A high-Z inorganic scintillator-based detector for time-resolved in vivo dosimetry during brachytherapy.

brachytherapy dosimetry in vivo dosimetry inorganic scintillators

Journal

Medical physics
ISSN: 2473-4209
Titre abrégé: Med Phys
Pays: United States
ID NLM: 0425746

Informations de publication

Date de publication:
Nov 2021
Historique:
revised: 08 08 2021
received: 18 05 2021
accepted: 09 09 2021
pubmed: 30 9 2021
medline: 18 11 2021
entrez: 29 9 2021
Statut: ppublish

Résumé

High-dose rate (HDR) and pulsed-dose rate (PDR) brachytherapy would benefit from an independent treatment verification system to monitor treatment delivery and to detect errors in real time. This paper characterizes and provides an uncertainty budget for a detector based on a fiber-coupled high-Z inorganic scintillator capable of performing time-resolved in vivo dosimetry during HDR and PDR brachytherapy. The detector was composed of a detector probe and an optical reader. The detector probe consisted of either a 0.5 × 0.4 × 0.4 mm The total uncertainty of the detector at a 20 mm probe-to-source distance was < 5.1% and < 5.8% for the HDR and PDR versions, respectively. Regarding the above characteristics, (1) the sensitivity of the detector decreased by an average of 1.4%/°C for detector probe temperatures varying from 22 to 37°C; (2) the energy dependence of the detector was nonlinear and depended on both probe-to-source distance and the angle between the probe and the brachytherapy source; (3) the median SNRs were 187 and 34 at a 20 mm probe-to-source distance for the HDR and PDR versions, respectively (corresponding median source activities of 4.8 and 0.56 Ci, respectively); (4) the detector response varied by 0.6% in 11 identical irradiations over 8 h; (5) the sensitivity of the four detector probes decreased systematically by 0-1.2%/100 Gy of dose delivered to the probes, and random fluctuations of 4.8% in the sensitivity were observed for the three probes used in PDR and 1.9% for the probe used in HDR; and (6) the detector response was linear with dose rate. ZnSe:O detectors can be used effectively for in vivo dosimetry and with high accuracy for HDR and PDR brachytherapy applications.

Identifiants

pubmed: 34586641
doi: 10.1002/mp.15257
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

7382-7398

Subventions

Organisme : Aarhus University
Organisme : Novo Nordisk Fonden
ID : NNF19OC0058756
Organisme : The Danish Cancer Society
ID : R191-A11526
Organisme : The Danish Comprehensive Cancer Center
Organisme : National Cancer Institute, US National Institutes of Health
ID : R01CA120198

Informations de copyright

© 2021 American Association of Physicists in Medicine.

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Auteurs

Erik B Jørgensen (EB)

Health Graduate School, Aarhus University, Aarhus, Denmark.
Department of Oncology, Aarhus University Hospital, Aarhus, Denmark.

Jacob G Johansen (JG)

Department of Oncology, Aarhus University Hospital, Aarhus, Denmark.

Joakim Overgaard (J)

Health Graduate School, Aarhus University, Aarhus, Denmark.

Dominique Piché-Meunier (D)

Département de physique-de génie physique et d'optique et Centre de recherche sur le cancer, Université Laval, Québec City, Quebec, Canada.
Département de radio-oncologie et Axe Oncologie, CHU de Québec-Université Laval, Québec City, Quebec, Canada.

Daline Tho (D)

Département de physique-de génie physique et d'optique et Centre de recherche sur le cancer, Université Laval, Québec City, Quebec, Canada.
Département de radio-oncologie et Axe Oncologie, CHU de Québec-Université Laval, Québec City, Quebec, Canada.

Haydee M L Rosales (HML)

Département de physique-de génie physique et d'optique et Centre de recherche sur le cancer, Université Laval, Québec City, Quebec, Canada.
Département de radio-oncologie et Axe Oncologie, CHU de Québec-Université Laval, Québec City, Quebec, Canada.

Kari Tanderup (K)

Department of Oncology, Aarhus University Hospital, Aarhus, Denmark.

Luc Beaulieu (L)

Département de physique-de génie physique et d'optique et Centre de recherche sur le cancer, Université Laval, Québec City, Quebec, Canada.
Département de radio-oncologie et Axe Oncologie, CHU de Québec-Université Laval, Québec City, Quebec, Canada.

Gustavo Kertzscher (G)

Department of Oncology, Aarhus University Hospital, Aarhus, Denmark.
Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Sam Beddar (S)

Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

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