Radiotherapy using kilovoltage x-rays in conjunction with contrast agents incorporated into the tumor, gold nanoparticles in particular, could represent a potential alternative to current techniques based on high-energy linear accelerators. In this paper, using the voxelized Zubal phantom in conjunction with the Monte Carlo code PENELOPE to model a prostate cancer treatment, it is shown that in combination with a 360 degrees arc delivery technique, tumoricidal doses of radiation can be delivered to deep-seated tumors while still providing acceptable doses to the skin and other organs at risk for gold concentrations in the tumor within the range of 7-10 mg-Au per gram of tissue. Under these conditions and using a x-ray beam with 90% of the fluence within the range of 80-200 keV, a 72 Gy physical absorbed dose to the prostate can be delivered, while keeping the rectal wall, bladder, skin and femoral heads below 65 Gy, 55 Gy, 40 Gy and 30 Gy, respectively. However, it is also shown that non-uniformities in the contrast agent concentration lead to a severe degradation of the dose distribution and that, therefore, techniques to locally quantify the presence of the contrast agent would be necessary in order to determine the incident x-ray fluence that best reproduces the dosimetry obtained under conditions of uniform contrast agent distribution.

The photoneutron contamination arising from a high-energy medical lineal accelerator is calculated using Monte Carlo simulation, as a function of the radiation field size. The information is used to model the neutron propagation in a radiotherapy treatment room and the transmission across concrete mazes. The Monte Carlo code MCNP4C is used to model the main components of a medical lineal accelerator. Simulations were performed to calculate the photoneutron yields and spectra as a function of the radiation field size. The yield of contaminant photoneutrons is observed to increase with the size of the radiation beam, but the energy spectra remain the same, suggesting that the contamination arises from above the movable collimator. The transport of the photoneutrons across a treatment room corroborates the validity of empirical models, but the transmission across a concrete maze produces a dose-equivalent tenth-value layer that differs from previous data.

Optimal reaction conditions were defined enabling high radiochemical purities of Re-anti-CD20 to be obtained routinely and therefore potentially useful in the treatment of non-Hodgkin's lymphoma.

The use of contrast agents, particularly those made of high atomic number elements like gold nanoparticles, to enhance the X-ray absorption properties of tissue has recently gained attention in the context of radiotherapy treatments. Because these contrast agents alter the secondary electron field in the irradiated medium by adding an Auger electron component, it is necessary to determine the change in the microdosimetric spectra brought about by the incorporation of such agents. Using Monte Carlo simulation, it is shown that the linear energy transfer and the beam quality factor in the vicinity of a gold nanoparticle irradiated with kilovoltage X-ray beams increase substantially when compared with irradiation without the gold nanoparticles present.

It has been shown that the use of kilovoltage x-rays in conjunction with a contrast agent incorporated into the tumor can lead to acceptable treatment plans with regard to the absorbed dose distribution produced in the target as well as in the tissue and organs at risk surrounding it. In this work, several key aspects related to the technology and irradiation techniques necessary to clinically implement this treatment modality are addressed by means of Monte Carlo simulation. The Zubal phantom was used to model a prostate radiotherapy treatment, a challenging site due to the depth of the prostate and the presence of bony structures that must be traversed by the x-ray beam on its way to the target. It is assumed that the concentration levels of the enhancing agent present in the tumor are at or below 10 mg per 1 g of tissue. The Monte Carlo code PENELOPE was used to model a commercial x-ray tube having a tungsten target. X-ray energy spectra for several combinations of peak electron energy and added filtration were obtained. For each energy spectrum, a treatment plan was calculated, with the PENELOPE Monte Carlo code, by modeling the irradiation of the patient as 72 independent conformal beams distributed at intervals of 5° around the phantom in order to model a full x-ray source rotation. The Cimmino optimization algorithm was then used to find the optimum beam weight and energy for different treatment strategies. It is shown that for a target dose prescription of 72 Gy covering the whole tumor, the maximum rectal wall and bladder doses are kept below 52 Gy for the largest concentration of contrast agent of 10 mg per 1 g of tissue. It is also shown that concentrations of as little as 5 mg per 1 g of tissue also render dose distributions with excellent sparing of the organs at risk. A treatment strategy to address the presence of non-uniform distributions of the contrast agent in the target is also modeled and discussed.