kV X-ray Beams Research Articles

Characterization of pure organic NTI crystals for direct x-ray detection

Accurate detection of x-ray radiation is essential for tissue equivalence detection and safety control during medical radiotherapy. Here, a promising radiation detector based on organic 1,8-naphthalimide (C12H7NO2, NTI) single crystals is proposed. NTI single crystals with dimensions of 8 × 2 × 1 mm3 were synthesized by an optimized solvent-cooling method, and the crystal structure was characterized to elucidate the anisotropy mechanism. The coplanar detector made by NTI has a leakage current of less than 0.1 pA at an electric field strength of 1 kV cm−1 and provides excellent detection of 5.49 MeV α-particles (241Am) with a full-energy peak resolution of up to 32.3%. The calculated electron mobility (μe) and electron mobility-lifetime product (μτ)e were 7.9 cm2 V−1s−1 and 1.56 × 10−6 cm2 V−1, respectively. Additionally, the detection limit of the NTI detector was 0.35 µGy s−1 in the electric field strength range of 0.2–1.0 kV cm−1 under a 20 kV x-ray beam with a high sensitivity of 56.2 μC Gy−1cm−2. Consequently, the NTI detector achieves an excellent spatial resolution of 0.8–0.9 lp mm−1 in terms of x-ray imaging capability.

A study of polarity effect for various ionization chambers in kilovoltage x-ray beams.

Ionization chambers play an essential role in dosimetry measurements for kilovoltage (kV) x-ray beams. Despite their widespread use, there is limited data on the absolute values for the polarity correction factors across a range of commonly employed ionization chambers. This study aimed to investigate the polarity effects for five different ionization chambers in kV x-ray beams. Two plane-parallel chambers being the Advanced Markus and Roos and three cylindrical chambers; 3D PinPoint, Semiflex and Farmer chamber (PTW, Freiburg, Germany), were employed to measure the polarity correction factors. The kV x-ray beams were produced from an Xstrahl 300 unit (Xstrahl Ltd., UK). All measurements were acquired at 2cm depth in a PTW-MP1 water tank for beams between 60 kVp (HVL 1.29mm Al) and 300 kVp (HVL 3.08mm Cu), and field sizes of 2-10cm diameter for 30cm focus-source distance (FSD) and 4 × 4 cm2 - 20 × 20 cm2 for 50cm FSD. The ionization chambers were connected to a PTW-UNIDOS electrometer, and the polarity effect was determined using the AAPM TG-61 code of practice methodology. The study revealed significant polarity effects in ionization chambers, especially in those with smaller volumes. For the plane-parallel chambers, the Advanced Markus chamber exhibited a maximum polarity effect of 2.5%, whereas the Roos chamber showed 0.3% at 150 KVp with the 10cm circular diameter open-ended applicator. Among the cylindrical chambers at the same beam energy and applicator, the Pinpoint chamber exhibited a 3% polarity effect, followed by Semiflex with 1.7%, and Farmer with 0.4%. However, as the beam energy increased to 300 kVp, the polarity effect significantly increased reaching 8.5% for the Advanced Markus chamber and 13.5% for the PinPoint chamber at a 20 × 20 cm2 field size. Notably, the magnitude of the polarity effect increased with both the field size and beam energy, and was significantly influenced by the size of the chamber's sensitive volume. The findings demonstrate that ionization chambers can exhibit substantial polarity effects in kV x-ray beams, particularly for those chambers with smaller volumes. Therefore, it is important to account for polarity corrections when conducting relative dose measurements in kV x-ray beams to enhance the dosimetry accuracy and improve patient dose calculations.

Robust treatment planning for small animal radio-neuromodulation using focused kV x-ray beams.

