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1.
Appl Radiat Isot ; 175: 109824, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34139667

RESUMO

CDC designed a rapid HPGe Bioassay Method for 137Cs, 60Co, and 192Ir that is suitable for a public health response to a radiological incident where people may ingest or inhale radionuclides. The method uses a short count time, small sample volume, and a large volume detector and well size. It measures a patient's urine sample collected post-incident. The levels of concern are directly related to the Clinical Decision Guide levels recommended in the National Council of Radiation Protection 161.


Assuntos
Bioensaio/métodos , Radioisótopos de Césio/análise , Radioisótopos de Cobalto/análise , Radioisótopos de Irídio/análise , Radioisótopos de Césio/urina , Radioisótopos de Cobalto/urina , Humanos , Radioisótopos de Irídio/urina , Monitoramento de Radiação/métodos , Espectrometria gama/métodos
2.
Radiat Prot Dosimetry ; 185(1): 67-73, 2019 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-30544246

RESUMO

The majority of the radiation accidents with early acute clinical effects were associated with the orphan sources used in industrial and medical facilities. These accidents involved members of general public, who were entirely unaware of the exposure to the radiation. In such situations, the exposure commonly occurs when the source is in contact with a body of a victim, primarily located in pockets of clothing or in hands. In this research, the average absorbed doses in internal organs, skin and tissues close to the source were assessed using the phantom modeling of contact human exposure by the sealed 192Ir, 137Cs and 60Co gamma sources. The results allow estimating the RBE-weighted absorbed dose values in organs and tissues to assess the possibility and severity of deterministic medical effects caused by the exposure and to compare them with the reference levels established by IAEA for performing the protective and medical actions.


Assuntos
Radioisótopos de Césio/análise , Radioisótopos de Cobalto/análise , Radioisótopos de Irídio/análise , Especificidade de Órgãos/efeitos da radiação , Imagens de Fantasmas , Exposição à Radiação/análise , Medição de Risco/métodos , Raios gama , Humanos , Método de Monte Carlo , Doses de Radiação , Proteção Radiológica/normas , Liberação Nociva de Radioativos , Padrões de Referência , Eficiência Biológica Relativa
3.
Radiat Prot Dosimetry ; 182(1): 25-30, 2018 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-30169859

RESUMO

On 7 May 2014, a radiological accident involving a lost 192Ir source occurred in Nanjing, China, and overexposure of a worker occurred. After the accident, several national agencies specialized in medical response to radiation emergencies collaborated to carry out clinical case management and to offer psychological assistance to the affected workers and members of the public. In this article, the medical management of the victim is summarized and outcomes are shared in order to improve medical preparedness and response for a nuclear or radiological emergency. This case demonstrated that providing rapid, accurate, credible and consistent information to the public through the media, public health education and psychological assistance to the affected workers and members of the public, contribute to mitigation of psychological impact of such emergencies.


Assuntos
Eritema/terapia , Radioisótopos de Irídio/efeitos adversos , Exposição Ocupacional/efeitos adversos , Lesões por Radiação/terapia , Liberação Nociva de Radioativos , Pele/efeitos da radiação , China , Eritema/diagnóstico , Eritema/etiologia , Feminino , Humanos , Radioisótopos de Irídio/análise , Masculino , Exposição Ocupacional/análise , Recursos Humanos em Hospital , Doses de Radiação , Lesões por Radiação/diagnóstico , Lesões por Radiação/etiologia , Monitoramento de Radiação
4.
Radiat Prot Dosimetry ; 182(2): 221-234, 2018 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-29635514

RESUMO

The results of the comparison between SSDL-ININ and SSDL-CPHR (pilot laboratory) demonstrates the competence of the SSDL-ININ for the performance of the KR in 192Ir. The RININ/CHPR ratio for the calibration coefficients is 0.989 ± 0.005. The comparison uses three SI-HDR 1000-Plus as transfer chambers, series: A02423, A941755 and A973052. CPHR used a secondary standard PTW 3304 chamber, s/n 154, calibrated at PTB and ININ employed a secondary standard SI-90008 s/n A963391, calibrated at NPL. To determine KR, the SSDL-CPHR used the IAEA TEC-DOC-1274 and the SSDL-ININ used the IPEM (UK) code of practice. The latter uses a correction factor by source's geometry, ksg. The results show that both codes are equivalent; however, for the use of well chambers in the highlands or in locations with reduced atmospheric pressure, it is needed to apply an additional factor k'P, or, to design a well chamber with air-equivalent walls for the application of the conventional kPT.


