In Brazil, the replacement of rather old cobalt and cesium teletherapy machines with high-energy (E > 10 MV) medical linear accelerators (linacs) started in the year 2000, as part of an effort by the Ministry of Health to update radiotherapy installations. Since then, the contamination of undesirable neutrons in the therapeutic beam generated by these high-energy photons has become an issue of concern when considering patient and occupational doses. The walls of the treatment room are shielded to attenuate the primary and secondary X-ray fluence, and this shielding is generally considered adequate also to attenuate neutrons. However, these neutrons are scattered through the treatment room maze and might result in a radiological problem at the door entrance, an area of high occupancy by the workers of a radiotherapy facility. This paper presents and discusses the results of ambient dose equivalent measurements of neutron using bubble detectors. The measurements were made at different points inside the treatment rooms, including the isocentre and the maze. Several radiation oncology centres, which are users of Varian Clinac or Siemens machines, have agreed to allow measurements to be taken at their facilities. The measured values were compared with the results obtained through the semi-empirical Kersey method of neutron dose equivalent calculation at maze entrances, with reported values provided by the manufacturers as well as values published in the literature. It was found that the measured values were below the dose limits adopted by the Brazilian Regulatory Agency (CNEN), requiring no additional shielding in any of the points measured.

We present the case of an elderly patient with abdominal pain, weight loss, and subjective fever in whom a magnetic resonance imaging study revealed a perihepatic abscess without invasion. After drainage, anaerobic cultures yielded Actinomycosis israelii. We discuss Actinomycosis species, with an emphasis on its pathology and multiple presentations.

The knowledge of neutron reflection coefficients is of practical interest when projecting the shielding of radiotherapy rooms, since it is known that about 75% of the neutrons at the maze entrance of these rooms are scattered neutrons. In a previous paper, the energy spectra of photoneutrons were calculated, when reflected by ordinary, high-density concrete and wood barriers, using the MCNP5 code, considering normal incidence and neutron incident energies varying between 0.1 and 10 MeV. It was found that the mean energy of the reflected neutrons does not depend on the reflection angle and that these mean energies are lower in wood and barytes concrete, compared with ordinary concrete. In the present work, the simulation of neutron reflection coefficients were completed, considering the case when these particles do not collide frontally with the barriers, which constitute the radiotherapy room walls. Some simulations were also made to evaluate how neutron equivalent doses at the position of the room door is affected when the maze walls are lined with neutron absorbing materials, such as wood itself or borated polyethylene. Finally, capture gamma rays dose at the entrance of rooms with different maze lengths were also simulated. The results were discussed in the light of the albedo concepts presented in the literature and some of these results were confronted with others, finding good agreement between them.

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