Investigation of the beam quality and dose rate dependence of PAKAG polymer gel dosimeter in optical readout technique.

This study aims to evaluate the optical response dependence of the PAKAG polymer gel dosimeter on photon energy and dose rate. The produced gel dosimeters were irradiated using a Varian CL 21EX medical linear accelerator with delivered doses of 0, 2, 4, 6, 8, and 10 Gy. To examine the response dependence on the delivered dose rate, dose rates of 50, 100, 200, and 350 cGy/min were investigated. Additionally, two incident beam qualities of 6 and 18 MV were examined to study the response dependence on the incident beam energy. The irradiated polymer gel dosimeters were readout using a UV Vis spectrophotometer in the 300 to 800 nm scan range. The results reveal that a wide variation in dose rate (50-350 cGy.min-1) influences the absorbance-dose response and the sensitivity of PAKAG polymer gel dosimeter. However, smaller variations did not show a significant effect on the response. Furthermore, the response changed insignificantly with beam quality for investigated energies. It was concluded that the optical reading response of the PAKAG polymer gel dosimeter is satisfactorily independent of external parameters, including dose rate and incident beam quality. .

The investigation of dose rate and photon beam energy dependence of optimized PASSAG polymer gel dosimeter using magnetic resonance imaging.

OBJECTIVE: It seems that dose rate (DR) and photon beam energy (PBE) may influence the sensitivity and response of polymer gel dosimeters. In the current project, the sensitivity and response dependence of optimized PASSAG gel dosimeter (OPGD) on DR and PBE were assessed. MATERIALS AND METHODS: We fabricated the OPGD and the gel samples were irradiated with various DRs and PBEs. Then, the sensitivity and response (R2) of OPGD were obtained by MRI at various doses and post-irradiation times. RESULTS: Our analysis showed that the sensitivity and response of OPGD are not affected by the evaluated DRs and PBEs. It was also found that the dose resolution values of OPGD ranged from 9 to 33 cGy and 12 to 34 cGy for the evaluated DRs and PBEs, respectively. Additionally, the data demonstrated that the sensitivity and response dependence of OPGD on DR and PBE do not vary over various times after the irradiation. CONCLUSIONS: The findings of this research project revealed that the sensitivity and response dependence of OPGD are independent of DR and PBE.

Response investigation of a new polymer gel dosimeter based on ammonium salt through MRI technique.

Increasing the use of polymer gel dosimetry (PGD) in radiotherapy requires reducing its toxicity. The toxicity of the PGD components causes risks for the users as well as the environment. The aim of this study is to produce a new PGD called PAGBIT (Polymer, Amps ammonium salt, Gelatin, BIs, Thpc) based on the nontoxic monomer of 2-acrylamido-2-methylpropanesulfonic acid ammonium salt. Furthermore, this monomer is ecofriendly. The PAGBIT PGD was prepared in the laboratory in ambient conditions. PGDs were irradiated using a clinical accelerator with a dose range of 0-10 Gy. The incident photon energy and dose rate were 6-MV and 300 cGy/min, respectively. The irradiated PGDs were imaged using a 1.5T MRI scanner 9 times in a time range of 12-720 h post-irradiation. The maximum obtained sensitivity was 0.115 ± 0.005 Gy-1s-1 at 36 h post-irradiation time. The average sensitivity change as a function of post-irradiation time was 0.0017 Gy-1s-1h-1. However, the average sensitivity change as a function of scanning temperature was 0.0006 Gy-1s-1°C-1. Results showed that the differences of effective atomic number and electron density between PAGBIT and soft tissue were 2.3% and 0.3%, respectively. It was concluded that the PAGBIT is a low toxic, water equivalent PGD with noticeable temporal and temperature stabilities.

End-to-End QA with Polymer Gel Dosimeter for Photon Beam Radiation Therapy.

