March 2012 - Institute of Physics and Engineering in Medicine
March 2012 - Institute of Physics and Engineering in Medicine
March 2012 - Institute of Physics and Engineering in Medicine
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SCOPE | MEETING REPORTS<br />
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results <strong>in</strong> light <strong>of</strong> the audit <strong>and</strong> were able to discover the<br />
contribut<strong>in</strong>g factors <strong>in</strong> their techniques which led to<br />
dose variations. The talk concluded with an outl<strong>in</strong>e <strong>of</strong><br />
future planned audits for other treatment modalities.<br />
ELECTRON DOSIMETRY EQUIPMENT<br />
Two talks highlighted <strong>in</strong>novative electron dosimetry<br />
equipment designed <strong>and</strong> built ‘<strong>in</strong>-house’. Katie<br />
Hillman (Kent Oncology Centre, Maidstone) presented<br />
a talk on a design study for an electron beam energy<br />
check<strong>in</strong>g device consist<strong>in</strong>g <strong>of</strong> ten <strong>in</strong>dividual ion<br />
chambers set <strong>in</strong> a ‘spiral staircase’ pattern. A large<br />
amount <strong>of</strong> development work was presented, <strong>in</strong>clud<strong>in</strong>g<br />
the design <strong>of</strong> the chambers <strong>and</strong> the calculation <strong>of</strong> the<br />
optimal chamber positions us<strong>in</strong>g water tank data.<br />
Future work will exam<strong>in</strong>e a prototype phantom before<br />
the f<strong>in</strong>al device is constructed. Mark Osborne (Kent<br />
Oncology Centre, Maidstone) highlighted the<br />
difficulties <strong>of</strong> accurate dose measurement <strong>in</strong> small<br />
electron fields <strong>and</strong> his project to design <strong>and</strong> construct a<br />
parallel plate ion chamber with a 2 mm-diameter<br />
collect<strong>in</strong>g electrode to overcome these problems. The<br />
ideal characteristics <strong>of</strong> an ion chamber were discussed,<br />
the chamber design presented <strong>and</strong> comparisons<br />
between measurements made with the chamber <strong>and</strong><br />
commercially available chambers <strong>and</strong> diodes were<br />
made. The chamber showed excellent agreement with<br />
the diode at high energies <strong>and</strong> further work is to be<br />
undertaken to improve its performance at low energies.<br />
All delegates would have been familiar with the<br />
problems that <strong>in</strong>spired Oliver Delamont’s (University<br />
Hospital <strong>of</strong> North Staffordshire, Stoke-on-Trent) project.<br />
Measur<strong>in</strong>g electron output factors for new cut-outs can<br />
be time consum<strong>in</strong>g <strong>and</strong> difficult to fit around the cl<strong>in</strong>ical<br />
schedule. The talk presented the results <strong>of</strong> an<br />
<strong>in</strong>vestigation <strong>of</strong> the effects on output factor values <strong>of</strong><br />
applicator, field <strong>and</strong> cut-out size. By keep<strong>in</strong>g applicator<br />
<strong>and</strong> jaw sett<strong>in</strong>gs constant, it was possible to predict the<br />
variation <strong>in</strong> output for square cut-outs to with<strong>in</strong> 1 per<br />
cent. With more <strong>in</strong>vestigation <strong>in</strong>to rectangular <strong>and</strong><br />
circular cut-outs, it was hoped to develop a system <strong>of</strong><br />
calculat<strong>in</strong>g output factors, thereby sav<strong>in</strong>g the time<br />
required for measurement.<br />
This talk concluded what was a very <strong>in</strong>terest<strong>in</strong>g<br />
meet<strong>in</strong>g with a diverse range <strong>of</strong> speakers highlight<strong>in</strong>g<br />
how electron treatment is develop<strong>in</strong>g across the UK. It<br />
was an opportunity for delegates to see how the<br />
difficulties <strong>and</strong> uncerta<strong>in</strong>ties they faced were also faced<br />
by other centres, <strong>and</strong> <strong>of</strong>ten solutions were presented.<br />
Overall, the meet<strong>in</strong>g showed how electron beam<br />
radiotherapy is be<strong>in</strong>g accurately <strong>and</strong> safely delivered<br />
across the UK. n<br />
EUROPEAN SCHOOL OF MEDICAL PHYSICS –<br />
14TH SESSION<br />
LEILA NICHOL Royal Surrey County Hospital<br />
ARCHAMPS, FRANCE 13th October–22nd November 2011<br />
I HEARD ABOUT THE European School <strong>of</strong> Medical<br />
<strong>Physics</strong> (ESMP) through an IPEM communication. I was<br />
delighted when I found out I had won the European<br />
Federation <strong>of</strong> Medical <strong>Physics</strong> (EFOMP) ESMP Bursary<br />
for Beg<strong>in</strong>n<strong>in</strong>g Physicists to attend one week <strong>of</strong> the<br />
programme. The school runs various week-long courses<br />
<strong>in</strong> different areas <strong>of</strong> medical physics over 6 weeks. As I<br />
have now decided to specialise <strong>in</strong> radiotherapy for my<br />
Part II, I chose to attend week 4, ‘The physics <strong>of</strong> modern<br />
radiotherapy’. The field <strong>of</strong> radiotherapy is rapidly<br />
develop<strong>in</strong>g so I thought this course would be highly<br />
relevant <strong>and</strong> valuable, as well as provid<strong>in</strong>g me with the<br />
opportunity to meet a diverse range <strong>of</strong> colleagues from<br />
around the world.<br />
The ESMP is based at the European Scientific <strong>Institute</strong><br />
on the border between France <strong>and</strong> Switzerl<strong>and</strong> at the<br />
Centre Universitaire de Formation et de Recherche <strong>in</strong><br />
Archamps, close to Geneva (figure 1). It is a beautiful<br />
sett<strong>in</strong>g surrounded by mounta<strong>in</strong>s. Lessons ran from<br />
Thursday to Tuesday, with a free day on Sunday to<br />
explore the area.<br />
After a warm welcome by director Yves Lemoigne<br />
(ESMP, Archamps) <strong>and</strong> supervisors Steve Webb (Royal<br />
Marsden Hospital, Sutton) <strong>and</strong> Uwe Oelfke (Deutsches<br />
Krebsforschungszentrum (DKFZ), Heidelberg, Germany),<br />
day 1 began with lessons <strong>in</strong> radiobiology by Francesca<br />
Buffa (Gray Labs, Oxford), conformal radiation<br />
techniques by Steve Webb <strong>and</strong> <strong>in</strong>verse plann<strong>in</strong>g by<br />
FIGURE 1.<br />
The city <strong>of</strong> Geneva.<br />
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34 | MARCH <strong>2012</strong> | SCOPE