1. Monte Carlo-based dosimetry of proposed bi-radionuclide ( 125 I and 106 Ru/ 106 Rh) eye plaque: A feasibility study.
- Author
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Mishra S, Selvam TP, Sahoo S, Saxena SK, Kumar Y, and Sapra BK
- Subjects
- Humans, Radiotherapy Dosage, Ruthenium Radioisotopes therapeutic use, Eye radiation effects, Eye Neoplasms radiotherapy, Monte Carlo Method, Brachytherapy methods, Brachytherapy instrumentation, Iodine Radioisotopes therapeutic use, Feasibility Studies, Radiometry
- Abstract
Background: Combining the sharp dose fall off feature of beta-emitting
106 Ru/106 Rh radionuclide with larger penetration depth feature of photon-emitting125 I radionuclide in a bi-radionuclide plaque, prescribed dose to the tumor apex can be delivered while maintaining the tumor dose uniformity and sparing the organs at risk. The potential advantages of bi-radionuclide plaque could be of interest in context of ocular brachytherapy., Purpose: The aim of the study is to evaluate the dosimetric advantages of a proposed bi-radionuclide plaque for two different designs, consisting of indigenous125 I seeds and106 Ru/106 Rh plaque, using Monte Carlo technique. The study also explores the influence of other commercial125 I seed models and presence or absence of silastic/acrylic seed carrier on the calculated dose distributions. The study further included the calculation of depth dose distributions for the bi-radionuclide eye plaque for which experimental data are available., Methods: The proposed bi-radionuclide plaque consists of a 1.2-mm-thick silver (Ag) spherical shell with radius of curvature of 12.5 mm, 20 µm-thick-106 Ru/106 Rh encapsulated between 0.2 mm Ag disk, and a 0.1-mm-thick Ag window, and water-equivalent gel containing 12 symmetrically arranged125 I seeds. Two bi-radionuclide plaque models investigated in the present study are designated as Design I and Design II. In Design I,125 I seeds are placed on the top of the plaque, while in Design II106 Ru/106 Rh source is positioned on the top of the plaque. In Monte Carlo calculations, the plaque is positioned in a spherical water phantom of 30 cm diameter., Results: The proposed bi-radionuclide eye plaque demonstrated superior dose distributions as compared to125 I or106 Ru plaque for tumor thicknesses ranges from 5 to 10 mm. Amongst the designs, dose at a given voxel for Design I is higher as compared to the corresponding voxel dose for Design II. This difference is attributed to the higher degree of attenuation of125 I photons in Ag as compared to beta particles. Influence of different125 I seed models on the normalized lateral dose profiles of Design I (in the absence of carrier) is negligible and within 5% on the central axis depth dose distribution as compared to the corresponding values of the plaque that has indigenous125 I seeds. In the presence of a silastic/acrylic seed carrier, the normalized central axis dose distributions of Design I are smaller by 3%-12% as compared to the corresponding values in the absence of a seed carrier. For the published bi-radionuclide plaque model, good agreement is observed between the Monte Carlo-calculated and published measured depth dose distributions for clinically relevant depths., Conclusion: Regardless of the type of125 I seed model utilized and whether silastic/acrylic seed carrier is present or not, Design I bi-radionuclide plaque offers superior dose distributions in terms of tumor dose uniformity, rapid dose fall off and lesser dose to nearby critical organs at risk over the Design II plaque. This shows that Design I bi-radionuclide plaque could be a promising alternative to125 I plaque for treatment of tumor sizes in the range 5 to 10 mm., (© 2024 American Association of Physicists in Medicine.)- Published
- 2024
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