuvant chemoradiation. A SCRT may be considered a valid option for this group of patients. Once radiotherapy is completed, patients can be re-evaluated for surgery. If feasible, SCRT and delayed surgery is the best option for frail patients.

Single Photon Avalanche Diodes: Towards the Large Bidimensional Arrays.

Single photon detection is one of the most challenging goals of photonics. In recent years, the study of ultra-fast and/or low-intensity phenomena has received renewed attention from the academic and industrial communities. Intense research activity has been focused on bio-imaging applications, bio-luminescence, bio-scattering methods, and, more in general, on several applications requiring high speed operation and high timing resolution. In this paper we present design and characterization of bi-dimensional arrays of a next generation of single photon avalanche diodes (SPADs). Single photon sensitivity, dark noise, afterpulsing and timing resolution of the single SPAD have been examined in several experimental conditions. Moreover, the effects arising from their integration and the readout mode have also been deeply investigated.

Beam imaging in the injection line of the INFN-LNS superconducting cyclotron.

A cheap and efficient diagnostic system for beam monitoring has been recently developed at INFN-LNS in Catania. It consists of a high sensitivity CCD camera detecting the light produced by an ion beam hitting the surface of a scintillating screen and a frame grabber for image acquisition. A scintillating screen, developed at INFN-LNS and consisting of a 2 µm BaF2 layer evaporated on an aluminium plate, has been tested by using (20)Ne and (40)Ar beams in the keV energy range. The CAESAR ECR ion source has been used for investigating the influence of the frequency and magnetic field tuning effects, the impact of the microwave injected power, and of the focusing solenoids along the low energy beam transport on the beam shape and current. These tests will allow to better understand the interplay between the plasma and beam dynamics and, moreover, to improve the transport efficiency along the low energy beam line and the matching with the superconducting cyclotron, particularly relevant in view of the expected upgrade of the machine.

Thermal neutron detection using a silicon pad detector and 6LiF removable converters.

A semiconductor detector coupled with a neutron converter is a good candidate for neutron detection, especially for its compactness and reliability if compared with other devices, such as (3)He tubes, even though its intrinsic efficiency is rather lower. In this paper we show a neutron detector design consisting of a 3 cm × 3 cm silicon pad detector coupled with one or two external (6)LiF layers, enriched in (6)Li at 95%, placed in contact with the Si active surfaces. This prototype, first characterized and tested at INFN Laboratori Nazionali del Sud and then at JRC Ispra, was successfully shown to detect thermal neutrons with the expected efficiency and an outstanding gamma rejection capability.

Characterization of a scintillating mini-detector for time-of-flight positron emission tomography with depth-of-interaction.

By exploiting a suitable treatment of the scintillator surfaces, along with silicon photomultiplier photodetectors and specific algorithms for raw data analysis, we achieved a remarkable tradeoff between energy, time, and depth-of-interaction (DOI) resolution, thus supporting the feasibility of a prostate time-of-flight positron emission tomography probe, magnetic resonance imaging compatible, with the required features and performance. In numbers this means a detector element of 1.5 mm × 1.5 mm × 10 mm, promising to achieve at the same time energy resolution around 11.5%, coincidence resolving time around 300 ps corresponding to a space resolution <5 cm along the line of response, and DOI resolution even below 1 mm. We stress that such a time resolution allows to increase significantly the noise equivalent counting rate, and consequently improve the image quality and the lesion detection capability.

Assessment of a high-resolution candidate detector for prostate time-of-flight positron emission tomography.

We report on the measurements performed using a (22)Na source on a detector element for a magnetic resonance imaging-compatible time-of-flight-positron emission tomography endorectal prostate probe, with depth-of-interaction sensitivity. It is made from a LYSO scintillator crystal, wrapped with Lumirror, readout at both ends by means of silicon photomultipliers. With a detailed description of the data analysis procedure, we show that our results point to a 400 ps coincidence resolving time and, at the same time, to a depth-of-interaction resolution of 1 mm. These appealing features, along with the tiny 1.5 mm × 1.5 mm × 10 mm crystal size, are quite promising in view of the realization of a prototype probe.

Long-term results of tailored D(2) lymph node dissection after R(0) surgery for gastric cancer.

Implementation of extended lymph node dissection for gastric cancer in western non-specialized centers through tailoring its extent upon disease stage and patient comorbidities was suggested as a wise policy to reduce morbidity and mortality rates, albeit with a potential for undertreatment in elderly and/or comorbid patients. Current definition of R(0) resection for gastric cancer lacks consideration of treatment-related variables such as extended lymph node dissection. Few studies to date have tried to fill this gap in such a clinical context. A retrospective evaluation of factors influencing long-term results after R(0) surgery was done in a prospective series of a non-specialized western surgical unit during the implementation of D(2) lymphadenectomy. Univariate and multivariate analysis of 22 variables were performed on a prospective database of 233 consecutive R(0) resections performed by ten different surgeons in 10 years. Endpoint was disease-free survival calculated at 5 and at 10 years. Disease-free survival rates were independently influenced by age, American Society of Anesthesiologists (ASA) status and lymph node ratio. Subset analysis of the status at censor stratified for age and ASA status failed to identify any significant difference in disease recurrence rates. Lymph node ratio was the only treatment-related independent prognostic factor for long-term results after R(0) surgery for gastric cancer in the setting of a non-specialized western unit, where the extent of lymph node dissection needs to be tailored on the presence of comorbidities (ASA status).

An imaging technique for detection and absolute calibration of scintillation light.

Triggered by the need of a detection system to be used in experiments of nuclear fusion in laser-generated plasmas, we developed an imaging technique for the measurement and calibration of the scintillation light yield of scintillating materials. As in such experiments, all the reaction products are generated in an ultrashort time frame, the event-by-event data acquisition scheme is not feasible. As an alternative to the emulsion technique (or the equivalent CR39 sheets) we propose a scintillating screen readout by means of a high performance charge coupled device camera. Even though it is not strictly required in the particular application, this technique allows the absolute calibration of the scintillation light yield.

Scintillating screens sensitivity and resolution studies for low energy, low intensity beam diagnostics.

In order to investigate the limits of scintillating screens for beam profile monitoring in the ultra-low energy, ultra-low intensity regime, CsI:Tl, YAG:Ce, and a Tb glass-based scintillating fiber optic plate (SFOP) were tested. The screens response to 200 and 50 keV proton beams with intensities ranging from a few picoampere down to the subfemtoampere region was examined. In the following paper, the sensitivity and resolution studies are presented in detail for CsI:Tl and the SFOP, the two most sensitive screens. In addition, a possible use of scintillators for ultra-low energy antiproton beam monitoring is discussed.

Development of a thermal neutron detector based on scintillating fibers and silicon photomultipliers.

We propose a technique for thermal neutron detection, based on a (6)Li converter placed in front of scintillating fibers readout by means of silicon photomultipliers. Such a technique allows building cheap and compact detectors and dosimeters, thus possibly opening new perspectives in terms of granular monitoring of neutron fluxes as well as space-resolved neutron detection.