Implementation of nuclear magnetic resonance polymer‐gel dosimetry into clinical practice
The aim of this thesis research was to evaluate some basic properties of the polymer-gel dosimeter and test it in clinical practice. Dependence of polymer-gel dosimeter sensitivity on different photon and electron energies as well as on different mean dose rates of standard clinically used linear accelerator was studied. A physical/mathematical description of the effect of temperature on the polymer-gel dosimeter, able to correct a dosimeter 1/T2 response for different temperatures during the NMR measurement, was developed. The polymer-gel dosimeter was tested for the verification of stereotactic radiosurgery techniques with the Leksell Gamma Knife. There was an observed trend in polymer-gel dosimeter sensitivity dependence on quality index for the high-energy x ray beams. Similarly, there was an observed trend in dosimeter sensitivity dependence on mean electron energy. It was demonstrated that these trends were statistically significant. Polymer-gel dosimeter sensitivity was decreased with increased photon or electron energy. There was observed no trend in polymer-gel dosimeter sensitivity dependence on mean dose rates for both photon and electron beams within experimental errors. It was demonstrated in this study that the NMR 1/T2-dose response is increased for lower temperatures of the evaluated polymer-gel samples. The relaxation rate response can be expressed as a function consisting of two terms, one denoted for the temperature dependence and the other one for the dose dependence. Two clinical applications of the polymer-gel dosimeter were demonstrated in this study. The first experiment allowed a check of the entire stereotactic procedure with the Leksell gamma knife including target stereotactic localization on NMR,treatment planning, and irradiation. The second experiment evaluated dosimetric and geometric inaccuracies associated with the stereotactic irradiation of the experimental rat brain. It was demonstrated that polymer-gel can be effectively used in evaluation of relative dose distribution obtained in stereotactic radiosurgery procedures.