Numerous instruments such as ionization chambers, hand-held and pocket dosimeters of various types, film badges, thermoluminescent dosimeters (TLDs) and optically stimulated luminescence dosimeters (OSLDs) are used to measure and monitor radiation in medical applications. Of recent, photonic devices have also been adopted. This article evaluates recent research and advancements in the applications of photonic devices in medical radiation detection primarily focusing on four types; photodiodes – including light-emitting diodes (LEDs), phototransistors—including metal oxide semiconductor field effect transistors (MOSFETs), photovoltaic sensors/solar cells, and charge coupled devices/charge metal oxide semiconductors (CCD/CMOS) cameras. A comprehensive analysis of the operating principles and recent technologies of these devices is performed. Further, critical evaluation and comparison of their benefits and limitations as dosimeters is done based on the available studies. Common factors barring photonic devices from being used as radiation detectors are also discussed; with suggestions on possible solutions to overcome these barriers. Finally, the potentials of these devices and the challenges of realizing their applications as quintessential dosimeters are highlighted for future research and improvements.

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Light-emitting diodes (LEDs) have miscellaneous applications owing to their low cost, small size, flexibility, and commercial availability. Furthermore, LEDs have dual applicability as light emitters and detectors. This study explores the current–voltage (C–V) response of LED strips exposed to diagnostic x-rays. Cold white, warm white, red, green, and blue LED strip colors were tested. Each strip consisted of 12 LED chips and was connected to a multimeter. The variable diagnostic x-ray parameters evaluated were kilovoltage peak (kVp), milliampere-seconds (mAs), and source-to-image distance (SID). The radiation dose was also measured using a dosimeter simultaneously exposed to x-rays perpendicularly incident on the strips. Lastly, the consistency of C–V responses, and any possible degradation after 1–2 months was also analyzed. Each LED strip color was ranked according to its C–V response in each of the investigated parameters. The LED strip color with the best cumulative rank across all the tested parameters was then examined for reproducibility. Our findings revealed that the C–V responses of LED strips are (a) generally low but measurable, (b) inconsistent and fluctuating as a consequence of kVp variations, (c) positively correlated to mAs, (d) negatively correlated to SID, and (e) positively correlated to dose. Overall results suggested cold white LED strip as most feasible for x-ray detection—in comparison to examined colors. Additionally, the reproducibility study using the cold white LED strip found a similar trend of C–V response to all variables except kVp. Outcomes indicate that LED strips have the potential to be exploited for detecting low dose (~0–100 mGy) diagnostic x-rays. However, future studies should be carried out to increase the low C–V signal.

The recent diagnostic assessment of cerebrovascular disease makes use of computational fluid dynamics (CFD) to quantify blood flow and determine the hemodynamics factors contributing to the disease from patient-specific models. However, compliant and anatomical patient-specific geometries are generally reconstructed from the medical images with different threshold values subjectively. Therefore, this paper tends to present the effect of extracted geometry with different threshold coefficient, Cthres by using a patient-specific cerebral aneurysm model. A set of medical images, digital subtraction angiography (DSA) images from the real patient diagnosed with internal carotid artery (ICA) aneurysm was obtained. The threshold value used to extract the patient-specific cerebral aneurysm geometry was calculated by using a simple threshold determination method. Several threshold coefficients, Cthres such as 0.2, 0.3, 0.4, 0.5 and 0.6 were employed in the image segmentation creating three-dimensional (3D) realistic arterial geometries that were then used for CFD simulation. As a result, we obtained that the volume of patient-specific cerebral aneurysm geometry decreases as the threshold coefficient, Cthres increases. There is dislocation of artery attached to the ICA aneurysm geometry occurred at a high threshold coefficient, Cthres. Besides, the physical changes also bring remarkable physiological effect on the wall shear stress (WSS) distribution and velocity flow field at patient-specific cerebral aneurysm geometry reconstructed with different threshold coefficient, Cthres.