Dose Distribution of Co-60 Photon Beam in Total Body Irradiation

Kang, Wee-Saing Korean Society of Medical Physics 1991 의학물리 Vol.2 No.2

Total body irradiation is operated to irradicate malignant cells of bone marrow of patients to be treated with bone marrow transplantation. Field size of a linear accelerator or cobalt teletherapy unit with normal geometry for routine technique is too small to cover whole body of a patient. So, any special method to cover patient whole body must be developed. Because such environments as room conditions and machine design are not universal, some characteristic method of TBI for each hospital could be developed. At Seoul National University Hospital, at present, only a cobalt unit is available for TBI because source head of the unit could be tilted. When the head is tilted outward by 90$^{\circ}$, beam direction is horizontal and perpendicular to opposite wall. Then, the distance from cobalt source to the wall was 319 cm. Provided that the distance from the wall to midsagittal plane of a patient is 40cm, nominal field size at the plane(SCD 279cm) is 122cm$\times$122cm but field size by measurement of exposure profile was 130cm$\times$129cm and vertical profile was not symmetric. That field size is large enough to cover total body of a patient when he rests on a couch in a squatting posture. Assuming that average lateral width of patients is 30cm, percent depth dose for SSD 264cm and nominal field size 115.5cm$\times$115.5cm was measured with a plane-parallel chamber in a polystyrene phantom and was linear over depth range 10~20cm. An anthropomorphic phantom of size 25cm wide and 30cm deep. Depth of dose maximum, surface dose and depth of 50% dose were 0.3cm, 82% and 16.9cm, respectively. A dose profile on beam axis for two opposing beams was uniform within 10% for mid-depth dose. Tissue phantom ratio with reference depth 15cm for maximum field size at SCD 279cm was measured in a small polystyrene phantom and was linear over depth range 10~20cm. An anthropomorphic phantom with TLD chips inserted in holes on the largest coronal plane was bilaterally irradiated by 15 minute in each direction by cobalt beam aixs in line with the cross line of the coronal plane and contact surface of sections No. 27 and 28. When doses were normalized with dose at mid-depth on beam axis, doses in head/neck, abdomen and lower lung region were close to reference dose within $\pm$ 10% but doses in upper lung, shoulder and pelvis region were lower than 10% from reference dose. Particulaly, doses in shoulder region were lower than 30%. On this result, the conclusion such that under a geometric condition for TBI with cobalt beam as SNUH radiotherapy departement, compensators for head/neck and lung shielding are not required but boost irradiation to shoulder is required could be induced.

A Study on Electron Dose Distribution of Cones for Intraoperative Radiation Therapy

Kang, Wee-Saing,Ha, Sung-Whan,Yun, Hyong-Geun Korean Society of Medical Physics 1992 의학물리 Vol.3 No.2

For intraoperative radiation therapy using electron beams, a cone system to deliver a large dose to the tumor during surgical operation and to save the surrounding normal tissue should be developed and dosimetry for the cone system is necessary to find proper X-ray collimator setting as well as to get useful data for clinical use. We developed a docking type of a cone system consisting of two parts made of aluminum: holder and cone. The cones which range from 4cm to 9cm with 1cm step at 100cm SSD of photon beam are 28cm long circular tubular cylinders. The system has two 26cm long holders: one for the cones larger than or equal to 7cm diamter and another for the smaller ones than 7cm. On the side of the holder is an aperture for insertion of a lamp and mirror to observe treatment field. Depth dose curve. dose profile and output factor at dept of dose maximum. and dose distribution in water for each cone size were measured with a p-type silicone detector controlled by a linear scanner for several extra opening of X-ray collimators. For a combination of electron energy and cone size, the opening of the X-ray collimator was caused to the surface dose, depths of dose maximum and 80%, dose profile and output factor. The variation of the output factor was the most remarkable. The output factors of 9MeV electron, as an example, range from 0.637 to 1.549. The opening of X-ray collimators would cause the quantity of scattered electrons coming to the IORT cone system. which in turn would change the dose distribution as well as the output factor. Dosimetry for an IORT cone system is inevitable to minimize uncertainty in the clinical use.

