Evaluation of the dosimetric properties of a synthetic single crystal diamond detector in high energy clinical proton beams.

PURPOSE: To investigate the dosimetric properties of a synthetic single crystal diamond Schottky diode for accurate relative dose measurements in large and small field high-energy clinical proton beams. METHODS: The dosimetric properties of a synthetic single crystal diamond detector were assessed by comparison with a reference Markus parallel plate ionization chamber, an Exradin A16 microionization chamber, and Exradin T1a ion chamber. The diamond detector was operated at zero bias voltage at all times. Comparative dose distribution measurements were performed by means of Fractional depth dose curves and lateral beam profiles in clinical proton beams of energies 155 and 250 MeV for a 14 cm square cerrobend aperture and 126 MeV for 3, 2, and 1 cm diameter circular brass collimators. ICRU Report No. 78 recommended beam parameters were used to compare fractional depth dose curves and beam profiles obtained using the diamond detector and the reference ionization chamber. Warm-up∕stability of the detector response and linearity with dose were evaluated in a 250 MeV proton beam and dose rate dependence was evaluated in a 126 MeV proton beam. Stem effect and the azimuthal angle dependence of the diode response were also evaluated. RESULTS: A maximum deviation in diamond detector signal from the average reading of less than 0.5% was found during the warm-up irradiation procedure. The detector response showed a good linear behavior as a function of dose with observed deviations below 0.5% over a dose range from 50 to 500 cGy. The detector response was dose rate independent, with deviations below 0.5% in the investigated dose rates ranging from 85 to 300 cGy∕min. Stem effect and azimuthal angle dependence of the diode signal were within 0.5%. Fractional depth dose curves and lateral beam profiles obtained with the diamond detector were in good agreement with those measured using reference dosimeters. CONCLUSIONS: The observed dosimetric properties of the synthetic single crystal diamond detector indicate that its behavior is proton energy independent and dose rate independent in the investigated energy and dose rate range and it is suitable for accurate relative dosimetric measurements in large as well as in small field high energy clinical proton beams.

Water-equivalent path length calibration of a prototype proton CT scanner.

PURPOSE: The authors present a calibration method for a prototype proton computed tomography (pCT) scanner. The accuracy of these measurements depends upon careful calibration of the energy detector used to measure the residual energy of the protons that passed through the object. METHODS: A prototype pCT scanner with a cesium iodide (CsI(Tl)) crystal calorimeter was calibrated by measuring the calorimeter response for protons of 200 and 100 MeV initial energies undergoing degradation in polystyrene plates of known thickness and relative stopping power (RSP) with respect to water. Calibration curves for the two proton energies were obtained by fitting a second-degree polynomial to the water-equivalent path length versus calorimeter response data. Using the 100 MeV calibration curve, the RSP values for a variety of tissue-equivalent materials were measured and compared to values obtained from a standard depth-dose range shift measurement using a water-tank. A cylindrical water phantom was scanned with 200 MeV protons and its RSP distribution was reconstructed using the 200 MeV calibration. RESULTS: It is shown that this calibration method produces measured RSP values of various tissue-equivalent materials that agree to within 0.5% of values obtained using an established water-tank method. The mean RSP value of the water phantom reconstruction was found to be 0.995 ± 0.006. CONCLUSIONS: The method presented provides a simple and reliable procedure for calibration of a pCT scanner.

SU-E-T-100: How to Improve the Dose Accuracy for Gantry Angle Dependent Patient Specific IMRT QA Using 2D Ion Chamber Array with Octavius Phantom.

PURPOSE: To determine the cross calibration factors which can predict more accurate dose distribution for fixed beam IMRT QA using Octavius phantom. METHODS: The ion chamber based Octavius 2D-array detector (PTW, Freiburg, Germany) is a step in the right direction to measure the absolute dose and dose distribution for patient specific IMRT QA. However, the directional dependency of this detector made it less than desirable for angle dependent IMRT QA. We evaluated the new Octavius system (PTW, Freiburg, Germany) for angle dependent IMRT QA which compensates the response due to directional dependency. The system is designed for full arc VMAT QA, but does not always work for the discrete angle IMRT QA due to non-averaging of errors caused by directional dependence of detectors. The proposed method uses correction factors for each gantry angle. The dose for a 10cm × 10cm open field for each gantry angle was calculated by treatment planning system and measured using the Octavius phantom. The correction factors were determined at each gantry angle and the dose distribution was renormalized at each angle using correction factors. RESULTS: The discrepancy between measured and planned dose per monitor unit depended on the gantry angle and were in the range of +-4% using the PTW method. Using our method, uncertainty due to the detector angle dependency was eliminated. CONCLUSIONS: The new method removes the angle dependency of ion chamber based 2D array detector for the fixed beam IMRT QA. It provides fast, accurate and more realistic results for angle dependent IMRT QA.