In preclinical radio-neuromodulation research, small animal experiments are pivotal for unraveling radiobiological mechanism, investigating prescription and planning techniques, and assessing treatment effects and toxicities. However, the target size inside a rat brain is typically in the order of sub-millimeters. The small target inside the visual cortex neural region in rat brain with a diameter of around 1mm was focused in this work to observe the physiological change of this region. Delivering uniform doses to the small target while sparing health tissues is challenging. Focused kV x-ray technique based on modern x-ray polycapillary focusing lens is a promising modality for small animal radio-neuromodulation. The current manual planning method could lead to sub-optimal plans, and the positioning uncertainties due to mechanical accuracy limitations, animal immobilization, and robotic arm motion are not considered. This work aims to design a robust inverse planning method to optimize the intensities of focused kV x-ray beams located in beam trajectories to irradiate small mm-sized targets in rat brains for radio-neuromodulation. Focused kV x-ray beams were generated through polycapillary x-ray focusing lenses on achieving small (≤0.3mm) focus perpendicular to the beam. The beam trajectories were manually designed in 3D space in scanning-while-rotating mode. Geant4 Monte Carlo (MC) simulation generated a dose calculation matrix for each focused kV x-ray beam located in beam trajectories. In the proposed robust inverse planning method, an objective function combining a voxel-wise stochastic programming approach and L1 norm regularization was established to overcome the positioning uncertainties and obtain a high-quality plan. The fast iterative shrinkage thresholding algorithm (FISTA) was utilized to solve the objective function and obtain the optimal intensities. Four cases were employed to validate the feasibility and effectiveness of the proposed method. The manual and non-robust inverse planning methods were also implemented for comparison. The proposed robust inverse planning method achieved superior dose homogeneity and higher robustness against positioning uncertainties. On average, the clinical target volume (CTV) homogeneity index (HI) of robust inverse plan improved to 13.3 from 22.9 in non-robust inverse plan and 53.8 in manual plan if positioning uncertainties were also present. The average bandwidth at D90 was reduced by 6.5Gy in the robust inverse plan, compared to 9.6Gy in non-robust inverse plan and 12.5Gy in manual plan. The average bandwidth at D80 was reduced by 3.4Gy in robust inverse plan, compared to 5.5Gy in non-robust inverse plan and 8.5Gy in manual plan. Moreover, the dose delivery time of manual plan was reduced by an average reduction of 54.7% with robust inverse plan and 29.0% with non-robust inverse plan. Compared to manual and non-robust inverse planning methods, the robust inverse planning method improved the dose homogeneity and delivery efficiency and was resistant to the uncertainties, which are crucial for radio-neuromodulation utilizing focused kV x-rays.

Preliminary study on dose conversion parameters for absorbed dose to water in kV X-ray beams

Preliminary study on dose conversion parameters for absorbed dose to water in kV X-ray beams

APMP/TCRI key comparison report of measurement of air kerma for medium-energy x-rays (APMP.RI(I)-K3.2013)

Main textThe APMP/TCRI Dosimetry Working Group initiated the APMP.RI(I)-K3.2013 key comparison of measurement of air kerma for medium-energy x-rays (100 kV to 250 kV); measurements took place between 2015 and 2017. In total, 11 institutes took part in the comparison, among which 8 were APMP member laboratories, two from AFRIMETS and one from SIM. Three commercial cavity ionization chambers were used as transfer standards circulated among the participants. All the participants established 100, 135, 180 and 250 kV x-ray beam qualities equivalent to those of the BIPM. The ARPANSA and the NMIJ were linking laboratories and two participants subsequently made comparisons with the BIPM. The 7 other participants' degrees of equivalence fell within 11 parts in 103 of unity, well within the relevant expanded uncertainty (k = 2) in all cases. Excluding the BARC, the results were within 5.7 parts in 103, well within the relevant combined standard uncertainty. These results indicated that the calibration capabilities of most laboratories were in very good agreement and there were no serious discrepancies between them. The effect of implementing the recommendations of ICRU Report 90, which occurred on 1 January 2018 (after this comparison), is discussed and we deduce that the effect on the degrees of equivalence is negligible. The increase in the uncertainty in Wair has been added to all laboratories so that the degrees of equivalence and the uncertainties published here are applicable to post-ICRU 90 measurement results.To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database https://www.bipm.org/kcdb/.The final report has been peer-reviewed and approved for publication by the CCRI, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

