Physics Laboratory UNITED STATES DEPARTMENT OF COMMERCE National Institute of Standards and Technology Gaithersburg, MD 20899-0001 Radiochromic Film Christopher G G. Soares Ionizing Radiation Division National Institute of Standards and Technology Acknowledgements Book chapter co-authors, whose material and ideas I liberally borrowed: Samuel Trichter New York – Presbyterian Hospital Weill Cornell Medical Center N Y New York, k NY 10021 sat9014@nyp.org and Dr. Slobodan Devic McGill University SMBD Jewish General Hospital Montréal, Montréal Québec H3T 1E2 slobodan.devic@ mcgill.ca Acknowledgements Dr. David Lewis International Specialty Products (ISP), Wayne. NJ supplying the dosimeter material used and the long years of friendship Marcie Lombardi, Elizabeth Meek and Jason Walia Georgetown University, Washington, DC assistance it with ith MD-55-2, MD 55 2 EBT andd EBT-1 EBT 1 film fil irradiations i di ti andd readouts d t at NIST Scott Robertson University of Maryland, College Park, MD assistance with filter filter, EBT2 and EBT2-1 EBT2 1 film irradiations and readouts at NIST Drs. R D Ronaldo ld Mi Minniti iti and d Guerda G d Massillon M ill NIST, Gaithersburg, MD assistance with 60Co irradiations of films at NIST Absorbed Doses in Typical Medical Procedures and Ranges of Passive Detectors Photographic Film Optically Stimulated Luminescence Thermoluminescence Dosimetry Gel Dosimetry Alanine Fricke Dosimeter Radiochromic Films Diagnostic Diagnostic 0.01 0.1 External Beam 1 Brachytherapy Brachytherapy 10 Absorbed Dose, Gy 100 1000 Pioneers • William McLaughlin, McLaughlin NIST – From 1965 to 2005 Organic free free-radical radical imaging medium can combine photopolymerization with leuco dyes that p produce color upon p irradiation. • David Lewis, International Specialty Products (ISP) – Since 1980s: Radiochromic films based on polydiacetylene have been introduced for medical applications pp Radiochromic Films Radiochromic film consists of a single or double layer of radiation-sensitive organic microcrystal monomers, monomers on a thin polyester base with a transparent coating Radiochromic Films (Cont.) Color of the radiochromic films turns to a shade of blue upon irradiation. D k Darkness off th the fil film iincreases with ith iincreasing i absorbed dose. No processing is required to develop or fix the image. g Sample Application: IMRT QA Measuring Transmission & Optical Density Light g Source Detector II 0 Densitometer Transmission I I0 I OD log 0 I Absorbance Scans of EBT Film Irradiated with 60Co 4 3.5 Optical D Density, AU 3 2.5 2 1.5 1 0.5 0 400 450 500 550 600 Wavelength, nm 650 700 750 0 Gy 0.1 Gy 0.15 Gy y 0.2 Gy 0.3 Gy 0.5 Gy 0.7 Gy y 1 Gy 1.5 Gy 2 Gy 3 Gy 5 Gy 7 Gy 10 Gy 633 nm Older Radiochromic Film Types • GAFCHROMIC HD-810 (Formerly: DM-1260) – 20 cm x 25 cm x 0. 1 mm – Nominal dose range: 10-1000 Gy – Approximate A i sensitivity: i i i 3 mAU/Gy AU/G • GAFCHROMIC MD-55-1 (no longer available) – 12.5 cm x 12.5 cm x 0.08 mm – Nominal dose range: 2-200 Gy – Approximate sensitivity: 10 mAU/Gy Adhesive • GAFCHROMIC MD-55-2 (aka NMD-55) ~20 m – 12.5 cm x 12.5 cm x 0.23 mm ~20 m – Nominal dose range: 1-100 Gy – Approximate A i t sensitivity: iti it 20 mAU/Gy AU/G • GAFCHROMIC HS (no longer available) – 12.5 cm x 12.5 cm x 0.23 mm – Nominal dose range: 0.5-50 Gy – Approximate sensitivity: 35 mAU/Gy Emulsion 6.5 m 97 m P l Polyester 16 m 67 m 67 m 16 m 25 m 16 m 67 m 97 m 38m 100 m XR Radiochromic Film Types • GAFCHROMIC XR-T (no longer available) XR-T Emulsion – 12.5. cm x 12.5 cm x 0.21 mm – Nominal dose range: 0.01-5 Gy 97 m 18 m 97 m Transparent Yellow Polyester • GAFCHROMIC RTQA – 36 cm x 43 cm x 0.23 mm – Nominal dose range: 0.01-5 Gy Adhesive 12 m RTQA Q Emulsion 97 m 17 m 97 m surface layer 3 m Opaque White Polyester • GAFCHROMIC XR-RV2 – 36 cm x 43 cm x 0. 