Search Results (5)

This study aimed to evaluate the scientific reliability of 3D-printed silicone boluses fabricated with patient-specific molds, focusing on fabrication-related uncertainties such as internal air bubbles, thickness variations, and density differences, thereby providing evidence for clinical quality assurance. Custom silicone boluses were fabricated using 3D-printed molds with varying vacuum degassing times (1, 5, and 10 min). Air bubble size and depth were quantified using scanner image analysis, while density and Hounsfield unit (HU) values were compared with a commercial bolus. Dosimetric evaluation was performed using a VitalBeam linear accelerator (6 MV photons, Varian Medical Systems, Palo Alto, CA, USA) and a MatriXX 2D detector (IBA Dosimetry, Schwarzenbruck, Germany), comparing treatment planning system (TPS) calculated doses with measured doses across a 3 × 3 grid. Surface dose distributions were further analyzed using EBT3 film. Results showed that bubble size increased with longer vacuum times, interpreted as coalescence due to limited degassing and silicone viscosity. The density of 3D boluses ranged from 0.980 to 1.104 g/cm³ (commercial: 0.988 g/cm³), with HU values of +240 to +250 (commercial: −110). In point-wise comparisons, mean dose differences were less than 1% for 1- and 5 min samples and approximately 1% for 10 min, with all conditions within |Δ| ≤ 3%. Film analysis confirmed equivalent surface dose distributions. These findings demonstrate, for the first time, that microscopic bubbles in 3D-printed silicone boluses have negligible clinical impact, supporting their safe adoption without requiring complex degassing procedures. Full article

This study presents a comprehensive dosimetric characterization and commissioning of a grid-type collimator manufactured via 3D printing using PLA-W composite filament, following an international protocol for small-field dosimetry. PLA doped with high concentrations of tungsten (>90% w/w) enables the fabrication of miniaturized collimators (<1 cm) with complex geometries, suitable for non-conventional radiotherapy applications. However, accurate assessment of spatial dose modulation is challenged by penumbra overlap between closely spaced beamlets, limiting the application of conventional instrumentation and protocols. To address this, absolute and relative dose distributions were evaluated for various radiation field configurations (number of beamlets) in both lateral and depth directions. Measurements were performed according to the IAEA TRS-483 protocol, using micro-ionization chambers and diode detectors. Additionally, long-term stability assessments were carried out to evaluate both the structural integrity and modulation performance of the printed grid over time. Point dose measurements using the same detectors were repeated after one year, and 2D surface dose distributions measured with EBT3 films were compared to SRS MapCHECK measurements two years later. The generated radiation field size of the central beamlet (FWHM) differed by less than 0.2% (15.8 mm) from the physical projection size (15.6 mm) and the lateral transmission due simultaneous beamlets resulted in FWHM variations of less than 3.8%, confirming manufacturing precision and collimator capability. Output factor measurements increased with the number of beamlets, from 0.75 for a single beamlet to 0.82 for the full beamlets configuration. No significant changes were observed in the depth of maximum dose across the different beamlets configurations (1.20 ± 0.20 cm). On the other hand, the long-term evaluations show no relevant changes in the FWHM or VPR, confirming the performance and reliability of the system. These results support the clinical feasibility and lasting performance stability of in-house manufactured grid collimators using PLA-W filaments and accessible 3D printing technology. Full article

In recent years, the interest in transcranial magnetic stimulation (TMS) has surged, necessitating deeper understanding, development, and use of low-frequency (LF) numerical dosimetry for TMS studies. While various ad hoc dosimetric models exist, commercial software tools like SimNIBS v4.0 and Sim4Life v7.2.4 are preferred for their user-friendliness and versatility. SimNIBS utilizes unstructured tetrahedral mesh models, while Sim4Life employs voxel-based models on a structured grid, both evaluating induced electric fields using the finite element method (FEM) with different numerical solvers. Past studies primarily focused on uniform exposures and voxelized models, lacking realism. Our study compares these LF solvers across simplified and realistic anatomical models to assess their accuracy in evaluating induced electric fields. We examined three scenarios: a single-shell sphere, a sphere with an orthogonal slab, and a MRI-derived head model. The comparison revealed small discrepancies in induced electric fields, mainly in regions of low field intensity. Overall, the differences were contained (below 2% for spherical models and below 12% for the head model), showcasing the potential of computational tools in advancing exposure assessment required for TMS protocols in different bio-medical applications. Full article

A freely available “in vitro dosimetry” web application is presented enabling users to predict the concentration of nanomaterials reaching the cell surface, and therefore available for attachment and internalization, from initial dispersion concentrations. The web application is based on the distorted grid (DG) model for the dispersion of engineered nanoparticles (NPs) in culture medium used for in vitro cellular experiments, in accordance with previously published protocols for cellular dosimetry determination. A series of in vitro experiments for six different NPs, with Ag and Au cores, are performed to demonstrate the convenience of the web application for calculation of exposure concentrations of NPs. Our results show that the exposure concentrations at the cell surface can be more than 30 times higher compared to the nominal or dispersed concentrations, depending on the NPs’ properties and their behavior in the cell culture medium. Therefore, the importance of calculating the exposure concentration at the bottom of the cell culture wells used for in vitro arrays, i.e., the particle concentration at the cell surface, is clearly presented, and the tool introduced here allows users easy access to such calculations. Widespread application of this web tool will increase the reliability of subsequent toxicity data, allowing improved correlation of the real exposure concentration with the observed toxicity, enabling the hazard potentials of different NPs to be compared on a more robust basis. Full article

Commercially available radiochromic films are primarily designed for clinical X-ray dosimetry. These films change color upon exposures to radiation as a result of solid-state polymerization (SSP). Built on a previous model developed for SSP upon exposures to ultraviolet (UV) radiation, a new model was developed in the present work for X-ray-induced coloration in Gafchromic EBT3 films. Monte Carlo simulations using the Monte Carlo N-Particle (MCNP) code were employed to model the transport and interaction of photons and the generated secondary electrons within the film active layer. The films were exposed to continuous-energy photon beams. The dose D_E in the external radiation detector (i.e., ionization chamber) was determined and the realistic dose D_A in the film active layer was then obtained using the calibration coefficient R (=D_A/D_E). The finite element method (FEM) was used to solve the classical steady-state Helmholtz equation using the multifrontal massively parallel sparse direct solver (MUMPS). An extensive grid independence test was carried out and the numerical stability of the present model was ensured. The reflected light intensity from the film surface was used to theoretically obtain the net reflective optical density of the film exposed to X-ray. Good agreement was obtained between the experimental and theoretical results of the net reflective optical density of the film. For X-ray doses >~600 cGy, due to the already formed densely cross-linked structure in the active layer of the EBT3 film so further bond formation was less likely, the reflected light intensity from the film surface increased at a relatively lower rate when compared to those for dose values <~600 cGy. Full article