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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Neutron Dosimetry in Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics and TechnologyUniversity of Bergen

    August 2009

    http://-/?-http://-/?-http://find/http://goback/http://-/?-http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Introduction

    About 50% of all cancer patients receive radiotherapy

    http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Introduction

    About 50% of all cancer patients receive radiotherapy

    The aim of radiotherapy is to damage cancer cells whilesparing healthy tissue

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Introduction

    About 50% of all cancer patients receive radiotherapy

    The aim of radiotherapy is to damage cancer cells whilesparing healthy tissue

    Most common is the use of an external photon beam

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Introduction

    About 50% of all cancer patients receive radiotherapy

    The aim of radiotherapy is to damage cancer cells whilesparing healthy tissue

    Most common is the use of an external photon beam Hadron therapy is an alternative which has received increasing

    interest over the last decades

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Introduction

    About 50% of all cancer patients receive radiotherapy

    The aim of radiotherapy is to damage cancer cells whilesparing healthy tissue

    Most common is the use of an external photon beam Hadron therapy is an alternative which has received increasing

    interest over the last decades

    Neutrons are produced during the treatment and contributeto a higher dose in healthy tissue

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Linear accelerator for radiotherapy with photons

    Photon energies between 6 and 18 MeV are the mostcommon to use

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Neutron contamination of the photon beam

    Neutrons are mainly produced through (,n) reactions in the

    high-Z material used for shielding and shaping the photonbeam

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Neutron contamination of the photon beam

    Neutrons are mainly produced through (,n) reactions in the

    high-Z material used for shielding and shaping the photonbeam

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Principles of hadron therapy

    Protons, 12C-ions or other ions are accelerated to energies upto about 400 MeV/u

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Secondary particles from hadron therapy

    Neutrons, protons and fragments lighter than the primaryparticles are produced through nuclear reactions and maycontribute to dose outside the target volume

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Dosimetry

    Absorbed dose (D)Defined as the energy deposited per unit mass, D = E

    m

    The unit for absorbed dose is the Gray [Gy]

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Dosimetry

    Absorbed dose (D)Defined as the energy deposited per unit mass, D = E

    m

    The unit for absorbed dose is the Gray [Gy]

    Equivalent dose (HT)The absorbed dose is weighted by a quality factor dependingon the type of radiationHT = wRDR

    The unit for equivalent dose is the Sievert [Sv]

    N D i i

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Neutron detectors

    BF3 proportional counter

    3He proportional counter

    6

    Li-based scintillators Thin film breakdown counter - Fission counter

    Thermoluminescence detectors

    Bubble detectors

    N t D i t i

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Physical principles of bubble detectors

    Superheated droplets dispersed throughout a clear plasticpolymer

    Neutron Dosimetry in

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Physical principles of bubble detectors

    Superheated droplets dispersed throughout a clear plasticpolymer

    A liquid is said to be superheated if it continues to exist inthe liquid state above its normal boiling point

    Neutron Dosimetry in

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Physical principles of bubble detectors

    Superheated droplets dispersed throughout a clear plasticpolymer

    A liquid is said to be superheated if it continues to exist inthe liquid state above its normal boiling point

    The droplets are vaporized into bubbles if sufficient energy isdeposited in the droplet

    Neutron Dosimetry in

    f

    http://goforward/http://find/http://goback/http://-/?-
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    Neutron Dosimetry in

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Physical principles of bubble detectors

    Superheated droplets dispersed throughout a clear plasticpolymer

    A liquid is said to be superheated if it continues to exist inthe liquid state above its normal boiling point

    The droplets are vaporized into bubbles if sufficient energy isdeposited in the droplet

    The number of bubbles is proportional to the equivalent dose

    Neutron Dosimetry in

    B bbl D S (BDS)

    http://goforward/http://find/http://goback/http://-/?-
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    y

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Bubble Detector Spectrometer (BDS)

    6 different energy thresholds

    Neutron Dosimetry in

    B bbl D S (BDS)

    http://goforward/http://find/http://goback/http://-/?-
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    y

    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Bubble Detector Spectrometer (BDS)

    6 different energy thresholds

    Unfolding of the response from all the subgroups gives aneutron energy spectrum represented by a 6-region histogram

