Browsing by Subject "Physics, Radiation"

The High Intensity Gamma-ray Source (HIGS) at Duke University is a world class Compton light source facility. At the HIGS, a Free-Electron Laser (FEL) beam is Compton scattered with an electron beam in the Duke storage ring to produce an intense, highly polarized, and nearly monoenergetic gamma-ray beam with a tunable energy from about 1 MeV to 100 MeV. This unique gamma-ray beam has been used in a wide range of basic and application research fields from nuclear physics to astrophysics, from medical research to homeland security and industrial applications.

The capability of accurately predicting the spatial, spectral and temporal characteristics of a Compton gamma-ray beam is crucial for the optimization of the operation of a Compton light source as well as for the applications utilizing the Compton beam. In this dissertation, we have successfully developed two approaches, an analytical calculation method and a Monte Carlo simulation technique, to study the Compton scattering process. Using these two approaches, we have characterized the HIGS beams with varying electron beam parameters as well as different collimation conditions. Based upon the Monte Carlo simulation, an end-to-end spectrum reconstruction method has been developed to analyze the measured energy spectrum of a HIGS beam. With this end-to-end method, the underlying energy distribution of the HIGS beam can be uncovered with a high degree of accuracy using its measured spectrum. To measure the transverse profile of the HIGS beam, we have developed a CCD based gamma-ray beam imaging system with a sub-mm spatial resolution and a high contrast sensitivity. This imaging system has been routinely used to align experimental apparatus with the HIGS beam for nuclear physics research.

To determine the energy distribution of the HIGS beam, it is important to know the energy distribution of the electron beam used in the collision. The electron beam energy and energy spread can be measured using the Compton scattering technique. In order to use this technique, we have developed a new fitting model directly based upon the Compton scattering cross section while taking into account the electron-beam emittance and gamma-beam collimation effects. With this model, we have successfully carried out a precise energy measurement of the electron beam in the Duke storage ring.

Alternatively, the electron beam energy can be measured using the Resonant Spin Depolarization technique, which requires a polarized electron beam. The radiative polarization of an electron beam in the Duke storage ring has been studied as part of this dissertation program. From electron-beam lifetime measurements, the equilibrium degree of polarization of the electron beam has been successfully determined. With the polarized electron beam, we will be able to apply the Resonant Spin Depolarization technique to accurately determine the electron beam energy. This on-going research is of great importance to our continued development of the HIGS facility.

Accurate delivery of external beam radiation therapy relies on localization of the treatment target. For this work, the accuracy of an electromagnetic localization system (ELS) was first verified. Next, prostate deformations and rotations occurring throughout therapy were analyzed. Motion studies were also conducted to investigate the use of the ELS during intensity modulated arc therapy (IMAT) for prostate cancer. Lastly, appropriate margins were determined and new plans utilizing smaller margins were tested for two patients who exhibited large transponder displacements. Electromagnetic alignments were accurate to within 1mm as compared to x-ray imaging. All patients fell within the default geometric residual limit (2mm) and most fell within the default rotation limit (10°). The ELS appeared to be suitable for use during IMAT with a 5mm margin. A 3mm margin was tested and was adequate when the main displacements were translational shifts; however, it was not adequate when large rotational displacements occurred.

Cone beam computed tomography (CBCT) is a 3D x-ray imaging technique in which the x-ray beam is transmitted to an object with wide beam geometry producing a 2D image per projection. Due to its faster image acquisition time, wide coverage length per scan, and fewer motion artifacts, the CBCT system is rapidly replacing the conventional CT system and becoming popular in diagnostic and therapeutic radiology. However, there are few studies performed in CBCT dosimetry because of the absence of a standard dosimetric protocol for CBCT. Computed tomography dose index (CTDI), a standardized metric in conventional CT dosimetry, or direct organ dose measurements have been limitedly used in the CBCT dosimetry.

This dissertation investigated the CBCT dosimetry from the CTDI method to the organ, effective dose, risk estimations with physical measurements and Monte Carlo (MC) simulations.

An On-Board Imager (OBI, Varian Medical Systems, Palo Alto, CA) was used to perform old and new CBCT scan protocols. The new CBCT protocols introduced both partial and full angle scan modes while the old CBCT protocols only used the full angle mode. A metal-oxide-semiconductor-field-effect transistor (MOSFET) and an ion chamber were employed to measure the cone beam CTDI (CTDI_CB) in CT phantoms and organ dose in a 5-year-old pediatric anthropomorphic phantom. Radiochromic film was also employed to measure the axial dose profiles. A point dose method was used in the CTDI estimation.

