PyMCGPU-IR is an innovative occupational dose monitoring tool for interventional radiology proced... more PyMCGPU-IR is an innovative occupational dose monitoring tool for interventional radiology procedures. It reads the radiation data from the Radiation Dose Structured Report of the procedure and combines this information with the position of the monitored worker recorded using a 3D camera system. This information is used as an input file for the fast Monte Carlo radiation transport code MCGPU-IR in order to assess the organ doses, Hp(10) and Hp(0.07), as well as the effective dose. In this study, Hp(10) measurements of the first operator during an endovascular aortic aneurysm repair procedure and a coronary angiography using a ceiling suspended shield are compared to PyMCGPU-IR calculations. Differences in the two reported examples are found to be within 15%, which is considered as being very satisfactory. The study highlights the promising advantages of PyMCGPU-IR, although there are still several improvements that need to be implemented before its final clinical use.
Within the ORAMED project (Optimization of Radiation Protection of Medical Staff) a coordinated m... more Within the ORAMED project (Optimization of Radiation Protection of Medical Staff) a coordinated measurement program for occupationally exposed medical staff was performed in different hospitals in Europe (www.oramed-fp7.eu). The main objective was to obtain a set of standardized data on extremity and eye lens doses for staff involved in interventional radiology and cardiology and to optimize radiation protection. Special attention
Depth–dose curves in LiF detectors of different effective thicknesses, together with their respon... more Depth–dose curves in LiF detectors of different effective thicknesses, together with their responses, were calculated for typical nuclear medicine radiation fields with 99mTc, 18F and 90Y sources. Responses were analysed in function of the radionuclide, detector effective thickness and irradiation geometry. On the other hand the results of the nuclear medicine measurement campaign of the ORAMED project were presented focussing
The equivalent dose limit for the eye lens for occupational exposure recommended by the ICRP has ... more The equivalent dose limit for the eye lens for occupational exposure recommended by the ICRP has been reduced to 20 mSv y(-1) averaged over defined periods of 5 y, with no single year exceeding 50 mSv. The compliance with this new requirement could not be easy in some workplace such as interventional radiology and cardiology. The aim of this study is to evaluate different possible approaches in order to have a good estimate of the eye lens dose during interventional procedures. Measurements were performed with an X-ray system Philips Allura FD-10, using a PMMA phantom to simulate the patient scattered radiation and a Rando phantom to simulate the cardiologist. Thermoluminescence (TL) whole-body and TL eye lens dosemeters together with Philips DoseAware active dosemeters were located on different positions of the Rando phantom to estimate the eye lens dose in typical cardiology procedures. The results show that, for the studied conditions, any of the analysed dosemeter positions are ...
Background and purpose: During TBI techniques an accurate determination of the dose distribution ... more Background and purpose: During TBI techniques an accurate determination of the dose distribution is very dif®cult when using commercial treatment planning systems. In order to determine the midplane dose, an algorithm was developed based on the use of in vivo dosimetry.
Two types of thin LiF:Mg,Cu,P detectors, GR-200F and MCP-Ns, have been characterised for use in t... more Two types of thin LiF:Mg,Cu,P detectors, GR-200F and MCP-Ns, have been characterised for use in the design of an extremity dosemeter for mixed beta-photon radiation fields. Both detectors consist of an extremely thin layer of sensitive material with effective thicknesses of 5 and 8 mg cm(-2), respectively, held in a 5 mg cm(-2) PVC ring holder. Dosimetric performance was analysed according to the ISO 12794 standard and compared with 240 mg cm(-2) TLD-100 measurements. In particular, the energy response was obtained for ISO narrow X-ray spectra, (137)Cs, (60)Co, (204)Tl and (90)Sr/(90)Y. From these measurements a mean calibration factor was calculated to estimate H(p)(0.07). Subsequently, the performance of the dosemeters was checked for a set of 10 different mixed photon and beta-photon fields. The study shows that the proposed dosemeters can estimate H(p)(0.07) in a wide range of mixed beta-photon fields with a maximum deviation from the given dose of 30% and an overall uncertainty of the order of 25% (k = 1). However, the results also highlight a large variability among the different thin detectors and, thus, the standard TLD-100 material is recommended whenever the workplace does not include low-energy beta radiation.
