Palomo R, Pujades M C, Gimeno-Olmos J, Carmona V, Lliso F, Candela-Juan C, Vijande J, Ballester F, Perez-Calatayud J
Physics Section, Radiotherapy Department, La Fe University and Polytechnic Hospital, E-46026 Valencia, Spain.
J Radiol Prot. 2015 Dec;35(4):N33-41. doi: 10.1088/0952-4746/35/4/N33. Epub 2015 Oct 12.
The purpose of this work is to evaluate the absorbed dose to the eye lenses due to the cone beam computed tomography (CBCT) system used to accurately position the patient during head-and-neck image guided procedures. The on-board imaging (OBI) systems (v.1.5) of Clinac iX and TrueBeam (Varian) accelerators were used to evaluate the imparted dose to the eye lenses and some additional points of the head. All CBCT scans were acquired with the Standard-Dose Head protocol from Varian. Doses were measured using thermoluminescence dosimeters (TLDs) placed in an anthropomorphic phantom. TLDs were calibrated at the beam quality used to reduce their energy dependence. Average dose to the lens due to the OBI systems of the Clinac iX and the TrueBeam were 0.71 ± 0.07 mGy/CBCT and 0.70 ± 0.08 mGy/CBCT, respectively. The extra absorbed dose received by the eye lenses due to one CBCT acquisition with the studied protocol is far below the 500 mGy threshold established by ICRP for cataract formation (ICRP 2011 Statement on Tissue Reactions). However, the incremental effect of several CBCT acquisitions during the whole treatment should be taken into account.
本研究的目的是评估在头颈部图像引导手术中用于精确患者定位的锥形束计算机断层扫描(CBCT)系统对晶状体的吸收剂量。使用Clinac iX和TrueBeam(瓦里安)加速器的机载成像(OBI)系统(版本1.5)来评估晶状体和头部其他一些点所接受的剂量。所有CBCT扫描均采用瓦里安公司的标准剂量头部协议进行采集。使用放置在人体模型中的热释光剂量计(TLD)测量剂量。TLD在用于降低其能量依赖性的射线质下进行校准。Clinac iX和TrueBeam的OBI系统对晶状体的平均剂量分别为0.71±0.07 mGy/CBCT和0.70±0.08 mGy/CBCT。根据所研究的协议,单次CBCT采集导致晶状体额外接受的吸收剂量远低于国际放射防护委员会(ICRP)为白内障形成设定的500 mGy阈值(ICRP 2011年关于组织反应的声明)。然而,在整个治疗过程中多次CBCT采集的累积效应应予以考虑。