23 mm – Nominal dose range: 0.01-5 Gy Adhesivee Adhesi 12 m XRQA Emulsion • GAFCHROMIC XR-QA XRQA Emulsion – 36 cm x 43 cm x 0.26 mm – Nominal dose range: 0.001-0.2 Gy 97 m 17 m 97 m 97 m 25 m 25 m 97 m 3 m 10 m EBT Radiochromic Film Types surface 97 m • GAFCHROMIC EBT (no longer available) l layer 25 m EBT Emulsion 3 m – 20 cm x 25 cm* x 0.23 mm 25 m 97 m – Nominal dose range: 0.05-100 Gy Cl Polyester Clear P l t – Approximate A i sensitivity: i i i 400-800 400 800 mAU/Gy AU/G 97 m • GAFCHROMIC “EBT-1” (no longer available) 3 m EBT Emulsion 25 m – 36 cm x 43 cm x 0.12 mm 97 m – Nominal dose range: 0.1-200 Gy – Approximate sensitivity: 200-400 mAU/Gy • GAFCHROMIC EBT2 Adhesi e Adhesive 50 m 25 m 5 m – 20 cm x 25 cm* x 0. 29 mm EBT2 Emulsion 30 m – Nominal dose range: 175 m – Approximate A i t sensitivity: iti it • GAFCHROMIC “EBT2-1” (by request only) EBT2 Emulsion 30 m – 20 cm x 25 cm x 0.20 mm 175 m – Nominal dose range: – Approximate sensitivity: *typical size; 36 cm x 43 cm available EBT vs Older Emulsion 400 450 500 550 600 650 700 750 1.4 1.4 GAFCHROMIC EBT emulsion 1.5 Gy 1.2 1.2 optical d density / AU U GAFCHROMIC emulsion (MD-55-2) 15 Gy 1 1.0 0.8 0.8 0.6 0.6 0.4 0.4 0.2 0.2 0.0 400 450 500 550 600 wavelength / nm 650 700 0 750 Some Film Handling Tips • try to controll temperatures during d i irradiation, i di i storage & readout in a consistent fashion • handle films with care, avoiding dust, fingerprints or over bending • store film in dry, dark environment • avoid prolonged exposure to UV light • cut sandwich films with scissors, punches or paper cutters • wait a few days after cutting before irradiating • at temps above 70 C dye is deactivated More Tips • write ID numbers on films in reproducible manner to indicate emulsion-coated side and direction • HD-810 emulsion side easily determined by wetting a corner – turns cloudy temporarily • MD-55-2 compressible – take care measuring thickness if it matters in an application • use histogram (frequency) analysis for uniform films fil • consider rolling film for equatorial measurements • irradiate at slant incidence for single shot DDs Dose Response for Older Emulsion • film is insensitive to light at > 300 nm – But B sensitive i i to UV at lower l • films should be stored in the dark, at temp < 25ºC and relative humidity < 50% to optimize the useful life of the film • dependence of the absorption spectrum with dose has been documented • difference between fractionated and unfractionated response is ~ 1% Summary of Recommended Procedures: Fil Use Film U • note model and lot numbers • note film orientation and allignment • control time between irradiation & readout (at least 24 h) or use film annealing • check film uniformity • for non-sandwich films in non-penetrating radiation applications, note emulsion side (check by wetting corner) Calibration & Sensitivity • Calibration: - irradiation of samples to known absorbed dose levels • Calibration curve: – Relation between dose and response • Sensitivity: – Average