SU-E-T-238: Annual QA of Proton Gantry with Robotic Table.

PURPOSE: To perform the annual QA of proton gantry with a robotic table. METHODS: A new proton gantry with robotic table has been commissioned and is being used in clinic for patient treatment. The gantry is equipped with a robotic table with 6-degrees of freedom and dual cardinal angle KV imagers for patient registration. The system allows direct movement from one beam location to another without additional image registration, which effectively reduces portal setup time and increases treatment efficiency. The annual QA has four main components: Beam parameter checks included proton depth dose, output, linearity, modulation factor, field size factor, effective source distance, compensator gap factor, and monitor unit comparison between model calibration and physical measurements for every energy. Mechanical checks included gantry and robotic table isocenter, gantry and robotic couch isocentricity, and mechanical movement of fully loaded couch and corresponding digital readout. Imaging system checks included proton, X-ray beam, laser and image receptor alignment, image quality of KV imagers, and image registration accuracy. The last were the system safety checks. Methods used to perform these checks, especially those pertaining to robotic positioner will be discussed. RESULTS: The new proton gantry and robotic table had the isocentric accuracy of about 1 mm. The accuracy of mechanical movements of the robotic table was within 1mm/0.5 degree in the clinical motion range. The accuracy of proton outputs determined by IAEA TRS 398 protocol was within +/-2% and the consistency of beam range for all clinical energies at cardinal gantry angles was within 1mm. CONCLUSIONS: The results of the gantry annual QA demonstrate that the machine satisfies the highest standards of quality assurance for proton radiation treatment. The annual QA verifies the proton output, robotic table movement accuracy, image registration and safety of the machine and thus increases our confidence level in the uncertainties of daily proton treatments.

SU-E-T-167: Comprehensive Evaluation of EPID Image Acquisition for Integrating and Temporal Dosimetry of Fixed-Gantry IMRT and ArcIMRT.

PURPOSE: To evaluate EPID for dosimetry applications of arc and static-gantry IMRT with sliding window (SW) and/or step-and-shoot (SS) deliveries Methods: IMRT beams (SW & SS) were designed that generate beam hold-offs and dose rate modulation due to MLC motion under 10 × 10 cm jaw. An arcIMRT beam was designed by adding gantry movement to the SW field. A 10 cm × 10 cm open beam was also used. Despite differences in delivered dose rates/pulse characteristics, the four beams should deliver the same total dose. For each beam, various MUs with 6 MV beam at 300MU/min were irradiated on EPID which operated in image acquisition of integration mode (IM), continuous scanning mode with synchronization (CMs) and without (CMn) to beam pulses. Acquired images were evaluated in repeatability, dose linearity, and reproducibility (reproduce open beam output in IM). RESULTS: In IM, repeatability, dose linearity, and reproducibility were within 1% for all dose levels and beams. In CMs, they were within 1-2% if dose rate was maintained steady (1) for SW beam (needed a minimum 1.3 MU/cm MLC motion) and (2) arcIMRT beam (needed a minimum 1 MU/degree and 2.8 MU/cm MLC motion) and (3) if a minimum of 38-40 MU per shoot was used for SS beam. Nonlinearity was observed for fewer MUs. This is due to the response of EPID to pulse-length reduction for fixed-gantry therapy and pulse dropping for arc therapy. The latter produces in-planar non-uniformity making EPID unsuitable for temporal dosimetry of arcIMRT. Sacrifice in temporal resolution then became necessary such as multi-frames per image (eg. ∼1 sec/image). In CMn the results were similar to those of CMs. However, they showed artifacts, thus this mode was not preferred. CONCLUSIONS: We found conditions under which integrating and temporal EPID dosimetry can be used for IMRT and arcIMRT dose deliveries.

Lipid-gramicidin interactions using two-dimensional Fourier-transform electron spin resonance.

