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Accurate dosimetry is a fundamental requirement for the safe and efficient use of radiation in medical applications. International Codes of Practice, such as IAEA TRS-398 (2000) for radiotherapy beams and IAEA TRS-457 (2007) for diagnostic radiology beams, provide the necessary formulation for reference and relative dosimetry and the data required for their implementation. Research in recent years has highlighted the shortage of such data for radiotherapy small photon beams and for surface dose estimations in diagnostic and interventional radiology, leading to significant dosimetric errors that in some instances have jeopardized patient’s safety and treatment efficiency. The aim of this thesis is to investigate and determine key data for the reference and relative dosimetry of radiotherapy and radiodiagnostics beams. For that purpose the Monte Carlo system PENELOPE has been used to simulate the transport of radiation in different media and a number of experimental determinations have also been made. A review of the key data for radiotherapy beams published after the release of IAEA TRS-398 was conducted, and in some cases the considerable differences found were questioned under the criterion of data consistency throughout the dosimetry chain (from standards laboratories to the user). A modified concept of output factor, defined in a new international formalism for the dosimetry of small photon beams, requires corrections to dosimeter readings for the dose determination in small beams used clinically. In this work, output correction factors were determined, for Varian Clinac 6 MV photon beams and Leksell Gamma Knife Perfexion 60Co gamma-ray beams, for a large number of small field detectors, including air and liquid ionization chambers, shielded and unshielded silicon diodes and diamond detectors, all of which were simulated by Monte Carlo with great detail. Backscatter factors and ratios of mass energy-absorption coefficients required for surface (skin) determinations in diagnostic and interventional radiology applications were also determined, as well as their extension to account for non-standard phantom thicknesses and materials. A database of these quantities was created for a broad range of monoenergetic photon beams and computer codes developed to convolve the data with clinical spectra, thus enabling the determination of key data for arbitrary beam qualities. Data presented in this thesis has been contributed to the IAEA international dosimetry recommendations for small radiotherapy beams and for diagnostic radiology in paediatric patients. / <p>At the time of the doctoral defense, the following paper was unpublished and had a status as follows: Paper 6: Manuscript.</p>

<p>The ability to interrogate structure-function photophysical properties on lanthanide-doped nanoscale materials will define their utility in next-generation applications and devices that capitalize on their size, light-conversion efficiencies, emissive wavelengths, syntheses, and environmental stabilities. The two main topics of this dissertation are (i) the interrogation of laser power-dependent quantum yield and total radiant flux metrics for a homogeneous, solution phase upconversion nanocrystal composition under both continuous wave and femtosecond-pulsed excitation utilizing a custom engineered absolute measurement system, and (ii) the synthesis, characterization, and power-dependent x-ray excited scintillation properties of [Y₂O₃; Eu] nanocrystals, and their integration into a fiber-optic radiation sensing device capable of in vivo dosimetry.</p><p>Presented herein is the laser power-dependent total radiant flux and absolute quantum yield measurements of homogeneous, solution-phase [NaYF₄; Yb (15%), Er (2%)] upconversion nanocrystals, and further compares the quantitative total radiant flux and absolute quantum yield measurements under both 970 nm continuous-wave and 976 nm pulsed Ti-Sapphire laser excitation (140 fs pulse-width, 80 MHz). This study demonstrates that at comparable excitation densities under continuous-wave and fs-pulsed excitation from 42 - 284 W/cm<super>2</super>, the absolute quantum yield, and the total radiant flux per unit volume, are within a factor of two when spectra are integrated over the 500 - 700 nm wavelength regime. This study further establishes the radiant flux as the true unit of merit for quantifying emissive output intensity of upconverting nanocrystals for application purposes, especially given the high uncertainty in solution phase upconversion nanocrystal quantum yield measurements due to their low absorption cross-section. Additionally, a commercially available bulk [NaYF₄; Yb (20%), Er (3%)] upconversion sample was measured in the solid-state to provide a total radiant flux and absolute quantum yield standard. The measurements were accomplished utilizing a custom-engineered, multi-detector integrating sphere measurement system that can measure spectral sample emission in Watts on a flux-calibrated (W/nm) CCD-spectrometer, enabling the direct measurement of the total radiant flux without need for an absorbance or quantum yield value. </p><p>Also presented is the development and characterization of a scintillating nanocrystalline composition, [Y_2-xO₃; Eu_x, Li_y], in which Eu and Li dopant ion concentrations were systematically varied in order to define the most emissive compositions under specific x-ray excitation conditions. It is shown that these optimized [Y_2-xO₃; Eu_x, Li_y] compositions display scintillation responses that: (i) correlate linearly with incident radiation exposure at x-ray energies spanning from 40 - 220 kVp, and (ii) manifest no evidence of scintillation intensity saturation at the highest evaluated radiation exposures [up to 4 Roentgen per second]. X-ray excitation energies of 40, 120, and 220 kVp were chosen to probe the dependence of the integrated emission intensity upon x-ray exposure-rate in energy regimes where either the photoelectric or the Compton effect governs the scintillation mechanism on the most emissive [Y_2-xO₃; Eu_x, Li_y] composition, [Y_1.9O₃; Eu_0.1, Li_0.16]. These experiments demonstrate for nanoscale [Y_2-xO₃; Eu_x], that for comparable radiation exposures, when scintillation is governed by the photoelectric effect (120 kVp excitation), greater integrated emission intensities are recorded relative to excitation energies where the Compton effect regulates scintillation (220 kVp excitation). </p><p>The nanoscale [Y_1.9O₃; Eu_0.1, Li_0.16] was further exploited as a detector material in a prototype fiber-optic radiation sensor. The scintillation intensity from a [Y_1.9O₃; Eu_0.1, Li_0.16]-modified optical fiber tip, recorded using a CCD-photodetector or a Si-photodiode, was correlated with radiation exposure using a Precision XRAD 225Cx small-animal image guided radiation therapy (IGRT) system, an orthovoltage cabinet-irradiator, and a clinical X-ray Computed Tomography (CT) machine. For all x-ray energies tested from 80 - 225 kVp, this near-radiotransparent device recorded scintillation intensities that tracked linearly with total radiation exposure, highlighting its capability to provide alternately accurate dosimetry measurements for both diagnostic imaging and radiation therapy treatment. Because Si-based CCD and photodiode detectors manifest maximal sensitivities over the emission range of nanoscale [Y_1.9O₃; Eu_0.1, Li_0.16], the timing speeds, sizes, and low power-consumption of these devices, coupled with the detection element's linear dependence of scintillation intensity with radiation dose, demonstrates the opportunity for next-generation radiation exposure measuring devices for in/ex vivo applications that are ultra-small, inexpensive, and accurate.</p> / Dissertation