This study aims at testing the INTE ring dosemeter based on MCP-Ns and TLD-100 detectors on users... more This study aims at testing the INTE ring dosemeter based on MCP-Ns and TLD-100 detectors on users from the field of medical applications, namely radiopharmacists, personnel at a cyclotron facility with corresponding FDG synthesis cells, interventional radiology technologists and radiologists. These users were chosen due to the fact that they have a significantly high risk of exposure to their hands. Following previous results, MCP-Ns TL thin material was used for radiology measurements, whereas TLD-100 was preferred for other applications. The dosemeters were tested to make sure that they were waterproof and that they could be sterilised properly prior to use. Results confirm the need to implement finger dosimetry, mainly for interventional radiologists as finger dose can be >50 times higher than whole-body dose and 3 times higher than wrist dose.
In the framework of the CONRAD project, the EURADOS WG9 organized an intercomparison of extremity... more In the framework of the CONRAD project, the EURADOS WG9 organized an intercomparison of extremity dosimeters that are used in a variety of medical fields. The overall objective of the intercomparison was to verify the performance of different extremity ring dosimeters to measure the quantity H p (0.07) in photon and beta reference fields as well as in realistic fields in interventional radiology (IR) and nuclear medicine. The selection of the participating services has been done in a way to have a good representation of different types of detectors, filter materials and filter thicknesses that are used in Europe. All the irradiations have been performed on the ISO rod phantom. For the reference fields, the reference values of H p (0.07) have been determined by the irradiation laboratories with traceability to primary calibrations, in agreement with the relevant standards. For the realistic fields, the reference values have been obtained with the aid of Monte Carlo simulations. The vast majority of the services fulfill the accuracy requirements according to the European Technical Recommendations for the photon and realistic IR fields. However, only a limited number of services fulfill these requirements in all tested beta irradiation configurations.
This paper presents the layout and results of a three-year follow-up of a national intercompariso... more This paper presents the layout and results of a three-year follow-up of a national intercomparison campaign organized on a voluntary basis among the Spanish Laboratories in charge of environmental monitoring at and in the vicinity of Spanish nuclear installations. The dosemeters were exposed in the field at an environmental reference station with a known ambient dose equivalent, and controlled meteorological parameters. The study aimed at verifying the consistency of the different laboratories in estimating the ambient dose equivalent in realistic fields and to evaluate the influence of two different procedures to estimate the transit dose during the transfer of the dosemeters both from and to the dosimetric laboratory and the monitored site. All the results were within 20% of the reference doses for all the dosemeters tested, and in most cases they were within 10%.
90Y-labelled radiopharmaceuticals offer promising prospects for radionuclide therapies of tumours... more 90Y-labelled radiopharmaceuticals offer promising prospects for radionuclide therapies of tumours, e.g. radioimmunotherapies (RIT), (EANM, 2007), peptide receptor radiotherapies (PRRT), (Otte et al., 1998), and selective internal radiotherapies (SIRT), (Salem and Thurston, 2006). 90Y, an almost pure high-energy beta radiation emitter (Eβ,max = 2.28 MeV), is a favourable radionuclide for therapeutic purposes. However, when preparing and performing these therapies, high activities of 90Y (>1 GBq) are to be manipulated and technicians, physicians and nurses may receive high skin exposures to the hands. If radiation protection standards are low, the exposure of staff can exceed the annual skin dose limit of 500 mSv. Within a particular work package (WP4) of the ORAMED project, comprehensive measurements in nuclear medicine departments of several hospitals in 6 European countries were carried out. The study focussed on 90Y-labelled substances such as Zevalin® and DOTATOC to achieve a representative database on staff exposure. This paper summarises the most important results and conclusions for individual monitoring of skin exposure of staff.
