Crescenti Remo A, Bamber Jeffrey C, Bush Nigel L, Webb Steve
Joint Department of Physics, Institute of Cancer Research and Royal Marsden NHS Foundation Trust, Surrey, SM2 5PT, UK.
Phys Med Biol. 2009 Feb 21;54(4):843-57. doi: 10.1088/0031-9155/54/4/002. Epub 2009 Jan 14.
Radiation-sensitive polymer gels for clinical dosimetry have been intensively investigated with magnetic resonance imaging (MRI) because the transversal magnetic relaxation time is dependent on irradiation dose. MRI is expensive and not easily available in most clinics. For this reason, low-cost, quick and easy-to-use potential alternatives such as optical computed tomography (CT), x-ray CT or ultrasound attenuation CT have also been studied by others. Here, we instead evaluate the dose dependence of the elastic material property, Young's modulus and the dose response of the viscous relaxation of radiation-sensitive gels to discuss their potential for dose imaging. Three batches of a radiation-sensitive polymer gel (MAGIC gel) samples were homogeneously irradiated to doses from 0 Gy to 45.5 Gy. Young's modulus was computed from the measured stress on the sample surface and the strain applied to the sample when compressing it axially, and the viscous relaxation was determined from the stress decay under sustained compression. The viscous relaxation was found not to change significantly with dose. However, Young's modulus was dose dependent; it approximately doubled in the gels between 0 Gy and 20 Gy. By fitting a second-order polynomial to the Young's modulus-versus-dose data, 99.4% of the variance in Young's modulus was shown to be associated with the change in dose. The precision of the gel production, irradiation and Young's modulus measurement combined was found to be 4% at 2 Gy and 3% at 20 Gy. Potential sources of measurement error, such as those associated with the boundary conditions in the compression measurement, inhomogeneous polymerization, temperature (up to 1% error) and the evaporation of water from the sample (up to 1% error), were estimated and discussed. It was concluded that Young's modulus could be used for dose determination. Imaging techniques such as elastography may help to achieve this if they can provide a local measurement of Young's modulus, which may eliminate problems associated with the boundaries (e.g. variation in coefficient of friction) and inhomogeneous polymerization. Elastography combined with a calibration should also be capable of mapping dose in three dimensions.
用于临床剂量测定的辐射敏感聚合物凝胶已通过磁共振成像(MRI)进行了深入研究,因为横向磁弛豫时间取决于辐射剂量。MRI成本高昂,在大多数诊所中不易获得。因此,其他人也研究了低成本、快速且易于使用的潜在替代方法,如光学计算机断层扫描(CT)、X射线CT或超声衰减CT。在此,我们转而评估辐射敏感凝胶的弹性材料特性(杨氏模量)的剂量依赖性以及粘性弛豫的剂量响应,以讨论它们用于剂量成像的潜力。将三批辐射敏感聚合物凝胶(MAGIC凝胶)样品均匀照射至0 Gy至45.5 Gy的剂量。杨氏模量通过测量样品表面的应力以及轴向压缩样品时施加的应变来计算,粘性弛豫则由持续压缩下的应力衰减来确定。发现粘性弛豫随剂量变化不显著。然而,杨氏模量与剂量相关;在0 Gy至20 Gy之间的凝胶中,它大约翻倍。通过将二阶多项式拟合到杨氏模量与剂量的数据上,结果表明杨氏模量99.4%的方差与剂量变化相关。发现凝胶制备、辐照和杨氏模量测量综合起来的精度在2 Gy时为4%,在20 Gy时为3%。估计并讨论了测量误差的潜在来源,例如与压缩测量中的边界条件、聚合不均匀、温度(高达1%误差)以及样品中水的蒸发(高达1%误差)相关的误差。得出的结论是,杨氏模量可用于剂量测定。如果弹性成像等成像技术能够提供杨氏模量的局部测量,可能有助于实现这一点,这可以消除与边界(例如摩擦系数变化)和聚合不均匀相关的问题。结合校准的弹性成像也应该能够在三维空间中绘制剂量图。