Transverse Dose Distributions Research Articles

Development of all-in-one phantom dosimeter to measure multidimensional dose distribution for 60Co radiotherapy unit

In this study, we used square-type organic scintillating fibers and polymethyl methacrylate phantoms to develop an all-in-one phantom dosimeter measure the multidimensional dose distributions for a 60Co radiotherapy source. Multidimensional dose distributions, which include the transverse, depth, and surface dose distributions, can be obtained by measuring scintillating light simultaneously in real time. An additional phantom for quality assurance before radiotherapy is not required because square-type organic scintillating fibers are directly inserted into the polymethyl methacrylate phantom. Multidimensional dose distributions can also be measured simultaneously by changing the arrangement of one-dimensional phantom dosimeters, which are very thin and can be stacked, similar to books placed on a shelf. Therefore, the proposed dosimeter can be applied as an all-in-one phantom dosimeter with a variable structure that can respond to changes in various radiotherapy treatment environments. Through experiments, the multidimensional dose distributions for the 60Co radiotherapy unit were measured to evaluate the performance of the proposed all-in-one phantom dosimeter. The results were compared and evaluated using external beam therapy films and Monte Carlo simulations. Based on the results of this study, significant time is expected to be saved during dose measurements for quality assurance in radiotherapy, as simultaneous measurements can yield multidimensional data on the transverse, depth and surface dose distributions in real time.

A GATE/Geant4 beam model for the MedAustron non-isocentric proton treatment plans quality assurance

PurposeTo present a reference Monte Carlo (MC) beam model developed in GATE/Geant4 for the MedAustron fixed beam line. The proposed model includes an absolute dose calibration in Dose-Area-Product (DAP) and it has been validated within clinical tolerances for non-isocentric treatments as routinely performed at MedAustron. Material and MethodsThe proton beam model was parametrized at the nozzle entrance considering optic and energy properties of the pencil beam. The calibration in terms of absorbed dose to water was performed exploiting the relationship between number of particles and DAP by mean of a recent formalism. Typical longitudinal dose distribution parameters (range, distal penumbra and modulation) and transverse dose distribution parameters (spot sizes, field sizes and lateral penumbra) were evaluated. The model was validated in water, considering regular-shaped dose distribution as well as clinical plans delivered in non-isocentric conditions. ResultsSimulated parameters agree with measurements within the clinical requirements at different air gaps. The agreement of distal and longitudinal dose distribution parameters is mostly better than 1 mm. The dose difference in reference conditions and for 3D dose delivery in water is within 0.5% and 1.2%, respectively. Clinical plans were reproduced within 3%. ConclusionA full nozzle beam model for active scanning proton pencil beam is described using GATE/Geant4. Absolute dose calibration based on DAP formalism was implemented. The beam model is fully validated in water over a wide range of clinical scenarios and will be inserted as a reference tool for research and for independent dose calculation in the clinical routine.

Experimental validation of magnetically focused proton beams for radiosurgery

We performed experiments using a triplet of quadrupole permanent magnets to focus protons and compared their dose distributions with unfocused collimated beams using energies and field sizes typically employed in proton radiosurgery. Experiments were performed in a clinical treatment room wherein small-diameter proton beams were focused by a magnet triplet placed immediately upstream of a water tank. The magnets consisted of segments of Sm2Co17 rare-earth permanent magnetic material adhered into Halbach cylinders with nominal field gradients of 100, 150, 200, and 250 T m−1. Unmodulated beams with initial diameters of 3 mm–20 mm were delivered using a single scattering system with nominal energies of 127 and 157 MeV (respective ranges of ~10 cm and 15 cm in water), commonly used for proton radiosurgery at our institution. For comparison, small-diameter unfocused collimated beams were similarly delivered. Transverse and depth dose distributions were measured using radiochromic film and a diode detector, respectively, and compared between the focused and unfocused beams (UNF). The focused beams produced low-eccentricity beam spots (defined by the 80% dose contour) at Bragg depth, with full width at 80% maximum dose values ranging from 3.8 to 7.6 mm. When initial focused beam diameters were larger than matching unfocused diameters (19 of 29 cases), the focused beams peak-to-entrance dose ratios were 13% to 73% larger than UNF. In addition, in 17 of these cases the efficiency of dose delivery to the target was 1.3× to 3.3× larger. Both peak-to-entrance dose ratios and efficiency tended to increase with initial beam diameter, while efficiency also tended to increase with magnet gradient. These experimental results are consistent with our previous Monte Carlo (MC) studies and suggest that a triplet of quadrupole Halbach cylinders could be clinically useful for irradiating small-field radiosurgical targets with fewer beams, lower entrance dose, and shorter treatment times.