The BEAMnrc/EGSnrc MC system was used to simulate the CBCT scans; the MC model of the OBI x-ray tube was built into the system and validated by measurements characterizing the cone beam quality in the aspects of the x-ray spectrum, half value layer (HVL) and dose profiles for both full-fan and half-fan modes. Using the validated MC model, CTDI_CB, dose profile integral (DPI), cone beam dose length product (DLP_CB), and organ doses were calculated with voxelized MC CT phantoms or anthropomorphic phantoms. Effective dose and radiation risks were estimated from the organ dose results.

The CTDI_CB of the old protocols were found to be 84 and 45 mGy for standard dose, head and body protocols. The CTDI_CB of the new protocols were found to be 6.0, 3.2, 29.0, 25.4, 23.8, and 7.7 mGy for the standard dose head, low dose head, high quality head, pelvis, pelvis spotlight, and low dose thorax protocols respectively. The new scan protocols were found to be advantageous in reducing the patient dose while offering acceptable image quality.

The mean effective dose (ED) was found to be 37.8 ±0.7 mSv for the standard head and 8.1±0.2 mSv for the low dose head protocols (old) in the 5-year-old phantom. The lifetime attributable risk (LAR) of cancer incidence ranged from 23 to 144 cases per 100,000 exposed persons for the standard-dose mode and from five to 31 cases per 100,000 exposed persons for the low-dose mode. The relative risk (RR) of cancer incidence ranged from 1.003 to 1.054 for the standard-dose mode and from 1.001 to 1.012 for the low-dose mode.

The MC method successfully estimated the CTDI_CB, organ and effective dose despite the heavy calculation time. The point dose method was found to be capable of estimating the CBCT dose with reasonable accuracy in the clinical environment.

Over the past 200 years, the Earth's atmospheric carbon dioxide (CO₂) concentration has increased by more than 35%, and climate experts predict that CO₂ levels may double by the end of this century. Understanding the mechanisms of resource management in plants is fundamental for predicting how plants will respond to the increase in atmospheric CO₂. Plant productivity sustains life on Earth and is a principal component of the planet's system that regulates atmospheric CO₂ concentration. As such, one of the central goals of plant science is to understand the regulatory mechanisms of plant growth in a changing environment. Short-lived positron-emitting radiotracer techniques provide time-dependent data that are critical for developing models of metabolite transport and resource distribution in plants and their microenvironments. To better understand the effects of environmental changes on resource transport and allocation in plants, we have developed a system for real-time measurements of metabolite transport in plants using short-lived positron-emitting radiotracers. This thesis project includes the design, construction, and demonstration of the capabilities of this system for performing real-time measurements of metabolite transport in plants.

The short-lived radiotracer system described in this dissertation takes advantage of the combined capabilities and close proximity of two research facilities at Duke University: the Triangle Universities Nuclear Laboratory (TUNL) and the Duke University Phytotron, which are separated by approximately 100 meters. The short-lived positron-emitting radioisotopes are generated using the 10-MV tandem Van de Graaff accelerator located in the main TUNL building, which provides the capability of producing short-lived positron-emitting isotopes such as carbon-11 (¹¹C; 20 minute half-life), nitrogen-13 (¹³N; 10 minute half-life), fluorine-18 (¹⁸F; 110 minute half-life), and oxygen-15 (¹⁵O; 2 minute half-life). The radioisotopes may be introduced to plants as biologically active molecules such as ¹¹CO₂, ¹³NO₃^-, ¹⁸F^--[H₂O], and H₂^{15<\sup>O. Plants for these studies are grown in controlled-environment chambers at the Phytotron. The chambers offer an array of control for temperature, humidity, atmospheric CO₂ concentration, and light intensity. Additionally, the Phytotron houses one large reach-in growth chamber that is dedicated to this project for radioisotope labeling measurements.}

There are several important properties of short-lived positron-emitting radiotracers that make them well suited for use in investigating metabolite transport in plants. First, because the molecular mass of a radioisotope-tagged compound is only minutely different from the corresponding stable compound, radiotracer substances should be metabolized and transported in plants the same as their non-radioactive counterparts. Second, because the relatively high energy gamma rays emitted from electron-positron annihilation are attenuated very little by plant tissue, the real-time distribution of a radiotracer can be measured in vivo in plants. Finally, the short radioactive half-lives of these isotopes allow for repeat measurements on the same plant in a short period of time. For example, in studies of short-term environmental changes on plant metabolite dynamics, a single plant can be labeled multiple times to measure its responses to different environmental conditions. Also, different short-lived radiotracers can be applied to the same plant over a short period of time to investigate the transport and allocation of various metabolites.