change in response per unit dose • calculate over most linear portion of the calibration curve – Depends on: used for readout, scanner, film batch, beam quality, readout time, temperatures, humidity, ... Radiochromic Film Calibration Fields contact irradiations with calibrated 90Sr/Y planar applicator, or irradiations with 60Co beams of known absorbed-dose rate, or irradiations with photon or electron linac beams of known absorbed-dose rate large well-characterized uniform radiation field HD--810 Calibration Exposures w/ 90Sr Eye Plaque HD numbers are irradiation times in seconds at a dose rate of about 0.5 Gy/s EBT2 Calibration Exposures w/ 60Co in Water Linearity of Dose Response is Instrument Dependent 0 2 4 6 8 10 12 3.5 3.5 Instrument dependent linearity for EBT film optical density / A AU 30 3.0 30 3.0 2.5 2.5 2.0 2.0 1.5 1.5 laser scanning densitometer 1.0 1.0 spectrophotometer 0.5 0.5 0.0 0.0 0 2 4 6 absorbed dose / Gy 8 10 12 Calibration Phantoms and Mounting Jigs • Sandwich films can be irradiated directly in water and held at depth in appropriately d i d jigs designed ji • Uncoated films can be sealed in waterproof pouches (e.g., Food Saver bags) and held in similar jigs Plastic Calibration Phantoms • • • • The usuall cast off water-equivalent Th i l plastic l i characters h can be b used in lieu of in-water irradiations, such as polystyrene: l t best b t for f beta b t particles, ti l but b t also l usedd for f highhi h energy beams Solid WaterTM (WT1): standard for photon brachytherapy other water equivalent plastics (e.g. Plastic Water, Virtual Water etc.) Water, etc ) A150 plastic: for high rate charged particle irradiations (conducting) Note: in all phantom designs avoid air gaps to prevent electron streaming losses Summary of Recommended Procedures: C lib ti Calibration • use a large well-characterized field, ideally of the same q qualityy as unknown field • otherwise, any known dose rate field • obtain response vs. vs dose over range of interest (extrapolation is dangerous) • sandwich d i h films fil can be b irradiated i di d unprotected in water but avoid prolonged i immersions i Corrections: Intrinsic Linearity, kl(Mdet(D)) Calibration Curve for MDMD-5555-2 film with 60Co 0 50 100 150 2.0 18 1.8 net optical density / A AU 18 1.8 Sensitivity = 21.5 mAU/Gy 1.6 200 2 1.6 14 1.4 14 1.4 1.2 1.2 1.0 1 0.8 0.8 this is the inverse of the sensitivity 0.6 0.6 D (Gy) = (0.335 + 46.5 NOD) / (1 - 0.0215 NOD – 0.167 NOD2) this term is the intrinsic linearity kl(Mdet(D)) 0.4 0.2 0.0 0 50 100 absorbed dose / Gy 150 0.4 0.2 0 200 C i Calibration i Curve C for f MDMD-5555-2 film fi with i 60Co: C Sensitivity Curve Net Optical Density per Un nit Absorbed Do ose, mAU/Gy 25 20 15 10 5 0 1 10 100 Absorbed dose, Gy 1000 Calibration Curve for EBT film with 60Co read in the red channel of a p photo scanner trans smission 0.01 60000 0.1 1 10 60000 50000 50000 40000 40000 30000 30000 20000 20000 10000 10000 0 0.01 0 0.1 1 absorbed dose / Gy 10 Calibration Curve for EBT film with 60Co read in the corrected red channel of a photo scanner 0 2 4 6 corrrected net o optical dens sity / AU 3.0 8 10 3 Sensitivity = 364 mAU/Gy 2.5 2.5 20 2.0 2 1.5 1.5 1.0 1 0.5 0.0 0 this is the inverse of the sensitivity 0.5 D (Gy) = (-0.0263 + 2.75 NOD) / (1 - 0.0535 NOD – 0.00555 NOD2) this term is the intrinsic linearity kl(Mdet d t(D)) 0 2 4 6 8 10 absorbed dose / Gy Calibration Curve for EBT film