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radiation dosimetry

Satish C Uniyal, Vineet Chaturvedi, Sunil D Sharma, Anurag Rawat
Cardiac interventions often result in high radiation dose to patient's skin, so a reliable indicator in terms of a commonly used dose descriptor is required to monitor skin exposures. In the present study, Gafchromic XR-RV3 film was used to measure the peak skin dose (PSD) during 40 coronary angiography (CA) and 50 percutaneous transluminal coronary angioplasty (PTCA) procedures. Corresponding values of kerma-area product (PKA), fluoroscopy time (FT) and reference air-kerma (Ka,r) were recorded and correlated with PSD...
October 15, 2016: Radiation Protection Dosimetry
Christina K Speirs, Todd A DeWees, Sana Rehman, Alerson Molotievschi, Maria A Velez, Daniel Mullen, Sandra Fergus, Marco Trovo, Jeffrey D Bradley, Cliff G Robinson
INTRODUCTION: In the randomized trial of standard vs high dose chemoradiotherapy (CRT) for locally advanced non-small cell lung cancer (LA-NSCLC) (RTOG 0617), overall survival (OS) was worse in the high dose arm. While heart dose was suggested as a contributing factor, actionable parameters have not been established. We present an analysis of clinical and dosimetric parameters impacting OS in this patient population, focusing on heart dose. METHODS: Clinical data was collected on 416 patients with LA-NSLC treated at a single institution, with a subset of 333 available treatment plans re-contoured using RTOG normal tissue guidelines...
October 12, 2016: Journal of Thoracic Oncology
François Trompier, Marion Baumann, Lleonard Barrios, Eric Gregoire, Michael Abend, Elizabeth Ainsbury, Stephen Barnard, Joan Francesc Barquinero, Juan Antonio Bautista, Beata Brzozowska, Jose Perez-Calatayud, Cinzia De Angelis, Inmaculada Domínguez, Valeria Hadjidekova, Ulrike Kulka, Juan Carlos Mateos, Roberta Meschini, Octávia Monteiro Gil, Jayne Moquet, Ursula Oestreicher, Alegria Montoro Pastor, Roel Quintens, Natividad Sebastià, Sylwester Sommer, Orlin Stoyanov, Hubert Thierens, Georgia Terzoudi, Juan Ignacio Villaescusa, Anne Vral, Andrzej Wojcik, Demetre Zafiropoulos, Laurence Roy
PURPOSE: In the frame of the QA program of RENEB, an inter-laboratory comparison (ILC) of calibration sources used in biological dosimetry was achieved to investigate the influence of calibration practices and protocols on the results of the dose estimation performance as a first step to harmonization and standardization of dosimetry and irradiation practices in the European biological dosimetry network. MATERIALS AND METHODS: Delivered doses by irradiation facilities used by RENEB partners were determined with EPR/alanine dosimetry system...
October 13, 2016: International Journal of Radiation Biology
Antony L Palmer, Michael Pearson, Paul Whittard, Katie E McHugh, David J Eaton
OBJECTIVES: To assess the status and practice of kilovoltage (kV) radiotherapy in the UK. METHODS: 96% of the radiotherapy centres in the UK responded to a comprehensive survey. An analysis of the installed equipment base, patient numbers, clinical treatment sites, quality control (QC) testing and radiation dosimetry processes were undertaken. RESULTS: 73% of UK centres have at least one kV treatment unit, with 58 units installed across the UK...
October 12, 2016: British Journal of Radiology
Shalini K Vinod, Michael G Jameson, Myo Min, Lois C Holloway
BACKGROUND AND PURPOSE: Volume delineation is a well-recognised potential source of error in radiotherapy. Whilst it is important to quantify the degree of interobserver variability (IOV) in volume delineation, the resulting impact on dosimetry and clinical outcomes is a more relevant endpoint. We performed a literature review of studies evaluating IOV in target volume and organ-at-risk (OAR) delineation in order to analyse these with respect to the metrics used, reporting of dosimetric consequences, and use of statistical tests...
