[Video technology and the personal computer in the therapy simulator]. / Videotechnik und Personalcomputer am Therapiesimulator.

PURPOSE: Technical progress in the development of radiation therapy simulators provided valuable addition of electronically stored images and monitor indicators for individual radiation parameters. One can store as well as print these data as a treatment plan. The possibility of supplementing older simulators with these technical options will be reported in the following paper. METHODS: The modification of our simulator installation was done simply. The new equipment needed to expand our simulator facility was almost exclusively derived from the fields of entertainment and home electronics (Visualizer/video camera, video tape recorder, video mixer, additional monitor; personal computer and printer). RESULTS: With these modifications we reached the technical standards of the latest simulator generation. In addition, we succeeded in implementing additional technical options: e.g. image inversion with contrast alignment to diagnostic displays, complete magnetic tape recording of the entire x-ray process with possible repetition, electronic overlapping of the simulator image and the diagnostic image (e.g. NMR; angiograms) to determine the treatment volume, automation in x-ray documentation. CONCLUSION: Increased precision and rational work steps employing readily available equipment will lead to further improvement in the quality of radiotherapy.

Solid phantom material for the dosimetry of iodine-125 seed ophthalmic plaques.

PURPOSE: A tissue-equivalent solid phantom material, RE-1, closely simulating the radiological attenuation and scattering properties of the human eye for the iodine-125 photon spectrum and their Compton-scattered secondary photons, was fabricated on a polyethylene base with CaCO3 and MgO as inorganic additives. METHODS AND MATERIALS: A 24 mm diameter spherical phantom was made from 1.1 mm thick sheets of RE-1, and holes were drilled in which 1 mm3 TLD cubes were placed. RESULTS: The radial dose function g(r), which determines the dose profile on the transverse axis, was measured in a quasi-infinite phantom of RE-1. CONCLUSION: The values obtained deviate only slightly from those for a quasi-infinite phantom made from water-equivalent material.

Autoradiography for iodine-125 seeds.

To study the interior design of model 6702 and 6711 iodine-125 seeds contact autoradiographs were performed using mammography film. Improved resolution was obtained using a pin-hole camera with a hole of 0.1 mm x 0.1 mm. With these techniques, qualitative determination of the relative activity distribution within each seed was possible. The number of the activated resin spheres and the positions of the centers of these spheres can be exactly determined. A model calculation shows, that variations in the arrangement of the activated spheres within a seed have a moderate influence on the dose distribution at source distances below 10 mm. Knowing the exact source configuration may be useful when comparing dose calculations with measured data for model 6702 125I seeds which are currently employed in ophthalmic plaque and implant therapy of other tumors.

Dosimetry and physical treatment planning for iodine eye plaque therapy.

The dosimetry of eye plaques loaded with iodine-125 seeds (type 6702) was performed by means of computer calculations and measurements with thermoluminescent dosimeters (TLD). Measurements of the depth dose distribution (2-25.5 mm) along the transverse axis of a single seed were performed in water equivalent phantom material. The transverse axis attenuation and geometry factor F(r) was obtained by applying a least squares fit to the measured data. Based on the resulting radial dose function, a computer program was developed which calculates dose distributions within the eye for arbitrary loading and placement of the eye plaque. The computational results were verified by TLD measurements in an eye phantom.

[Development and dosimetry of a 125 iodine applicator for brachytherapy of intraocular tumors]. / Entwicklung und Dosimetrie eines 125Jod-Applikators zur Brachytherapie intraokularer Tumoren.

Due to the low gamma energy (27-35 ke V), iodine 125 is especially suitable for brachytherapy of intraocular tumors. 125I is available as encapsulated seeds. Applicators can be individually loaded with these seeds to accommodate the shape of the tumor as much as possible. To measure the depth-dose distribution LiF thermoluminence detectors (TLDs, 1 mm3) are embedded in an RW-1 eye phantom at various distances and directions from the high active plaque positioned at the top of the phantom. To obtain the three-dimensional dose distribution, the TLDs are read after exposure for the appropriate time period. Based on experimental measurements of the 125I plaque, a computer program is developed to calculate the dose distribution within the eye and the radiation time for intraocular tumors. These results are very similar to those obtained when using mathematical equations published in the literature. In summary, three-dimensional dose distribution at various distances from an 125I eye plaque has been experimentally determined using a new method. This is an important prerequisite for introducing 125I plaques into the treatment of intraocular tumors.

[Dosimetry of ruthenium applicators with an eye phantom and small volume thermoluminescence detectors]. / Dosimetrie von Rutheniumapplikatoren mit einem Augenphatom und kleinvolumigen Thermolumineszenzdetektoren (TLD).

Even though 106Ru/106Rh applicators have been in clinical use over more than two decades for the radiotherapy of malignant uveal melanomas, the dosimetry of emitted beta radiation is still a physical problem. The dose rate at the applicator surface and the depth dose in tissue equivalent material can be determined only within +/- 30% error. Using new cubic-shaped thermoluminescence detectors (TLD) with small volume the dose distribution is examined in water equivalent material (RW-1). The spatial resolution is 14 times better compared to the previous technique. From dose measurements in an eye phantom the homogeneity of nuclide deposition and the depth dose distribution of a 106Ru/106Rh applicator are determined.

Autonomic thermoregulation after intermittent cooling of the spinal cord and cold exposure in the rat.

1. O2 consumption, rectal and several skin temperatures were studied, at various ambient temperatures, in unanaesthetized rats that had been thermally stressed for an average of 290 h either by prolonged and intermittent cooling of the spinal cord or by prolonged and intermittent exposure to an ambient temperature which induced the same increase in O2 consumption as did the thermal stimulation of the spinal cord. 2. At all the test ambient temperatures, both groups of thermally stressed animals maintained a metabolic level higher than that of the controls. In the animals previously exposed to cold the extent by which the metabolic rate was greater than that of the control animals was independent of ambient temperature; in those previously subjected to cooling of the spinal cord, however, it increased as the ambient temperature was lowered. Rectal and average skin temperatures were essentially unaffected by the treatments. 3. It is concluded that prolonged and intermittent cooling of the spinal cord increases the gain of the temperature control system, whereas prolonged and intermittent cold exposure has no effect on it, and that these forms of thermal stimulation are therefore not equivalent.