Assuntos
Braquiterapia/normas , Radioisótopos de Irídio/análise , Dosímetros de Radiação , Radiometria/normas , Neoplasias do Colo do Útero/radioterapia , Calibragem , Desenho de Equipamento , Feminino , Humanos , México , Dosagem Radioterapêutica
5.
Phys Med Biol ; 63(5): 055017, 2018 03 08.
Artigo em Inglês | MEDLINE | ID: mdl-29424364

RESUMO

In high-dose-rate (HDR) brachytherapy, a direct-conversion flat-panel detector (d-FPD) clearly depicts a 192Ir source without image halation, even under the emission of high-energy gamma rays. However, it was unknown why iridium is visible when using a d-FPD. The purpose of this study was to clarify the reasons for visibility of the source core based on physical imaging characteristics, including the modulation transfer functions (MTF), noise power spectral (NPS), contrast transfer functions, and linearity of d-FPD to high-energy gamma rays. The acquired data included: x-rays, [X]; gamma rays, [γ]; dual rays (X + γ), [D], and subtracted data for depicting the source ([D] - [γ]). In the quality assurance (QA) test for the positional accuracy of a source core, the coordinates of each dwelling point were compared between the planned and actual source core positions using a CT/MR-compatible ovoid applicator and a Fletcher-Williamson applicator. The profile curves of [X] and ([D] - [γ]) matched well on MTF and NPS. The contrast resolutions of [D] and [X] were equivalent. A strongly positive linear correlation was found between the output data of [γ] and source strength (r 2 > 0.99). With regard to the accuracy of the source core position, the largest coordinate difference (3D distance) was noted at the maximum curvature of the CT/MR-compatible ovoid and Fletcher-Williamson applicators, showing 1.74 ± 0.02 mm and 1.01 ± 0.01 mm, respectively. A d-FPD system provides high-quality images of a source, even when high-energy gamma rays are emitted to the detector, and positional accuracy tests with clinical applicators are useful in identifying source positions (source movements) within the applicator for QA.


Assuntos
Braquiterapia/normas , Dosimetria Fotográfica/normas , Radioisótopos de Irídio/análise , Imagens de Fantasmas , Garantia da Qualidade dos Cuidados de Saúde/métodos , Braquiterapia/instrumentação , Dosimetria Fotográfica/instrumentação , Humanos , Radioisótopos de Irídio/uso terapêutico , Dosagem Radioterapêutica , Raios X
6.
Clin. transl. oncol. (Print) ; 19(11): 1409-1413, nov. 2017. tab, ilus
Artigo em Inglês | IBECS | ID: ibc-167123

RESUMO

Introduction. Endovaginal brachytherapy treatment dosimetry differences were studied using Ir-192 or Co-60 sources for postoperative endometrial cancer. Materials and methods. A prospective descriptive study was conducted. Thirty-six dosimetry plans of different patients were studied (15 by Ir-192 and 21 by Co-60). Variables studied included D2cc Rectum, D2cc Bladder, D2cc Sigmoid, dose percentage at point 0 (applicator surface on the top of the cylinder) and dose percentage at point 1 (5 mm deep on the top of the cylinder). A comparative analysis was performed of the values obtained from each variable between Ir-192 and Co-60 treatments. We compared average of each variables between Iridium and Cobalt by T Student for independent samples (SPSS 22). Results. here were no significant differences on using Ir-192 or Co-60 by variables, except for dose percentage at point 1 in which we detected significant differences (Table 1). Discussion. Brachytherapy treatment dosimetry plans are similar using Ir-192 or Co-60, except dose percentage at point 1. In the scientific literature, some differences exist and there are some advantages in using cobalt (AU)


No disponible


Assuntos
Humanos , Feminino , Neoplasias do Endométrio/diagnóstico , Neoplasias do Endométrio/terapia , Braquiterapia/métodos , Dosimetria/análise , Irídio , Radioisótopos de Irídio/administração & dosagem , Período Pós-Operatório , Estudos Prospectivos , Radioisótopos de Irídio/análise
7.
Radiol Phys Technol ; 10(4): 454-463, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28921448