A novel multichannel deep learning model for fast denoising of Monte Carlo dose calculations: preclinical applications

Objective. In preclinical radiotherapy with kilovolt (kV) x-ray beams, accurate treatment planning is needed to improve the translation potential to clinical trials. Monte Carlo based radiation transport simulations are the gold standard to calculate the absorbed dose distribution in external beam radiotherapy. However, these simulations are notorious for their long computation time, causing a bottleneck in the workflow. Previous studies have used deep learning models to speed up these simulations for clinical megavolt (MV) beams. For kV beams, dose distributions are more affected by tissue type than for MV beams, leading to steep dose gradients. This study aims to speed up preclinical kV dose simulations by proposing a novel deep learning pipeline. Approach. A deep learning model is proposed that denoises low precision (∼106 simulated particles) dose distributions to produce high precision (109 simulated particles) dose distributions. To effectively denoise the steep dose gradients in preclinical kV dose distributions, the model uses the novel approach to use the low precision Monte Carlo dose calculation as well as the Monte Carlo uncertainty (MCU) map and the mass density map as additional input channels. The model was trained on a large synthetic dataset and tested on a real dataset with a different data distribution. To keep model inference time to a minimum, a novel method for inference optimization was developed as well. Main results. The proposed model provides dose distributions which achieve a median gamma pass rate (3%/0.3 mm) of 98% with a lower bound of 95% when compared to the high precision Monte Carlo dose distributions from the test set, which represents a different dataset distribution than the training set. Using the proposed model together with the novel inference optimization method, the total computation time was reduced from approximately 45 min to less than six seconds on average. Significance. This study presents the first model that can denoise preclinical kV instead of clinical MV Monte Carlo dose distributions. This was achieved by using the MCU and mass density maps as additional model inputs. Additionally, this study shows that training such a model on a synthetic dataset is not only a viable option, but even increases the generalization of the model compared to training on real data due to the sheer size and variety of the synthetic dataset. The application of this model will enable speeding up treatment plan optimization in the preclinical workflow.

Comparison of the microbicidal effectiveness of 150 kV x-rays and cobalt-60 gamma rays

The radiation response, quantified by the dose-log survival curve, of spores of Bacillus pumilus subjected to irradiation in a 150 kV x-ray beam was examined and compared with the response obtained by irradiation in a reference cobalt-60 beam. The spores were irradiated at doses ranging from 2 kGy to 11 kGy. The response was the same for both beam qualities within measurement uncertainties. Combining these findings with our previously published data, the radiation resistance of B. pumilus spores is determined to be independent of beam quality for low and high energy x-rays, low and high energy electron beams, and cobalt-60 gamma beams.

An evaluation of solid state detectors for the relative dosimetry of kilovoltage X-ray beams.

