Accurate dosimetry in brachytherapy is not an easy task, as most detectors exhibit volume averaging or energy dependence reducing their usability. Free from these limitations are plastic scintillation detectors, which makes them well suited for brachytherapy applications, either for in vivo dosimetry or commissioning. This work aims to determine if the HYPERSCINT scintillation dosimetry research platform can be used for brachytherapy dose measurement in the context of commissioning a new brachytherapy technique.
The goal of this study was to prove the feasibility of using a single-fiber multipoint plastic scintillation detector as an in vivo verification tool during (192)Ir high-dose-rate brachytherapy treatments. The use of a multipoint plastic scintillation detector for high-dose-rate brachytherapy dosimetry is feasible. This detector shows great promise for development of in vivo applications for real-time verification of treatment delivery.
While scintillation dosimetry has been around for decades, the need for a dosimeter tailored to the reality of modern radiation therapy-in particular a real-time, water-equivalent, energy-independent dosimeter with high spatial resolution-has generated renewed interest in scintillators over the last 10 years. This topical review is intended to provide the medical physics community with a wide overview of scintillation physics, related optical concepts, and applications of plastic scintillation dosimetry.
To investigate the capability of low energy x-rays to elicit the FLASH effect, Drosophila melanogaster larvae were irradiated with ultrahigh dose-rate and conventional radiotherapy dose rates using an inexpensive x-ray tube system. Dosimetry was performed with plastic scintillators and radiochromic film, and the differential survival observed in this work suggests that continuous 120 kVp x-rays can induce a FLASH effect.
The scintillator dosimetry system is a small-field dosimeter with reported energy independence down to 100-keV. This work investigates the energy dependence of the scintillator between a monoenergetic photon source and polyenergetic orthovoltage beam.
To present an x-ray tube system capable of in vitro ultrahigh dose-rate (UHDR) irradiation of small < 0.3 mm samples and to characterize it by means of a plastic scintillation detector (PSD).
To examine the capabilities of plastic scintillators of different compositions to accurately measure dose in high dose-rate dose irradiations delivered with an x-ray tube.
FLASH-Radiotherapy is an emerging ultrahigh dose rates radiotherapy technique, and animal studies have demonstrated the safety and efficacy of the technique in cancer treatment. A reliable real-time dosimeter system is crucial for the characterization of the so-called ‘FLASH-effect’, and an accurate beam delivery. This study aims to benchmark the performance of optical fiber inorganic scintillating detectors (ISDs) with plastic scintillating detectors (PSDs) for an ultrahigh dose-rate x-ray beam irradiation. Measurements includes : relative scintillator output, signal linearity with dose and dose rate, signal-to-noise ratio (SNR), signal stability and reliability.
The PSDs resulted in the highest reliability for a UHDR beam measurement with a CV of <0.1% while the Gd2O2S:Tb showed excellent repeatability (coefficient of variation (CV) <0.1%) compared to other detectors. All detectors showed good linearity with tube current (R2 < 0.975) and shutter exposure (R2 >0.999).
FLASH radiation therapy using an ultrahigh dose-rate beam is found to eradicate tumours whilst significantly reducing radiation-induced tissue toxicity. A real-time dosimetry system is required for the technique to be implemented clinically and for further preclinical studies. This study aimed to optimize the design of scintillating detectors using inorganic materials for real-time dosimetry in ultrahigh dose-rate radiation applications. Inorganic scintillator detectors were fabricated using phosphor-based scintillating materials (Gd2O2S:Tb, La2O2S:Tb, and La2O2S:Eu) coupled with optical fibers. The initial results in ultrahigh dose-rate x-ray irradiation showed excellent linearity with signal independent of the dose rate and dose delivered. A hyperspectral approach is adopted in this study to account for the stem effect that occurs within the high energy typically used in radiotherapy.