2005 International Nuclear Atlantic Conference - INAC 2005 Santos, SP, Brazil, August 28 to September 2, 2005 ASSOCIAÇÃO BRASILEIRA DE ENERGIA NUCLEAR - ABEN ISBN: 85-99141-01-5 THE FRICKE XYLENOL GEL (FXG) DOSIMETRY IN THE MYCOSIS FUNGOIDES RADIOTHERAPY Herofen Zaias1, Paulo C.D. Petchevist1, Marco A. Parada1, Adelaide de Almeida1, Alessandro M. da Costa1 and José Renato de Oliveira Rocha2 1 Departamento de Física e Matemática Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto Universidade de São Paulo Av. Bandeirantes, 3900 CEP 14040-901, Ribeirão Preto, SP, Brazil [email protected] 2 Centro de Engenharia Biomédica Universidade Estadual de Campinas Caixa Postal 6040 CEP 13084-971, Campinas, SP, Brazil [email protected] ABSTRACT We used chemical dosimetry with the Fricke Xylenol Gel (FXG) dosimeter to verify the dose distribution in an electron therapy of mycosis fungoides. Anatomically shaped phantoms were developed and filled with the FXG. The phantons were inserted in a “Rando” antropomorphic phantom and submitted to the Stanford irradiation technique with a 6MeV electron beam. The absorbances of the FXG after the irradiation were measured with a special FXG reader developed for this purpose. The preliminary results show that the FXG dosimetry system is a promising dosimetry technique. 1. INTRODUCTION Whole-body electron therapy can be used for widespread infiltrative lesions of skin primary limphoma (mycosis fungoides). Mycosis fungoides treatment through the Stanford technique consists of irradiating the patient with two electron beams tilted 20º above and 20º below of a horizontal axis in the patient waistline. The patient is placed standing up and perpendicular to the beam on a rotative base, distant 3 m from the source. The patient is equally exposed in each of six angular positions at 60º intervals, approximating uniform angular irradiation. In order to spread and attenuate the incident beam a polymethylmethacrylate (PMMA) plate (200 cm × 100 cm × 1 cm) is placed in front of the patient [1]. Usually a treatment simulation, using a “Rando” antropomorphic phantom (70 kg of weight and 1,70 m of height), is done with a film placed between two slices of the skull and waistline in order to verify the dose distribution. In this work the dose distribution was verifyed with an alternative method which is under study and which could present its own advantages in the future. This method is the FXG chemical dosimetry [2–5]. 2. MATERIALS AND METHODS The irradiations were carried out using a 6 MeV electron beam from a linear accelerator Siemens/Mevatron 74. The dose distribution was verifyed using a “Rando” antropomorphic phantom. Two specific slices (one in the skull and other in the waistline) to be used in the humanoid phantom were developed and filled with the FXG gel. The slice walls were made of 1mm thick PMMA and an illustration of these phantoms are shown in the Fig. 1. (a) Waistline (b) Skull Figure 1. Humanoid phantom slices. The white circles are support rods to maintain the slices structures. The slices developed were inserted in the “Rando” (Fig. 2) and submitted to the Stanford irradiation technique with the 6 MeV electron beam. The FXG irradiation oxidizes Fe2+ into Fe3+ and the ferric ion concentration can be determined using spectrophotometry to measure the FXG absorbance. Once irradiated, the slices were submitted to absorbance measurements with a FXG reader, developed with a high brightness LED source, a photodiode for signal detection, a light emission and reception circuit and a voltmeter connected to the receptor circuit to register the luminous signal intensity variation. Fig. 3 shows the FXG reader. INAC 2005, Santos, SP, Brazil. Figure 2. Humanoid phantom with the two developed slices. Figure 3. FXG slice reader composed by an “arm” which houses the LED in good alignment with the photodiode in the reader base. 3. RESULTS AND DISCUSSION Fig. 4 shows the percentage depth dose (PDD) versus depth for each slice. These absorbance results from the quasi-bidimensional slices, inserted in the “Rando” antropomorphic phantom, show satisfactory dose distributions as expected from film measurements [6]. From the entry point the absorbed dose drops off rapidly and tends to level off at a small value referred as the bremsstrahlung tail. INAC 2005, Santos, SP, Brazil. Figure 4. PDD for 6 MeV electron beam irradiation of the phantom versus distance from the edge slice surface. 4. CONCLUSIONS Our preliminary results show that chemical dosimetry with the FXG is a promising relative dosimetry technique which may prove particularly useful for dose verification in anatomically shaped phantoms. ACKNOWLEDGMENTS The authors would like to thank the financial support from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil. REFERENCES 1. American Association of Physicists in Medicine, “Total skin electron therapy: technique and dosimetry,” AAPM Report No 23, AAPM (1987). 2. M. A. Bero, W. B. Gilboy, P. M. Glover, J. L. Keddie, “Three-dimensional radiation dose measurements with ferrous benzoic acid xylenol orange in gelatin gel and optical absorption tomography,” Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers,Detectors and Associated Equipment, 422, pp. 617–620 (1999). 3. L. Deiana, C. Carru, G. Pes, B. Tadolini, “Spectrophotometric measurement of hydroperoxides at increased sensitivity by oxidation of Fe2+ in the presence of xylenol orange,” Free Radical Research, 31, pp. 237–244 (1999). INAC 2005, Santos, SP, Brazil. 4. M. A. Bero, W. B. Gilboy, P. M. Glover, H. M. El-masria, “Tissue-equivalent gel for noninvasive spatial radiation dose measurements,” Nuclear Instruments and Methods in Physics Research Section B: Beam Interactions with Materials and Atoms, 166–167, pp. 820–825 (2000). 5. M. A. Bero,W. B. Gilboy, P. M. Glover, “An optical method for three-dimensional dosimetry,” Journal of Radiological Protection, 20, pp. 287–294 (2000). 6. E. Ferraz, Novo filtro espalhador e homogenizador da dose para o tratamento da neoplasia micose fungóide, através da irradiação total da superfície do corpo, com elétrons de 5MeV, Master’s thesis, Universidade de São Paulo (2000). INAC 2005, Santos, SP, Brazil.