Determination of optically stimulated luminescence dosimetric characteristics and suitability for entrance surface dose assessment in diagnostic X-ray examinations

Abstract

The availability of Optically Stimulated Luminescence (OSL) dosimeter system developed by Landauer Inc. (Glenwood IL) has greatly improved radiation dosimetry application in the medical field. Recent studies with OSL dosimeters (nanoDots) gave much emphases to patient radiation exposure in radiotherapy but ignoring the potential risks from radiographic examinations. This study focused on the measurement of entrance surface dose (ESD) resulting from radiographic examination. Monitoring procedures have been developed by the International Atomic Energy Agency (IAEA) to estimate ESD, while considering exposure parameters and patient’s characteristics. However, dosimetric properties of the OSL system must be characterized to ascertain its suitability for ESD measurements in medical radiography due to energy dependence and over-response factors of the Al2O3 material. This thesis consists of three phases: 1) evaluating stability of the new OSL dosimetry system, 2) characterizing the nanoDots in radiographic energy range from 40 kV to 150 kV with typical doses ranging from 0 to 20 mGy, and 3) assessing suitability of the nanoDots for ESD measurement in routine X-ray examinations. The dosimetric characteristics of the nanoDots in the above energy range are presented in this study, including repeatability, reproducibility, signal depletion, element correction factor, linearity, angular and energy dependence, and dose measurement accuracy. Experimental results showed repeatability of below 5% and reproducibility of less than 2%. OSL signals after sequential readouts were reduced by approximately 0.5% per readout and having good linearity for doses between 5 – 20 mGy. The nanoDots OSL dosimeter showed significant angular and energy dependence in this energy range, and corresponding energy correction factors were determined in the range of 0.76 – 1.12. ESDs were determined in common diagnostic X-ray examinations using three different methods including direct (measured on phantom/patient) and indirect (without phantom) measurements with nanoDots OSL dosimeters, and CALDose_X 5.0 software calculations. Results from direct and indirect ESD measurements showed good agreement within relative uncertainties of 5.9% and 12%, respectively, in accordance with the International Electrotechnical Commission (IEC) 61674 specifications. However, the measured results were below ESDs calculated with CALDose_X 5.0 software. Measured eye and gonad doses were found to be significant compared to ESDs during anterior-posterior (AP) abdomen and AP skull examinations, respectively. The results obtained in this research work indicate the suitability of utilizing nanoDots OSL dosimeter for entrance surface dose assessment during diagnostic X-ray examinations.