Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Department of Medicine, Health, and Caring Sciences, Linköping University, Linköping, Sweden.
Med Phys. 2024 Jul;51(7):5059-5069. doi: 10.1002/mp.16904. Epub 2024 Jan 10.
Inorganic scintillation detectors (ISDs) are promising for in vivo dosimetry in brachytherapy (BT). ISDs have fast response, providing time resolved dose rate information, and high sensitivity, attributed to high atomic numbers. However, the conversion of the detector signal to absorbed dose-to-water is highly dependent on the energy spectrum of the incident radiation. This dependence is comprised of absorbed dose energy dependence, obtainable with Monte Carlo (MC) simulation, and the absorbed dose-to-signal conversion efficiency or intrinsic energy dependence requiring measurements. Studies have indicated negligible intrinsic energy dependence of ZnSe:O-based ISDs in Ir-192 BT. A full characterization has not been performed earlier.
This study characterizes the intrinsic energy dependence of ZnSe:O-based ISDs for kV X-ray radiation qualities, with energies relevant for BT.
Three point-like ISDs made from fiber-coupled cuboid ZnSe:O-based scintillators were calibrated at the Swedish National Metrology Laboratory for ionizing radiation. The calibration was done in terms of air kerma free-in-air, , in 13 X-ray radiation qualities, , from 25 to 300 kVp (CCRI 25-250 kV and ISO 4037 N-series), and in terms of absorbed dose to water, , in a Co-60 beam, . The mean absorbed dose to the ISDs, relative to and , were obtained with the MC code TOPAS (Geant4) using X-ray spectra obtained with SpekPy software and laboratory filtration data and a generic Co-60 source. The intrinsic energy dependence was determined as a function of effective photon energy, , (relative to Co-60). The angular dependence of the ISD signal was measured in a 25 kVp (0.20 mm Al HVL) and 135 kVp beam (0.48 mm Cu HVL), by rotating the ISDs 180° around the fiber's longitudinal axis (perpendicular to the beam). A full 360° was not performed due to setup limitations. The impact of detector design was quantified with MC simulation.
Above 30 keV the intrinsic energy dependence varied with less than 5 ± 4% from unity for all detectors (with the uncertainty expressed as the mean of all expanded measurement uncertainties for individual above 30 keV, k = 2). Below 30 keV, it decreased with up to 17% and inter-detector variations of 13% were observed, likely due to differences in detector geometry not captured by the simulations using nominal geometry. In the 25 kVp radiation quality, the ISD signal varied with 24% over a ∼45° rotation. For 135 kVp, the corresponding variation was below 3%. Assuming a 0.05 mm thicker layer of reflective paint around the sensitive volume changed the absorbed dose with 6.3% at the lowest , and with less than 2% at higher energies.
The study suggests that the ISDs have an intrinsic energy dependence relative to Co-60 lower than 5 ± 4% in radiation qualities with > 30 keV. Therefore, they could in principle be calibrated in a Co-60 beam quality and transferred to such radiation qualities with correction factors determined only by the absorbed dose energy dependence obtained from MC simulations. This encourages exploration of the ISDs' applications in intensity modulated BT with Yb-169 or other novel intermediate energy isotopes.
在近距离放射疗法(BT)中,无机闪烁探测器(ISD)是一种很有前途的体内剂量测量工具。ISD 具有快速响应的特点,能够提供时间分辨的剂量率信息,并且由于其高原子数,具有较高的灵敏度。然而,探测器信号与水吸收剂量的转换高度依赖于入射辐射的能谱。这种依赖性由吸收剂量能量依赖性和吸收剂量到信号转换效率或固有能量依赖性组成,需要进行测量。研究表明,基于 ZnSe:O 的 ISD 在 Ir-192 BT 中具有可以忽略不计的固有能量依赖性。之前尚未进行全面的特性描述。
本研究旨在对用于 BT 中相关千伏 X 射线辐射质量的基于 ZnSe:O 的 ISD 的固有能量依赖性进行特征描述。
三个由纤维耦合的长方体 ZnSe:O 基闪烁体组成的点状 ISD 在瑞典国家计量实验室进行了辐射校准。校准是在自由空气比释动能空气比释动能 ,在 13 种 X 射线辐射质量 中进行的,从 25 到 300 kVp(CCRI 25-250 kV 和 ISO 4037 N 系列),以及在 Co-60 束中的水吸收剂量 中进行的。使用 MC 代码 TOPAS(Geant4),通过使用 SpekPy 软件和实验室过滤数据以及通用 Co-60 源获得的 X 射线光谱,获得了相对于 和 的 ISD 平均吸收剂量。确定了相对于 Co-60 的有效光子能量 ( )的固有能量依赖性。在 25 kVp(0.20 mm Al HVL)和 135 kVp 束(0.48 mm Cu HVL)中测量了 ISD 信号的角度依赖性,方法是通过绕纤维的纵轴旋转 ISD 180°(垂直于束流)。由于设置限制,没有进行完整的 360°旋转。通过 MC 模拟量化了探测器设计的影响。
在 30 keV 以上,所有探测器的固有能量依赖性都在 5 ± 4%以内波动(不确定性表示为每个 高于 30 keV 的个体扩展测量不确定性的平均值,k=2)。在 30 keV 以下,它随能量的降低而降低,最大可达 17%,并且观察到探测器之间存在 13%的变化,这可能是由于模拟中使用标称几何形状无法捕捉到的探测器几何形状的差异所致。在 25 kVp 辐射质量中,ISD 信号在大约 45°的旋转范围内变化了 24%。对于 135 kVp,对应的变化小于 3%。假设在敏感体积周围涂有 0.05 mm 厚的反射涂料,会使最低的 处的吸收剂量变化 6.3%,而在较高能量处的变化小于 2%。
该研究表明,在 > 30 keV 的辐射质量中,ISD 的固有能量依赖性相对 Co-60 小于 5 ± 4%。因此,它们原则上可以在 Co-60 束质校准,并通过从 MC 模拟获得的吸收剂量能量依赖性确定仅校正因子转移到这种辐射质量。这鼓励探索基于 ZnSe:O 的 ISD 在 Yb-169 或其他新型中能同位素的调强 BT 中的应用。