Felix Manuela C, Glatting Gerhard, Giordano Frank A, Brockmann Marc A, Wenz Frederik, Fleckenstein Jens
Medical Radiation Physics/Radiation Protection, University Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany; Department of Radiation Oncology, University Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Medical Radiation Physics/Radiation Protection, University Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Z Med Phys. 2017 Mar;27(1):56-64. doi: 10.1016/j.zemedi.2016.05.003. Epub 2016 Jun 16.
In radiation therapy of small animals treatment depths range from a few millimetres to several centimetres. In order to spare surrounding organs at risk steep dose gradients are necessary. To minimize the treatment time, and therefore the strain to the animals, a high dose rate is required. A description how these parameters can be optimized through an appropriate choice of collimators with different source surface distances (SSD) as well as different materials and geometries is presented.
An industrial micro-CT unit (Y.Fox, YXLON GmbH, Hamburg, Germany) was converted into a precision irradiator for small animals. Different collimators of either stainless steel (Fe) with cylindrical bores (SSD=42mm) or tungsten (W) with conical bores (SSD=14mm) were evaluated. The dosimetry of very small radiation fields presents a challenge and was performed with GafChromic EBT3 films (Ashland, Vayne, KY, USA) in a water phantom. The films were calibrated with an ionization chamber in the uncollimated field. Treatments were performed via a rotation of the objects with a fixed radiation source.
As expected, the shorter SSD of the W-collimators resulted in a (4.5±1.6)-fold increase of the dose rates compared to the corresponding Fe-collimators. The ratios of the dose rates at 1mm and 10mm depth in the water phantom was (2.6±0.2) for the Fe- and (4.5±0.1) for the W-collimators. For rotational treatments in a cylindrical plastic phantom maximum dose rates of up to 1.2Gy/min for Fe- and 5.1Gy/min for W-collimators were measured.
Choosing the smallest possible SSD leads to a high dose rate and a high surface dose, which is of advantage for the treatment of superficial target volumes. For larger SSD the dose rate is lower and the depth dose curve is shallower. This leads to a reduction of the surface dose and is best suited for treatments of deeper seated target volumes. Divergent collimator bores have, due to the reduced scatter within the collimators, a steeper penumbra. The dosimetry of small kilovoltage beams with Gafchromic EBT3 films in a water phantom has proven successful.
在小动物放射治疗中,治疗深度范围从几毫米到几厘米。为了保护周围的危险器官,需要陡峭的剂量梯度。为了最小化治疗时间,从而减少对动物的应激,需要高剂量率。本文介绍了如何通过适当选择具有不同源皮距(SSD)以及不同材料和几何形状的准直器来优化这些参数。
将一台工业微型CT设备(Y.Fox,YXLON GmbH,汉堡,德国)改装成一台用于小动物的精密辐照器。评估了不同的准直器,一种是带有圆柱形孔的不锈钢(Fe)准直器(SSD = 42mm),另一种是带有锥形孔的钨(W)准直器(SSD = 14mm)。非常小的辐射野的剂量测定是一项挑战,在水模体中使用GafChromic EBT3胶片(美国肯塔基州瓦恩市阿什兰公司)进行。这些胶片在非准直野中用电离室进行校准。通过固定辐射源旋转物体来进行治疗。
正如预期的那样,与相应的Fe准直器相比,W准直器较短的SSD导致剂量率增加了(4.5±1.6)倍。在水模体中,Fe准直器在1mm和10mm深度处的剂量率之比为(2.6±0.2),W准直器为(4.5±0.1)。在圆柱形塑料模体中进行旋转治疗时,Fe准直器的最大剂量率高达1.2Gy/min,W准直器为5.1Gy/min。
选择尽可能小的SSD会导致高剂量率和高表面剂量,这对于浅表靶区的治疗是有利的。对于较大的SSD,剂量率较低且深度剂量曲线较浅。这会导致表面剂量降低,最适合于深部靶区的治疗。由于准直器内散射减少,发散的准直器孔具有更陡峭的半值层。在水模体中使用Gafchromic EBT3胶片对小千伏级射线束进行剂量测定已被证明是成功的。