A New Trend of Dosimetry with Photons and Electrons with High Energy

Kang, Wee-Saing Korean Society of Medical Physics 1990 의학물리 Vol.1 No.1

No Abstract, See Full Text

A Study on the Effect of Field shaping on Dose Distribution of Electron Beams

강위생(Wee Saing Kang),조문준(Moon June Cho) 대한방사선종양학회 1986 Radiation Oncology Journal Vol.4 No.2

전자선 치료시에 납판이나 저융점 합금이 조사면의 형태의 변형을 위하여 사용되고 있다. 콜리메이팅 장치와 마찬가지로 조사면 변형을 위한 물질도 전자선의 출력에 영향을 미친다. 저자들은 폴리스티렌 팬톰에 삽입된 Farmer형 전리함을 이용하여 Clinac-18의 전자선의 변형된 조사면에 대한 출력율을 측정하고 출력율에 영향을 미치는 요인들에 관해 분석했다. 전자선의 출력율은 전자선의 초기 에너지, 콜리메이팅 장치뿐만 아니라 조사면 크기에도 좌우되었다. 변형된 조사면에 대하여 잔자선의 에너지에 관계없이 X-선 콜리메이터와 전자선 어플리케이터의 조합이 고정되면 조사면의 크기 대 출력율은 A/P로 표시된 등가조사면의 크기에 따라 변하지만 조사면의 형태에 대해서는 무시할 수 있었다. 그러나 개조사면에 대한 출력율은 변형조사면의 출력율로부터 예상될 수 없고, 그것들만의 독립적인 관계를 가지고 있었다. 어플리케이터와 콜리메이터의 조합이 고정된 경우에 한해서 판자선의 변형조사면에 대한 출력율은 A/P로서 표시된 등가 조사면 방법에 의하여 구할 수 있다. In electron therapy, lead cutout or low-melting alloy block is used for shaping the field. Material for shaping electron field affects the output factor as wet 1 as the collimation system. The authors measured the output factors of electron beams for shaped fields from Clinac-18 using ionization chamber of Farmer type in polystyrene phantom. They analyzed the parameters that affect the output factors. The output factors of electron beams depend on the incident energy, collimation system and size of shaped field. For shaped field the variation of output factor for the field size (A/P) has appearence of a smooth curve for all energy and all applicator collimator combination. The output factors for open field deviate from the curves for shaped fields. An output factor for a given field can be calculated by equivalent field method such as A/P method, if a combination of applicator and collimator is fixed.

유암수술후 방사선치료시 60Co g 선과 전자선 조사야 접합부 선량분포에 관한 연구

강위생(Wee Saing Kang) 대한방사선종양학회 1984 Radiation Oncology Journal Vol.2 No.1

A Study on the Effects of Wedge Filter in Peripheral Dose Distribution

강위생(Wee Saing Kang),김일한(Il Han Kim),박찬일(Charn Il Park) 대한방사선종양학회 1985 Radiation Oncology Journal Vol.3 No.2

The peripheral dose distributions of wedge fields of Co-60 gamma-ray and 10MV x-ray were measured by the solid state detector controlled by means of semiautomatic water phentom system. The measurements were made on the principal plane parallel to the cross section of wedge filter (blade and ridge direction). For parallel motion of the detector to the beam axis the distance from the margin of radiation field at surface were 3, 5 and 10cm. For tranverse motion the depth of measurement were dm, 5, 10 and 15cm. The followings were drawn from the measurement. 1. The peripheral dose of the blade side of wedges was generally higher than that of the ridge side at symmetric point about beam axis. 2. In the superficial region phenomena of dose build-up appeared. 3. For Co-60 gamma-ray field, the peripheral dose did not monotonously decrease with the distance from the field margin but increase in some range, consequently showing a peak dose. 4. The peripheral dose did not only depend on radiation quality and field size, but also on wedge angle and wedge direction. Wedge filter를 사용할 때 60Co gamma선과 10MV X-선의 주변선량분포를 반자동식 물팬톰장치에 의해 제어되는 고체 방사선검출기로 측정하였다. wedge filter의 날과 등의 방향을 잇는 주단면상에서 주변선량을 측정하였다. 방사선의 투과력과 wedge 각, wedge에 대한 방향, 조사면의 변화에 대하여 주변선량의 면화를 고찰하였다. 선축에 수직인 방향의 측정은 깊이 dm, 5cm, 10cm, 15cm에서 선측과 평행인 방향에서는 조사면 경계에서 3cm, 5cm, 10cm 떨어진 위치에서 측정이 이루어졌다. 측정으로부터 wedge가 사용되는 조사면에 대한 주변선량분포가 아래와 같음을 볼 수 있었다. 1. wedge filter의 날의 방향의 주변선량이 등의 방향의 주변선량보다 높았다. 2. 표면근처에서는 깊이가 깊어짐에 따라 선량이 감소하였다. 3. 60Co gamma선의 경우 어떤 깊이에서는 조사면의 경계로부터 거리가 떨어짐에 따라 주변선량이 단조감소하지 않고 다시 증가하는 영역이 있었다. 4. wedge를 사용하는 경우 주변선량은 방사선의 투과력이나 조사면의 크기뿐만 아니라 wedge의 각과 방향에도 영향을 받는다.

