A utilização da técnica de teleterapia para tratamento de câncer tem sido usada por anos com bons resultados clínicos. Em meados da década de 90, a remoção do filtro aplainador, item que compõe o cabeçote de um acelerador linear de uso clínico, tem sido objeto de estudos por demonstrar bons resultados no tratamento de alguns tipos de câncer. Técnicas utilizadas como Radioterapia de Intensidade Modulada (IMRT) e Radioterapia Estereotáxica (SRT), mostram-se mais eficazes quando não se utiliza o filtro aplainador. A empresa Varian Oncology lançou em 2012 um acelerador linear de uso clínico capaz de operar com o filtro aplainador (FF) e sem o filtro aplainador (FFF), o TrueBeam. Os objetivos desse trabalho são avaliar a homogeneidade de dois importantes parâmetros utilizados para o cálculo de dose nos pacientes submetidos ao tratamento com esse modelo de acelerador linear, a porcentagem de dose profunda (PDP) e índice de qualidade do feixe (TPR20/10). Os dados fornecidos para a análise foram cedidos pelo Hospital Israelita Albert Einstein (HIAE), Real Hospital Português (RHP) e 3 instituições norte-americanas. Através de uma análise estatística dos dados das instituições citadas pode-se observar melhor o comportamento desses parâmetro que demonstraram-se muito homogêneos e com erros menores que 1% na maioria dos casos, confirmando desse modo que os aceleradores lineares do modelo TrueBeam mantém na maioria das vezes uma boa concordância dos parâmetros analisados. / Teletherapy, radiation therapy with linear accelerators, for cancer treatment has being used for years with good clinical results.Since the 90\'s the removal of the flattening filter, item placed at the gantry of the machine, has shown better results for the treatment of some cancers thus being extensively studied. Treatments with Intensity Modulated RadioTherapy (IMRT) and Sthereotaxic RadioTherapy (SRT) were more efficient without the flattening filter. Varian Oncology released the TrueBeam in 2012, a accelerator capable of operating with or without the flattening filter. The aim of this work is to access homogeneity of the percentage depth dose (PDP) and beam quality index (TPR20/10), two important parameters used in patient dose calculations. The data used for analysis were obtained with the Israelita Albert Einstein Hospital (HIAE), Real Português Hospital (RHP) and 3 more institutions located in the United States. The statistical data analysis allowed to observe the parameters behaviors. In general, they were very homogeneous, with errors smaller than 1% confirming the conformance of the TrueBeam accelerators.

A utilização da técnica de teleterapia para tratamento de câncer tem sido usada por anos com bons resultados clínicos. Em meados da década de 90, a remoção do filtro aplainador, item que compõe o cabeçote de um acelerador linear de uso clínico, tem sido objeto de estudos por demonstrar bons resultados no tratamento de alguns tipos de câncer. Técnicas utilizadas como Radioterapia de Intensidade Modulada (IMRT) e Radioterapia Estereotáxica (SRT), mostram-se mais eficazes quando não se utiliza o filtro aplainador. A empresa Varian Oncology lançou em 2012 um acelerador linear de uso clínico capaz de operar com o filtro aplainador (FF) e sem o filtro aplainador (FFF), o TrueBeam. Os objetivos desse trabalho são avaliar a homogeneidade de dois importantes parâmetros utilizados para o cálculo de dose nos pacientes submetidos ao tratamento com esse modelo de acelerador linear, a porcentagem de dose profunda (PDP) e índice de qualidade do feixe (TPR20/10). Os dados fornecidos para a análise foram cedidos pelo Hospital Israelita Albert Einstein (HIAE), Real Hospital Português (RHP) e 3 instituições norte-americanas. Através de uma análise estatística dos dados das instituições citadas pode-se observar melhor o comportamento desses parâmetro que demonstraram-se muito homogêneos e com erros menores que 1% na maioria dos casos, confirmando desse modo que os aceleradores lineares do modelo TrueBeam mantém na maioria das vezes uma boa concordância dos parâmetros analisados. / Teletherapy, radiation therapy with linear accelerators, for cancer treatment has being used for years with good clinical results.Since the 90\'s the removal of the flattening filter, item placed at the gantry of the machine, has shown better results for the treatment of some cancers thus being extensively studied. Treatments with Intensity Modulated RadioTherapy (IMRT) and Sthereotaxic RadioTherapy (SRT) were more efficient without the flattening filter. Varian Oncology released the TrueBeam in 2012, a accelerator capable of operating with or without the flattening filter. The aim of this work is to access homogeneity of the percentage depth dose (PDP) and beam quality index (TPR20/10), two important parameters used in patient dose calculations. The data used for analysis were obtained with the Israelita Albert Einstein Hospital (HIAE), Real Português Hospital (RHP) and 3 more institutions located in the United States. The statistical data analysis allowed to observe the parameters behaviors. In general, they were very homogeneous, with errors smaller than 1% confirming the conformance of the TrueBeam accelerators.

