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1.
Sci Rep ; 14(1): 10719, 2024 05 10.
Artículo en Inglés | MEDLINE | ID: mdl-38729975

RESUMEN

The shielding parameters can vary depending on the geometrical structure of the linear accelerators (LINAC), treatment techniques, and beam energies. Recently, the introduction of O-ring type linear accelerators is increasing. The objective of this study is to evaluate the shielding parameters of new type of linac using a dedicated program developed by us named ORSE (O-ring type Radiation therapy equipment Shielding Evaluation). The shielding evaluation was conducted for a total of four treatment rooms including Elekta Unity, Varian Halcyon, and Accuray Tomotherapy. The developed program possesses the capability to calculate transmitted dose, maximum treatable patient capacity, and shielding wall thickness based on patient data. The doses were measured for five days using glass dosimeters to compare with the results of program. The IMRT factors and use factors obtained from patient data showed differences of up to 65.0% and 33.8%, respectively, compared to safety management report. The shielding evaluation conducted in each treatment room showed that the transmitted dose at every location was below 1% of the dose limit. The results of program and measurements showed a maximum difference of 0.003 mSv/week in transmitted dose. The ORSE program allows for the shielding evaluation results to the clinical environment of each institution based on patient data.


Asunto(s)
Aceleradores de Partículas , Protección Radiológica , Aceleradores de Partículas/instrumentación , Protección Radiológica/instrumentación , Protección Radiológica/métodos , Humanos , Radioterapia de Intensidad Modulada/métodos , Dosis de Radiación
2.
Biomed Phys Eng Express ; 10(4)2024 May 14.
Artículo en Inglés | MEDLINE | ID: mdl-38697045

RESUMEN

Whole-body counters (WBC) are used in internal dosimetry forin vivomonitoring in radiation protection. The calibration processes of a WBC set-up include the measurement of a physical phantom filled with a certificate radioactive source that usually is referred to a standard set of individuals determined by the International Commission on Radiological Protection (ICRP). The aim of this study was to develop an anthropomorphic and anthropometric female physical phantom for the calibration of the WBC systems. The reference female computational phantom of the ICRP, now called RFPID (Reference Female Phantom for Internal Dosimetry) was printed using PLA filament and with an empty interior. The goal is to use the RFPID to reduce the uncertainties associated within vivomonitoring system. The images which generated the phantom were manipulated using ImageJ®, Amide®, GIMP®and the 3D Slicer®software. RFPID was split into several parts and printed using a 3D printer in order to print the whole-body phantom. The newly printed physical phantom RFPID was successfully fabricated, and it is suitable to mimic human tissue, anatomically similar to a human body i.e., size, shape, material composition, and density.


Asunto(s)
Fantasmas de Imagen , Impresión Tridimensional , Recuento Corporal Total , Humanos , Femenino , Recuento Corporal Total/métodos , Calibración , Protección Radiológica/métodos , Protección Radiológica/instrumentación , Radiometría/métodos , Radiometría/instrumentación , Antropometría
3.
Life Sci Space Res (Amst) ; 41: 119-126, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38670638

RESUMEN

The risk posed by prolonged exposure to space radiation represents a significant obstacle to long-duration human space exploration. Of the ion species present in the galactic cosmic ray spectrum, relativistic protons are the most abundant and as such are a relevant point of interest with regard to the radiation protection of space crews involved in future long-term missions to the Moon, Mars, and beyond. This work compared the shielding effectiveness of a number of standard and composite materials relevant to the design and development of future spacecraft or planetary surface habitats. Absorbed dose was measured using Al2O3:C optically stimulated luminescence dosimeters behind shielding targets of varying composition and depth using the 1 GeV nominal energy proton beam available at the NASA Space Radiation Laboratory at the Brookhaven National Laboratory in New York. Absorbed dose scored from computer simulations performed using the multi-purpose Monte Carlo radiation transport code FLUKA agrees well with measurements obtained via the shielding experiments. All shielding materials tested and modeled in this study were unable to reduce absorbed dose below that measured by the (unshielded) front detector, even after depths as large as 30 g/cm2. These results could be noteworthy given the broad range of proton energies present in the galactic cosmic ray spectrum, and the potential health and safety hazard such space radiation could represent to future human space exploration.


