EURADOS education and training activities.

This paper provides a summary of the Education and Training (E&T) activities that have been developed and organised by the European Radiation Dosimetry Group (EURADOS) in recent years and in the case of Training Courses over the last decade. These E&T actions include short duration Training Courses on well-established topics organised within the activity of EURADOS Working Groups (WGs), or one-day events integrated in the EURADOS Annual Meeting (workshops, winter schools, the intercomparison participants' sessions and the learning network, among others). Moreover, EURADOS has recently established a Young Scientist Grant and a Young Scientist Award. The Grant supports young scientists by encouraging them to perform research projects at other laboratories of the EURADOS network. The Award is given in recognition of excellent work developed within the WGs' work programme. Additionally, EURADOS supports the dissemination of knowledge in radiation dosimetry by promoting and endorsing conferences such as the individual monitoring (IM) series, the neutron and ion dosimetry symposia (NEUDOS) and contributions to E&T sessions at specific events.

Characterization of passive dosimeters in proton pencil beam scanning - A EURADOS intercomparison for mailed dosimetry audits in proton therapy centres.

The lack of mailed dosimetry audits of proton therapy centres in Europe has encouraged researchers of EURADOS Working Group 9 (WG9) to compare response of several existing passive detector systems in therapeutic pencil beam scanning. Alanine Electron Paramagnetic Resonance dosimetry systems from 3 different institutes (ISS, Italy; UH, Belgium and IFJ PAN, Poland), natLiF:Mg, Ti (MTS-N) and natLiF:Mg, Cu, P (MCP-N) thermoluminescent dosimeters (TLDs), GD-352M radiophotoluminescent glass dosimeters (RPLGDs) and Al2O3:C optically stimulated dosimeters (OSLDs) were evaluate. Dosimeter repeatability, batch reproducibility and response in therapeutic Pencil Beam Scanning were verified for implementation as mail auditing system. Alanine detectors demonstrated the lowest linear energy transfer (LET) dependence with an agreement between measured and treatment planning system (TPS) dose below 1%. The OSLDs measured on average a 6.3% lower dose compared to TPS calculation, with no significant difference between varying modulations and ranges. Both GD-352M and MCP-N measured a lower dose than the TPS and luminescent response was dependent on the LET of the therapeutic proton beam. Thermoluminescent response of MTS-N was also found to be dependent on the LET and a higher dose than TPS was measured with the most pronounced increase of 11%. As alanine detectors are characterized by the lowest energy dependence for different parameters of therapeutic pencil beam scanning they are suitable candidates for mail auditing in proton therapy. The response of luminescence detector systems have shown promises even though more careful calibration and corrections are needed for its implementation as part of a mailed dosimetry audit system.

EURADOS STRATEGIC RESEARCH AGENDA 2020: VISION FOR THE DOSIMETRY OF IONISING RADIATION.

Since 2012, the European Radiation Dosimetry Group (EURADOS) has developed its Strategic Research Agenda (SRA), which contributes to the identification of future research needs in radiation dosimetry in Europe. Continued scientific developments in this field necessitate regular updates and, consequently, this paper summarises the latest revision of the SRA, with input regarding the state of the art and vision for the future contributed by EURADOS Working Groups and through a stakeholder workshop. Five visions define key issues in dosimetry research that are considered important over at least the next decade. They include scientific objectives and developments in (i) updated fundamental dose concepts and quantities, (ii) improved radiation risk estimates deduced from epidemiological cohorts, (iii) efficient dose assessment for radiological emergencies, (iv) integrated personalised dosimetry in medical applications and (v) improved radiation protection of workers and the public. This SRA will be used as a guideline for future activities of EURADOS Working Groups but can also be used as guidance for research in radiation dosimetry by the wider community. It will also be used as input for a general European research roadmap for radiation protection, following similar previous contributions to the European Joint Programme for the Integration of Radiation Protection Research, under the Horizon 2020 programme (CONCERT). The full version of the SRA is available as a EURADOS report (www.eurados.org).