The paper is aimed at making a proposal for the type test and calibration of eye lens passive dos... more The paper is aimed at making a proposal for the type test and calibration of eye lens passive dosemeters especially used in the interventional cardiology/radiology (IC/IR). Starting from the only existing standard dealing with eye lens dosimetry using TLDs (ISO 12794), parameters such as, detection threshold, energy and angle dependence of response criteria have been reviewed and it has been
Although active personal dosemeters (APDs) are not used quite often in hospital environments, the... more Although active personal dosemeters (APDs) are not used quite often in hospital environments, the possibility to assess the dose and/or dose rate in real time is particularly interesting in interventional radiology and cardiology (IR/IC) since operators can receive relatively high doses while standing close to the primary radiation field.A study concerning the optimization of the use of APDs in IR/IC
Workers performing preparation and administration of radiopharmaceuticals in NM departments are l... more Workers performing preparation and administration of radiopharmaceuticals in NM departments are likely to receive high local skin doses to the hands which may even surpass the dose limit of 500 mSv whenever radiation protection standards are insufficient. A large measurement campaign was organised within the framework of the ORAMED project to determine the dose distribution across the hands received during preparation
The aim of ORAMED work package 4 was the optimization of the medical practices in nuclear medicin... more The aim of ORAMED work package 4 was the optimization of the medical practices in nuclear medicine during the preparation of radiopharmaceuticals and their administration to the patient. During the project a wide campaign of measurements was performed in the nuclear medicine departments of the collaborating hospitals. Such data were intrinsically characterized by a large variability that depended on the
Although active personal dosemeters (APDs) are not used quite often in hospital environments, the... more Although active personal dosemeters (APDs) are not used quite often in hospital environments, the possibility to assess the dose and/or dose rate in real time is particularly interesting in interventional radiology and cardiology (IR/IC) since operators can receive relatively high doses while standing close to the primary radiation field.A study concerning the optimization of the use of APDs in IR/IC
The aim of this work was the Monte Carlo (MC) simulation of the response of commercially availabl... more The aim of this work was the Monte Carlo (MC) simulation of the response of commercially available dosimeters based on metal oxide semiconductor field effect transistors (MOSFETs) for radiotherapeutic photon beams using the PENELOPE code. The studied Thomson&Nielsen TN-502-RD MOSFETs have a very small sensitive area of 0.04 mm(2) and a thickness of 0.5 microm which is placed on a flat kapton base and covered by a rounded layer of black epoxy resin. The influence of different metallic and Plastic water build-up caps, together with the orientation of the detector have been investigated for the specific application of MOSFET detectors for entrance in vivo dosimetry. Additionally, the energy dependence of MOSFET detectors for different high-energy photon beams (with energy >1.25 MeV) has been calculated. Calculations were carried out for simulated 6 MV and 18 MV x-ray beams generated by a Varian Clinac 1800 linear accelerator, a Co-60 photon beam from a Theratron 780 unit, and monoenergetic photon beams ranging from 2 MeV to 10 MeV. The results of the validation of the simulated photon beams show that the average difference between MC results and reference data is negligible, within 0.3%. MC simulated results of the effect of the build-up caps on the MOSFET response are in good agreement with experimental measurements, within the uncertainties. In particular, for the 18 MV photon beam the response of the detectors under a tungsten cap is 48% higher than for a 2 cm Plastic water cap and approximately 26% higher when a brass cap is used. This effect is demonstrated to be caused by positron production in the build-up caps of higher atomic number. This work also shows that the MOSFET detectors produce a higher signal when their rounded side is facing the beam (up to 6%) and that there is a significant variation (up to 50%) in the response of the MOSFET for photon energies in the studied energy range. All the results have shown that the PENELOPE code system can successfully reproduce the response of a detector with such a small active area.
