Physical Principles and Dosimetry Kent A Gifford PhD Department of Radiation Physics UT MD Anderson Cancer Center kagiffordmdandersonorg Medical Physics III Spring 2015 Physical aspects ID: 574607
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Slide1
Electron Beams:Physical Principles and Dosimetry
Kent A. Gifford, Ph.D.Department of Radiation PhysicsUT M.D. Anderson Cancer Centerkagifford@mdanderson.org
Medical Physics III: Spring 2015Slide2
Physical aspectsSlide3
Electron Interactions w/matter (b >> a)Slide4
Electron Interactions w/matter (b >> a)
Coulomb force on atom resulting in:
Ionization (ejection of valence e-) ExcitationTermed “soft” interactionsSlide5
Electron Interactions w/matter (b ~ a)Slide6
Electron Interactions w/matter
Head on collision resulting in:
Ionization (ejection of e- w/ high K.E.) Ejected e- (δ ray) dissipates energy along its path Characteristic X-ray or Auger e- producedSlide7
Electron Interactions w/matter (b << a)Slide8
Electron Interactions w/matter (b << a)
Coulomb interaction resulting in:
Deflection of primary e-, large deflection BremmstrahlungSlide9
Electron Interactions w/ matterStopping powerSlide10
Electron Interactions w/ matterStopping power
For what do the four terms in the brackets account?Slide11
Electron Interactions w/ matterStopping power
For what do the four terms in the brackets account?First term- soft collisionsSlide12
Electron Interactions w/ matterStopping power
For what do the four terms in the brackets account?First term- soft collisions
Second term- Möller (e-) or Bhabha (e+) scattering (hard coll.)Slide13
Electron Interactions w/ matterStopping power
For what do the four terms in the brackets account?
First term- soft collisionsSecond term- Möller (e-) or Bhabha (e+) scattering (hard coll.)Third term- density effect
Condensed medium stopping power reduced due to atoms closer to particle polarized and screen distant atoms from particle’s electric fieldSlide14
Electron Interactions w/ matterStopping power
For what do the four terms in the brackets account?
First term- soft collisionsSecond term- Möller (e-) or Bhabha (e+) scattering (hard coll.)Third term- density effect
Fourth term- shell correction
Born approximation did not account for binding energy of electronsSlide15
Electron Interactions w/ matterStopping powerSlide16
Electron Interactions w/ matterStopping powerSlide17
Electron Interactions w/ matterStopping powerSlide18
Electron Interactions w/ matterStopping power
How does Scoll/ρ depend on the interacting medium?Slide19
Electron Interactions w/ matterStopping power
How does Scoll/ρ depend on the interacting medium?
Z/ASlide20
Electron Interactions w/ matterStopping power
How does Scoll/ρ depend on the interacting medium?
Z/A -ln ISlide21
Electron Interactions w/ matterStopping power
How does Scoll/ρ depend on the interacting medium?
Z/A ln IWhich is greater S
coll
/ρ
(
Pb
or Be) at 20
MeV
?Slide22
Electron Interactions w/ matterStopping power
How does Scoll/ρ depend on the interacting medium?
Z/A ln IWhich is greater S
coll
/ρ
(
Pb
or Be) at 20
MeV
?
Be 1.623
MeV
cm
2
g
-1
vs.