Out-of-field doses for scanning proton radiotherapy of shallowly located paediatric tumours-a comparison of range shifter and 3D printed compensator.

The lowest possible energy of proton scanning beam in cyclotron proton therapy facilities is typically between 60 and 100 MeV. Treatment of superficial lesions requires a pre-absorber to deliver doses to shallower volumes. In most of the cases a range shifter (RS) is used, but as an alternative solution, a patient-specific 3D printed proton beam compensator (BC) can be applied. A BC enables further reduction of the air gap and consequently reduction of beam scattering. Such pre-absorbers are additional sources of secondary radiation. The aim of this work was the comparison of RS and BC with respect to out-of-field doses for a simulated treatment of superficial paediatric brain tumours. EURADOS WG9 performed comparative measurements of scattered radiation in the Proteus C-235 IBA facility (Cyclotron Centre Bronowice at the Institute of Nuclear Physics, CCB IFJ PAN, Kraków, Poland) using two anthropomorphic phantoms-5 and 10 yr old-for a superficial target in the brain. Both active detectors located inside the therapy room, and passive detectors placed inside the phantoms were used. Measurements were supplemented by Monte Carlo simulation of the radiation transport. For the applied 3D printed pre-absorbers, out-of-field doses from both secondary photons and neutrons were lower than for RS. Measurements with active environmental dosimeters at five positions inside the therapy room indicated that the RS/BC ratio of the out-of-field dose was also higher than one, with a maximum of 1.7. Photon dose inside phantoms leads to higher out-of-field doses for RS than BC to almost all organs with the highest RS/BC ratio 12.5 and 13.2 for breasts for 5 and 10 yr old phantoms, respectively. For organs closest to the isocentre such as the thyroid, neutron doses were lower for BC than RS due to neutrons moderation in the target volume, but for more distant organs like bladder-conversely-lower doses for RS than BC were observed. The use of 3D printed BC as the pre-absorber placed in the near vicinity of patient in the treatment of superficial tumours does not result in the increase of secondary radiation compared to the treatment with RS, placed far from the patient.

GEOMETRICAL EFFICIENCY OF PLANE-PARALLEL IONIZATION CHAMBERS IN PROTON SCANNING BEAM.

For commissioning of a proton therapy unit depth dose distributions must be determined and introduced into the Treatment Planning System. In pencil beam scanning (PBS) technique, integral depth dose (IDD) acquisition should be performed with detector large enough to ensure entire beam laterally broadened by scattered and secondary contributions. The purpose of this article is to quantify, using measurements and Monte Carlo transport calculations, the ionization chamber's (IC) geometrical efficiency versus the chamber radius and proton beam energy. The geometrical efficiency of 0.99 was determined for energies up to 160 and 190 MeV for 4.08 and 6 cm radius IC. Much lower geometrical efficiency was obtained for the energy of 226.08 MeV and results in charge loss of 5.8 and 3.6%, respectively. Relative IDD differences between IC 4.08 and 6 cm in radius increase with proton energy and reach 2.4% at the mid-range depth for 226.08 MeV.

CALIBRATION OF GAFCHROMIC EBT3 FILM FOR DOSIMETRY OF SCANNING PROTON PENCIL BEAM (PBS).

Gafchromic EBT3 films are applied in proton radiotherapy for 2D dose mapping because they demonstrate spatial resolution well below 1 mm. However, the film response must be corrected in order to reach the accuracy of dose measurements required for the clinical use. The in-house developed AnalyseGafchromic software allows to analyze and correct the measured response using triple channel dose calibration, statistical scan-to-scan fluctuations as well as experimentally determined dose and LET dependence. Finally, the optimized protocol for evaluation of response of Gafchromic EBT3 films was applied to determine 30 × 40 cm2 dose profiles of the scanning therapy unit at the Cyclotron Centre Bronowice, CCB in Krakow, Poland.

COMPARISON OF RESPONSE OF PASSIVE DOSIMETRY SYSTEMS IN SCANNING PROTON RADIOTHERAPY-A STUDY USING PAEDIATRIC ANTHROPOMORPHIC PHANTOMS.

