11-year workload and barrier analysis for a high-energy linear accelerator
DOI:
https://doi.org/10.15392/bjrs.v9i2.1687Palavras-chave:
shielding, workload, IMRT, VMATResumo
The formalism used for barriers calculations is based on a conservative estimation of workload, use factor, and occupancy factor. IMRT techniques (Intensity Modulated Radiation Therapy) and VMAT (Volumetric Modulated Arc Therapy) are known for being superior to conventional techniques, but costly from the shielding standpoint, as they increase the number of monitor units used to deliver the same dose to the patient, increasing the leakage radiation produced and, consequently, the thickness of the secondary barriers. At InRad (Radiology Institute of HC-FMUSP) a 2100CD LINAC already installed was upgraded to perform IMRT/VMAT techniques, and the existing barrier was reassessed. The present study proposes a methodology for acquiring real workload data from the institution's management software (MOSAIQ®) to replace the initially estimated data and recalculate the thickness of the barriers, assessing the impact of the introduction of these techniques and understanding the profile of the treatments carried out at the institution over the years of 2010 to 2020. Through this methodology, a decrease in the workload of 15 MV was observed as the technique of modulated intensity with 6 MV was introduced, reducing the thicknesses calculated for primary barriers. However, no significant changes were observed in the thicknesses calculated for the secondary barriers, because despite the increase in the leakage workload of 6 MV, the total workload of 15 MV decreased. There was also a trend towards an increase in the number of patients treated with modulated intensity year after year, which went from 5% in 2016 to 67% in 2020.
Downloads
Referências
Steidley KD. NCRP Report No. 49: Structural Shielding Design And Evaluation For Medical Use Of X-Rays And Gamma Rays Of Energies Up To 10 MeV. Journal of Nuclear Medicine Technology. 1977 Jun 1;5(2):107-.
Schauer DA. NCRP Releases Report No. 151, Structural Shielding Design and Evaluation for Megavoltage X-and Gamma-Ray Radiotherapy Facilities.
Rodgers JE. Radiation therapy vault shielding calculational methods when IMRT and TBI procedures contribute. Journal of applied clinical medical physics. 2001 Jun;2(3):157-64.
Mechalakos JG, Germain JS, Burman CM. Results of a one year survey of output for linear accelerators using IMRT and non-IMRT techniques. Journal of Applied Clinical Medical Physics. 2004;5(1):64–72.
Mutic S, Low DA, Klein EE, Dempsey JF, Purdy JA. Room shielding for intensity-modulated radiation therapy treatment facilities. International Journal of Radiation Oncology Biology Physics.1o de maio de 2001;50(1):239–46.
Price RA, Chibani O, Ma C-M. Shielding evaluation for IMRT implementation in an existing accelerator vault. Journal of Applied Clinical Medical Physics. 2003;4(3):231–8.
Reis Junior, J. P., V. G. L. Alves, and L. R. Fairbanks. Total Workload for Radiotherapy Facilities with Volumetric Modulated Arc Treatment. Brazilian Journal of Radiation Sciences. 2019; 7(3): 1-13.
Norma, CNEN. NE-3.01: Diretrizes Básicas de Proteção Radiológica.
Ali, Arif N., et al. "Dosimetric comparison of volumetric modulated arc therapy and intensity-modulated radiation therapy for pancreatic malignancies." Medical Dosimetry 37.3 (2012): 271-275.
Lafond, C., et al. "Quelle RCMI? Du «step and shoot» au VMAT: point de vue du physicien." Cancer/Radiothérapie 14.6-7 (2010): 539-549.
Van Benthuysen, Liam, Lee Hales, and Matthew B. Podgorsak. "Volumetric modulated arc therapy vs. IMRT for the treatment of distal esophageal cancer." Medical Dosimetry 36.4 (2011): 404-409.
Downloads
Publicado
Edição
Seção
Licença
Direitos autorais (c) 2021 Brazilian Journal of Radiation Sciences

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Declaro que o presente artigo é original, não tendo sido submetido à publicação em qualquer outro periódico nacional ou internacional, quer seja em parte ou em sua totalidade. Declaro, ainda, que uma vez publicado na revista Brazilian Journal of Radiation Sciences, editada pela Sociedade Brasileira de Proteção Radiológica, o mesmo jamais será submetido por mim ou por qualquer um dos demais co-autores a qualquer outro periódico. Através deste instrumento, em meu nome e em nome dos demais co-autores, porventura existentes, cedo os direitos autorais do referido artigo à Sociedade Brasileira de Proteção Radiológica, que está autorizada a publicá-lo em meio impresso, digital, ou outro existente, sem retribuição financeira para os autores.
Licença
Os artigos do BJRS são licenciados sob uma Creative Commons Atribuição 4.0 Licença Internacional, que permite o uso, compartilhamento, adaptação, distribuição e reprodução em qualquer meio ou formato, desde que você dê o devido crédito ao (s) autor (es) original (is) e à fonte, forneça um link para a licença Creative Commons, e indique se mudanças foram feitas. As imagens ou outro material de terceiros neste artigo estão incluídos na licença Creative Commons do artigo, a menos que indicado de outra forma em uma linha de crédito para o material. Se o material não estiver incluído no licença Creative Commons do artigo e seu uso pretendido não é permitido por regulamentação legal ou excede o uso permitido, você precisará obter permissão diretamente do detentor dos direitos autorais. Para visualizar uma cópia desta licença, visite http://creativecommons.org/licenses/by/4.0/