|
|
The Characteristic of Dose Equivalent Rates of Photon and Neutron Outside the Treatment Room under High-energy Electron Mode of Linac |
ZHANG Shu-xu1, YANG Lu1, LIN Sheng-qu1, ZHANG Quan-bin1, YANG Hao-xian2, ZHANG Guo-qian1, CHEN Jin-hui1, LUO Song-gui1, ZHOU Pi-xiao1 |
1. Radiotherapy Center, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou Guangdong 510095, China; 2. Institute of Radiation Health Protection,Guangdong Province Hospital for Occupation Disease Prevention and Treatment, Guangzhou Guangdong 510300, China |
|
|
Abstract Objective: The study aimed to explore the characteristic of dose equivalent rates (DERs) of photon and neutron outside the treatment room under high-energy electron mode (dose rate 1000 MU/min) of linac and to evaluate the effectiveness of treatment room protection. Methods: A 451P pressurized ion chamber and a thermo neutron detector were used to measure the DERs of the photon and neutron at selected points. The effects of field size, applicator size, applicator, anthropomorphic phantom (CDP) and lead block on DER were investigated respectively. Results: The DERs of a photon at the center of shielding door (point A), control console (point B), primary shielding walls (point C, D) and roof of treatment room (point E) increased with increasing electron energy, but decreased with the increasing field size. The DERs of a photons at points A and B are smaller than 2.5 μSv/h for all scenarios, while those at point D greater than 2.5 μSv/h when irradiated by 18-22 MeV electron. In addition, CDP may change the DERs of a photon at points C and D about 5% to 30%. On the other hand, the DERs of neutron increase with increasing electron energy but decrease with the increase of field size and applicator size, however, the lead block and the applicator itself will change the DERs of leak neutron at point A, but its amplitude is less than 0.5 μSv/h. The maximum DER of neutron at point A is 6.18 μSv/h irradiated by 22 MeV electron. For other scenarios, they are all in the range of national standards limits. Conclusion: The DERs of a photon and neutron outside the treatment room mainly depend on the energy, field size and irradiation direction of the electron beam. If high-energy 18 MeV and 22 MeV electron beams will be used, the primary shielding walls and shielding doors need reconstructing or increasing thickness.
|
Received: 15 January 2021
|
|
Fund:Guangzhou Medical Key Discipline Construction Project (2017- 2019): Cancer Therapeutics and Experimental Oncology Project, the Science and Technology Project of Guangzhou; grant number: 201804010297 |
Corresponding Authors:
ZHANG Shu-xu. E-mail: gthzsx@163.com
|
About author:: Co-first author: ZHANG Shu-xu and YANG Lu. |
|
|
|
[1] Hogstrom KR, Almond PR.Review of electron beam therapy physics[J]. Phys Med Biol, 2006, 51(13): R455. DOI:10.1088/0031-9155/51/13/R25. [2] Diamantopoulos S, Platoni K, Dilvoi M, et al.Clinical implementation of total skin electron beam (TSEB) therapy: a review of the relevant literature[J]. Physica Medica, 2011, 27(2):62-68. DOI:10.1016/j.ejmp.2010.09.001. [3] Gaffney DK, Leavitt DD, Tsodikov A, et al.Electron arc irradiation of the postmastectomy chest wall with CT treatment planning: 20-year experience[J]. Int J Radiat Oncol Biol Phys, 2001, 1(4):994-1001. DOI:10.1016/S0360-3016(01)01726-6. [4] Sharma PK, Jamema SV, Kaushik K, et al.Electron arc therapy for bilateral chest wall irradiation: treatment planning and dosimetric study[J]. Clin Oncol, 2011, 23(3):216-222. DOI:10.1016/j.clon.2010.09.005. [5] Stathakis S.The physics of radiation therapy[J]. Med Phys, 2010, 