Monte Carlo aided design of an improved well-type ionization chamber for low energy brachytherapy sources.

The determination of the air kerma strength of a brachytherapy seed is necessary for effective treatment planning. Well-type ionization chambers are used on site at therapy clinics to determine the air kerma strength of seeds. In this work, an improved well-type ionization chamber for low energy, low dose rate brachytherapy sources is designed using Monte Carlo transport calculations to aid in the design process. The design improvements are the elimination of the air density induced over-response effect seen in other air-communicating chambers for low energy photon sources, and a larger signal strength (response or current) for 103Pd and 125I based seeds. A prototype well chamber based on the Monte Carlo aided design but using graphite coated acrylic walls rather than the design basis air equivalent plastic (C-552) walls was constructed and experimentally evaluated. The prototype chamber produced an 85% stronger signal when measuring a commonly used 103Pd seed and a 26% stronger signal when measuring a commonly used 125I seed when compared to another commonly used well chamber. The normalized PTP corrected chamber response is, at most, 1.3% and 2.4% over unity for air densities/pressures corresponding to an elevation of 3048 m (10000 feet) above sea level for the commonly used 103Pd and 125I based seeds respectively. Comparing calculated and measured chamber responses for common 103Pd and 125I based brachytherapy seeds show agreement within 0.6% and 0.2%, respectively. We conclude that Monte Carlo transport calculations accurately model the response of this new well chamber and in general can be used to predict the response of well chambers. The prototype chamber built in this work responds as predicted by the Monte Carlo calculations.

Calibration of multiple LDR brachytherapy sources.

A trend is underway toward the use of prepackaged low dose rate brachytherapy sources, which come in the form of strands, coiled line sources, preloaded needles, and sterile cartridge packs. Since the medical physicist is responsible for verification of source strength prior to patient treatment, development of prepackaged source strength verification methods is needed. Existing guidelines are reviewed to establish the situation that medical physicists find with respect to prepackaged sources. This investigation presents an experimental evaluation of the effect of some of these multiseed geometries on source strength measurements. Multiseed strands and coils, whether 125I, 103Pd, or 192Ir can be measured in a chamber with a long, sensitive axial length with a uniform response. Sterile seed cartridge packs can also be measured but require a correction factor to be applied. Sources in needles, however, cannot be measured in the needle since there is too great a variation in needle composition and needle tolerance thickness. Removing these seeds from the needle into a sterile measurement insert, which maintains sterility is a practical source strength verification method, similar to those done for multiple seed configurations in a well chamber with adequate axial uniformity. Values are compared with individual air kerma strength calibrations, and correction factors, are presented' where needed. In each case, care must be taken to maintain sterility as multiple seeds are measured in well chamber inserts.

The effect of ambient pressure on well chamber response: Monte Carlo calculated results for the HDR 1000 plus.

The determination of the air kerma strength of a brachytherapy seed is necessary for effective treatment planning. Well ionization chambers are used on site at therapy clinics to determine the air kerma strength of seeds. In this work, the response of the Standard Imaging HDR 1000 Plus well chamber to ambient pressure is examined using Monte Carlo calculations. The experimental work examining the response of this chamber as well as other chambers is presented in a companion paper. The Monte Carlo results show that for low-energy photon sources, the application of the standard temperature pressure PTP correction factor produces an over-response at the reduced air densities/pressures corresponding to high elevations. With photon sources of 20 to 40 keV, the normalized PTP corrected chamber response is as much as 10% to 20% over unity for air densities/pressures corresponding to an elevation of 3048 m (10000 ft) above sea level. At air densities corresponding to an elevation of 1524 m (5000 ft), the normalized PTP-corrected chamber response is 5% to 10% over unity for these photon sources. With higher-energy photon sources (>100 keV), the normalized PTP corrected chamber response is near unity. For low-energy beta sources of 0.25 to 0.50 MeV, the normalized PTP-corrected chamber response is as much as 4% to 12% over unity for air densities/pressures corresponding to an elevation of 3048 m (10000 ft) above sea level. Higher-energy beta sources (>0.75 MeV) have a normalized PTP corrected chamber response near unity. Comparing calculated and measured chamber responses for common 103Pd- and 125I-based brachytherapy seeds show agreement to within 2.7% and 1.9%, respectively. Comparing MCNP calculated chamber responses with EGSnrc calculated chamber responses show agreement to within 3.1% at photon energies of 20 to 40 keV. We conclude that Monte Carlo transport calculations accurately model the response of this well chamber. Further, applying the standard PTP correction factor for this well chamber is insufficient in accounting for the change in chamber response with air pressure for low-energy (<100 keV) photon and low-energy (<0.75 MeV)beta sources.