Scintillating fiber phantom dosimeter to measure real-time dose distribution of Co-60 teletherapy source

In this study, we developed a scintillating fiber phantom dosimeter (SFPD) that can measure the transverse and longitudinal dose distributions of a Co-60 teletherapy source. The SFPD system is composed of organic scintillating fibers, polymethyl methacrylate (PMMA) phantoms, and a complementary metal–oxide–semiconductor (CMOS) sensor camera. When the phantom dosimeter is irradiated with gamma rays from a Co-60 teletherapy source, scintillating lights are emitted from the scintillating fibers inserted in the phantom dosimeter. The scintillating images are measured using a CMOS camera in real time and analyzed using an image processing program. The proposed phantom dosimeter has many advantages such as real-time measurement, easy calibration, and immunity to electromagnetic interference. In addition, it can measure complex dose distributions more precisely, because it has a high spatial resolution due to the small size of organic scintillating fibers. To evaluate the performance of the proposed phantom dosimeter, transverse and longitudinal dose distributions are measured using the CMOS sensor camera. Dose distributions are measured according to the field sizes and compared to the results obtained using an EBT3 film and MCNPX calculations.

Monte Carlo evaluation of magnetically focused proton beams for radiosurgery

The purpose of this project is to investigate the advantages in dose distribution and delivery of proton beams focused by a triplet of quadrupole magnets in the context of potential radiosurgery treatments. Monte Carlo simulations were performed using various configurations of three quadrupole magnets located immediately upstream of a water phantom. Magnet parameters were selected to match what can be commercially manufactured as assemblies of rare-earth permanent magnetic materials. Focused unmodulated proton beams with a range of ~10 cm in water were target matched with passive collimated beams (the current beam delivery method for proton radiosurgery) and properties of transverse dose, depth dose and volumetric dose distributions were compared. Magnetically focused beams delivered beam spots of low eccentricity to Bragg peak depth with full widths at the 90% reference dose contour from ~2.5 to 5 mm. When focused initial beam diameters were larger than matching unfocused beams (10 of 11 cases) the focused beams showed 16%–83% larger peak-to-entrance dose ratios and 1.3 to 3.4-fold increases in dose delivery efficiency. Peak-to-entrance and efficiency benefits tended to increase with larger magnet gradients and larger initial diameter focused beams. Finally, it was observed that focusing tended to shift dose in the water phantom volume from the 80%–20% dose range to below 20% of reference dose, compared to unfocused beams. We conclude that focusing proton beams immediately upstream from tissue entry using permanent magnet assemblies can produce beams with larger peak-to-entrance dose ratios and increased dose delivery efficiencies. Such beams could potentially be used in the clinic to irradiate small-field radiosurgical targets with fewer beams, lower entrance dose and shorter treatment times.

TU‐H‐CAMPUS‐TeP1‐03: Magnetically Focused Proton Irradiation of Small Volume Radiosurgery Targets

Purpose:To investigate the use of magnetic focusing for small volume proton radiosurgery targets using a triplet combination of quadrupole rare earth permanent magnet Halbach cylinder assembliesMethods:Fourteen quadrupole magnets consisting of 24 segments of radiation hard samarium‐cobalt adhered into k=3 Halbach cylinders with various field gradients (100 to 250 T/m) were designed and manufactured. Triplet combinations of the magnets were placed on a positioning track on our Gantry 1 treatment table. Unmodulated 127 MeV proton beams with initial diameters of 3 to 20 mm were delivered to a water tank using single‐stage scattering. Depth and transverse dose distributions were measured using a PTW PR60020 diode detector and EBT3 film, respectively. This data was compared with unfocused passively collimated beams. Monte Carlo simulations were also performed ‐ both for comparison with experimental data and to further investigate the potential of triplet magnetic focusing.Results:Experimental results using 150 T/m gradient magnets and 15 to 20 mm initial diameter beams show peak to entrance dose ratios that are ∼ 43 to 48 % larger compared with spot size matched 8 mm collimated beams (ie, transverse profile full‐widths at 90% maximum dose match within 0.5 mm of focused beams). In addition, the focusing beams were ∼ 3 to 4.4 times more efficient per MU in dose to target delivery. Additional results using different magnet combinations will also be presented.Conclusion:Our results suggest that triplet magnetic focusing could reduce entrance dose and beam number while delivering dose to small (∼≤ 10 mm diameter) radiosurgery targets in less time compared to unfocused beams. Immediate clinical applications include those associated with proton radiosurgery and functional radiosurgery of the brain and spine, however other treatment sites can be also envisioned.This project was sponsored with funding from the Department of Defense (DOD# W81XWH‐BAA‐10‐1).