RESUMO

This study aimed to evaluate dose uniformity for 192Ir and 60Co stepping sources. High dose rate 192Ir and 60Co stepping sources were simulated by the MCNPX Monte Carlo code. To investigate dose uniformity, treatment lengths of 30, 50, 100, and 150 mm with stepping distances of 3, 5, 7, and 10 mm were considered. Finally, dose uniformity for the 192Ir and 60Co stepping sources with increasing distances from the source were assessed at these treatment lengths and steps. The findings showed that the dose distribution was non-uniform for regions in close vicinity of the source, especially in the high source steps, but for most points at distances >10 mm from the center of the source, the dose distribution was uniform. For most points, the dose uniformity increased with reduction of the source steps and increments of the transverse distance from the source. The dose non-uniformity was similar for most of the corresponding points of 60Co and 192Ir sources with the same treatment lengths and source steps, except at the distance of 150 mm. When using stepping technique for the treatment of tumors, more attention should be focused on treatment planning, especially with higher stepping distances and lower transverse distances from the source.


Assuntos
Braquiterapia , Radioisótopos de Cobalto/análise , Radioisótopos de Irídio/análise , Imagens de Fantasmas , Planejamento da Radioterapia Assistida por Computador/métodos , Radioisótopos de Cobalto/uso terapêutico , Humanos , Radioisótopos de Irídio/uso terapêutico , Método de Monte Carlo , Dosagem Radioterapêutica
8.
Z Med Phys ; 26(3): 238-50, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26387927

RESUMO

The application of various radiation detectors for brachytherapy dosimetry has motivated this study of the energy dependence of radiation quality correction factor kQ,M, the quotient of the detector responses under calibration conditions at a (60)Co unit and under the given non-reference conditions at the point of measurement, M, occurring in photon brachytherapy. The investigated detectors comprise TLD, radiochromic film, ESR, Si diode, plastic scintillator and diamond crystal detectors as well as ionization chambers of various sizes, whose measured response-energy relationships, taken from the literature, served as input data. Brachytherapy photon fields were Monte-Carlo simulated for an ideal isotropic (192)Ir point source, a model spherical (192)Ir source with steel encapsulation and a commercial HDR GammaMed Plus source. The radial source distance was varied within cylindrical water phantoms with outer radii ranging from 10 to 30cm and heights from 20 to 60cm. By application of this semiempirical method - originally developed for teletherapy dosimetry - it has been shown that factor kQ,M is closely correlated with a single variable, the fluence-weighted mean photon energy EF at the point of measurement. The radial profiles of EF obtained with either the commercial (192)Ir source or the two simplified source variants show little variation. The observed correlations between parameters kQ,M and EF are represented by fitting formulae for all investigated detectors, and further variation of the detector type is foreseen. The herewith established close correlation of radiation quality correction factor kQ,M with local mean photon energy EF can be regarded as a simple regularity, facilitating the practical application of correction factor kQ,M for in-phantom dosimetry around (192)Ir brachytherapy sources. EF values can be assessed by Monte Carlo simulation or measurement. A technique describing the local measurement of EF will be published separately.


Assuntos
Artefatos , Braquiterapia/instrumentação , Radioisótopos de Irídio/uso terapêutico , Garantia da Qualidade dos Cuidados de Saúde/métodos , Radiometria/instrumentação , Radiometria/métodos , Algoritmos , Braquiterapia/métodos , Simulação por Computador , Desenho de Equipamento , Análise de Falha de Equipamento , Radioisótopos de Irídio/análise , Transferência Linear de Energia , Modelos Estatísticos , Método de Monte Carlo , Fótons , Compostos Radiofarmacêuticos/análise , Compostos Radiofarmacêuticos/uso terapêutico , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
9.
J Appl Clin Med Phys ; 16(3): 5270, 2015 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-26103489

