A new three-dimensional dosimetry technique using x-ray computed tomography (CT) to analyse polymer gels is proposed. The CT imaging is sensitive to radiation-induced density changes that occur within irradiated polyacrylamide gel (PAG). In this preliminary study, a CT imaging protocol is developed to optimize CT images of PAG; the response of PAG CT number to dose (N(CT)-dose response) and the reproducibility of the response are investigated, and the use of CT to analyse PAG is compared with MRI. Experiments were conducted using two 1.5 l cylindrical PAG phantoms (3% acrylamide, 3% bis and 5% gelatin by weight), one irradiated with four intersecting 10 MV photon beams and the other with 10 sets of 6 MV parallel opposed circular radiosurgery fields. The final imaging protocol involves using optimum CT parameters (120 kVp and 200 mAs for our GE HiSpeed CT/i scanner), image averaging and background subtraction. The N(CT)-dose response is reproducible, linear up to 800-1000 cGy and is relatively insensitive to the gel temperature during imaging. The dose resolution is approximately 50 cGy for an image thickness of 10 mm. Despite the low dose resolution, preliminary results indicate that this CT technique provides accurate localization of high dose gradients such as those observed in stereotactic radiosurgery. Thus, given the availability and speed of CT scanners, the technique has the potential to be a valuable and practical 3D dose verification tool in radiation therapy.

For the aforementioned planning and delivery system and cranial lesions greater than 7 mm in diameter, multiple noncoplanar arc VMAT consistently provides accurate and high quality cranial radiosurgery dose distributions with low doses to healthy brain tissue and high dose conformity to the target. These qualities may make multiple noncoplanar arc VMAT suitable for a greater range of prescription doses or larger and more irregular lesions. For smaller and/or rounder lesions there are other clinically acceptable treatment techniques that may involve fewer couch angles or arcs and reduce treatment times.

Fourier transform Raman spectroscopy was undertaken in the study of irradiated polyacrylamide gels (PAGs) used in 3D radiation dosimetry. By employing correlation techniques, monomer and crosslinker consumption were characterized in the spectra as a function of absorbed dose. The consumption of both monomer and crosslinker is monoexponential up to 13 Gy, although the rates of consumption differ for the two molecules. A sensitivity parameter, D0, in the exponential function has been used to characterize this difference. Up to 13 Gy, D0(acr) = 12 +/- 2 Gy while D0(bis) = 8.0 +/- 0.5 Gy, indicating that bis is consumed at a greater rate than acrylamide and that bis is the limiting factor in the onset of gel saturation, for a gel composition of 6% by weight total monomer (6%T) and where 3% of the total monomer is crosslinker (50%C). Direct evidence of polymer formation was observed in the Raman spectra of irradiated PAG. Polymer formation is monoexponential to a dose of 13 Gy, with a sensitivity parameter of D0(poly) = 14 +/- 2 Gy. This is in good agreement with the consumption rate of acrylamide. The exponential nature of the polymer formation observed here is compared with existing MRI and x-ray CT dose response measurements previously reported to be linear. The results confirm previous studies indicating that Raman spectroscopy provides a direct and useful tool for characterization of irradiated PAG.

The effects of varying the weight fraction (%C) of the crosslinker N, N'-methylene-bisacrylamide (bis) per total amount of monomer (6% w/w), and the NMR measurement temperature, on the dose response of the transverse relaxation rate (R2) of bis-acrylamide-nitrogen-gelatin (BANG) aqueous polymer gel dosimeters have been investigated. The gel samples were irradiated in test tubes with 250 kV x-rays, and the water proton NMR transverse relaxation rates were measured at 0.47 T using a Carr-Purcell-Meiboom-Gill multiecho pulse sequence. Both the dose sensitivity (slope of the linear portion of an R2-dose response) and the maximum rate at which the R2-dose response saturated (R2max), were found to depend strongly on the crosslinker fraction and on the temperature of the R2 measurement. The dose sensitivity peaked at approximately 50% C, and, for this composition, varied from 0.14 s-1 Gy-1 at 40 degrees C to 0.48 s-1 Gy-1 at 10 degrees C. The maximum transverse relaxation rates ranged from 0.8 s-1 at 33% C and 40 degrees C to 11.8 s-1 at 83% C and 5 degrees C. These results suggest that water proton transverse relaxation in the gel is controlled by an exchange of magnetization between the aqueous phase and the semi-solid protons associated with the polymer, and that the latter experience spectral broadening from immobilization which increases with crosslinking or cooling. Theoretical and practical implications of the above findings are discussed in the paper.

The ferrous sulfate-doped gel dosimeters have been developed for three-dimensional magnetic resonance imaging of radiation dose distributions. When the gel dosimeter is irradiated, ferrous ions are converted to ferric ions and the nuclear magnetic spin relaxation of the dosimeter varies with dose. In this paper, a model is presented for the dose dependence of the spin-lattice relaxation rate R1 of the ferrous sulfate doped-gelatin dosimeter. The model is based on three basic physical quantities: the ferric ion yield and the ferrous and ferric ion relaxivities, r2+ and r3+, respectively. These relaxivities specify the ability of the ions to enhance the spin-lattice relaxation of water protons. The effects of gelatin and sulfuric acid concentration on the ferric ion yield and ion relaxivities are presented. The measured r2+ values agree with those predicted by a model in which the measured spin relaxation is considered the result of the fast exchange of water hydrating the ferrous ion with water in the bulk. The r3+ values are lower than predicted by the fast exchange model. The discrepancies in the measured and predicted r3+ values are shown to result from the complexing of ferric ions arising from pH variation caused by changes in gelatin or sulfuric acid concentrations. A modified version of the R1-dose response model accounting for ferric ion complexing is presented and tested spectrophotometrically.