This newly developed system provides the capabilities for production of ¹¹CO₂ at TUNL, transfer of the ¹¹CO₂ gas from the target area at TUNL to a radiation-shielded cryogenic trap at the Phytotron, labeling of photoassimilates with ¹¹C, and in vivo gamma-ray detection for real-time measurements of the radiotracer distribution in small plants. The experimental techniques and instrumentation that enabled the quantitative biological studies reported in this thesis were developed through a series of experiments made at TUNL and the Phytotron. Collimated single detectors and coincidence counting techniques were used to monitor the radiotracer distribution on a coarse spatial scale. Additionally, a prototype Versatile Imager for Positron Emitting Radiotracers (VIPER) was built to provide the capability of measuring radiotracer distributions in plants with high spatial resolution (~2.5 mm). This device enables detailed quantification of real-time metabolite dynamics on fine spatial scales.

The full capabilities of this radiotracer system were utilized in an investigation of the effects of elevated atmospheric CO₂ concentration and root nutrient availability on the transport and allocation of recently fixed carbon, including that released from the roots via exudation or respiration, in two grass species. The ¹¹CO₂ gas was introduced to a leaf on the plants grown at either ambient or elevated atmospheric CO₂. Two sequential measurements were performed per day on each plant: a control nutrient solution labeling immediately followed by labeling with a 10-fold increase or decrease in nutrient concentration. The real-time distribution of ¹¹C-labeled photoassimilate was measured in vivo throughout the plant and root environment. This measurement resulted in the first observation of a rapid plant response to short-term changes in nutrient availability via correlated changes in the photoassimilate allocation to root exudates. Our data indicated that root exudation was consistently enhanced at lower nutrient concentrations. Also, we found that elevated atmospheric CO₂ increased the velocity of photoassimilate transport throughout the plant, enhanced root exudation in an annual crop grass, and reduced root exudation in a perennial native grass.

Traditional dosimetric devices are inherently point dose dosimeters (PDDs) and can only measure the magnitude of the radiation exposure; hence, they are one-dimensional (1D). To measure the magnitude and spatial location of dose within a volume either several PDDs must be used at one time, or one PDD must be translated from point-to-point. Using PDDs for spatially distributed, two-dimensional (2D), dosimetry is laborious, time consuming, limited in spatial resolution, susceptible to positioning errors, and the currently accepted approach to measuring dose distribution in 2D. This work seeks to expand the current limits of indirectly ionizing radiation dosimetry by using radiochromic film (RCF) for a high-resolution, accurate dosimetry system. Using RCF will extend the current field of radiation dosimetry to spatially quantitative 2D and three-dimensional (3D) measurements.

This work was generalized into two aims. The first aim was the development of the RCF dosimetry system; it was accomplished by characterizing the film and the readout devices and developing a method to calibrate film response for absolute dose measurements. The second aim was to apply the RCF dosimetry system to three areas of dosimetry that were inherently volumetric and could benefit from multiple dimensional (2D or 3D) dose analysis. These areas were representative of a broad range of radiation energy levels and were: low-mammography, intermediate-computed tomography (CT), and high-radiobiologcal small animal irradiation and cancer patient treatment verification. The application of a single dosimeter over a broad range of energy levels is currently unavailable for most traditional dosimeters, and thus, was used to demonstrate the robustness and flexibility of the RCF dosimetry system.

Two types of RCF were characterized for this work: EBT and XRQA film. Both films were investigated for: radiation interaction with film structure; light interaction with film structure for optimal film readout (densitometry) sensitivity; range of absorbed dose measurements; dependence of film dose measurement response as a function of changing radiation energy; fractionation and dose rate effects on film measurement response; film response sensitivity to ambient factors; and stability of measured film response with time. EBT film was shown to have the following properties: near water equivalent atomic weight (Z_eff); dynamic dose range of (10-1-102) Gy; 3% change in optical density (OD) response for a single exposure level when exposed to radiation energies from (75-18,000) kV; and best digitized using transmission densitometry. XRQA film was shown to have: a Zeff of ~25; a 12 fold increase in sensitivity at lower photon energies for a dynamic dose range of 10-3-100 Gy, a difference of 25% in OD response when comparing 120 kV to 320 kV, and best digitized using reflective densitometry. Both XRQA and EBT films were shown to have: a temporal stability (ΔOD) of ~1% for t > 24 hr post film exposure for up to ~20 days; a change in dose response of ~0.03 mGy hr-1 when exposed to fluorescent room lighting at standard room temperature and humidity levels; a negligible dose rate and fractionation effect when operated within the optimal dose ranges; and a light wavelength dependence with dose for film readout.

