Development and application of a novel scintillation gel-based 3D dosimetry system for radiotherapy

PURPOSE

This study introduced a novel 3D dosimetry system for radiotherapy in order to address the limitations of traditional quality assurance methods in precision radiotherapy techniques.

METHODS

The research required the use of scintillation material, optical measurements, and a dose reconstruction algorithm. The scintillation material, which mimics human soft tissue characteristics, served as a both physical phantom and a radiation detector. The dose distribution inside the scintillator can be converted to light distributions, which were measured by optical cameras from different angles and manifested as pixel values. The proposed dose reconstruction algorithm, LASSO-TV, effectively reconstructed the dose distribution from pixel values, overcoming challenges such as limited projection directions and large-scale matrices.

RESULTS

Various clinical plans were tested and validated, including a modified segment from the SBRT plan and IMRT clinical plan. The dosimetry system can execute full 3D dose determinations as a function of time with a spatial resolution of 1-2 mm, enabling high-resolution measurements for dynamic dose distribution. Comparative analysis with mainstream device MapCHECK2 confirmed the accuracy of the system, with a relative measurement error of within 5%.

CONCLUSIONS

Testing and validation results demonstrated the dosimetry system's promising potential for dynamic treatment quality assurance.

Time-Resolved Radioluminescence Dosimetry Applications and the Influence of Ge Dopants In Silica Optical Fiber Scintillators

The quality of treatment delivery as prescribed in radiotherapy is exceptionally important. One element that helps provide quality assurance is the ability to carry out time-resolved radiotherapy dose measurements. Reports on doped silica optical fibers scintillators using radioluminescence (RL) based radiotherapy dosimetry have indicated merits, especially regarding robustness, versatility, wide dynamic range, and high spatial resolution. Topping the list is the ability to provide time-resolved measurements, alluding to pulse-by-pulse dosimetry. For effective time-resolved dose measurements, high temporal resolution is enabled by high-speed electronics and scintillator material offering sufficiently fast rise and decay time. In the present work, we examine the influence of Ge doping on the RL response of Ge-doped silica optical fiber scintillators. We particularly look at the size of the Ge-doped core relative to the fiber diameter, and its associated effects as it is adjusted from single-mode fiber geometry to a large core-to-cladding ratio structure. The primary objective is to produce a structure that facilitates short decay times with a sufficiently large yield for time-resolved dosimetry. RL characterization was carried out using a high-energy clinical X-ray beam (6 MV), delivered by an Elekta Synergy linear accelerator located at the Advanced Medical and Dental Institute, Universiti Sains Malaysia (USM). The Ge-doped silica optical fiber scintillator samples, fabricated using chemical vapor deposition methods, comprised of large core and small core optical fiber scintillators with high and low core-to-cladding ratios, respectively. Accordingly, these samples having different Ge-dopant contents offer distinct numbers of defects in the amorphous silica network. Responses were recorded for six dose-rates (between 35 MU/min and 590 MU/min), using a photomultiplier tube setup with the photon-counting circuit capable of gating time as small as 1 μs. The samples showed linear RL response, with differing memory and afterglow effects depending on its geometry. Samples with a large core-to-cladding ratio showed a relatively short decay time (<1 ms). The results suggest a contribution of Ge-doping in affecting the triplet states of the SiO2 matrix, thereby reducing phosphorescence effects. This is a desirable feature of scintillating glass materials that enables avoiding the pulse pile-up effect, especially in high dose-rate applications. These results demonstrate the potential of Ge-doped optical-fiber scintillators, with a large core-to-cladding ratio for use in time-resolved radiation dosimetry.

Radioluminescence of cylindrical and flat Ge-doped silica optical fibers for real-time dosimetry applications

Investigation has been made of the radioluminescence dose response of Ge-doped silica flat and cylindrical fibers subjected to 6 and 10 MV photon beams. The fibers have been custom fabricated, obtaining Ge dopant concentrations of 6 and 10 mol%, subsequently cut into 20 mm lengths. Each sample has been exposed under a set of similar conditions, with use made of a fixed field size and source to surface distance (SSD). Investigation of dosimetric performance has involved radioluminescence linearity, dose-rate dependence, energy dependence, and reproducibility. Mass for mass, the 6 mol% Ge-doped samples provided the greater radioluminescence yield, with both flat and cylindrical fibers responding linearly to the absorbed dose. Further found has been that the cylindrical fibers provided a yield some 38% greater than that of the flat fibers. At 6 MV, the cylindrical fibers were also found to exhibit repeatability variation of <1%, superior to that of the flat fibers, offering strong potential for use in real-time dosimetry applications.

Novel, full 3D scintillation dosimetry using a static plenoptic camera

PURPOSE

Patient-specific quality assurance (QA) of dynamic radiotherapy delivery would gain from being performed using a 3D dosimeter. However, 3D dosimeters, such as gels, have many disadvantages limiting to quality assurance, such as tedious read-out procedures and poor reproducibility. The purpose of this work is to develop and validate a novel type of high resolution 3D dosimeter based on the real-time light acquisition of a plastic scintillator volume using a plenoptic camera. This dosimeter would allow for the QA of dynamic radiation therapy techniques such as intensity-modulated radiation therapy (IMRT) or volumetric-modulated arc therapy (VMAT).

METHODS

A Raytrix R5 plenoptic camera was used to image a 10 × 10 × 10 cm(3) EJ-260 plastic scintillator embedded inside an acrylic phantom at a rate of one acquisition per second. The scintillator volume was irradiated with both an IMRT and VMAT treatment plan on a Clinac iX linear accelerator. The 3D light distribution emitted by the scintillator volume was reconstructed at a 2 mm resolution in all dimensions by back-projecting the light collected by each pixel of the light-field camera using an iterative reconstruction algorithm. The latter was constrained by a beam's eye view projection of the incident dose acquired using the portal imager integrated with the linac and by physical consideration of the dose behavior as a function of depth in the phantom.

RESULTS

The absolute dose difference between the reconstructed 3D dose and the expected dose calculated using the treatment planning software Pinnacle(3) was on average below 1.5% of the maximum dose for both integrated IMRT and VMAT deliveries, and below 3% for each individual IMRT incidences. Dose agreement between the reconstructed 3D dose and a radiochromic film acquisition in the same experimental phantom was on average within 2.1% and 1.2% of the maximum recorded dose for the IMRT and VMAT delivery, respectively.

CONCLUSIONS

Using plenoptic camera technology, the authors were able to perform millimeter resolution, water-equivalent dosimetry of an IMRT and VMAT plan over a whole 3D volume. Since no moving parts are required in the dosimeter, the incident dose distribution can be acquired as a function of time, thus enabling the validation of static and dynamic radiation delivery with photons, electrons, and heavier ions.