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High levels for noise and a loss of true signal make the quantitative interpretation of nuclear medicine (NM) images difficult. An application of profile optimization using a sigmoidal function in this study was used to acquire the NM images with high quality. And the images were acquired by using three kinds of reconstruction method using each same sinogram: a standard filtered back-projection (FBP), an iterative reconstruction (IR) technique, and the sigmoidal function profile optimization (SFPO). Comparison of image according to reconstruction method was performed to show a superiority of the SFPO for imaging. The images reconstructed by using the SFPO showed an average of 1.49 times and of 1.17 times better in contrast than the results obtained using the standard FBP and the IR technique, respectively. Higher signal to noise ratios were obtained as an average of 12.30 times and of 3.77 times than results obtained using the standard FBP and the IR technique, respectively. This study confirms that reconstruction with SFPO (vs FBP and vs IR) can lead to better lesion detectability and characterization with noise reduction. It can be developed for future reconstruction technique for the NM imaging.

The purpose of this study was to demonstrate the feasibility of sensing changes in a tumor during boron neutron capture therapy (BNCT) using a Monte Carlo simulation tool. In the simulation, an epi-thermal neutron source and a water phantom including boron uptake regions (BURs) were simulated. Moreover, this simulation also included a detector for positron emission tomography (PET) scanning and an adaptively-designed collimator (ADC) for PET. After the PET scanning of the water phantom, including the 511 keV source in the BUR, the ADC was positioned in the PET's gantry. Single prompt gamma rays were collected through the ADC during neutron irradiation. Then, single prompt gamma ray-based tomography images of different sized tumors were acquired by a four-step process. Both the signal-to-noise ratio (SNR) and tumor size were analyzed from each step image. From this analysis, we identified a decreasing trend of both the SNR and signal intensity as the tumor size decreased, which was confirmed in all images. In conclusion, we confirmed the feasibility of sensing changes in a tumor during BNCT using PET and an ADC through Monte Carlo simulation.

Purpose Scanning proton therapy has dosimetric advantage over passive treatment, but has a large penumbra in low-energy region. This study investigates the penumbra reduction when multi-leaf collimators (MLCs) are used for line scanning proton beams and secondary neutron production from MLCs. Methods Scanning beam plans with and without MLC shaping were devised. Line scanning proton plan of 36 energy layers between 71.2 and 155.2 MeV was generated. The MLCs were shaped according to the cross-sectional target shape for each energy layer. The two-dimensional doses were measured through an ion-chamber array, depending on the presence of MLC field, and Monte Carlo (MC) simulations were performed. The plan, measurement, and MC data, with and without MLC, were compared at each depth. The secondary neutron dose was simulated with MC. Ambient neutron dose equivalents were computed for the line scanning with 10 × 10 × 5 cm3 volume and maximum proton energy of 150 MeV, with and without MLCs, at lateral distances of 25–200 cm from the isocenter. The neutron dose for a wobbling plan with 10 × 10 × 5 cm3 volume was also evaluated. Results The lateral penumbra width using MLC was reduced by 23.2% on average, up to a maximum of 32.2%, over the four depths evaluated. The ambient neutron dose equivalent was 18.52% of that of the wobbling beam but was 353.1% larger than the scanning open field. Conclusions MLC field shaping with line scanning reduced the lateral penumbra and should be effective in sparing normal tissue. However, it is important to investigate the increase in neutron dose.

Purpose To develop a real-time alignment monitoring system (RAMS) to compensate for the limitations of the conventional room-laser-based alignment system. To verify the feasibility of the RAMS, reproducibility and accuracy tests were conducted. Methods RAMS was composed of a room laser sensing array (RLSA), an electric circuit, an analog-to-digital converter (ADC), and a control PC. The RLSA was designed to arrange photodiodes in a pattern that results in the RAMS having a resolution of 1 mm. The photodiodes were used for quantitative assessment of the alignment condition. To verify the usability of the developed system, we conducted tests of temporal reproducibility, repeatability, and accuracy. Results The results of the temporal reproducibility test suggested that the signal of the RAMS was stable with respect to time. Further, the repeatability test resulted in a maximum coefficient of variance of 1.14%, suggesting that the signal of the RAMS was stable over repeated set-ups. The accuracy test confirmed that the “on” and “off” signals could be distinguished by signal intensity, considering that the “off” signal was below 75% of the “on” signal in every case. In addition, we confirmed that the system can detect 1 mm of movement by monitoring the pattern of the “on” and “off” signals. Conclusion We developed a room laser based alignment monitoring system. The feasibility test verified that the system is capable of quantitative alignment monitoring in real time. We expect that the RAMS can propose the potential of the room laser based alignment monitoring method.