With the complexity and high demands on quality assurance (QA) of photon beam radiation therapy, end-to-end (E2E) QA is necessary to validate the entire treatment workflow from pre-treatment imaging to beam delivery. A polymer gel dosimeter is a promising tool for three-dimensional (3D) dose distribution measurement. The purpose of this study is to design a fast "one delivery" polymethyl methacrylate (PMMA) phantom with a polymer gel dosimeter for the E2E QA test of the photon beam. The one delivery phantom is composed of ten calibration cuvettes for the calibration curve measurement, two 10 cm gel dosimeter inserts for the dose distribution measurement, and three 5.5 cm gel dosimeters for the square field measurement. The one delivery phantom holder is comparable in size and shape to that of a human thorax and abdomen. In addition, an anthropomorphic head phantom was employed to measure the patient-specific dose distribution of a VMAT plan. The E2E dosimetry was verified by undertaking the whole RT procedure (immobilization, CT simulation, treatment planning, phantom set-up, imaged-guided registration, and beam delivery). The calibration curve, field size, and patient-specific dose were measured with a polymer gel dosimeter. The positioning error can be mitigated with the one-delivery PMMA phantom holder. The delivered dose measured with a polymer gel dosimeter was compared with the planned dose. The gamma passing rate is 86.64% with the MAGAT-f gel dosimeter. The results ascertain the feasibility of the one delivery phantom with a polymer gel dosimeter for a photon beam in E2E QA. The QA time can be reduced with the designed one delivery phantom.

Verification of dose distribution in high dose-rate brachytherapy for cervical cancer using a normoxic N-vinylpyrrolidone polymer gel dosimeter.

The polymer gel dosimeter has been proposed for use as a 3D dosimeter for complex dose distribution measurement of high dose-rate (HDR) brachytherapy. However, various shapes of catheter/applicator for sealed radioactive source transport used in clinical cases must be placed in the gel sample. The absorbed dose readout for the magnetic resonance (MR)-based polymer gel dosimeters requires calibration data for the dose-transverse relaxation rate (R2) response. In this study, we evaluated in detail the dose uncertainty and dose resolution of three calibration methods, the multi-sample and distance methods using the Ir-192 source and the linear accelerator (linac) method using 6MV X-rays. The use of Ir-192 sources increases dose uncertainty with steep dose gradients. We clarified that the uniformly irradiated gel sample improved the signal-to-noise ratio (SNR) due to the large slice thickness of MR images and could acquire an accurate calibration curve using the linac method. The curved tandem and ovoid applicator used for intracavitary irradiation of HDR brachytherapy for cervical cancer were reproduced with a glass tube to verify the dose distribution. The results of comparison with the treatment planning system (TPS) calculation by gamma analysis on the 3%/2 mm criterion were in good agreement with a gamma pass rate of 90%. In addition, the prescription dose could be evaluated accurately. We conclude that it is easy to place catheter/applicator in the polymer gel dosimeters, making them a useful tool for verifying the 3D dose distribution of HDR brachytherapy with accurate calibration methods.

A new formulation of polymer gel dosimeter with reduced toxicity: Dosimetric characteristics and radiological properties.

The present study aimed to produce a new, less toxic, and cost-effective polymer gel dosimeter using potassium salt of 2-acrylamido-2 methyl-propane sulfonic acid (AMPS) monomer. The new formulation was called PAKAG. The irradiation of PAKAG polymer gel dosimeter was performed using a 6 MV clinical linear accelerator, and its response was evaluated using magnetic resonance imaging. The obtained images were post-processed to produce related R2 maps. Afterward, the Dose-R2 calibration curves were obtained. Response dependence on the imaging temperature was examined. Furthermore, response stability over time was investigated. To investigate the radiological characteristics, the elemental composition, effective atomic number, electron density, and photon attenuation coefficient of PAKAG polymer gel dosimeter were calculated. A maximum sensitivity of 0.152±0.007 with the goodness of fit of R2=0.999 in a dynamic range of 0-6Gy at 12h post-irradiation time was found. Such as other polymer gel dosimeter, the response of PAKAG polymer gel dosimeter was dependent on post-irradiation time and imaging temperature. Finally, it was concluded that the PAKAG polymer gel dosimeter could be used as a less toxic and cost-effective polymer gel dosimeter.

Improvement of sensitivity of X-ray CT reading method for polymer gel in radiation therapy.

