Exposures in interventional radiology using Monte Carlo simulation coupled with virtual anthropomorphic phantoms.

In this work we investigated the way in which conversion coefficients from air kerma-area product for effective doses (CCE) and entrance skin doses (CCESD) in interventional radiology (IR) are affected by variations in the filtration, projection angle of the X-ray beam, lead curtain attached to the surgical table, and suspended shield lead glass in regular conditions of medical practice. Computer simulations were used to model an exposure scenario similar to a real IR room. The patient and the physician were represented by MASH virtual anthropomorphic phantoms, inserted in the MCNPX 2.7.0 radiation transport code. In all cases, the addition of copper filtration also increased the CCE and CCESD values. The highest CCE values were obtained for lateral, cranial and caudal projections. In these projections, the X-ray tube was located above the table, and more scattered radiation reached the middle and upper portions of the physician trunk, where most of the radiosensitive organs are located. Another important result of this study was to show that the physician's protection is 358% higher when the lead curtain and suspended shield lead glasses are used. The values of CCE and CCESD, presented in this study, are an important resource for calculation of effective doses and entrance skin doses in clinical practice.

Study of effective dose of various protocols in equipment cone beam CT.

This study has the purpose of assessing the radiation absorbed dose in organs/tissues and estimating the effective dose using five different models of Cone Beam Computed Tomography equipment using protocols with similar purpose. For this purpose, 26 thermoluminescent dosimeters were inserted in the position of the organs/tissues of a female anthropomorphic phantom. From the measurements the contribution of wT×HT in the organs and tissues the effective dose were calculated. The measurements have shown the effective dose values within the range 9.3-111.5µSv. The effective dose values by field of view (FOV) size are within the following ranges: 9.3-51.2µSv, 17.6-52.0µSv, and 43.1-111.5µSv for small/located, medium and large FOV respectively. Protocols with same purpose, carried out with different models of equipment, presented significant differences in the values of the equivalent and effective doses. From the point of view of radiological protection, it is not enough to have knowledge about the dimensions of the FOV and the purpose of the examination. It is necessary to assess the dose using the different models of the equipment and protocols available. In this context, this study provides useful information for this assessment.

Assessment of protocols in cone-beam CT with symmetric and asymmetric beams usingeffective dose and air kerma-area product.

This study aims to evaluate and compare protocols with similar purposes in a cone beam CT scanner using thermoluminescent dosimeter (TLD) and the air kerma-area product (PKA) as the kerma index. The measurements were performed on two protocols used to obtain an image of the maxilla-mandible using the equipment GENDEX GXCB 500: Protocol [GX1] extended diameter and asymmetric beam (14cm×8.5cm-maxilla/mandible) and protocol [GX2] symmetrical beam (8.5cm×8.5cm-maxillary/mandible). LiF dosimeters inserted into a female anthropomorphic phantom were used. For both protocols, the value of PKA was evaluated using a PTW Diamentor E2 meter and the multimeter Radcal Rapidose system. The results obtained for the effective dose/PKA were separated by protocol image. [GX1]: 44.5µSv/478mGycm(2); [GX2]: 54.8µSv/507mGycm(2). Although the ratio of the diameters (14cm/8.5cm)=1.65, the ratio of effective dose values (44.5µSv/54.8µSv)=0.81, that is, the effective dose of the protocol with extended diameter is 19% smaller. The PKA values reveal very similar results between the two protocols. For the cases where the scanner uses an asymmetric beam to obtain images with large diameters that cover the entire face, there are advantages from the point of view of reducing the exposure of patients when compared to the use of symmetrical beam and/or to FOV images with a smaller diameter.

Response of TL materials to diagnostic radiology X radiation beams.

The main objective of this study was to carry out a direct performance comparison among some known types of TLDs-three types of CaSO(4):Dy pellets, sintered Al(2)O(3) pellets, LiF:Mg,Ti (Harshaw TLD-100), CaF(2):Dy (Harshaw TLD-200) and CaF(2):Mn (Harshaw TLD-400)-in the energy and dose ranges of diagnostic radiology beams. Several dosimetric characteristics were evaluated, such as reproducibility, sensitivity, calibration curves, lower dose limits and energy dependence.

TL tandem systems for the determination of effective energy in X radiation beams.

Tandem systems usually comprise two detectors with different radiation energy responses and are utilized to determine the effective energy of unknown radiation beams. The aim of this paper was to evaluate the influence of absorbed dose on tandem curves obtained for different TL materials. In the studied dose interval, the results demonstrate that there is no significant influence of dose on the tandem curves. Therefore, the reliability of these systems for the determination of radiation beam effective energy was confirmed.

A simple method for evaluation of half-value layer variation in CT equipment.

Tandem systems, each formed by a pencil ionization chamber with and without a specific covering, were developed and tested in standard radiation beams. These systems were designed to be used in computed tomography radiation beams, where the half-value layer (HVL) determination is not an easy task. The behaviour of the tandem systems in diagnostic radiology showed the possibility of their use to confirm HVL values previously determined by the conventional HVL measurement method in quality control programmes. These systems also have other advantages: low cost, easy application and quick measurement procedure.

A new extended-length parallel-plate ionization chamber.

A special parallel-plate ionization chamber was developed. The motivation for the construction of this new chamber was mainly to fulfil the need of a reference system for computed tomography standard beams in the Calibration Laboratory of IPEN. However, the chamber was tested also in standard radiation beams of mammography and conventional diagnostic radiology. The chamber was manufactured at the institute workshop, as simply and cheaply as possible. Its design differs from the common ionization chambers used in dosimetric procedures of computed tomography equipment, because it is a parallel-plate chamber instead of a cylindrical chamber. However, its dimensions and sensitive volume are very similar to those of a commercial pencil ionization chamber. The new ionization chamber was submitted to several characterization and quality control tests, showing its very good performance.

Performance of a pencil ionization chamber in various radiation beams.

Pencil ionization chambers were recommended for use exclusively in the computed tomography (CT) dosimetry, and, from the start, they were developed only with this application in view. In this work, we studied the behavior of a pencil ionization chamber in various radiation beams with the objective of extending its application. Stability tests were performed, and calibration coefficients were obtained for several standard radiation qualities of the therapeutical and diagnostic levels. The results show that the pencil ionization chamber can be used in several radiation beams other than those used in CT.