I Fuduli

SPICE modelling and design optimization of micropumps

This article describes a study concerning micropump design for medical purposes. In particular the project is focused on treatment of Hydrocephalus. An actuator glued on a membrane, a pumping chamber and a certain number of valves constitute the micropumps. The actuator is a piezoelectric disc, controlled according to data collected by means of a pressure sensor. We have studied two different structures of micropump: the first with membrane valves, and the second with diffuser/nozzle valves, without moving parts. Modelling both micropumps with electrical equivalent networks, we are able to estimate the pump behaviour, in terms of flow rate, with a simulator such as SPICE, and to optimize the micropump design for best performances.

X-Tream: a novel dosimetry system for Synchrotron Microbeam Radiation Therapy

Microbeam Radiation Therapy (MRT) is a radiation treatment technique under development for inoperable brain tumors. MRT is based on the use of a synchrotron generated X-ray beam with an extremely high dose rate ( ~ 20 kGy/sec), striated into an array of X-ray micro-blades. In order to advance to clinical trials, a real-time dosimeter with excellent spatial resolution must be developed for absolute dosimetry. The design of a real-time dosimeter for such a radiation scenario represents a significant challenge due to the high photon flux and vertically striated radiation field, leading to very steep lateral dose gradients. This article analyses the striated radiation field in the context of the requirements for temporal dosimetric measurements and presents the architecture of a new dosimetry system based on the use of silicon detectors and fast data acquisition electronic interface. The combined system demonstrates micrometer spatial resolution and microsecond real time readout with accurate sensitivity and linearity over five orders of magnitude of input signal. The system will therefore be suitable patient treatment plan verification and may also be expanded for in-vivo beam monitoring for patient safety during the treatment.

Online in vivo dosimetry in high dose rate prostate brchytherapy with MOSkin detectors: in phantom feasibility study.

MOSkin detectors were studied to perform real-time in vivo dose measurements in high dose rate prostate brachytherapy. Measurements were performed inside an urethral catheter in a gel phantom simulating a real prostate implant. Measured and expected doses were compared and the discrepancy was found to be within 8.9% and 3.8% for single MOSkin and dual-MOSkin configurations, respectively. Results show that dual-MOSkin detectors can be profitably adopted in prostate brachytherapy treatments to perform real-time in vivo dosimetry inside the urethra.

Characterization of an Innovative p-type Epitaxial Diode for Dosimetry in Modern External Beam Radiotherapy

Due to the ever-increasing complexity of treatment modalities in radiation therapy, there has been a greater need for detectors to perform quality assurance to ensure patients are treated correctly and safely. Modern radiation therapy techniques involve small field sizes, high dose gradients, and varying intensity of energy and rate. The ideal dosimeter for this treatment should display high spatial resolution, high linearity, accuracy, and radiation hardness. Silicon detectors have been widely used for radiotherapy measurements and have many attractive qualities as a dosimeter; weaknesses of silicon detectors are, however, decreases in sensitivity with accumulated dose. The Centre for Medical Radiation Physics has developed a new technology with an unusual charge collection efficiency variation with accumulated dose which stabilizes the response of the detector within ±5% after 120 kGy photon irradiation. The sensor has been also characterized by irradiation by an 18 MV medical LINAC with sensitivity to a photoneutron-induced damage of less than 0.5%/100 Gy. The radiation damage mechanism has been validated by TCAD simulations which confirmed the mechanism behind the CCE increase as a function of the accumulated dose.

A comparative analysis of multichannel Data Acquisition Systems for quality assurance in external beam radiation therapy

The paper presents a comparative study performed by the Centre of Medical Radiation Physics (CMRP) on three multichannel Data Acquisition Systems (DAQ) based on different analogue front-ends to suit a wide range of radiotherapy applications. The three front-ends are: a charge-to-frequency converter developed by INFN Torino, an electrometer and a charge-to-digital converter (both commercial devices from Texas Instruments). For the first two (named DAQ A and B), the CMRP has designed the read-out systems whilst the third one (DAQ C) comes with its own evaluation board. For the purpose of the characterization DAQ A and DAQ B have been equipped with 128 channels while DAQ C has 256 channels. In terms of performances, the DAQs show good linearity over all the dynamic range. Each one has a different range of sensitivity ranging from less than 1 pC up to 13 nC, which makes the three front-ends complementary and suitable for use with different radiation detectors for different radiotherapy applications, or in a mixed solution which can house different front-ends.

Characterisation of Silicon Diode Arrays for Dosimetry in External Beam Radiation Therapy

Modern stereotactic radiation therapy modalities utilize small beams and large dose gradients to deliver radiation in few fractions, reducing the possibility to correct for mistakes during the treatment process. Therefore, in order to ensure best possible treatment for the patient, quality assurance for such treatments necessitates a stable, linear, and sensitive radiation detector with high spatial resolution and radiation hardness. In this work, two silicon detector arrays with high spatial resolution have been characterized by 6 MV and 18 MV medical LINAC irradiation, and 5.5 MeV He2+ heavy ion microprobe. A maximum discrepancy of 0.6 mm in field size has been found when comparing to two-dimensional radiochromic film dose profile, and charge collection efficiency obtained by means of ion beam induced charge collection (IBICC) is 66% when operating the array in photovoltaic mode. Radiation damage study by photons and photoneutrons is presented.

Innovative detectors for quality assurance dosimetry in SBRT of stationary and movable targets

The high spatial and temporal resolution 2D monolithic silicon detector arrays M512 and DUO for quality assurance (QA) in real time motion adaptive radiotherapy (ART) have been developed. The DUO array possesses a spatial resolution of 0.2 mm and has demonstrated agreement within 5% with EBT3 film measurements of 6MV linac beam profiles for field sizes 1 × 1 cm2 and SRS cone diameter 0.5 cm. Dynamic characterisation of the M512 for QA in real time ART evaluated the performance of M512 for small fields while the detector experiences periodic motion. It was demonstrated with M512 that MLC tracking with Calypso electromagnetic array compensates for the periodic motion and improves the agreement between static and dynamic beam profiles for field size 1 × 1 cm2 from within 75% in the penumbra to within 11% agreement. The dynamic profile is returned to a similar distribution as the static case.

OC-0551: High spatial and timing resolution silicon based dosimeter for quality assurance of real time adaptive radiotherapy

Conclusions: The potential of the contrast enhancement method in increasing the applicability of markerless lung tumour tracking based on kV imaging was demonstrated on clinical data. A time-resolved (4D) CT scan can be used instead of the breath-hold CT scan available for this study in order to improve the robustness in the background subtraction operation, especially in case of lower lobe tumours for the compensation of diaphragm motion due to breathing. [1] Yang Y et al, IJROBP 2012;82:e749-56. [2] Spadea MF et al, IJROBP 2014;90:628-36.