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University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics A. B. Rosenfeld University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics A. B. Rosenfeld Centre for Medical Radiation Physics, University of Wollongong, Australia New Zealand-Australian Semiconductor Instrumentation Workshop. Wellington , 21 -23 June, 2004

Overview Positron Emission Tomography Microdosimetry Hadron Therapy Space Dosimetry Intensity Modulated Radiotherapy (IMRT) Synchrotron Overview Positron Emission Tomography Microdosimetry Hadron Therapy Space Dosimetry Intensity Modulated Radiotherapy (IMRT) Synchrotron Microbeam X-Ray Radiation Therapy (MRT) High and Low Dose Rate Brachytherapy Neutron Dosimetry Radiation Damage Monitoring

University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics Positron Emission Tomography University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics Positron Emission Tomography

Introduction Huntington’s disease studies http: //neurosurgery. mgh. harvard. edu/pet-hp. htm Introduction Huntington’s disease studies http: //neurosurgery. mgh. harvard. edu/pet-hp. htm

Introduction Advantages of PET ¨ ¨ Measures level of radiotracer uptake High sensitivity to Introduction Advantages of PET ¨ ¨ Measures level of radiotracer uptake High sensitivity to small lesions Disadvantages of PET ¨ Poorer spatial resolution (5 -8 mm) than other anatomical imaging techniques such as MRI (1 mm) http: //www. nucmed. buffalo. edu/

Background of the PET detector module http: //imasun. lbl. gov/~budinger/med. Techdocs/PET. html The injected Background of the PET detector module http: //imasun. lbl. gov/~budinger/med. Techdocs/PET. html The injected radiotracer decays via the emission of a positron Scintillation detectors are used to detect the gamma rays For best images we must know precisely the gamma interaction point (DOI) in the scintillator crystal. Some DOI information in the plane of the PMT surface is obtained. No DOI information in the radial direction (perpendicular to the PMT surface) is obtained which impacts on the final image resolution.

Introduction Replace PMTs with silicon pixel photodetectors Optically couple the 8 x 8 Si Introduction Replace PMTs with silicon pixel photodetectors Optically couple the 8 x 8 Si PD array on the side of the pixellated scintillator 8 x 8 array Determine the position of gamma ray interaction (POI) in the x-y plane of the array. Reduce the uncertainty of the POI in the z-direction Spatial resolution defined by scintillator element dimensions (3 x 3 x 3 mm 3) Reflective coating VA 64 Chip Buffer Amplifier TA 64 Chip

SPAD photodiode design Optical photons from scintillators like LYSO are absorbed within 0. 6 SPAD photodiode design Optical photons from scintillators like LYSO are absorbed within 0. 6 mm of silicon so a customised ion implantation profile has been used to extend the electric field very close to the surface Optical entrance window on the p-layer reduces the hole charge collection time SPAD 1, SPAD 2 and SPAD 3 are identical except that SPAD 2 has p+ strips embedded in the surface p- layer and SPAD 3 incorporates an antireflective layer on the surface

Light Collection Simulations Monte Carlo Simulations were performed by G. Takacs to: l determine Light Collection Simulations Monte Carlo Simulations were performed by G. Takacs to: l determine the ideal crystal geometry so as to maximise the light output l optimise detector pixel size to improve the DOI measurements. Interaction point above the corner of four pixels

Photodetector Transmission Photodetector Transmission

Charge collection analysis using IBIC 0. 4 Me. V He+ 380 310 V = Charge collection analysis using IBIC 0. 4 Me. V He+ 380 310 V = 20 V IBIC – Ion Beam Induced Current analysis 1 mm diam. spot raster scanned across area of interest Scale of image is ~1 x 1 mm 2 Image is for SPAD 2 which is identical to SPAD 1 except that p+ strips are embedded in the uniform p-layer shows excellent charge collection even at 20 V (full depletion is at 50 V)

Gamma Ray Spectroscopy - LYSO 662 ke. V 511 ke. V Counts SPAD 3 Gamma Ray Spectroscopy - LYSO 662 ke. V 511 ke. V Counts SPAD 3 @ 50 V 3 x 3 x 3 mm 3 LYSO painted 22 Na - Green 137 Cs - Purple Pulser (+SPAD) - Blue T = 298 K 0. 5 ms shaping time DE/E(511 ke. V) = 13. 1% DE/E(662 ke. V) = 11. 2% DE/E(pulser) = 8. 3% Pulser peak Channel number

