Title Određivanje izlaznih faktora i profila apsorbirane doze za Leksellov gama nož
Title (english) Determination of output factors and absorbed dose profiles for Leksell gamma knife
Author Anja Horvat
Mentor Tomislav Bokulić (mentor)
Committee member Tomislav Bokulić (predsjednik povjerenstva)
Committee member Damir Bosnar (član povjerenstva)
Committee member Ivica Đilović (član povjerenstva)
Committee member Ivana Kekez (član povjerenstva)
Committee member Mihael Makek (član povjerenstva)
Granter University of Zagreb Faculty of Science (Department of Physics) Zagreb
Defense date and country 2024-06-28, Croatia
Scientific / art field, discipline and subdiscipline NATURAL SCIENCES Physics
Abstract Stereotaktička radiokirurgija sve je popularnija metoda za liječenje patoloških procesa unutar mozga, a Leksellov gama nož je jedan od vodećih uređaja koji pokazuje izvrsne rezultate u tom području. Uređaj koristi 192 uska fotonska snopa fotona koji nastaju u raspadu radioaktivnih izvora 60Co. Snopovi se pomoću stereotaktičkog okvira precizno usmjeravaju u leziju i sijeku se u zajedničkoj točki koju nazivamo izocentar. U zračenju se predaje jednokratna visoka doza zračenja, što za rezultat daje približno sfernu raspodjelu apsorbirane doze. Za izračun apsorbirane doze koristi se računalni algoritam, a osnovu za izračun predstavljaju točno određeni izlazni faktori i profili apsorbirane doze koji su u ovom radu eksperimentalno određeni. Uz navedene veličine, osnovu za točan račun doze čini i brzina apsorbirane doze određena u referentnim uvjetima, što nije predmet ovog diplomskog rada. Sva mjerenja izložena u ovom radu provedena su na Odjelu za stereotaksiju, funkcijsku neurokirurgiju i radioneurokirurgiju, Klinike za neurokirurgiju KBC-a Zagreb. Profili i izlazni faktori određeni su pomoću EBT3 radiokromskog filma i ionizacijskih komora PinPoint3D i PinPoint za sve širine fotonskih snopova gama noža dobivenih kolimatorima veličine 4 mm, 8 mm i 16 mm. Sva mjerenja su provedena u tkivo-ekvivalentnom fantomu Solid Water.
Pune širine na pola maksimuma i širine polusjena profila dobivenih EBT3 filmom su u vrlo dobrom slaganju s referentnim vrijednostima dobivenim Monte Carlo simulacijama, dok vrijednosti izlaznih faktora dobivene filmom odstupaju od referentnih vrijednosti, posebice za najmanje polje gama noža veličine 4 mm. Analizom profila dobivenih ionizacijskim komorama PinPoint3D i PinPoint utvrđeno je širenje polusjena za polje veličine 4 mm i 8 mm, dok vrijednosti širina na pola maksimuma ne odstupaju značajno od referentnih vrijednosti. Vrijednosti izlaznih faktora dobivenih ionizacijskim komorama značajno odstupaju za malo polje veličine 4 mm, dok su vrijednosti za polje veličine 8 mm u skladu s referentnim vrijednostima. Širenje polusjena profila i veliko odstupanje izlaznih faktora za malo polje veličine 4 mm prisutno je zbog izraženog volumnog učinka usrednjavanja signala karakterističnog za ionizacijske komore i narušenja lateralne elektronske ravnoteže koje se može javiti u malim fotonskim poljima. Razlog velikog volumnog učinka usrednjavanja signala leži u neodgovarajućem odnosu veličina aktivnog mjernog volumena ionizacijske komore i fotonskih snopova. Zbog navedenog, EBT3 film je preporučeni dozimetar za određivanje profila doza [16], ali ne i za određivanje izlaznih faktora, a male ionizacijske komore su preporučeni dozimetri za određivanje apsorbirane doze u referentnim uvjetima, ali ne i za relativnu dozimetriju, za određivanje profila i izlaznih faktora.
Abstract (english) Stereotactic radiosurgery is an increasingly popular method for treating pathological processes within the brain, and the Leksell Gamma Knife is one of the leading irradiators or machines that shows excellent results in this field. The device uses narrow photon beams generated by the radioactive 60Co sources, which are precisely directed at the lesion using a stereotactic frame. The photon beam axes intersect at a common point called the isocenter. During irradiation, a high dose can be delivered, resulting in an approximately spherical distribution of the absorbed dose. A computer algorithm is used to calculate the absorbed dose, and the calculation is based on precisely determined output factors, and absorbed dose profiles, which were experimentally determined in this study. Additionally, the basis for accurate dose calculation is also the absorbed dose rate determined in the reference conditions, which is not the subject of this thesis. All measurements presented in this study were conducted at the Division of Stereotaxy, Functional Neurosurgery, and Radiosurgery of the Department of Neurosurgery, University Hospital Center Zagreb. Profiles and output factors were determined using EBT3 radiochromic film and PinPoint3D and PinPoint ionization chambers for all widths of the gamma knife photon beams obtained with collimators of sizes 4 mm, 8 mm, and 16 mm. All measurements were performed in a tissue-equivalent phantom, Solid Water.
The full width at half maximum (FWHM) and penumbra widths of the profiles obtained with EBT3 film are in very good agreement with the reference values obtained from Monte Carlo simulations, while the output factor values obtained with the film deviate from the reference values, especially for the smallest gamma knife field size of 4 mm. Analysis of the profiles obtained with the PinPoint3D and PinPoint ionization chambers revealed a broadening of the penumbra for the field sizes of 4 mm and 8 mm, while the FWHM values do not significantly deviate from the reference values. The output factor values obtained with the ionization chambers significantly deviate for the small field size of 4 mm, while the values for the 8 mm field size are in line with the reference values. The broadening of the penumbra and significant deviation of output factors for the small 4 mm field are due to the pronounced volume averaging effect characteristic of ionization chambers and the disruption of lateral electronic equilibrium that can occur in small fields. The reason for the significant volume averaging effect lies in the inappropriate ratio between the active measuring volume of the ionization chamber and the photon beams. Therefore, the EBT3 film is the recommended dosimeter for dose profile determination [16], but not for determining output factors, while small ionization chambers are the recommended dosimeters for determining absorbed dose under reference conditions, but not for relative dosimetry, such as determining profiles and output factors.
Keywords
Leksellov gama nož
profili doze
izlazni faktori polja
Keywords (english)
Leksell Gama Knife
absorbed dose profiles
field output factors
Language croatian
URN:NBN urn:nbn:hr:217:809735
Study programme Title: The University Integrated Undergraduate and Graduate Programme in Physics and Chemistry Education; specializations in: Physics and chemistry Course: Physics and chemistry Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: sveučilišni magistar edukacije fizike i kemije (sveučilišni magistar edukacije fizike i kemije)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Repository Repository of the Faculty of Science
Created on 2024-07-26 09:37:37