37(3):1374-1375. DOI:10.1118/1.3319185. [6] Darestani H, Nedaie HA, Arbabi A, et al.Measurement of neutron dose component in central axis absorbed dose of 18 MV photon beam by TLD600 and TLD700 dosimeters[J]. Basic Clin Cancer Res, 2011, 3(3&4):22-29. [7] Naseri A, Mesbahi A.A review on photoneutrons characteristics in radiation therapy with high-energy photon beams[J]. Rep Pract Oncol Radiother, 2010, 15(5):138-144. DOI:10.1016/j.rpor.2010.08.003. [8] Rivera JC, Falcão RC, deAlmeida CE. The measurement of photoneutron dose in the vicinity of clinical linear accelerators[J]. Radiat Prot Dosimetry, 2008, 130(4):403-409. DOI:10.1093/rpd/ncn065. [9] Ministry of Health, People's Republic of China. GBZ 126-2011 Radiological protection standard of electron accelerator in radiotherapy[S]. Beijing: Standards Press of China, 2011. [10] Battum LJ van, Zee W van der, Huizenga H. Scattered radiation from applicators in clinical electron beams[J]. Phys Med Biol, 2003, 48(15):2493. DOI:10.1002/jmor.1083. [11] MA M, Mege JP, Chavaudra J, et al.Experimental assessment of out-of-field dose components in high energy electron beams used in external beam radiotherapy[J]. J Appl Clin Med Phys, 2015, 16(6):5616. DOI:10.1120/jacmp.v16i6.5616. [12] Yeboah C, Karotki A, Hunt D, et al.Quantification and reduction of peripheral dose from leakage radiation on Siemens primus accelerators in electron therapy mode[J]. J Appl Clin Med Phys, 2010, 11(3):154-172. DOI:10.1120/jacmp.v11i3.3105. [13] Cardenas CE, Nitsch PL, Kudchadker RJ, et al.Out-of-field doses and neutron dose equivalents for electron beams from modern Varian and Elekta linear accelerators[J]. J Appl Clin Med Phys, 2016, 17(4):442-455. DOI: 10.1120/jacmp.v17i4.6216. [14] Biltekin F, Yeginer M, Ozyigit G.Investigating in-field and out-of-field neutron contamination in high-energy medical linear accelerators based on the treatment factors of field size, depth, beam modifiers, and beam type[J]. Phys Med, 2015, 31(5):517-523. DOI:10.1016/j.ejmp.2015.03.015. [15] Jaradat AK, Biggs PJ.Measurement of the neutron leakage from a dedicated intraoperative radiation therapy electron linear accelerator and a conventional linear accelerator for 9, 12, 15(16), and 18(20) MeV electron energies[J]. Med Phys, 2008, 35(5):1711-1717. DOI:10.1118/1.2898144. [16] Lin JP, Chu TC, Lin SY, et al.The measurement of photoneutrons in the vicinity of a siemens primus linear accelerator[J]. Appl Radiat Isot, 2001, 55(3):315-321.DOI:10.1016/S0969-8043(01)00084-7. [17] Vassiliev ON, Titt U, Kry SF, et al.Radiation safety survey on a flattening filter-free medical accelerator[J]. Radiat Prot Dosimetry, 2007, 124(2):187-190.DOI:10.1093/rpd/ncm179. [18] Donadille L, Trompier F, Robbes I, et al.Radiation protection of workers associated with secondary neutrons produced by medical linear accelerators[J]. Radiat Meas, 2008, 43(2):939-943. DOI: 10.1016/j.radmeas.2008.01.018. [19] National Council on Radiation Protection and Measurements. Structural shielding design and evaluation for megavoltage X-and gamma-ray radiotherapy facilities: recommendations of the national council on radiation protection and measurements[R]. NCRP Report 151, NCRP Publications, Bethesda, MD. 2005, 14(7):980-982. DOI: 10.1016/j.jacr.2017.05.003. [20] Peng G, Zeng Y, Luo T, et al.Organ dose evaluation for multi-slice spiral CT scans based on China Sichuan chest anthropomorphic phantom measurements[J]. Radiat Prot Dosimetry, 2012, 150(3):292-297. DOI:10.1093/rpd/ncr403. [21] Facure A, Silva AX.The use of high-density concretes in radiotherapy treatment room design[J]. Appl Radiat Isot, 2007, 65(9):1023-1028. DOI:10.1016/j.apradiso.2007.04.006. |
|
|
|