Thesis (PhD)--University of South Australia, 1999

Bibliography: leaves 151-206. / xxvi, 206 leaves, [8] plates : ill. (chiefly col.) ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Examines the hypothesis that HIV infected bone allografts can be sterilized with 25 kGy of gamma irradiation. / Thesis (Ph.D.)--University of Adelaide, Dept. of Orthopaedic Surgery & Trauma, 1998?

Masters Research - Masters of Philosophy / INTRODUCTION: Level III dosimetric intercomparison studies test the entire radiotherapy patient treatment chain from diagnostic imaging to treatment delivery and verification imaging at multiple radiotherapy centres. The anthropomorphic phantom employed in an intercomparison needs to meet specific criteria including portability, tissue equivalence and accommodation of radiation detectors to ensure clinical relevance and dosimetric accuracy. The proposition that a purpose-built phantom can encompass all the attributes necessary for precise Level III dosimetric intercomparisons for prostate cancer is the premise of this body of work. METHODS: Organ outlines were generated from a human computed tomography image set and incorporated into the phantom design to replicate human anatomy as closely as possible. Twenty-five points of interest were located throughout the dataset to identify where point-dose values could be measured with thermoluminescence dosimeters. The centre of the prostate was identified as the location for measurement with a small-volume ionization chamber. The materials used in this phantom were tested against water to determine relative attenuation, density and Hounsfield Units. Three materials were chosen to mimic bone, organs, and a backfill material and the phantom was manufactured using modern prototyping techniques into five separate coronal slices. Time lines and resource requirements for the phantom design and manufacture were recorded. The ability of the phantom to mimic the entire treatment chain was tested at the Calvary Mater Newcastle Hospital. RESULTS: The phantom CT images indicated the densities and organ geometries were comparable to the original patient. The phantom proved simple to load for dosimetry and rapid to assemble. Measurements indicated the reproducibility to be in the order of 1% for the ionization chamber measurement and within 3% for thermoluminescence dosimeters. Due to heat release during manufacture, small airgaps were present throughout the phantom producing artifacts on lateral images. The overall cost for production of the prototype phantom was comparable to other commercial anthropomorphic phantoms ($AU45,000). The phantom was shown to be suitable for use as a “patient” to mimic the entire treatment chain for typical external beam radiotherapy for prostate and rectal cancer. Outlining of relevant structures by a radiation oncologist was uncomplicated and the computerised treatment plan compared well with the dose measured using ionisation chambers and thermoluminescence dosimeters. DISCUSSION & CONCLUSIONS: The phantom constructed for the present study incorporates all characteristics necessary for accurate Level III intercomparison studies and will be an effective tool for an intercomparison of pelvic treatments in Australasia. These results may benefit analysis of outcomes for prostate cancer treatments, especially in the clinical trial environment. It will be of significant interest in the future to use the phantom to assess advanced radiotherapy delivery techniques such as Intensity Modulated Radiation Therapy (IMRT).

This thesis details the measurement and simulation of patient skin doses arising from X-ray exposure during interventional cardiology procedures. Interventional cardiology procedures can be long and complex resulting in high skin doses, to the extent that radiation burns may be produced. Twenty patients were used in the study consisting of 10 coronary angiogram and 10 coronary angioplasty procedures. Radiochromic films were used to measure skin dose directly. The Gafchromic® XR-RV2 film was chosen for its suitability for this project. The key characteristics of this film were experimentally determined including: dose response, energy dependence, polarisation and post-exposure growth. The dose range was found to be ideally suited for the doses encountered in this study. Energy dependence was found to be ~14% between 60 and 125 kVp at 1 Gy and introduced an unavoidable uncertainty into dose calculations from unknown beam energies. Document scanner characteristics were also been investigated and a scanning protocol is determined. A mathematical model was created to use the geometry and exposure information encoded into acquisition files to reconstruct dose and dose distributions. The model requires a set of study files encoded according to the DICOM format, as well as user input for fluoroscopic estimations. The output is a dose map and dose summary. Simulation parameters were varied and results compared with film measurements to provide the most accurate model. From the data collected the relation between dose area product, maximum skin dose and fluoroscopic time were also investigated. The results demonstrated that a model based on acquisition information can accurately predict maximum skin dose and provide useful geometrical information. The model is currently being developed into a standalone program for use by the Medical Physics and Bioengineering department.

Thesis (Ph. D.)--University of Hong Kong, 2007.

Thesis (Ph.D.)--University of Adelaide, Dept. of Orthopaedic Surgery & Trauma, 1998? / Bibliography: leaves 151-206.

Thesis (Ph.D.)--University of Western Australia, 2005.