with 60Co sensitivityy curve for corrected red channel of p photo scanner net optical density pe er unit abso orbed dose / mAU/Gy 0.01 600 0.1 1 10 600 550 500 500 450 assumed linearity 400 350 400 fitted linearity 300 300 250 200 0.01 200 0.1 1 absorbed dose / Gy 10 . Corrections: DoseDose-Rate Dependence, kdr(D) Usually taken as unity, although • Saylor y et al showed that for MD-55-1: – There is no dose rate response within an uncertaintyy of ~ 5% (( one SD)) • McLaughlin et al studied MD-55-2 for: – Dose = 20, 20 40, 40 60 Gy – Dose rate = 0.08 to 80 Gy/min – No dose rate response within an uncertainty of ~ 5% ( one SD) – But at 60 Gy there is ~ 10% higher response at lower dose rate Corrections: Intrinsic Energy Dependence, kbq(Q) taken as a constant independent of energy since the energy necessary to polymerize the diacetylene molecule is small (< 1 eV) Corrections: AbsorbedAbsorbed-Dose Energy Dependence, f(Q) calculations for this textbook GAFCHROMIC E Emulsions li Ch Characteristics t i ti • Effective Z: 6.0 - 6.5 • Sensor material has similar electron stopping power as water & muscle • Sensor material has similar mass-energy absorption b ti coefficients ffi i t as water t and d muscle for h > 100 keV • For secondary electron 0.1 to 1.0 MeV and h 0.1 to 1.33 MeV : ~2% of water and muscle Corrections: NonNon-Uniformity of Response, knu(x,y x,y)) • Non-uniformity due to local fluctuations (spikes): – Small scale: film grain size, size spatial and signal resolution of scanner, pixel size, electronic noise, … – Relative response is compared with the mean response in the ROI • Non-uniformity due to regional variations: –L Large scale: l non-uniformity if it in i film fil emulsion li layer(s), systematic scanner problem(s) – Difference (or ratios) of max-min max min response in ROI Non--U Non No Uniformity o y (Cont.) (Co .) • Acceptable tolerances for film uniformity vary with i h the h application li i • Regional variations for MD-55-1 & MD-552 along two central orthogonal directions: – Longitudinal ( to coating application): ~ 4% – Transverse ( to coating application): ~ 15% • Local fluctuations for MD-55-2: – Dose > 20 Gy: ~ ± 3% – Dose < 10 Gy: y ~ ± 5% % D bl E Double Exposure Technique T h i A technique has been suggested using a matrix of correction factors to be applied pp to an irradiated film (2) from the readings of a uniformly y irradiated film (1): ( ) ODnet( i,j) i j) = [OD2(i,j) (i j) - OD1(i,j)] (i j)] / f(i,j) f(i j) f(i,j) = OD1(i,j) / <OD1(i,j)> Problems with the Double Exposure Technique • Requires second exposure, readout, doubling work • Requires exact image registration for the two images (This often requires both translational and rotational transformations of one relative to the other)) • Only works if film uniformity is worse than statistical i i l pixel-to-pixel i l i l fluctuations fl i since i these h are compounded in taking of ratios Simplified Double Exposure Technique Rather than registering g g the images, g , jjust use the average density for the correction Caveat: only works for small film samples (1cm2 or less) since uniformity variations are on this scale Something Brand Brand--New for Non Non--Uniformity Corrections The newest versions of EBT2 contain a yellow marker dye in the emulsion which gives a strong absorbance in the blue portion of the spectrum. In principle this signal is proportional to emulsion thickness and can be