Pb
1.277
MeV
cm
2
g
-1
Slide23
Electron Interactions w/ matterStopping power
How does Scoll/ρ depend on particle velocity?Slide24
Electron Interactions w/ matterStopping power
How does Scoll/ρ depend on particle velocity?1/β
2Slide25
Electron Interactions w/ matterStopping power
How does Scoll/ρ depend on particle velocity?1/β
2This is the reason for the steep rise in Scoll/ρ and Bragg peak (Heavy ions)Slide26
Electron Interactions w/ matterStopping power
How does Scoll/ρ depend on particle mass and charge?Slide27
Electron Interactions w/ matterStopping power
How does Scoll/ρ depend on particle mass and charge?NoneSlide28
Electron Interactions w/ matterStopping power
How does Scoll/ρ depend on particle mass and charge?None
z2Slide29
Electron Interactions w/ matterStopping power
How does Scoll/ρ depend on particle mass and charge?None
z2Slide30
Electron Interactions w/ matterRange
What is the Range, R, of a charged particle?Slide31
Electron Interactions w/ matterRange
What is the Range, R, of a charged particle? Expectation value of pathlength, <p>, until it comes to restSlide32
Electron Interactions w/ matterRange
What is the projected range, <t>, of a charged particle?Slide33
Electron Interactions w/ matterRange
What is the projected range, <t>, of a charged particle? Expectation value of farthest depth, t
f, of the particle in its initial direction Slide34
Electron Interactions w/ matterRangeSlide35
Electron Interactions w/ matterRange
What is the CSDA range, of a charged particle?Slide36
Electron Interactions w/ matterEnergy deposition
Assume parallel beam of e-, perpendicular to “thin” foil, BeElectron energy, 10 MeVCalculate average energy deposition in foilSlide37
Electron Interactions w/ matterEnergy deposition
Scoll/ρ for Be at 10 MeV
= (1.527 MeV∙cm2/g)(1.848 g/cm3) =2.905 MeV
/cm
∆E=(2.905
MeV
/cm)(0.1 cm)= 0.2905
MeVSlide38
Electron Interactions w/ matterEnergy deposition
Scoll/ρ for Be at 10 MeV
= (1.527 MeV∙cm2/g)(1.848 g/cm3) =2.905 MeV
/cm
∆E=(2.905
MeV
/cm)(0.1 cm)= 0.2905
MeV
Actual answer = 0.262
MeV
or an 11% overestimate
Why?Slide39
Electron Interactions w/ matterEnergy deposition
Actual answer = 0.262 MeV or an 11% overestimateWhy?
Delta rays escape the foil and for higher Z foils, bremsstrahlungHow to rectify?Slide40
Electron Interactions w/ matterEnergy deposition
Actual answer = 0.262 MeV or an 11% overestimateWhy?
Delta rays escape the foil and for higher Z foils, bremsstrahlungHow to rectify? Add buildup to establish CPE0.2905 MeV
vs. 0.28
MeV
, ~3% error or lessSlide41
Electron Interactions w/ matterEnergy deposition
Do all electrons lose an identical amount of energy when traversing foil?Slide42
Electron Interactions w/ matterEnergy deposition
Do all electrons lose an identical amount of energy when traversing foil?No, why?And what would the energy loss distribution look like?Slide43
Electron Interactions w/ matterEnergy deposition
And what would the energy loss distribution look like?Slide44
Restricted Mass Stopping Power (L/r)
D:AKA LET (linear energy transfer) or energy loss per unit path length (for local absorption not radiated away)
E
< D
Electron
Interactions w/ matter
Restricted Stopping powerSlide45
Electron beam characteristicsRapid rise to 100%
Region of uniform dose (proximal 90% to distal 90%)Rapid dose fall-off
High surface doseClinically useful range 5-6 cm depthSlide46
Electron beam characteristics- surface dose6 × 6 cm2
4 & 20 MeV e- beams on large H2O tank
Net E entering
4
MeV
: 3.99334
MeV
20
MeV
: 19.99691
MeV
Net E leaving
4
MeV
: 3.97598
MeV
20
MeV
: 19.97595
MeV
∆
E
4
MeV
:
0.01736
MeV
20
MeV
: 0.02096
MeVSlide47
Electron Energy Specification (the average energy of the spectrum)
(most probable energy @ surface) (average energy at depth z)Slide48
From: Khan
Electron Energy Specification
Energy specification:R50 - depth of the 50% doseRp
- maximum range of electronsSlide49
Electron Energy Specification
Average Energy (E0):Most Probable Energy (Ep0):
Energy (Ez) at depth z
MDACC 21EX
AAPM TG-25 Med Phys 18(1), 73-109 (1991)Slide50
Determination of Absorbed Dose