Calibration of the photon component of 198Au stents.

PURPOSE: 198Au has promising characteristics for radioactive stent material, having properties as a mixed beta-particle and gamma emitter. Calibration of these radioactive stents is required to provide accurate clinical dosimetry. METHODS AND MATERIALS: We have developed an electroplating technique to incorporate stable gold onto stents followed by activation to 198Au in the University of Wisconsin nuclear reactor. The calibration method is a modification of the NIST traceable, in-air calibration technique for high-dose-rate (HDR) 192Ir sources. RESULTS: The air-kerma strength of HDR and low-dose-rate (LDR) sources was measured for proof of principle and found to agree to within 3% of values obtained with other NIST traceable calibration techniques. The photon component of two 198Au radioactive stents was measured over a period of 3 days. CONCLUSION: The air-kerma strength of HDR and LDR sources was measured for proof of principle and found to agree to within 3% of values obtained with other NIST traceable calibration techniques.

Simulation of medical electron linac bremsstrahlung beam transport in typical shielding materials.

The Monte Carlo N-particle code MCNP version 4C3 was used to investigate the backscattering and transmission of high-energy photons in concrete, iron and lead at deep penetration. A typical bremsstrahlung beam from a 24 MV linac was used, and the transmission up to 15 mean-free paths was studied. Broad beam slab geometry was used. Estimates of the transmission in terms of absorbed dose to tissue ratio and air kerma ratio were performed for the primary and secondary components of the transmitted beam in the three materials. The tissue dose and air kerma buildup factors were calculated and fitted to Berger's equation. Finally, the differential dose albedo values for common reflected angles were determined.

Brachytherapy dosimetry of 125I and 103Pd sources using an updated cross section library for the MCNP Monte Carlo transport code.

Permanent implantation of low energy (20-40 keV) photon emitting radioactive seeds to treat prostate cancer is an important treatment option for patients. In order to produce accurate implant brachytherapy treatment plans, the dosimetry of a single source must be well characterized. Monte Carlo based transport calculations can be used for source characterization, but must have up to date cross section libraries to produce accurate dosimetry results. This work benchmarks the MCNP code and its photon cross section library for low energy photon brachytherapy applications. In particular, we calculate the emitted photon spectrum, air kerma, depth dose in water, and radial dose function for both 125I and 103Pd based seeds and compare to other published results. Our results show that MCNP's cross section library differs from recent data primarily in the photoelectric cross section for low energies and low atomic number materials. In water, differences as large as 10% in the photoelectric cross section and 6% in the total cross section occur at 125I and 103Pd photon energies. This leads to differences in the dose rate constant of 3% and 5%, and differences as large as 18% and 20% in the radial dose function for the 125I and 103Pd based seeds, respectively. Using a partially updated photon library, calculations of the dose rate constant and radial dose function agree with other published results. Further, the use of the updated photon library allows us to verify air kerma and depth dose in water calculations performed using MCNP's perturbation feature to simulate updated cross sections. We conclude that in order to most effectively use MCNP for low energy photon brachytherapy applications, we must update its cross section library. Following this update, the MCNP code system will be a very effective tool for low energy photon brachytherapy dosimetry applications.