Nina Petoussi-Henss

The Medical Internal Radiation Dose Committee (MIRD) formalism assumes reference mass values for the organs (source and target) and the total body. MIRD publication 11 provides guidance on how patient-specific scaling of reference radionuclide S-values are to be performed for the electron component of the emission spectrum. However, guidance on patient-specific scaling of the photon contributions to the S-value is given only for those cases where the source and target organs are either far apart or are the same. The photon component of the S-value is derived from photon-Specific Absorbed Fractions (SAFs). These are obtained by Monte Carlo calculation of photon transport. The objective of this work is to verify the MIRD 11 guidance and to examine the relationship between photon SAFs and source/target organ mass when the conditions listed above do not apply. Furthermore, the scaling for photon cross-dose to distributed organs is at present not defined due to lack of data for models other than the reference model. The validity of mass scaling for cross irradiation from near and distant photons sources, especially for Red Bone Marrow (RBM) as a target tissue is also investigated. This is achieved by comparing Monte Carlo-derived SAFs for different source organs to RBM across the GSF voxel phantom series. The results show that, for photon energies greater than 100 keV, the SAF of most source organs to RBM need not be corrected for target mass (error < 5%). In contrast to the results obtained for well-defined source organs, the SAF for RBM irradiating RBM gives a deviation of up to 16% across the different GSF voxel phantoms.

The computer program SEECAL, written by Cristy and Eckerman from the Oak Ridge National Laboratory, USA, calculates specific effective energies (also known as S factors in the MIRD terminology) for an adult male, an adult female and five paediatric ages. Its dosimetric methodology is that of the ICRP. Among other parameters, SEECAL requires input data on specific absorbed fractions (SAF) and utilises those derived from the MIRD-type stylised anthropomorphic phantoms. SEECAL has been used worldwide for dose estimations concerning occupational or public exposures due to radionuclides incorporated into the body and has formed the basis for programs developed by other laboratories to calculate, for example, dose to the patients undergoing nuclear medicine procedures. The revised version of SEECAL is at the moment limited to adults and utilises the photon SAFs derived with Monte Carlo methods for the new reference male and female voxel-based phantoms to be adopted by the ICRP.

The aim of this study was to demonstrate the advantages of patient dosimetry using voxel models and to present sets of dose estimates for patients of different gender and size. These models offer greater realism with respect to organ shape and topology than the well-established Medical Internal Radiation Dose (MIRD)-type mathematical models. At the National Research Centre for Environment and Health (GSF), specific absorbed fractions have been previously calculated for 4 male and 3 female voxel models, representing different age and stature, for a wide range of source organs. For this study, estimates both for established and new radiopharmaceuticals were performed using biokinetic data from International Commission on Radiological Protection (ICRP). The above calculations allowed for comparison to the MIRD technique in relation to the resulting absorbed organ and effective doses. Furthermore, data sets representing a range of voxel phantoms were investigated. It was found that dose differences among the voxel models can amount up to a factor of 3.

Voxel phantoms are human models based on computed tomographic or magnetic resonance images obtained from high-resolution scans of a single individual. They consist of a huge number of volume elements (voxels) and are at the moment the most precise representation of the human anatomy. The purpose of this paper is to introduce the GSF voxel phantoms, with emphasis on the new ones and highlight their characteristics and limitations. The GSF voxel family includes at the moment two paediatric and five adult phantoms of both sexes, different ages and stature and several others are under construction. Two phantoms made of physical calibration phantoms are also available to be used for validation purposes. The GSF voxel phantoms tend to cover persons of individual anatomy and were developed to be used for numerical dosimetry of radiation transport but other applications are also possible. Examples of applications in patient dosimetry in diagnostic radiology and in nuclear medicine as well as for whole-body irradiations from idealized external exposures are given and discussed.

The objective of this study is to establish a comprehensive set of backscatter factors for mammography based on the exposure model proposed by the European Protocol on Dosimetry in Mammography. The Monte Carlo calculated backscatter factors (BSFs) presented in this study are for various exposure conditions encountered in mammographic practice as well as in calibration procedures. The data demonstrate the variation of the BSF as a function of the exposure parameters, hence enabling a better match with calibration conditions and, at the same time, reviewing the BSF data already recommended by the European Protocol. Furthermore, earlier data for BSF for general diagnostic radiology are validated.