Kilovoltage (kV) X-ray beams are an essential modality in radiotherapy. Solid state detectors are widely available in radiotherapy departments, but their use for kV dosimetry has been limited to date. This study aimed to evaluate the dosimetric performance of a range of solid state detectors for kV dosimetry. Percentage depth doses (PDDs) and relative output factors (ROFs) were measured on an XStrahl 300 unit (XStrahl-Ltd., UK) using 60, 100, 150, and 300 kVp X-ray beams. The fields were defined by circular applicators with field sizes of 2, 5, 8, and 10 cm diameter and square applicators of field sizes 10 × 10 and 20 × 20 cm2 . The following Physikalisch-Technische Werkstätten (PTW) dosimeters were used for measurements: Advanced Markus, PinPoint 3D and Semiflex ionization chambers; photon, electron, and stereotactic radiosurgery (SRS) diodes plus the microDiamond detector. All PDDs were normalized at 5mm depth, and ROFs were measured at 3mm depth to avoid collisions with the end of the applicators. ROFs measured using chambers were corrected for polarity and ion-recombination effects. PDD measurements for 60, 100, and 150 kVp beams exhibited good agreement between all diodes and the ionization chambers over the entire range of depths except in the first few millimeters near the surface. However, for the 300 kVp, all diode detectors exhibited an overresponding behavior compared to reference depth dose data measured with the Advanced Markus chamber. ROFs with the diodes were higher than the Advanced Markus chamber at low energy, and the magnitude of these differences is inversely proportional to the field sizes. The PTW P diode showed the highest variation of up to 15% in the output factor compared to the Advanced Markus chamber. This study evaluated the dosimetric performance of a range of solid state detectors in kV relative dosimetry. This study showed that diode detectors are a suitable replacement for ionization chambers for the PDD measurement of low energy kV beams (60-150 kVp) except for the PDD of 60 kVp with the smaller field sizes. However, an overresponding behavior of diode detectors at 300 kVp beams shows that diode detectors are not suitable for the PDD measurement of high energy kV beams. Generally, all solid state detectors overresponded to ROF measurements, indicating that it is not suitable for ROF measurements. In general, both shielded and unshielded diodes produced a similar dosimetric response, which demonstrates that the energy dependence of solid state detectors should be considered before they are used for any kV relative dosimetric measurements.

Study of X-ray Beam Quality and Contrast-to-Noise Ratio of Lung Nodules in Chest FPD Radiography: Monte Carlo Simulation Using Chest Model Phantom

Contrast-to-noise ratio (CNR) of four X-ray beams (90 kV with 0.15-mm Cu filter, 90 kV with 0.2-mm Cu filter, 120 kV without filter and 120 kV with 0.2-mm Cu filter) in CsI-flat panel detector (FPD) radiography for lung cancer diagnosis was investigated using Monte Carlo simulation. Two billion photons were injected to the chest phantom model (width: 300 mm, length: 300 mm, thickness: 200 mm) with imitated lung nodules (10 mm diameter, CT value: +30 Hounsfield unit (HU), -375 HU, and -620 HU). Individual primary and secondary photon's process (absorption, scattering and penetration) in the phantom and CsI-detector was recorded by Monte Carlo simulation. CNR was calculated using primary and secondary absorbed photon's number in the CsI-detector. CNR of 90 kV X-ray beam with 0.15 mm and 0.2 mm Cu filters was higher to 120 kV X-ray beam because of higher primary object contrast and photon's contribution, and high photon's absorption to CsI. By Monte Carlo calculation, it was verified that 90 kV X-ray beam with 0.15 mm and 0.2 mm Cu filters yielded higher CNR to 120 kV X-ray beam.

Polycrystalline Formamidinium Lead Bromide X-ray Detectors

We have investigated the performance of formamidinium lead bromide (FAPbBr3) perovskite X-ray detectors fabricated from polycrystalline material that is pressed into a pellet at high pressures. FAPbBr3 has been shown to exhibit a remarkable combination of electrical and physical properties, such that mechanically-formed polycrystalline pellets exhibit good charge transport properties suitable for use as X-ray detectors. We characterise the morphology and structure of FAPbBr3 pellets using photoluminescence (PL), electron microscopy (SEM) and X-ray diffraction (XRD), and demonstrate an improvement in the microstructure, density, and charge transport performance of the material as the pressure is increased from 12 MPa to 124 MPa. The use of annealing of the pellets after pressing also improves the stability and charge transport performance of the devices. Using a 40 kV X-ray beam, a maximum X-ray sensitivity of 169 µC Gy−1 cm−2 was measured, and the fast time response of the devices was demonstrated using a chopped X-ray beam.

Monte Carlo simulations and phantom validation of low-dose radiotherapy to the lungs using an interventional radiology C-arm fluoroscope.