Light Collection Efficiency (LCE) 511 ke. V Counts 22 ke. V 27 ke. V Light Collection Efficiency (LCE) 511 ke. V Counts 22 ke. V 27 ke. V SPAD 3 @50 V 3 x 3 x 3 mm 3 LYSO painted 22 Na - Green 125 I (direct)- Purple Pulser (+SPAD) - Blue T = 298 K 0. 5 ms shaping time 511 ke. V peak is at CH. 341 22. 0 ke. V peak is at CH = 300 27. 0 ke. V peak is at CH = 373 511 ke. V (LYSO) is equiv. to 24. 8 ke. V (Si) ~6850 e-h pairs created by the optical photons detected SLICE =6850/13, 300 ~ 53% Pulser peak Channel number

Detector Module Status Detector Module Status

Detector Module Status Detector Module Status

Scanning Gantry • Linear step - 12. 5 mm, Angular step – 0. 05 Scanning Gantry • Linear step - 12. 5 mm, Angular step – 0. 05 degrees • Simultaneous PET/SPECT with CT

University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics Microdosimeter applications in University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics Microdosimeter applications in Hadron Therapy and Space

Microdosimetry Biological effect of weakly ionising radiation described by physical quantity average dose l Microdosimetry Biological effect of weakly ionising radiation described by physical quantity average dose l Distribution of ionisation homogenous on microscopic scale l D=E/m Biological effect of densely ionising radiation l Distribution of ionisation is inhomogeneous l Pattern of energy deposition on microscopic scale is important Lineal energy event l y=e/ Microdosimetry is an experimental technique to measure the distribution of y in a microscopic sensitive volume subject to densely ionising radiation

Introduction Microdosimeter measures the energy deposition events in a small (cell-sized) volume due to Introduction Microdosimeter measures the energy deposition events in a small (cell-sized) volume due to radiation interactions. l Produces spectra of counts versus energy (E). l Divide energy by mean chord length (l) gives lineal energy spectra f(y) l Dose distribution d(y) yf(y) where y=lineal energy=E/l Motivation: l Radiobiological effectiveness depends upon LET or lineal energy l Distribution of dose (d(y)) with lineal energy gives dose equivalent (H) l=10 um Protons Alpha, Heavy ions

Silicon Microdosimetry Tissue Equivalent Proportional Counter (TEPC) l Low density, tissue equivalent, gas filled Silicon Microdosimetry Tissue Equivalent Proportional Counter (TEPC) l Low density, tissue equivalent, gas filled proportional counter l Simulates microscopic volume TEPC Disadvantages l Measurement in gas phase l Poor spatial resolution Silicon Microdosimetry l Solid state, microscopic, silicon sensitive volumes l High spatial resolution Measure ionisation energy loss in depletion region of pn junctions Detector AMPTEK A 250 Pre-amplifier

Sensitive Volume Characterization Using an Ion Microbeam 2 Me. V Alpha Microbeam Optical Microscope Sensitive Volume Characterization Using an Ion Microbeam 2 Me. V Alpha Microbeam Optical Microscope Image High Energy Low Energy pn junction Note: Both images for a 10 x 2 um SOI Array

The ANSTO Heavy Ion Microprobe Scanning coils Quadrupole triplet Sample holder The ANSTO Heavy Ion Microprobe Scanning coils Quadrupole triplet Sample holder

Applications Cancer treatment modalities which utilise high LET radiation (proton, boron neutron capture, fast Applications Cancer treatment modalities which utilise high LET radiation (proton, boron neutron capture, fast neutron, heavy ion therapies) Characterise high LET radiation fields encountered in space (to fly on NASA research satellite)

Mapping the Sensitive Volume with IBIC Need to study charge collection following ion strike Mapping the Sensitive Volume with IBIC Need to study charge collection following ion strike l Investigate how charge collection varies with location of ion strike on the device l Investigate how charge collection varies with ion LET l Ditto for bias applied to microdosimeter IBIC using 3 Me. V H+, 9 Me. V He 2+, 25 Me. V C 4+

Results: 3 Me. V H+ IBIC imaging 30 m Frequency distribution of energy events Results: 3 Me. V H+ IBIC imaging 30 m Frequency distribution of energy events and image of median energy for applied bias of 0 V, 5 V, 10 V, 20 V Ø 0 V, 5 V, 10 V: Max charge collected for strikes at centre of device Ø Increase in charge collection with applied bias Ø 20 V: Max at corners of n+ region. High field effect. Ø