used to calculate knu(x,y x,y). ,y))). ,y Corrections: Unirradiated Film Reading, Mdet(0) • Necessary to obtain net optical density • Important as check on film quality Corrections: Readout NonNon-Uniformity, kpos(x,y x,y)) • if using small films, avoid this effect by always y reading g films in the same area of the densitometer or scanner • for large films, films can be quantified by using uniformly irradiated, large area reference films that have been checked for uniformity by independent methods Corrections: Time and Temperature Effects, ktT(T,t,D T,t,D)) • Unlike TLDs, signal grows with time with RCF • Growth is logarithmic with time • During the 1st 24 hrs after irradiation, absorption increases by up to 16%. – 4% thereafter for up to 2 wks • Greatest increase in absorption occurs at higher temp: ~ 40 40ºC C • Best approach is to control the times and t temperatures t and dk keep constant t t & uniform if Rapid Color Stabilization for Older GAFCHROMIC Film Models Reinstein R i t i ett al. l suggestt annealing li att 45 C for 2 hours, which is the equivalent of storing att room temperature t t for f months th (for (f those th too impatient to wait a few days) Note: this has not been verified for EBT models d l Environmental Factors • Humidity (HD-810) effect for 6 to 94% < ± 2% p effect ((MD-55-1 & MD-55-2)) for • Temperature 10 to 50C: – Response varies with dose as well as of analysis – At ~ 50 50C C there is an erratic variation in response – At > 60C the blue dye changes to red and may cause significant change in sensitivity • UV exposure with > 300 nm(sunlight or continuous white fluorescent lights) colors the film – Needs N d tto b be stored t d iin opaque container t i • Shipping and handling may cause damaged locations – Color of the film turns from clear to milky white – Need to be read no closet than ~ 1.5 mm away from cut edge Overall Conversion of Reading to Dose to Medium, Medium Dmed(Q) Example of Uncertainty Budget for Measurement of a LowLowEnergy Photon Brachytherapy Source at 1 cm in Water with GAFCHROMIC Emulsion Calibrated with 60Co Gamma Rays Film Measurement Methods ”Very Old School”: White Light Densitometers apertures should be 1 mm or less if manual, positional reproducibility may be difficult 67 “Old School” High Resolution Scanning Densitometers ((laser densitometers)) ((camera based systems) y ) point by point 2-D scanning 633 nm laser (HeNe) 100-m diameter spot size 40- m minimum step size CCD imaging system 660 nm light bed (LEDs) 228 x 358 pixel array <10µm minimum pixel size “Wave of the Future”: Color Photo Scanners inexpensive, buts use white light sources (UV concerns) 48-bit image depth recommended have to learn to deal with transmission values & TIFF up to t 2400 d dpii => 10 μm pixels i l possible ibl three color channels (RGB) available: new horizons! Densitometer Parameters • light source • spatial resolution • light g detection • p positional accuracyy • response linearity • bed geometry • response accuracy • acquisition time • response reproducibility • control software • environmental factors • response stability Types of Densitometers • • • • Moving: single light source single detector sample and/or light source source-detector detector moved • • • • Imaging: uniform backlit bed imaging device no movement • Hybrids: • combination of the above Example of a Moving System Example of an Imaging System Light Sources • • • • • • • wavelength • Examples: • HeNe laser, 633 nm, nearly 0 FWHM FWHM 1 mW, mW 50μm 50 m diameter spot intensity • Filtered white light • LED light bed size uniformity match to light detector match to film being read Other Examples of Red Light Sources compared to GAFCHROMIC HS Absorbance Spectrum Red Channel Green Channel Light g Detectors sensitivity Types: spectral efficiency PMT linearity signal resolution CCD: (linear array most common now)) Signal Resolution The maximum number of “shades of g grey” y a pixel value may contain, expressed as a power of p of 28=256 2. Thus an “8-bit” scanner is capable shades of coloration distinction, while a “16-bit” p of 216=65536. scanner is capable Spatial Resolution M i S Moving Systems: I Imaging i S Systems: light source size pixel size space between readings dead area Both: light diffusion in sample stray light Positional Accuracyy Moving Systems: stepping accuracy bi directional motion bi-directional Imaging Systems: regularity of imaging grid Dimensional Accuracy A problem with stepping Reader Bed Parameters Moving Systems: Imaging Systems: maximum pixel size light source uniformity transmission uniformity Both: fil positioning film iti i size Moiréé Patterns in Laser Densitometer with EBT Film (D=7 Gy) Moir Clear gglass Frosted gglass Eff off Polarized Effect P l i d Light Li h • Klassen et al studied polarity effect for MD-55-2: – Microcrystals in sensitive layers have a preferred orientation (i.e. elongated) – Monomers M in i microcrystals i l have h a preferred f d orientation in the same plane of the film – OD would vary with the plane of polarization of the analyzing light and would change with film orientation Polarization Effects in EBT Films The new films Th fil exhibits hibit fil film-orientation i t ti dependent polarization effects. These are severe when usingg lasers for readout: – Microcrystals in sensitive layers have a preferred orientation (i.e. elongated) – Monomers in microcrystals have a preferred orientation in the same plane of the film – OD OD varies i as the th plane l off polarization l i ti off the analyzing light changes with film orientation Solutions: – maintain rigorous g film mountingg convention and keep consistent with calibration – use a diffusing layer during readout Manufacturer Recommendations f EBT Fil for Film Scanning S i Orientation O i t ti Coating Direction Scanning Direction Effect of EBTEBT-1 Film Orientation During Readout net optical density / m mAU 0 1 2 3 4 5 6 7 8 9 10 1800 1800 1600 1600 1400 1400 1200 1200 1000 1000 800 800 600 600 laser scanner perpendicular red channel photo scanner perpendicular red channel photo scanner parallel laser scanner p parallel 400 200 400 200 0 0 0 2 4 6 absorbed dose / Gy 8 10 Response Linearity calibration lib ti curve using i fil film calibrated neutral density filters comparison with spectrophotometer Spectrophotometer vs. S Scanning i Densitometer D it t Calibration using Neutral Density Filters ra aw densitom meter readiing / NOD 3.0 laser densitometer correction factor=1.08 photo scanner red channel ' ' =2.21 photo scanner green channel ' ' =2.63 photo h scanner bl blue channel h l ' ' =2.82 2 82 Series5 25 2.5 2.0 1.5 1.0 0.5 00 0.0 0.0 0.5 1.0 1.5 2.0 spectrophotometer reading / AU 2.5 3.0 Response Reproducibility: HD--810 Film in a Laser Scanner HD Relativ ve Standard d Deviation for Unifor Another Laser Densitometer Characteristic