Nuclear magnetic resonance analysis of a chemically cross-linked ferrous-methylthymol blue-polyvinyl alcohol radiochromic gel dosimeter

Dual application of Polyvinyl Alcohol Glutaraldehyde Methylthymol Blue Fricke hydrogel in clinical practice: Surface dosimeter and bolus

An essential issue is an accurate evaluation of surface dose distribution for such sensitive treatments. This work aimed to feasibility of the dual application of the Ferrous Polyvinyl Alcohol Glutaraldehyde Methylthymol Blue (PVA-GTA-MTB) gel as a bolus compensator and surface dosimeter in breast radiotherapy. The differences between the surface dose measured using PVA-GTA-MTB gel and film dosimetry in the medial and lateral parts of the breast were 3.74% and 4.18%, respectively. A qualitative comparison of the isodose curves showed that the PVA-GTA-MTB bolus creates a uniform dose distribution similar to the superflab bolus in the target volume.

Investigation of Colored Film Indicators for the Assessment of the Occasional Radiation Exposure

Occupational radiation exposure monitoring is well-established in clinical or industrial environments with various different dosimeter systems. Despite the availability of many dosimetry methods and devices, a challenge with the occasional exposure registration, which may occur due to the spilling of radioactive materials or splitting of these materials in the environment, still exists, because not every individual will have an appropriate dosimeter at the time of the irradiation event. The aim of this work was to develop radiation-sensitive films—color-changing radiation indicators, which can be attached to or integrated in the textile. Polyvinyl alcohol (PVA)-based polymer hydrogels were used as a basis for fabrication of radiation indicator films. Several organic dyes (brilliant carmosine (BC), brilliant scarlet (BS), methylene red (MR), brilliant green (BG), brilliant blue (BB), methylene blue (MB) and xylenol orange (XiO)) were used as a coloring additives. Moreover, PVA films enriched with Ag nanoparticles (PVA-Ag) were investigated. In order to assess the radiation sensitivity of the produced films, experimental samples were irradiated in a linear accelerator with 6 MeV X-ray photons and the radiation sensitivity of irradiated films was evaluated using UV–Vis spectrophotometry method. The most sensitive were PVA-BB films indicating 0.4 Gy−1 sensitivity in low-dose (0–1 or 2 Gy) range. The sensitivity at higher doses was modest. These PVA-dye films were sensitive enough to detect doses up to 10 Gy and PVA-MR film indicated stable 33.3% decolorization after irradiation at this dose. It was found that the dose sensitivity of all PVA-Ag gel films varied from 0.068 to 0.11 Gy−1 and was dependent on the Ag additives concentration. Exchange of a small amount of water with ethanol or isopropanol caused the enhancement of radiation sensitivity in the films with the lowest AgNO3 concentration. Radiation-induced color change of AgPVA films varied between 30 and 40%. Performed research demonstrated the potential of colored hydrogel films in their applications as indicators for the assessment of the occasional radiation exposure.

Radiation Dosimetry by Use of Radiosensitive Hydrogels and Polymers: Mechanisms, State-of-the-Art and Perspective from 3D to 4D

Gel dosimetry was developed in the 1990s in response to a growing need for methods to validate the radiation dose distribution delivered to cancer patients receiving high-precision radiotherapy. Three different classes of gel dosimeters were developed and extensively studied. The first class of gel dosimeters is the Fricke gel dosimeters, which consist of a hydrogel with dissolved ferrous ions that oxidize upon exposure to ionizing radiation. The oxidation results in a change in the nuclear magnetic resonance (NMR) relaxation, which makes it possible to read out Fricke gel dosimeters by use of quantitative magnetic resonance imaging (MRI). The radiation-induced oxidation in Fricke gel dosimeters can also be visualized by adding an indicator such as xylenol orange. The second class of gel dosimeters is the radiochromic gel dosimeters, which also exhibit a color change upon irradiation but do not use a metal ion. These radiochromic gel dosimeters do not demonstrate a significant radiation-induced change in NMR properties. The third class is the polymer gel dosimeters, which contain vinyl monomers that polymerize upon irradiation. Polymer gel dosimeters are predominantly read out by quantitative MRI or X-ray CT. The accuracy of the dosimeters depends on both the physico-chemical properties of the gel dosimeters and on the readout technique. Many different gel formulations have been proposed and discussed in the scientific literature in the last three decades, and scanning methods have been optimized to achieve an acceptable accuracy for clinical dosimetry. More recently, with the introduction of the MR-Linac, which combines an MRI-scanner and a clinical linear accelerator in one, it was shown possible to acquire dose maps during radiation, but new challenges arise.

Recent Advances in Hydrogel-Based Sensors Responding to Ionizing Radiation

Ionizing radiation and its applications are widely spread throughout life. Similar to many other things, both the positive and negative aspects of ionizing radiation should always be kept in mind. For example, a proper radiation dose can be delivered to tumor tissue to kill malignant cells in radiotherapy. On the other hand, exceeding this dose can damage the normal tissues of a human organism. Therefore, the application of sensors for measuring ionizing radiation doses is of utmost importance in many fields, especially in cancer therapy. Traditional dosimeters, such as ionization chambers, silicon diodes and thermoluminescence dosimeters, are widely used. However, they have limitations in certain aspects. Hydrogel-based sensors (or dosimeters) for measuring ionizing radiation doses attract extensive attention for decades due to their equivalence to living tissue and biocompatibility. In this review, we catalog hydrogel-based dosimeters such as polymer, Fricke, radio-chromic, radio-fluorescence and NPs-embedded dosimeters. Most of them demonstrate desirable linear response and sensitivity regardless of energy and dose rate of ionizing radiation. We aim to review these dosimeters and their potential applications in radiotherapy as well as to stimulate a joint work of the experts from different fields such as materials science, chemistry, cancer therapy, radiobiology and nuclear science.

Low-Diffusion Fricke Gel Dosimeters with Core-Shell Structure Based on Spatial Confinement

The diffusion of ferric ions is an important challenge to limit the application of Fricke gel dosimeters in accurate three-dimensional dose verification of modern radiotherapy. In this work, low-diffusion Fricke gel dosimeters, with a core-shell structure based on spatial confinement, were constructed by utilizing microdroplet ultrarapid freezing and coating technology. Polydimethylsiloxane (PDMS), with its excellent hydrophobicity, was coated on the surface of the pellets. The concentration gradient of the ferric ion was realized through shielding half of a Co-60 photon beam field size, and ion diffusion was measured by both ultraviolet-visible spectrophotometry and magnetic resonance imaging. No diffusion occurred between the core-shell pellets, even at 96 h after irradiation, and the diffusion length at the irradiation boundary was limited to the diameter (2-3 mm) of the pellets. Furthermore, Monte Carlo calculations were conducted to study dosimetric properties of the core-shell dosimeter, which indicated that a PDMS shell hardly affected the performance of the dosimeter.