Basal cell carcinoma is a form of a non-melanoma skin tumour, that commonly forms over the sun exposed regions of the head and neck. Investigation of the rate of occurrence at different sites on face and neck shows considerable variation from site to site. The inner canthus has a disproportionate number when compared to more exposed sites. The eye brow ridge, cheek bone and nose limit the field of view of the inner canthus, thus it is expected to receive less radiation than other more exposed regions. To explain the disproportionate rate, it is hypothesised that a portion of radiation incident onto the eye is reflected to the inner canthus. The aim of this thesis is to investigate the contribution that the radiation reflected off the surface of the eye makes to the overall dose on the inner canthus. The inter reflections between the eye and inner canthus were studied through the use of the ray tracing program Zemax. Zemax was used to trace rays in a non sequential mode incident onto a model eye and periorbital region. To obtain the models of the eye and periorbital region, both magnetic resonance imaging and a casting process was investigated, with the later being superior for our uses. With the model obtained, it was used in a series of three dimensional ray tracing programs. On a macroscopic scale there is a small increase in the irradiance on the inner canthus (2 % over a 1 cm2 area). Peaks of high irradiance (19 % increase in irradiance above direct irradiance) were discovered over the surface when the detector was divided into 200 mm elements. It was concluded that these increases above the direct irradiance in these small regions, increases the possibility of the occurrence of a Basal cell carcinoma. Individual facial geometry, will greatly effect the location and size of these peaks and as a result an experimental method to measure the dose distribution across the inner canthus was proposed. Initially it was planned to use polysulphone film to measure the erythemal dose on the inner canthus. Results from the modelling indicated that any measurements made had to be at a high spatial resolution. Polysulphone film was found to be inadequate for this, due to its large uncertainties. An alternative method was investigated so that a population study could be performed in future studies using visible radiation and high dynamic range images gave a simple and effective clinical assessment tool. The high dynamic range images showed hot spots in the irradiance across the inner canthus agreeing with the model. The small spots of high relative irradiance may not be the only reason for the increased rate in this region. Greater skin sensitivity and absence of sun screen use at this site are other possibilities. It is believed however that the irradiance distribution across the inner canthus on a microscopic scale goes a long way to increasing the risk for certain people.
| Identifer | oai:union.ndltd.org:ADTP/265453 |
| Date | January 2007 |
| Creators | Birt, Benjamin Joseph |
| Publisher | Queensland University of Technology |
| Source Sets | Australiasian Digital Theses Program |
| Detected Language | English |
| Rights | Copyright Benjamin Joseph Birt |
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