As medical technology evolves and patient needs increase, the need for well-trained and highly professional medical physicists (MPs) becomes even more urgent. The roles and responsibilities of MPs in various departments within the hospital are diverse and demanding. It is obvious that training, continuing education and professional development of MPs have become essential. One of the ways for an MP to advance his or her knowledge is to participate in conferences and congresses. Last year, the 22nd International Conference of Medical Physics (ICMP 2016) took place in Bangkok, Thailand. The event attracted 584 delegates with most of the participants coming from Asia. It attracted also delegates from 42 countries. The largest delegations were from Thailand, Japan and South Korea. ICMP 2016 included 367 oral presentations and e-posters, most of these being in the fields of Radiation Therapy, Medical Imaging and Radiation Safety. All abstracts were published as an e-book of Abstracts in a supplement to the official IOMP Journal. Many companies had exhibition stands at ICMP2016, thus allowing the participants to see the latest developments in the medical physics-related industry. The conference included 42 mini-symposia, part of the first "IOMP School" activity, covering various topics of importance for the profession and this special issue follows from the success of the conference.

In Gamma Knife radiosurgery, the occurrence of reapplying the stereotactic frame leads to re-examination and re-planning. To avoid undergoing invasive second angiography examination for the treatment of vascular lesions, and reduce re-planning time, a mathematical coordinate transformation method using the anatomical information has been developed. The MR or CT images of a human brain before and after frame reapplication were correlated with each other using the Affine transformation. The transformation parameters which minimize the RMS error of the original and transformed coordinates between the images were determined using a genetic algorithm. Three CT image studies of skull phantom and five MR image studies of patients were used for the evaluation. The RMS error in the coordinate transformation of skull phantom and clinical images was 0.3 ± 0.1 mm and 0.6 ± 0.1 mm, respectively. The original treatment plans of patients were converted to new plans using the transformation matrix. For total 9 treatment lesions of 0.2-14.1 cc, 3% and 11% RMS error in the irradiation time and target coverage were found respectively. The deeply-located lesions showed a better RMS error of 3% in the conformity index and similar dose distribution than superficial lesions close to the skull.

The purpose of this study was to evaluate the neutron dose equivalent from proton nuclear interactions with the multi-leaf collimator (MLC) during line scanning proton therapy. We generated a wobbling mode plan, a scanning mode plan, and a dynamic MLC with scanning mode plan with a field size of 7 cm and 12 cm, a maximum proton energy of 150 MeV. A Monte Carlo study was performed using the GEANT4 code (version 10.01.p01) [1] for our virtual machine based on the multi-purpose proton nozzle. In the wobbling mode, scanning mode, and scanning mode with dynamic MLC, the neutron dose equivalent generated through the nozzle was compared using the 12 cm diameter receptor. The receptors were located at the distance of r = 0, 25, 50, 100, 150, and 200 cm from the isocenter. In both field size conditions, the neutron dose equivalent in the scanning mode were 96.6%, 98.7%, 98.7%, 98.4%, 98.2%, and 97.9% lower than the wobbling mode in each receptor position, respectively. However, the neutron doses equivalent using line scanning with MLC to reduce the lateral penumbral width were 53.0%, 91.8%, 90.0%, 90.2%, 92.0%, and 91.6%, respectively, compared to the wobbling mode. The use of dynamic MLC in the scanning increases the neutron dose equivalent, but the use of dynamic MLC can reduce the dose to the organ at risk around the target and avoid disadvantages of the conventional scanning proton therapy [2] . However, according to the results of this study, secondary cancer caused by the effect of neutron dose increased when scanning with dynamic MLC is not negligible [3]