Proton beam therapy has advantages in comparison to conventional photon radiotherapy due to the physical properties of proton beams (e.g. sharp distal fall off, adjustable range and modulation). In proton therapy, there is the possibility of sparing healthy tissue close to the target volume. This is especially important when tumours are located next to critical organs and while treating cancer in paediatric patients. On the other hand, the interactions of protons with matter result in the production of secondary radiation, mostly neutrons and gamma radiation, which deposit their energy at a distance from the target. The aim of this study was to compare the response of different passive dosimetry systems in mixed radiation field induced by proton pencil beam inside anthropomorphic phantoms representing 5 and 10 years old children. Doses were measured in different organs with thermoluminescent (MTS-7, MTS-6 and MCP-N), radiophotoluminescent (GD-352 M and GD-302M), bubble and poly-allyl-diglycol carbonate (PADC) track detectors. Results show that RPL detectors are the less sensitive for neutrons than LiF TLDs and can be applied for in-phantom dosimetry of gamma component. Neutron doses determined using track detectors, bubble detectors and pairs of MTS-7/MTS-6 are consistent within the uncertainty range. This is the first study dealing with measurements on child anthropomorphic phantoms irradiated by a pencil scanning beam technique.

Dose distribution of secondary radiation in a water phantom for a proton pencil beam-EURADOS WG9 intercomparison exercise.

Systematic 3D mapping of out-of-field doses induced by a therapeutic proton pencil scanning beam in a 300 × 300 × 600 mm3 water phantom was performed using a set of thermoluminescence detectors (TLDs): MTS-7 (7LiF:Mg,Ti), MTS-6 (6LiF:Mg,Ti), MTS-N (natLiF:Mg,Ti) and TLD-700 (7LiF:Mg,Ti), radiophotoluminescent (RPL) detectors GD-352M and GD-302M, and polyallyldiglycol carbonate (PADC)-based (C12H18O7) track-etched detectors. Neutron and gamma-ray doses, as well as linear energy transfer distributions, were experimentally determined at 200 points within the phantom. In parallel, the Geant4 Monte Carlo code was applied to calculate neutron and gamma radiation spectra at the position of each detector. For the cubic proton target volume of 100 × 100 × 100 mm3 (spread out Bragg peak with a modulation of 100 mm) the scattered photon doses along the main axis of the phantom perpendicular to the primary beam were approximately 0.5 mGy Gy-1 at a distance of 100 mm and 0.02 mGy Gy-1 at 300 mm from the center of the target. For the neutrons, the corresponding values of dose equivalent were found to be ~0.7 and ~0.06 mSv Gy-1, respectively. The measured neutron doses were comparable with the out-of-field neutron doses from a similar experiment with 20 MV x-rays, whereas photon doses for the scanning proton beam were up to three orders of magnitude lower.

Radon survey in the high natural radiation region of Niska Banja, Serbia.

A radon survey has been carried out around the town of Niska Banja (Serbia) in a region partly located over travertine formations, showing an enhanced level of natural radioactivity. Outdoor and indoor radon concentrations were measured seasonally over the whole year, using CR-39 diffusion type radon detectors. Outdoor measurements were performed at 56 points distributed over both travertine and alluvium sediment formations. Indoor radon concentrations were measured in 102 living rooms and bedrooms of 65 family houses. In about 50% of all measurement sites, radon concentration was measured over each season separately, making it possible to estimate seasonal variations, which were then used to correct values measured over different periods, and to estimate annual values. The average annual indoor radon concentration was estimated at over 1500 Bq/m3 and at about 650 Bq/m3 in parts of Niska Banja located over travertine and alluvium sediment formations, respectively, with maximum values exceeding 6000 Bq/m3. The average value of outdoor annual radon concentration was 57 Bq/m3, with a maximum value of 168 Bq/m3. The high values of indoor and outdoor radon concentrations found at Niska Banja make this region a high natural background radiation area. Statistical analysis of our data confirms that the level of indoor radon concentration depends primarily on the underlying soil and building characteristics.

