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基于成年人骨小梁骨微计算机断层扫描图像的人体骨骼内电子能量吸收分数和 S 值。

Electron absorbed fractions of energy and S-values in an adult human skeleton based on µCT images of trabecular bone.

机构信息

Department of Nuclear Energy, Federal University of Pernambuco, Recife, Brazil.

出版信息

Phys Med Biol. 2011 Mar 21;56(6):1803-36. doi: 10.1088/0031-9155/56/6/018. Epub 2011 Feb 25.

Abstract

When the human body is exposed to ionizing radiation, among the soft tissues at risk are the active marrow (AM) and the bone endosteum (BE) located in tiny, irregular cavities of trabecular bone. Determination of absorbed fractions (AFs) of energy or absorbed dose in the AM and the BE represent one of the major challenges of dosimetry. Recently, at the Department of Nuclear Energy at the Federal University of Pernambuco, a skeletal dosimetry method based on µCT images of trabecular bone introduced into the spongiosa voxels of human phantoms has been developed and applied mainly to external exposure to photons. This study uses the same method to calculate AFs of energy and S-values (absorbed dose per unit activity) for electron-emitting radionuclides known to concentrate in skeletal tissues. The modelling of the skeletal tissue regions follows ICRP110, which defines the BE as a 50 µm thick sub-region of marrow next to the bone surfaces. The paper presents mono-energetic AFs for the AM and the BE for eight different skeletal regions for electron source energies between 1 keV and 10 MeV. The S-values are given for the beta emitters (14)C, (59)Fe, (131)I, (89)Sr, (32)P and (90)Y. Comparisons with results from other investigations showed good agreement provided that differences between methodologies and trabecular bone volume fractions were properly taken into account. Additionally, a comparison was made between specific AFs of energy in the BE calculated for the actual 50 µm endosteum and the previously recommended 10 µm endosteum. The increase in endosteum thickness leads to a decrease of the endosteum absorbed dose by up to 3.7 fold when bone is the source region, while absorbed dose increases by ∼20% when the beta emitters are in marrow.

摘要

当人体暴露于电离辐射时,有风险的软组织包括位于小梁骨微小、不规则腔隙中的活跃骨髓 (AM) 和骨内膜 (BE)。确定 AM 和 BE 中的能量吸收分数 (AF) 或吸收剂量是剂量学的主要挑战之一。最近,在联邦伯南布哥大学核能系,已经开发并主要应用于光子外照射的基于小梁骨 μCT 图像的骨骼剂量学方法被引入到人体模型的松质骨体素中。本研究使用相同的方法来计算已知集中在骨骼组织中的电子发射放射性核素的能量 AFs 和 S 值(单位活度的吸收剂量)。骨骼组织区域的建模遵循 ICRP110,该模型将 BE 定义为紧邻骨表面的骨髓的 50 µm 厚的子区域。本文为 8 个不同骨骼区域的 AM 和 BE 呈现了单能 AFs,电子源能量在 1 keV 到 10 MeV 之间。S 值给出了β发射体(14)C、(59)Fe、(131)I、(89)Sr、(32)P 和(90)Y 的值。与其他研究结果的比较表明,只要适当考虑方法学和小梁骨体积分数之间的差异,就可以很好地吻合。此外,还比较了为实际 50 µm 骨内膜和之前推荐的 10 µm 骨内膜计算的 BE 中特定的能量 AFs。当骨是源区时,骨内膜厚度的增加会导致骨内膜吸收剂量减少高达 3.7 倍,而当β发射体在骨髓中时,吸收剂量会增加约 20%。

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