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All sourcesNASA NTRSDOE OSTI
DOE OSTI2016

MO-FG-202-04: Gantry-Resolved Linac QA for VMAT: A Comprehensive and Efficient System Using An Electronic Portal Imaging Device

Purpose: To automate gantry-resolved linear accelerator (linac) quality assurance (QA) for volumetric modulated arc therapy (VMAT) using an electronic portal imaging device (EPID). Methods: A QA system for VMAT was developed that uses an EPID, frame-grabber assembly and in-house developed image processing software. The system relies solely on the analysis of EPID image frames acquired without the presence of a phantom. Images were acquired at 8.41 frames per second using a frame grabber and ancillary acquisition computer. Each image frame was tagged with a gantry angle from the linac’s on-board gantry angle encoder. Arc-dynamic QA plans were designed to assess the performance of each individual linac component during VMAT. By analysing each image frame acquired during the QA deliveries the following eight machine performance characteristics were measured as a function of gantry angle: MLC positional accuracy, MLC speed constancy, MLC acceleration constancy, MLC-gantry synchronisation, beam profile constancy, dose rate constancy, gantry speed constancy, dose-gantry angle synchronisation and mechanical sag. All tests were performed on a Varian iX linear accelerator equipped with a 120 leaf Millennium MLC and an aS1000 EPID (Varian Medical Systems, Palo Alto, CA, USA). Results: Machine performance parameters were measured as a function of gantry angle using EPID imaging and compared to machine log files and the treatment plan. Data acquisition is currently underway at 3 centres, incorporating 7 treatment units, at 2 weekly measurement intervals. Conclusion: The proposed system can be applied for streamlined linac QA and commissioning for VMAT. The set of test plans developed can be used to assess the performance of each individual components of the treatment machine during VMAT deliveries as a function of gantry angle. The methodology does not require the setup of any additional phantom or measurement equipment and the analysis is fully automated to allow for regular routine testing.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2016

SU-F-T-80: A Mobile Application for Intra-Operative Electron Radiotherapy Treatment Planning

Purpose: Intraoperative electron radiotherapy (IORT) poses a unique set of challenges for treatment planning. Planning must be performed in a busy operating room environment over a short timeframe often with little advance knowledge of the treatment depth or applicator size. Furthermore, IORT accelerators can have a large number of possible applicators, requiring extensive databooks that must be searched for the appropriate dosimetric parameters. The goal of this work is to develop a software tool to assist in the planning process that is suited to the challenges faced in the IORT environment. Methods: We developed a mobile application using HTML5 and Javascript that can be deployed to tablet devices suitable for use in the operating room. The user selects the desired treatment parameters cone diameter, bevel angle, and energy (a total of 141 datasets) and desired bolus. The application generates an interactive display that allows the user to dynamically select points on the depth-dose curve and to visualize the shape of the corresponding isodose contours. The user can indicate a prescription isodose line or depth. The software performs a monitor unit calculation and generates a PDF report. Results: We present our application, which is now used routinely in our IORT practice. It has been employed successfully in over 23 cases. The interactivity of the isodose distributions was found to be of particular use to physicians who are less-frequent IORT users, as well as for the education of residents and trainees. Conclusion: This software has served as a useful tool in IORT planning, and demonstrates the need for treatment planning tools that are designed for the specialized challenges encountered in IORT. This software is the subject of a license agreement with the IntraOp Medical Corporation. This software is the subject of a license agreement between Massachusetts General Hospital / Partners Healthcare and the IntraOp Medical Corporation. CLW is consulting on software development with the IntraOp Medical Corporation.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2015

TU-AB-201-02: An Automated Treatment Plan Quality Assurance Program for Tandem and Ovoid High Dose-Rate Brachytherapy

