Investigation of the tissue equivalence of gels used for NMR dosimetry.

The transition of Fe2+ to Fe3+ in Fricke solution after irradiation results in a change of NMR proton relaxation times in agarose gels which can be used for the dosimetry of ionizing radiation. The main advantage of this system is the possibility of observing dose distributions in 3 dimensions in a medium which is supposed to be tissue equivalent. The aim of the present study was to quantify parameters which determine the tissue equivalence of NMR dosimetry gels. Electron densities and effective atomic numbers were calculated for gels with varying iron, sulphur and agarose concentration. The Hounsfield CT numbers so derived agree well with the CT numbers measured on a clinical CT scanner (effective photon energy 70.7 keV). The Hounsfield CT number of 7.2 +/- 1.5 (n = 9) measured for a 1.5% agarose gel doped with 0.5 mM ammonium ferrous sulphate and 125 mM sulphuric acid compares well with the calculated one of 8 +/- 5. Relaxation times were measured from a series of MR images obtained on a 1.5 T clinical MR scanner. The observed change in 1/T1 of the gel with dose was found to be linear up to 10 Gy (0.084 s-1 Gy-1). No difference in dose response for 10 Gy delivered by four different superficial radiation qualities (HVT = 1.4-7.5 mm Al) could be observed. These findings and the calculated effective atomic number of 7.46 demonstrate the close tissue equivalence of this agarose gel which makes it an ideal tool for the investigation of low energy therapeutic x-rays.