Dosimetric properties of new cards with high-sensitivity MCP-N (LiF:Mg,Cu,P) detectors for Harshaw automatic reader.

A new configuration for a thermoluminescent dosimetric card has been developed through collaboration between the Institute of Nuclear Physics in Kraków and several commercial dosimetric companies. The card is based on high-sensitivity LiF:Mg,Cu,P circular pellets (MCP-N) welded inside synthetic foils. The basic configuration consists of two pellets of 3.6 mm diameter and thicknesses from 0.25 up to 0.38 mm. The cards can be processed in a standard 6600 or 8800 Harshaw automatic TLD reader. The dosemeters demonstrate very high sensitivity, low background and good stability. This article presents results of the performance tests of the new dosimetric cards in the automatic TLD readers and a comparison of their properties.

State-of-the-art dosimetric methods for internal and external exposures: conclusions of a EURADOS action.

In radiation protection dosimetry the quantity of interest is the effective dose (E); the dose limit to an adult worker applies to the sum of the relevant doses from external exposures and the relevant committed effective doses from intakes of radionuclides, during the same period of time. A EURADOS study was carried out to investigate how the results from personal dosemeters for external radiation, from workplace monitoring and from monitoring of internal exposures can be combined into a consistent system of individual monitoring. The integration of dosimetric methods and data for external and internal radiation require the complete characterisation of the occupational exposure present at the workplace, and the availability of adequate equipment and tools for the assessment of effective dose. To evaluate the capability of services to accomplish this approach, a European Dosimetry Network has been established among 28 European countries through the respective contact-persons and their dosimetric facilities which collaborated with EURADOS providing relevant data about performance and legal aspects. The information collected was presented as a monograph in Radiation Protection Dosimetry in 2004. The more relevant conclusions of this study are presented here.

Identification of static exposure of standard dosimetric badge with thermoluminescent detectors.

There are three main methods used in individual monitoring: radiographic films, thermoluminescence (TL) and optically stimulated luminescence (OSL). Distinguishing between static (e.g. by leaving it accidentally or purposely in the radiation field) and dynamic exposures can be almost routinely performed for radiographic and OSL methods but is still unsolved for TL detectors. The main aim of this work is to develop a method for identifying static exposures of standard TL detectors at doses which are typical of radiation protection. For this purpose, a new TLD reader equipped with a CCD camera was developed to measure the two-dimensional signal map and not only the total light emitted (as is performed with standard photomultiplier-based TL readers). Standard MCP-N (LiF:Mg,Cu,P) TL pellets of 4.5 mm diameter and 0.9 mm thickness were installed in the standard Rados TL personal badges with special, non-uniform filters and exposed statically to 33 keV X-ray beams at three angles: 0 degrees, 30 degrees and 60 degrees. The detectors were readout in the CCD camera reader and 2-D images were collected. The analysis of these CCD images allows the identification of the static exposure cases and partly the angle of incidence at a dose level of 20 mSv.

Two-dimensional dosimetry of radiotherapeutical proton beams using thermoluminescence foils.

In modern radiation therapy such as intensity modulated radiation therapy or proton therapy, one is able to cover the target volume with improved dose conformation and to spare surrounding tissue with help of modern measurement techniques. Novel thermoluminescence dosimetry (TLD) foils, developed from the hot-pressed mixture of LiF:Mg,Cu,P (MCP TL) powder and ethylene-tetrafluoroethylene (ETFE) copolymer, have been applied for 2-D dosimetry of radiotherapeutical proton beams at INFN Catania and IFJ Krakow. A TLD reader with 70 mm heating plate and CCD camera was used to read the 2-D emission pattern of irradiated foils. The absorbed dose profiles were evaluated, taking into account correction factors specific for TLD such as dose and energy response. TLD foils were applied for measuring of dose distributions within an eye phantom and compared with predictions obtained from the MCNPX code and Eclipse Ocular Proton Planning (Varian Medical Systems) clinical radiotherapy planning system. We demonstrate the possibility of measuring 2-D dose distributions with point resolution of about 0.5 x 0.5 mm(2).

