Evaluation of conventional IMRT and VMAT strategies for postmastectomy radiation therapy after immediate implant-based reconstruction using the new ESTRO-ACROP contouring guidelines.

This study evaluated the usability of conventional templates based on the new contour guidelines of the European Society of Radiation and Oncology and Advisory Committee in Radiation Oncology Practice (ESTRO-ACROP) for treatment plans of postmastectomy radiotherapy after immediate implant-based reconstruction. Intensity-modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT) plans generated with two different treatment planning systems (TPSs, Eclipse and Monaco) were examined. Six computed tomography scans of patients aged 35-54 years were retrospectively analysed who had undergone mastectomy and breast reconstruction using silicone implants after being diagnosed with left breast cancer. Six radiation oncologists participated in this study, and each of them contoured the target volume of one left breast using conventional contour (CTV-CONV) and new contour (CTV-ESTRO) methods. This study showed that compared with CTV-CONV, using CTV-ESTRO with objectives and cost functions similar to those of TPSs worsened the target volume coverage and increased the total number of monitor units. Considering the organs at risk, CTV-ESTRO tended to increase the mean dose delivered to the contralateral lung. It is concluded that the approach used for the new ESTRO-ACROP contour method cannot be applied in a manner similar to that for the conventional breast contour method, implying that the new ESTRO-ACROP contour method may require more time for improving plans for a given treatment.

Influence of the Method of Calculating the Effective Atomic Number on the Estimate of Fluorescence Yield for Metal Alloys of Biomedical Interest.

ABSTRACT: This study evaluates the influence of the method used to calculate the effective atomic number (Z eff ) on the estimate of secondary radiation yielded under kilovoltage x-ray beams by metal alloys with a wide range of biomedical applications. Two methods for calculating Z eff (referred to here as M 1 and M 2 ) are considered, and six metallic alloys are investigated: Ti-6Al-4 V, Co-Cr-Mo, Ni-Cr-Ti, Ni-Cr, Co-Cr-Mo-W, and Ag 3 Sn-Hg (amalgam). The results indicate significant differences in the estimates of fluorescence yield depending on the method used to estimate Z eff for each metallic alloy. Both the choice of the calculation method for Z eff and the energy ranges of the incident radiation are essential factors affecting the behavior of alloys in terms of fluorescence production. Our results may guide the selection of the best material for a biomedical application. The metallic alloys simulated here show equivalences and discrepancies that depend on the method used to estimate Z eff and the energy range of the incident photons. This finding allows for the creation of combinations of alloys and methods for calculating Z eff and the photon energy to maximize safety and minimize cost.

Luminescence characterization of BioGlass undoped and doped with europium and silver ions.

The objective of this study was to investigate the properties of BioGlass, with and without doping with europium and silver, with a specific focus on its potential application in thermoluminescent (TL) and optically stimulated luminescent (OSL) dosimetry. The structural and optical characteristics of the samples were also analyzed using techniques such as X-ray diffraction (XRD), optical absorption (OA), and fluorescence spectroscopy (FL). An XRD analysis confirmed the amorphous phase of the BioGlass. OA and FL spectra were obtained at room temperature, and characteristic bands of dopant ions were observed which confirmed the incorporation of the Eu3+ ions and silver nanoparticles Ag(NP) ion into the BioGlass. The OSL decay curves exhibited a characteristic exponential behavior, with a notable presence of fast and medium decay components; this suggests that the charge traps within the BioGlass samples possess a high photoionization cross section when exposed to blue LEDs, which are commonly used as the light source in OSL readers. Different TL glow peaks with varying shapes of the glow curve were observed when the dopant, the co-dopant, and the concentration of silver were altered in the samples. The TL kinetic parameters were determined, such as the order value, activation energy, and frequency factor, and the OSL parameters for the compound were also analyzed, including an exponential fit to the curves. Based on these initial results, we conclude that BioGlass has the potential for use in radiation dosimetry.

Investigation of dosimetric properties of CaSO4:Mn phosphor prepared using slow evaporation route.

