Doctor of Philosophy / Department of Physics / Dean A. Zollman / In this study we explored students' transfer of learning in the X-ray medical imaging context, including the X-ray-based computer-assisted tomography (or CAT). For this purpose we have conducted a series of clinical and teaching interviews. The investigation was a part of a bigger research effort to design teaching-learning materials for pre-medical students who are completing their algebra-based physics course. Our students brought to the discussion pieces of knowledge transferred from very different sources such as their own X-ray experiences, previous learning and the mass media. This transfer seems to result in more or less firm mental models, although often not internally consistent or coherent. Based on our research on pre-med students' models of X-rays we designed a hands-on lab using semi-transparent Lego bricks to model CAT scans. Without "surgery" (i.e. without intrusion into the Lego "body") students determined the shape of an object, which was built out of opaque and translucent Lego bricks and hidden from view. A source of light and a detector were provided upon request. Using a learning cycle format, we introduced CAT scans after students successfully have completed this task. By comparing students' ideas before and after teaching interview with the groups of 2 or 3 participants, we have investigated transfer of learning from basic physics and everyday experience to a complex medical technology and how their peer interactions trigger and facilitate this process. During the last phase of our research we also introduced a CAT-scan simulation problem into our teaching interview routine and compared students' perception of this simulation and their perception of the hands-on activity.

No description available.

Des avancements récents dans le domaine de la radiothérapie stéréotaxique permettent à un nombre grandissant de patients de recevoir un traitement non-invasif pour le cancer du foie. L’une des méthodes utilisées consiste à suivre le mouvement de la tumeur à l’aide de marqueurs radio-opaques insérés dans le foie grâce au système de suivi de l’appareil de traitement CyberKnife. Or, l’insertion de ces marqueurs est parfois trop invasive pour certains patients souffrant de maladie du foie avancée. Ces patients ont souvent un historique de chirurgie qui permet d’utiliser les agrafes chirurgicales déjà présentes dans leur foie dans le but de suivre leur tumeur. Cette nouvelle approche au traitement des tumeurs du foie est investiguée dans cette étude afin d’en déterminer les paramètres optimaux pour une meilleure pratique thérapeutique. L’expérimentation sur fantôme anthropomorpique a permis de conclure que le contraste des agrafes dans leur milieu augmente lors de l’augmentation des paramètres d’imagerie (kilovoltage et milliampérage de l’appareil de radiographie). D’autre part, l’erreur commise par le système CyberKnife dans l’identification des agrafes pour le suivi a été mesurée comme étant supérieure à celle sur l’emplacement des marqueurs radiologiques de platine (environ 1 mm contre moins de 1 mm). Cette erreur est considérée comme acceptable dans le contexte de ce type de traitement particulier. Enfin, une analyse gamma de l’impact dosimétrique du suivi par agrafes a montré qu’il était approximativement équivalent à celui par marqueurs de platine. De ces observations on conclue que le traitement des tumeurs du foie avec suivi des agrafes chirurgicales est valide et peut être amélioré suivant certaines recommandations cliniques. / Recent progress in stereotactic body radiation therapy allows an ever larger number of people to receive non-invasive treatment for liver cancer. One of the methods that were developed involves tracking the tumor’s movements, using radio-opaque markers which are inserted into the liver of the patient, with the help of the tracking system of the CyberKnife. However, the insertion of these markers is sometimes too invasive for patients with poor liver condition. These patients often have a history of surgery which allows the tracking of surgical clips that are already present in the liver as a surrogate for the tumor. This new approach to treating liver cancer is investigated in the present study in order to identify the optimal parameters for a better practice of this therapy. An anthropomorphic phantom experiment lead to the conclusion that the clip contrast in the tissue increases with an increase of the two imaging parameters (kV and mA of the x-ray tube). In addition, the error that was made on the identification of the position of clips by the CyberKnife system was measured as being slightly superior to the error on platinum marker positions (approximately 1 mm vs less than 1 mm). This error is considered acceptable in the context of this particular type of treatment. Finally, a gamma analysis of the dosimetric impact of clip tracking shows that it is approximately equivalent to that of platinum marker tracking. From these observations, we conclude that the treatment of liver tumors using surgical clips is valid and can be improved following this study’s clinical recommendations.

