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Nuclear Science and Technology | Progress Report  203





               The comparison between Varian AAA              uncertainties below 2 %, validating the results.
               and ACUROS XB dose calculation                 Figure 39 presents the anthropomorphic skull
               algorithms for VMAT treatment planning         3D printed phantom.
               of brain multiple metastases
                                                              3D Phantoms

               The Optically Stimulated Luminescence dosim-
               etry has become one of most used techniques    Attenuation coefficient determination
               for radiation dosimetry nowadays. The “Ala-    of printed ABS and PLA samples in
               bama Technique” demonstrates plan quality      diagnostic radiology standard beams
               and provides a practical, systematic approach
               to the treatment planning technique for single   IAEA code of practice TRS-457 states that stan-
               isocenter cranial radiosurgery with volumetric   dard phantoms should offer the same primary
               modulated arc therapy (VMAT) used in meta-     attenuation and scatter production as relevant
               static carcinoma treatments. An anthropomor-   body section of a representative patient. Mate-
               phic skull 3D printed phantom was submitted    rial cost, availability and dimensional stability
               to a CT scan and planed five target volumes. In   must also be considered. The goal of this study
               order to compare, two dose calculations were   was to determine the attenuation coefficient
               performed in the Varian Eclipse with VMAT      of printed ABS and PLA samples in standard
               planning with “Alabama Technique” using        X-ray beams, verifying if phantoms printed
               the Varian’s AAA and Acuros XB algorithms.     with these materials could be an easier-handle
               The treatment was delivered with a VARIAN      substitute for PMMA, enabling the creation
               True Beam linear accelerator with Multileaf    of different designs in an easier and cheaper
               Collimator HD and 6 MV photon beam was         way. Results show that PMMA presents higher
               used. Landauer nanoDot dosimeters were po-     attenuation coefficient, followed by PLA and
               sitioned inside each of the five target volumes   ABS, which means that thinner PMMA layer
               planned and the experimental dosimetry re-     creates higher radiation attenuation.
               sults were compared with the two calculation
               algorithms. The experimental results using the   Equivalence between Solid Water and printed
               OSLDs show agreement of 97.26 %, 99.12 %,      PLA plates for 6 MV clinical photon beam – An
               99.99 %, 95.94 % and 98.79 % for the targets 1   assessment using thermoluminescent dosimetry
               to 5 respectively for the ACUROS XB calculated
               doses. The findings of this work indicate that    Three dimensional models of anatomical
               ACUROS XB calculates more accurate doses       structures, produced by rapid prototyping are
               compared with AAA, with all the experimental   being adopted for medical application as he-
               agreements better than 96 %. The intrinsic pre-  modynamics studies and maxillofacial surgery
               cision and uncertainty of the InLight system   planning. Models with geometrical accura-
               device is sufficient to sustain the dosimetry   cy can be achieved using medical images as
                                                              MRI or CT and produced using polyurethane,
                                             Figure 39-
                                             Landauer nanoDot   polylactic acid and epoxy resins. By changing
                                             dosimeters and   materials and densities, it is possible to achieve
                                             anthropomorphic
                                             skull 3D printed   the desired tissue-equivalence. This work was
                                             phantom.         developed in order to analyze the equivalence
                                                              between the printed PLA and the Solid Wa-
                                                              ter plates by using the thermoluminescence
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