Purpose: For tandem and ovoid (T&O) HDR brachytherapy in our clinic, it is required that the planning physicist manually capture ∼10 images during planning, perform a secondary dose calculation and generate a report, combine them into a single PDF document, and upload it to a record- and-verify system to prove to an independent plan checker that the case was planned correctly. Not only does this slow down the already time-consuming clinical workflow, the PDF document also limits the number of parameters that can be checked. To solve these problems, we have developed a web-based automatic quality assurance (QA) program. Methods: We set up a QA server accessible through a web- interface. A T&O plan and CT images are exported as DICOMRT files and uploaded to the server. The software checks 13 geometric features, e.g. if the dwell positions are reasonable, and 10 dosimetric features, e.g. secondary dose calculations via TG43 formalism and D2cc to critical structures. A PDF report is automatically generated with errors and potential issues highlighted. It also contains images showing important geometric and dosimetric aspects to prove the plan was created following standard guidelines. Results: The program has been clinically implemented in our clinic. In each of the 58 T&O plans we tested, a 14- page QA report was automatically generated. It took ∼45 sec to export the plan and CT images and ∼30 sec to perform the QA tests and generate the report. In contrast, our manual QA document preparation tooks on average ∼7 minutes under optimal conditions and up to 20 minutes when mistakes were made during the document assembly. Conclusion: We have tested the efficiency and effectiveness of an automated process for treatment plan QA of HDR T&O cases. This software was shown to improve the workflow compared to our conventional manual approach.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2014

A Code of Radiation Damage by Gamma - Paper 62

In recent years, the study of radiation damage of materials has seen a thrust because of the expectation of the high rate of radiation damage in fusion reactors, accelerator driven sub critical systems and damage of a control system of space vehicles by the high energy neutrons and gamma showers. Embrittlement of reactor vessels, corrosion of steel and swelling of fuel rods are the well known empirical examples of severe radiation damage. It is also realized that damage by high energy gammas is in no way insignificant, and it is equivalent to the damage by the neutrons. Secondly, value addition of certain materials like enhancement of electrical resistance, mechanical strength, color enhancement of precious stones on irradiation by neutrons and gammas and polymerization in the presence of gamma radiation add to the necessity of a Monte Carlo (MC) code of radiation damage in a wide range of energy. The JAIPU code, for the study of radiation damage by neutrons up to 10 MeV energy, incorporates features like development of secondary atomic cascade and PKA energy corrected for the ionization lose and production of Frenkel pair. MC estimation of both the primary and secondary displacements has been compared with the Frenkel pairs calculated using the NRT model. In the present work, JAIPU code is extended for irradiation of materials by high energy gammas. Here cascade generated by the incident gamma produces electrons by way of photo-electric, Compton and pair production until it is absorbed. The recoiled Frenkel pairs produced in electron + atom collision have been considered for the purpose of atomic cascade. Standard cross section libraries for gamma and electron interaction are used while for atom + atom collision we have made use of the IOTA code. In addition, in the code, the lattice structure of the irradiated material is simulated to know the positions of the photon interactions with atoms and the energy of electron it adds an extra feature of the position and size of the voids and the clusters produced on irradiation. The code has the possibility of calculation of 'absorbed radiation dose' and 'KERMA' and the interatomic distances of the displaced atoms. It may be pointed out that the code uses only the MC simulation of the number of displacements unlike several other approaches where the NRT model with PKA energy is used for gross estimation of the number of the displaced atoms. Thus, the code keeps an account of the positions of displaced atoms for the in-depth modification of the irradiated material. 1 MeV gamma seems to damage Fe up to several millimeters of its depth and this is mostly by the recoiled Compton electrons than photo electrons. The code is in the developmental stage and it has the capability of applications in the developing field of Radiology besides the shielding and other studies of radiation damage. (authors)

22 GENERAL STUDIES OF NUCLEAR REACTORS↗
DOE OSTI2016

High and low energy gamma beam dump designs for the gamma beam delivery system at ELI-NP

The Extreme Light Infrastructure - Nuclear Physics (ELI-NP) is under construction in Magurele, Bucharest, Romania. The facility will use two 10 PW lasers and a high intensity, narrow bandwidth gamma beam for stand-alone and combined laser-gamma experiments. The accurate estimation of particle doses and their restriction within the limits for both personel and general public is very important in the design phase of any nuclear facility. In the present work, Monte Carlo simulations are performed using FLUKA and MCNPX to design 19.4 and 4 MeV gamma beam dumps along with shielding of experimental areas. Dose rate contour plots from both FLUKA and MCNPX along with numerical values of doses in experimental area E8 of the facility are performed. The calculated doses are within the permissible limits. Furthermore, a reasonable agreement between both codes enhances our confidence in using one or both of them for future calculations in beam dump designs, radiation shielding, radioactive inventory, and other calculations releated to radiation protection. Residual dose rates and residual activity calculations are also performed for high-energy beam dump and their effect is negligible in comparison to contributions from prompt radiation.