Curve D t Determined i d with ith Old and d New N E Emulsion l i Films Fil 16% MD-55-2 film MD-55-2 14% 12% EBT film IMRT film 10% MD-55-2chop 8% 6% 4% 2% 0% 0 500 1000 1500 Optical Density, mAU 2000 2500 Daily Reader Quality Control • Scan of bare reader bed • Scans of stable reference artifacts (neutral density filters are best for this) Scanning Densitometer Control Graph Net Reading of the Reference Filter Environmental Factors temperature during readout setup/interior lighting Data Acquisition q Time Moving Systems: time to step p between p positions Both: time to make measurement data transfer time to host computer Software flexibility access to data color images iso density contour plots iso-density conversion i tto dose d via i stored t d calibration lib ti Special Considerations for Document Scanners Pixel depth – should be at least 12 bits/color (make sure all color compensation & image adjustments are turned off) Spatial resolution – should capable of at least 300 dpi (maximum that should be needed) Data format – learn to deal with TIFFs System linearity – check with neutral density filters; I am surprised at how good ours is Dealing with Tagged Image File Format (TIFF) Freeware is available, e.g., ImageJ see http://rsb.info.nih.gov/ij/ http://rsb info nih gov/ij/ If you prefer to “roll roll your own own”, get hold of a TIFF tag viewer to see how the header is constructed and where things are; see, see e.g., eg http://www.awaresystems.be/imaging/tiff/astifftagviewer.html Remember to use “uncompressed” format Summary of Recommended Procedures: R d Readers • select densitometer with sufficient signal g resolution • determine maximum measurable OD • measure OD at red wavelengths for maximum sensitivity • use green & blue channels to extend dose measurementt range • monitor absorbance scale stability with neutral density filter readings Some Medical Applications of Radiochromic Film Dosimetry • Hot particle dose averaging • Beta Beta--ray ophthalmic applicator calibration • Interface effects • Stereotactic radiosurgery • Intravascular brachytherapy • Beam B penumbra b measurements t • Proton beam depth dose • Radium applicator retrospective studies • QA of IMRT beams • Linac and HDR commissioning and QA • and many more … Conclusions • There has never been a more exciting time to be working with radiochromic film dosimetry (I can say this having done so for more than 20 years now) • It is the most inexpensive dosimetry and dose imaging technology available • New film models and readout techniques promise i improved i d accuracy andd precision ii over anything previously available 90Sr/Y Planar Ophthalmic Applicator Hinge Steel Plug 5.3 mm 8.6 mm 1.0 mm Ceramic C i containing t i i radioactivity Cup 6 35 mm 6.35 10.3 mm Window 0 10 mm thick 0.10 Source Geometries 1 cm 90Sr planar 106Ru planar 106Ru concave Typical Source Profiles Tracerlab & ICN/Tracerlab 3M Technical Operations Manning Research New England Nuclear Atlantic Research Corp/Atomchem Isotope Products Lab/Nucl. Lab/Nucl Assocs. Assocs Amersham International Peak Dose Rate 230 mGy/s Calibrated Average Dose Rate 170 mGy/s Ophthalmic p Brachytherapy y py Intraocular Tumor 106Ru/106Rh Ophthalmic Applicator 1 Gy 100 Gy >700 Gy 106Ru/Rh Concave Applicators Eye y Phantoms Better Eye y Phantoms EBT-1 Film Exposed at a Distance of 2.62 mm EBTfrom the Inner Surface of a CCX Plaque Measurement Comparison of Ophthalmic Applicators National Institute of Standards & Technology USA Chris Soares National Physical Laboratory UK Tudor Williams Radiation and Nuclear Safety Authority Finland Hannu Järvinen Catholic University of Louvain Louvain, St St.