Cpj. Raaijmakers et al., DOSE MONITORING FOR BORON NEUTRON-CAPTURE THERAPY USING A REACTOR-BASED EPITHERMAL NEUTRON BEAM, Physics in medicine and biology, 41(12), 1996, pp. 2789-2797
The aims of this study were (i) to determine the variation with time o
f the relevant beam parameters of a clinical reactor-based epithermal
neutron beam for boron neutron capture therapy (BNCT) and (ii) to test
a monitoring system for its applicability to monitor the dose deliver
ed to the dose specification point in a patient treated with BNCT. For
this purpose two fission chambers covered with Cd and two GM counters
were positioned in the beam-shaping collimator assembly of the epithe
rmal neutron beam. The monitor count rates were compared with in-phant
om reference measurements of the thermal neutron fluence rate, the gam
ma-ray dose rate and the fast neutron dose rate, at a constant reactor
power, over a period of 2 years. Differences in beam output, defined
as the thermal neutron fluence rate at 2 cm depth in a phantom, of up
to 15% were observed between various reactor cycles. A decrease in bea
m output of about 5% was observed in each reactor cycle. An unacceptab
le decrease of 50% in beam output due to malfunctioning of the beam fi
lter assembly was detected. For safe and accurate treatment of patient
s, on-line monitoring of the beam is essential. Using the calibrated m
onitor system, the standard uncertainty in the total dose at depth due
to variations with time of the beam output parameters has been reduce
d to a clinically acceptable value of 1% (one standard deviation).