Results: 9 Me. V He 2+ IBIC imaging 30 m Magnitude of energy events Results: 9 Me. V He 2+ IBIC imaging 30 m Magnitude of energy events increases with increased LET of helium Ø Median energy images similar to proton IBIC including effect at 20 V Ø

Results: 25 Me. V C 4+ IBIC imaging 30 m Magnitude of energy event Results: 25 Me. V C 4+ IBIC imaging 30 m Magnitude of energy event increases with increased LET of carbon Ø Increased sensitivity to device over-layer. Energy loss in contact and track evident (need to minimize over-layer in next generation) Ø High field effect more pronounced in frequency distribution and median energy image than for proton and helium IBIC Ø

Silicon Microdosimetry Fast Neutron Therapy Gershenson Radiation Oncology Center, Harper Hospital, Detroit Microdosimetry spectrum Silicon Microdosimetry Fast Neutron Therapy Gershenson Radiation Oncology Center, Harper Hospital, Detroit Microdosimetry spectrum measured at 2. 5 cm depth in water phantom (Bradley, Rosenfeld) Measured spectrum compared favourably with TEPC

Silicon Microdosimetry Fast Neutron Therapy Silicon Microdosimetry Fast Neutron Therapy

Northeastern Proton Therapy Center (NPTC) Harvard Medical School, Boston, USA Northeastern Proton Therapy Center (NPTC) Harvard Medical School, Boston, USA

NPTC Proton Beam Dose Profile § § § Measurements using Markus parallel plate detector NPTC Proton Beam Dose Profile § § § Measurements using Markus parallel plate detector in water phantom LET of protons varies from 0. 45 ke. V/um at entrance to 78 ke. V/um Bragg peak broadening filter used to spread dose at end of range

Microdosimetry of NPTC Facility The area under the curve between two values of y Microdosimetry of NPTC Facility The area under the curve between two values of y is proportional to the fractional contribution of that region to the total dose

University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics MOSFET Dosimetry in University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics MOSFET Dosimetry in Radiotherapy

MOSFET Structure MOSFET Structure

Electron microscope image of MOSFET Electron microscope image of MOSFET

On-line MOSFET Dosimetry System Measurement over a wide dynamic range of accumulated dose and On-line MOSFET Dosimetry System Measurement over a wide dynamic range of accumulated dose and dose rate Ability to operate in an on-line capacity Excellent spatial resolution down to ~ 0. 1 microns Ability to work in pulsed mode with consecutive dosimetry after each pulse Able to avoid temperature and fading error

MOSFET Response MOSFET Response

Penumbra formation of the Siemens X-ray machine Penumbra formation of the Siemens X-ray machine

Measurement of the profile of an IMRT radiation beam penumbra Measurement of the profile of an IMRT radiation beam penumbra

Multileaf Collimator used in IMRT Multileaf Collimator used in IMRT

Experimental set up to investigate interleaf leakage and stop gap leakage in the Varian Experimental set up to investigate interleaf leakage and stop gap leakage in the Varian MLC Stop-gap leakage Interleaf leakage

Measurement of the stopgap radiation leakage from an IMRT collimator Measurement of the stopgap radiation leakage from an IMRT collimator

University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics Synchrotron Microbeam X-Ray University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics Synchrotron Microbeam X-Ray Radiation Therapy (MRT)

MRT MRT

Medical Beamline at the ESRF Medical Beamline at the ESRF

Horizontal section CEREBELLUM 25 m-wide horizontal stripes, = paths of the microbeams Cells / Horizontal section CEREBELLUM 25 m-wide horizontal stripes, = paths of the microbeams Cells / nuclei in the paths were destroyed 210 m No tissue destruction present No signs of hemorrhage

Profile of Microbeam #1 FWHM~40 mm Profile of Microbeam #1 FWHM~40 mm

Radiation microbeam profile using dual “edge-on” MOSFETs on the same chip FWHM ~ 25 Radiation microbeam profile using dual “edge-on” MOSFETs on the same chip FWHM ~ 25 mm

Profile of Microbeam #1 – new MRT collimator FWHM~50 mm Profile of Microbeam #1 – new MRT collimator FWHM~50 mm