The flat bed scanner was chosen as the primary film digitizer due to its availability, cost, OD range, functionality (transmission and reflection scanning), and digitization speed. As a cost verses functionality comparison, the intrinsic and operational limitations were determined for two flat bed scanners. The EPSON V700 and 10000XL exhibited equal spatial and OD accuracy. The combined precision of both the scanner light sources and CCD sensors measured < 2% and < 7% deviation in pixel light intensities for 50 consecutive scans, respectively. Both scanner light sources were shown to be uniform in transmission and reflection scan modes along the center axis of light source translation. Additionally, RCFs demonstrated a larger dynamic range in pixel light intensities, and to be less sensitive to off axis light inhomogeneity, when scanned in landscape mode (long axis of film parallel with axis of light source translation). The EPSON 10000XL demonstrated slightly better light source/CCD temporal stability and provided a capacity to scan larger film formats at the center of the scanner in landscape mode. However, the EPSON V700 only measured an overall difference in accuracy and precision by 2%, and though smaller in size, at the time of this work, was one sixth the cost of the 10000XL. A scan protocol was developed to maximize RCF digitization accuracy and precision, and a calibration fitting function was developed for RCF absolute dosimetry. The fitting function demonstrated a superior goodness of fit for both RCF types over a large range of absorbed dose levels as compared to the currently accepted function found in literature.

The RCF dosimetry system was applied to three novel areas from which a benefit could be derived for 2D or 3D dosimetric information. The first area was for a 3D dosimetry of a pendant breast in 3D-CT mammography. The novel method of developing a volumetric image of the breast from a CT acquisition technique was empirically measured for its dosimetry and compared to standard dual field digital mammography. The second area was dose reduction in CT for pediatric and adult scan protocols. In this application, novel methodologies were developed to measure 3D organ dosimetry and characterize a dose reduction scan protocol for pediatric and adult body habitus. The third area was in the field of small animal irradiation for radiobiology purposes and cancer patient treatment verification. Two methods for small animal irradiation were analyzed for their dosimetry. The first technique was within a gamma irradiator environment using a 137Cs source (663 keV), and the second, a novel approach to mouse irradiation, was developed for fast neutron (10 MeV) irradiated by a Tandem Van de Graff accelerator in a 2H(d,n)3He reaction. For the patient cancer treatment, RCF was used to verify a 3D radiochromic plastic, PRESAGETM, using multi-leaf collimation (MLC) on a medical linear accelerator (LINAC) with 6 MV x-rays. The RCF and PRESAGETM dosimeters were employed to verify a simple respiratory-gated lung treatment for a small nodule; the film was considered the gold standard. In every case, the RCF dosimetry system was verified for accuracy using a traditional PDD as the golden standard. When considering all areas of radiation energy applications, the RCF dosimetry system agreed to better than 7% of the golden standard, and in some cases within better than 1%. In many instances, this work provided vital dosimetric information that otherwise was not captured using the PDD in similar geometry. This work demonstrates the need for RCF to more accurately measure volumetric dose.

Purpose: Changes in patient volume, due to tumor shrinkage, dehydration, dysphagia and atrophy, could present issues in the accuracy of dosimetry throughout the course of treatment. The aim of this work is to study the dosimetric impacts of the volumetric changes during IMRT and to investigate the feasibilities of electronic portal imaging device (EPID) in predicting the impacts. Materials and Methods: An anthropomorphic head and neck phantom was used to represent two scenarios: symmetric and asymmetric volume loss. The phantom was simulated and planned according to the head and neck protocols used in our clinic. Dose volume histograms (DVH) were generated for each set up scenario and were used to calculate the integral dose expected at the coincident volume of the phantom. During treatment delivery, the EPID captured exit fluence of each beam at each level of bolus thickness. These images were quantitatively analyzed using gamma analysis with criteria of 3% and 3mm dose difference and distance-to-agreement respectively. Results: Comparing maximum to minimum volume in the symmetric situation with DVH generated in Eclipse show substantial fluctuations in dose. When comparing five layers of bolus material to zero layers of bolus material, the changes were most significant. The asymmetric volume change predicted dose fluctuations that were less significant than the symmetric phantom. As for gamma analysis, a quantitative evaluation of the integrated dose fluence, captured by the EPID, showed extreme variability in the images with five layers of bolus when compared to images with no bolus. Less significant variation was shown in layers of closer thicknesses, as expected. Conclusions: The phantom study indicates that volume loss could contribute to clinically considerable changes in the dose delivered to target and organs at risk. The proposed technique using EPID could provide valuable information about the variation of dose due to volumetric changes and might be potentially useful.