Measurement of stray neutron doses inside the treatment room from a proton pencil beam scanning system.

PURPOSE: To measure the environmental doses from stray neutrons in the vicinity of a solid slab phantom as a function of beam energy, field size and modulation width, using the proton pencil beam scanning (PBS) technique. METHOD: Measurements were carried out using two extended range WENDI-II rem-counters and three tissue equivalent proportional counters. Detectors were suitably placed at different distances around the RW3 slab phantom. Beam irradiation parameters were varied to cover the clinical ranges of proton beam energies (100-220MeV), field sizes ((2×2)-(20×20)cm2) and modulation widths (0-15cm). RESULTS: For pristine proton peak irradiations, large variations of neutron H∗(10)/D were observed with changes in beam energy and field size, while these were less dependent on modulation widths. H∗(10)/D for pristine proton pencil beams varied between 0.04µSvGy-1 at beam energy 100MeV and a (2×2)cm2 field at 2.25m distance and 90° angle with respect to the beam axis, and 72.3µSvGy-1 at beam energy 200MeV and a (20×20) cm2 field at 1m distance along the beam axis. CONCLUSIONS: The obtained results will be useful in benchmarking Monte Carlo calculations of proton radiotherapy in PBS mode and in estimating the exposure to stray radiation of the patient. Such estimates may be facilitated by the obtained best-fitted simple analytical formulae relating the stray neutron doses at points of interest with beam irradiation parameters.

An analytical model for calculating microdosimetric distributions from heavy ions in nanometer site targets.

The analytical model of Xapsos used for calculating microdosimetric spectra is based on the observation that straggling of energy loss can be approximated by a log-normal distribution of energy deposition. The model was applied to calculate microdosimetric spectra in spherical targets of nanometer dimensions from heavy ions at energies between 0.3 and 500 MeV amu(-1). We recalculated the originally assumed 1/E(2) initial delta electrons spectrum by applying the Continuous Slowing Down Approximation for secondary electrons. We also modified the energy deposition from electrons of energy below 100 keV, taking into account the effective path length of the scattered electrons. Results of our model calculations agree favourably with results of Monte Carlo track structure simulations using MOCA-14 for light ions (Z = 1-8) of energy ranging from E = 0.3 to 10.0 MeV amu(-1) as well as with results of Nikjoo for a wall-less proportional counter (Z = 18).

A method for distinguishing between static and dynamic X-ray exposure of a personal TL-badge using the CCD camera TL reader.

This paper reports initial attempts to apply a thermoluminescent (TL) reader with CCD camera to identify cases of static and dynamic exposure of personal dosemeters to doses relevant for radiation protection. Standard MTS-N (LiF:Mg,Ti) and MCP-N (LiF:Mg,Cu,P) TL pellets with diameter of 4.5 mm and thickness of 0.9 mm were used in a standard DOSACUS/RADOS personal dosimetry badge (holder). Pb, Cu and Al filters were installed instead of the standard Al 264 mg cm(-2) filters used in the RADOS badge. The badges were exposed statically and dynamically to X rays ranging from 28 keV (molybdenum anode) to 125 keV (tungsten anode) and to 137Cs (662 keV) gamma rays. The absorbed doses (in tissue) ranged from 20 to 100 mSv. Detectors were readout in the CCD reader and 2-D images were collected. The results obtained indicated that it was possible to identify the static, front exposure of the personal dosemeters equipped with Cu filter for doses >20 mGy for X rays up to 125 keV.

Determination of LiF:Mg,Ti and LiF:Mg,Cu,P TL efficiency for X-rays and their application to Monte Carlo simulations of dosemeter response.