PyMCGPU-IR is an innovative occupational dose monitoring tool for interventional radiology proced... more PyMCGPU-IR is an innovative occupational dose monitoring tool for interventional radiology procedures. It reads the radiation data from the Radiation Dose Structured Report of the procedure and combines this information with the position of the monitored worker recorded using a 3D camera system. This information is used as an input file for the fast Monte Carlo radiation transport code MCGPU-IR in order to assess the organ doses, Hp(10) and Hp(0.07), as well as the effective dose. In this study, Hp(10) measurements of the first operator during an endovascular aortic aneurysm repair procedure and a coronary angiography using a ceiling suspended shield are compared to PyMCGPU-IR calculations. Differences in the two reported examples are found to be within 15%, which is considered as being very satisfactory. The study highlights the promising advantages of PyMCGPU-IR, although there are still several improvements that need to be implemented before its final clinical use.
Within the ORAMED project (Optimization of Radiation Protection of Medical Staff) a coordinated m... more Within the ORAMED project (Optimization of Radiation Protection of Medical Staff) a coordinated measurement program for occupationally exposed medical staff was performed in different hospitals in Europe (www.oramed-fp7.eu). The main objective was to obtain a set of standardized data on extremity and eye lens doses for staff involved in interventional radiology and cardiology and to optimize radiation protection. Special attention
Depth–dose curves in LiF detectors of different effective thicknesses, together with their respon... more Depth–dose curves in LiF detectors of different effective thicknesses, together with their responses, were calculated for typical nuclear medicine radiation fields with 99mTc, 18F and 90Y sources. Responses were analysed in function of the radionuclide, detector effective thickness and irradiation geometry. On the other hand the results of the nuclear medicine measurement campaign of the ORAMED project were presented focussing
The equivalent dose limit for the eye lens for occupational exposure recommended by the ICRP has ... more The equivalent dose limit for the eye lens for occupational exposure recommended by the ICRP has been reduced to 20 mSv y(-1) averaged over defined periods of 5 y, with no single year exceeding 50 mSv. The compliance with this new requirement could not be easy in some workplace such as interventional radiology and cardiology. The aim of this study is to evaluate different possible approaches in order to have a good estimate of the eye lens dose during interventional procedures. Measurements were performed with an X-ray system Philips Allura FD-10, using a PMMA phantom to simulate the patient scattered radiation and a Rando phantom to simulate the cardiologist. Thermoluminescence (TL) whole-body and TL eye lens dosemeters together with Philips DoseAware active dosemeters were located on different positions of the Rando phantom to estimate the eye lens dose in typical cardiology procedures. The results show that, for the studied conditions, any of the analysed dosemeter positions are ...
Background and purpose: During TBI techniques an accurate determination of the dose distribution ... more Background and purpose: During TBI techniques an accurate determination of the dose distribution is very dif®cult when using commercial treatment planning systems. In order to determine the midplane dose, an algorithm was developed based on the use of in vivo dosimetry.
Two types of thin LiF:Mg,Cu,P detectors, GR-200F and MCP-Ns, have been characterised for use in t... more Two types of thin LiF:Mg,Cu,P detectors, GR-200F and MCP-Ns, have been characterised for use in the design of an extremity dosemeter for mixed beta-photon radiation fields. Both detectors consist of an extremely thin layer of sensitive material with effective thicknesses of 5 and 8 mg cm(-2), respectively, held in a 5 mg cm(-2) PVC ring holder. Dosimetric performance was analysed according to the ISO 12794 standard and compared with 240 mg cm(-2) TLD-100 measurements. In particular, the energy response was obtained for ISO narrow X-ray spectra, (137)Cs, (60)Co, (204)Tl and (90)Sr/(90)Y. From these measurements a mean calibration factor was calculated to estimate H(p)(0.07). Subsequently, the performance of the dosemeters was checked for a set of 10 different mixed photon and beta-photon fields. The study shows that the proposed dosemeters can estimate H(p)(0.07) in a wide range of mixed beta-photon fields with a maximum deviation from the given dose of 30% and an overall uncertainty of the order of 25% (k = 1). However, the results also highlight a large variability among the different thin detectors and, thus, the standard TLD-100 material is recommended whenever the workplace does not include low-energy beta radiation.
