In order to investigate suspected fluctuations in dose rate to the rectum and/or bladder of patients during uterocervical radium therapy, it was desired to make continuous intracavitary recordings in both locations. A number of commercially produced radiation-monitoring instruments with probes slender enough for transurethral insertion were available, but in general they are so handicapped by rigid construction and the weight of attached apparatus that their use would appear likely to introduce considerable anatomical distortion. Some in vivo measurements have also been made with the miniature Sievert type condenser ion chambers, phosphor glass microdosimeter needles, and lithium fluoride thermoluminescent detectors. In most cases such technics have yielded a fair degree of agreement with the theoretically calculated values, but since all are inherently integrating methods they were not suitable for registering the postulated variations of dose rate with time. A continuously recording ratemeter with a detecting probe of a maximum diameter of not more than a few millimeters and sufficiently light and flexible to avoid any mechanical displacement of the surrounding organs seems to be essential for adequate evaluation of this phenomenon. It was therefore decided to undertake modification of equipment already on hand in this laboratory, to permit incorporation of the features considered most important. The Curtis Nuclear Corporation's “Probitron” (Fig. 1) is a scintillation type detector-ratemeter with six-decade ranges of dose-rate sensitivity, with additional adjustments for empirical calibration and background suppression. Recorder operation is provided through a plug connector. The radiation-sensing element is a plastic phosphor, located in the aluminum-capped tip of a cylindrical stainless-steel probe approximately 17 cm long. Light excited by the incident gamma radiation is conducted via a solid Lucite “light pipe” through the central axis of the probe to an attached photomultiplier tube, where it is converted to an electrical analog signal. Connections from the photomultiplier to the main amplifier chassis, and from thence to the recorder, are by shielded coaxial cables. Three interchangeable probes were originally provided: one straight cylinder with a nominal diameter of 1/4 inch (6.4 mm); and two of smaller gauge, one straight and the other with a 45° angulated tip, each 1/8 inch (3.2 mm) in diameter. The probe to be used is secured in a socket fitting, near one end of and perpendicular to the axis of the photomultiplier housing, by means of a threaded metal collar. In the left lower foreground of Figure 1, the larger probe is shown attached ready for use, with the two smaller versions lying on either side of it. It is apparently intended that the photomultiplier housing, which has a diameter of slightly more than 5 cm and a length of 18 cm, be held in a sort of pistol grip technic while measurements are made.
Read full abstract