Literature DB >> 35250407

Geant4 Simulation of Gamma-Ray Transmission Buildup Factors for Human Tissues.

Abdulrahman A Alfuraih1, Omrane M Kadri1,2.   

Abstract

Quantification of scattered photons in addition to unscattered primary particles, under realistic exposure scenario, is best dealt with a parameter called "Buildup factor". The aim of this work is to simulate the transmission buildup factor (BUF) of gamma-ray in the energy range .15-15 MeV for 20 human tissues and organs using the Geant4 (version 10.5) Monte Carlo simulation followed by a geometrical progression (GP) parameterization procedure. Firstly, we verified the accuracy of Geant4 ability to predict the effective transmitted dose according to published data. Also, a comparison of simulated BUF for different geometrical configurations was carried out for some tissues and source energies. Then, we checked out the linear dependency of the K parameter (BUF is function of K) function of mean free path (mfp). Finally, we developed a fitting procedure according to GP method for BUF corresponding to 20 tissues and organs and different mfp (from 1 to 8) for energy range .15-15 MeV. We found a good agreement with previous published data. Proper comprehension of BUF for tissues leads to carefully controlling the energy absorption in the human body. Consequently, provided BUF could be of great interest for estimating safe dose levels in medical imaging and radiation therapy.
© The Author(s) 2022.

Entities:  

Keywords:  buildup factor; effective transmission dose; geant4; geometrical progression fitting; human tissues

Year:  2022        PMID: 35250407      PMCID: PMC8891879          DOI: 10.1177/15593258211068621

Source DB:  PubMed          Journal:  Dose Response        ISSN: 1559-3258            Impact factor:   2.658


Introduction

Nowadays, gamma-ray is commonly used for medical imaging and radiation treatment over the world. Thus, the ultimate need to accurately investigate and to enhance our knowledge on radiation protection is obvious. Especially, the proper knowledge of the interaction of ionizing radiation with human tissues and organs is necessary to avoid unsafe outcomes. For studying such interaction, the buildup factor (BUF) was introduced to improve the prediction of transmitted beam, through a given medium, for realistic cases, using the modified Beer-Lambert law.[2,3] Such factor estimates the contribution of primary and scattered photon beam along its attenuation within a given barrier. Tissue equivalent materials respond to incident ionizing radiation in the same manner as human tissues. These phantoms are commonly used in medical applications including radiation therapy, diagnostic radiology, radiation protection, and radiobiology for calibration purposes and depth‐dose estimation. On the other hand, there are 3 main categories of BUFs: absorbed dose, exposure, and dose-equivalent buildup factors, which are based on energy absorption, kerma, and equivalent dose responses, respectively. Hence, the importance of BUF factors for biological tissues is needed. Gamma-ray BUF accurately measured is not always allowed. Therefore, studies of gamma-ray buildup factors were carried out using Monte Carlo simulation,[4,5] invariant embedding, geometric progression (GP) fitting,[7-9] and other methods. However, on the basis of our knowledge and the available literature, there is no more precise dataset of buildup factors than those tabulated by ANSI/ANS-6.4.3-1991. This dataset provides five GP fitting parameters of BUF for 23 elements and three compounds in the energy range of .015–15 MeV at penetration depths up to 40 mean free paths (mfp). Although, generally, proposed data concern the specific case of unidirectional parallel beam impinging on planar stratified shielding and a correction factor was given to take into account spherical geometries. Moreover, there is no data base including BUF values directly derived from Monte Carlo simulations for all human body corresponding to isotropic point source with stratified spherical layers medium, which can be considered valuable to the scientific research community, as it could be easily included into point kernel-based programs. Furthermore, the Geometry ANd Tracking version (Geant4) Monte Carlo toolkit[11,12] has not been used to fully simulate buildup factors, except for recently published work in which the mass energy attenuation coefficients were simulated and used with the GP parameters and our previous work attempt. In order to address previous enumerated questions, we provide a BUF database and its corresponding parameterization for photon point isotropic sources and realistic penetration through selected materials. At our knowledge, this is the first time using the Geant4 Monte Carlo simulation to fully compute the buildup factors for 20 human body tissues followed by parametric search of the well-known geometric progression formula and thus providing necessary materials for point kernel calculation applied to the High-Definition Reference Korean-Man (HDRK-Man).[13-15] Our previous work mainly focused on using GP parameters to compute BUFs, for all human tissues and organs, with a simple verification of Geant4 ability to predict the exposure buildup factor of water for a photon energy of .1 MeV and penetration depths up to 10 mfp. Also, the work carried out by Jarrah et al. focused on the energy absorption buildup factor simulations of some ICRU tissue-like using MCNP5 code. Moreover, Kurudirek et al. estimated the energy absorption buildup factors of some human tissues using GP parameters with a benchmark of MCNP6.1 simulation of EABF for soft tissue and water at .662, 1.173, and 1.25 MeV photon source, against GP fitting method. Also, the work carried out by Rafiei et al. simulated the EABF for water and some tissue-equivalent materials for 356, 662, 1173, and 1332 keV gamma-ray energy up to depths of 10 mfp, using MCNPX code. Hence, this work can be considered as a continuation to those efforts, as we used Geant4 simulations of BUF for all HDRK-man tissues and the proposition of an in-house GP-like fitting method. Our goal can be summarized as follows: (i) benchmark of Geant4 against EGS4 results for a given case study, (ii) perform BUF simulations, and (iii) search and propose of GP fitting parameters. Thus, after checking the ability of our computation to reproduce the transmission beam through Pb material previously published by Kato et al., we carried out the simulation of BUF for 3 standard photon energies .15, 1.5, and 15 MeV for some selected penetration depths (1–8 mfp, with a step of 1mfp). For each case study, we adopted and isotropic point source located at the center of 10 mfp sphere layered into 9 shells (the outer one has a thickness of 2 mfp to minimize backscattering effects). Then, we started by checking the linear behavior of the geometric progression factor function of mfp and terminated by a mathematical minimization procedure to search for the other GP fitting parameters. Finally, a verification of the ability of the fitting procedure to reproduce directly simulated data was carried out. The results of this study can be considered as an enhancement, to the large community of radiation physics researchers, of current point kernel-based techniques used to estimate the transmitted dose other than the dose distribution mapping for radiotherapy treatment planning and radiation diagnosis purposes based on the energy range and the medium thickness investigated. As this study focused on simulating (Geant4) and computing (C++ fitting procedure) BUFs for HDRK-man tissue-like at only three photon energies of .15, 1.5, and 15MeV and for penetration depth up to only 8mfp, a straightforward extension of this work to cover energy and depth ranges, to be consistent with ANS standard tables, is feasible unless having the appropriate computing facilities (parallel works, large CPU workstations).