Asunto(s)
Radiación Cósmica , Método de Montecarlo , Protones , Protección Radiológica , Vuelo Espacial , Protección Radiológica/instrumentación , Protección Radiológica/métodos , Humanos , Radiación Cósmica/efectos adversos , Dosis de Radiación , Nave Espacial , Simulación por Computador
4.
Radiat Res ; 201(5): 499-503, 2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38471522

RESUMEN

Despite the large variety of high-voltage semiconductor components for medium and high voltage switching and pulse-forming applications as well as for high-power high-frequency generation, the use of vacuum electron tubes still prevails to a considerable degree. Due to the common design incorporating a high energy electron beam which finally is dumped into an anode or a resonator cavity, these tubes are also considered as sources of X rays produced as bremsstrahlung and characteristic radiation, which are referred to as parasitic X rays. Here three types of vacuum-electron tubes, diode, tetrode, and thyratron, with glass housings are investigated. They are predominantly operated in the high voltage range below 30 kV and are not subject to licensing laws. The measurements of the dose rate and X-ray-spectra were performed in the laboratory without complex electrical circuitry usually used in making practical measurements for occupational radiation protection. For the diode tube, where a parasitic X-ray emission is observed only in the reverse operation as a blocking diode, a broad distribution of dose rates of electrically equivalent specimens was observed. This is attributed to field emission from the electrodes. For the tetrode and the thyratron tubes, field emission from the electrodes is identified as the dominant mechanism for the generation of parasitic X rays. Thus, technical radiation protection must focus on shielding of the glass tube rather than optimization of the electrical circuitry.


Asunto(s)
Electrones , Vidrio , Exposición Profesional , Rayos X , Vacio , Vidrio/química , Exposición Profesional/análisis , Dosis de Radiación , Protección Radiológica/instrumentación
5.
Magn Reson Med ; 92(1): 406-415, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38411281

RESUMEN

PURPOSE: To utilize the transmit radiofrequency (RF) field in MRI as a power source, near or within the field of view but without affecting image quality or safety. METHODS: Power harvesting is performed by RF induction in a resonant coil. Resulting RF field distortion in the subject is canceled by a selective shield that couples to the harvester while being transparent to the RF transmitter. Such shielding is designed with the help of electromagnetic simulation. A shielded harvester of 3 cm diameter is implemented, assessed on the bench, and tested in a 3T MRI system, recording power yield during typical scans. RESULTS: The concept of selective shielding is confirmed by simulation. Bench tests show effective power harvesting in the presence of the shield. In the MRI system, it is confirmed that selective shielding virtually eliminates RF perturbation. In scans with the harvester immediately adjacent to a phantom, up to 100 mW of average power are harvested without affecting image quality. CONCLUSION: Selective shielding enables stealthy RF harvesting which can be used to supply wireless power to on-body devices during MRI.


Asunto(s)
Diseño de Equipo , Imagen por Resonancia Magnética , Fantasmas de Imagen , Ondas de Radio , Imagen por Resonancia Magnética/instrumentación , Protección Radiológica/instrumentación , Humanos , Análisis de Falla de Equipo
6.
Odovtos (En línea) ; 24(2)ago. 2022.
Artículo en Español | LILACS, SaludCR | ID: biblio-1386591

RESUMEN

Resumen En las últimas dos décadas ha aumentado el uso de equipos portátiles de rayos X intraorales, los cuales son estabilizados por el operador. Si bien todos los equipos radiográficos presentan un riesgo inherente por el uso de radiación ionizante, el uso indebido de los equipos portátiles puede aumentar la exposición del operador. Se recomienda el uso de los equipos portátiles en un trípode o activados desde un área protegida. Sin embargo, en casos altamente justificados para su uso sin estos aditamentos, se debe seguir recomendaciones para disminuir la exposición del operador. Debido a que la radioprotección es fundamental al trabajar con rayos X, se debe favorecer el uso de equipos radiográficos dentales fijos sobre los equipos portátiles, ya que estos proporcionan una menor dosis de radiación al operador.


Abstract In the last two decades, the use of portable intraoral X-ray devices, stabilized by the operator, has increased. While all radiographic devices present an inherent risk from ionizing radiation, improper use of portable devices can increase operator exposure. Use of portable devices on a tripod or powered from a protected area is recommended. However, in highly justified cases, for using without these accessories, recommendations should be followed to reduce operator exposure. Because radioprotection is essential when using X-rays, fixed dental radiographic devices should be favored over portable equipment since the first provides a lower radiation dose to the operator.