43 PARTICLE ACCELERATORS↗
DOE OSTI2015

SU-E-T-76: A Software System to Monitor VMAT Plan Complexity in a Large Radiotherapy Centre

Purpose: To develop a system that analyses and reports the complexity of Volumetric Modulated Arc Therapy (VMAT) plans to aid in the decision making for streamlining patient specific dosimetric quality assurance (QA) tests. Methods: A software system, Delcheck, was developed in-house to calculate VMAT plan and delivery complexity using the treatment delivery file. Delcheck has the functionality to calculate multiple plan complexity metrics including the Li-Xing Modulation Index (LI-MI), multiplicative combination of Leaf Travel and Modulation Complexity Score (LTMCSv), Monitor Units per prescribed dose (MU/D) and the delivery complexity index (MIt) that incorporates the modulation of dose rate, leaf speed and gantry speed. Delcheck includes database functionality to store and compare plan metrics for a specified treatment site. The overall plan and delivery complexity is assessed based on the 95% conformance limit of the complexity metrics as Similar, More or Less complex. The functionality of the software was tested using 42 prostate conventional, 10 prostate SBRT and 15 prostate bed VMAT plans generated for an Elekta linear accelerator. Results: The mean(σ) of LI-MI for conventional, SBRT and prostate bed plans were 1690(486), 3215.4(1294) and 3258(982) respectively. The LTMCSv of the studied categories were 0.334(0.05), 0.325(0.07) and 0.3112(0.09). The MU/D of the studied categories were 2.4(0.4), 2.7(0.7) and 2.5(0.5). The MIt of the studied categories were 21.6(3.4), 18.2(3.0) and 35.9(6.6). The values of the complexity metrics show that LI-MI appeared to resolve the plan complexity better than LTMCSv and MU/D. The MIt value increased as the delivery complexity increased. Conclusion: The developed software was shown to be working as expected. In studied treatment categories Prostate bed plans are more complex in both plan and delivery and SBRT is more complex in plan and less complex in delivery as demonstrated by LI-MI and MIt. This project was funded through a Cancer Council NSW Project Grant (RG14-11)

60 APPLIED LIFE SCIENCES↗
DOE OSTI2016

SU-F-P-34: Commission of Enhanced Dynamic Wedge of Varian Truebeam Linac System with Feature Study

Purpose: To evaluate an Enhanced Dynamic Wedge (EDW) as part of machine commission process with feature study. Methods: The EDW system in this study was from a Truebeam, which is the Linear accelerator manufactured by Varian Medical Systems. The EDW feature vectors includes selected elements. These elements were dosimetric output spots check, field size, wedge angles, dose rate, collimator orientation, and different energy settings. Point dose measurement was done by a PTW farmer chamber, and profiles were measured by Gafchromic EBT2 films positing at different depths of the Solidwater based on the study elements. The output spot measurements were done with PTW farmer chamber with Solidwater setting for all orientation and wedge angles in the EDW system. The profiles comparisons were done by IMRT measurement function in RIT software at version 6.3. And the films were scanned by Vidar scanner. Dosimetry calculation were done by using the same Solidwater scanned by GE LightSpeed CT in Eclipse Treatment Planning System (TPS). Then measurements were compared to simulation results in TPS. Results: The energy average percentage difference between chamber measurement and TPS was 0.16% with standard deviation (SD) at 0.93%. For selected features, the average percentage difference between film measurement and computation was 0.93% with SD at 1.55% in horizontal profiles, and 1.18% with SD at 0.98% at vertical profiles. The average gamma difference for film measurement and TPS computing results was at 0.924 with SD at 0.314. Conclusion: A feature vector was developed to describe the commission of EDW, and developing a complete set of features for sufficiency of commission of a LINAC function could provide optimal commission instance with acceptable confident level of clinical application of the machine. Given the institution specific vector pattern and big data process, it could provide wide range clinical outcome comparison information in application of EDW.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2015

SU-E-T-162: Characterization of a New Oblong Cone for Use with the Intraoperative Mobetron Unit