Dans la pratique actuelle de la curiethérapie à bas débit, l'évaluation de la dose dans la prostate est régie par le protocole défini dans le groupe de travail 43 (TG-43) de l'American Association of Physicists in Medicine. Ce groupe de travail suppose un patient homogène à base d'eau de même densité et néglige les changements dans l'atténuation des photons par les sources de curiethérapie. En considérant ces simplifications, les calculs de dose se font facilement à l'aide d'une équation, indiquée dans le protocole. Bien que ce groupe de travail ait contribué à l'uniformisation des traitements en curiethérapie entre les hôpitaux, il ne décrit pas adéquatement la distribution réelle de la dose dans le patient. La publication actuelle du TG-186 donne des recommandations pour étudier des distributions de dose plus réalistes. Le but de ce mémoire est d'appliquer ces recommandations à partir du TG-186 pour obtenir une description plus réaliste de la dose dans la prostate. Pour ce faire, deux ensembles d'images du patient sont acquis simultanément avec un tomodensitomètre à double énergie (DECT). Les artéfacts métalliques présents dans ces images, causés par les sources d’iode, sont corrigés à l'aide d’un algorithme de réduction d'artefacts métalliques pour DECT qui a été développé dans ce travail. Ensuite, une étude Monte Carlo peut être effectuée correctement lorsque l'image est segmentée selon les différents tissus humains. Cette segmentation est effectuée en évaluant le numéro atomique effectif et la densité électronique de chaque voxel, par étalonnage stoechiométrique propre au DECT, et en y associant le tissu ayant des paramètres physiques similaires. Les résultats montrent des différences dans la distribution de la dose lorsqu'on compare la dose du protocole TG-43 avec celle retrouvée avec les recommandations du TG-186. / In current low dose rate brachytherapy practice, dose evaluation within the prostate is govern by the protocol defined by the task group 43 (TG-43) of the American Association of Physicist in Medicine. This task group assumes a homogeneous water based patient with invariable density. They also disregard the changes in photon attenuation through neighbouring brachytherapy sources. With the introduction of these simplifications, dose calculations are easily solved using an equation proposed in this protocol. Although this task group helped create a uniform practice of brachytherapy treatments between hospitals, it does not properly described the actual dose distribution within the patient. The current publication of TG-186 gives recommendations to study these dose distribution more realistically. The purpose of this Master's thesis is to apply these recommendations from TG-186 to obtain a more realistic description of the dose. In order to proceed, two sets of patient images are acquired with a dual energy computed tomography (DECT). These images are corrected for metallic artifacts, which are highly present in the scanned images, using DECT metallic artifact reduction algortithm, developped in this work. Afterwords, a Monte Carlo study can be performed by properly identifying the environment with human tissues. This segmentation is performed by evaluating the effective atomic number and electronic density of each voxel using a DECT stoichiometric calibration, and allocating the tissue having the closest resemblance to these physical parameters. The results show clear differences in dose distribution when comparing TG-43 protocole with TG-186 recommendations.

No description available.

