Optical fiber dosimeter for real-time in-vivo dose monitoring during LDR brachytherapy

Characterisation of a Silicon Photomultiplier Based Oncological Brachytherapy Fibre Dosimeter

Source localisation and real-time dose verification are at the forefront of medical research in brachytherapy, an oncological radiotherapy procedure based on radioactive sources implanted in the patient body. The ORIGIN project aims to respond to this medical community's need by targeting the development of a multi-point dose mapping system based on fibre sensors integrating a small volume of scintillating material into the tip and interfaced with silicon photomultipliers operated in counting mode. In this paper, a novel method for the selection of the optimal silicon photomultipliers to be used is presented, as well as a laboratory characterisation based on dosimetric figures of merit. More specifically, a technique exploiting the optical cross-talk to maintain the detector linearity in high-rate conditions is demonstrated. Lastly, it is shown that the ORIGIN system complies with the TG43-U1 protocol in high and low dose rate pre-clinical trials with actual brachytherapy sources, an essential requirement for assessing the proposed system as a dosimeter and comparing the performance of the system prototype against the ORIGIN project specifications.

Polymer optical fiber detector adapted for low-dose-rate gamma-ray detection

In this Letter, a polymer optical fiber (POF) detector with a convex spherical aperture microstructure probe is designed for low-energy and low-dose rate gamma-ray detection. Simulation and experimental results demonstrate that this structure has a higher optical coupling efficiency and that the angular coherence of the detector depends strongly on the depth of the probe micro-aperture. By modeling the relationship between angular coherence and micro-aperture depth, the optimal depth of the micro-aperture is determined. The sensitivity of the fabricated POF detector is 701 cps at 59.5-keV gamma-ray of 2.78 µSv/h and the maximum percentage error of the average count rate at different angles is 5.16%.

Radioactive Iodine-125 in Tumor Therapy: Advances and Future Directions

Radioactive iodine-125 (I-125) is the most widely used radioactive sealed source for interstitial permanent brachytherapy (BT). BT has the exceptional ability to deliver extremely high doses that external beam radiotherapy (EBRT) could never achieve within treated lesions, with the added benefit that doses drop off rapidly outside the target lesion by minimizing the exposure of uninvolved surrounding normal tissue. Spurred by multiple biological and technological advances, BT application has experienced substantial alteration over the past few decades. The procedure of I-125 radioactive seed implantation evolved from ultrasound guidance to computed tomography guidance. Compellingly, the creative introduction of 3D-printed individual templates, BT treatment planning systems, and artificial intelligence navigator systems remarkably increased the accuracy of I-125 BT and individualized I-125 ablative radiotherapy. Of note, utilizing I-125 to treat carcinoma in hollow cavity organs was enabled by the utility of self-expandable metal stents (SEMSs). Initially, I-125 BT was only used in the treatment of rare tumors. However, an increasing number of clinical trials upheld the efficacy and safety of I-125 BT in almost all tumors. Therefore, this study aims to summarize the recent advances of I-125 BT in cancer therapy, which cover experimental research to clinical investigations, including the development of novel techniques. This review also raises unanswered questions that may prompt future clinical trials and experimental work.

Fabrication and Qualitative Analysis of an Optical Fibre EFPI-Based Temperature Sensor

The following presents a comparison of an extrinsic Fabry–Perot interferometer (EFPI)-based temperature sensor, constructed using a novel diaphragm manufacturing technique, with a reference all-glass EFPI temperature sensor. The novel diaphragm was manufactured using polyvinyl alcohol (PVA). The novel sensor fabrication involved fusing a single-mode fibre (SMF) to a length of fused quartz capillary, which has an inner diameter of 132 μm and a 220 μm outer diameter. The capillary was subsequently polished until the distal face of the capillary extended approximately 60 μm beyond that of the single mode fibre. Upon completion of polishing, the assembly is immersed in a solution of PVA. Controlled extraction resulted in creation of a thin diaphragm while simultaneously applying a protective coating to the fusion point of the SMF and capillary. The EFPI sensor is subsequently sealed in a second fluid-filled capillary, thereby creating a novel temperature sensor structure. Both temperature sensors were placed in a thermogravimetric analyser and heated from an indicated 30 °C to 100 °C to qualitatively compare sensitivities. Initial results indicated that the novel manufacturing technique both expedited production and produces a more sensitive sensor when compared to an all-glass construction.

Optical fibre based real-time measurements during an LDR prostate brachytherapy implant simulation: using a 3D printed anthropomorphic phantom

An optical fibre sensor based on radioluminescence, using the scintillation material terbium doped gadolinium oxysulphide (Gd₂O₂S:Tb) is evaluated, using a 3D printed anthropomorphic phantom for applications in low dose-rate (LDR) prostate brachytherapy. The scintillation material is embedded in a 700 µm diameter cavity within a 1 mm plastic optical fibre that is fixed within a brachytherapy needle. The high spatial resolution dosimeter is used to measure the dose contribution from Iodine-125 (I-125) seeds. Initially, the effects of sterilisation on the sensors (1) repeatability, (2) response as a function of angle, and (3) response as a function of distance, are evaluated in a custom polymethyl methacrylate phantom. Results obtained in this study demonstrate that the output response of the sensor, pre- and post-sterilisation are within the acceptable measurement uncertainty ranging from a maximum standard deviation of 4.7% pre and 5.5% post respectively, indicating that the low temperature sterilisation process does not damage the sensor or reduce performance. Subsequently, an LDR brachytherapy plan reconstructed using the VariSeed treatment planning system, in an anthropomorphic 3D printed training phantom, was used to assess the suitability of the sensor for applications in LDR brachytherapy. This phantom was printed based on patient anatomy, with the volume and dimensions of the prostate designed to represent that of the patient. I-125 brachytherapy seeds, with an average activity of 0.410 mCi, were implanted into the prostate phantom under trans-rectal ultrasound guidance; following the same techniques as employed in clinical practice by an experienced radiation oncologist. This work has demonstrated that this sensor is capable of accurately identifying when radioactive I-125 sources are introduced into the prostate via a brachytherapy needle.

Tapered fiber radiation sensor based on Ce/Tb:YAG crystals for remote γ-ray dosimetry

A novel tapered fiber-optic radiation sensor (TFRS) based on cerium (Ce) and terbium (Tb) co-doped YAG scintillation crystals is demonstrated for the first time. Using the CO₂ laser-heated method, a Ce/Tb:YAG crystal is well embedded into silica glass cladding without any cracks. The scintillation light emitted from the YAG scintillation crystal can be directly coupled into the derived silica optical fiber by the tapered region. The loss of the derived optical fiber is 0.14 dB/cm, which is one order of magnitude lower than the 1.59 dB/cm of the YAG crystal in the TFRS. Subsequently, strong photo- and radio-luminescence of Tb³⁺ (⁵D₄→⁷F₅) ions in TFRS are achieved under ultraviolet light and high-energy ray excitation, respectively. In particular, a prominent remote radiation response of the TFRS is presented under excitation by γ-rays through fusion splicing with multimode optical fibers. The response is approximately four times larger than that of a plastic scintillation fiber (BCF-12) sensor. Furthermore, the results possess high stability as well as a good linearity between the radiation dose rate and the response intensity. The TFRS in combination with an all-silica fiber system is a promising candidate for remote radiation detection.