Purpose: To evaluate the dosimetric characteristics of a new flat 7 cm x 12 cm oblong cone for intraoperative radiation therapy (IORT) procedures. Methods: Percent depth dose (PDD) curves and profile measurements at dose depths of D100, D90, D80, D50, and D30 were measured using a parallel-plate ion chamber and a 3-D water tank Blue phantom II (iba) for the three energies (6, 9, and 12 MeV) available with the new generation Mobetron 2000. In addition, PDD curves and profiles were made with Gafchromic EBT3 films in solid water phantom. H&D curves were created for each energy for absolute calibration. The films were analyzed using the RIT image analysis software and then compared with the ion chamber results. Output values were obtained by normalizing the dose/MU at D100 at the clinical axis of the oblong cone by the dose/MU at D100 for the flat 10cm cylindrical standard cone using ion chamber measurements. Results: Ion chamber results show that the PDDs from the flat oblong cone, at the clinical axis, match with the PDDs for its “cylindrical brother” 7cm flat cone. These PDDs are comparable with those from the 10cm standard cone. The D100 coincides for all three energies. The cone output factors for the oblong cone are 1.07 for all energies. Ion chamber profiles measurements and film analysis show that the use of flat oblong cone with the 6 and 9 MeV energies Result in horns of approximately 12% and 8%, respectively. Conversely, 12 MeV profiles show loss of flatness near the field edge. Conclusion: The potential advantage of the oblong cones is the elimination of the well-known difficulties of electron field matching, both dosimetrically and in clinical setup.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2016

SU-F-T-55: Reproducibility of Interstitial HDR Brachytherapy Plans

Purpose: Treating gynecological cancers with interstitial high-dose-rate (HDR) brachytherapy requires precise reconstruction of catheter positions to obtain accurate dosimetric plans. In this study, we investigated the degree of reproducibility of dosimetric plans for Syed HDR brachytherapy. Methods: We randomly selected five patients having cervix-vaginal cancer who were recently treated in our clinic with interstitial HDR brachytherapy with a prescription dose of 25–30 Gy in five fractions. Interstitial needles/catheters were placed under fluoroscopic guidance and intra-operative 3T MRI scan was performed to confirm the desired catheter placement for adequate target volume coverage. A CT scan was performed and fused with the MRI for delineating high-risk CTV (HR-CTV), intermediate-risk CTV (IR-CTV) and OARs. HDR treatment plans were generated using Oncentra planning software. A single plan was used for all five fractions of treatment for each patient. For this study, we took the original clinical plan and removed all the reconstructed catheters from the plan keeping the original contours unchanged. Then, we manually reconstructed all the catheters and entered the same dwell time from the first original clinical plan. The dosimetric parameters studied were: D90 for HR-CTV and IR-CV, and D2cc for bladder, rectum, sigmoid and bowel. Results: The mean of absolute differences in dosimetric coverage (D90) were (range): 1.3% (1.0–2.0%) and 2.0% (0.9–3.6%) for HR-CTV and IR-CTV, respectively. In case of OARs, the mean of absolute variations in D2cc were (range): 4.7% (0.7–8.9%) for bladder, 1.60% (0.3–3.2%) for rectum, 1.6% (0–3.9%) for sigmoid, and 1.8% (0–5.1%) for bowel. Conclusion: Overall, the reproducibility of interstitial HDR plans was within clinically acceptable limit. Observed maximum variation in D2cc for bladder. If number of catchers and dwell points were relatively low or any one catheter was heavily loaded, then reproducibility of the plan was more sensitive to the accuracy of catheter reconstruction.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2014

SU-E-T-574: Fessiblity of Using the Calypso System for HDR Interstitial Catheter Reconstruction

Purpose: It is always a challenge to reconstruct the interstitial catheter for high dose rate (HDR) brachytherapy on patient CT or MR images. This work aims to investigate the feasibility of using the Calypso system (Varian Medical, CA) for HDR catheter reconstruction utilizing its accuracy on tracking the electromagnetic transponder location. Methods: Experiment was done with a phantom that has a HDR interstitial catheter embedded inside. CT scan with a slice thickness of 1.25 mm was taken for this phantom with two Calypso beacon transponders in the catheter. The two transponders were connected with a wire. The Calypso system was used to record the beacon transponders’ location in real time when they were gently pulled out with the wire. The initial locations of the beacon transponders were used for registration with the CT image and the detected transponder locations were used for the catheter path reconstruction. The reconstructed catheter path was validated on the CT image. Results: The HDR interstitial catheter was successfully reconstructed based on the transponders’ coordinates recorded by the Calypso system in real time when the transponders were pulled in the catheter. After registration with the CT image, the shape and location of the reconstructed catheter are evaluated against the CT image and the result shows an accuracy of 2 mm anywhere in the Calypso detectable region which is within a 10 cm X 10 cm X 10 cm cubic box for the current system. Conclusion: It is feasible to use the Calypso system for HDR interstitial catheter reconstruction. The obstacle for its clinical usage is the size of the beacon transponder whose diameter is bigger than most of the interstitial catheters used in clinic. Developing smaller transponders and supporting software and hardware for this application is necessary before it can be adopted for clinical use.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2016