    Neutron Dosimetry in

    Ph t b t

    http://goforward/http://find/http://goback/http://-/?-
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    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Photon beam setup

    The bubble detectors were placed inside the phantom and a15 MeV photon beam applied

    Neutron Dosimetry in

    T t d d f th BDS d t t

    http://goforward/http://find/http://goback/http://-/?-
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    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Temperature dependence of the BDS detectors

    The response from the BDS detectors was measured at 15

    ,20

    and 25

    Neutron Dosimetry in

    R di hTe e at e de e de ce of the BDS detecto s

    http://goforward/http://find/http://goback/http://-/?-
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    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble Detector

    Characterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Temperature dependence of the BDS detectors

    The response from the BDS detectors was measured at 15

    ,20

    and 25

    An increase in the temperature of 5

    can lead to an increasein the response of more than 100%

    Neutron Dosimetry in

    RadiotherapMeasurement setup in the isocenter plane

    http://goforward/http://find/http://goback/http://-/?-
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    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble DetectorCharacterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Measurement setup in the isocenter plane

    without the phantom

    Neutron Dosimetry in

    RadiotherapyComparison of the obtained neutron spectrum

    http://goforward/http://find/http://goback/http://-/?-
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    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble DetectorCharacterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Comparison of the obtained neutron spectrum

    with Monte Carlo simulations

    Energy [MeV]-210 -110 1 10

    Fluence[n/(cm2

    Gy)]

    610

    710

    810

    Neutron spectrum measured with the BDS in the isocenter plane without the phantom

    Neutron Dosimetry in

    RadiotherapyResults from the photon beam measurements

    http://goforward/http://find/http://goback/http://-/?-
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    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble DetectorCharacterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Results from the photon beam measurements -

    Dose

    Placement of detectors1 2 3 4 5 6 7 8

    Neutrondose[mSv/Gy]

    0

    2

    4

    6

    8

    10

    12

    141 - Isocenter plane

    2 - MC simulations isocenter plane

    3 - Position 8

    4 - Position 8 Closed MLCs

    5 - Position 9

    6 - Position 9 closed MLCs

    7 - Position 14

    8 - Position 15

    Neutron dose for various positions

    Neutron Dosimetry in

    RadiotherapyCarbon Beam Measurements Setup

    http://goforward/http://find/http://goback/http://-/?-
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    Radiotherapy

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble DetectorCharacterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Carbon Beam Measurements - Setup

    Neutron Dosimetry in

    RadiotherapyConclusion

    http://goforward/http://find/http://goback/http://-/?-
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    py

    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble DetectorCharacterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Conclusion

    Bubble detectors are a good alternative to measure neutrondoses in radiotherapy

    Neutron Dosimetry in

    RadiotherapyConclusion

    http://goforward/http://find/http://goback/http://-/?-http://-/?-http://-/?-http://-/?-http://-/?-http://-/?-
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    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble DetectorCharacterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Conclusion

    Bubble detectors are a good alternative to measure neutrondoses in radiotherapy

    The bubble detectors sensitivity varies strongly withtemperature

    Neutron Dosimetry in

    RadiotherapyConclusion

    http://goforward/http://find/http://goback/http://-/?-http://-/?-http://-/?-http://-/?-http://-/?-http://-/?-
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    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble DetectorCharacterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Conclusion

    Bubble detectors are a good alternative to measure neutrondoses in radiotherapy

    The bubble detectors sensitivity varies strongly withtemperature

    Neutron doses from photons were found to be in the order ofmSv per Gray

    Neutron Dosimetry in

    Radiotherapy

    http://goforward/http://find/http://goback/http://-/?-http://-/?-http://-/?-http://-/?-http://-/?-http://-/?-
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    Kristian Ytre-Hauge

    Department of Physics

    and Technology

    University of Bergen

    Introduction

    Radiotherapy with

    Photons

    Radiotherapy with

    Hadrons

    Dosimetry

    Neutron Detectors

    Bubble DetectorCharacterization

    Neutron Spectra in the

    Medical Linac Room

    Carbon Beam

    Measurements

    Conclusion

    Thank you!

    http://goforward/http://find/http://goback/http://-/?-http://-/?-http://-/?-http://-/?-http://-/?-http://-/?-http://-/?-