Gholami Mehrdad, Shahbazi-Gahrouei Daryoush
Department of Medical Physics and Radiation Sciences, Lorestan University of Medical Sciences, Khorramabad, Iran.
Department of Medical Physics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
J Cancer Res Ther. 2018 Apr-Jun;14(3):563-566. doi: 10.4103/0973-1482.183204.
The human body consists of a variety of tissues and cavities with different physical and radiological properties. The most important among these are tissues and cavities including lungs, oral cavities, teeth, nasal passages, sinuses, and bones. Thus, the dose distribution in these tissues cannot be verified with soft tissue equivalent polymer gel dosimeters. This study is conducted to evaluate the effect of homogeneity on dose response of an anoxic low-density polymer gel dosimeter for radiation therapy.
The low-density polymer gel dosimeter is composed of 12% gelatin, 5% methacrylic acid, 0.15% sodium dodecyl sulfate, 10 mm tetrakis (hydroxymethyl) phosphonium chloride, and 83% ultrapure deionized water. The time between irradiation and scanning for all gels experiments was 18 h. The gel dosimeters were imaged using a 1.5 T clinical magnetic resonance imaging scanner in a transmitter/receiver head coil.
The low-density gels had a mass density between 0.35 g/cm and 0.45 g/cm and the computed tomography (CT) values varied from approximately -650 to -750 Hounsfield units. It is clear that the CT numbers of the fabricated gel are close to those of the normal human lung tissue, which ranges from -770 to -875 Hounsfield units.
Findings of the present study showed that if the density and homogeneity of the low-density polymer gel dosimeters are equal to those of the normal lung tissue, it may be used to measure the three dimensional dose distributions in lung tissue during radiation therapy.
人体由具有不同物理和放射学特性的多种组织和腔隙组成。其中最重要的是包括肺、口腔、牙齿、鼻腔、鼻窦和骨骼在内的组织和腔隙。因此,这些组织中的剂量分布无法用软组织等效聚合物凝胶剂量计进行验证。本研究旨在评估均匀性对用于放射治疗的缺氧低密度聚合物凝胶剂量计剂量响应的影响。
低密度聚合物凝胶剂量计由12%明胶、5%甲基丙烯酸、0.15%十二烷基硫酸钠、10毫米四(羟甲基)氯化鏻和83%超纯去离子水组成。所有凝胶实验中,照射与扫描之间的时间为18小时。凝胶剂量计使用1.5T临床磁共振成像扫描仪在发射/接收头部线圈中成像。
低密度凝胶的质量密度在0.35g/cm³至0.45g/cm³之间,计算机断层扫描(CT)值在约-650至-750亨氏单位之间变化。很明显,所制备凝胶的CT数值与正常人体肺组织的CT数值相近,正常人体肺组织的CT数值范围为-770至-875亨氏单位。
本研究结果表明,如果低密度聚合物凝胶剂量计的密度和均匀性与正常肺组织的密度和均匀性相等,则可用于测量放射治疗期间肺组织中的三维剂量分布。