TH‐CD‐209‐07: Preliminary Experimental Comparison of Spot‐ and Continuous Line Scanning with Or Without Rescanning for Gated Proton Therapy

Purpose:We aim to compare the performance of discrete spot‐ or continuous line scanning combined with rescanning in mitigating residual organ motion during gated proton therapy treatments.Methods:The Quasar respiratory phantom was used to move a 2D scintillation detector on a linear trajectory with sinusoidal motion pattern (sin4), 20 mm peak‐to‐peak amplitude and 5 sec period. Its motion was monitored using a customized solution based on optical tracking technology. We compared spot and line scanning plans for a monoenergetic 150 MeV circular field, 50.4 mm radius at isocenter. Transverse dose distributions at 13 cm depth in PMMA (15.47 mm water equivalent) were measured to compare three options for motion mitigation: rescanning (10× factor), gating and their combination. The gating window was centered in the trajectory plateau to simulate end‐exhale gated treatment in presence of 2 mm and 4 mm residual motion, parallel or perpendicular to the primary scanning direction.Results:When the target moves perpendicular to the primary scanning direction, large dose deviations are measured (γ3%/3mm=47%) without mitigation techniques. Beam gating combined with rescanning restores target coverage (γ3%/3mm=91%). For parallel target motion, observed dose distortions in the non‐compensated irradiation are smaller (γ3%/3mm=77%). Beam gating alone recovers the 100% gamma pass‐rate at 3%/3mm. Continuous line scanning reduces delivery time by up to 60% with respect to discrete spot scanning in presence of motion mitigation, and improves homogeneity when rescanning is applied (up to 20%, perpendicular motion, 4 mm residual motion).Conclusion:The direction of motion has a large impact on the target dose coverage. Nevertheless, even in the worst case scenario, gating combined with rescanning could mitigate the impact of motion on dose deposition. Moreover, continuous line rescanning improves the robustness against residual motion in the gating window.This study has received funding from the European Community's Seventh Framework Programme (FP7/2007–2013) under grant agreement n.290605 (PSI‐FELLOW/COFUND) and ‘Giuliana and Giorgio Stefanini Foundation’

A portable secondary dose monitoring system using scintillating fibers for proton therapy of prostate cancer: A Geant4 Monte Carlo simulation study

Purpose: The main purpose of this study was to monitor the secondary dose distribution originating from a water phantom during proton therapy of prostate cancer using scintillating fibers. Methods: The Geant4 Monte Carlo toolkit version 9.6.p02 was used to simulate a proton therapy of prostate cancer. Two cases were studied. In the first case, 8 × 8 = 64 equally spaced fibers inside three 4 × 4 × 2.54 cm 3 Delrin® blocks were used to monitor the emission of secondary particles in the transverse (left and right) and distal regions relative to the beam direction. In the second case, a scintillating block with a thickness of 2.54 cm and equal vertical and longitudinal dimensions as the water phantom was used. Geometrical cuts were implemented to extract the energy deposited in each fiber and inside the scintillating block. Results: The transverse dose distributions from the detected secondary particles in both cases are symmetric and agree to within <3.6%. The energy deposited gradually increases as one moves from the peripheral row of fibers towards the center of the block (aligned with the center of the prostate) by a factor of approximately 5. The energy deposited was also observed to decrease as one goes from the frontal to distal region of the block. The ratio of the energy deposited in the prostate to the energy deposited in the middle two rows of fibers showed a linear relationship with a slope of (-3.55±2.26) × 10 -5 MeV per treatment Gy delivered. The distal detectors recorded a negligible amount of energy deposited due to higher attenuation of the secondary particles by the water in that direction. Conclusion: With a good calibration and with the ability to define a good correlation between the radiation flux recorded by the external fibers and the dose delivered to the prostate, such fibers can be used for real time dose verification to the target. The system was also observed to respond to the series of Bragg Peaks used to generate the Spread Out Bragg Peak inside the water phantom. Such Bragg Peaks were detected by the fibers. The energy deposited inside the lateral blocks were also observed to decrease as one goes away from the beam nozzle due to increased attenuation.

