Literature DB >> 26745929

Experimental evaluation of neutron dose in radiotherapy patients: Which dose?

M Romero-Expósito1, C Domingo1, F Sánchez-Doblado2, O Ortega-Gelabert1, S Gallego1.   

Abstract

PURPOSE: The evaluation of peripheral dose has become a relevant issue recently, in particular, the contribution of secondary neutrons. However, after the revision of the Recommendations of the International Commission on Radiological Protection, there has been a lack of experimental procedure for its evaluation. Specifically, the problem comes from the replacement of organ dose equivalent by the organ-equivalent dose, being the latter "immeasurable" by definition. Therefore, dose equivalent has to be still used although it needs the calculation of the radiation quality factor Q, which depends on the unrestricted linear energy transfer, for the specific neutron irradiation conditions. On the other hand, equivalent dose is computed through the radiation weighting factor wR, which can be easily calculated using the continuous function provided by the recommendations. The aim of the paper is to compare the dose equivalent evaluated following the definition, that is, using Q, with the values obtained by replacing the quality factor with wR.
METHODS: Dose equivalents were estimated in selected points inside a phantom. Two types of medical environments were chosen for the irradiations: a photon- and a proton-therapy facility. For the estimation of dose equivalent, a poly-allyl-diglicol-carbonate-based neutron dosimeter was used for neutron fluence measurements and, additionally, Monte Carlo simulations were performed to obtain the energy spectrum of the fluence in each point.
RESULTS: The main contribution to dose equivalent comes from neutrons with energy higher than 0.1 MeV, even when they represent the smallest contribution in fluence. For this range of energy, the radiation quality factor and the radiation weighting factor are approximately equal. Then, dose equivalents evaluated using both factors are compatible, with differences below 12%.
CONCLUSIONS: Quality factor can be replaced by the radiation weighting factor in the evaluation of dose equivalent in radiotherapy environments simplifying the practical procedure.

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Year:  2016        PMID: 26745929     DOI: 10.1118/1.4938578

Source DB:  PubMed          Journal:  Med Phys        ISSN: 0094-2405            Impact factor:   4.071


  3 in total

1.  Validation of a Monte Carlo Framework for Out-of-Field Dose Calculations in Proton Therapy.

Authors:  Marijke De Saint-Hubert; Nico Verbeek; Christian Bäumer; Johannes Esser; Jörg Wulff; Racell Nabha; Olivier Van Hoey; Jérémie Dabin; Florian Stuckmann; Fabiano Vasi; Stephan Radonic; Guillaume Boissonnat; Uwe Schneider; Miguel Rodriguez; Beate Timmermann; Isabelle Thierry-Chef; Lorenzo Brualla
Journal:  Front Oncol       Date:  2022-06-08       Impact factor: 5.738

2.  Peripheral Organ Equivalent Dose Estimation Procedure in Proton Therapy.

Authors:  Carles Domingo; Juan Ignacio Lagares; Maite Romero-Expósito; Beatriz Sánchez-Nieto; Jaime J Nieto-Camero; Jose Antonio Terrón; Leticia Irazola; Alexandru Dasu; Francisco Sánchez-Doblado
Journal:  Front Oncol       Date:  2022-05-25       Impact factor: 5.738

3.  Out-of-Field Doses Produced by a Proton Scanning Beam Inside Pediatric Anthropomorphic Phantoms and Their Comparison With Different Photon Modalities.

Authors:  Željka Knežević; Liliana Stolarczyk; Iva Ambrožová; Miguel Á Caballero-Pacheco; Marie Davídková; Marijke De Saint-Hubert; Carles Domingo; Kinga Jeleń; Renata Kopeć; Dawid Krzempek; Marija Majer; Saveta Miljanić; Natalia Mojżeszek; Maite Romero-Expósito; Immaculada Martínez-Rovira; Roger M Harrison; Paweł Olko
Journal:  Front Oncol       Date:  2022-07-22       Impact factor: 5.738

  3 in total

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