Methods

Elemental compositions of HDRK-man tissues and organs were taken from previous works[4,13] and given in Table 1.
Table 1.

Elemental composition (%), Atomic Density (g/cm3) and Equivalent Atomic Number (Zeq), at Different Energies in MeV, for Studied HDRK-Man Organs/Tissues (* stand for organ contents). RBM Means Red Bone Marrow.

Elemental Compositiond(g/cc)Zeq
TissueHCNORemaining0.1501.50015.000
Lung10.13410.2382.86675.7521.010(Na,Mg,Si,P,S,.2967.7216.6616.569
Cl,K,Ca,Fe,Zn,Rb)
Adipose11.40059.800.70027.800.30(Na,S,Cl).9206.4865.5605.507
Adrenal10.50025.6002.70060.2001.000(Na,P,S,Cl,K)1.0207.4246.3376.251
RBM10.50041.4003.40043.900.800(P,S,Cl,K,Fe)1.0307.2826.0505.956
GallC10.50025.6002.70060.2001.000(Na,P,S,Cl,K)1.0307.4246.3376.251
Heart10.40013.9002.90071.8001.000(Na,P,S,Cl,K)1.0307.6286.5646.474
Oral8.43057.4001.61024.5508.010(Mg,Cl)1.0307.4136.2186.130
IntestineC10.60011.5002.20075.100.600(Na,P,S,Cl,K)1.0307.5076.5506.469
ColonC10.60011.5002.20075.100.600(Na,P,S,Cl,K)1.0407.5076.5506.469
Oesophagus10.50025.6002.70060.2001.000(Na,P,S,Cl,K)1.0407.4246.3376.251
Muscle10.20014.3003.40071.0001.100(Na,P,S,Cl,K)1.0407.6736.5866.494
StomachC10.60011.5002.20075.100.600(Na,P,S,Cl,K)1.0507.5076.5506.469
Kidneys10.30013.2003.00072.4001.100(Na,P,S,Cl,K,Ca)1.0507.6606.5916.501
Thyroid10.40011.9002.40074.500.800(Na,P,S,Cl,K,I)1.0508.7026.7366.516
Liver10.20013.9003.00071.6001.300(Na,P,S,Cl,K)1.0607.6906.6046.512
HeartC10.20011.0003.30074.5001.000(Na,P,S,Cl,K,Fe)1.0607.7956.6516.552
Pancreas10.60016.9002.20069.400.900(Na,P,S,Cl,K)1.0607.5056.4746.390
Spleen10.30011.3003.20074.1001.100(Na,P,S,Cl,K)1.0607.6906.6276.536
Skin10.00020.4004.20064.500.900(Na,P,S,Cl,Na)1.0907.3976.4456.369
Bone7.33725.4753.05747.89316.238(F,Na,Mg,Si,P,S,1.3411.5348.6418.031
(Cl,K,Ca,Fe,Zn,Rb,Sr,Pb)
Elemental composition (%), Atomic Density (g/cm3) and Equivalent Atomic Number (Zeq), at Different Energies in MeV, for Studied HDRK-Man Organs/Tissues (* stand for organ contents). RBM Means Red Bone Marrow. After showing a brief introduction of BUF theoretical basics, we will describe the simulation and the derived fitting procedures carried out, as follows:

BUF Theoretical Frame

The effective transmitted dose, for an incident photon with energy E, through an absorber medium with x thickness in cm, is defined as the ratio of the kerma measured in presence of the absorber, , to that value in absence of the medium, , at the same detector location with where , , and are the fluence in photons/cm , the mass energy absorption coefficient in cm2/g (available from Hubbell and Seltzer and XCOM program ) and the effective dose per air kerma free-in-air conversion coefficient in Sv/Gy (available from ICRP74[22,23] and ICRP116 with the adoption of rotational exposure scenario), respectively. Also, we can rewrite T(x,E) in the following way where B(x, E) and refer to BUF and linear attenuation coefficient, respectively. Thus, using previous equations, we can deduce BUF value for a given E and x as follows

Simulation Procedure

Mainly managed and developed by the CERN organization (European Center for Nuclear Research), the versatile Monte Carlo simulation platform Geant4 has well known and verified capabilities able to mimic the transport of the majority of particle types (photons electron, ion, neutron, short-lived particle, etc…), covering large range of particle source energy (from eV to TeV) and modeling complicated and realistic setup configurations. It was used to compute mass attenuation coefficients leading to indirectly benchmark ANSI data based on calculated GP fitting parameters. In our previous work, we attempted to initiate a direct computation of buildup factors of water medium. Here, we advanced such computation for 20 human tissues and organs of the HDRK-man anthropomorphic phantom. Moreover, Table 1 illustrates their density and elemental composition as fully described elsewhere.[4,13] During this work, Geant4 version 10.5 was used to simulate the transport of gamma rays isotropically emitted from a point source through a given medium. The geometry of the problem consists of a monoenergetic point source located at the center of ten concentric spheres, separated by one mfp for each step. As, we were limited to only eight mfp thickness, for all studied media and three photon energy of .15, 1.5, and 15 MeV and in order to minimize the boundary effect, we added an outer sphere with two mfp for each case study. We tracked gamma rays through the setup to compute the photon flux crossing each shell/surface of the medium. Then, to be more consistent, we internally (within SteppingAction class) converted each crossed photon energy into kerma using the equation (2) and based on the Log-Log interpolations of k(E) and μ(E), as described above. Such procedure was repeated with replacing the medium with air in order to accomplish the ratio formula given by equation (4). Finally, we can determine the overall BUF database for all studied cases including data extracted (ε(x,E) and ε(0,E)) numbered as 20 × 3 × 8 × 2 = 960 values. In this study, the buildup factor was computed for 109 gamma rays by run. We activated all the physical processes for electrons and photons (Photoelectric, Compton, Pair production effects for photon and Ionization, Bremsstrahlung for electron). We used the G4EmStandardPhysics_option3 built-in physics library with a cutoff of 1 keV for electrons and photons. The overall statistical uncertainty does not exceed 1 % for all runs. There are three geometrical configurations used for this work. As seen in Figure 1, the left one describes the setup used to verify again our simulation regarding to the data found by EGS4 code to compute the effective transmitted dose through different thickness of lead of photon with different energies. Also, a visualization of the actual BUF simulation scenario by Geant4 is shown in the middle of Figure 1. Finally, the right part of Figure 1 shows the monodirectional parallel-plane source impinging on stratified shields, used for comparison purposes.
Figure 1.