Asunto(s)
Protección Radiológica/instrumentación , Radiografía Dental , Aplicaciones Móviles
7.
Sci Rep ; 12(1): 8749, 2022 05 24.
Artículo en Inglés | MEDLINE | ID: mdl-35610243

RESUMEN

Pineapples are an important agricultural economic crop in Taiwan. Considerable human resources are required to protect pineapples from excessive solar radiation, which could otherwise lead to overheating and subsequent deterioration. Note that simple covering all of the fruit with a paper bag is not a viable solution, due to the fact that it makes it impossible to determine whether the fruit is ripe. This paper proposes a system by which to automate the detection of ripe pineapples. The proposed deep learning architecture enables detection regardless of lighting conditions, achieving accuracy of more than 99.27% with error of less than 2% at distances of 300 ~ 800 mm. This proposed system using an Nvidia TX2 is capable of 15 frames per second, thereby making it possible to mount the device on machines that move at walking speed.


Asunto(s)
Ananas , Aprendizaje Profundo , Ananas/crecimiento & desarrollo , Ananas/fisiología , Ananas/efectos de la radiación , Frutas/crecimiento & desarrollo , Frutas/fisiología , Frutas/efectos de la radiación , Humanos , Protección Radiológica/instrumentación , Protección Radiológica/métodos , Luz Solar/efectos adversos , Taiwán
8.
Medicine (Baltimore) ; 101(4): e28744, 2022 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-35089250

RESUMEN

ABSTRACT: Transarterial chemoembolization is the standard treatment option for intermediate-stage hepatocellular carcinoma (HCC). However, during the interventional procedure, occupational radiation protection is compromised. The use of real-time radiation dosimetry could provide instantaneous radiation doses. This study aimed to evaluate the occupational dose of the medical staff using a real-time radiation dosimeter during transarterial chemoembolization (TACE) for HCC, and to investigate factors affecting the radiation exposure dose.This retrospective observational study included 70 patients (mean age: 66 years; age range: 38-88 years; male: female = 59: 11) who underwent TACE using real-time radiation dosimetry systems between August 2018 and February 2019. Radiation exposure doses of operators, assistants, and technicians were evaluated. Patients' clinical, imaging, and procedural information was analyzed.The mean dose-area product (DAP) and fluoroscopy time during TACE were 66.72 ±â€Š55.14 Gycm2 and 12.03 ±â€Š5.95 minutes, respectively. The mean radiation exposure doses were 24.8 ±â€Š19.5, 2.0 ±â€Š2.2, and 1.65 ±â€Š2.0 µSv for operators, assistants, and technicians, respectively. The radiation exposure of the operators was significantly higher than that of the assistants or technicians (P < .001). The perpendicular position of the adjustable upper-body lead protector (AULP) on the table was one factor reducing in the radiation exposure of the assistants (P < .001) and technicians (P = .040). The DAP was a risk factor for the radiation exposure of the operators (P = .003) and technicians (P < .001).Occupational doses during TACE are affected by DAP and AULP positioning. Placing the AULP in the perpendicular position during fluoroscopy could be a simple and effective way to reduce the radiation exposure of the staff. As the occupational dose influencing factors vary by region or institution, further study is needed.


Asunto(s)
Carcinoma Hepatocelular/terapia , Quimioembolización Terapéutica , Fluoroscopía/efectos adversos , Neoplasias Hepáticas/terapia , Exposición Profesional , Exposición a la Radiación , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Personal de Salud , Humanos , Hígado/efectos de la radiación , Masculino , Persona de Mediana Edad , Exposición Profesional/efectos adversos , Exposición Profesional/prevención & control , Dosis de Radiación , Exposición a la Radiación/efectos adversos , Exposición a la Radiación/prevención & control , Traumatismos por Radiación/prevención & control , Protección Radiológica/instrumentación , Radiometría
9.
Biomed Res Int ; 2021: 9985714, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34671681