Using Long-Period Fiber Gratings as component of Gain-Flattening filter ofOptical Amplifier, and discuss spectrum of different struture of Long-Period Fiber Gratings. To investigate the spectra characteristics of Long-Period fiber Gratings for designing reference resources. Aiming at different Gain-Flattening filter uses different struture of fiber grating, and the decision of parameter of fiber grating using Genetic Algorithm. Finally delcaring the dataflow of designing filter using Long-Period Fiber Grating and conclusion.In this paper , gain flatttening Cr:YAG optical amplifier spectrum and Erbium-doped optical amplifier spectrum,one achieve 300nm bandwidth and another achieve 40nm.

No description available.

The purpose of this thesis was to evaluate and compare the peripheral dose associated with VMAT lung SABR treatments for 10X, 6X, and 10X-FFF beams. Flattening Filter Free (FFF) radiotherapy photon beams exhibit high dose rates as compared to standard flattened photon beams. The high dose rates available with FFF beams make them ideal for high dose treatments, such as Volumetric Modulated Arc Therapy (VMAT)-delivery lung Stereotactic Ablative Radiotherapy (SABR), where treatment delivery is longer than that of standard treatments. They are also known to show reductions in treatment head scatter, multi-leaf collimator (MLC) transmission and treatment head leakage radiation, compared to flattened beams. The use of FFF beams for VMAT lung SABR has been shown to significantly reduce treatment delivery time, while maintaining plan quality and accuracy. Another potential advantage of the use of FFF beams for VMAT lung SABR is the reduction in peripheral (out-of-field) dose, due mainly to the reduction in head scatter and treatment head leakage. The peripheral doses delivered by VMAT Lung SABR treatments using 10X-FFF, 10X and 6X were investigated for the Varian TrueBeam medical linear accelerator. There were three components to this investigation; (1) Ion chamber measurement of peripheral dose for static open, static MLC and dynamic MLC fields, (2) Validation of Monte Carlo, Acuros XB and AAA algorithms for peripheral dose prediction, and (3) Evaluation of peripheral doses for VMAT lung SABR treatments using the validated Monte Carlo model. Measurements of out-of field doses for static open, static MLC and dynamic MLC fields showed that 10X-FFF delivered peripheral doses in the range of 30% to 50%, 3% to 40% and 5% to 20% lower than the peripheral doses for flattened beams. Dose calculation algorithm validation showed that AAA and Acuros XB significantly under predicted the dose in the peripheral region. Monte Carlo was found to be the most accurate dose calculation algorithm for peripheral dose prediction. The VMAT lung SABR dose distributions were calculated for both static gantry delivery and arc delivery using the validated Monte Carlo model. For static gantry Monte Carlo simulation, 10X-FFF was found to show a reduction in peripheral dose in the range of 7% to 21% and 7% to 17% when compared to 6X and 10X. For arc delivery Monte Carlo simulation, 10X-FFF was found to deliver a statistically significant reduction in mean peripheral dose compared to 6X in four of the six cases, and was not found to deliver a statistically significant reduction in mean peripheral dose compared to 10X in any of the six cases. For this type of VMAT lung SABR treatment, 10X-FFF offers a reduction in peripheral dose over 6X. In terms of the benefits of using 10X-FFF for this type of treatment, the reduction in peripheral dose is added to the already-established reduction in treatment times. / Graduate / 0756 / 0574

No description available.