October 8, 2016: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
Tamara V Azizova, Evgeny V Bragin, Nobuyuki Hamada, Maria V Bannikova
This is the first study of cataract incidence in a cohort of Mayak Production Association workers first employed at one of the main facilities in 1948-1982 and followed up till the end of 2008 (22,377 workers). Principal advantages of the study are the large size of the cohort, long-term follow-up and sufficient statistical power, available results of annual eye examinations over the entire follow-up period and detailed information on non-radiation confounders. Individual measured doses from external γ-rays and neutrons used in the analyses were provided by the Mayak Worker Dosimetry System 2008 (MWDS-2008)...
2016: PloS One
Jason R Cuomo, Gyanendra K Sharma, Preston D Conger, Neal L Weintraub
Radiation-induced cardiovascular disease (RICVD) is the most common nonmalignant cause of morbidity and mortality among cancer survivors who have undergone mediastinal radiation therapy (RT). Cardiovascular complications include effusive or constrictive pericarditis, cardiomyopathy, valvular heart disease, and coronary/vascular disease. These are pathophysiologically distinct disease entities whose prevalence varies depending on the timing and extent of radiation exposure to the heart and great vessels. Although refinements in RT dosimetry and shielding will inevitably limit future cases of RICVD, the increasing number of long-term cancer survivors, including those treated with older higher-dose RT regimens, will ensure a steady flow of afflicted patients for the foreseeable future...
September 26, 2016: World Journal of Cardiology
Michele M Kim, Rozhin Penjweini, Xing Liang, Timothy C Zhu
Photodynamic therapy (PDT) is an effective non-ionizing treatment modality that is currently being used for various malignant and non-malignant diseases. In type II PDT with photosensitizers such as benzoporphyrin monoacid ring A (BPD), cell death is based on the creation of singlet oxygen ((1)O2). With a previously proposed empirical five-parameter macroscopic model, the threshold dose of singlet oxygen ([(1)O2]rx,sh]) to cause tissue necrosis in tumors treated with PDT was determined along with a range of the magnitude of the relevant photochemical parameters: the photochemical oxygen consumption rate per light fluence rate and photosensitizer concentration (ξ), the probability ratio of (1)O2 to react with ground state photosensitizer compared to a cellular target (σ), the ratio of the monomolecular decay rate of the triplet state photosensitizer (β), the low photosensitizer concentration correction factor (δ), and the macroscopic maximum oxygen supply rate (g)...
September 23, 2016: Journal of Photochemistry and Photobiology. B, Biology
James D Mitchell, Thomas J Chesnut, David V Eastham, Carlo N Demandante, David J Hoopes
PURPOSE: In 2012, we instituted detailed prospective peer review of new cases. We present the outcomes of peer review on patient management and time required for peer review. METHODS AND MATERIALS: Peer review rounds were held 3 to 4 days weekly and required 2 physicians to review pertinent information from the electronic medical record and treatment planning system. Eight aspects were reviewed for each case: 1) workup and staging; 2) treatment intent and prescription; 3) position, immobilization, and simulation; 4) motion assessment and management; 5) target contours; 6) normal tissue contours; 7) target dosimetry; and 8) normal tissue dosimetry...
August 31, 2016: Practical Radiation Oncology
Ulrike Kulka, Michael Abend, Elizabeth Ainsbury, Christophe Badie, Joan Francesc Barquinero, Lleonard Barrios, Christina Beinke, Emanuela Bortolin, Alexandra Cucu, Andrea De Amicis, Inmaculada Domínguez, Paola Fattibene, Anne Marie Frøvig, Eric Gregoire, Kamile Guogyte, Valeria Hadjidekova, Alicja Jaworska, Ralf Kriehuber, Carita Lindholm, David Lloyd, Katalin Lumniczky, Fiona Lyng, Roberta Meschini, Simone Mörtl, Sara Della Monaca, Octávia Monteiro Gil, Alegria Montoro, Jayne Moquet, Mercedes Moreno, Ursula Oestreicher, Fabrizio Palitti, Gabriel Pantelias, Clarice Patrono, Laure Piqueret-Stephan, Matthias Port, María Jesus Prieto, Roel Quintens, Michelle Ricoul, Horst Romm, Laurence Roy, Géza Sáfrány, Laure Sabatier, Natividad Sebastià, Sylwester Sommer, Georgia Terzoudi, Antonella Testa, Hubert Thierens, Istvan Turai, François Trompier, Marco Valente, Pedro Vaz, Philippe Voisin, Anne Vral, Clemens Woda, Demetre Zafiropoulos, Andrzej Wojcik
PURPOSE: A European network was initiated in 2012 by 23 partners from 16 European countries with the aim to significantly increase individualized dose reconstruction in case of large-scale radiological emergency scenarios. RESULTS: The network was built on three complementary pillars: (1) an operational basis with seven biological and physical dosimetric assays in ready-to-use mode, (2) a basis for education, training and quality assurance, and (3) a basis for further network development regarding new techniques and members...