RESUMO

The Source Production & Equipment Co. (SPEC) model M-15 is a new Iridium-192 brachytherapy source model intended for use as a temporary high-dose-rate (HDR) brachytherapy source for the Nucletron microSelectron Classic afterloading system. The purpose of this study is to characterize this HDR source for clinical application by obtaining a complete set of Monte Carlo calculated dosimetric parameters for the M-15, as recommended by AAPM and ESTRO, for isotopes with average energies greater than 50 keV. This was accomplished by using the MCNP6 Monte Carlo code to simulate the resulting source dosimetry at various points within a pseudoinfinite water phantom. These dosimetric values next were converted into the AAPM and ESTRO dosimetry parameters and the respective statistical uncertainty in each parameter also calculated and presented. The M-15 source was modeled in an MCNP6 Monte Carlo environment using the physical source specifications provided by the manufacturer. Iridium-192 photons were uniformly generated inside the iridium core of the model M-15 with photon and secondary electron transport replicated using photoatomic cross-sectional tables supplied with MCNP6. Simulations were performed for both water and air/vacuum computer models with a total of 4 × 109 sources photon history for each simulation and the in-air photon spectrum filtered to remove low-energy photons belowδ = 10 keV. Dosimetric data, including D·(r,θ), gL(r), F(r,θ), φan(r), and φ-an, and their statistical uncertainty were calculated from the output of an MCNP model consisting of an M-15 source placed at the center of a spherical water phantom of 100 cm diameter. The air kerma strength in free space, SK, and dose rate constant, Λ, also was computed from a MCNP model with M-15 Iridium-192 source, was centered at the origin of an evacuated phantom in which a critical volume containing air at STP was added 100 cm from the source center. The reference dose rate, D·(r0,θ0) ≡ D· (1cm,π/2), is found to be 4.038 ± 0.064 cGy mCi-1 h-1. The air kerma strength, SK, is reported to be 3.632 ± 0.086 cGy cm2 mCi-1 g-1, and the dose rate constant, Λ, is calculated to be 1.112 ± 0.029 cGy h-1 U-1. The normalized dose rate, radial dose function, and anisotropy function with their uncertainties were computed and are represented in both tabular and graphical format in the report. A dosimetric study was performed of the new M-15 Iridium-192 HDR brachytherapy source using the MCNP6 radiation transport code. Dosimetric parameters, including the dose-rate constant, radial dose function, and anisotropy function, were calculated in accordance with the updated AAPM and ESTRO dosimetric parameters for brachytherapy sources of average energy greater than 50 keV. These data therefore may be applied toward the development of a treatment planning program and for clinical use of the source.


Assuntos
Braquiterapia/instrumentação , Radioisótopos de Irídio/análise , Radioisótopos de Irídio/uso terapêutico , Modelos Estatísticos , Próteses e Implantes , Radiometria/métodos , Simulação por Computador , Desenho Assistido por Computador , Desenho de Equipamento , Método de Monte Carlo , Compostos Radiofarmacêuticos/análise , Compostos Radiofarmacêuticos/uso terapêutico , Dosagem Radioterapêutica , Espalhamento de Radiação
10.
J Appl Clin Med Phys ; 16(1): 5068, 2015 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-25679163

RESUMO

The routine quality assurance (QA) procedure for a high-dose-rate (HDR) 192Ir radioactive source is an important task to provide appropriate brachytherapy. Traditionally, it has been difficult to obtain good quality images using the 192Ir source due to irradiation from the high-energy gamma rays. However, a direct-conversion flat-panel detector (d-FPD) has made it possible to confirm the localization and configuration of the 192Ir source. The purpose of the present study was to evaluate positional and temporal accuracy of the 192Ir source using a d-FPD system, and the usefulness of d-FPD as a QA tool. As a weekly verification of source positional accuracy test, we obtained 192Ir core imaging by single-shot radiography for three different positions (1300/1400/1500 mm) of a check ruler. To acquire images for measurement of the 192Ir source movement distance with varying interval steps (2.5/5.0/10.0 mm) and temporal accuracy, we used the high-speed image acquisition technique and digital subtraction. For accuracy of the 192Ir source dwell time, sequential images were obtained using various dwell times ranging from 0.5 to 30.0 sec, and the acquired number of image frames was assessed. Analysis of the data was performed using the measurement analysis function of the d-FPD system. Although there were slight weekly variations in source positional accuracy, the measured positional errors were less than 1.0 mm. For source temporal accuracy, the temporal errors were less than 1.0%, and the correlation between acquired frames and programmed time showed excellent linearity (R2 = 1). All 192Ir core images were acquired clearly without image halation, and the data were obtained quantitatively. All data were successfully stored in the picture archiving and communication system (PACS) for time-series analysis. The d-FPD is considered useful as the QA tool for the 192Ir source.