Visualization of Geant4 simulated setup using HepRAPP package for different typical geometries used to acquire transmitted beam: (left) isotropic point source in planar configuration; (middle) isotropic point source in stratified spherical layers; (right): parallel unidirectional plane beam in planar shielding.

Visualization of Geant4 simulated setup using HepRAPP package for different typical geometries used to acquire transmitted beam: (left) isotropic point source in planar configuration; (middle) isotropic point source in stratified spherical layers; (right): parallel unidirectional plane beam in planar shielding.

Fitting Procedure

According to the GP fitting method, we have if K = 1, the second term of the equality will be reduced to X, only. X is expressed in mean free paths: , with μ and ρ correspond to the linear attenuation coefficient and the mass density.For X ≤ 40 mfp where, c, a, d, X and b = B(1) are the 5 fitting parameters. As described by Harima,[7,27] for X ≤ X we can limit our study to the first part including the linear behavior of Log(K) as a function of Log(x), as we have Moreover, as we limited our study to penetrations up to 8 mfp (medical applications) and due to the fact that the second term of the right side of equation (6) was included in order to take into account the Log(K) deviation from linearity beyond 15 mfp up to about 40 mfp with a tangent-hyperbolic function, we are concerned with only 3 fitting parameters (a, b, and c) along this procedure. Therefore, the buildup factor for a given isotropic point source located at the center of spherical material geometry will be fitted using the following formula Thus, our main goal is focused on searching the 3 fitting parameters: a, b, and c, for 20 human tissues and organs, in spherical geometry setup and for isotropic point source of gamma-ray with energy: .15, 1.5, and 15 MeV.

Results and Discussion

Geant4 Verification

Figure 2, shows a global good agreement between actual results and previously published data by Kato et al. for the effective transmission dose through 1, 2, and 3 mm Pb shield thickness, as function of photon source energy. Also, the effect of 88 keV transmission corresponding to the characteristic peak of lead, is clearly seen, as we have the corresponding linear attenuation coefficient of lead material at 87.9 and 88.1 keV of 21.7 and 87.2 cm−1, respectively.
Figure 2.

Geant4 simulated effective transmitted dose through lead material against EGS4 data for different thickness of 1, 2, and 3 mm.

Geant4 simulated effective transmitted dose through lead material against EGS4 data for different thickness of 1, 2, and 3 mm. Furthermore, we confirmed previous conclusion conducted by Rasouli et al. and Lin et al.[28,29] claiming that the effect of changing the geometry setup from parallel plane to spherical layer and the source from unidirectional plane parallel beam to isotropic point source can be explained by the boundary effect. Figure 3, shows a large deviation decreasing from .15 to 15 MeV photon energy for tissues having low, medium, and high equivalent atomic number (Lung, Adipose, and Bone) as function of mfp. Such decrease can be explained by the close behavior of both setups at large thickness, as the mfp becomes larger at higher photon energy. Also, the effect of Zeq, for each energy, on such deviation as function of penetration, is seen resulting to the variation of bremsstrahlung and multiple scattering effects.
Figure 3.

Difference of BUF simulated using Geant4, for isotropic source and spherical layers (extracted from ANSI/ANS-6.4.3[10,30]) and for parallel beam and parallel sheets, for Bone, Adipose, and Lung tissues for .15, 1.5, and 15 MeV photon source function of mean free path. (Delta(%) = 100*(1-Parallel/Isotropic)).

Difference of BUF simulated using Geant4, for isotropic source and spherical layers (extracted from ANSI/ANS-6.4.3[10,30]) and for parallel beam and parallel sheets, for Bone, Adipose, and Lung tissues for .15, 1.5, and 15 MeV photon source function of mean free path. (Delta(%) = 100*(1-Parallel/Isotropic)).