Peak-to-valley ratio Beam Number 25 1 Theory 70 110 Ga. FTM Film MOSFET System Peak-to-valley ratio Beam Number 25 1 Theory 70 110 Ga. FTM Film MOSFET System 44 63 65 100

University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics Silicon Detectors for University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics Silicon Detectors for Low Dose Rate and High Dose Rate Brachytherapy Treatment Quality Assurance

Implant schematic Implant schematic

Seed misplacement in brachytherapy There are several factors that lead to the misplacement of Seed misplacement in brachytherapy There are several factors that lead to the misplacement of seeds The insertion of the guiding needles through different layers of tissue may lead to the needles not being inserted in parallel There may be swelling during treatment The seeds may drift along the path of the needles Blood flow may alter the position of the seeds Gland motion may occur There is a need for the seed locations to be monitored in real time during insertion. If a seed is misplaced, the required locations of other seeds may be recalculated in compensation

Seed misplacement in brachytherapy Seed misplacement in brachytherapy

Development – Stage 1 The Urethra Alarm Probe Dosimetry System This system uses spectroscopy Development – Stage 1 The Urethra Alarm Probe Dosimetry System This system uses spectroscopy for dosimetry purposes

Development – Stage 1 Development – Stage 1

Stage 1 - Results 125 I spectrum measured with the Urethra Alarm Probe Measurement Stage 1 - Results 125 I spectrum measured with the Urethra Alarm Probe Measurement performed under ideal conditions. The detector was located inside the pre-amplifier box at room temperature. The 27 ke. V, 31 ke. V 35 ke. V and 22 ke. V peaks are resolvable.

Stage 1 - Results 125 I spectrum measured with the Urethra Alarm Probe Measurement Stage 1 - Results 125 I spectrum measured with the Urethra Alarm Probe Measurement performed with probe connected to the pre-amplifier via a 40 cm unshielded cable. The measurement was obtained at room temperature. The photon peaks are less resolvable due to an increase in noise.

University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics Silicon Detectors for University of Wollongong Development of Silicon Detector Instrumentation for Medical Physics Silicon Detectors for Neutron Dosimetry and Radiation Damage Monitoring

Bulk and Planar Diode designs D-Type p+ L-Type n-silicon n+ C-Type “a” refers to Bulk and Planar Diode designs D-Type p+ L-Type n-silicon n+ C-Type “a” refers to the radial base length G-Type

On-line Dosimetry System On-line Dosimetry System

Response a p-i-n diode in the neutron field of SPR-III • On-line neutron dose Response a p-i-n diode in the neutron field of SPR-III • On-line neutron dose measurements • D-type diodes • length of base 1. 2 mm r ~1500 Wcm r ~40 Wcm

D-type diode response at FNT Facility D-type diode in 15 cm x 15 cm D-type diode response at FNT Facility D-type diode in 15 cm x 15 cm open field and depth 5 cm in water. The total neutron dose delivered was 50 c. Gy. Gamma dose ~6%

Neutron response of C-Type p-i-n diodes I =20 m. A I =1 m. A Neutron response of C-Type p-i-n diodes I =20 m. A I =1 m. A Neutron response of C-2 at depth 5 cm in a water for two readout currents 1 and 20 m. A. The sensitivity is 0. 88 and 3. 32 m. V/MU for C-2 diode. 1 MU ~1 c. Gy at point of irradiation Neutron response of C-1 at depth 5 cm in a water for two readout currents 1 and 20 m. A. The sensitivity is 0. 14 m. V/MU and 0. 30 m. V/MU at point of irradiation. I =20 m. A I =1 m. A

Neutron response of L-type p-i-n linear diode array • Dose increments were 15 MU Neutron response of L-type p-i-n linear diode array • Dose increments were 15 MU • Readout current was 0. 16 m. A for first and second and third p+ pad. • All measurements done at depth of 1 cm in A-150 plastic phantom

IEL response of neutron irradiated diodes • Optical image of C 2 device, showing IEL response of neutron irradiated diodes • Optical image of C 2 device, showing central p+ region and outer n+ ring. • IBIC scan area is the superimposed white square. Energy event spectra for IBIC scan of C 2 device at reverse bias of 0 V and 400 V • IBIC image of median energy event at each pixel of scan for device C 2 at reverse bias of 0 V and 400 V (After diode was irradiated with 3 x 1011 n/cm 2)