RESUMEN

BACKGROUND: Radiation using conventional X-ray is associated with exposure of radiosensitive organs and typically requires the use of protection. This study is aimed at evaluating the use of bismuth shielding for radiation protection in pediatric pelvic radiography. The effects of the anteroposterior and lateral bismuth shielding were verified by direct measurements at the anatomical position of the gonads. METHODS: Radiation doses were measured using optically stimulated luminescence dosimeters (OSLD) and CIRS ATOM Dosimetry Verification Phantoms. Gonad radiographs were acquired using different shields of varying material (lead, bismuth) and thickness and were compared with radiographs obtained without shielding to examine the effects on image quality and optimal reduction of radiation dose. All images were evaluated separately by three pediatric orthopedic practitioners. RESULTS: Results showed that conventional lead gonadal shielding reduces radiation doses by 67.45%, whereas dose reduction using one layer of bismuth shielding is 76.38%. The use of two layers of bismuth shielding reduces the dose by 84.01%. Using three and four layers of bismuth shielding reduces dose by 97.33% and 99.34%, respectively. Progressively lower radiation doses can be achieved by increasing the number of bismuth layers. Images obtained using both one and two layers of bismuth shielding provided adequate diagnostic information, but those obtained using three or four layers of bismuth shielding were inadequate for diagnosis. CONCLUSIONS: Bismuth shielding reduces radiation dose exposure providing appropriate protection for children undergoing pelvic radiography. The bismuth shielding material is lighter than lead, making pediatric patients more comfortable and less apt to move, thereby avoiding repeat radiography.


Asunto(s)
Bismuto/química , Pelvis/efectos de la radiación , Protección Radiológica/métodos , Niño , Humanos , Fantasmas de Imagen , Dosis de Radiación , Exposición a la Radiación/prevención & control , Protección Radiológica/instrumentación , Tomografía Computarizada por Rayos X , Rayos X
10.
PLoS One ; 16(9): e0257638, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34534258

RESUMEN

Some concepts in nuclear radiation physics are abstract and intellectually demanding. In the present paper, an "MCHP platform" (MCHP was an acronym for Monte Carlo simulations + Human Phantoms) was proposed to provide assistance to the students through visualization. The platform involved Monte Carlo simulations of interactions between ionizing radiations and the Oak Ridge National Laboratory (ORNL) adult male human phantom. As an example to demonstrate the benefits of the proposed MCHP platform, the present paper investigated the variation of the absorbed photon dose per photon from a 137Cs source in three selected organs, namely, brain, spine and thyroid of an adult male for concrete and lead shields with varying thicknesses. The results were interesting but not readily comprehensible without direct visualization. Graphical visualization snapshots as well as video clips of real time interactions between the photons and the human phantom were presented for the involved cases, and the results were explained with the help of such snapshots and video clips. It is envisaged that, if the platform is found useful and effective by the readers, the readers can also propose examples to be gradually added onto this platform in future, with the ultimate goal of enhancing students' understanding and learning the concepts in an undergraduate nuclear radiation physics course or a related course.


Asunto(s)
Método de Montecarlo , Física Nuclear/educación , Protección Radiológica/métodos , Encéfalo/efectos de la radiación , Radioisótopos de Cesio/química , Cuerpo Humano , Humanos , Fotones , Protección Radiológica/instrumentación , Radiación Ionizante , Radiometría , Estudiantes
11.
Br J Radiol ; 94(1126): 20210701, 2021 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-34347543

RESUMEN

The practice of placing radiation protective shielding on patients ('in contact') in order to reduce the dose to certain radiosensitive organs for diagnostic X-ray examination, has been employed for decades. However, there has been a growing body of evidence that this practice is often ineffective or even counterproductive and the use of such shielding can also overemphasise the hazards of ionising radiation in the public mind. This has led to a growing disparity in the application of patient contact shielding and culminated in several professional bodies issuing guidance and statements to provide a consistent approach to patient contact shielding. This, in turn, has led to a healthy discussion and re-evaluation of when and why patient contact shielding should be used, where the main issue centres around the criteria used to arrive at the recommendations. The decision process involves considering, among others, the reported effectiveness of the shielding and a subjective assessment of the subsequent risks from their use. In order to improve the transparency of these recommendations, it is therefore suggested that a threshold for dose and/or risk should be clearly stated, below which no protection is required. A suggested starting point for defining this threshold is discussed. This would enhance uniformity of application and provide clarity for staff, patients and the public. It would also ensure that any future research in this area could be easily incorporated into the general guidance.


Asunto(s)
Protección Radiológica/instrumentación , Toma de Decisiones , Humanos , Dosis de Radiación , Radiación Ionizante , Radiografía , Factores de Riesgo
12.
J Radiat Res ; 62(5): 918-925, 2021 Sep 13.
Artículo en Inglés | MEDLINE | ID: mdl-34350969