SU‐E‐T‐290: Secondary Dose Monitoring Using Scintillating Fibers in Proton Therapy of Prostate Cancer: A Geant4 Monte Carlo Simulation

Purpose:To monitor the secondary dose distribution originating from a water phantom during proton therapy of prostate cancer using scintillating fibers.Methods:The Geant4 Monte Carlo toolkit version 9.6.p02 was used to simulate prostate cancer proton therapy based treatments. Two cases were studied. In the first case, 8 × 8 = 64 equally spaced fibers inside three 4 × 4 × 2.54 cmm3 DuPont™ Delrin blocks were used to monitor the emission of secondary particles in the transverse (left and right) and distal regions relative to the beam direction. In the second case, a scintillating block with a thickness of 2.54 cm and equal vertical and longitudinal dimensions as the water phantom was used. Geometrical cuts were used to extract the energy deposited in each fiber and the scintillating block.Results:The transverse dose distributions from secondary particles in both cases agree within &lt;5% and with a very good symmetry. The energy deposited not only gradually increases as one moves from the peripheral row fibers towards the center of the block (aligned with the center of the prostate) but also decreases as one goes from the frontal to distal region of the block. The ratio of the doses from the prostate to the ones in the middle two rows of fibers showed a linear relationship with a slope (−3.55±2.26) × 10−5 MeV per treatment Gy. The distal detectors recorded a very small energy deposited due to water attenuation.Conclusion:With a good calibration and the ability to define a good correlation between the dose to the external fibers and the prostate, such fibers can be used for real time dose verification to the target.

Optimization of X-ray microplanar beam radiation therapy for deep-seated tumors by a simulation study.

A Monte Carlo simulation was applied to study the energy dependence on the transverse dose distribution of microplanar beam radiation therapy (MRT) for deep-seated tumors. The distribution was found to be the peak (in-beam) dose and the decay from the edge of the beam down to the valley. The area below the same valley dose level (valley region) was decreased with the increase in the energy of X-rays at the same beam separation. To optimize the MRT, we made the following two assumptions: the therapeutic gain may be attributed to the efficient recovery of normal tissue caused by the beam separation; and a key factor for the efficient recovery of normal tissue depends on the area size of the valley region. Based on these assumptions and the results of the simulated dose distribution, we concluded that the optimum X-ray energy was in the range of 100-300 keV depending on the effective peak dose to the target tumors and/or tolerable surface dose. In addition, we proposed parameters to be studied for the optimization of MRT to deep-seated tumors.

Integral T-Shaped Phantom-Dosimeter System to Measure Transverse and Longitudinal Dose Distributions Simultaneously for Stereotactic Radiosurgery Dosimetry

A T-shaped fiber-optic phantom-dosimeter system was developed using square scintillating optical fibers, a lens system, and a CMOS image camera. Images of scintillating light were used to simultaneously measure the transverse and longitudinal distributions of absorbed dose of a 6 MV photon beam with field sizes of 1 × 1 and 3 × 3 cm2. Each optical fiber has a very small sensitive volume and the sensitive material is water equivalent. This allows the measurements of cross-beam profile as well as the percentage depth dose of small field sizes. In the case of transverse dose distribution, the measured beam profiles were gradually become uneven and the beam edge had a gentle slope with increasing depth of the PMMA phantom. In addition, the maximum dose values of longitudinal dose distribution for 6 MV photon beam with field sizes of 1 × 1 and 3 × 3 cm2 were found to be at a depth of approximately 15 mm and the percentage depth dose of both field sizes were nearly in agreement at the skin dose level. Based on the results of this study, it is anticipated that an all-in-one phantom-dosimeter can be developed to accurately measure beam profiles and dose distribution in a small irradiation fields prior to carrying out stereotactic radiosurgery.