SU-F-T-65: AutomaticTreatment Planning for High-Dose Rate (HDR) Brachytherapy with a VaginalCylinder Applicator

Purpose: High dose rate (HDR) brachytherapy treatment planning is conventionally performed in a manual fashion. Yet it is highly desirable to perform computerized automated planning to improve treatment planning efficiency, eliminate human errors, and reduce plan quality variation. The goal of this research is to develop an automatic treatment planning tool for HDR brachytherapy with a cylinder applicator for vaginal cancer. Methods: After inserting the cylinder applicator into the patient, a CT scan was acquired and was loaded to an in-house developed treatment planning software. The cylinder applicator was automatically segmented using image-processing techniques. CTV was generated based on user-specified treatment depth and length. Locations of relevant points (apex point, prescription point, and vaginal surface point), central applicator channel coordinates, and dwell positions were determined according to their geometric relations with the applicator. Dwell time was computed through an inverse optimization process. The planning information was written into DICOM-RT plan and structure files to transfer the automatically generated plan to a commercial treatment planning system for plan verification and delivery. Results: We have tested the system retrospectively in nine patients treated with vaginal cylinder applicator. These cases were selected with different treatment prescriptions, lengths, depths, and cylinder diameters to represent a large patient population. Our system was able to generate treatment plans for these cases with clinically acceptable quality. Computation time varied from 3–6 min. Conclusion: We have developed a system to perform automated treatment planning for HDR brachytherapy with a cylinder applicator. Such a novel system has greatly improved treatment planning efficiency and reduced plan quality variation. It also served as a testbed to demonstrate the feasibility of automatic HDR treatment planning for more complicated cases.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2015

SU-E-P-22: AAPM Task Group 263 Tackling Standardization of Nomenclature for Radiation Therapy

Purpose: There is growing recognition of need for increased clarity and consistency in the nomenclatures used for body and organ structures, DVH metrics, toxicity, dose and volume units, etc. Standardization has multiple benefits; e.g. facilitating data collection for clinical trials, enabling the pooling of data between institutions, making transfers (i.e. hand-offs) between centers safer, and enabling vendors to define “default” settings. Towards this goal, the American Association of Physicists in Medicine (AAPM) formed a task group (TG263) in July of 2014, operating under the Work Group on Clinical Trials to develop consensus statements. Guiding principles derived from the investigation and example nomenclatures will be presented for public feedback. Methods: We formed a multi-institutional and multi-vendor collaborative group of 39 physicists, physicians and others involved in clinical use and electronic transfer of information. Members include individuals from IROC, NRG, IHE-RO, DICOM WG-7, ASTRO and EORTC groups with overlapping interests to maximize the quality of the consensus and increase the likelihood of adoption. Surveys of group and NRG members were used to define current nomenclatures and requirements. Technical requirements of vendor systems and the proposed DICOM standards were examined. Results: There is a marked degree of inter and intra institutional variation in current approaches, resulting from inter-vendor differences in capabilities, clinic specific conceptualizations and inconsistencies. Using a consensus approach, the group defined optimal formats for the naming of targets and normal structures. A formal objective assessment of 13 existing clinically-used software packages show that all had capabilities to accommodate these recommended nomenclatures. Conclusions: A multi-stakeholder effort is making significant steps forward in developing a standard nomenclature that will work across platforms. Our current working list includes > 550 structures. Outreach efforts are ongoing to ensure broader participation in evaluating and testing the principles as they are developed by TG263.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2020

Internal Radiation Dose Evaluation For An Unruptured Post Release Tristructural Istropic Fuel Particle for Advanced and Micro-reactor Applications