Research using mice and rats has gained interest because they are robust test beds for clinical drug development and are used to elucidate disease etiologies. Blood vessel visualization and blood flow measurements are important anatomic and physiologic indicators to drug/disease stimuli or genetic modification. Cardio-pulmonary blood flow is an important indicator of heart and lung performance. Small animal functional imaging provides a way to measure physiologic changes minimally-invasively while the animal is alive, thereby allowing for multiple measurements in the same animal with little physiologic perturbation. Current methods of measuring cardio-pulmonary blood flow suffer from some or all of these limitations-they produce relative measurements, are limited to global or whole animal or organ regions, do not provide vasculature visualization, limited to a few or singular samples per animal, are not able to measure acute changes, or are very invasive or requires animal sacrifice. The focus of this work was the development of a small animal x-ray imaging system capable of minimally invasive real-time, high resolution vascular visualization, and cardio-pulmonary blood flow measurements in the live animal. The x-ray technique used was digital subtraction angiography (DSA). This technique is a particularly appealing approach because it is easy to use, can capture rapid physiological changes on a heart beat-to-beat basis, and provides anatomical and functional vasculature information. This DSA system is special because it was designed and implemented from the ground up to be optimized for small animal imaging and functional measurements. This system can perform: 1) minimally invasive in vivo blood flow measurements, 2) multiple measurements in the same animal in a rapid succession (every 30 seconds-a substantial improvement over singular measurements that require minutes to acquire by the Fick method), 3) very high resolution (up to 46 micron) vascular visualization, 4) quantitative blood flow measurements in absolute metrics (mL/min instead of arbitrary units or velocity) and relative blood volume dynamics from discrete ROIs, and 5) relative mean transit time dynamics on a pixel-by-pixel basis (100 µm x 100 µm). The end results are 1) anatomical vessel time course images showing the contrast agent flowing through the vasculature, 2) blood flow information of the live rat cardio-pulmonary system in absolute units and relative blood volume information at discrete ROIs of enhanced blood vessels, and 3) colormaps of relative transit time dynamics. This small animal optimized imaging system can be a useful tool in future studies to measure drug or disease modulated blood flow dynamics in the small animal.

Quality control of soft-copy displays is critical to ensure the proper contrast rendition of medical images. The American Association of Physicists in Medicine's (AAPM) Task Group 18 (TG-18) has developed a set of testing parameters for the acceptance testing and quality control of medical grade displays. This paper addresses practical challenges associated with the broad implementation of TG-18 in a clinical setting. First, a computer model was developed to determine the effects of ambient light variations on the contrast response of a DICOM GSDF calibrated display. The model was based on an LCD displays with diffuse reflection coefficients of 0.0017 sr-1 , 0.0060 sr-1, 0.0080 sr-1, and 0.0200 sr-1. Second, the influence on display assessment due to inter-device variability and measurement techniques was established. Finally, the utility of a commercially available quality control program for remote monitoring of soft-copy displays was examined by confirming the accuracy and precision of the program. In terms of ambient light effects, the results suggest that the maximum allowable increase in ambient lighting can be determined for primary and secondary class displays by the following equations.

E_max^Primary ≤(-521.62R_d^2+18.822R_d+0.2511) E_cal+(0.2169R_d^(-1.002) )+E_cal

E_max^Primary ≤(-423.03R_d^2+22.306R_d+0.5126) E_cal+(2.1328R_d^(-0.753) )+E_cal

Restricting ambient light increases to less than the ΔE_max value will ensure that GSDF calibration is maintained. Assessment of the displays can be performed with either telescopic or contact luminance meters provided the device behaves linearly and the diffuse reflected luminance (L_{amb) is added to the contact measurements to generate L', the luminance perceived by the human eye. Finally, some tests recommended by TG-18 can be implemented by the use of an automated QC system to perform many of the routine measurements. A soft-copy display quality control program can be implemented effectively and efficiently. When performing the TG-18 recommended tests, any calibrated luminance meter can be used provided it captures L'. A commercial program can be used to facilitate these measurements. However, the contact luminance meters used by such systems should be characterized and calibrated against a stand-alone calibrated luminance meter with the required compensation for ambient lighting and reflections.}