Assuntos
Braquiterapia/normas , Dosimetria Fotográfica/normas , Radioisótopos de Irídio/análise , Garantia da Qualidade dos Cuidados de Saúde/métodos , Intensificação de Imagem Radiográfica/normas , Algoritmos , Braquiterapia/instrumentação , Desenho de Equipamento , Dosimetria Fotográfica/instrumentação , Humanos , Radioisótopos de Irídio/uso terapêutico , Intensificação de Imagem Radiográfica/instrumentação , Dosagem Radioterapêutica
11.
J Appl Clin Med Phys ; 15(6): 4907, 2014 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-25493516

RESUMO

Beam quality correction, kQQ0(r), for solid-state detectors diamond, LiF, Li2B4O7, Al2O3, and plastic scintillator are calculated as a function of distance, r, along the transverse axis of the 60Co and 192Ir brachytherapy sources using the Monte Carlo- based EGSnrc code system. This study also includes calculation of detector-specific phantom scatter correction, kphan(r), for solid phantoms such as PMMA, polysty- rene, solid water, virtual water, plastic water, RW1, RW3, A150, and WE210. For 60Co source, kQQ0(r) is about unity and distance-independent for diamond, plastic scintillator, Li2B4O7 and LiF detectors. For this source, kQQ0(r) decreases gradually with r for Al2O3 detector (about 6% smaller than unity at 15 cm). For 192Ir source, kQQ0(r) is about unity and distance-independent for Li2B4O7 detector (overall variation is about 1% in the distance range of 1-15 cm). For this source, kQQ0(r) increases with r for diamond and plastic scintillator (about 6% and 8% larger than unity at 15 cm, respectively). Whereas kQQ0(r) decreases with r gradually for LiF (about 4% smaller than unity at 15 cm) and steeply for Al2O3 (about 25% smaller than unity at 15 cm). For 60Co source, solid water, virtual water, RW1, RW3, and WE210 phantoms are water-equivalent for all the investigated solid-state detectors. Whereas polystyrene and plastic water phantoms are water-equivalent for diamond, plastic scintillator, Li2B4O7 and LiF detectors, but show distance-dependent kphan(r) values for Al2O3 detector. PMMA phantom is water-equivalent at all distances for Al2O3 detector, but shows distance-dependent kphan(r) values for remaining detec- tors. A150 phantom shows distance-dependent kphan(r) values for all the investigated detector materials. For 192Ir source, solid water, virtual water, RW3, and WE210 phantoms are water-equivalent for diamond, plastic scintillator, Li2B4O7 and LiF detectors, but show distance-dependent kphan(r) values for Al2O3 detector. All other phantoms show distance-dependent kphan(r) values for all the detector materials. 


Assuntos
Braquiterapia/métodos , Radiometria/métodos , Braquiterapia/instrumentação , Radioisótopos de Cobalto/análise , Humanos , Radioisótopos de Irídio/análise , Radiometria/instrumentação
12.
Brachytherapy ; 13(4): 420-3, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24530343

RESUMO

PURPOSE: According to the American Association of Physicists in Medicine Task Group No. 43 (TG-43) formalism used for dose calculation in brachytherapy treatment planning systems, the absolute level of absorbed dose is determined through coupling with the measurable quantity air-kerma strength or the numerically equal reference air-kerma rate (RAKR). Traceability to established standards is important for accurate dosimetry in laying the ground for reliable comparisons of results and safety in adoption of new treatment protocols. The purpose of this work was to compare the source strength for a high-dose rate (HDR) (192)Ir source as measured using equipment traceable to different standard laboratories in Europe and the United States. METHODS AND MATERIALS: Source strength was determined for one HDR (192)Ir source using four independent systems, all with traceability to different primary or interim standards in the United States and Europe. RESULTS: The measured HDR (192)Ir source strengths varied by 0.8% and differed on average from the vendor value by 0.3%. Measurements with the well chambers were 0.5% ± 0.1% higher than the vendor-provided source strength. Measurements with the Farmer chamber were 0.7% lower than the average well chamber results and 0.2% lower than the vendor-provided source strength. All of these results were less than the reported source calibration uncertainties (k=2) of each measurement system. CONCLUSIONS: In view of the uncertainties in ion chamber calibration factors, the maximum difference in source strength found in this study is small and confirms the consistency between calibration standards in use for HDR (192)Ir brachytherapy.