The objective of this work was to investigate the luminescent properties of CaSO4:Mn synthesized by slow evaporation route. The crystalline structure, morphology, thermal and optical properties of the phosphors were characterized by X-ray diffraction analysis (XRD), Scanning electron microscopy (SEM), photoluminescence (PL) and thermogravimetric analysis (TGA). Moreover, using thermoluminescence (TL) and optically stimulated luminescence (OSL) techniques, the dosimetric properties of the phosphors, such as emission spectra, glow curve reproducibility, dose-response linearity, fading of the luminescent signal, variation of the TL intensity with the heating rate, OSL decay curves, correlation between TL and OSL emissions and minimum detectable dose (MDD) were comprehensively investigated. For dosimetric analyses, the samples were irradiated with doses from 169 mGy to 10 Gy. The emission band fits with the characteristic line of the Mn2+ emission features, ascribed to 6A1→4T1 transition. CaSO4:Mn pellets present a TL glow curve with a single typical peak centered around 494 nm, an OSL decay curve with predominance of a fast decay component, and a MDD on the order of mGy. The luminescent signals showed to be linear and reproducible in the studied dose range. The trapping centers located between 0.83 eV and 1.07 eV were revealed for different heating rates in the TL study. The high TL sensitivity of CaSO4:Mn was proven when comparing with commercially available dosimeters. The luminescent signals exhibit a smaller fading than described in the literature for CaSO4:Mn produced by other methods.

Proposal of an algorithm to evaluate geometric distortion and artifact spreading in digital breast tomosynthesis.

BACKGROUND: According to the European Reference Organization for Quality Assurance Breast Screening and European Diagnostic Services, the spatial accuracy of reconstructed images and reconstruction artifacts must be evaluated in digital breast tomosynthesis (DBT) quality control procedures. PURPOSE: To propose a computational algorithm to evaluate the geometric distortion and artifact spreading (GDAS) in DBT images. MATERIAL AND METHODS: The proposed algorithm analyzed tomosynthesis images of a phantom that contains aluminum spheres (1 mm in diameter) arranged in a rectangular matrix spaced 5 cm apart that was inserted in 5-mm-thick polymethylmethacrylate (PMMA). RESULTS: The obtained results were compared with the values provided by the algorithm developed by the National Coordinating Center for the Physics of Mammography (NCCPM). In the comparison, the results depended on the dimensions of the region of interest (ROI). This dependence proves the benefit of the proposed algorithm because it allows the user to select the ROI. CONCLUSION: The computational algorithm proved to be useful for the evaluation of GDAS in DBT images, in the same way as the reference algorithm (NCCPM), as well as allowing the selection of the ROI dimensions that best suit the spreading of the artifact in the analyzed images.

Estimated risk of radiation-induced cancer following breast screening employing tomosynthesis and digital mammography.

The objective of this study was to estimate the risk of radiation-induced injury to the organs due to ionizing radiation following breast screening recommendations employing digital breast tomosynthesis (DBT) and digital mammography (DM). Using the Monte Carlo method, absorbed doses in the tissues and organs were calculated on an adult female phantom, considering two-view craniocaudal (CC) and mediolateral oblique (MLO) projections for each breast. The results showed differences in the total effective risk due to DM (CC + MLO) and DBT (CC + MLO) examinations in Brazil, ranging from 20.73 cases 10-5(DM) to 27.19 cases 10-5(DBT). Significant differences were also observed in the total effective risk of cancer incidence in the lungs due to DM (CC + MLO) and DBT (CC + MLO), ranging from 1.75×10-01cases 10-5(DM) to 1.76×10-01cases 10-5(DBT). The results indicate that the total effective risk of incidence should be considered as an additional parameter for the evaluation of DBT or DBT + DM program performance.

Mass energy absorption coefficients and energy responses of magnesium tetraborate dosimeters for 0.02 MeV to 20 MeV photons using Monte Carlo simulations.

Thermoluminescence dosimeters containing boron, such as magnesium tetraborate (MgB4O7), are of interest because of their very high sensitivity, near tissue-equivalent absorption coefficients, low cost, easy handling, and very large linearity range for absorbed dose. Another important parameter that should be considered when working with thermoluminescent dosimeter (TLD) is the mass energy absorption coefficient (µen/ρ), which is a close approximation to the energy available for production of chemical, biological and other effects associated with exposure to ionizing radiation, therefore important in estimating dose in medical and health physics. In this study the mass energy absorption coefficients and energy responses of undoped and some doped magnesium tetraborates were calculated by Monte Carlo N-particle transport code for a range of photon energies between 20 keV and 20 MeV. The calculated parameters for MgB4O7, MgB4O7:Dy and MgB4O7:Dy,Li were evaluated in comparison with standard TLDs as Al2O3:C and TLD-100 (LiF: Mg, Ti) and ICRU tissue data. The influence of the dopant concentration in the MgB4O7 matrix on the energy dependence of TLD was also investigated. The analyses indicated a good agreement between the simulations and theoretical calculations. The µen/ρ and energy dependence of the materials are higher in the low energy range (E < 100 keV), which is related to the high probability of interaction between radiation and matter due to photoelectric absorption. With regard to the influence of dysprosium concentration in the MgB4O7 matrix an increase in the energy dependence of MgB4O7 for higher concentrations of dopants was observed in the low energy range.