Calibration in water with ion chambersADCL-calibrated systemCylindrical-chamber reference point located upstream of the chamber center by 0.5 rcavReference conditions 100 cm SSD for a 1010 cm2
field Formalism:Slide51
Depth-Dose Distribution
Dose is calculated from ionization measurements:M is ionization is the ratio of water-to-air mean restricted stopping powers is the ratio of water-to-air fluence
Prepl is a chamber replacement correctionSlide52
Clinical aspects and dosimetrySlide53
Characteristics of clinical electron beams
X-Ray Contamination
Surface
Dose
Depth of 80% Dose
Depth of 50 % dose
Depth of
90% DoseSlide54
Characteristics of Clinical Electron BeamsSurface Dose:Surface dose
increases with increasing electron energy
From: KhanSlide55
Characteristics of Clinical Electron BeamsDepth of the 80% Dose:
Equal to approximately Enom/2.8 :
Depth of 90% is approximately Enom
/3.2
MDACC 21EXSlide56
Characteristics of clinical electron beamsPractical Range:
Equal to approximately 1/2 nominal energy:
Energy loss is about 2 MeV / cm
MDACC 21EXSlide57
Characteristics of clinical electron beamsX-Ray Contamination:
Increases with energy:Varies with accelerator design Defined as RP+2 cm
MDACC 21EXSlide58
Characteristics of clinical electron beams
Accelerator design variationsPenumbraX-ray Contamination
From: TapleySlide59
Characteristics of clinical electron beams
Penumbral Effects:Low energies show expansion of isodose valuesHigh energies show constriction of high isodose values with bowing of low values.Slide60
Electron Beam DosimetryIsodoses (6 MeV)Slide61
Electron Beam DosimetryIsodoses (20 MeV)Slide62
Electron Beam DosimetryPDD- effect of field size (6 MeV)Slide63
Electron Beam DosimetryPDD- effect of field size (20 MeV)Slide64
Electron Beam DosimetryBeam abutmentSlide65
Electron Beam DosimetryBeam abutment- electrons (6 & 20 MeV)Slide66
Electron Beam DosimetryBeam abutment- electrons (6 & 12 MeV)Slide67
Electron Beam DosimetryBeam abutment- electronsSlide68
Electron Beam DosimetryBeam abutment- photon & electron (6 MeV & 6 MV)Slide69
Electron Beam DosimetryBeam abutment- photon & electron (6 MeV & 18 MV)Slide70
Electron Beam DosimetryBeam abutment- photon & electron (IMC & tangents)Slide71
Electron Beam DosimetryObliquity Effects
Oblique incidence results in pdd shifts
From: KhanSlide72
Electron Beam DosimetryObliquity effectsSlide73
Electron Beam Dosimetry
Field Shaping:Lead and/or Cerrobend is normally usedThickness should be sufficient to stop electrons:
t
= mm Pb
E
0
= Nom E (MeV)Slide74
Electron Beam DosimetryContour Irregularities:Sharp contour irregularities result in hot and cold spots
Bolus:Place as close to skin as possibleUse tissue-equivalent materialBevel bolus to smooth sharp edges
From: KhanSlide75
Electron Beam DosimetryEffects of inhomogeneities:
CET - coefficient of equivalent thicknessThe CET of a material is approximately equal to its electron density relative to water
From: KhanSlide76
Electron Beam Dosimetry
CET:Sample calculation
1 cm
For Lung:
For Bone:
3 cm
·Slide77
Electron Beam DosimetryInternal Shielding:
Used to protect tissues beyond treatment volumeBackscattered electrons produce “dose enhancement”
From: Khan (Note E in M
eV)
A dose enhancement of about 50% could be expected in a 6-MeV electron beamSlide78
Electron Beam DosimetryInternal Shielding:
Reduce the intensity of backscatter by introducing a tissue-equivalent absorber upstream from the shield
Electron energy at the scatterer
From: Khan Slide79
Electron BeamMonitor-Unit CalculationsElectron-beam monitor units (MU) are normally calculated to a point at d
max along the central axisA dose DRx that is prescribed to a point other than dmax, can be related to the d
max dose Ddmax through the precription isodose level %D: Slide80
Electron BeamMonitor-Unit CalculationsThe MU setting (MU) that is necessary to deliver a dose Ddmax is a function of the electron beam’s “output” (in cGy per MU) at the calculation point:
Here OFS,SSD is the dose output as a function of field size (FS
) and distance (SSD) Slide81
Electron BeamMonitor-Unit CalculationsFor an electron beam calibrated such that 1 MU = 1 cGy at 100 cm SSD for a 10