Fitting Parameters

Deducing of the three fitting parameters from tabulated BUF was carried out using an in-house C++ program able to proceed with the multidimensional nonlinear fitting opportunity of the GNU Scientific Library (GSL). Moreover, Figure 4 confirms the hypothesis of the linear dependency of the K parameter function of mfp, for the range in concern. From the same figure, we can see that such parameter continues to be more and more unique for all tissues and organs when the energy increased, which is obvious.
Figure 4.

Linear dependency of the K factor function of mfp for Bone, Adipose, and Lung tissues for .15, 1.5, and 15 MeV isotropic spherical photon source.

Linear dependency of the K factor function of mfp for Bone, Adipose, and Lung tissues for .15, 1.5, and 15 MeV isotropic spherical photon source. It can be observed that the value of K can be greater than one with downward trend or less than one with upward trend, as function of the source energy. For .15 and 1.5 MeV photon energy, the effect of backscattering at distance closer to the source is dominant, however, for 15 MeV, the dominant contribution concerns the bremsstrahlung effect. Also, Tables 2–4 tabulated found GP fitting 3 parameters for photon point isotropic source in spherical geometry with energy .15, 1.5, and 15 MeV. We remarked the slow variation (can be of the order of one hundredth) of each parameter for a given energy.
Table 2.

Simulated Buildup GP Fitting 3 Parameters for Photon Point Isotropic Source in Spherical Geometry With Energy .15 MeV.

Mediumbac
Lung2.394−.1041.77262
Adipose2.433−.1111.87942
Adrenal2.403−.1061.79775
RBM2.409−.1071.81289
GallC2.403−.1061.79783
Heart2.397−.1051.78048
Oral2.404−.1071.80172
IntestineC2.4−.1061.78946
ColonC2.4−.1061.78919
Oesophagus2.403−.1061.79763
Muscle2.395−.1051.778
StomachC2.4−.1061.78934
Kidneys2.396−.1051.77838
Thyroid2.372−.1011.72251
Liver2.395−.1051.77655
HeartC2.392−.1041.76816
Pancreas2.401−.1061.79059
Spleen2.395−.1051.77563
Skin2.404−.1071.79904
Bone2.243−.0631.4666
Table 3.

Simulated buildup GP fitting 3 Parameters for Photon Point Isotropic Source in Spherical Geometry With Energy 1.5 MeV.

Mediumbac
Lung1.777−.0531.22571
Adipose1.78−.0591.24002
Adrenal1.776−.0541.22698
RBM1.777−.0561.23067
GallC1.776−.0541.22727
Heart1.775−.0541.22533
Oral1.776−.0551.22781
IntestineC1.776−.0541.22635
ColonC1.776−.0541.22564
Oesophagus1.776−.0551.22807
Muscle1.775−.0541.22503
StomachC1.776−.0541.22471
Kidneys1.775−.0541.22586
Thyroid1.772−.0511.21687
Liver1.775−.0531.22312
HeartC1.775−.0541.22378
Pancreas1.776−.0541.22622
Spleen1.775−.0531.22351
Skin1.776−.0551.22799
Bone1.760−.0411.18892
Table 4.

Simulated buildup GP fitting 3 Parameters for Photon Point Isotropic Source in Spherical Geometry With Energy 15 MeV.

Mediumbac
Lung1.33.109.741611
Adipose1.327.107.738369
Adrenal1.328.107.738578
RBM1.328.107.737985
GallC1.329.107.738172
Heart1.329.109.734879
Oral1.328.107.738434
IntestineC1.329.11.734434
ColonC1.329.11.734107
Oesophagus1.329.111.73406
Muscle1.329.11.735559
StomachC1.329.112.732928
Kidneys1.329.112.732986
Thyroid1.328.109.737708
Liver1.329.110.734528
HeartC1.330.109.735474
Pancreas1.329.110.735011
Spleen1.330.111.734022
Skin1.329.111.734825
Bone1.332.101.749609
Simulated Buildup GP Fitting 3 Parameters for Photon Point Isotropic Source in Spherical Geometry With Energy .15 MeV. Simulated buildup GP fitting 3 Parameters for Photon Point Isotropic Source in Spherical Geometry With Energy 1.5 MeV. Simulated buildup GP fitting 3 Parameters for Photon Point Isotropic Source in Spherical Geometry With Energy 15 MeV. In order to check the fitting procedure, we plotted, as an example, fitted and directly simulated BUF for Heart organ. As an overall deviation of BUF fitted to directly simulated values, for all studied cases, we found an average value of .5 ± .6 % (Figure 5).
Figure 5.