There are unique benefits from advanced/micro reactor designs and fuel types that offer safety features in the case of an accident that may reduce environmental consequences compared to conventional reactors and fuels. Several micro reactor designs, for both civilian and military applications, are proposed using tristructural-isotropic (TRISO) fuel. TRISO particles are a robust advanced nuclear fuel type that leads to the unique question of how unruptured, activated TRISO particles will interact with humans. Human exposure to nuclear fuel, or radionuclides, includes all pathways of exposure. However, TRISO particles are 0.9 mm in size, and that particle size restricts internal dose assessment to the ingestion pathway; eliminating the inhalation and dermal absorption pathways. Furthermore, activity of the TRISO particle was established by High Temperature Engineering Test Reactor simulations assuming the TRISO particle was one day post-release from the reactor. International Commission of Radiological Protection publications 100 and 133 were used to develop the internal dosimetry model for an unruptured TRISO particle for the International Commission of Radiological Protection reference male and female dose assessment. The rectosigmoid colon had the highest internal organ dose for both reference male (2.1 Sv) and reference female (2.3 Sv). The internal dose from ingestion of the scenario-defined TRISO particle was 0.25 Sv for the reference male and 0.29 Sv for the refence female, which exceeds the annual occupational effective dose limit of 0.05 Sv in the code of federal regulations, 10.CFR.20 Subpart C.

61 RADIATION PROTECTION AND DOSIMETRY↗
DOE OSTI2010

The water equivalence of solid phantoms for low energy photon beams

Purpose: To compare and evaluate the dosimetric water equivalence of several commonly used solid phantoms for low energy photon beams. Methods: A total of ten different solid phantom materials was used in the study. The PENELOPE Monte Carlo code was used to calculate depth doses and beam profiles in all the phantom materials as well as the dose to a small water voxel at the surface of the solid phantom. These doses were compared to the corresponding doses calculated in a water phantom. The primary photon beams used ranged in energy from 50 to 280 kVp. Results: A number of phantom materials had excellent agreement in dose compared to water for all the x-ray beam energies studied. RMI457 Solid Water, Virtual Water, PAGAT, A150, and Plastic Water DT all had depth doses that agreed with those in water to within 2%. For these same phantom materials, the dose changes in the water voxel at the surface of the solid phantom were within 2%, except for A150, which agreed to within 2.7%. By comparison, the largest differences in depth doses occurred for Plastic Water (-21.7%) and polystyrene (17.6%) for the 50 kVp energy photon beam and 8 cm diameter field size. Plastic Water gave the largest difference in the normalized beam profiles with differences of up to 3.5% as compared to water. Surface dose changes, due to the presence of the solid phantom acting as the backscatter material, were found to be up to 9.1% for polystyrene with significant differences also found for Plastic Water, PMMA, and RW3 phantoms. Conclusions: The following solid phantoms can be considered water equivalent and are recommended for relative dosimetry of low energy photon beams: A150, PAGAT, Plastic Water DT, RMI457 Solid Water, and Virtual Water. However, the following solid phantoms give significant differences, compared to water, in depth doses, profiles, and/or in surface doses due to backscatter changes: Plastic Water, PMMA, polystyrene, PRESAGE, and RW3.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2014

MO-E-17A-11: In-Phantom Detector Response in a Kilovoltage X-Ray Beam

Purpose: To investigate changes in detector response in a kilovoltage x-ray beam as a function of depth in phantom. Methods: Detector response in a 120kVp x-ray beam as a function of depth in a PMMA phantom was determined for a reference class Exradin A12 ionization chamber, an Exradin A1SL ionization chamber, TLD-100 and EBT3 radiochromic film and normalized to a depth of 1cm. The output of each detector was referenced to the A12 ionization chamber reading to assess changes in detector response as a function of depth. The BEAMnrc, DOSxyz, and egs-chamber user codes of the EGSnrc Monte Carlo code were used to calculate the dose delivered to the detectors from an x-ray source with similar beam quality to the one used in the measurements. Results: Changes in detector response relative to the A12 ionization chamber of 2%, 7%, and 14% for the A1SL, TLDs, and film, respectively, were observed with the larger changes in response occurring at larger depths. The Monte Carlo calculated changes in dose response showed less deviation, with the largest difference being within 2%. Conclusion: The Monte Carlo simulations show that doses delivered to the different detectors are quite similar, while measurements show that the detector output varies drastically. This indicates that the detector output per unit dose is changing with depth, most likely due to changes in the photon spectrum that occur because of scatter and attenuation of the primary beam. Because detector calibration is often performed at a single point in the kilovoltage energy range, the change in detector response needs to be considered when the measurement conditions differ from those of the calibration. This is of particular concern in computed tomography dose measurement, where calibrations are performed at shallow depths or in air, and measurements are made at deeper locations.