Assuntos
Braquiterapia/métodos , Radioisótopos de Irídio/análise , Compostos Radiofarmacêuticos/análise , Braquiterapia/normas , Calibragem , Europa (Continente) , Humanos , Radioisótopos de Irídio/normas , Radioisótopos de Irídio/uso terapêutico , Radiometria/métodos , Compostos Radiofarmacêuticos/normas , Compostos Radiofarmacêuticos/uso terapêutico , Dosagem Radioterapêutica , Estados Unidos
13.
Med Phys ; 40(6): 062101, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23718599

RESUMO

PURPOSE: The goal of this study was to prove the feasibility of using a single-fiber multipoint plastic scintillation detector (mPSD) as an in vivo verification tool during (192)Ir high-dose-rate brachytherapy treatments. METHODS: A three-point detector was built and inserted inside a catheter-positioning template placed in a water phantom. A hyperspectral approach was implemented to discriminate the different optical signals composing the light output at the exit of the single collection optical fiber. The mPSD was tested with different source-to-detector positions, ranging from 1 to 5 cm radially and over 10.5 cm along the longitudinal axis of the detector, and with various integration times. Several strategies for improving the accuracy of the detector were investigated. The device's accuracy in detecting source position was also tested. RESULTS: Good agreement with the expected doses was obtained for all of the scintillating elements, with average relative differences from the expected values of 3.4 ± 2.1%, 3.0 ± 0.7%, and 4.5 ± 1.0% for scintillating elements from the distal to the proximal. A dose threshold of 3 cGy improved the general accuracy of the detector. An integration time of 3 s offered a good trade-off between precision and temporal resolution. Finally, the mPSD measured the radioactive source positioning uncertainty to be no more than 0.32 ± 0.06 mm. The accuracy and precision of the detector were improved by a dose-weighted function combining the three measurement points and known details about the geometry of the detector construction. CONCLUSIONS: The use of a mPSD for high-dose-rate brachytherapy dosimetry is feasible. This detector shows great promise for development of in vivo applications for real-time verification of treatment delivery.


Assuntos
Braquiterapia/instrumentação , Tecnologia de Fibra Óptica/instrumentação , Radioisótopos de Irídio/análise , Radioisótopos de Irídio/uso terapêutico , Plásticos/efeitos da radiação , Contagem de Cintilação/instrumentação , Desenho de Equipamento , Análise de Falha de Equipamento , Dosagem Radioterapêutica , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
14.
J Appl Clin Med Phys ; 14(1): 4037, 2013 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-23318392

RESUMO

For the purpose of dose measurement using a high-dose rate (192)Ir source, four methods of thermoluminescent dosimeter (TLD) calibration were investigated. Three of the four calibration methods used the (192)Ir source. Dwell times were calculated to deliver 1 Gy to the TLDs irradiated either in air or water. Dwell time calculations were confirmed by direct measurement using an ionization chamber. The fourth method of calibration used 6 MV photons from a medical linear accelerator, and an energy correction factor was applied to account for the difference in sensitivity of the TLDs in (192)Ir and 6 MV. The results of the four TLD calibration methods are presented in terms of the results of a brachytherapy audit where seven Australian centers irradiated three sets of TLDs in a water phantom. The results were in agreement within estimated uncertainties when the TLDs were calibrated with the (192)Ir source. Calibrating TLDs in a phantom similar to that used for the audit proved to be the most practical method and provided the greatest confidence in measured dose. When calibrated using 6 MV photons, the TLD results were consistently higher than the (192)Ir-calibrated TLDs, suggesting this method does not fully correct for the response of the TLDs when irradiated in the audit phantom.


Assuntos
Algoritmos , Radioisótopos de Irídio/análise , Dosimetria Termoluminescente/instrumentação , Dosimetria Termoluminescente/normas , Austrália , Calibragem , Análise de Falha de Equipamento/métodos , Análise de Falha de Equipamento/normas , Valores de Referência , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
15.
Nucl Med Commun ; 33(5): 476-80, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22314805

