Average Gamma Values Research Articles

Quantitative comparison of 3D and 2.5D gamma analysis: introducing gamma angle histograms

Comparison of dose distributions using the 3D gamma method is anticipated to provide better indicators for the quality assurance process than the 2.5D (stacked 2D slice-by-slice) gamma calculation, especially for advanced radiotherapy technologies. This study compares the accuracy of the 3D and 2.5D gamma calculation methods. 3D and 2.5D gamma calculations were carried out on four reference/evaluation 3D dose sample pairs. A number of analysis methods were used, including average gamma and gamma volume histograms. We introduce the concept of gamma-angle histograms. Noise sensitivity tests were also performed using two different noise models. The advantage of the 3D gamma method showed up as a higher proportion of points passing the tolerance criteria of 3% dose difference and 3 mm distance-to-agreement (DTA), with considerably lower average gamma values, a lower influence of the DTA criterion, and a higher noise tolerance. The 3D gamma approach is more reliable than the 2.5D approach in terms of providing comprehensive quantitative results, which are needed in quality assurance procedures for advanced radiotherapy methods.

Experimental verification of a commercial Monte Carlo-based dose calculation module for high-energy photon beams

The dosimetric performance of a Monte Carlo algorithm as implemented in a commercial treatment planning system (iPlan, BrainLAB) was investigated. After commissioning and basic beam data tests in homogenous phantoms, a variety of single regular beams and clinical field arrangements were tested in heterogeneous conditions (conformal therapy, arc therapy and intensity-modulated radiotherapy including simultaneous integrated boosts). More specifically, a cork phantom containing a concave-shaped target was designed to challenge the Monte Carlo algorithm in more complex treatment cases. All test irradiations were performed on an Elekta linac providing 6, 10 and 18 MV photon beams. Absolute and relative dose measurements were performed with ion chambers and near tissue equivalent radiochromic films which were placed within a transverse plane of the cork phantom. For simple fields, a 1D gamma (γ) procedure with a 2% dose difference and a 2 mm distance to agreement (DTA) was applied to depth dose curves, as well as to inplane and crossplane profiles. The average gamma value was 0.21 for all energies of simple test cases. For depth dose curves in asymmetric beams similar gamma results as for symmetric beams were obtained. Simple regular fields showed excellent absolute dosimetric agreement to measurement values with a dose difference of 0.1% ± 0.9% (1 standard deviation) at the dose prescription point. A more detailed analysis at tissue interfaces revealed dose discrepancies of 2.9% for an 18 MV energy 10 × 10 cm2 field at the first density interface from tissue to lung equivalent material. Small fields (2 × 2 cm2) have their largest discrepancy in the re-build-up at the second interface (from lung to tissue equivalent material), with a local dose difference of about 9% and a DTA of 1.1 mm for 18 MV. Conformal field arrangements, arc therapy, as well as IMRT beams and simultaneous integrated boosts were in good agreement with absolute dose measurements in the heterogeneous phantom. For the clinical test cases, the average dose discrepancy was 0.5% ± 1.1%. Relative dose investigations of the transverse plane for clinical beam arrangements were performed with a 2D γ-evaluation procedure. For 3% dose difference and 3 mm DTA criteria, the average value for γ>1 was 4.7% ± 3.7%, the average γ1% value was 1.19 ± 0.16 and the mean 2D γ-value was 0.44 ± 0.07 in the heterogeneous phantom. The iPlan MC algorithm leads to accurate dosimetric results under clinical test conditions.

Fluctuation analysis of neutral amino acid responses in cultured mouse spinal neurones.

1. Intracellular recordings using the voltage-clamp technique were made at room temperature (24 +/- 1.5 degrees C) from mouse spinal and sensory neurones growing in dissociated cell culture. 2. Membrane current responses could be elicited by ionophoresis of the neutral amino acids, gamma-aminobutyric acid (GABA), beta-alanine (BALA) and glycine to the cell body and processes of these neurones. 3. All membrane current responses were associated with increases in current fluctuations. Most of the analysis presented here was applied to responses generated at the cell body. 4. Many of the fluctuations in membrane current occurring during the responses could be interpreted as reflecting the kinetic behaviour of a single population of two-state Cl- ion-channels. 5. The properties of channels estimated during the desensitized phase of an amino acid-induced current response were not significantly different from those estimated during the peak of the response. 6. The properties of the amino acid-activated channels were relatively constant over the -40 to -90 mV range of membrane potential. 7. There was considerable variation in the estimated average conductance, gamma, and duration, tau, of the elementary events evoked by the neutral amino acids on spinal cord neurones. The properties of the elementary channel events activated by one of the amino acids were significantly different from those activated on the same neurones by either of the other amino acids. 8. In sensory neurones the average gamma and tau values for GABA-activated ion-channels were also determined and these values fell within the range of those for channels activated by GABA in spinal neurones. 9. The results indicate that different naturally occurring neutral amino acids activate channels with unique properties in cultured mouse spinal neurones. The relative charge transfer associated with these channels averages 1.00:0.74:0.32; GABA:glycine:beta-alanine.