To use MC simulations and phantom measurements to investigate the dosimetry of a kilovoltage x-ray beam from an IR fluoroscope to deliver low-dose (0.3-1.0Gy) radiotherapy to the lungs. PENELOPE was used to model a 125kV, 5.94mm Al HVL x-ray beam produced by a fluoroscope. The model was validated through depth-dose, in-plane/cross-plane profiles and absorbed dose at 2.5-, 5.1-, 10.2- and 15.2-cm depths against the measured beam in an acrylic phantom. CT images of an anthropomorphic phantom thorax/lungs were used to simulate 0.5Gy dose distributions for PA, AP/PA, 3-field and 4-field treatments. DVHs were generated to assess the dose to the lungs and nearby organs. Gafchromic film was used to measure doses in the phantom exposed to PA and 4-field treatments, and compared to the MC simulations. Depth-dose and profile results were within 3.2% and 7.8% of the MC data uncertainty, respectively, while dose gamma analysis ranged from 0.7 to 1.0. Mean dose to the lungs were 1.1-, 0.8-, 0.9-, and 0.8- Gy for the PA, AP/PA, 3-field, and 4-field after isodose normalization to cover∼95% of each lung volume. Skin dose toxicity was highest for the PA and lowest for the 4-field, and both arrangements successfully delivered the treatment on the phantom. However, the dose distribution for the PA was highly non-uniform and produced skin doses up to 4Gy. The dose distribution for the 4-field produced a uniform 0.6Gy dose throughout the lungs, with a maximum dose of 0.73Gy. The average percent difference between experimental and Monte Carlo values were -0.1% (range -3% to +4%) for the PA treatment and 0.3% (range -10.3% to +15.2%) for the 4-field treatment. A 125kV x-ray beam from an IR fluoroscope delivered through two or more fields can deliver an effective low-dose radiotherapy treatment to the lungs. The 4-field arrangement not only provides an effective treatment, but also significant dose sparing to healthy organs, including skin, compared to the PA treatment. Use of fluoroscopy appears to be a viable alternative to megavoltage radiation therapy equipment for delivering low-dose radiotherapy to the lungs.

Spectral reconstruction of kilovoltage photon beams using generalized simulated annealing

To unfold the energy spectrum of two kilovoltage (kV) X-ray beams from transmission curves through a mathematical methodology based on Laplace transform and the generalized simulated annealing algorithm. Energy spectra of photon beams and transmission data were associated by means of a mathematical expression derived from the analytical solution of Laplace transform. Transmission data was calculated by relating the air kerma of the attenuated beams, passing through aluminium plates of different thickness, to that of the non-attenuated beam. Generalized simulated annealing function, developed in an early work, was employed to find the parameters of the expression and so determine the spectra. Validation of the methodology was done by the comparison of the half-value layers obtained from transmission curves and the spectra. The mean square percentage error between transmission data and fitting curve of each spectrum defined from the parameters found was lower than 1% indicating a good adjustment. The same error was observed when the first half-value layer (HVL) from the transmission curves and those of each reconstructed spectrum were compared. Calculation time of parameters was 5 sec for 80 kV and 14 sec for 120 kV. In no case, non-realistic solution of energy spectra was obtained. These results were better than an early work where least-squares were used. The reconstruction methodology based on generalized simulated annealing employed in this manuscript can efficiently derive the spectra of two X-ray beams with comparable accuracy to previous work. A limitation is that validation was not done by comparing data with the equipment’s spectra.

Geometrical effects on luminescent dosimeter energy response

Luminescent dosimeters are widely used in medical applications. For an optimal use of these dosimeters, comparative studies of their characteristics, under clinical radiations, are very useful. The purpose of this study is to establish the effect of dosimeter geometry on the luminescent dosimeter energy response for different clinical radiation beams. Monte Carlo simulations were used to calculate the energy response of three kinds of non-commercialized luminescent dosimeters. The dosimeters are: a) radiophotoluminescent glass dosimeter (RPLGD, typeFD-7 glass), b) thermoluminescent dosimeter (TLD, type LiF:Mg,Ti) and c) optically stimulated dosimeter (OSLD, type Al2O3:C).The studied dosimeters have cylindrical geometry with a thickness of 2mm and diameters ranging from 1 to 13 mm. The radiation beams were 70 kV X-ray beam, clinical photon beam of 15 MV and clinical electron beam of 9 MeV. This study confirms a non-negligible effect on the dosimeter geometry on its energy response for these beams.