RESUMEN

Total body irradiation (TBI) with ovarian shielding is expected to preserve fertility among hematopoietic stem cell transplant (HSCT) patients with myeloablative TBI-based regimens. However, the radiation dose to the ovaries that preserves ovarian function in TBI remains poorly understood. Furthermore, it is uncertain whether the dose to the shielded organs is associated with relapse risk. Here, we retrospectively evaluated the relationship between fertility and the dose to the ovaries, and between relapse risk and the dose to the pelvic bones. A total of 20 patients (median age, 23 years) with standard-risk hematologic diseases were included. Median follow-up duration was 31.9 months. The TBI prescribed dose was 12 Gy in six fractions for three days. Patients' ovaries were shielded with cylinder-type lead blocks. The dose-volume parameters (D98% and Dmean) in the ovaries and the pelvic bones were extracted from the dose-volume histogram (DVH). The mean ovary Dmean for all patients was 2.4 Gy, and 18 patients recovered menstruation (90%). The mean ovary Dmean for patients with menstrual recovery and without recovery were 2.4 Gy and 2.4 Gy, respectively, with no significant difference (P = 0.998). Hematological relapse was observed in five patients. The mean pelvis Dmean and pelvis D98% for relapse and non-relapse patients were 11.6 Gy and 11.7 Gy and 5.6 Gy and 5.3 Gy, respectively. Both parameters showed no significant difference (P = 0.827, 0.807). In conclusion, TBI with ovarian shielding reduced the radiation dose to the ovaries to 2.4 Gy, and preserved fertility without increasing the risk of relapse.


Asunto(s)
Preservación de la Fertilidad/métodos , Órganos en Riesgo/efectos de la radiación , Ovario/efectos de la radiación , Huesos Pélvicos/efectos de la radiación , Traumatismos por Radiación/etiología , Protección Radiológica/métodos , Acondicionamiento Pretrasplante/efectos adversos , Irradiación Corporal Total/efectos adversos , Adolescente , Adulto , Anemia Aplásica/terapia , Femenino , Preservación de la Fertilidad/instrumentación , Estudios de Seguimiento , Trasplante de Células Madre Hematopoyéticas , Humanos , Leucemia/terapia , Menstruación/efectos de la radiación , Agonistas Mieloablativos/administración & dosificación , Síndromes Mielodisplásicos/terapia , Traumatismos por Radiación/prevención & control , Protección Radiológica/instrumentación , Recuperación de la Función , Recurrencia , Estudios Retrospectivos , Resultado del Tratamiento , Adulto Joven
13.
Adv Sci (Weinh) ; 8(12): 2100510, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-34194950

RESUMEN

Cancer patients undergoing therapeutic radiation routinely develop injury of the adjacent gastrointestinal (GI) tract mucosa due to treatment. To reduce radiation dose to critical GI structures including the rectum and oral mucosa, 3D-printed GI radioprotective devices composed of high-Z materials are generated from patient CT scans. In a radiation proctitis rat model, a significant reduction in crypt injury is demonstrated with the device compared to without (p < 0.0087). Optimal device placement for radiation attenuation is further confirmed in a swine model. Dosimetric modeling in oral cavity cancer patients demonstrates a 30% radiation dose reduction to the normal buccal mucosa and a 15.2% dose reduction in the rectum for prostate cancer patients with the radioprotectant material in place compared to without. Finally, it is found that the rectal radioprotectant device is more cost-effective compared to a hydrogel rectal spacer. Taken together, these data suggest that personalized radioprotectant devices may be used to reduce GI tissue injury in cancer patients undergoing therapeutic radiation.


Asunto(s)
Tracto Gastrointestinal/efectos de la radiación , Neoplasias de la Boca/radioterapia , Impresión Tridimensional , Traumatismos por Radiación/prevención & control , Protección Radiológica/instrumentación , Protección Radiológica/métodos , Animales , Modelos Animales de Enfermedad , Tracto Gastrointestinal/diagnóstico por imagen , Humanos , Membrana Mucosa/diagnóstico por imagen , Membrana Mucosa/efectos de la radiación , Órganos en Riesgo , Ratas , Ratas Sprague-Dawley , Porcinos , Tomografía Computarizada por Rayos X
14.
J Bone Joint Surg Am ; 103(17): 1646-1651, 2021 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-34255759