RESUMO

OBJECTIVE: Occupational radiation doses to the Nuclear Medicine Department staff at Mount Vernon Hospital are routinely measured using optically stimulated luminescence dosemeters for whole-body effective dose and ring thermoluminescence dosemeters (TLDs) for finger dose. In 2002, a project was carried out using LiF:Mg,Cu,P Chinese TLDs to measure the dose to the lens of the eye received by staff during normal working procedures. METHODS: Separate pairs of TLDs were worn by staff on their forehead between their eyes while dispensing and releasing in the radiopharmacy, injecting, and when administering I-131 capsules to patients. The dose received was calculated using calibration data from identical TLDs irradiated with Tc-99m, I-131, and the Ir-192 source of a Gammamed High Dose Rate (HDR) treatment unit. Data were collected over a 5-month period and the mean dose to the eye was calculated for each procedure. RESULTS: Using a typical yearly workload, the annual dose to the eye for a single member of staff was calculated and found to be 4.5 mSv. CONCLUSION: The occupational eye dose limit was, at the time, 150 mSv; therefore, staff were well below the level (3/10th of this limit) that would have required them to be classified. However, there have been large increases in radiopharmacy production and I-131 therapies administered at Mount Vernon in subsequent years. It is therefore expected that the eye dose received by staff will have increased to be significantly higher than 4.5 mSv and will in fact be greater than 6 mSv, which is 3/10th of the proposed new dose limit and would require these staff to become classified workers.


Assuntos
Olho , Serviço Hospitalar de Medicina Nuclear , Exposição Ocupacional/análise , Doses de Radiação , Humanos , Radioisótopos do Iodo/análise , Radioisótopos de Irídio/análise , Tecnécio/análise , Dosimetria Termoluminescente/métodos
16.
Australas Phys Eng Sci Med ; 35(1): 85-92, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22187355

RESUMO

The reference air kerma rate of an ¹9²Ir high dose rate brachytherapy source is determined based broadly on the International Atomic Energy Agency (IAEA) TECDOC 1274 code of practice. Since the primary standards dosimetry laboratory at the Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) does not maintain a standard at ¹9²Ir quality, the air kerma calibration coefficient of an IBA FC65-G Farmer type ionisation chamber is calculated using coefficients determined at 300 kV and 6°Co qualities. The methodology proposed by Mainegra-Hing and Rogers [1] at 250 kV and ¹³7Cs qualities is used. The validity of this approach is tested by performing Monte Carlo simulations to determine the chamber's air kerma calibration coefficient at ¹9²Ir quality. Very good agreement is obtained between values using these two methods. The reference air kerma rate is measured using the Farmer chamber in an in air jig. In addition the necessary correction factors are applied to the measured value. The reference air kerma rate determined in this way is compared to the value stated by the vendor of the ¹9²Ir source on the source calibration certificate. Differences are with one exception less than 1%. It is concluded that because of the agreement between the values from the methodology used in this study and the source calibration certificate values this methodology can be used clinically.


Assuntos
Algoritmos , Braquiterapia/normas , Radioisótopos de Irídio/análise , Radioisótopos de Irídio/normas , Doses de Radiação , Austrália , Calibragem , Método de Monte Carlo , Valores de Referência , Reprodutibilidade dos Testes
17.
Appl Radiat Isot ; 70(1): 282-9, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21872480

RESUMO

Measuring the strength of high dose rate (HDR) (192)Ir brachytherapy sources on receipt from the vendor is an important component of a quality assurance program. Owing to their ready availability in radiotherapy departments, the Farmer-type ionization chambers are also used to determine the strength of HDR (192)Ir brachytherapy sources. The use of a Farmer-type ionization chamber requires the estimation of the scatter correction factor along with positioning error (c) and the constant of proportionality (f) to determine the strength of HDR (192)Ir brachytherapy sources. A simplified approach based on a least squares method was developed for estimating the values of f and M(s). The seven distance method was followed to record the ionization chamber readings for parameterization of f and M(s). Analytically calculated values of M(s) were used to determine the room scatter correction factor (K(sc)). The Monte Carlo simulations were also carried out to calculate f and K(sc) to verify the magnitude of the parameters determined by the proposed analytical approach. The value of f determined using the simplified analytical approach was found to be in excellent agreement with the Monte Carlo simulated value (within 0.7%). Analytically derived values of K(sc) were also found to be in good agreement with the Monte Carlo calculated values (within 1.47%). Being far simpler than the presently available methods of evaluating f, the proposed analytical approach can be adopted for routine use by clinical medical physicists to estimate f by hand calculations.


