A Short Guide To Radiation Mold Technology, A manual for daily use (original) (raw)
Related papers
Characterisation of radiological properties of a brachytherapy moulding material
The use of a non-water-equivalent personalised mould for gynaecological brachytherapy treatments can result in a substantial dose reduction at the treatment site, compared to calculated dose, in lieu of a dose calculation algorithm capable of modelling non-water-equivalent materials. This study describes the characterisation of the radiological properties of a brachytherapy applicator moulding material. Simple line source correction factors for an 192 Ir source are obtained through Monte Carlo simulations and verified by film measurements. The dwell position corrections are used to estimate aggregate correction factors for dose deliveries that involve multiple dwell positions, in terms of treatment length, applicator radii and depth of reference dose. For the Fricotan moulding material used locally, the dose reductions varied from 1% for an applicator radius of 0.5 cm to > 4% for radii exceeding 2 cm. The method described in this paper could be used to develop correction factors for other non-water-equivalent moulding materials, in a TG-43UI dose calculation environment.
3D-printed surface mould applicator for high-dose-rate brachytherapy
SPIE Proceedings, 2015
PURPOSE: In contemporary high-dose-rate brachytherapy treatment of superficial tumors, catheters are placed in a wax mould. The creation of current wax models is a difficult and time consuming proces.The irradiation plan can only be computed post-construction and requires a second CT scan. In case no satisfactory dose plan can be created, the mould is discarded and the process is repeated. The objective of this work was to develop an automated method to replace suboptimal wax moulding. METHODS: We developed a method to design and manufacture moulds that guarantee to yield satisfactory dosimetry. A 3D-printed mould with channels for the catheters designed from the patient's CT and mounted on a patient-specific thermoplastic mesh mask. The mould planner was implemented as an open-source module in the 3D Slicer platform. RESULTS: Series of test moulds were created to accommodate standard brachytherapy catheters of 1.70mm diameter. A calibration object was used to conclude that tunnels with a diameter of 2.25mm, minimum 12mm radius of curvature, and 1.0mm open channel gave the best fit for this printer/catheter combination. Moulds were created from the CT scan of thermoplastic mesh masks of actual patients. The patient-specific moulds have been visually verified to fit on the thermoplastic meshes. CONCLUSION: The masks were visually shown to fit onto the thermoplastic meshes, next the resulting dosimetry will have to be compared with treatment plans and dosimetry achieved with conventional wax moulds in order to validate our 3D printed moulds.
Journal of Medical Physics, 2009
Techniques are being standardized in our department for total body irradiation (TBI) with six MV photons in linear accelerator for preconditioning to bone marrow transplantation (BMT). Individualized shields with low melting point alloy are to be fabricated for shielding critical organs such as lungs, kidneys etc. A method to mount diminished dimension of shields in a tray at 3.75m is designed in the department for a teletreatment distance of four meters with magna field with A simulator image taken with the patient's midplane (MP) at one meter distance is used to mark the dimensions of lung, scaled down by a factor of 3.75/4.0. These lung dimensions are reprinted from the digital simulator image for making the shield. The methodology of the technique using digitized minification in radiography is the first of its kind to be used for shield cutting in magna field radiotherapy.
A modified technique for fabrication of custom-made afterload brachytherapy appliance
The Journal of Indian Prosthodontic Society, 2019
Radiotherapy for carcinomas that involve the mouth and its related structures has been improved by the usage of different prostheses known as radiation carriers. These prostheses can accurately position radionuclide such as radium, iridium, cesium, and cobalt to allow adequate transfer of a concentrated radiation dose to a tumor region. At the same time, they minimize the exposure to radiation of nearby tissues due to rapid fall-off the radioactivity and thus minimizing the side effects of radiation. This study emphasizes the usage of a modified technique for the development of afterload mold brachytherapy appliance for squamous cell carcinoma patients of hard palate/soft palate.
Journal of Applied Clinical Medical Physics, 2022
Zeitschriftenaufsatz Maerz, Manuel; Treutwein, Marius; Nabo, Jan; Dobler, Barbara (2022): Three-dimensional printers applied for the production of beam blocks in total body irradiation treatment. In: J Appl Clin Med Phys, e13592. DOI: 10.1002/acm2.13592. Abstract: PURPOSE Total body irradiation (TBI) in extended source surface distance (SSD) is a common treatment technique before hematopoietic stem cell transplant. The lungs are organs at risk, which often are treated with a lower dose than the whole body. METHODS This can be achieved by the application of blocks. Three-dimensional (3D) printers are a modern tool to be used in the production process of these blocks. RESULTS We demonstrate the applicability of a specific printer and printing material, describe the process, and evaluate the accuracy of the product. CONCLUSION The blocks and apertures were found to be applicable in clinical routine.
Applications of Three-Dimensional Printing Technology in Radiotherapy
Advances in 3D Printing
Nowadays, three-dimensional (3D) printing technology has been used for rapid prototyping of high quality printed objects. This technology has taken a special place in the field of medicine, and today this technology plays an important role, especially in the field of radiotherapy. Radiotherapy is a main option for treating and management of various types of cancers. Personalized radiotherapy requires precise details. For this reason, it is very important to carry out the exact treatment design at the clinical. 3D printing technology is considered a promising method that can be effective in the treatment of each person in a specific way and as a complementary and promising method to help in integrated treatment and special equipment for each patient. In this chapter, various applications of this technology in radiation therapy have been discussed. This narrative review summarizes the applications of 3D printing technology to develop patient-specific bolus, brachytherapy applicators, ...
New Technologies in Radiation Oncology
Journal of Nuclear Medicine, 2008
New Technologies in Radiation Oncology provides an excellent overview of recent technologic developments in the field of radiation oncology. This book is intended for physicians and medical physicists who are working in radiation oncology and those just entering the field. It encompasses a broad range of new technologies in radiation therapy-from image acquisition and processing to treatment planning to therapy-and helps the reader grasp the basic ideas of each new technology. If the reader wants more information than the book provides, each chapter includes a wealth of references for learning about a particular subject in detail.
Medical Physics, 2006
The dosimetric properties of a novel intracavitary mold applicator for 192 Ir high dose rate ͑HDR͒ endorectal cancer treatment have been investigated using Monte Carlo ͑MC͒ simulations and experimental methods. The 28 cm long applicator has a flexible structure made of silicone rubber for easy passage into cavities with deep-seated tumors. It consists of eight source catheters arranged around a central cavity for shielding insertion, and is compatible for use with an endocavitary balloon. A phase space model of the HDR source has been validated for dose calculations using the GEANT4 MC code. GAFCHROMIC™ EBT model film was used to measure dose distributions in water around shielded and unshielded applicators with two loading configurations, and to quantify the shielding effect of a balloon injected with an iodine solution ͑300 mg I / mL͒. The film calibration procedure was performed in water using an 192 Ir HDR source. Ionization chamber measurements in a Lucite phantom show that placing a tungsten rod in the applicator attenuates the dose in the shielded region by up to 85%. Inserting the shielded applicator into a water-filled balloon pushes the neighboring tissues away from the radiation source, and the resulting geometric displacement reduces the dose by up to 53%; another 8% dose reduction can be achieved when the balloon is injected with an iodine solution. All experimental results agree with the GEANT4 calculations within measurement uncertainties.