Examining the influence of humidity on reference ionization chamber performance.

PURPOSE: International dosimetry protocols require measurements made with a vented ionization chamber to be corrected for the influence of air density by using the standard temperature-pressure correction factor. The effect of humidity, on the other hand, is generally ignored with the provision that the relative humidity (RH) is within certain limits (typically 20% to 80%). However, there is little experimental data in the published literature as to the true effect of humidity on modern reference-class ionization chambers. This investigation used two different radiation beams - a Co-60 irradiator and an Sr-90 check source - to examine the effect of humidity on several Farmer-type ionization chambers. METHODS: An environmental cabinet controlled the humidity. For the Co-60 beam, the irradiation was external, whereas for the Sr-90 measurements, the source itself was placed within the cabinet. Extensive measurements were carried out to ensure that the experimental setup provided reproducible readings. Four chamber types were investigated: IBA FC65-G, IBA FC65-P, PTW 30013 and Exradin A19. The different wall materials provided potentially different mechanical responses (i.e., in terms of expansion/contraction) to the water content in the air. The relative humidity was varied between 8% and 98% and measurements were made with both increasing and decreasing humidity to investigate any possible hysteresis effects. RESULTS: Measurements in Co-60 were consistent with the published data obtained with primary standard cavity chambers in ICRU Report 31 (i.e., a very small variation <0.1% for RH >10%). The measurements in the Sr-90 field showed no dependence with the relative humidity, within the measurement uncertainties (0.05%, k = 1). Very good repeatability of the ionization current was obtained over successive wet/dry cycles, no hysteresis was observed, and there was no dependence on chamber type. CONCLUSION: These results indicate that humidity has no significant effect on these particular types of ionization chambers, consistent with recommendations in current megavoltage dosimetry protocols.

Low-frequency ultrasound radiosensitization and therapy response monitoring of tumors: an in vivo study.

A new framework has been introduced in this paper for tumor radiosensitization and therapy response monitoring using low-frequency ultrasound. Human fibrosarcoma xenografts grown in severe combined immunodeficiency (SCID) mice (n = 108) were treated using ultrasound-stimulated microbubbles at various concentration and exposed to different doses of radiation. Low-frequency ultrasound radiofrequency (RF) data were acquired from tumors prior to and at different times after treatment. Quantitative ultrasound (QUS) techniques were applied to generate spectral parametric maps of tumors. Textural analysis were performed to quantify spatial heterogeneities within QUS parametric maps. A hybrid model was developed using multiple regression analysis to predict extent of histological tumor cell death non-invasively based on QUS spectral and textural biomarkers. Results of immunohistochemistry on excised tumor sections demonstrated increases in cell death with higher concentration of microbubbles and radiation dose. Quantitative ultrasound results indicated changes that paralleled increases in histological cell death. Specifically, the hybrid QUS biomarker demonstrated a good correlation with extent of tumor cell death observed from immunohistochemistry. A linear discriminant analysis applied in conjunction with the receiver operating characteristic (ROC) curve analysis indicated that the hybrid QUS biomarker can classify tumor cell death fractions with an area under the curve of 91.2. The results obtained in this research suggest that low-frequency ultrasound can concurrently be used to enhance radiation therapy and evaluate tumor response to treatment.