Breast radiotherapy with kilovoltage photons and gold nanoparticles as radiosensitizer: An in vitro study.

PurposeWe investigated the dose enhancement and internalization of gold nanoparticles (AuNPs) used as a radiosensitizer agent for rotational radiotherapy of breast cancer using a kilovoltage (kV) X‐ray beam.MethodsHuman breast cancer cells MDA‐MB‐231 were incubated with or without 100 μg/mL (4.87 nM) or 200 μg/mL (9.74 nM) 15 nm AuNPs and irradiated with 100 kV, 190 kV, or 6 MV X‐rays. To assess the toxicity of the AuNPs, we performed a Sulforhodamine B assay. Using atomic absorption spectroscopy, scanning electron microscopy, transmission electron microscopy, and time‐lapse optical microscopy (rate of 2 frames per minute), we carried out a quantitative assessment of the amount of gold internalized by MDA‐MB‐231 cells and a characterization of the static and dynamical aspects of this internalization process.ResultsNo effect of AuNPs alone was shown on cell viability. Time‐lapse optical microscopy showed for the first time AuNPs cellular uptake and the dynamics of AuNPs internalization. Electron microscopy demonstrated AuNPs localization in endosomal vesicles, preferentially in the perinuclear region. After irradiation at doses up to 2 Gy, cell survival fraction curves showed increased mortality with AuNPs, with respect to irradiation without AuNPs. The highest effect of radioenhancement by AuNPs (at 9.74 nM AuNPs concentration) was observed at 190 kV showing a dose enhancement factor of 1.33 ± 0.06 (1.34 ± 0.02 at 100 kV), while at 6 MV it was 1.14 ± 0.06.ConclusionsThe observed radio‐sensitization effect is promising for future radio‐enhanced kV radiotherapy of breast cancer and quantitatively in the order of previous observations for 15 nm AuNPs. These results of a significant dose enhancement were obtained at 15 nm AuNPs concentration as low as several nanomolar units, at dose levels typical of a single dose fraction in a radiotherapy session. Dynamical behavior of the 3D spatial distribution of 15 nm AuNPs outside the nucleus of single breast cancer cell was observed, with possible implications for future models of AuNPs sensitization.

FastCAT: Fast cone beam CT (CBCT) simulation.

To develop fastCAT, a fast cone-beam computed tomography (CBCT) simulator. fastCAT uses pre-calculated Monte Carlo (MC) CBCT phantom-specific scatter and detector response functions to reduce simulation time for megavoltage (MV) and kilovoltage (kV) CBCT imaging. Pre-calculated x-ray beam energy spectra, detector optical spread functions and energy deposition, and phantom scatter kernels are combined with GPU raytracing to produce CBCT volumes. MV x-ray beam spectra are simulated with EGSnrc for 2.5- and 6MeV electron beams incident on a variety of target materials and kV x-ray beam spectra are calculated analytically for an x-ray tube with a tungsten anode. Detectors were modeled in Geant4 extended by Topas and included optical transport in the scintillators. Two MV detectors were modeled-a standard Varian AS1200 GOS detector and a novel CWO high detective quantum efficiency detector. A kV CsI detector was also modeled. Energy-dependent scatter kernels were created in Topas for two 16cm diameter phantoms: A Catphan 515 contrast phantom and an anthropomorphic head phantom. The Catphan phantom contained inserts of 1-5mm in diameter of six different tissue types: brain, deflated lung, compact and cortical bone, adipose, and B-100. fastCAT simulations retain high fidelity to measurements and MC simulations: MTF curves were within 3.5% and 1.2% of measured values for the CWO and GOS detectors, respectively. HU values and CNR in a fastCAT Catphan 515 simulation were seen to be within 95% confidence intervals of an equivalent MC simulation for all of the tissues with root mean squared errors less than 16 HU and 1.6 in HU values and CNR comparisons, respectively. The anthropomorphic head phantom CWO detector CBCT image resulted in much higher tissue contrast and lower noise compared to the GOS detector CBCT image. A fastCAT simulation of the Catphan 515 module with an image size of 1024 1024 10 voxels took 61s on a GPU while the equivalent Topas MC was estimated to take more than 0.3CPU years. We present an open source fast CBCT simulation with high fidelity to MC simulations. The fastCAT python package can be found at https://github.com/jerichooconnell/fastCAT.git.