BACKGROUND: Three dimensional (3D) dosimetry methods are useful for advanced radiotherapy techniques such as stereotactic radiosurgery (SRS) and high dose rate (HDR) brachytherapy. Polymer gel is one of the more reliable 3D dosimetry techniques. More studies are needed to improve the efficiency of polymer gels for their application in dosimetry. AIM: In the current study, the best protocol for reading of N-isopropyl acrylamide (NIPAM) polymer gel by X-ray computed tomography (CT) was implemented for application in radiotherapy. MATERIAL AND METHODS: The NIPAM gel was made and irradiated by 6 MV. Its reading was done by the X-ray CT after 24 h and the information examined by using the MATLAB software. In the present work, the different effects of slice thicknesses and voltages were investigated for its lower toxicity of NIPAM polymer gel. The results of a recipe of different filtering on the response curve of polymer gel was investigated. RESULTS: The measured dose sensitivity was Δ N C T H  = 0.29 ± 0.01 H G y - 1 for the NIPAM dosimeter. The best sensitivity was achieved for 120 kVp and the slice thickness of 10 mm. The greater slice thickness gained more desirable sensitivity. This process was repeated by using different filtering with different thicknesses to obtain the best sensitivity. CONCLUSIONS: The sensitivity of X-ray CT reading technique of NIPAM Polymer gel depended on the slice thickness and kVp. The wiener2 filtering was useful to improving sensitivity.

Technical Note: Radiotherapy dose characterization of gel dosimetry using shear wave elasticity imaging.

PURPOSE: Radiotherapy is an effective treatment for many types of cancer in clinical settings. Gel dosimetry has the potential to record three-dimensional (3D) dose distribution compared to a conventional ion chamber. As the elasticity of the gel is altered after irradiation due to gel polymerization, we aim to measure the dose recorded in gel dosimetry with ultrasonic shear wave elasticity imaging (SWEI), a nondestructive and quantitative elasticity imaging tool. METHODS: In this study, a cylindrical N-isopropylacrylamide (NIPAM) polymer gel with a diameter of 10 cm and a height of 10 cm and with cellulose as an ultrasonic scatterer was irradiated by a linear accelerator with the irradiation parameters of 6 MV x-ray, dose rate of 100 cGy/min and field size of 10  ×  20 mm2 . The six gel phantoms were irradiated with the dose of 0, 1, 3, 5, 8, or 10 Gy. The gel phantoms were measured with SWEI at 24, 36, and 48 h after x-ray irradiation. The two-dimensional (2D) shear wave velocity and Young's modulus maps corresponding to x-ray dose distribution were reconstructed following a time-of-flight reconstruction from a set of time-series displacement maps. The spatial resolution of the reconstructed SWEI image is ~1 mm. RESULTS: Our results show that the elastic modulus increases linearly as irradiation dose increases (R2  = 0.94 at 24 h, R2  = 0.98 at 36 h, R2  = 0.98 at 48 h), suggesting that the gel elasticity is highly associated with x-ray irradiation dose at 36 h post irradiation, and the dose resolution was 0.66 kPa/Gy. From the 3D elastic modulus maps, the dose distribution along the depth and lateral direction can be reflected in the NIPAM gel dosimetry using SWEI as well. CONCLUSIONS: In this study, the irradiated NIPAM gel phantom was quantitatively measured with SWEI for the first time to read the dose distribution recorded in the gel dosimetry. The results suggest that the gel elasticity is highly associated with x-ray irradiation dose. In the future, 2D/or 3D dose distribution from intensity modulated radiotherapy (IMRT) or other potential particle radiotherapy will be measured and reconstructed with SWEI and compared with the dose map from a treatment planning system (TPS) in the clinic.

Sensitivity enhancement of methacrylic acid gel dosimeters by incorporating iodine for computed tomography scans.

PURPOSE: Polymer gel dosimeters provide three-dimensional absorbed dose information and have gradually become a popular tool for quality assurance in radiotherapy. This study aims to incorporate iodine into the MAGAT-based gel as radiation sensitizer and investigate whether it can be used to measure the radiation dose and slice thickness for CT scans. METHODS: The nMAGAT(I) gel was doped with 0.03, 0.05, and 0.07-M iodine. The absorbed dose was delivered using a CT scanner (Alexion 16, Toshiba Medical Systems, Japan) with tube voltages of 80, 100, 120, and 135 kVp. The irradiated nMAGAT(I) gel was read using a cone beam optical CT scanner to produce dose-response curves. The nMAGAT(I) gel was used to obtain the slice sensitivity profile (SSP) and the CT dose index (CTDI) for quality assurance of CT scans. RESULTS: The 0.07-M iodine-doped nMAGAT(I) gel exhibited maximum sensitivity with the dose enhancement ratio of 2.12. The gel was chemically stable 24 h after its preparation, and the polymerization process was completed 24-48 h after the irradiation. For CT quality assurance, the full width at half maximum measured by the nMAGAT(I) gel matched the nominal slice thickness of CT. The CTDI at center, CTDI at peripheral, and weighted CTDI obtained by the nMAGAT(I) gel differed from those obtained by the ionization chamber by -4.2%, 3.1%, and 0.7%, respectively. CONCLUSIONS: The nMAGAT(I) gel can be used to assess radiation doses and slice thickness in CT scans, thus rendering it a potential quality assurance tool for CT and other radiological diagnostic applications.