October 6, 2016: International Journal of Radiation Biology
Justyna Chalubinska-Fendler, Wojciech Fendler, Michal Spych, Krystyna Wyka, Jolanta Luniewska-Bury, Jacek Fijuth
The aim of the present study was to determine if the serum levels of early markers of inflammation, such as interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), C-reactive protein (CRP), and lipopolysaccharide-binding protein (LBP) were correlated with the radiation dose received by the pulmonary and mediastinal structures of patients with non-small cell lung cancer (NSCLC). This pilot study included 26 patients with NSCLC who received total radiation doses ranging from 54 to 74 Gy (2.0 Gy/fraction). Cytokines were measured at baseline by enzyme-linked immunosorbant assay, and following administration of total doses of 20 and 40 Gy...
October 2016: Biomedical Reports
Luc Beaulieu, Sam Beddar
While scintillation dosimetry has been around for decades, the need for a dosimeter tailored to the reality of modern radiation therapy-in particular a real-time, water-equivalent, energy-independent dosimeter with high spatial resolution-has generated renewed interest in scintillators over the last 10 years. With the advent of at least one commercial plastic scintillation dosimeter and the ever-growing scientific literature on this subject, this topical review is intended to provide the medical physics community with a wide overview of scintillation physics, related optical concepts, and applications of plastic scintillation dosimetry...
October 3, 2016: Physics in Medicine and Biology
Joshua Chiu, Marlon Pierce, Steve E Braunstein, Philip V Theodosopoulos, Michael W McDermott, Penny K Sneed, Lijun Ma
Sharp dose fall-off is the hallmark of brain radiosurgery for the purpose of delivering high dose radiation to the target while minimizing peripheral dose to regional normal brain tissue. In this study, a technique was developed to enhance the peripheral dose gradient by magnifying the total number of beams focused toward each isocenter through pre-programmed patient head tilting. This technique was tested in clinical settings on a dedicated brain radiosurgical system (GKPFX, Gamma Knife Perfexion, Elekta Oncology) by comparing dosimetry as well as delivery efficiency for 20 radiosurgical cases previously treated with the system...
October 3, 2016: Physics in Medicine and Biology
Eric Gregoire, Liz Ainsbury, Leonardo Barrios, Céline Bassinet, Paola Fattibene, Ulrike Kulka, Ursula Oestreicher, Gabriel Pantelias, Georgia Terzoudi, Francois Trompier, Philippe Voisin, Anne Vral, Andrzej Wojcik, Laurence Roy
PURPOSE: The European Network of Biological and Physical Retrospective Dosimetry 'RENEB' has contributed to European radiation emergency preparedness. To give homogeneous dose estimation results, RENEB partners must harmonize their processes. MATERIALS AND METHODS: A first inter-comparison focused on biological and physical dosimetry was used to detect the outliers in terms of dose estimation. Subsequently, trainings were organized to improve both tools dose estimation...