Changes of KRISS primary standards by implementing ICRU 90 recommendation

The International Commission of Radiation Units and Measurements (ICRU) published report No. 90 (i.e., Key Data for Ionizing Radiation Dosimetry: Measurement Standards and Applications) in 2016. The present study explores the impact of ICRU 90 on the primary standards of the Korea Research Institute of Standards and Science (KRISS). To this end, first, two new correction factors (kii and kw) for the free-air ionization chambers were introduced; it influences the standards related to kV X-ray beams. The new correction factors were calculated by simulating the initial electrons’ generations using the GEANT4 code. The second recommendation considered was for changes in the mean excitation energies of graphite and water, and the use of the crystalline density of graphite in the stopping power evaluation. These recommendations should be adopted for the graphite-walled cavity chamber and graphite calorimeter, which are the primary standards of the KRISS for air kerma in gamma rays and absorbed dose to water in high-energy photons, respectively. EGSnrc code-based evaluations of the electron stopping-power ratios for gamma rays were performed for the KRISS graphite-walled cavity chamber. Regarding graphite calorimetry in high-energy photon beams, the recommendations on graphite and water have been studied and presented in a previous paper. The third consideration is the recommendation for increasing uncertainty of the mean energy of electrons expended in dry air per ion pair production, $${\left(W/e\right)}_{\mathrm{air}}$$ , from 0.15% to 0.35%. The impact of the increased uncertainty under the conditions of the use of the existing components was summarized, together with the overall changes to the KRISS primary standards related to air kerma. Consequently, the difference between the products of the calculated kii and kW for the free-air ionization chamber standard and the corresponding values given in the ICRU 90 report was less than 0.10% for mono-energetic photons in the range of 1–400 keV. Regarding the X-ray beams recommended by the Consultative Committee for Ionizing Radiation (CCRI), the calculated correction factors deviated from those of the Bureau International des Poids et Mesures (BIPM) standards by 0.03%. In the case of the graphite-walled cavity chamber, changes of 0.65–0.77% were observed for the gamma-ray air kerma standards. The observed changes were reasonable, considering that similar changes were found in those reported by other research groups. Regarding the combined uncertainties, the uncertainties for the air kerma primary standards increased up to approximately 0.40%, primarily because of $${\left(W/e\right)}_{air}$$ . The changes to the KRISS primary standards that were observed in the present study will be adopted for the measurements performed since 2021.

Depth-dose measurement corrections for the surface electronic brachytherapy beams of an Esteya® unit: a Monte Carlo study

Three different correction factors for measurements with the parallel-plate ionization chamber PTW T34013 on the Esteya electronic brachytherapy unit have been investigated. This chamber type is recommended by AAPM TG-253 for depth-dose measurements in the 69.5 kV x-ray beam generated by the Esteya unit.Monte Carlo simulations using the PENELOPE-2018 system were performed to determine the absorbed dose deposited in water and in the chamber sensitive volume at different depths with a Type A uncertainty smaller than 0.1%. Chamber-to-chamber differences have been explored performing measurements using three different chambers. The range of conical applicators available, from 10 to 30 mm in diameter, has been explored.Using a depth-independent global chamber perturbation correction factor without a shift of the effective point of measurement yielded differences between the absorbed dose to water and the corrected absorbed dose in the sensitive volume of the chamber of up to 1% and 0.6% for the 10 mm and 30 mm applicators, respectively. Calculations using a depth-dependent perturbation factor, including or excluding a shift of the effective point of measurement, resulted in depth-dose differences of about ± 0.5% or less for both applicators. The smallest depth-dose differences were obtained when a shift of the effective point of measurement was implemented, being displaced 0.4 mm towards the center of the sensitive volume of the chamber. The correction factors were obtained with combined uncertainties of 0.4% (k = 2). Uncertainties due to chamber-to-chamber differences are found to be lower than 2%.The results emphasize the relevance of carrying out detailed Monte Carlo studies for each electronic brachytherapy device and ionization chamber used for its dosimetry.