腦廓의 電子線 照射時 線量分布에 關한 硏究

姜渭生(Wee Saing Kang) 대한방사선종양학회 1983 Radiation Oncology Journal Vol.1 No.1

Comparison of Electron Beam Dosimetries by Means of Several Kinds of Dosimeters

강위생(Wee Saing Kang) 대한방사선종양학회 1989 Radiation Oncology Journal Vol.7 No.1

전자선의 선량을 측정하기 위하여 수종의 측정기와 팬톰의 조합에 대해서 실험 및 결과를 분석하였다. 전자선의 선축상 선량분포가 조사면의 크기에 좌우되는지를 알기 위하여 실리콘 PN 접합형 다이오드를 사용하였다. 50 및 80, 90% 선량점의 깊이가 작은 조사면에 대해서는 조사면의 크기에 따라 증가하지만, 큰 조사면에 대해서는 거의 일정했다. 그러나 그 깊이가 일정한 경우 최소 조사면의 크기가 뚜렷하지는 않으나 전자선의 에너지가 증가함에 따라 증가하였다. 6~18MeV의 전자선에 대해 조사면의 크기가 10x10cm² 이상인 경우 그 깊이 가 어느 에너지에 대해서도 조사면의 크기에 무관함이 측정치에서 관찰되었다. 그래서 수종의 측정기와 팬톰의 결합에 따른 전자선의 선축상 선량분포의 차이점을 관찰하고자 하는 실험에서 조사면의 크기로 10x10cm²을 선택하였다. 원주형 전리함과 평판형 전리함, 필름은 폴리스티렌 팬톰과 함께, 실리콘다이오드는 물팬톤과 함께 선량측정에 이용되었다. 원주형 전리함은 표면선량이나 6MeV처럼 낮은 에너지의 선량증가 영역에서 선량을 측정할 수 없었다. 몇 가지를 제외하고는 측정된 변수들은 서로 다른 측정기 및 팬톰의 결합에 관계없이 거의 동일하였다. 어떤 에너지에서는 서로 다른 측정기에 의한 표면선량이 4% 정도 차이가 났으며, 에너지가 증가함에 따라 그 대소가 반전되기도 하였다. 18MeV의 경우 필름에 의한 80 및 90% 선량점의 깊이가 다른 측정기에 의한 것보다 꽤 얕았다. 평판형 전리함과 실리콘 다이오드는 전자선의 선량분포측정에 사용될 수 있겠으나 평판형 전리함은 큰 조사면에서만 사용하는 것이 바람직할 것이다. 표면선량 측정이나 저 에너지 전자선의 선량증가 부분에서 선량측정에는 원주형 전리함을 사용하지 않는 것이 바람직할 것이다. 18 MeV와 같이 높은 에너지의 전자선의 선량분포 측정에 필름이 사용되어도 좋을지 의심스럽다. Several combinations of measuring devices and phantoms were studied to measure electron beams. Silicon PN junction diode was used to find the dependence of depth dose profile on field size on axis of electron beam Depths of 50, 80 and 90% doses increased with the field size for small fields. For some larger fields, they were nearly constant. The smallest of field sizes over which the parameters were constant was enlarged with increase of the energy of electron beams. Depth dose distributions on axis of electron beam of 10x10cm² field were studied with several combinations of measuring devices and phantoms. Cylindrical ion chamber could not be used for measurement of surface dose, and was not convenient for measurement of near surface region of 6MeV electron. With some exceptions, parameters agreed well with those studied by different devices and phantoms. Surface dose in some energies showed 4% difference between maximum and minimum. For 18MeV, depths of 80 and 90% doses were considerably shallower by film than by others. Parallel-plate ion chamber with polystyrene phamtom and silicon PN junction would be recommended for measurement of central axis depth dose of electron beams with considerably large field size. It is desirable not to use cylindrical ion chamber for the purpose of measurement of surface dose or near surface region for lower energy electron beam. It is questionable that film would be recommended for measurement of dose distribution of electron with high energy like as 18MeV.