This study aims at testing the INTE ring dosemeter based on MCP-Ns and TLD-100 detectors on users... more This study aims at testing the INTE ring dosemeter based on MCP-Ns and TLD-100 detectors on users from the field of medical applications, namely radiopharmacists, personnel at a cyclotron facility with corresponding FDG synthesis cells, interventional radiology technologists and radiologists. These users were chosen due to the fact that they have a significantly high risk of exposure to their hands. Following previous results, MCP-Ns TL thin material was used for radiology measurements, whereas TLD-100 was preferred for other applications. The dosemeters were tested to make sure that they were waterproof and that they could be sterilised properly prior to use. Results confirm the need to implement finger dosimetry, mainly for interventional radiologists as finger dose can be >50 times higher than whole-body dose and 3 times higher than wrist dose.
In the framework of the CONRAD project, the EURADOS WG9 organized an intercomparison of extremity... more In the framework of the CONRAD project, the EURADOS WG9 organized an intercomparison of extremity dosimeters that are used in a variety of medical fields. The overall objective of the intercomparison was to verify the performance of different extremity ring dosimeters to measure the quantity H p (0.07) in photon and beta reference fields as well as in realistic fields in interventional radiology (IR) and nuclear medicine. The selection of the participating services has been done in a way to have a good representation of different types of detectors, filter materials and filter thicknesses that are used in Europe. All the irradiations have been performed on the ISO rod phantom. For the reference fields, the reference values of H p (0.07) have been determined by the irradiation laboratories with traceability to primary calibrations, in agreement with the relevant standards. For the realistic fields, the reference values have been obtained with the aid of Monte Carlo simulations. The vast majority of the services fulfill the accuracy requirements according to the European Technical Recommendations for the photon and realistic IR fields. However, only a limited number of services fulfill these requirements in all tested beta irradiation configurations.
This paper presents the layout and results of a three-year follow-up of a national intercompariso... more This paper presents the layout and results of a three-year follow-up of a national intercomparison campaign organized on a voluntary basis among the Spanish Laboratories in charge of environmental monitoring at and in the vicinity of Spanish nuclear installations. The dosemeters were exposed in the field at an environmental reference station with a known ambient dose equivalent, and controlled meteorological parameters. The study aimed at verifying the consistency of the different laboratories in estimating the ambient dose equivalent in realistic fields and to evaluate the influence of two different procedures to estimate the transit dose during the transfer of the dosemeters both from and to the dosimetric laboratory and the monitored site. All the results were within 20% of the reference doses for all the dosemeters tested, and in most cases they were within 10%.
90Y-labelled radiopharmaceuticals offer promising prospects for radionuclide therapies of tumours... more 90Y-labelled radiopharmaceuticals offer promising prospects for radionuclide therapies of tumours, e.g. radioimmunotherapies (RIT), (EANM, 2007), peptide receptor radiotherapies (PRRT), (Otte et al., 1998), and selective internal radiotherapies (SIRT), (Salem and Thurston, 2006). 90Y, an almost pure high-energy beta radiation emitter (Eβ,max = 2.28 MeV), is a favourable radionuclide for therapeutic purposes. However, when preparing and performing these therapies, high activities of 90Y (>1 GBq) are to be manipulated and technicians, physicians and nurses may receive high skin exposures to the hands. If radiation protection standards are low, the exposure of staff can exceed the annual skin dose limit of 500 mSv. Within a particular work package (WP4) of the ORAMED project, comprehensive measurements in nuclear medicine departments of several hospitals in 6 European countries were carried out. The study focussed on 90Y-labelled substances such as Zevalin® and DOTATOC to achieve a representative database on staff exposure. This paper summarises the most important results and conclusions for individual monitoring of skin exposure of staff.