<p>Over the past 200 years, the Earth's atmospheric carbon dioxide (CO₂) concentration has increased by more than 35%, and climate experts predict that CO₂ levels may double by the end of this century. Understanding the mechanisms of resource management in plants is fundamental for predicting how plants will respond to the increase in atmospheric CO₂. Plant productivity sustains life on Earth and is a principal component of the planet's system that regulates atmospheric CO₂ concentration. As such, one of the central goals of plant science is to understand the regulatory mechanisms of plant growth in a changing environment. Short-lived positron-emitting radiotracer techniques provide time-dependent data that are critical for developing models of metabolite transport and resource distribution in plants and their microenvironments. To better understand the effects of environmental changes on resource transport and allocation in plants, we have developed a system for real-time measurements of metabolite transport in plants using short-lived positron-emitting radiotracers. This thesis project includes the design, construction, and demonstration of the capabilities of this system for performing real-time measurements of metabolite transport in plants.</p><p>The short-lived radiotracer system described in this dissertation takes advantage of the combined capabilities and close proximity of two research facilities at Duke University: the Triangle Universities Nuclear Laboratory (TUNL) and the Duke University Phytotron, which are separated by approximately 100 meters. The short-lived positron-emitting radioisotopes are generated using the 10-MV tandem Van de Graaff accelerator located in the main TUNL building, which provides the capability of producing short-lived positron-emitting isotopes such as carbon-11 (¹¹C; 20 minute half-life), nitrogen-13 (¹³N; 10 minute half-life), fluorine-18 (¹⁸F; 110 minute half-life), and oxygen-15 (¹⁵O; 2 minute half-life). The radioisotopes may be introduced to plants as biologically active molecules such as ¹¹CO₂, ¹³NO₃^-, ¹⁸F^--[H₂O], and H₂<sup>15<\sup>O. Plants for these studies are grown in controlled-environment chambers at the Phytotron. The chambers offer an array of control for temperature, humidity, atmospheric CO₂ concentration, and light intensity. Additionally, the Phytotron houses one large reach-in growth chamber that is dedicated to this project for radioisotope labeling measurements.</p><p>There are several important properties of short-lived positron-emitting radiotracers that make them well suited for use in investigating metabolite transport in plants. First, because the molecular mass of a radioisotope-tagged compound is only minutely different from the corresponding stable compound, radiotracer substances should be metabolized and transported in plants the same as their non-radioactive counterparts. Second, because the relatively high energy gamma rays emitted from electron-positron annihilation are attenuated very little by plant tissue, the real-time distribution of a radiotracer can be measured <em>in vivo</em> in plants. Finally, the short radioactive half-lives of these isotopes allow for repeat measurements on the same plant in a short period of time. For example, in studies of short-term environmental changes on plant metabolite dynamics, a single plant can be labeled multiple times to measure its responses to different environmental conditions. Also, different short-lived radiotracers can be applied to the same plant over a short period of time to investigate the transport and allocation of various metabolites.</p><p>This newly developed system provides the capabilities for production of ¹¹CO₂ at TUNL, transfer of the ¹¹CO₂ gas from the target area at TUNL to a radiation-shielded cryogenic trap at the Phytotron, labeling of photoassimilates with ¹¹C, and <em>in vivo</em> gamma-ray detection for real-time measurements of the radiotracer distribution in small plants. The experimental techniques and instrumentation that enabled the quantitative biological studies reported in this thesis were developed through a series of experiments made at TUNL and the Phytotron. Collimated single detectors and coincidence counting techniques were used to monitor the radiotracer distribution on a coarse spatial scale. Additionally, a prototype Versatile Imager for Positron Emitting Radiotracers (VIPER) was built to provide the capability of measuring radiotracer distributions in plants with high spatial resolution (~2.5 mm). This device enables detailed quantification of real-time metabolite dynamics on fine spatial scales.</p><p>The full capabilities of this radiotracer system were utilized in an investigation of the effects of elevated atmospheric CO₂ concentration and root nutrient availability on the transport and allocation of recently fixed carbon, including that released from the roots via exudation or respiration, in two grass species. The ¹¹CO₂ gas was introduced to a leaf on the plants grown at either ambient or elevated atmospheric CO₂. Two sequential measurements were performed per day on each plant: a control nutrient solution labeling immediately followed by labeling with a 10-fold increase or decrease in nutrient concentration. The real-time distribution of ¹¹C-labeled photoassimilate was measured <em>in vivo</em> throughout the plant and root environment. This measurement resulted in the <em>first</em> observation of a rapid plant response to short-term changes in nutrient availability via correlated changes in the photoassimilate allocation to root exudates. Our data indicated that root exudation was consistently enhanced at lower nutrient concentrations. Also, we found that elevated atmospheric CO₂ increased the velocity of photoassimilate transport throughout the plant, enhanced root exudation in an annual crop grass, and reduced root exudation in a perennial native grass.</p> / Dissertation

