Assessment of radiation exposure outside the radiotherapeutic room during medical accelerator beam emission with the use of TL detectors (radiation exposure outside a LINAC room).

Photon and neutron soft tissue absorbed doses near the entrance door to the medical LINAC treatment room were measured with the use of thermoluminescent detectors LiF:Mg,Cu,P in the anthropomorphic phantom. Two different therapeutic beams (6 and 15 MV) and four treatment techniques were involved in the present study. This allowed one to investigate the contribution of scattered X rays, secondary neutrons and gamma rays to the radiation field. Photon absorbed dose rates 50 cm away from the LINAC room door during emission of 15-MV X rays varied between 4.1×10(-4) and 5.6×10(-4) Gy h(-1), depending on the gantry position and the irradiation field size, whereas in the case of 6-MV therapeutic irradiation these doses are ∼1.5 times lower. In the case of 15-MV beam emission, a mixed radiation field near the bunker door is observed with the photon radiation as the main component, which includes a 33.1 % contribution of the induced gamma radioactivity and ∼2.1 % contribution of the neutron radiation.

Dose distribution homogeneity in two TBI techniques-Analysis of 208 irradiated patients conducted in Stanislaw Leszczynski Memorial Hospital, Katowice.

BACKGROUND: To analyze and compare dose distribution homogeneity in selected points (especially in the chest wall region) for patients irradiated with two different TBI techniques to achieve a uniform total dose (excluding lungs area) specified in the range of 11.4-14.0 Gy. MATERIAL AND METHODS: From August 2000 to December 2009, a group of 158 patients was treated by the use of 15 MV photon irradiation consisting of six fractions: four opposed lateral and two anterior-posterior/posterior-anterior (AP/PA). Patients were irradiated with the fraction dose of 2 Gy twice a day for 3 consecutive days. The prescribed dose to PC point (specified at intersection of the beam axis with the mid-plane of the patient irradiated laterally) was 12 Gy. Since January 2010 until closing the study, another group of 50 patients was treated according to a modified protocol. The treatment was carried out in six lateral fractions only, twice a day, for three following days and a lateral lung shield was used for a part of total irradiation time. The measurements of doses in 20 selected points of patient's body were carried out by means of MOSFET detectors. RESULTS: The modified TBI technique allows to achieve an expected homogenous dose in the points of interest similar to that obtained by using the initial protocol. The calculated and measured in vivo doses met the specified range of 11.4-14 Gy for both applied TBI protocols. CONCLUSIONS: Our results indicate that for all patients the homogenous dose distribution in the specified range was achieved.

Correlation between radioactivity induced inside the treatment room and the undesirable thermal/resonance neutron radiation produced by linac.

High-energy therapeutic beams used in the radiotherapy induce photonuclear and electronuclear reactions which are accompanied by generation of undesirable radioisotopes and neutrons inside the treatment room. These neutrons at thermal and resonance energies induce nuclear reactions through the whole accelerator bunker. In consequence various radioisotopes emitting high-energy photons appear. In this paper the correlation between radioactivity induced inside the treatment room and the undesirable thermal and resonance neutron radiation generated by the therapeutic accelerator X-rays was studied. The thermal and resonance neutron fluence determined in chosen places inside the bunkers was 1.0x10(5)-3.4x10(5)cm(-2)Gy(-1) and 1.0x10(5)-1.6x10(6)cm(-2)Gy(-1) at thermal energies (<0.1eV) and 3.9x10(4)-1.3x10(5)cm(-2)Gy(-1) and 1.0x10(5)-1.1x10(6)cm(-2)Gy(-1) at epithermal energies (0.1eV-10keV), for the 15MV and 20MV beams, respectively. The gamma energy spectra measured inside the accelerator bunker depended on the neutron radiation level. The net count rates of the gamma peaks from the decays of the excited state (56)Fe* and (28)Si*, the result of the simple capture of the neutron, for the 20MV beam were almost one order of magnitude greater than those for the 15MV beam. Moreover, it turned out that the activation of the wedge - the main accelerator accessory was caused by neutrons.