The application of two-dimensional Fourier-transform electron-spin-resonance (2D-FT-ESR) to the study of lipid/gramicidin A (GA) interactions is reported. It is shown that 2D-FT-ESR spectra provide substantially enhanced spectral resolution to changes in the dynamics and ordering of the bulk lipids (as compared with cw-ESR spectra), that result from addition of GA to membrane vesicles of dipalmitoylphosphatidylcholine (DPPC) in excess water containing 16-PC as the lipid spin label. The agreement between the theory of Lee, Budil, and Freed and experimental results is very good in the liquid crystalline phase. Both the rotational and translational diffusion rates of the bulk lipid are substantially decreased by addition of GA, whereas the ordering is only slightly increased, for a 1:5 ratio of GA to lipid. The slowing effect on the diffusive rates of adding GA in the gel phase is less pronounced. It is suggested that the spectral fits in this phase would be improved with a more detailed dynamic model. No significant evidence is found in the 2D-FT-ESR spectra for a second immobilized component upon addition of GA, which is in contrast to cw-ESR. It is shown from simulations of the observed 2D-FT-ESR spectra that the additional component seen in cw-ESR spectra, and usually attributed to "immobilized" lipid, is inconsistent with its being characterized by increased ordering, according to a model proposed by Ge and Freed, but it would be consistent with the more conventional model of a significantly reduced diffusional rate. This is because the 2D-FT-ESR spectra exhibit a selectivity, favoring components with longer homogeneous relaxation times, T2. The homogeneous linewidths of the 2D-FT-ESR autopeaks appear to broaden as a function of mixing time. This apparent broadening is very likely due to the process of cooperative order director fluctuations (ODF) of the lipids in the vesicle. This real-time observation of ODF is distinct from, but appears in reasonable agreement with, NMR results. It is found that addition of GA to give the 1:5 ratio has only a small effect on the ODF, but there is a significant temperature dependence.

Longitudinal relaxation and diffusion measurements using magnetic resonance signals from laser-hyperpolarized 129Xe nuclei.

Methods for T1 relaxation and diffusion measurements based on magnetic resonance signals from laser-hyperpolarized 129Xe nuclei are introduced. The methods involve optimum use of the perishable hyperpolarized magnetization of 129Xe. The necessary theoretical framework for the methods is developed, and then the methods are applied to measure the longitudinal relaxation constant, T1, and the self-diffusion constant, D, of hyperpolarized 129Xe. In a cell containing natural abundance 129Xe at 790 Torr, the T1 value was determined to be 155 +/- 5 min at 20 degrees C and at 2.0 T field. For a second cell at 896 Torr, at the same field and temperature, the T1 value was determined to be 66 +/- 2 min. At a higher field of 7.05 T, the T1 values for the two cells were found to be 185 +/- 10 and 88 +/- 5 min, respectively. The 129Xe self-diffusion constant for the first cell was measured to be 0.057 cm2/ s and for the second cell it was 0.044 cm2/s. The methods were applied to 129Xe in the gas phase, in vitro; however, they are, in principle, applicable for in vivo or ex vivo studies. The potential role of these methods in the development of newly emerging hyper-polarized 129Xe MRI applications is discussed.

Magnetization and diffusion effects in NMR imaging of hyperpolarized substances.

The special magnetization characteristics of hyperpolarized noble gases have led to an interest in using these agents for new MRI applications. In this note, the magnetization effects and NMR signal dependence of two noble gases, 3He and l29Xe, are modeled across a range of gradient-echo imaging parameters. Pulse-sequence analysis shows a wide variation in optimum flip angles between imaging of gas (e.g., 3He or 129Xe) in air spaces (e.g., trachea and lung) and in blood vessels. To optimize imaging of the air spaces, it is also necessary to reduce the otherwise substantial signal losses from diffusion effects by increasing voxel size. The possibility of using hyperpolarized 129Xe for functional MRI (fMRI) is discussed in view of the results from the blood flow analysis. The short-lived nature of the hyperpolarization opens up new possibilities, as well as new technical challenges, in its potential application as a blood-flow tracer.

Studies on lipid membranes by two-dimensional Fourier transform ESR: Enhancement of resolution to ordering and dynamics.

The first two-dimensional Fourier-transform electron spin resonance (2D-FT-ESR) studies of nitroxide-labeled lipids in membrane vesicles are reported. The considerable enhancement this experiment provides for extracting rotational and translational diffusion rates, as well as orientational ordering parameters by means of ESR spectroscopy, is demonstrated. The 2D spectral analysis is achieved using theoretical simulations that are fit to experiments by an efficient and automated nonlinear least squares approach. These methods are applied to dispersions of 1-palmitoyl-2oleoyl-sn-glycerophosphatidylcholine (POPC) model membranes utilizing spin labels 1-palmitoyl-2-(16-doxyl stearoyl) phosphatidylcholine and the 3-doxyl derivative of cholestan-3-one (CSL). Generally favorable agreement is obtained between the results obtained by 2D-FT-ESR on vesicles with the previous results on similar systems studied by continuous wave (cw) ESR on aligned samples. The precision in determining the dynamic and ordering parameters is significantly better for 2D-FT-ESR, even though the cw ESR spectra from membrane vesicles are resolved more poorly than those from well aligned samples. Some small differences in results by the two methods are discussed in terms of limitations of the methods and/or theoretical models, as well as possible differences between dynamic molecular structure in vesicles versus aligned membranes. An interesting observation with CSL/POPC, that the apparent homogeneous linewidths seem to increase in "real time," is tentatively attributed to the effects of slow director fluctuations in the membrane vesicles.