A procedure for the determination of the location of prostate implant seeds that are wholly overlapped in a projection view has been developed. The procedure mainly consists of a series of image processing and an in-house developed localization software based on a three-film technique. To verify the efficacy of the procedure, a simulation phantom was built and nine sets of simulation were performed. For the assessment of the location of the seeds in the phantom, three images, one in anterior-posterior direction and two others in oblique angles, were acquired and a series of image processing was applied to the images for the removal of unnecessary background and the improvement of imaging quality. In this study, three types were considered; first, when two seeds were overlapped in one of projection images, second, more than three seeds were overlapped in one of projection images, and the third, all images contained wholly overlapped seeds. The developed software separates wholly overlapped seeds by calculating the distance between seeds in each film. This software can provide valuable information for establishing effective quality assurance in permanent prostate brachytherapy.

A radiophotoluminescent glass rod dosimeter (RPL-GRD) system has recently become commercially available. The purpose of this study was to investigate the dosimetric characteristics (reproducibility, linearity, fading, energy dependence and angular dependence) of the RPL-GRD for a mailed dosimeter and to compare it with LiF-TLD powder. In this study, the model GD-301 GRD and TLD-700 were powder type used. All measurements with the exception of angular dependence were performed in a water phantom using a holder stand. The RPL-GRD has better reproducibility than the TLD for the Co-60 beam as well as for the clinical photon beam. The RPL-GRD signal was linear as a function of applied dose in the range of 0.5–3 Gy for the Co-60 gamma rays. The fading of the RPL-GRD after a received dose of 2 Gy was initially found to be within 1.7% for five months. The energy dependence of both dosimeters was found to be less than 1.6% for photon beams, but was less than 5.0% for electron beams, which was in agreement with published data. The angular dependence of the RPL-GRD was measured to be approximately 1.4% for angles ranging ±90° from the beam axis using a spherical polystyrene phantom. The measurements comparing RPL-GRD and TLD dosimetric characteristics demonstrated that the RPL-GRD is suitable for mailed dosimetry in a quality assurance (QA) audit program.

A radiophotoluminescent glass rod detector has recently become commercially available. We evaluated the feasibility of the commercial glass rod as a new detector for measuring output factors in the CyberKnife. The glass rod detector was irradiated in a water phantom using a holder stand, which was specially designed for this study. The holder was composed of a PMMA tube with an attached vertical bar for the glass rod detector. The measured output factors obtained with the glass rod detector were compared with measurements made with a pinpoint ionization chamber, a diode, and a radiochromic film. The measured relative output factors obtained with the glass rod detector agreed with other detectors within 1.0% for collimator sizes larger than 20 mm. However, it was observed that the differences between the output factors measured with the glass rod detector and those obtained with the pinpoint chamber increased rapidly as the collimator size decreased. The relative output factors measured with the diode were consistently higher than those obtained using other detectors for the collimators sizes less than 10 mm in diameter. The glass rod detector results were in good agreement with those obtained from the radiochromic EBT film over the entire range of collimator sizes.

This study measured the cerebral glucose metabolism in patients suffering from corticobasal degeneration (CBD) and progressive supranuclear palsy (PSP). The aim was to determine if there is a different metabolic pattern using (18)F-labeled 2-deoxyglucose ((18)F-FDG) positron emission tomography (PET). The regional cerebral glucose metabolism was examined in 8 patients diagnosed clinically with CBD (mean age 69.6 +/- 7.8 years; male/female: 5/3), 8 patients with probable PSP (mean age 67.8 +/- 4.5 years; male/female: 4/4) and 22 healthy controls. The regional cerebral glucose metabolism between the three groups was compared using statistical parametric mapping (SPM) with a voxel-by-voxel approach (p < 0.001, 200-voxel level). Compared with the normal controls, asymmetry in the regional glucose metabolism was observed in the parietal, frontal and cingulate in the CBD patients. In the PSP patients, the glucose metabolism was lower in the orbitofrontal, middle frontal, cingulate, thalamus and mid-brain than their age matched normal controls. A comparison of the two patient groups demonstrated relative hypometabolism in the thalamus, the mid-brain in the PSP patients and the parietal lobe in CBD patients. These results suggest that when making a differential diagnosis of CBD and PSP, voxel-based analysis of the (18)F-FDG PET images using a SPM might be a useful tool in clinical examinations.