Design and characteristics of an agar additive polymer gel dosimeter.

Herein, we investigate the use of agar and gelatin in a polymer gel dosimeter. The polymer gel is enclosed in a vinyl film to obtain a dosimeter of arbitrary shape and maintain the shape at room temperature. The resulting polymer gel dosimeter could preserve its shape across a wide temperature range. Excluding the surface region, the obtained dose distribution was within 3% of that determined in an ionization chamber.

Evaluations of N-(Isobutoxymethyl) acrylamide gel dosimeter by NMR technique for radiotherapy and uncertainty in dose measurements.

N-(Isobutoxymethyl) acrylamide (NIBMA) monomer in gelatin, named NIBMAGAT gel dosimeter, was prepared and investigated by nuclear magnetic imaging (NMR) for radiotherapy in the dose range of 0-30 Gy. NIBMA monomer polymerizes upon irradiation, increasing spin-spin relaxation rate R2. The addition of glycerol as a co-solvent in the gel matrix improved its radiation sensitivity better than the co-solvents of acetone and methanol. The increase of glycerol content by 1% wt/wt enhanced the sensitivity by ˜ 3.1%. This gel has better radiation sensitivity as compared to the polyacrylamide gel (PAG) dosimeter; the sensitivities of NIBMAGAT gel and normoxic polyacrylamide gel (nPAG) are ≈0.13 and ≈0.1 s-1.Gy-1, respectively. By comparing NIBMAGAT gel dosimeter with PAG, nMAG and nPAG gel dosimeters, NIBMAGAT gel dosimeter is less influenced by scanning temperature than the last three dosimeters. The gel is water equivalent and has an energy-independent response from 80 keV to 20 MeV. The overall uncertainty of dose measurement using NIBMAGAT gel is 5.46% at 2σ. Our findings suggest the applicability of using NIBMAGAT gel dosimeter by NMR technique for dose verification/planning in the practice of clinical radiotherapy.

Dose distribution verification in high-dose-rate brachytherapy using a highly sensitive normoxic N-vinylpyrrolidone polymer gel dosimeter.

Rapid technological advances in high-dose-rate brachytherapy have led to a requirement for greater accuracy in treatment planning system calculations and in the verification of dose distributions. In high-dose-rate brachytherapy, it is important to measure the dose distribution in the low-dose region at a position away from the source in addition to the high-dose range in the proximity of the source. The aim of this study was to investigate the accuracy of a treatment plan designed for prostate cancer in the low-dose range using a normoxic N-vinylpyrrolidone-based polymer gel (VIPET gel) dosimeter containing inorganic salt as a sensitizer (iVIPET). The dose response was evaluated on the basis of the transverse relaxation rate (R2) measured by magnetic resonance scanning. In the verification of the treatment plan, gamma analysis showed that the dose distributions obtained from the polymer gel dosimeter were in good agreement with those calculated by the treatment planning system. The gamma passing rate according to the 2%/2 mm criterion was 97.9%. The iVIPET gel dosimeter provided better accuracy for low doses than the normal VIPET gel dosimeter, demonstrating the potential to be a useful tool for quality assurance of the dose distribution delivered by high-dose-rate brachytherapy.

A new less toxic polymer gel dosimeter: Radiological characteristics and dosimetry properties.

