Department of Medical Physics, Maria Skłodowska-Curie National Research Institute of Oncology Gliwice Branch, Wybrzeże Armii Krajowej 15, Gliwice, 44-101, Poland.
Institute of Informatics, Silesian University of Technology, Akademicka 16, Gliwice, 44-100, Poland.
Med Phys. 2020 Aug;47(8):3600-3613. doi: 10.1002/mp.14186. Epub 2020 May 15.
The purpose of this work was to examine the suitability of VIPAR polymer gel-9.4 T magnetic resonance microimaging system for high spatial resolution dose distribution measurements.
The VIPAR samples (3 cm in outside diameter and 12 cm in height) were exposed to ionizing radiation by using a linear accelerator (Varian TrueBeam, USA; 6 MV x-ray beam). In the calibration stage, nine gel dosimeter vials were irradiated in a water phantom homogenously to the doses from 1.5 to 30 Gy in order to obtain R2-dose relation. In the verification stage, two gel dosimeter vials were irradiated in the half beam penumbra area of 10 × 10 cm radiation field using the amount of monitor units appropriate to deliver 20 Gy at the field center. The gels were imaged on a vertical 9.4 T magnetic resonance (MR) microimaging scanner using single slice and multislice (9 slices) multiecho (90 × 7 ms) sequences at the spatial resolutions of 0.2-0.4 × 0.2-0.4 × 3 mm and 0.2-0.4 × 0.2-0.4 × 1 mm respectively. The gels were subjected to microimaging during the period of two weeks after irradiation. The reference data consisted of the dose profiles measured using the diode dosimetry, radiochromic film, ionization chamber, and the water phantom system.
The VIPAR -9.4 T MR microimaging system was characterized by the dose sensitivity of 0.067 ± 0.002 Gy s at day 3 after irradiation. The dose resolution at 10 Gy (at P = 95%) was equal to 0.42 Gy at day 3 after irradiation using a single slice sequence (0.2 × 0.2 × 3 mm ) and 2.0 Gy at day 4 after irradiation using a multislice sequence (0.2 × 0.2 × 1 mm ) for one signal acquisition (measurement time: 15 min). These values were improved by ~1.4-fold when using four signal acquisitions in the single slice sequence, and by ~2.78-fold for 12 signal acquisitions in the multislice sequence. Furthermore, decreasing the in-plane resolution from 0.2 × 0.2 mm to 0.4 × 0.4 mm resulted in a dose resolution of 0.3 Gy and 1 Gy at 10 Gy (at P = 95%) for one signal acquisition in the single slice and multislice sequences respectively (measurement time: 7.5 min). As reveals from the gamma index analysis the dose distributions measured at days 3-4 postirradiation using both VIPAR verification phantoms agree with the data obtained using a silicon diode, assuming 1 mm/5% criterion. A good interphantom reproducibility of the polymer gel dosimetry was proved by monitoring of two phantoms up to 10 days after irradiation. However, the agreement between the dose distributions measured using the diode and polymer gel started to get worse from day 5 after irradiation.
The VIPAR -9.4T MR microimaging system allows to obtain dose resolution of 0.42 Gy at 10 Gy (at P = 95%) for a spatial resolution of 0.2 × 0.2 × 3 mm (acquisition time: 15 min). Further studies are required to improve a temporal stability of the gel-derived dose distribution.
本研究旨在考察 VIPAR 聚合物凝胶-9.4T 磁共振微成像系统在高空间分辨率剂量分布测量中的适用性。
使用直线加速器(美国瓦里安 TrueBeam;6MV X 射线束)对 VIPAR 样品(外径 3cm,高 12cm)进行电离辐射照射。在标定阶段,将 9 个凝胶剂量计小瓶在水模体中均匀照射,剂量范围为 1.5 至 30Gy,以获得 R2-剂量关系。在验证阶段,使用适用于在射野中心处递送 20Gy 的测量单位数量,将两个凝胶剂量计小瓶在 10×10cm 射野的半影区进行照射。在垂直 9.4T 磁共振(MR)微成像扫描仪上,使用单切片和多切片(9 片)多回波(90×7ms)序列进行成像,空间分辨率分别为 0.2-0.4×0.2-0.4×3mm 和 0.2-0.4×0.2-0.4×1mm。在照射后两周内对凝胶进行微成像。参考数据包括使用二极管剂量计、光致变色胶片、电离室和水模体系统测量的剂量分布。
VIPAR-9.4T MR 微成像系统在照射后第 3 天的剂量灵敏度为 0.067±0.002Gy·s。使用单切片序列(0.2×0.2×3mm),在第 3 天获得的 10Gy 剂量分辨率(P=95%)为 0.42Gy,在第 4 天使用多切片序列(0.2×0.2×1mm)获得的 10Gy 剂量分辨率(P=95%)为 2.0Gy,单次信号采集(测量时间:15min)。当使用单切片序列中的 4 次信号采集时,该值提高了约 1.4 倍,而在多切片序列中进行 12 次信号采集时,该值提高了约 2.78 倍。此外,将平面内分辨率从 0.2×0.2mm 降低到 0.4×0.4mm,在单切片和多切片序列中单次信号采集时,10Gy 的剂量分辨率分别为 0.3Gy 和 1Gy(P=95%)(测量时间:7.5min)。从伽马指数分析可知,在照射后第 3-4 天使用 VIPAR 验证体模测量的剂量分布与使用硅二极管获得的数据一致,假设 1mm/5%标准。通过监测两个体模,直至照射后 10 天,证明了聚合物凝胶剂量测定的良好的体模间重现性。然而,从照射后第 5 天开始,使用二极管和聚合物凝胶测量的剂量分布之间的一致性开始变差。
VIPAR-9.4T MR 微成像系统可在 0.2×0.2×3mm 的空间分辨率(采集时间:15min)下获得 10Gy 时 0.42Gy 的剂量分辨率。需要进一步研究以提高凝胶衍生剂量分布的时间稳定性。