The paper is aimed at making a proposal for the type test and calibration of eye lens passive dos... more The paper is aimed at making a proposal for the type test and calibration of eye lens passive dosemeters especially used in the interventional cardiology/radiology (IC/IR). Starting from the only existing standard dealing with eye lens dosimetry using TLDs (ISO 12794), parameters such as, detection threshold, energy and angle dependence of response criteria have been reviewed and it has been
Although active personal dosemeters (APDs) are not used quite often in hospital environments, the... more Although active personal dosemeters (APDs) are not used quite often in hospital environments, the possibility to assess the dose and/or dose rate in real time is particularly interesting in interventional radiology and cardiology (IR/IC) since operators can receive relatively high doses while standing close to the primary radiation field.A study concerning the optimization of the use of APDs in IR/IC
Workers performing preparation and administration of radiopharmaceuticals in NM departments are l... more Workers performing preparation and administration of radiopharmaceuticals in NM departments are likely to receive high local skin doses to the hands which may even surpass the dose limit of 500 mSv whenever radiation protection standards are insufficient. A large measurement campaign was organised within the framework of the ORAMED project to determine the dose distribution across the hands received during preparation
The aim of ORAMED work package 4 was the optimization of the medical practices in nuclear medicin... more The aim of ORAMED work package 4 was the optimization of the medical practices in nuclear medicine during the preparation of radiopharmaceuticals and their administration to the patient. During the project a wide campaign of measurements was performed in the nuclear medicine departments of the collaborating hospitals. Such data were intrinsically characterized by a large variability that depended on the
Although active personal dosemeters (APDs) are not used quite often in hospital environments, the... more Although active personal dosemeters (APDs) are not used quite often in hospital environments, the possibility to assess the dose and/or dose rate in real time is particularly interesting in interventional radiology and cardiology (IR/IC) since operators can receive relatively high doses while standing close to the primary radiation field.A study concerning the optimization of the use of APDs in IR/IC
The aim of this work was the Monte Carlo (MC) simulation of the response of commercially availabl... more The aim of this work was the Monte Carlo (MC) simulation of the response of commercially available dosimeters based on metal oxide semiconductor field effect transistors (MOSFETs) for radiotherapeutic photon beams using the PENELOPE code. The studied Thomson&Nielsen TN-502-RD MOSFETs have a very small sensitive area of 0.04 mm(2) and a thickness of 0.5 microm which is placed on a flat kapton base and covered by a rounded layer of black epoxy resin. The influence of different metallic and Plastic water build-up caps, together with the orientation of the detector have been investigated for the specific application of MOSFET detectors for entrance in vivo dosimetry. Additionally, the energy dependence of MOSFET detectors for different high-energy photon beams (with energy >1.25 MeV) has been calculated. Calculations were carried out for simulated 6 MV and 18 MV x-ray beams generated by a Varian Clinac 1800 linear accelerator, a Co-60 photon beam from a Theratron 780 unit, and monoenergetic photon beams ranging from 2 MeV to 10 MeV. The results of the validation of the simulated photon beams show that the average difference between MC results and reference data is negligible, within 0.3%. MC simulated results of the effect of the build-up caps on the MOSFET response are in good agreement with experimental measurements, within the uncertainties. In particular, for the 18 MV photon beam the response of the detectors under a tungsten cap is 48% higher than for a 2 cm Plastic water cap and approximately 26% higher when a brass cap is used. This effect is demonstrated to be caused by positron production in the build-up caps of higher atomic number. This work also shows that the MOSFET detectors produce a higher signal when their rounded side is facing the beam (up to 6%) and that there is a significant variation (up to 50%) in the response of the MOSFET for photon energies in the studied energy range. All the results have shown that the PENELOPE code system can successfully reproduce the response of a detector with such a small active area.
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Papers by Mercè Ginjaume