´10 field at dmax:
Calibrated output for a 10X10 cm field at 100 cm SSD
Output factor for field size FS relative to field size 10X10
Distance-correction factor for distance SSD relative to 100 cm
SSD
Electron-beam output for a field size FS at a distance SSDSlide82
Monitor-Unit CalculationsField-Size Corrections
OFFS:Field-size corrections generally account for the aperture produced by two devices:Cones or Applicators, and Customized InsertsThe field-size dependent output factor OF
FS can then be thought to consist of cone and insert output factors, OFCS and OFIS:Slide83
Monitor-Unit CalculationsField-Size Corrections -
OFCS, IS :When used separately, cone factors, OFCS, are normalized to the 10´10 (or 15
´15) cone, and insert factors, OFIS, are normalized to the open cone into which inserts are placedAlternatively, they can be combined into a single factor, OFCS, IS
,
that is normalized to the open 10
´
10 (or to the 15
´
15) cone :Slide84
Monitor-Unit CalculationsField-Size Corrections -
OFL´W :For rectangular fields, the field-size dependent output factor, OFFS
, is determined from square-field output factors using the “square root method”. Thus, for a rectangular field L´W:For example, the 4´12 output factor
OF
4
´
12
is the square-root of the product of the 4
´
4 output factor,
OF
4
´
4
, and the 12
´
12 output factor,
OF
12
´
12Slide85
Monitor-Unit CalculationsDistance (SSD) Corrections
FSSD:The variation of electron-beam output with distance does not follow a simple conventional inverse-square relationshipDue to attenuation and scattering in air and in beam collimation and shaping devicesDistance corrections take two forms:
Use of an “effective SSD” that can be used in an inverse-square fashionUse of an “air-gap factor” that can be used in addition to a conventional inverse-square factorSlide86
Monitor-Unit CalculationsDistance Corrections -
SSDeff:Assuming that an inverse-square relationship exists in which a reduced distance to a “virtual” source of electrons exists, then the distance correction, FSSD is:
where SSDeff is the effective (or virtual) SSD and g is the distance (gap) between the “nominal” SSD (100 cm) and the actual SSD;
d
m
is the d
max
depthSlide87
Monitor-Unit CalculationsDistance Corrections -
SSDeff :The “effective SSD” is a virtual distance that is utilized so that an inverse-square approximation can be usedEffective SSDs vary with energy and field size as well as with electron collimation designSlide88
Monitor-Unit CalculationsDistance Corrections -
fair :An alternative method of applying distance corrections utilizes a conventional inverse-square correction and an air gap factor, fair , that accounts for the further reduction in output that is unaccounted-for by the inverse-square correction alone:
SSDnom is the nominal (100 cm) SSDSlide89
Monitor-Unit CalculationsDistance Corrections -
fair:fair also varies with energy and field size (it is derived from the same data set that can be used to also determine SSDeff)
For rectangular fields, as with any electron field-size correction, the square-root method is used:Slide90
Monitor-Unit CalculationsUse of Bolus:
When bolus is used, the depth-dose curve shifts “upstream” by a distance equal to the bolus thickness (e.g. if 1 cm bolus is used, the depth of dmax shifts by a distance of 1 cm toward the skin surface)The output at this shorter distance is:where b
is the bolus thickness in cm, and SSD is the nominal SSD Slide91
Electron Monitor-Unit Calculations - Sample ProblemsSlide92
Electron Monitor-Unit Calculations - Sample ProblemsSlide93
Electron Monitor-Unit Calculations - Sample ProblemsSlide94
Electron Monitor-Unit Calculations - Sample ProblemsSlide95
Electron Monitor-Unit Calculations - Sample ProblemsSlide96
Electron Monitor-Unit Calculations - Sample ProblemsSlide97
Electron Monitor-Unit Calculations - Sample ProblemsSlide98
Electron Monitor-Unit Calculations - Sample ProblemsSlide99
Electron MU Sample ProblemsSlide100
Electron MU Sample ProblemsSlide101
Electron MU Sample ProblemsSlide102
Electron MU Sample Problems