<p>The High Intensity Gamma-ray Source (HIGS) at Duke University is a world class Compton light source facility. At the HIGS, a Free-Electron Laser (FEL) beam is Compton scattered with an electron beam in the Duke storage ring to produce an intense, highly polarized, and nearly monoenergetic gamma-ray beam with a tunable energy from about 1 MeV to 100 MeV. This unique gamma-ray beam has been used in a wide range of basic and application research fields from nuclear physics to astrophysics, from medical research to homeland security and industrial applications.</p><p>The capability of accurately predicting the spatial, spectral and temporal characteristics of a Compton gamma-ray beam is crucial for the optimization of the operation of a Compton light source as well as for the applications utilizing the Compton beam. In this dissertation, we have successfully developed two approaches, an analytical calculation method and a Monte Carlo simulation technique, to study the Compton scattering process. Using these two approaches, we have characterized the HIGS beams with varying electron beam parameters as well as different collimation conditions. Based upon the Monte Carlo simulation, an end-to-end spectrum reconstruction method has been developed to analyze the measured energy spectrum of a HIGS beam. With this end-to-end method, the underlying energy distribution of the HIGS beam can be uncovered with a high degree of accuracy using its measured spectrum. To measure the transverse profile of the HIGS beam, we have developed a CCD based gamma-ray beam imaging system with a sub-mm spatial resolution and a high contrast sensitivity. This imaging system has been routinely used to align experimental apparatus with the HIGS beam for nuclear physics research. </p><p>To determine the energy distribution of the HIGS beam, it is important to know the energy distribution of the electron beam used in the collision. The electron beam energy and energy spread can be measured using the Compton scattering technique. In order to use this technique, we have developed a new fitting model directly based upon the Compton scattering cross section while taking into account the electron-beam emittance and gamma-beam collimation effects. With this model, we have successfully carried out a precise energy measurement of the electron beam in the Duke storage ring. </p><p>Alternatively, the electron beam energy can be measured using the Resonant Spin Depolarization technique, which requires a polarized electron beam. The radiative polarization of an electron beam in the Duke storage ring has been studied as part of this dissertation program. From electron-beam lifetime measurements, the equilibrium degree of polarization of the electron beam has been successfully determined. With the polarized electron beam, we will be able to apply the Resonant Spin Depolarization technique to accurately determine the electron beam energy. This on-going research is of great importance to our continued development of the HIGS facility.</p> / Dissertation

<p>Cone beam computed tomography (CBCT) is a 3D x-ray imaging technique in which the x-ray beam is transmitted to an object with wide beam geometry producing a 2D image per projection. Due to its faster image acquisition time, wide coverage length per scan, and fewer motion artifacts, the CBCT system is rapidly replacing the conventional CT system and becoming popular in diagnostic and therapeutic radiology. However, there are few studies performed in CBCT dosimetry because of the absence of a standard dosimetric protocol for CBCT. Computed tomography dose index (CTDI), a standardized metric in conventional CT dosimetry, or direct organ dose measurements have been limitedly used in the CBCT dosimetry.</p> <p>This dissertation investigated the CBCT dosimetry from the CTDI method to the organ, effective dose, risk estimations with physical measurements and Monte Carlo (MC) simulations.</p> <p>An On-Board Imager (OBI, Varian Medical Systems, Palo Alto, CA) was used to perform old and new CBCT scan protocols. The new CBCT protocols introduced both partial and full angle scan modes while the old CBCT protocols only used the full angle mode. A metal-oxide-semiconductor-field-effect transistor (MOSFET) and an ion chamber were employed to measure the cone beam CTDI (CTDI_CB) in CT phantoms and organ dose in a 5-year-old pediatric anthropomorphic phantom. Radiochromic film was also employed to measure the axial dose profiles. A point dose method was used in the CTDI estimation.</p> <p>The BEAMnrc/EGSnrc MC system was used to simulate the CBCT scans; the MC model of the OBI x-ray tube was built into the system and validated by measurements characterizing the cone beam quality in the aspects of the x-ray spectrum, half value layer (HVL) and dose profiles for both full-fan and half-fan modes. Using the validated MC model, CTDI_CB, dose profile integral (DPI), cone beam dose length product (DLP_CB), and organ doses were calculated with voxelized MC CT phantoms or anthropomorphic phantoms. Effective dose and radiation risks were estimated from the organ dose results.</p> <p>The CTDI_CB of the old protocols were found to be 84 and 45 mGy for standard dose, head and body protocols. The CTDI_CB of the new protocols were found to be 6.0, 3.2, 29.0, 25.4, 23.8, and 7.7 mGy for the standard dose head, low dose head, high quality head, pelvis, pelvis spotlight, and low dose thorax protocols respectively. The new scan protocols were found to be advantageous in reducing the patient dose while offering acceptable image quality.</p> <p>The mean effective dose (ED) was found to be 37.8 ±0.7 mSv for the standard head and 8.1±0.2 mSv for the low dose head protocols (old) in the 5-year-old phantom. The lifetime attributable risk (LAR) of cancer incidence ranged from 23 to 144 cases per 100,000 exposed persons for the standard-dose mode and from five to 31 cases per 100,000 exposed persons for the low-dose mode. The relative risk (RR) of cancer incidence ranged from 1.003 to 1.054 for the standard-dose mode and from 1.001 to 1.012 for the low-dose mode.</p> <p>The MC method successfully estimated the CTDI_CB, organ and effective dose despite the heavy calculation time. The point dose method was found to be capable of estimating the CBCT dose with reasonable accuracy in the clinical environment.</p> / Dissertation