Assuntos
Algoritmos , Braquiterapia/instrumentação , Radioisótopos de Irídio/análise , Radioisótopos de Irídio/uso terapêutico , Radiometria/instrumentação , Desenho de Equipamento , Análise de Falha de Equipamento , Análise dos Mínimos Quadrados , Dosagem Radioterapêutica , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
18.
Med Phys ; 38(12): 6721-9, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22149854

RESUMO

PURPOSE: To perform a comparison of the interim air-kerma strength standard for high dose rate (HDR) (192)Ir brachytherapy sources maintained by the University of Wisconsin Accredited Dosimetry Calibration Laboratory (UWADCL) with measurements of the various source models using modified techniques from the literature. The current interim standard was established by Goetsch et al. in 1991 and has remained unchanged to date. METHODS: The improved, laser-aligned seven-distance apparatus of the University of Wisconsin Medical Radiation Research Center (UWMRRC) was used to perform air-kerma strength measurements of five different HDR (192)Ir source models. The results of these measurements were compared with those from well chambers traceable to the original standard. Alternative methodologies for interpolating the (192)Ir air-kerma calibration coefficient from the NIST air-kerma standards at (137)Cs and 250 kVp x rays (M250) were investigated and intercompared. As part of the interpolation method comparison, the Monte Carlo code EGSnrc was used to calculate updated values of A(wall) for the Exradin A3 chamber used for air-kerma strength measurements. The effects of air attenuation and scatter, room scatter, as well as the solution method were investigated in detail. RESULTS: The average measurements when using the inverse N(K) interpolation method for the Classic Nucletron, Nucletron microSelectron, VariSource VS2000, GammaMed Plus, and Flexisource were found to be 0.47%, -0.10%, -1.13%, -0.20%, and 0.89% different than the existing standard, respectively. A further investigation of the differences observed between the sources was performed using MCNP5 Monte Carlo simulations of each source model inside a full model of an HDR 1000 Plus well chamber. CONCLUSIONS: Although the differences between the source models were found to be statistically significant, the equally weighted average difference between the seven-distance measurements and the well chambers was 0.01%, confirming that it is not necessary to update the current standard maintained at the UWADCL.


Assuntos
Algoritmos , Radioisótopos de Irídio/análise , Radiometria/métodos , Doses de Radiação , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
19.
Radiat Prot Dosimetry ; 147(3): 474-9, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21148169

RESUMO

The performance of the ORTEC(®) Detective™ as a field deployable tool for emergency urine bioassay of (137)Cs, (60)Co, (192)Ir, (169)Yb and (75)Se was evaluated against ANSI N13.30. The tested activity levels represent 10 % RL (reference level) and 1 % RL defined by [Li C., Vlahovich S., Dai X., Richardson R. B., Daka J. N. and Kramer G. H. Requirements for radiation emergency urine bioassay techniques for the public and first responders. Health Phys (in press, 99(5), 702-707 (2010)]. The tests were conducted for both single radionuclide and mixed radionuclides at two geometries, one conventional geometry (CG) and one improved geometry (IG) which improved the MDAs (minimum detectable amounts) by a factor of 1.6-2.7. The most challenging radionuclide was (169)Yb. The measurement of the mixture radionuclides for (169)Yb at the CG did not satisfy the ANSI N13.30 requirements even at 10 % RL. At 1 % RL, (169)Yb and (192)Ir were not detectable at either geometry, while the measurement of (60)Co in the mixed radionuclides satisfied the ANSI N13.30 requirements only at the IG.


Assuntos
Bioensaio/métodos , Radioisótopos de Césio/análise , Radioisótopos de Cobalto/análise , Radioisótopos de Irídio/análise , Radioisótopos de Selênio/análise , Urina/química , Itérbio/análise , Radioisótopos de Césio/urina , Radioisótopos de Cobalto/urina , Emergências , Radioisótopos de Irídio/urina , Doses de Radiação , Monitoramento de Radiação/métodos , Radioisótopos/análise , Radioisótopos/urina , Reprodutibilidade dos Testes , Radioisótopos de Selênio/urina , Urinálise/métodos , Itérbio/urina
20.
Med Dosim ; 35(4): 250-4, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-19944591

RESUMO

Thermoluminescent dosimeters have been used to perform dosimetry measurements for the widely used Ir-192 microSelectron-HDR source with an improved polystyrene phantom. Radial dose functions and anisotropy functions, main parameters of 2D dose-rate formalism from the TG-43U1 protocol, have been obtained experimentally. Measurement results are compared with that of the Monte Carlo calculations reported, and no difference has been found between them.


Assuntos
Radioisótopos de Irídio/análise , Radioisótopos de Irídio/química , Dosimetria Termoluminescente/instrumentação , Desenho de Equipamento , Análise de Falha de Equipamento , Doses de Radiação , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Dosimetria Termoluminescente/métodos
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