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Technical Note: On maximizing Cherenkov emissions from medical linear accelerators
Author(s) -
Shrock Zachary,
Yoon Suk W.,
Gunasingha Rathnayaka,
Oldham Mark,
Adamson Justus
Publication year - 2018
Publication title -
medical physics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.473
H-Index - 180
eISSN - 2473-4209
pISSN - 0094-2405
DOI - 10.1002/mp.12927
Subject(s) - linear particle accelerator , cherenkov radiation , medical imaging , physics , medical physics , environmental science , computer science , optics , beam (structure) , detector , artificial intelligence
Purpose Cherenkov light during MV radiotherapy has recently found imaging and therapeutic applications but is challenged by relatively low fluence. Our purpose is to investigate the feasibility of increasing Cherenkov light production during MV radiotherapy by increasing photon energy and applying specialized beam‐hardening filtration. Methods GAMOS 5.0.0, a GEANT 4‐based framework for Monte Carlo simulations, was used to model standard clinical linear accelerator primary photon beams. The photon source was incident upon a 17.8 cm 3 cubic water phantom with a 94 cm source to surface distance. Dose and Cherenkov production was determined at depths of 3–9 cm. Filtration was simulated 15 cm below the photon beam source. Filter materials included aluminum, iron, and copper with thicknesses of 2–20 cm. Histories used depended on the level of attenuation from the filter, ranging from 100 million to 2 billion. Comparing average dose per history also allowed for evaluation of dose‐rate reduction for different filters. Results Overall, increasing photon beam energy is more effective at improving Cherenkov production per unit dose than is filtration, with a standard 18  MV beam yielding 3.3–4.0× more photons than 6  MV . Introducing an aluminum filter into an unfiltered 2400 cGy/min 10  MV beam increases the Cherenkov production by 1.6–1.7×, while maintaining a clinical dose rate of 300 cGy/min, compared to increases of ~1.5× for iron and copper. Aluminum was also more effective than the standard flattening filter, with the increase over the unfiltered beam being 1.4–1.5× (maintaining 600 cGy/min dose rate) vs 1.3–1.4× for the standard flattening filter. Applying a 10 cm aluminum filter to a standard 18  MV , photon beam increased the Cherenkov production per unit dose to 3.9–4.3× beyond that of 6  MV (vs 3.3–4.0× for 18  MV with no aluminum filter). Conclusions Through a combination of increasing photon energy and applying specialized beam‐hardening filtration, the amount of Cherenkov photons per unit radiotherapy dose can be increased substantially.

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