PURPOSE: A new polymer gel dosimeter recipe was investigated that may be more suitable for widespread applications than polyacrylamide gel dosimeters, since the extremely toxic acrylamide has been replaced with the less harmful monomer 2-Acrylamido 2-Methyl Propane Sulfonic acid (AMPS). METHODS: The new formulation was named PAMPSGAT. The MRI response (R2) of the dosimeters was analyzed for conditions of varying dose, dose rate, and temperature during scanning. Radiological properties of the PAMPSGAT polymer gel dosimeter were investigated. RESULTS: The dose-response (R2) of AMPS/Bis appears to be linear over a dose range 10-40 Gy. The percentage of difference between the R2 values for imaging at 15 °C and MRI room temperature is about 4.6% for vial with 40 Gy absorbed dose which decreased to less than 1% for imaging at 20 °C. The percentage difference of Zeff of PAMPSGAT gel and soft tissue was less than 1% in the practical energy range (100 KeV-100 MeV). The electron density of the PAMPSGAT polymer gel was 2.9% higher than that of muscle. Results showed that the sensitivity of PAMPSGAT polymer gel dosimeter irradiated by 60Co (energy = 1.25 MeV) is about 27.7% higher than that of irradiated using a 6 MeV Linac system. CONCLUSIONS: Temperature during MRI scanning has a small effect on the R2 response of the PAMPSGAT polymer gel dosimeter. Results confirmed tissue equivalency of the PAMPSGAT polymer gel dosimeter in most practical energy range. The PAMPSGAT polymer gel dosimeter response depends on energy and dose rate.

Influence of magnesium chloride on the dose-response of polyacrylamide-type gel dosimeters.

We investigated the effect of magnesium chloride (MgCl2) on the nuclear magnetic resonance dose-response of polyacrylamide-type (PAGAT, NIPAM, and VIPET) gel dosimeters containing acrylamide, N-isopropylacrylamide, and N-vinylpyrrolidone as a monomer, respectively. The dose-transverse relaxation rates (1/T2 = R2) obtained from magnetic resonance imaging data revealed that a substantial increase in the dose-R2 response occurred as the concentration of MgCl2 in the gel dosimeters increased. The sensitivity of the PAGAT gel with 1.0 M MgCl2 was found to be approximately one order higher than that of the same gel without MgCl2. In addition, the water equivalences of the gels with MgCl2 were evaluated over a wide range of photon energies. The results indicated that MgCl2 acts as a powerful sensitizer to radiation-induced free-radical polymerization in polyacrylamide-type gel dosimeters, but does not interfere with the desirable properties of basic polyacrylamide-type gel dosimeters (i.e., the dose rate and dose integration).

A novel quantification method for low-density gel dosimeter.

AIM: Low signal-to-noise ratio (SNR) images of lung-like (low-density [LD]) gel dosimeters, compared to unit-density (UD) gels, necessitate the use of different quantification methods. SETTING AND DESIGN: In this study, a new method is introduced based on noise correction and exponential (NCEXP) fitting. The feasibility of NCEXP method for quantifying dose absorption in LD gels is evaluated. MATERIALS AND METHODS: Sensitivity, dose resolution, detectable dynamic range, and correlation of the calibration curve for both UD and LD gel dosimeters are the parameters, which we analyze to investigate the consequences of new method. Results of NCEXP method are compared to maximum likelihood estimation of rician distribution (MLE-R) and variable echo number (VAREC) quantification methods. RESULTS: Dose response of LD gel dosimeter shows wider detectable dynamic range as compared to UD gel. Using NCEXP method for both LD and UD dosimeter gels, a more sensitive calibration curve with a superior dose resolution is obtained. The advantage of new quantification method is more significant for LD dosimeter gel analysis, where SNR decreases as a result of higher absorbed doses (≥10 Gy). Despite the inverse effect of the VAREC method on detectable dose range of UD gel, no specific changes are observed in dynamic dose range of LD gel dosimeter with different quantification methods. The correlations obtained with different methods were approximately of the same order for UD and LD gels. CONCLUSION: NCEXP method seems to be more effective than the MLE-R and VAREC methods for quantification of LD dosimeter gel, especially where high-dose absorption and steep-dose gradients exist such as those in intensity-modulated radiation therapy and stereotactic radiosurgery.

The Clinical Applications of Polymer Gel Dosimetry Using MRI.

Polymer gel dosimeters are devices that utilize the radiation-induced polymerization reactions of vinyl monomers in a gel to store information of radiation dose. They have some advantages over other dosimeters as the visual conformation and the direct read-out of three-dimensional (3D) radiation dose information for the dosimetric verification of intensity modulated radiotherapy (IMRT), volumetric modulated arc therapy (VMAT), and stereotactic radiotherapy (SRT) with steep dose gradients. In this report, the dosimetric uncertainties and potential for clinical applications of polymer gel dosimetry by the in-house developed 3D dose verification system for IMRT and VMAT QA is outlined.

Polymer gel dosimeters with PVA-GA matrix.