SU-E-T-478: TomoTherapy® with 180 Beam Angles Per Rotation for Small Target Off-Axis Treatment

Purpose: Investigate the effect of increasing the number of beam angles per rotation to treat small off-axis targets with helical tomotherapy. Methods: TomoTherapy® gantry rotates continuously although radiation beam angles are discretized in the optimization. At each projection angle, the leaf open/close pattern is assumed unchanged. However, for small off-axis targets, the beam motion within a projection (7 degree) may require substantial portion of leaves to open/close for better target conformity. An off-axis (17 cm) target of 1 cm diameter in a cheese phantom was used in the planning study. The plans were optimized with 180 and 51 beam angles with source super sampling and the results were compared. The optimization constraints are the same for the two plans. Measurements were taken for a plan with four cylindrical targets of 1 cm diameter located at different radii from the central axis along a line in a cheese phantom. The plan was optimized and delivered with 180 beam angles on a Hi-Art® system. An EDR2 film was placed in the plane lined up with the four targets to measure the transverse dose distribution. Ion chamber point measurements were taken near three targets of the four. Results: Compared to the plan with 51 beam angles, the plan with 180 angles showed a 70% decrease of (D2-D98) for target dose uniformity, a 27% decrease of D100 for OAR avoidance and a 12% decrease of beam-on time. The film measurement showed good agreement between calculation and measurement. The point dose measurements showed agreement within a 1.6% difference. Conclusions: Delivery with 180 beam angles can improve the plan quality for small off- axis targets over 51 beam angles with source super sampling. Both target dose uniformity and OAR avoidance are improved. The plan with 180 beam angles was delivered and the measurements agreed with the calculation.

Development of a facility for high-precision irradiation of cells with carbon ions

Compared to photons, using particle radiation in radiotherapy reduces the dose and irradiated volume of normal tissues, potentially reducing side effects. The biological effect of dose deposited by particles such as carbon ions, however, differs from that of dose deposited by photons. The inaccuracy in models to estimate the biological effects of particle radiation remains the most important source of uncertainties in particle therapy. Improving this requires high-precision studies on biological effects of particle radiation. Therefore, the authors aimed to develop a facility for reproducible and high-precision carbon-ion irradiation of cells in culture. The combined dose nonuniformity in the lateral and longitudinal direction should not exceed +/-1.5%. Dose to the cells from particles than other carbon ions should not exceed 5%. A uniform lateral dose distribution was realized using a single scatter foil and quadrupole magnets. A modulator wheel was used to create a uniform longitudinal dose distribution. The choice of beam energy and the optimal design of these components was determined using GEANT4 and SRIM Monte Carlo simulations. Verification of the uniformity of the dose distribution was performed using a scintillating screen (lateral) and a water phantom (longitudinal). The reproducibility of dose delivery between experiments was assessed by repeated measurements of the spatial dose distribution. Moreover, the reproducibility of dose-response measurements was tested by measuring the survival of irradiated HEK293 cells in three independent experiments. The relative contribution of dose from nuclear reaction fragments to the sample was found to be <5% when using 90 MeV/u carbon ions. This energy still allows accurate dosimetry conforming to the IAEA Report TRS-398, facilitating comparison to dose-effect data obtained with other radiation qualities. A 1.3 mm long spread-out Bragg peak with a diameter of 30 mm was created, allowing the irradiation of cell samples with the specified accuracy. Measurements of the transverse and longitudinal dose distribution showed that the dose variation over the sample volume was +/-0.8% and +/-0.7% in the lateral and longitudinal directions, respectively. The track-averaged LET of 132 +/- 10 keV/microm and dose-averaged LET of 189 +/- 15 keV/microm at the position of the sample were obtained from a GEANT4 simulation, which was validated experimentally. Three separately measured cell-survival curves yielded nearly identical results. With the new facility, high-precision carbon-ion irradiations of biological samples can be performed with highly reproducible results.

Multiple scattering of 13 and 20 MeV electrons by thin foils: A Monte Carlo study with GEANT, Geant4, and PENELOPE

In this work, recent results from experiments and simulations (with EGSnrc) performed by Ross et al. [Med. Phys. 35, 4121-4131 (2008)] on electron scattering by foils of different materials and thicknesses are compared to those obtained using several Monte Carlo codes. Three codes have been used: GEANT (version 3.21), Geant4 (version 9.1, patch03), and PENELOPE (version 2006). In the case of PENELOPE, mixed and fully detailed simulations have been carried out. Transverse dose distributions in air have been obtained in order to compare with measurements. The detailed PENELOPE simulations show excellent agreement with experiment. The calculations performed with GEANT and PENELOPE (mixed) agree with experiment within 3% except for the Be foil. In the case of Geant4, the distributions are 5% narrower compared to the experimental ones, though the agreement is very good for the Be foil. Transverse dose distribution in water obtained with PENELOPE (mixed) is 4% wider than those calculated by Ross et al. using EGSnrc and is 1% narrower than the transverse dose distributions in air, as considered in the experiment. All the codes give a reasonable agreement (within 5%) with the experimental results for all the material and thicknesses studied.

