Ana F. Maia

Effective doses in panoramic images from conventional and CBCT equipment

Dental radiology is being extensively used especially after the consolidation of the dental implant technique. Although dental radiology has always been regarded as a low-dose technique, this scenario has changed with the introduction of volumetric techniques and consequent changes that have resulted from the use of the new technique. To compare dose values related to the use of different technologies used in the acquisition of dental panoramic images, the effective dose associated with this image technique was calculated using two different conversion factors for kerma-area product, P(KA), in the effective dose. Twenty-four pieces of equipment were evaluated and distributed into three categories: (1) 19 units of conventional equipment, (2) 3-cone beam computed tomography equipment (CBCT) which has a specific sensor to obtain panoramic images and (3) 2 items of CBCT equipment which only have sensors for volumetric acquisition, and the obtainment of panoramic images is through software reconstruction. The results show values of PKA and effective dose are higher for devices using digital image receptors. It is concluded that optimisation procedures and critical analysis should always be applied when adopting new technologies.

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

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

Total mass attenuation coefficient evaluation of ten materials commonly used to simulate human tissue

To study the doses received by patient submitted to ionizing radiation, several materials are used to simulate the human tissue and organs. The total mass attenuation coefficient is a reasonable way for evaluating the usage in dosimetry of these materials. The total mass attenuation coefficient is determined by photon energy and constituent elements of the material. Currently, the human phantoms are composed by a unique material that presents characteristics similar to the mean proprieties of the different tissues within the region. Therefore, the phantoms are usually homogeneous and filled with a material similar to soft tissue. We studied ten materials used as soft tissue-simulating. These materials were named: bolus, nylon®, orange articulation wax, red articulation wax, PMMA, modelling clay, bee wax, paraffin 1, paraffin 2 and pitch. The objective of this study was to verify the best material to simulate the human cerebral tissue. We determined the elementary composition, mass density and, therefore, calculated the total mass attenuation coefficient of each material. The results were compared to the values established by the International Commission on Radiation Units and Measurements - ICRU, report n° 44, and by the International Commission on Radiation Protection - ICRP, report n° 89, to determine the best material for this energy interval. These results indicate that new head phantoms can be constructed with nylon®.

Response of TL materials to diagnostic radiology X radiation beams.

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

A new extended-length parallel-plate ionization chamber.

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

Performance of a pencil ionization chamber in various radiation beams

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

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

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

Development of a phantom and a methodology for evaluation of depth kerma and kerma index for dental cone beam computed tomography

Basically, all modalities of diagnostic radiology require phantoms suitable for dosimetric evaluations. New technologies frequently arise unaccompanied of tools for dosimetric evaluations and quality control. In this study, a low-cost phantom and a consequent proposed methodology for dosimetric evaluations in cone beam computed tomography (CBCT) were presented. The developed phantom has typical dimensions of the human face, was built in polymethyl methacrylate and filled with water. Three devices with different technological concepts were evaluated and a proposed index, kerma index-height product (PKIH), was defined as an option to the use of air kerma-area product. The results of this study show relatively uniform kerma profiles for scanners with field of views (FOVs) of large diameters and non-uniform for FOVs of small diameters. With regard to the values obtained for the kerma indexes, much higher values were found for the equipment FOVs with small diameter compared with the values of the two other equipment that have larger diameters. The results indicate that (1) there is a need for special phantoms for use in CBCT, (2) the use of P(KA) in the evaluation of protocols on different equipment can lead to false interpretations and (3) the new index is a suitable alternative for the use of P(KA) in CBCT.

Development and implementation of a low-cost phantom for quality control in cone beam computed tomography.

A phantom for quality control in cone beam computed tomography (CBCT) scanners was designed and constructed, and a methodology for testing was developed. The phantom had a polymethyl methacrylate structure filled with water and plastic objects that allowed the assessment of parameters related to quality control. The phantom allowed the evaluation of essential parameters in CBCT as well as the evaluation of linear and angular dimensions. The plastics used in the phantom were chosen so that their density and linear attenuation coefficient were similar to those of human facial structures. Three types of CBCT equipment, with two different technological concepts, were evaluated. The results of the assessment of the accuracy of linear and angular dimensions agreed with the existing standards. However, other parameters such as computed tomography number accuracy, uniformity and high-contrast detail did not meet the tolerances established in current regulations or the manufacturers specifications. The results demonstrate the importance of establishing specific protocols and phantoms, which meet the specificities of CBCT. The practicality of implementation, the quality control test results for the proposed phantom and the consistency of the results using different equipment demonstrate its adequacy.

Calibração das câmaras de ionização para feixes de tomografia computadorizada no Brasil: a realidade atual

OBJECTIVE: The aim of this study was to establish a calibration methodology specific for pencil ionization chambers used in computed tomography dosimetric procedures, in compliance with the most recent recommendations. The study was developed at the Calibration Laboratory of the Instituto de Pesquisas Energeticas e Nucleares. MATERIALS AND METHODS: An industrial x-ray equipment, several types of ionization chambers, a mobile collimator (diaphragm type), and several high purity aluminum filters were utilized in this study. RESULTS: Diagnostic radiology standard irradiation fields were established according to IEC 61267 standard, and an adequate calibration procedure for pencil ionization chambers was elaborated. CONCLUSION: The appropriate calibration of pencil ionization chambers is already a reality in Brazil. The calibration procedure was defined on the basis of international standards and on a comparative study using two different methodologies.