Breast phantom with silicone implant for evaluation in conventional mammography.

With the increased incidence of cancer and a similarly increased number of surgeries for insertion of silicone breast implants, it is necessary to assess the effect of such material within the breast tissue, particularly in mammography, because of the reduction in the power of breast cancer diagnosis. In this work, we introduce a breast phantom with silicone implants in order to evaluate the influence of the implant on the visibility of the main mammographic findings: fibers, microcalcifications and tumor masses. In this proposed phantom, the breast tissue was simulated using gel paraffin. In the optical density of phantom mammograms with implants, a reduction in breast tissue visibility was seen corresponding to 23% when compared to a phantom without silicone implants. This poor visibility was due to the X-ray beam scattering on silicone material; this effect produced a loss of visibility in the areas adjacent to the implant. It is expected that the proposed phantom model may be used as a device for the establishment of a technical standard for these types of procedures.

Intercomparación de las medidas de actividad por parte de los usuarios en diferentes servicios medicina nuclear de Sergipe / Intercomparasion of activity measurements in different nuclear medicine centers of Sergipe, Brazil

Un programa de control de calidad en medicina nuclear incluye la verificación de la eficiencia de equipos utilizados para el diagnóstico y tratamiento, hasta la formación. En este estudio se evaluaron las medidas de actividad realizada por los usuarios que trabajan en los servicios de medicina nuclear en Sergipe, Brazil. En las medidas de actividad se estableció uno y se caracteriza entre las medidas de fuentes radiactivas selladas de actividad normal, 133Ba y 57Co, llevada a cabo por distintos profesionales, con el fin de comprobar la reproducibilidad de estas medidas cuando se compara con el valor por defecto de la actividad de cada fuente. Los resultados de inter-medidas en estado satisfactorio y pueden ser utilizados como parámetros en el evaluación futuro de los servicios de medicina nuclear.

A program of quality control program in nuclear medicine includes the verification of the efficiency of any equipment used for diagnosis and treatment, until the personal training. In this study were evaluated measures of activity undertaken by users who work in nuclear medicine services in Sergipe, Brazil. In measures of activity was established and characterized an inter measures of activity sealed radioactive sources standard, 133Ba and 57Co, carried out by different professionals, aiming to verify the reproducibility of these measures when compared with the default value of the activity of each source. The results of inter-measures were in satisfactory and can be used as parameters in future evaluation services in nuclear medicine.

Thermally stimulated luminescence and EPR studies on topaz.

In the present work, electron paramagnetic resonance (EPR) spectra and thermoluminescence (TL) emission of colourless natural topaz from Santo Antônio do Jacinto, Brazil, was studied as a function of thermal treatment and gamma irradiation dose, focussing on the use of this material as a radiation dosimeter. EPR measurements on "as-received" samples at room temperature provided signals in the region of about 500 at 5,000 G. The signal located around g approximately equal to 2, frequently attributed to (AlO(4))(0), increased with additional gamma dose and disappeared after thermal treatment at 500 degrees C for 1h. Irradiation after thermal treatment recovered this signal. The decay promoted by isochronal thermal treatment showed the (AlO(4))(0) defects to be directly related to the TL glows peaks. The variation of EPR spectrum with annealing temperature prior to irradiation showed that the variation of TL sensitivity is a consequence of the variation of the (AlO(4))(0) population.

Evaluation of doses in radiotherapy using solid-state composites based on natural colourless topaz.

The thermoluminescent properties of composites containing powdered topaz embedded in Teflon or glass were studied and compared with the corresponding properties of the well known TLD-100 commercial dosimeters. Relative sensitivity, TL fading, reproducibility of the sample preparation process, and possibility of re-utilisation of the dosimeters were investigated. Measurements of absorbed doses in simulated radiotherapy treatments were also taken. The irradiations were performed using gamma rays from a 60Co source in the dose range from 1cGy to 2Gy. The dosimeters were installed in badges and attached inside acrylic plates of various thicknesses in the radiation fields. The dose profiles obtained with this procedure are very similar to the ones obtained with equivalent tissues. It is concluded that these composites of natural colourless topaz crystals can be efficiently used as TL dosimeters.