Properties of a new polymer gel with cross-linked polyvinyl alcohol as a gelatinous matrix were investigated. The new polymer gel dosimeter was named PVABAT. The irradiation was performed using a calibrated 60Co beam. The dose responses of the PVABAT formulations were quantified with MRI transverse relaxation rate (R2) measurements. The results show that the PVABAT gel responds linearly to the absorbed dose for doses from 30 up to 45 Gy. The maximal amount of [Formula: see text] of PVABAT polymer gel dosimeter was about 0.19 Gy which was indicated on a better resolution in comparison with previously reported acrylamide-based polymer gel dosimeters formulations. Furthermore, the gel response remains stable in the investigated time (192 h) after the irradiation. The effective atomic number and electron density of the new gel showed a maximum difference of 3.2 and 2% with soft tissue respectively. The melting point also increased significantly for new formulation. Furthermore, the new gel formulation has an elemental tissue equivalency for dosimetry applications involving nuclear reactions.

Polymer gel dosimeters for pretreatment radiotherapy verification using the three-dimensional gamma evaluation and pass rate maps.

Polymer gel dosimeters (PGDs) have been widely studied for use in the pretreatment verification of clinical radiation therapy. However, the readability of PGDs in three-dimensional (3D) dosimetry remain unclear. In this study, the pretreatment verifications of clinical radiation therapy were performed using an N-isopropyl-acrylamide (NIPAM) PGD, and the results were used to evaluate the performance of the NIPAM PGD on 3D dose measurement. A gel phantom was used to measure the dose distribution of a clinical case of intensity-modulated radiation therapy. Magnetic resonance imaging scans were performed for dose readouts. The measured dose volumes were compared with the planned dose volume. The relative volume histograms showed that relative volumes with a negative percent dose difference decreased as time elapsed. Furthermore, the histograms revealed few changes after 24h postirradiation. For the 3%/3mm and 2%/2mm criteria, the pass rates of the 12- and 24-h dose volumes were higher than 95%, respectively. This study thus concludes that the pass rate map can be used to evaluate the dose-temporal readability of PGDs and that the NIPAM PGD can be used for clinical pretreatment verifications.

[Evaluation of 3D Dose Distribution and Clinical Applications Using Polymer Gel Dosimeter].

Evaluation of dosimetric impact of the interplay effect between multi-leaf collimator (MLC) movement and tumor respiratory motion during volumetric modulated arc therapy (VMAT) delivery using polymer gel dosimeter was taken as an example in this article. An excellent gas barrier PAN (polyacrylonitrile) bottle filled with polyacrylamide-based gel dosimeter contained magnesium chloride as a sensitizer (iPAGAT dosimeter) was set to the QUASAR™ respiratory motion phantom (Modus), and was moved with motion amplitudes (peak-to-peak amplitude) of 1 and 2 cm with a 4 second period during VMAT delivery by the Novalis Tx linear accelerator (Varian/BrainLAB). Two spherical GTVs with 2 cm diameter and two PTVs were defined considering the respiratory motion and setup uncertainties. Three-dimensional (3D) dose distribution in iPAGAT dosimeter was read out by the 3T MRI system, and was evaluated by the dose profiles, gamma analysis and the dose-volume histogram (DVH) using in-house developed software. As a result, interplay effect was negligible since dose coverage of GTV was sufficient during VMAT delivery with simulated respiratory motion.

[Evaluation of Three Dimensional Dose Distributions by Using Polymer Gel Dosimeters Based on HPC Gel Sheets].

We have proposed a novel polymer gel dosimeter containing of 2-hydroxyethyl methacrylate (HEMA), nonaethylene glycol dimethacrylate (9G), and tetrakis (hydroxymethyl) phosphonium chloride (THPC) with radiation-crosslinked hydroxypropyl cellulose (HPC) gel sheet. The transparent sheet-type dosimeters became white and cloudy by irradiation with gamma-rays and heavy ions such as He ions (150 MeV/u), C ions (290 MeV/u), Fe ions (500 MeV/u). The cloudiness increased with increasing dose. The cloudiness distribution with the sheet-type dosimeter was obtained by using a flatbed scanner to evaluate the dose distribution. Recently, we prepared a three-dimensional dosimeter by putting the gel sheets on top of another in the glass vessel. Three-dimensional dose distribution of the dosimeter irradiated with C ions was evaluated by the reconstruction of the data of each layer.