Organs at risk dose constraints in carbon ion radiotherapy at MedAustron: Translations between LEM and MKM RBE models and preliminary clinical results.

Background: Carbon ion radiotherapy (CIRT) treatment planning is based on relative biological effectiveness (RBE) weighted dose calculations. A large amount of clinical evidence for CIRT was collected in Japan with RBE estimated by the modified microdosimetric kinetic model (MKM) while all European centres apply the first version of the local effect model (LEM). Japanese schedules have been used in Europe with adapted prescription dose and organs at risk (OAR) dose constraints.

Catalogue of dose rate constants for more than 400 radionuclides in terms of ambient dose H and comparison of figures to ambient dose equivalent H(10).

In 2020, the International Commission on Radiation Units & Measurements ICRU has released Report 95 on "Operational Quantities for External Radiation Exposure". This publication introduced a new measurand, namely ambient dose H, as the operational quantity for external exposure to be applied in the future replacing ambient dose equivalent H(10). It should be noted that this change will make it necessary to adjust previously used constants and coefficients or at least to review them with regard to the new measurand.

A novel approach towards the calculation of dose rate constants for ambient dose equivalent H(10) by including low energy x-rays.

The nuclide-specific dose rate constant, formerly called gamma ray constant, is one of the most important quantities in practical radiation protection dosimetry. For radiation sources with known radionuclide composition and activity, the expected dose rates at various distances can easily be calculated with reasonable approximations. In addition, they serve as a planning basis for the design of shielding of radiation application rooms and facilities.

Computationally Efficient Combination of Multi-channel Phase Data From Multi-echo Acquisitions (ASPIRE).

Purpose: To develop a simple method for combining multi-echo phase information from a number of coils in an array that requires no volume coil or additional scans and yields signal-to-noise ratio-optimal images that reflect only ΔB0-related phase.

Theory And Methods: Two SNR optimal coil combination methods were developed which retrieve the ΔB0-related phase by determining the coil-dependent phase offsets. The first variant, MCPC-3D-S, requires the unwrapping of one phase image; the second variant, ASPIRE, allows unwrapping to be avoided if two echoes j and k satisfy the echo time relation m⋅TEk=(m+1)⋅TEj, where m is an integer, making this a particularly fast and robust approach.

Optimized conformal paraaortic lymph node irradiation is not associated with enhanced renal toxicity.

Background And Purpose: For patients with gynecologic carcinomas, irradiation of paraaortic lymph nodes (PLNs) is a routine treatment concept. Planning target volumes (PTVs) individually optimized by radiation field delineations along the big vessels permit the inclusion of at least 97% of potentially involved PLNs. However, this novel treatment technique might increase radiation-induced nephrotoxicity.

Beyond low-level activity: on a "non-radioactive" gas mantle.

Gas mantles for camping gas lanterns sometimes contain thorium compounds. During the last years, the use of thorium-free gas mantles has become more and more popular due to the avoidance of a radioactive heavy metal. We investigated a gas mantle type that is declared to be "non-radioactive" and that can be bought in Austria at the moment.

Trace elements in rock salt and their bioavailability estimated from solubility in acid.

In this study, 18 partly commercially available samples of rock salt from Austria, Germany, Pakistan, Poland, Switzerland, and Ukraine were investigated with respect to their content of trace elements using instrumental neutron activation analysis. Elements detected were Al, Ba, Br, Ca, Ce, Cl, Co, Cr, Cs, Eu, Fe, Hf, La, Mn, Na, Rb, Sb, Sc, Sm, Sr, Ta, Tb, Th, and Zn, some of them only in individual cases. An estimation of the bioavailability of these trace elements was performed by dissolving an equivalent of the sodium chloride samples in diluted hydrochloric acid (simulating stomach acid), filtering off the insoluble components, and analyzing the evaporated filtrate.

Investigating the accuracy of the FLUKA code for transport of therapeutic ion beams in matter.

In-beam positron emission tomography (PET) is currently used for monitoring the dose delivery at the heavy ion therapy facility at GSI Darmstadt. The method is based on the fact that carbon ions produce positron emitting isotopes in fragmentation reactions with the atomic nuclei of the tissue. The relation between dose and beta(+)-activity is not straightforward.

Competing irradiation techniques for para-aortic lymph nodes: dose distribution and NTCP for the kidney.

Purpose: Partial coirradiation of both kidneys is an unavoidable consequence of adequate dose delivery in radiation therapy of para-aortic lymph nodes (PLN). Depending on total dose anteroposterior/posteroanterior (AP/PA), opposed-fields or multifield techniques are used. To optimize the treatment of potentially tumor-affected PLN with minimal kidney involvement, we calculated normal tissue complication probabilities (NTCPs) of coirradiated kidneys for four common irradiation techniques used in the PLN area.

Application of commercial MOSFET detectors for in vivo dosimetry in the therapeutic x-ray range from 80 kV to 250 kV.

The purpose of this study was to investigate the dosimetric characteristics (energy dependence, linearity, fading, reproducibility, etc) of MOSFET detectors for in vivo dosimetry in the kV x-ray range. The experience of MOSFET in vivo dosimetry in a pre-clinical study using the Alderson phantom and in clinical practice is also reported. All measurements were performed with a Gulmay D3300 kV unit and TN-502RDI MOSFET detectors.