To investigate whether there are significant changes in regional brain metabolism in patients with Parkinson's disease before and after thalamotomy using proton magnetic resonance spectroscopy ( 1 H MRS). Fifteen patients underwent 15 stereotactic thalmotomies for control of medically refractory parkinsonian tremor. Single-voxel 1 H MRS was carried out on a 1.5 T unit using stimulated-echo acquisition mode (STEAM) sequence (TR/TM/TE, 2000/14/20 ms). Spectra were obtained from substantia nigra, thalamus and putamen areas with volumes of interests (7 8 ml) in patients before and after the surgery. Metabolite ratios of NAA/Cho, NAA/Cr and Cho/Cr were calculated from relative peak area measurements. We evaluated alterations of metabolite ratios in brain metabolism in Parkinson's disease patients with clinical outcome following thalamotomy, NAA/Cho ratios showed generally low levels in substantia nigra and thalamus in Parkinson's disease patients with clinical improvement following thalamotomy. In 80% (12/15) patients, decreased NAA/Cho ratios were observed from the selected voxels in substantia nigra after thalamic surgery (P < 0.05). The ratios were also significantly decreased in thalamus in 67% (10/15) patients with clinical improvement (P < 0.05). Our results suggest that NAA/Cho ratio may be a valuable criterion for evaluation of Parkinson's disease patients with the clinical improvement following surgery. 1 H MRS may be a useful utility for the aid in better understanding the pathophysiologic process in Parkinson's disease patients on the basis of the variation of NAA/Cho ratio.

To prove feasibility of proton chemical shift imaging ((1)H CSI) during stereotactic procedure, authors performed (1)H CSI in combination with a stereotactic headframe and selected targets according to local metabolic information, evaluated the pathologic results. The (1)H CSI directed stereotactic biopsy was performed in four patients. (1)H CSI and conventional Gd-enhancement stereotactic MRI were performed simultaneously after the fitting of a stereotactic headframe. Focal areas of increased phosphocholine(Cho)/phosphocreatine(Cr) and Lactate/Cr ratios were selected as target sites in the stereotactic MR images. (1)H CSI is possible with the stereotactic headframe in place. Pathologic samples taken from areas of increased Cho/Cr ratios and decreased NAA/Cr ratios provided information upon increased cellularity, mitoses and cellular atypism, and facilitated diagnosis. Pathologic samples taken from areas of increased Lac/Cr ratio showed predominant feature of necrosis. (1)H CSI was feasible with the stereotactic headframe in place. The final pathologic results obtained were concordant with the local metabolic information from (1)H CSI. We believe that (1)H CSI-directed stereotactic biopsy has the potential to significantly improve the accuracy of stereotactic biopsy targeting.

Using the transient behavior of the photoconductive-gain mechanism, a signal gain in radiation detection with a-Si:H devices may be possible. The photoconductive gain mechanism in two types of hydrogenated amorphous silicon devices, p-i-n and n-i-n configurations, was investigated in connection with applications to radiation detection. Photoconductive gain was measured in two time scales: one for short pulses of visible light ( 2 . Various gain results are discussed in terms of the device structure, applied bias and dark-current density.

Purpose/Objective(s): The purpose of the current study is to compare standard tangential and volumetric modulated arc (VMAT) plans for synchronous bilateral breast patients in terms of target coverage and doses to organs at risk (OARs). Materials/Methods: For 10 bilateral breast patients we created separate left and right tangential plans and a single VMAT plan encompassing both breasts as target volume. Patients were prescribed to 50 Gy in 2 Gy fractions. Breast PTV was contracted 3 mm inside the body contour. Lungs, heart, and spine were contoured. For 3D plans each breast was planned independently, aiming to achieve adequate coverage. Where a significant portion of the heart was in the left breast fields, we used a multileaf collimator to block the heart. The hotspot was kept below 107%. A plan sum of the independent plans was generated to ensure no dose overlaps, and for comparison with the VMAT plan. VMAT plans were normalized to 95% dose covering 95% PTV volume, with maximum dose below 107%. OAR optimization objectives were based on QUANTEC data: Both lungs: mean lung dose (MLD)