Wil van der Putten

Electron beam therapy at extended source‐to‐surface distance: a Monte Carlo investigation

Electron‐beam therapy is used to treat superficial tumors at a standard 100 cm source‐to‐surface distance (SSD). However, certain clinical situations require the use of an extended SSD. In the present study, Monte Carlo methods were used to investigate clinical electron beams, at standard and non‐standard SSDs, from a Siemens Oncor Avant Garde (Siemens Healthcare, Erlangen, Germany) linear accelerator (LINAC). The LINAC treatment head was modeled in BEAMnrc for electron fields 5 cm in diameter and 10×10 cm, 15×15 cm, and 20×20 cm; for 6 MeV, 9 MeV, and 12 MeV; and for 100 cm, 110 cm, and 120 cm SSD. The DOSXYZnrc code was used to calculate extended SSD factors and dose contributions from various parts of the treatment head. The main effects of extended SSD on water phantom dose distributions were verified by Monte Carlo methods. Monte Carlo–calculated and measured extended SSD factors showed an average difference of ±1.8%. For the field 5 cm in diameter, the relative output at extended SSD declined more rapidly than it did for the larger fields. An investigation of output contributions showed this decline was mainly a result of a rapid loss of scatter dose reaching the dmax point from the lower scrapers of the electron applicator. The field 5 cm in diameter showed a reduction in dose contributions; the larger fields generally showed an increased contribution from the scrapers with increase in SSD. Angular distributions of applicator‐scattered electrons have shown a large number of acute‐angle electron tracks contributing to the output for larger field sizes, explaining the shallow output reduction. PACS numbers: 87.53.Wz, 87.53.Vb, 87.53.Hv

Learning from Risk Assessment in Radiotherapy

The lessons learned from completing a risk assessment of a radiotherapy information system in a public hospital are presented. A systems engineering perspective with respect to the risk assessment was adopted. Standard engineering tools modified for application in healthcare environments were applied, e.g. HFMEATM. It was found that there was a complete absence of the application of systems engineering at the development stage of the radiotherapy system, however aspects of quality systems, i.e. process improvement, were present at the operating stage. Team work played a significant role in the successful operation of the system. However, in contrast to most engineering systems, team composition was highly heterogeneous as roles were clearly defined by professional qualification. There were strong boundaries between the radiotherapy team and other teams in the hospital. This was reflected by their lack of concern regarding the availability of patient information beyond their own department.

The use of chloroaluminium phthalocyanine tetrasulfonate (AlPcTS) for time-delayed fluorescence imaging

Phthalocyanine derivatives are currently under investigation for use in photodynamic therapy, which is a promising cancer treatment. These materials, which display preferential uptake in cancerous cells, also exhibit high fluorescence yields and can be used for tumour detection. Problems with steady-state fluorescence techniques such as excitation scatter and background autofluorescence can be eliminated by using time-resolved imaging techniques without the need for filters. A tissue phantom was assembled to test a constructed time-gated imaging system by drilling 36 wells of varying diameter and depth (10 mm to 1 mm) into a block of polymethyl methacrylate (PMMA). The system was used to record images of chloroaluminium phthalocyanine tetrasulfonate (AlPcTS) at differing concentrations in neat aqueous solvent and cell suspensions within the wells. A mixture of Intralipid (to mimic tissue scatter) and Evans blue (to mimic tissue absorption) of depths ranging from 1 mm to 10 mm was placed on top of the PMMA block. The ensuing images were analysed using signal-to-noise ratios and contrast-detail curves. The results indicate that the time-gated imaging system can prevent background excitation scatter from distorting the fluorescence signal from a longer-lived photosensitizer without the need for filters.

Education and Training of the Medical Physicist in Europe

One of the main aims of the European Federation of Organisations for Medical Physics is to propose guidelines for education, training and accreditation programmes. This is achieved through the publication of Policy Statements and the organisation of education and training courses, seminars and conferences. It represents a long-term workprogramme aimed at harmonising the education and training of the Medical Physicist across Europe. This paper presents these efforts together with the challenges EFOMP needs to overcome in order to achieve these aims.

Electron beam therapy at extended SSD: A Monte Carlo investigation

Electron‐beam therapy is used to treat superficial tumors at a standard 100 cm source‐to‐surface distance (SSD). However, certain clinical situations require the use of an extended SSD. In the present study, Monte Carlo methods were used to investigate clinical electron beams, at standard and non‐standard SSDs, from a Siemens Oncor Avant Garde (Siemens Healthcare, Erlangen, Germany) linear accelerator (LINAC). The LINAC treatment head was modeled in BEAMnrc for electron fields 5 cm in diameter and 10×10 cm, 15×15 cm, and 20×20 cm; for 6 MeV, 9 MeV, and 12 MeV; and for 100 cm, 110 cm, and 120 cm SSD. The DOSXYZnrc code was used to calculate extended SSD factors and dose contributions from various parts of the treatment head. The main effects of extended SSD on water phantom dose distributions were verified by Monte Carlo methods. Monte Carlo–calculated and measured extended SSD factors showed an average difference of ±1.8%. For the field 5 cm in diameter, the relative output at extended SSD declined more rapidly than it did for the larger fields. An investigation of output contributions showed this decline was mainly a result of a rapid loss of scatter dose reaching the dmax point from the lower scrapers of the electron applicator. The field 5 cm in diameter showed a reduction in dose contributions; the larger fields generally showed an increased contribution from the scrapers with increase in SSD. Angular distributions of applicator‐scattered electrons have shown a large number of acute‐angle electron tracks contributing to the output for larger field sizes, explaining the shallow output reduction. PACS numbers: 87.53.Wz, 87.53.Vb, 87.53.Hv