August 11, 2016: International Journal of Radiation Biology
Noor Mail, Muhammad Yusuf, Nazeeh Alothmany, A Abdulrahman Kinsara, Fahad Abdulkhaliq, Suliman M Ghamdi, Abdelhamid Saoudi
Cone-beam computed tomography CBCT systems are used in radiation therapy for patient alignment and positioning. The CBCT imaging procedure for patient setup adds substantial radiation dose to patient's normal tissue. This study pre-sents a complete procedure for the CBCT dosimetry using the InLight optically-stimulated-luminescence (OSL) nanoDots. We report five dose parameters: the mean slice dose (DMSD); the cone beam dose index (CBDIW); the mean volume dose (DMVD); point-dose profile, D(FOV); and the off-field Dose...
2016: Journal of Applied Clinical Medical Physics
Nava Raj Paudel, Diana Shvydka, E Ishmael Parsai
Presence of interfaces between high and low atomic number (Z) materials, often encountered in diagnostic imaging and radiation therapy, leads to radiation dose perturbation. It is characterized by a very narrow region of sharp dose enhancement at the interface. A rapid falloff of dose enhancement over a very short distance from the interface makes the experimental dosimetry nontrivial. We use an in-house-built inexpensive thin-film Cadmium Telluride (CdTe) photodetector to study this effect at the gold-tissue interface and verify our experimental results with Monte Carlo (MC) modeling...
2016: Journal of Applied Clinical Medical Physics
Wolfgang P Fendler, Svenja Reinhardt, Harun Ilhan, Andreas Delker, Guido Böning, Franz J Gildehaus, Christian Stief, Peter Bartenstein, Christian Gratzke, Sebastian Lehner, Axel Rominger
Prostate cancer can be targeted by ligands to the prostate-specific membrane antigen (PSMA). We aimed to evaluate dosimetry, safety and efficacy of 177Lu-PSMA-617 radioligand therapy (RLT) in patients with metastatic castration-resistant prostate cancer (mCRPC).Fifteen patients each received two cycles of 3.7 GBq (n = 5) or 6.0 GBq (n = 10) 177Lu-PSMA-617 at an eight to ten weeks interval. For safety monitoring, each treatment was followed by dosimetry with serial quantitative SPECT as well as inpatient and outpatient recording of adverse events...
September 24, 2016: Oncotarget
Taiki Magome, Jerry Froelich, Yutaka Takahashi, Luke Arentsen, Shernan Holtan, Michael R Verneris, Keenan Brown, Akihiro Haga, Keiichi Nakagawa, Jennifer L Holter Chakrabarty, Sebastian Giebel, Jeffrey Wong, Kathryn Dusenbery, Guy Storme, Susanta K Hui
PURPOSE: To develop an imaging method to characterize and map marrow composition in the entire skeletal system, and to simulate differential targeted marrow irradiation based on marrow composition. METHODS AND MATERIALS: Whole-body dual energy computed tomography (DECT) images of cadavers and leukemia patients were acquired, segmented to separate bone marrow components, namely, bone, red marrow (RM), and yellow marrow (YM). DECT-derived marrow fat fraction was validated using histology of lumbar vertebrae obtained from cadavers...
November 1, 2016: International Journal of Radiation Oncology, Biology, Physics
Yazid Belkacemi, Laurianne Colson-Durand, Adeline Granzotto, Shan Husheng, Nhu Hanh To, Soufya Majdoul, Saada Guet, Marie-Laure Hervé, Gloria Fonteneau, Christian Diana, Cindy Le Bret, Claude Dominique, Maryse Fayolle, Nicolas Foray
PURPOSE: After radiation therapy (RT), various radiation-induced toxicities can develop in about one-fourth of patients. An international interest in using morbidity and mortality rates to monitor the quality of care and integrate morbidity and mortality review (MMR) meetings into organizations' governance processes has arisen. We report the first results of patients included in our MMR procedure that included biological assays for individual intrinsic radiosensitivity (IIRS). METHODS AND MATERIALS: Twenty-three patients were prospectively included in the MMR database...
November 1, 2016: International Journal of Radiation Oncology, Biology, Physics
C Okoukoni, E McTyre, A M Peiffer, W Hinson, R E Strowd, S Rapp, M D Chan
No abstract text is available yet for this article.
October 1, 2016: International Journal of Radiation Oncology, Biology, Physics
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