La radiothérapie stéréotaxique corporelle (SBRT) est une technique couramment employée pour le traitement de tumeurs aux poumons lorsque la chirurgie n’est pas possible ou refusée par le patient. Une complication de l’utilisation de cette méthode provient du mouvement de la tumeur causé par la respiration. Dans ce contexte, la radiothérapie asservie à la respiration (RGRT) peut être bénéfique. Toutefois, la RGRT augmente le temps de traitement en raison de la plus petite proportion de temps pour laquelle le faisceau est actif. En utilisant un faisceau de photons sans filtre égalisateur (FFF), ce problème peut être compensé par le débit de dose plus élevé d’un faisceau FFF. Ce mémoire traite de la faisabilité d’employer la technique de RGRT en combinaison avec l’utilisation un faisceau FFF sur un accélérateur Synergy S (Elekta, Stockholm, Suède) avec une ceinture pneumatique, le Bellows Belt (Philips, Amsterdam, Pays-Bas), comme dispositif de suivi du signal respiratoire. Un Synergy S a été modifié afin de pouvoir livrer un faisceau 6 MV FFF. Des mesures de profils de dose et de rendements en profondeur ont été acquises en cuve à eau pour différentes tailles de champs. Ces mesures ont été utilisées pour créer un modèle du faisceau 6 MV FFF dans le système de planification de traitement Pinnacle3 de Philips. Les mesures ont été comparées au modèle à l’aide de l’analyse gamma avec un critère de 2%, 2 mm. Par la suite, cinq plans SBRT avec thérapie en arc par modulation volumétrique (VMAT) ont été créés avec le modèle 6 MV du Synergy S, avec et sans filtre. Une comparaison des paramètres dosimétriques a été réalisée entre les plans avec et sans filtre pour évaluer la qualité des plans FFF. Les résultats révèlent qu’il est possible de créer des plans SBRT VMAT avec le faisceau 6 MV FFF du Synergy S qui sont cliniquement acceptables (les crières du Radiation Therapy Oncology Group 0618 sont respectés). Aussi, une interface physique de RGRT a été mise au point pour remplir deux fonctions : lire le signal numérique de la ceinture pneumatique Bellows Belt et envoyer une commande d’irradiation binaire au linac. L’activation/désactivation du faisceau du linac se fait par l’entremise d’un relais électromécanique. L’interface comprend un circuit électronique imprimé fait maison qui fonctionne en tandem avec un Raspberry Pi. Un logiciel de RGRT a été développé pour opérer sur le Raspberry Pi. Celui-ci affiche le signal numérique du Bellows Belt et donne l’option de choisir les limites supérieure et inférieure de la fenêtre d’irradiation, de sorte que lorsque le signal de la ceinture se trouve entre ces limites, le faisceau est actif, et inversement lorsque le signal est hors de ces limites. Le logiciel envoie donc une commande d’irradiation au linac de manière automatique en fonction de l’amplitude du signal respiratoire. Finalement, la comparaison entre la livraison d’un traitement standard sans RGRT avec filtre par rapport à un autre plan standard sans RGRT sans filtre démontre que le temps de traitement en mode FFF est réduit en moyenne de 54.1% pour un arc. De la même manière, la comparaison entre la livraison d’un traitement standard sans RGRT avec filtre par rapport à un plan de RGRT (fenêtre d’irradiation de 75%) sans filtre montre que le temps de traitement de RGRT en mode FFF est réduit en moyenne de 27.3% par arc. Toutefois, il n’a pas été possible de livrer des traitements de RGRT avec une fenêtre de moins de 75%. Le linac ne supporte pas une fréquence d’arrêts élevée. / Stereotactic body radiation therapy (SBRT) is a technique commonly employed for treatment of lung tumors when surgery is not possible or not accepted by the patient. One complication arising from the use of this method comes from the movement of the tumor during respiration. In this context, respiratory gated radiation therapy (RGRT) can be beneficial. By using a flattening filter free (FFF) photon beam, the increase in treatment time caused by a reduced beam-on time of respiratory gated methods can be compensated by the inherent increased dose rate of FFF beams. This thesis reports on the feasibility of using the RGRT technique in combination with the use of a FFF photon beam on a Synergy S (Elekta, Stockholm, Sweden) linear accelerator with a pneumatic belt, the Bellows Belt (Philips, Amsterdam, Netherlands), to monitor the patient’s respiratory signal. A Synergy S has been modified to deliver a 6 MV FFF photon beam. Dose profile and percentage depth dose measurements were taken in a water tank for different field sizes. Those measurements were used to create a model for the 6 MV FFF beam with the Pinnacle3 treatment planning system from Philips. Measurements were compared with the model using gamma index analysis with a 2%, 2 mm criterion. Then, five SBRT plans with volumetric modulated arc therapy (VMAT) were