A Study on Dose Distribution around Fletcher-Suit Colpostat Containing 137Cs Source

강위생(Wee-Saing Kang) 대한방사선종양학회 1988 Radiation Oncology Journal Vol.6 No.2

137Cs 선원을 내포한 Fletcher-Suit Colpostat 주위의 물에서 선량 분포와 내부의 납차폐물에 의한 차폐 효과가 본 논문에 기술된다. 미리 포장된 필름을 이용하여 세슘선원을 내포한 콜포스타트 주위의 선량 분포를 측정하였다. 골포스타트의 한 방향에 9매의 필름을 아크릴 틀을 이용하여 평행하게 고정시키고 세슘튜브를 이용하여 조사하였다. 콜포스타트의 내측과 외측은 동시에 조사하였으며, 전방은 따로 조사하였다. 콜포스타트의 종축이 포함된 내외 횡단면과 윗쪽 표면 밖 0.5㎝ 떨어진 단면에서 성량분포를 얻었다. 차폐효율은 콜포스타트의 상부측이 하부측보다 컸으며, 상부측에서는 종축에서 내측으로 30°정도의 선과 하부측에서는 50°정도의 선에서 차폐효율이 각각 가장 큰 것으로 나타났다. 콜포스타트의 중심에서 반경 7㎝ 범위내에서 차폐효율은 상부 30°에서는 0.26-0.42, 하부 50°에서는 0.23-0.35였으며 거리가 멀어짐에 따라 감소하였다. 콜포스타트 상부표면에서 0.5㎝ 떨어진 단면에서 대략 3㎝ 반경의 원내에서는 차폐효과가 있었지만 그 밖에서는 거의 없었다. This paper presents dose distributions in water around Fletcher-Suit colpostat containing 137Cs tube, and shielding effect of internal lead shield. Using ready packed film, author measured dose distribution in water around the colpostat containing cesium source. Nine sheets of films on one side of the colpostat are packed with acryl frames cut out so as to fill water, and irradiated in water by cesium source in the colpostat. Dose distributions on transverse plane and upper plane 0.5㎝ from upper surface of the colpostat were measured. Shielding effect was greater in upper medial direction than in lower medial direction. And that was the greatest around 30° from the axis of the colpostat on upper side and around 50° on lower side. In the region 7㎝ from the center of the colpostat, shielding efficiency was 0.23 to 0.35 on the lower 50° and 0.26 to 0.42 on the upper 30°, and decreased with increase of distance.

반도체 검출기에 의한 전자선 선량분포에 관한 연구

강위생,하성환,박찬일 대한방사선방어학회 1984 방사선방어학회지 Vol.9 No.1

There is not yet an univeral method of electron dosimetry. The Authors measured dose distributions of the electron beams from Clinac-18 by means of silicon detector connected to X-Y recorder, and compared them in water phantom with dose distributions measured by film and ion chamber, both inseted in polystyrene phantom. The results are as followings, 1.Dose in build-up region increased with the field size for all energy, and depth dose profiles of 6∼12Mev beam under the depth of maximum dose were independent of field size, but those of 15 and 18 MeV beam were dependent of the field size. 2.The widths of penumbra by semiconductor detector were narrower than those by film for same enerby beam. 3.Depth dose profiles by three different dosimeter did not coincide each other. In the build-up region, dose by semiconductor detector was lower than that by any other dosimeter.