The current gain of bipolar junction transistors is reduced due to ionizing radiation exposure or hot-carrier stressing. Radiation-induced degradation is particularly severe at the low dose rates encountered in space. In this work, the dose rate effect in lateral and substrate pnp bipolar transistors is rigorously quantified over the range of 0.001 to 294 rad(Si)/s. Gain degradation shows little dependence on dose rate below 0.005 rad(Si)/s, suggesting that degradation enhancement comparable to that expected from space-like dose rates was achieved. In addition, the effect of ambient temperature on radiation-induced gain degradation at 294 rad(Si)/s is thoroughly investigated over the range of 25 to 240°C. Degradation is enhanced with increasing temperature while simultaneously being moderated by in situ annealing such that, for a given total dose, an optimum irradiation temperature for maximum degradation results. Optimum irradiation temperature decreases logarithmically with total dose and is larger and more sensitive to dose in the substrate device than in the lateral device. Maximum high dose rate degradation at elevated temperature closely approaches low dose rate degradation in both of the devices. A flexible hardness assurance methodology based on accelerated irradiations at elevated temperatures is described. The influence of mechanical stress on the radiation hardness of single-crystalline emitter transistors is investigated using x-ray diffraction. Correlation of device radiation sensitivity and mechanical stress in the base supports previously reported observations that Si-SiO₂ interfaces exhibit increased susceptibility to radiation damage under tensile Si stress. Relaxation of processing-induced stress in the base oxide due to ionizing radiation is smaller than the stress induced by emitter contact metallization followed by a post-metallization anneal. Possible mechanisms for radiation-induced stress relaxation and their effect on the radiation sensitivity of bipolar transistors are discussed. The combined effects of ionizing radiation and hot-carrier stress on the current gain of npn transistors are investigated. The hot-carrier response of the transistors is improved by radiation damage, whereas hot-carrier damage has little effect on subsequent radiation stress. Characterization of the temporal progression of hot-carrier effects reveals that hot-carrier stress acts initially to reduce excess base current and improve current gain in irradiated transistors. Numerical simulations show that the magnitude of the peak electric-field within the emitter-base depletion region is reduced significantly by net positive oxide charges induced by radiation. The interaction of the two stress types is explained in a physical model based on the probability of hot-carrier injection and the neutralization and compensation of radiation damage in the base oxide. The results of this work further the understanding of stress-induced gain degradation in bipolar transistors and provide important insight for the use of bipolar transistors in stress environments.

Stereotactic radiosurgery with several static conformal beams shaped by a micro multileaf collimator (muMLC) is used for treating small irregularly shaped brain lesions. Specific requirements for this technique are a precise localization and positioning of the target (1mm) and a precise (1mm) and numerically accurate (+/-5%) dose delivery. In this work, a pencil beam algorithm based treatment planning software BrainScan 5.2 (Brainlab, Germany) is validated against measurements (diode, radiographic films) and Monte Carlo simulations (BEAMnrc and XVMC codes). The latter is required because of difficulties in obtaining precise and accurate dose measurements for small fields. A dedicated muMLC component module for the BEAMnrc code was developed as part of this project. Results show that Monte Carlo calculations agree with measured dose distributions to within 2% and/or 1 mm except for field sizes smaller than 1.2 cm where agreement is within 5% due to uncertainties in measured output factors. Comparison with the pencil beam algorithm calculations were performed for square and irregularly shaped fields at different incidence angles on rectangular and humanoid homogeneous phantoms. Results show that the pencil beam algorithm is suitable for radiosurgery although some differences were found in the comparison of interleaf leakage and beam profile penumbras.