PO-1334: Feasibility of the kQQ0 formalism for Farmertype chambers in medium-energy kV x-ray beams

PO-1334: Feasibility of the kQQ0 formalism for Farmertype chambers in medium-energy kV x-ray beams

RBE variation in prostate carcinoma cells in active scanning proton beams: In-vitro measurements in comparison with phenomenological models.

In-vitro radiobiological studies are essential for modelling the relative biological effectiveness (RBE) in proton therapy. The purpose of this study was to experimentally determine the RBE values in proton beams along the beam path for human prostate carcinoma cells (Du-145). RBE-dose and RBE-LETd (dose-averaged linear energy transfer) dependencies were investigated and three phenomenological RBE models, i.e. McNamara, Rørvik and Wilkens were benchmarked for this cell line. Cells were placed at multiple positions along the beam path, employing an in-house developed solid phantom. The experimental setup reflected the clinical prostate treatment scenario in terms of field size, depth, and required proton energies (127.2-180.1MeV) and the physical doses from 0.5 to 6Gy were delivered. The reference irradiation was performed with 200kV X-ray beams. Respective (α/β) values were determined using the linear quadratic model and LETd was derived from the treatment planning system at the exact location of cells. Independent of the cell survival level, all experimental RBE values were consistently higher in the target than the generic clinical RBE value of 1.1; with the lowest RBE value of 1.28 obtained at the beginning of the SOBP. A systematic RBE decrease with increasing dose was observed for the investigated dose range. The RBE values from all three applied models were considerably smaller than the experimental values. A clear increase of experimental RBE values with LETd parameter suggests that proton LET must be taken into consideration for this low (α/β) tissue.

Characterization of the PTW-34089 type 147 mm diameter large-area ionization chamber for use in light-ion beams

A newly-designed large-area plane-parallel ionization chamber (of type PTW 34089), denoted BPC150, with a nominal active volume diameter of 147 mm is characterized in this study. Such chambers exhibit benefits compared to smaller chambers in the field of scanned light-ion beam dosimetry because they capture a larger fraction of the laterally-spread beam fragments and ease positioning with respect to small fields. The chamber was characterized in 60Co, 200 kV x-ray, proton and carbon ion beams. The chamber-specific beam-quality correction factor kQ,Q0 was determined. To investigate the homogeneity of the chamber’s response, a radial response map was acquired. An edge correction was applied when the proton beam only partly impinged on the chamber’s active surface. The measured response map showed that the response in the chamber’s center is 3% lower than the average response over the total active area. Furthermore, percentage depth dose (PDD) curves in carbon ions were acquired and compared to those obtained with smaller-diameter chambers (i.e. 81.6 mm and 39.6 mm) as well as with results from Monte Carlo simulations. The measured absorbed dose to water cross calibration coefficients resulted in a kQ,Q0 of 0.981 ± 0.020. Regarding carbon ion PDD curves, relative differences between the BPC150 and smaller chambers were observed, especially for higher energies and in the fragmentation tail. These differences reached 10%–22% in the fragmentation tail (compared to the 81.6 mm diameter chamber). Differences increased when comparing to a chamber with 39.6 mm diameter. The provided results characterize the BPC150 thoroughly for usage in scanned light-ion beam dosimetry and demonstrate its advantage of capturing a larger fraction of the laterally-integrated dose in the fragmentation tail.