Simulated and fitted BUF for Heart tissue for .15, 1.5, and 15 MeV isotropic spherical photon source.

Simulated and fitted BUF for Heart tissue for .15, 1.5, and 15 MeV isotropic spherical photon source. Finally, we can consider that the actually provided parameters database can be of great interest to medical physicist community, however, we were limited to only a thickness of eight mfp and photon particles and energy no more than 15 MeV. Also, our next work will be focused on the simulations of BUF for spherical multilayers. Moreover, the implemented spherical geometry, here, is not similar to that used in brachytherapy or open radionuclide sources, where quasi-infinite media are employed during dose delivery and calculation. Basically, these BUFs differ from the point spread functions used in kernel-based algorithms to calculate dose under realistic setup and conditions.[32,33] Meanwhile, Table 5 shows the buildup correction factor when passing from isotropic point source to plane parallel or isotropic planar source distribution, where we extracted data from Takeuchi and Tanaka for water medium.
Table 5.

Buildup Correction Factor For Plane Parallel and Plane Isotropic Distribution Accordingly to Isotropic Point Source for Water Medium.

E(MeV)Thickness(mfp)Iso_Plane/Iso_SpherePara_Plane/Iso_Sphere
0.15.51.721.30
11.651.00
21.63.72
31.60.57
41.58.48
51.55.43
61.53.39
71.53.36
81.54.34
1.5.51.381.07
11.441.01
21.48.92
31.51.87
41.52.84
51.53.82
61.56.81
71.56.80
81.59.80
15.51.151.10
11.161.09
21.181.09
31.191.08
41.191.08
51.201.07
61.201.07
71.201.06
81.211.06
Buildup Correction Factor For Plane Parallel and Plane Isotropic Distribution Accordingly to Isotropic Point Source for Water Medium.

Conclusion

Transmission photon buildup factor for 20 human tissues and organs has been simulated by Geant4 Monte Carlo toolkit for point isotropic source included within concentric spherical layers with different thickness. Covered photon source energy and thickness range were .15–15 MeV and 1–8 mfp, respectively. Among the analysis of simulated BUF values, it was verified that the K parameter behaves linearly as function of the thickness (in Log-Log scale) allowing us to derive a 3 fitting parameters according to the GP method for all studied cases. Such parameterization accurately reproduced the directly simulated BUF with an error less than 1 %. Nevertheless, the current study is limited to previous studied cases, the straight forwardly extension to other particles (neutron, beta, alpha…) and other source geometry and energy can be carried out. It is the main goal of this work to propose a BUF data base able to improve the accuracy of practical tools for medical imaging and treatment planning based on point kernel codes.
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Authors:  N Petoussi-Henss; W E Bolch; K F Eckerman; A Endo; N Hertel; J Hunt; M Pelliccioni; H Schlattl; M Zankl
Journal:  Ann ICRP       Date:  2010 Apr-Oct

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Authors:  Dariush Sardari; Ali Abbaspour; Samaneh Baradaran; Farshid Babapour
Journal:  Appl Radiat Isot       Date:  2009-02-20       Impact factor: 1.513

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Journal:  Phys Med Biol       Date:  2008-07-08       Impact factor: 3.609

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Authors:  F O Ogundare; I O Olarinoye; R I Obed
Journal:  Radiat Prot Dosimetry       Date:  2009-01-06       Impact factor: 0.972

7.  CALCULATION OF FLUENCE-TO-EFFECTIVE DOSE CONVERSION COEFFICIENTS FOR THE OPERATIONAL QUANTITY PROPOSED BY ICRU RC26.

Authors:  Akira Endo
Journal:  Radiat Prot Dosimetry       Date:  2017-07-01       Impact factor: 0.972

8.  MONTE CARLO STUDY OF THE CARDIAC ABSORBED DOSE DURING X-RAY EXAMINATION OF AN ADULT PATIENT.

Authors:  O Kadri; K Manai; A Alfuraih
Journal:  Radiat Prot Dosimetry       Date:  2015-10-13       Impact factor: 0.972

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Authors:  Mehmet Büyükyıldız; Murat Kurudirek
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10.  Estimation of energy absorption buildup factors of some human tissues at energies relevant to brachytherapy and external beam radiotherapy.

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  10 in total

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