created in Pinnacle3 with the 6 MV Synergy S model, with and without a flattening filter. A comparison of dosimetric parameters was made between plans with and without a flattening filter to estimate the quality of the FFF plans. Results reveal that it is possible to create SBRT VMAT plans with the 6 MV FFF model of the Synergy S that are clinically acceptable (criteria of the Radiation Therapy Oncology Group 0618 were respected). Also, a RGRT hardware interface was created to fulfill two main functions: read the digital signal from the Bellows Belt pneumatic belt and send an on/off irradiation command to the linac. The activation/deactivation of the beam is regulated by an electromechanical relay. The interface is composed of a homemade printed circuit board that functions with a Raspberry Pi. A RGRT software was also developed to operate on the Raspberry Pi. This software shows the Bellows Belt’s digital signal and gives the option of choosing the upper and lower limits of the gating window. When the respiratory signal of the belt is between those limits, the beam is active, and vice versa when the signal is outside those limits. The software thus effectively sends an on/off irradiation command automatically to the linac depending on the amplitude of the respiratory signal. Finally, a comparison between the delivery of a standard plan without RGRT, with filter, and another standard plan without RGRT, without filter, shows that the treatment time for plans using the FFF beam is reduced by 54.1% on average for one arc. Similarly, a comparison between the delivery of a standard plan without RGRT, with filter, and a gated plan (gating window of 75%), without filter, shows that the treatment time for the gated treatments is reduced by 27.3% on average for one arc. However, it was not possible to deliver RGRT treatments with a gating window smaller than 75%. The linac does not support such a high frequency of beam halting.

L’objectif principal de cette thèse était d’examiner dans quelle mesure il est possible d’étendre l’approche de la courbe maîtresse à des composants complexes afin de déterminer des conditions de déverminage et de réaliser une prédiction de durée de vie en fonction de ces conditions de déverminage. Nous avons considéré la stabilité d’un réseau dit élémentaire (réseau carré, à pas constant et droit) puis le problème de la stabilité (selon des critères spécifiques) des composants complexes: les CDC et les monofiltres GFF. Cette thèse a permis de décrire de façon rigoureuse, puis d'utiliser le cadre de travail VAREPA pour résoudre des problèmes issus de l'industrie de télécoms. A cet effet, des séries d’études de vieillissement accéléré sur des réseaux simples et complexes ont été menées. Un protocole de mesure permettant de déterminer les incertitudes de mesure a été mis au point afin de déterminer de façon fiable des intervalles de confiance sur les prédictions de durée de vie.Nous avons étudié les cinétiques de croissance des réseaux inscrits dans une fibre dédiée à l’inscription des CDC (Coreactive). Cette étude nous a permis de montrer que la réaction prédominante à l’origine des changements d’indice de réfraction est activée par une absorption à 1 photon. D’autre part, nous avons étendu le cadre de travail utilisé pour prédire l’effacement des réseaux (VAREPA) afin de rendre compte de leurs cinétiques d’inscription. Puis nous avons cherché à déterminer les conditions de passivation et à prédire la durée de vie des réseaux déverminés en présence d’hydrogène résiduelle (procédé industriel actuel). Pour cela, nous avons établi la courbe maîtresse de réseaux photoinscrits non déverminés puis nous avons validé les conditions de déverminage et les prédictions de durée de vie en construisant une nouvelle courbe maîtresse sur des réseaux déverminés.Nous avons étudié la stabilité thermique des réseaux inscrits dans une fibre hydrogénée dédiée aux futurs monofiltres GFF dans des conditions d’inscription similaires à celles de ces composants. Nous avons utilisé les courbes maîtresses établies à partir des réseaux élémentaires (mais apodisés) simplement dégazés « à froid » (ici 2jours à 50°C puis 2 jours à 110°C). Puis, nous avons fait vieillir le profil d’indice (cœur et gaine) d’un monofiltre GFF. Puis, nous avons recalculé la réponse spectrale de ce filtre vieilli (e.g. 30jours à 200°C) et nous l’avons comparé à des mesures expérimentales. Cette approche reste générale et permet de changer les conditions de déverminage au besoin. Cette étude nous a permis de mettre en évidence que la stabilité des variations d’indice photo-induites dans le cœur dépend peu de l’amplitude initiale de la modulation pour des valeurs comprises entre quelques 10-5 et 10-3. Du fait de la présence d’une gaine optique fortement photosensible (car fortement dopée en Ge), nous avons établi