07 ISOTOPE AND RADIATION SOURCES↗
DOE OSTI2016

SU-G-201-08: Energy Response of Thermoluminescent Microcube Dosimeters in Water for Kilovoltage X-Ray Beams

Purpose: To characterize the energy dependence for TLD-100 microcubes in water at kilovoltage energies. Methods: TLD-100 microcubes with dimensions of (1 × 1 × 1) mm{sup 3} were irradiated with kilovoltage x-rays in a custom-built thin-window liquid water phantom. The TLD-100 microcubes were held in Virtual Water™ probes and aligned at a 2 cm depth in water. Irradiations were performed using the M-series x-ray beams of energies ranging from 50-250 kVp and normalized to a {sup 60}Co beam located at the UWADCL. Simulations using the EGSnrc Monte Carlo Code System were performed to model the x-ray beams, the {sup 60}Co beam, the water phantom and the dosimeters in the phantom. The egs-chamber user code was used to tally the dose to the TLDs and the dose to water. The measurements and calculations were used to determine the intrinsic energy dependence, absorbed-dose energy dependence, and absorbed-dose sensitivity. These values were compared to TLD-100 chips with dimensions of (3.2 × 0.9 × 0.9) mm{sup 3}. Results: The measured TLD-100 microcube response per dose to water among all investigated x-ray energies had a maximum percent difference of 61% relative to {sup 60}Co. The simulated ratio of dose to water to the dose to TLD had a maximum percent difference of 29% relative to {sup 60}Co. The ratio of dose to TLD to the TLD output had a maximum percent difference of 13% relative to {sup 60}Co. The maximum percent difference for the absorbed-dose sensitivity was 15% more than the used value of 1.41. Conclusion: These results confirm that differences in beam quality have a significant effect on TLD response when irradiated in water. These results also indicated a difference in TLD-100 response between microcube and chip geometries. The intrinsic energy dependence and the absorbed-dose energy dependence deviated up to 10% between TLD-100 microcubes and chips.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2016

TH-CD-BRA-09: Towards Absolute Dose Measurement in MRI-Linac and Gamma-Knife: Design and Construction of An MR-Compatible Water Calorimeter

Purpose: The purpose of this work is to design and optimize a portable Water Calorimeter (WC) for use in a commercial MRI-linac and Gamma-knife in addition to conventional radiotherapy linacs. Water calorimeters determine absorbed dose to water at a point by measuring radiation-induced temperature rise of the volume (the two are related by the medium specific heat capacity). In this formalism, one important correction factor is heat transfer correction k-ht. It compensates for heat gain/loss due to conductive and convective effects, and is numerically calculated as ratio of temperature rise in the absence of heat loss to that in the presence of heat loss. Operating at 4°C ensures convection is minimal. Methods: A commercial finite element software was used to evaluate several WC designs with different insulation materials and thicknesses; channels allowing coolant to travel around WC (to sustain WC at 4°C) were modeled, and worst-case scenario variation in the temperature of the coolant was simulated for optimization purposes (2.6 mK/s). Additionally, several calorimeter vessel design parameters (front/back glass thickness/separation, diameter) were also simulated and optimized. Optimization is based on minimizing long term calorimeter drift (24h) as well as variation and magnitude of k-ht. Results: The final selected WC design reached a modest drift of 11µK/s after 15h for the worst-case coolant temperature variation. This design consists of coolant channels being encompassed on both sides by cryogel insulation. For the MRI-linac beam, glass thickness plays the largest effect on k-ht with variation of upto 0.6% in the first run for thicknesses ranging between 0.5–1.7mm. Subsequent runs vary only within 0.1% with glass thickness. Other factors such as vessel radius and top/bottom glass separation have sub 0.1% effects on k-ht. Conclusion: An MR-safe 4°C stagnant WC appropriate for dosimetry in MRI-linac and Gamma-Knife was designed, optimized, and construction is nearly completed. NSERC Discovery Grant RGPIN-435608.

07 ISOTOPE AND RADIATION SOURCES↗
DOE OSTI2013

MARS15 simulation for the Meson Center Test Beams

The MARS15 code is used to calculate prompt dose and star densities in areas of interest at the Meson Center Test Beam. The beamline components and adjoining infrastructure are implemented in great detail into the model. Simulations are carried out for 120-GeV/c protons on target and the beamline tuned to 5 GeV/c, 16 GeV/c, and 85 GeV/c. It is found that prompt dose rates and radiation loads to the sump water are within tolerable levels.

Mokhov, N. V.↗