The simulation of response of a new passive area dosemeter for measuring ambient dose equivalent H*(10) for photons has been performed using the Monte Carlo code MCNP and experimentally determined responses of LiF:Mg,Ti and LiF:Mg,Cu,P thermoluminescent (TL) detectors for hard-filtered X-ray spectra from 20 to 300 keV and for 137Cs and 60Co gamma radiation. Relative TL efficiency for both types of detectors, determined in experiments with bare detectors and similar Monte Carlo simulations, compared favourably with prediction of microdosimetric models for proposed microdosimetric target sizes in the range of 20-40 nm. The concluding verification experiment showed small deviations between measured and simulated dosemeter energy response values in the range of a few percent.

Thermoluminescent detectors applied in individual monitoring of radiation workers in Europe--a review based on the EURADOS questionnaire.

Among the activities of EURADOS Working Group 2 formed by experts from several European countries is the harmonisation of individual monitoring as part of radiation protection of occupationally exposed persons. Here, we provide information about thermoluminescent detectors (TLDs) applied by the European dosimetric services and the dosimetric characteristics of dosemeters in which these detectors are applied. Among 91 services from 29 countries which responded to the EURADOS questionnaire, 61 apply dosemeters with TLDs for the determination of personal dose equivalent H(p)(10) for photons and beta radiation, and 16 services use TLDs for neutron albedo dosemeters. Those most frequently used are standard lithium fluoride TLDs (mainly TLD-100, TLD-700, Polish MTS-N and MTS-7, Russian DTG-4), high-sensitive lithium fluoride (GR-200, MCP-N) and lithium borate TLDs. Some services use calcium sulphate and calcium fluoride detectors. For neutron dosimetry, most services apply pairs of LiF:Mg,Ti TLDs with (6)Li and (7)Li. The characteristics (energy response) of individual dosemeters are mainly related to the energy response of the detectors and filters applied. The construction of filters in dosemeters applied for measurements of H(p)(10) and their energy response are also reviewed.

Dose distribution around a needle-like anode X-ray tube: dye-film vs. planar thermoluminescent detectors.

The dosimetry around the X-ray tube with a needle-like anode (NAXT), developed at the Institute of Nuclear Studies, for interstitial brachytherapy has been performed using (1) dye films (Gafchromic XR-T), (2) large-area thermoluminescent (TL) detectors--prepared either by gluing TL powder onto thin Al foil (so-called planar detectors with spatial resolution of 0.1 mm) and (3) miniature (2 mm diameter and 0.5 mm thick) TL detectors. The measurements were performed in following geometries. (1) Needle inside a PMMA cylinder--the planar TL detector mounted on the surface of the cylinder. (2) Needle inside a thick block of PMMA and TL detector mounted vertically 7 mm from needle axis. TL detectors were read with the planar (2D) thermoluminescence reader, developed at IFJ, with a sensitive CCD (charge couple device) camera. Gafchromic films were evaluated with a system based on Agfa Arcus 1200 scanner and calibrated with X rays (35 kV) filtered with 0.03 mm Mo and with Co-60 photons. The intensity distribution of TL light on the planar detector was calibrated in terms of absorbed dose to water, using (137)Cs gamma-rays. TL planar detectors seem to be a promising tool for 2D dosimetry of miniature X-ray sources. Obtained results for TLDs and Gafchromic films seem to be comparable but differences have been found. Both methods are useful for measurements of dose distribution around the NAXT X-rays source.

Two-dimensional thermoluminescence dosimetry using planar detectors and a TL reader with CCD camera readout.

A novel method of determining two-dimensional (2-D) dose distributions is presented, using in-house developed, large-area (a few cm(2)) thermoluminescent (TL) detectors based on LiF powder plated on Al foil. An in-house developed planar large-area TL reader equipped with a coupled charge device (CCD) camera is used for readout, providing digital images of 2-D dose distributions on the surface of these large-area TL detectors. The capability of the newly developed system is demonstrated by mapping 2-D dose distributions around a brachytherapy source, at dose ranges and source geometries relevant for clinical radiotherapy. Examples of local and dynamic evaluation of TL output from conventional TL detectors are also shown.