-Luc Luc Hospital Belgium Stefaan Vynckier Algemeen Ziekenhuis Middelheim Belgium Bob Schaeken University Hospital of Essen Germany Dirk Flühs Results of Reference Dose Rate Determinations Extrap. Extrap. GAF GAF 0.3mm 0.3mm 0.4mm 1mm 1.2mm Chamb. Chamb. Film Film TLD diamond scin TLD alanine Source (NIST) (NPL) (NIST) (STUK) (UCL) (STUK) (NIST) (UCL) (AZM) 90Sr NEN 0258 0.237 Gy/s 0.260* 0.229 0.258 Gy/s Gy/s Gy/s 0.248 Gy/s --- 0.278 0.308 0.272 Gy/s Gy/s Gy/s 106Ru 1.61** 1.82** 1.62 1.63** 1.40 1.99 1.69 1.75 1.49 BEBIG mGy/s mGy/s mGy/s mGy/s mGy/s mGy/s mGy/s mGy/s mGy/s planar 106Ru --BEBIG mGy/s concave --2.48 2.10*** 2.55 3.17 --2.79 2.89 mGy/s mGy/s mGy/s mGy/s mGy/s mGy/s mGy/s mGy/s *from a contact measurement with a factor of 0.573 applied to correct to 1 mm ** from a contact measurement with a factor of 0.742 applied to correct to 1mm ***from a measurement at 1.2 mm with a factor of 1.082 applied to correct to “ Depth Dose Measurements of a 90Sr Ophthalmic Applicator 10 1 NIST RCF R e l a tiv e d o s e r a 0.3 mm TLD 1 mm TLD 0.1 Al i Alanine Gradient at 1 mm: 6.5% per 0.1 mm 0.01 STUK diode NIST EC STUK IC 0.001 NIST scin Essen scin ACCEPT Code 0.0001 0 00001 0.00001 0 200 400 600 800 Depth in material /mg cm -2 1000 1200 Depth Dose Measurements of a 90Sr Ophthalmic Applicator 2 1.75 NIST RCF 0.3 mm TLD Re elative dos se rate 1.5 Gradient at 1 mm: 6.5% per 0.1 mm 1.25 1 mm TLD Alanine STUK diode 1 NIST EC 0.75 STUK IC NIST scin 0.5 Essen scin 0.25 ACCEPT Code 0 0 200 400 600 800 Depth in material /mg cm-22 1000 1200 Depth Dose Measurements of a Planar 106Ru Ophthalmic Applicator 10 NIST RCF 1 mm TLD R e l a tiv v e d os e ra 1 STUK diode Gradient at 1 mm: 3% per 0.1 mm 0.1 NIST scin Essen scin STUK diamond 0.01 0.3 mm TLD Alanine 0.001 ACCEPT Code 0.0001 0 400 800 Depth in material / mg cm 1200 -2 1600 Depth Dose Measurements of a Planar 106Ru Ophthalmic Applicator 1.5 1.25 R e l a tiv e d o s e r a NIST RCF Gradient at 1 mm: 3% per 0.1 mm 1 mm TLD STUK diode 1 NIST scin Essen scin i 0.75 STUK diamond 0.5 0.3 mm TLD Alanine 0.25 ACCEPT Code 0 0 400 800 Depth in material / mg cm 1200 -2 1600 Depth Dose Measurements of a Curved 106Ru Ophthalmic Applicator 10 NIST RCF R e l a t iv v e d o s e ra 1 0.3 mm TLD 1 mm TLD Gradient at 1 mm: 2% per 0.1 mm 0.1 Alanine STUK diamond 0.01 STUK diode Essen scin 0.001 ACCEPT Code 0.0001 0 400 800 Depth in material / mg cm -2 1200 1600 Depth Dose Measurements of a Curved 106Ru Ophthalmic Applicator 1.25 NIST RCF R e l a t iv v e d o s e ra 1 Gradient at 1 mm: 2% per 0.1 mm 0.3 mm TLD 1 mm TLD 0.75 Alanine STUK diamond 0.5 STUK diode Essen scin 0.25 ACCEPT Code 0 0 400 800 Depth in material / mg cm -2 1200 1600 Spread in Measurement Results Source 90Sr NEN 0258 106Ru BEBIG planar 106Ru BEBIG concave Contact 1 mm 2 mm 3 mm 4 mm 5 mm 7 mm 10 mm 6.2% (10) 9.6% (8) 5.3% (10) 3.4% (10) 4.8% (9) 8.8% (9) --- 5.5% (8) 10.5% (9) 4.0% (8) 6.1% (8) 6.4% (8) 6.8% (8) 10% (7) 8.2% (8) 14% (6) 4.8% (8) 6.9% (8) 7.3% (8) 7.0% (8) 9.4% (8) --- 19% (7) 18% (8) percentages g are single g standard deviations. Yellow values are for All p reference absorbed dose rate; white values are for relative central-axis dose.