RESUMEN

BACKGROUND: Standard lead aprons and vests do not adequately shield the most common breast cancer site, the upper outer quadrant (UOQ), from intraoperative radiation. The purpose of the present study was to determine if lead sleeves, wings, and/or axillary supplements decreased intraoperative radiation exposure of the UOQ of the breast. METHODS: An anthropomorphic torso phantom (simulating the female surgeon) was placed adjacent to a standard operating room table. Dosimeters were placed bilaterally over the UOQ of the breast. Scatter radiation dose equivalent rates (mrem/hr) were measured during continuous fluoroscopy of a pelvic phantom (simulating the patient). Five protection configurations (no lead; lead vest; and vest with sleeves, wings, and axillary supplements), 2 surgeon positions (facing the table and perpendicular to the table), and 2 C-arm positions (anteroposterior and cross-table lateral projection) were tested. The t test was utilized with a Bonferroni correction for multiple t tests. RESULTS: Lead sleeves and axillary supplements decreased intraoperative radiation exposure to the UOQ of the breast when compared with a well-fitted standard lead vest alone (p < 0.01) across all surgeon and C-arm positions. The addition of wings decreased radiation exposure to a lesser extent than sleeves or axillary supplements, and the difference when compared with the lead vest alone did not reach significance (p = 0.29). Breast radiation exposure in the C-arm cross-table lateral projection was highest across all testing. CONCLUSIONS: The UOQ of the breast is not adequately protected by standard lead vests alone or vests with the addition of wings. Axillary supplements and sleeves improved protection of the breast. CLINICAL RELEVANCE: Modifications of lead protective vests may improve intraoperative breast radiation protection.


Asunto(s)
Mama/efectos de la radiación , Exposición Profesional/prevención & control , Cirujanos Ortopédicos , Ropa de Protección , Exposición a la Radiación/prevención & control , Protección Radiológica/instrumentación , Femenino , Fluoroscopía , Humanos , Periodo Intraoperatorio , Fantasmas de Imagen , Médicos Mujeres , Protección Radiológica/métodos
15.
Sci Rep ; 11(1): 14559, 2021 07 15.
Artículo en Inglés | MEDLINE | ID: mdl-34267293

RESUMEN

We presented a development of a custom lead shield and mouse strainer for targeted irradiation from the gamma-cell chamber. This study was divided into two parts i.e., to (i) fabricate the shield and strainer from a lead (Pb) and (ii) optimize the irradiation to the mice-bearing tumour model with 2 and 8 Gy absorbed doses. The lead shielding was fabricated into a cuboid shape with a canal on the top and a hole on the vertical side for the beam path. Respective deliveries doses of 28 and 75 Gy from gamma-cell were used to achieve 2 and 8 Gy absorbed doses at the tumour sites.


Asunto(s)
Neoplasias Experimentales/radioterapia , Protección Radiológica/instrumentación , Protección Radiológica/métodos , Animales , Diseño de Equipo , Femenino , Dosimetría por Película/métodos , Rayos gamma , Plomo , Ratones Endogámicos BALB C , Dosificación Radioterapéutica
16.
Medicine (Baltimore) ; 100(25): e26277, 2021 Jun 25.
Artículo en Inglés | MEDLINE | ID: mdl-34160391

RESUMEN

BACKGROUND: Radiosensitivity in the breasts increases the risk of carcinogenesis from exposure to the ionizing radiation of computed tomography (CT) administered in the course of medical attention. Bismuth shielding techniques have been used to reduce radiation, but image noise increased, degrading image quality. PURPOSE: The aim of this study was to investigate how the use of iterative reconstruction (IR) combined with bismuth shielding influences image quality. MATERIALS AND METHODS: Women aged at least 20 years with body mass indexes <28 were recruited and randomly assigned to 1 of 3 CT scanning protocols without shielding, with a bismuth breast shield before the scout view, or with a bismuth breast shield after the scout view. All obtained images were reconstructed using an IR algorithm. To evaluate radiation dose, 2 Gafchromic films were placed over the clothes, 1 near each nipple. RESULTS: Average dose reduction was significant (27.99%, P < .05) when bismuth shielding was applied after the scout view. Using the contrast-to-noise ratio, the image quality was found to be superior when the IR algorithm was applied. Using quantitative evaluations by 2 radiologists applying a 4-point Likert scale, significant differences in image quality were not found among the 3 protocols. CONCLUSION: Bismuth breast shields, particularly when used after acquiring scout images, are effective at reducing radiation dose without undermining the diagnostic value of the images when the IR technique is applied.