Clinical characterization of a proton beam continuous uniform scanning system with dose layer stacking

A proton beam delivery system on a gantry with continuous uniform scanning and dose layer stacking at the Midwest Proton Radiotherapy Institute has been commissioned and accepted for clinical use. This paper was motivated by a lack of guidance on the testing and characterization for clinical uniform scanning systems. As such, it describes how these tasks were performed with a uniform scanning beam delivery system. This paper reports the methods used and important dosimetric characteristics of radiation fields produced by the system. The commissioning data include the transverse and longitudinal dose distributions, penumbra, and absolute dose values. Using a 208 MeV cyclotron's proton beam, the system provides field sizes up to 20 and 30 cm in diameter for proton ranges in water up to 27 and 20 cm, respectively. The dose layer stacking method allows for the flexible construction of spread-out Bragg peaks with uniform modulation of up to 15 cm in water, at typical dose rates of 1-3 Gy/min. For measuring relative dose distributions, multielement ion chamber arrays, small-volume ion chambers, and radiographic films were employed. Measurements during the clinical commissioning of the system have shown that the lateral and longitudinal dose uniformity of 2.5% or better can be achieved for all clinically important field sizes and ranges. The measured transverse penumbra widths offer a slight improvement in comparison to those achieved with a double scattering beam spreading technique at the facility. Absolute dose measurements were done using calibrated ion chambers, thermoluminescent and alanine detectors. Dose intercomparisons conducted using various types of detectors traceable to a national standards laboratory indicate that the measured dosimetry data agree with each other within 5%.

Dose contributions from large‐angle scattered particles in therapeutic carbon beams

In carbon therapy, doses at center of spread-out Bragg peaks depend on field size. For a small field of 5 x 5 cm2, the central dose reduces to 96% of the central dose for the open field in case of 400 MeV/n carbon beam. Assuming the broad beam injected to the water phantom is made up of many pencil beams, the transverse dose distribution can be reconstructed by summing the dose distribution of the pencil beams. We estimated dose profiles of this pencil beam through measurements of dose distributions of broad uniform beams blocked half of the irradiation fields. The dose at a distance of a few cm from the edge of the irradiation field reaches up to a few percent of the central dose. From radiation quality measurements of this penumbra, the large-angle scattered particles were found to be secondary fragments which have lower LET than primary carbon beams. Carbon ions break up in beam modifying devices or in water phantom through nuclear interaction with target nuclei. The angular distributions of these fragmented nuclei are much broader than those of primary carbon particles. The transverse dose distribution of the pencil beam can be approximated by a function of the three-Gaussian form. For a simplest case of mono-energetic beam, contributions of the Gaussian components which have large mean deviations become larger as the depth in the water phantom increases.

Application of a diamond detector to brachytherapy dosimetry

The feasibility of using a diamond detector for the dosimetry of brachytherapy sources has been investigated. A high-activity source was selected for this purpose. The dosimetric characteristics measured included the photon fluence anisotropy in air, transverse dose profiles in planes parallel to the plane containing the HDR source and isodose distributions. The `in-air' anisotropy of the photon fluence relative to seed orientation was measured at 5 and 10 cm from the source centre and compared with TLD measurements. Transverse dose distributions in planes parallel to the plane containing the source long axis were measured in a water phantom and compared with calculations performed with a treatment planning system. Isodose distributions were also measured in several planes around the source. Measurements on two sources indicate that the `in-air' photon fluence anisotropy measured by the diamond detector and the TLDs is very similar. Dose profiles measured at several distances from the source are also found to be in good agreement with the calculated dose profiles and isodose distributions. Results of this feasibility study indicate that the diamond detector, with its excellent spatial resolution and nearly tissue equivalent and isotropic radiation response, is an appropriate detector for dose measurements around brachytherapy sources.

Monte Carlo simulation of the dose distribution around 125I seeds.

The Monte Carlo method was used to investigate dose distributions around the 3M Company model 6701 and model 6702 125I brachytherapy seeds. The transverse axis dose distributions of the two seed models were found to be nearly identical, but the longitudinal axis dose distributions differed significantly. Seed design influences upon dose distributions also were investigated.