les courbes maîtresses des variations d’indice photo-inscrites dans le cœur et la gaine optique pour des valeurs allant jusque 10-3 dans le cœur et 3.10-3 dans la gaine. Nous avons ainsi obtenu des courbes maîtresses présentant le même k0 (fréquence d'essai, i.e facteur pré exponentiel) mais dont la forme est légèrement différente. La stabilité des variations d’indice est meilleure dans le cœur (moins dopé en Ge) que dans la gaine photosensible. Dans un second temps, nous avons cherché à déterminer les conditions de passivation et à prédire la durée de vie des réseaux déverminés à partir des réseaux de Bragg qualifiés d’élémentaires. Pour la première fois à notre connaissance, nous avons validé de façon fiable les conditions de passivation et les prédictions de durée de vie en construisant une nouvelle courbe maîtresse sur des monofiltres GFF préalablement déverminés. Conformément à la théorie, cette courbe maîtresse présente le même k0 et une forme similaire à celle établie au moyen de réseaux non déverminés, ce qui valide la fiabilité de nos prédictions. / The main objective of this thesis was to investigate how it is possible to extend the master curveapproach to complex components, in order to calculate annealing conditions and giving a life timeprediction according those annealing conditions. We studied the stability of a simple Bragg grating (noapodisation, constant pitch, no tilt). Then, we have been able to study the problem of the stability(according to specific criteria) of complex components: CDC and GFF monofilters. This thesis allowed toshow precisely what is the VAREPA framework and how to apply it to optical telecommunicationsproblems. To give an answer to the question of the possibility of extending the master curve approach tocomplex components, series of accelerate aging studies have been carried out. For this purpose, ameasurement protocol including the determination of the measurement uncertainty was developed. Thisprotocol allow, to determine confidence intervals on the life time prediction.We studied the kinetics of photo induced index growth in the optical fiber dedicated forfabrication of CDC (Coreactive). This study allowed us to demonstrate that the predominant reaction atthe origin of changes in refractive index is activated by a one photon absorption. On the other hand wehave extended the VEREPA framework used to predict the Bragg gratings erasure to take into account thegrowing kinetics. In a second step we tried to calculate annealing conditions in the presence of residualmolecular hydrogen and associated Bragg grating life time prediction. For that purpose we established themaster curve of photo-induced Bragg gratings without annealing, then we validated the annealingconditions and lifetime predictions by building a new master curve from aging of annealed Bragg gratings(in presence of residual hydrogen).We studied the thermal stability of hydrogenated fiber Bragg gratings dedicated to futuremonofiltres GFF in similar conditions to those components. We used master curves from basic Bragggratings (ie no apodisation, constant pitch, no tilt) simply out-gazed at "cold" temperature (here 2 days at50 ° C and 2 days at 110 ° C). Then the aging of the index profile of a GFF monofilter have beensimulated (index profile of the core and of the cladding, each of them having a different master curve).For that purpose the profile have been separated into 35 "basic" filters. Then the spectral response of thisaged monofilter (e.g. 30 days at 200°C) have been calculated and compared with experimentalmeasurements. The advantage of this approach is that it is general and allow to change the annealingconditions if needed. Firstly, this study allowed to highlight that the stability of photo-induced indexchanges in the core depend little on the initial amplitude modulation for values between several 10-5 and10-3. Secondly, due to the presence of a highly sensitive optical cladding (and therefore highly Ge doped),Master curves, of photo-induced index change in the core and the cladding have been established forvalues ranging up to 10-3 in the core and 3.10-3 in the cladding. Master Curves with the same k0 havebeen obtained but the elbow and the slopes are different. Stability of index variations in the core is better(less Ge doped) than in the photosensitive cladding. In a second step, from the basic Bragg gratings, theannealing conditions and the lifetime have been determined. For the first time to our knowledge, thereliably of the annealing conditions and the life time predictions have been validated by building a newmaster curve on annealed GFF monofilters. According to the theory, this master curve show the same k0as the one determined using non-annealed gratings. More beyond the elbow, the two curves are same,which validates the reliability of our predictions.