Asunto(s)
Bismuto , Mama/diagnóstico por imagen , Equipos de Seguridad , Protección Radiológica/instrumentación , Tomografía Computarizada por Rayos X/efectos adversos , Adulto , Artefactos , Mama/efectos de la radiación , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Estudios Prospectivos , Dosis de Radiación , Tolerancia a Radiación
17.
Radiat Oncol ; 16(1): 109, 2021 Jun 13.
Artículo en Inglés | MEDLINE | ID: mdl-34120633

RESUMEN

BACKGROUND: The present study aimed to propose a new foetal shielding device for pregnant cancer patients to reduce the foetal dose associated with treatment techniques using multiple gantry angles, such as intensity-modulated radiation therapy (IMRT) or volumetric modulated arc therapy (VMAT). METHODS: Three shielding structures were designed to minimise the scattered and leaked radiation from various gantry angles and radiation scattering within the patient. The base-plate part that can be placed on the treatment couch was designed to reduce the scattered and leaked radiation generated at gantry angles located near 180°. A body shielding part that can cover the lower chest and abdomen was designed, and a neck-shielding structure was added to reduce the internal and external radiation scattering from the treatment area. Evaluation plans were generated to assess the foetal dose reduction by the foetal shielding device in terms of the shielding material thickness, distance from the field edge, and shielding component using the flattened 6 MV photon beam (6MV) and flattening filter-free 6 MV photon beam (6MV-FFF). In addition, the effectiveness of the foetal shielding device was evaluated in a pregnant brain tumour patient. RESULTS: The shielding material consisting of three parts was placed on frames composed of four arch shapes with a vertical curved structure, connection bar at the top position, and base plate. Each shielding part resulted in reductions in the radiation dose according to the treatment technique, as the thickness of the shielding material increased and the foetal dose decreased. In addition, a foetal dose reduction of approximately 50% was confirmed at 50 cm from the field edge by using the designed shielding device in most delivery techniques. In patients, the newly designed shielding structures can effectively eliminate up to about 49% of the foetal dose generated from various gantry angles used in VMAT or IMRT. CONCLUSIONS: We designed a foetal shielding device consisting of three parts to effectively reduce the dose delivered to the foetus, and evaluated the device with various treatment techniques for a pregnant patient with brain tumour. The foetal shielding device shielded the scattered/leaked radiation from the treatment machine, and also effectively reduced internal scattering from the treatment area in the patient.


Asunto(s)
Neoplasias Encefálicas/radioterapia , Feto/efectos de la radiación , Fantasmas de Imagen , Complicaciones Neoplásicas del Embarazo/prevención & control , Traumatismos por Radiación/prevención & control , Protección Radiológica/instrumentación , Planificación de la Radioterapia Asistida por Computador/métodos , Diseño de Equipo , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Órganos en Riesgo/efectos de la radiación , Embarazo , Dosificación Radioterapéutica , Radioterapia de Intensidad Modulada/métodos , Dispersión de Radiación , Tomografía Computarizada por Rayos X/métodos
18.
Cardiovasc Intervent Radiol ; 44(8): 1260-1265, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-33987693

RESUMEN

PURPOSE: This work was designed to study the effectiveness of radiation protection caps in lowering the dose to the brain and the eye lens during fluoroscopically guided interventions. MATERIALS AND METHODS: Two types of radiation protection caps were examined with regards to their capacity to lower the radiation dose. One cap is equipped with lateral flaps, the other one is not. These caps were fitted to the head of an anthropomorphic Alderson-Rando (A.-R.) phantom. The phantom was positioned aside an angiographic table simulating the position of the first operator during a peripheral arterial intervention. One of the brain slices and both eyes of the A.-R. phantom were equipped with thermoluminescence dosimeters (TLDs). RESULTS: The analysis of the data showed that the cap without lateral flaps reduced the dose to the brain by 11,5-27,5 percent depending on the position within the brain. The cap with lateral protection flaps achieved a shielding effect between 44,7 and 78,9 percent. When evaluating the dose to the eye, we did see an increase of dose reduction from 63,3 to 66,5 percent in the left eye and from 45,8 to 46,8 percent in the right eye for the cap without lateral protection. When wearing the cap with lateral protection we observed an increase of dose reduction from 63,4 to 67,2 percent in the left eye and from 45,8 to 50,0 percent in the right eye. CONCLUSION: Radiation protection caps can be an effective tool to reduce the dose to the brain and the eyes.


