Abstract
Intraoral and external electron shields used in radiotherapy are designed to minimize radiation exposure to non-treatment tissue. Sites where shields are used include but are not limited to, the treatment of lips, cheeks and ears whilst shielding the underlying oral cavity, tongue, gingival or temporal region. A commonly known and published effect, concerns the enhancement in dose that can occur on the beam side on an electron shield caused by an increase in electron backscatter radiation. In this work a lead shield has been designed incorporating copper, aluminium and wax in a step down filter arrangement to minimise backscatter whilst minimizing overall shield thickness for better clinical setup and ease of use. For electron beams ranging from 6 to 10 MeV, a standard shield design of 4 mm lead, 0.6 mm copper, 1.0 mm aluminium and 1.5 mm wax (3.1 mm added filtration, 7.1 mm total thickness) provided adequate backscatter and transmission reduction to match a standard 4.5 mm lead and 10 mm wax (total thickness 14.5 mm) electron shield. Dose enhancement values of no more than 10 % were measured utilising this shield design with a 50 % reduction in shield thickness. The thinner shield will not only allow easier patient set up but should be tolerated better by patients when mucosal reactions occur as they place less physical pressure on these sites during treatment due to their smaller size.
References
Gerbi BJ, Antolak JA, Deibel FC et al (2009) Recommendations for clinical electron beam dosimetry: supplement to the recommendations of Task Group 25. Med Phys 36(7):3239–3279
Hogstrom KR (2004) Electron beam therapy: dosimetry, planning, and techniques. In: Halperin EC, Perez CA, Brady IW (eds) Perez and Brady’s principles and practice of radiation oncology. Lippincott, Williams & Wilkins, Baltimore, pp 252–258
Vaeth JM, Meyer JL (1991) The role of high energy electrons in the treatment of cancer., Frontiers of radiation therapy and oncology seriesKarger, San Francisco
Tapley N (1976) Clinical application of the electron beam. Wiley, New York
Klevenhagen SC, Lambert GD, Arbabi A (1982) Backscattering in electron beam therapy for energies between 3 and 35 MeV. Phys Med Biol 27:363–373
Lambert GD, Klevenhagen SC (1982) Penetration of backscattered electrons in polystyrene for energies between 1 and 25 MeV. Phys Med Biol 27:721–725
Khan (2003) The physics of radiation therapy, 3rd edn. Philadelphia, Lippincott, Williams and Wilkins 2003
Weatherburn H, McMillan KT, Stedeford B (1975) Durrant KR Letter: Physical measurements and clinical observation on the backscatter on 10 MeV electrons from lead shielding. Br J Radiol 48(567):229–230
Khan FM, Werner BL, Deibel FC Jr (1981) Lead shielding for electrons. Med Phys 8(5):712–713
Klevenhagen SC (1990) Electron backscattering. Implication to electron dosimetry. Radiol Med 80(4 Suppl 1):160–162
Tabata T, Ito R (1992) Simple calculation of the electron-backscatter factor. Med Phys 19(6):1423–1426
Verhaegen F (2003) Interface perturbation effects in high-energy electron beams. Phys Med Biol 48(6):687–705
Hopley S, Cassidy D, Rattray G, Grocott R, Bonnell P (1999) Intra-oral shielding for electrons. Radiographer 46(3):147–151
Sathiyan S, Ravikumar M, Supe S (2006) Measurement of backscattered dose at metallic interfaces using high energy electron beams. Rep Pract Oncol Radiother 11(3):117–121
Chow JC, Grigorov GN (2008) Monte Carlo simulation of backscatter from lead for clinical electron beams using EGSnrc. Med Phys 35(4):1241–1250
Chow JC, Owrangi AM (2009) Solid water as phantom material for dosimetry of electron backscatter using low-energy electron beams: a Monte Carlo evaluation. Med Phys 36(5):1587–1594
Pérez-Calatayudt J, Ballester F, Serrano MA, Lluch JL, Casal E, Carmona V (2000) Dosimetric characteristics of backscattered electrons in lead. Phys Med Biol 45(7):1841–1849
Shiu AS, Tung SS, Gastorf RJ, Hogstrom KR, Morrison WH, Peters LJ (1996) Dosimetric evaluation of lead and tungsten eye shields in electron beam treatment. Int J Radiat Oncol Biol Phys 35:599–604
Niroomand-Rad A, Blackwell CR, Coursey BM, Gall KP, Galvin JM, McLaughlin WL, Meigooni AS, Nath R, Rodgers JE, Soares CG (1998) Radiochromic film dosimetry: recommendations of AAPM Radiation Therapy Committee Task Group 55. American Association of Physicists in Medicine. Med Phys 25(11):2093–2115
Butson MJ, Yu KN, Cheung T, Metcalfe PE (2003) Radiochromic film for medical radiation dosimetry. Mater Sci Eng R: Rep 41:61–120
Brown TA, Hogstrom KR, Alvarez D, Matthews KL 2nd, Ham K, Dugas JP (2012) Dose-response curve of EBT, EBT2, and EBT3 radiochromic films to synchrotron-produced monochromatic X-ray beams. Med Phys 39(12):7412–7417
Cheung T, Butson MJ, Yu KN (2005) Post irradiation coloration of Gafchromic EBT radiochromic film. Phys Med Biol 50:N281–N285
Butson MJ, Cheung T, Yu KN (2005) Absorption spectra variations of EBT radiochromic film from radiation exposure. Phys Med Biol 50:N135–N140
Butson MJ, Yu PKN, Cheung T, Alnawaf H (2010) Energy response of the new EBT2 radiochromic film to x-ray radiation. Radiat Meas 45:836–839
Arjomandy B, Tailor R, Zhao L, Devic S (2012) EBT2 film as a depth-dose measurement tool for radiotherapy beams over a wide range of energies and modalities. Med Phys 39(2):912–921
Butson MJ, Cheung T, Yu PK (2009) Evaluation of the magnitude of EBT Gafchromic film polarization effects. Australas Phys Eng Sci Med 32(1):21–25
Butson MJ, Cheung T, Yu PKN (2006) Scanning orientation effects on EBT Gafchromic film dosimetry. Australas Phys Eng Sci Med 29:281–284
Yu PKN, Butson M, Cheung T (2006) Does mechanical pressure on radiochromic film affect optical absorption and dosimetry? Australas Phys Eng Sci Med 29(3):285–287
National Institute of Standards and Technology. http://physics.nist.gov/PhysRefData/Star/Text/method.html. Accessed Mar 2014
Weidlich GA, Nuesch CE, Fuery JJ (1996) Added aluminum shielding to attenuate back scatter electrons from intra-oral lead shields. Med Dosim 21(3):165–167
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Butson, M., Chen, T., Rattanavoang, S. et al. Reducing shield thickness and backscattered radiation using a multilayered shield for 6–10 MeV electron beams. Australas Phys Eng Sci Med 38, 619–626 (2015). https://doi.org/10.1007/s13246-015-0382-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13246-015-0382-1