Radiation Detection Devices - Radiation Emergency Medical Management
Medical Linear Accelerators in Radiation Therapy - RadCCORE · Medical Linear Accelerators in...
Transcript of Medical Linear Accelerators in Radiation Therapy - RadCCORE · Medical Linear Accelerators in...
Medical Linear Accelerators in Radiation Therapy
Haijun Song, Ph.D.
Dept. of Radiation OncologyDuke University Medical Center
MV Linear Accelerator
Anatomy of a Linac
Anatomy of a Linac
Beam MofiersCone
MLC (Multi-Leaf Collimator)
Radiosurgery with Linac
MLC
Conformal RT (3DCRT) &Intensity Modulation RT (IMRT)
Conformal RT (3DCRT) &Intensity Modulation RT (IMRT)
Dose Map delivered by IMRT
Dose Map delivered by IMRT
Dose Map delivered by IMRT
Image Guided RT (IGRT)
Respiratory Gating RT
Tomotherapy and Robotic
Difference among Radiation Sources
Factors affecting radio-bio response• Gamma vs. Electron
Among Gamma sources• Photon Energy Spectrum• Dose Distribution• Dose Rate
Radioactive IsotopesExample: Cs-137
• single dominant energy, 0.66 MeV• Activity: 6000 Ci and 100 Ci, dual source• Dose rate range: 0.001 - 10 Gy/min
Radioactive Isotopes
Example: Ir-192• Complex energy spectrum: 30 gammas and
40 x rays.• Dose rate, 0.01 - 5 Gy/min being used RT.
Ir-192 photon spectrum
0.0001
0.001
0.01
0.1
1
10
100
1000
0.001 0.01 0.1 1 10
E (MeV)
Perc
ent p
er d
ecay
From kV to MV
Commonly: 50 – 300 kVPBeam Quality: HVL a few mm Al to Cu.Dose Rate: around Gy/min
From kV to MV
Commonly: 6 MV -25 MVBeam quality: PDD10 in water, 67% and up.Dose Rate: around Gy/min
X-Ray tube vs. Linac
Acce. Tube: Travelling Wave
X-Ray ProductionSide emission vs. straight through emmission
Photon energy spectrum from a 6 MV beam
Fl uence/ MeV/ I ndi cent el ect r on
0. 00E+00
2. 00E- 05
4. 00E- 05
6. 00E- 05
8. 00E- 05
1. 00E- 04
1. 20E- 04
1. 40E- 04
0 1 2 3 4 5 6
Fl uence/ MeV/ I ndi centel ect r on
Depth Dose Curves
Dose Distribution: One beam/parallel beams
Dose Distribution: One beam/parallel beams
MV photon and electron beams
Depth Dose of e Beams
0 1 2 3 4 5 6 7 8 90
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
1 0 0
M e V1 81 51 21 086
Per
cent
Dep
th Io
niza
tion
D e p t h ( c m ) i n W a t e r
Dose Measurement
Ion chamber and electrometerIn water for MV photon or electron beamsIn air for KV beamsTracable to NIST Co-60 standard beam
CowDQ
Qw NkMD 60
,*=
Buildup region and skin sparingCompton e1 1 1 1
Compton e2 1 1 1
Compton e3 1 1
Compton e4 1
Depth in water
Total dose 1 2 3 3
Treating Superficial targetsBolus: tissue equivalent, soft to conform to skin
0 1 2 3 40
20
40
60
80
100
S
B dmax
Per
cent
Dep
th D
ose
Depth in Water (cm)
Dose Distribution: One beam/parallel beams
Buildup region and skin sparingcontinued
Skin sparing also means a target at shallow depth will not get adequate dose.
For small animals, “sparing” of a couple of centimeter from skin may “spare” the whole animal.
What do we do when we need to treat superficial target?
Bolus
Treating Superficial targetsBolus: tissue equivalent, soft to conform to skin
0 1 2 3 40
20
40
60
80
100
S
B dmax
Per
cent
Dep
th D
ose
Depth in Water (cm)
bolus
Treating Superficial targetsBolus: tissue equivalent, soft to conform to skin
0 1 2 3 40
20
40
60
80
100
S
B dmax
Per
cent
Dep
th D
ose
Depth in Water (cm)
bolus
Treating Superficial targets
MeV range electron beams /w bolus
kV (suferfical units, orthovoltage units)
MV photon beam with bolus
How useful are MeV electron beams for small animal irradiations?
What can Rad Onc Offer Rad Biology
All offered to human can be offered to other species.
Imaging: CT, MRI
Precise and conformal dose coverage: 3DCRT, IMRT, IGRT, Respiratory Gating, radiosurgery, electron irradiation.
Precision and conformality means sparing healthy tissue, too.
And More: Brachytherapy, hyperthermia, proton, neutron.
Acce. Tube: Standing Wave
Acce. Tube: Short Standing Wave