Asunto(s)
Encéfalo/diagnóstico por imagen , Cristalino/diagnóstico por imagen , Dosis de Radiación , Protección Radiológica/instrumentación , Protección Radiológica/métodos , Radiografía Intervencional/métodos , Fluoroscopía , Humanos , Fantasmas de Imagen , Dosimetría Termoluminiscente
19.
Radiol Oncol ; 55(3): 333-340, 2021 May 16.
Artículo en Inglés | MEDLINE | ID: mdl-33991470

RESUMEN

BACKGROUND: Breast intraoperative electron radiation therapy (B-IOERT) can be used in clinical practice both as elective irradiation (partial breast irradiation - APBI) in low risk breast cancer patients, and as an anticipated boost. The procedure generally includes the use of a shielding disk between the residual breast and the pectoralis fascia for the protection of the tissues underneath the target volume. The aim of the study was to evaluate the role of intraoperative ultrasound (IOUS) in improving the quality of B-IOERT. PATIENTS AND METHODS: B-IOERT was introduced in Trieste in 2012 and its technique was improved in 2014 with IOUS. Both, needle and IOUS were used to measure target thickness and the latter was used even to check the correct position of the shielding disk. The primary endpoint of the study was the evaluation of the effectiveness of IOUS in reducing the risk of a disk misalignment related to B-IOERT and the secondary endpoint was the analysis of acute and late toxicity, by comparing two groups of patients treated with IOERT as a boost, either measured with IOUS and needle (Group 1) or with needle alone (Group 2). Acute and late toxicity were evaluated by validated scoring systems. RESULTS: From the institutional patients who were treated between June 2012 and October 2019, 109 were eligible for this study (corresponding to 110 cases, as one patients underwent bilateral conservative surgery and bilateral B-IOERT). Of these, 38 were allocated to group 1 and 72 to group 2. The target thickness measured with the IOUS probe and with the needle were similar (mean difference of 0.1 mm, p = 0.38). The percentage of patients in which the shield was perfectly aligned after IOUS introduction increased from 23% to more than 70%. Moreover, patients treated after IOUS guidance had less acute toxicity (36.8% vs. 48.6%, p = 0.33) from radiation therapy, which reached no statistical significance. Late toxicity turned out to be similar regardless of the use of IOUS guidance: 39.5% vs. 37.5% (p = 0.99). CONCLUSIONS: IOUS showed to be accurate in measuring the target depth and decrease the misalignment between collimator and disk. Furthermore there was an absolute decrease in acute toxicity, even though not statistically significant, in the group of women who underwent B-IOERT with IOUS guidance.


Asunto(s)
Neoplasias de la Mama/radioterapia , Cuidados Intraoperatorios/métodos , Traumatismos por Radiación/prevención & control , Protección Radiológica/instrumentación , Ultrasonografía Intervencional/métodos , Adulto , Anciano , Anciano de 80 o más Años , Neoplasias de la Mama/diagnóstico por imagen , Neoplasias de la Mama/cirugía , Electrones/uso terapéutico , Femenino , Dosimetría por Película/métodos , Humanos , Cuidados Intraoperatorios/instrumentación , Persona de Mediana Edad , Estudios Retrospectivos
20.
Appl Radiat Isot ; 173: 109720, 2021 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-33894469

RESUMEN

The present work novelty pointed to fabricate new clay bricks doped with heavy minerals to be used in the building materials as a candidate for radiation shielding. The bricks were manufactured as (y)Iron mineral+ (1-y)clay, where y = 0, 0.1, 0.2 and 0.3 fractional weight. The prepared bricks' chemical composition and density were introduced to the MCNP-5 code to assess the prepared bricks' protection capacity. The simulated linear attenuation coefficient (LAC) was confirmed by comparing the simulated results with those calculated by the Phy-X/PSD program. We found that the simulated and calculated LAC were close together. The diff (%) between the MCNP-5 and Phy-X/PSD is in the range ±2% for all the fabricated bricks. The maximum LAC values occurred at 0.015 MeV, varied between 21.540 and 39.553 cm-1 for bricks N0 and N30. The lowest LAC achieved at 15 MeV varied between 0.068 and 0.090 cm-1. Bricks without heavy mineral addition have the lowest LAC values at all energies, ranging from 21.540 cm-1 to 0.068 cm-1, while bricks with 30 wt% heavy minerals have the highest LAC. The half-value layer (HVL) values decreased gradually with increasing the mineral ratio in the fabricated bricks. The thinner brick HVL achieved for the sample N 30 with 30 wt % heavy mineral, growing from 0.017 to 7.675 cm. The effective atomic number (Zeff) was reported, and we found that the minimum Zeff values equal to 14.006, 14.865, 15.705, and 16.394 for bricks N 0, N 10, N 20, N 30, respectively.


Asunto(s)
Arcilla , Rayos gamma , Minerales/química , Protección Radiológica/instrumentación , Método de Montecarlo
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