Andrew Wu

A dose homogeneity index for evaluating 192Ir interstitial breast implants

To evaluate and optimize dose homogeneity of 192Ir interstitial breast implants, we define a quantity, the dose homogeneity index (DHI), as follows: DHI = [V(TDR)--V(HDR)]/V(TDR), where V(TDR) denotes the total treatment volume enclosed by the prescribed treatment dose rate (TDR) and V(HDR) denotes the volume enclosed by high-dose rate (HDR), which is 1.5 X TDR or greater. We have used the DHI to examine and compare 192Ir double-plane implants of various sizes planned by the Memorial system or the Tufts system. Criteria have been suggested for the number of planes required for implants in a given treatment volume. Andersons volume-dose histogram with inverse square suppression is adopted for illustration.

Performance characteristics of a helical microwave interstitial antenna for local hyperthermia

A helical microwave antenna has been designed to improve heat deposition by interstitial applicators used for clinical hyperthermia. Iso-specific-absorption-rate (SAR) curves of the helical antenna as well as a conventional monopole antenna were measured and compared in both muscle and brain tissue phantoms. The heating pattern of the helical antenna is more uniform along the length of the antenna which has important implications for multiarray implant configurations.

Dosimetry characteristics of large wedges for 4- and 6-MV X rays

Two sets of newly designed large wedge filters for field sizes up to 20 X 20 cm2 have become commercially available for use with 4- and 6-MV linear accelerators. Such field sizes are sometimes required to ensure adequate coverage in certain treatment techniques. This work reports base line data resulting from an investigation of the dosimetric properties of these wedges. Measurements of wedge angles, transmission factors, and beam hardening effects are described, and comparisons are made with the smaller standard wedges.

Effect of gold shielding on the dosimetry of an 125I seed at close range.

Radioactive 125I plaques with gold shields have been used for the treatment of choroidal melanoma. The effect of the gold shield on the dosimetry of a single 125I seed (model 6711) has been investigated in this paper. Increases in dose at close range due to the presence of the shield are observed. Such enhancement is in agreement with Williamsons Monte Carlo calculations.

Effective wedge angles for 6-MV wedges.

Measurements were undertaken with 30 degrees and 45 degrees large wedges on a 6-MV linac to determine the effective wedge angle for various combinations of open and wedged fields. The validity of Tatchers equation, relating effective wedge angle to maximum dose weightings, was examined over a range of field sizes from 5 X 5 to 20 X 20 cm. An alternative equation involving only central axis quantities was also investigated. The results obtained from an analysis of point dose measurements indicate that, for these wedges, either equation yields sufficient accuracy for clinical purposes.

Stability of heating temperature on cytotoxicity

Chinese hamster V79 cells were used to test the cytotoxic effect of heat which alternates between high and low temperatures during the treatment period. This type of temperature fluctuation is often encountered in clinical hyperthermia. Two sets of heating protocols were used in the experiments: Temperature alternates (a) between 42 and 43 degrees and (b) between 42 and 44 degrees in cycle with equal total thermal dose, that is heating temperature X heating time. The effectiveness of these heating protocols expressed in average percentage of cell survival depend on the initial temperature attained and the length of the time of this temperature alternation. If the period of temperature change is short such as every 5 or 10 minutes, the cytotoxicity shows very little difference whether the initial treatment temperature is low or high. However, when the period is longer than 20 minutes, the difference in cell survival between the initial temperature at 42 degrees and at higher temperatures is substantial. Cells obtained from logarithmic or plateau phases of growth yield the same result. The difference is likely resulted from a combination of thermotolerance and step-down heating mechanisms. In addition, the effects of heating temperature fluctuation on cytotoxicity is not altered by a 500 cGy of gamma-ray radiation applied either immediately before or after the heat treatment.

Tumor dose specification of I-125 seed implants.

A new calculation procedure for interstitial implants with I-125 seeds is presented. The total activity of I-125 seeds required to deliver a net minimum dose of 1 Gy is also given as a function of implant volume for various seed spacings. This will permit clinicians to prescribe a specific dose for patients as a primary or boost treatment. Elongation and shape corrections are studied. Discussions and comparisons with other dosimetric calculations such as matched peripheral dose, average minimum dose, and minimum peripheral dose are made. The results indicate that for a fixed total activity the net minimum dose is relatively insensitive to variations in seed spacing and individual seed activity.

Peak temperature influences on heating rate effect in hyperthermic cytotoxicity

Exponentially growing Chinese hamster V79 cells were heated from 37 degrees C up to 42 degrees C or 43 degrees C at four different heating rates: immediate exposure, 1/2 hour, 1 hour, and 2 hours. The D0s of the heat survival curves for both 42 degrees C and 43 degrees C were determined for the different heating rates. The results show that the decrease in toxicity to cells at 43 degrees C resulting from a slower heating rate appears to be less pronounced than that at 42 degrees C. However, the thermotolerance ratio is found to depend on the specific heating time (the reciprocal of the heating rate), in a linear fashion and it does not seem to depend on the peak temperature. We propose that the difference in the heat exchange on cell membranes at different rates of heating may contribute to the causes for the difference in cell sensitivity to hyperthermia.

Electron contamination due to Lucite in a 45-MV photon beam

The presence of the Lucite blocking tray in a 45-MV betatron beam leads to a considerable loss in the skin-sparing properties of this unit. Measurements conducted with a parallel-plate chamber show that the surface dose is approximately doubled (up to 58% of the maximum absorbed dose) and the depth of maximum dose is reduced by as much as 1.5 cm by the Lucite. These results suggest that separate dosimetry data should be kept for blocked and unblocked fields. The penetration of the electron contamination to the open field depth of maximum dose can lead to erroneous results if attenuation measurements are made at that depth. Studies of the effect of the lead sheet and leaded acrylic on the surface dose showed that under normal circumstances the presence of high-Z materials increases the surface dose, hence these materials cannot in general be used as electron filters on very high energy x-ray units. A Luciteless blocking tray with universal triangular corner blocks has been designed for use in special cases requiring a reduced surface dose.

UV‐induced second readout of LiF thermoluminescent dosimeters in the therapeutic dose range

A previously developed technique for reading out LiF thermoluminescent dosimeters (TLD) a second and subsequent time by means of ultraviolet (UV)-induced repopulation of dosimetry traps was studied to determine the feasibility of maintaining a second readout capability in a radiotherapy clinical setting. It was found that with grouping of the TLDs according to second readout sensitivity, the UV-induced readout attained a precision comparable to that of the initial readout. However, the UV-induced TL response retained a strong previous dose memory following a standard high-temperature anneal, and routine calibration before each reuse is recommended.