A111D3 72fiab NATLINSTOFSTANDARDS&TECHR.I.C. A11103072886 ConferenceonNeutro/ProceedlngsofaCo 554 BC100.U57N0.554,1979C.2NBS-PUB-C19 NBS SPECIAL PUBLICATION QCO U.S. DEPARTMENT OF COMMERCE/National Bureau of Standards Proceedings of a G( on Neutrons fron ftr Medical Aci itors 1 NATIONAL BUREAU OF STANDARDS The National Bureau ofStandards' wasestablished by an act ot Congress on March 3, 1901. The Bureau's overall goal is to strengthen and advance the Nation's science and technology and facilitate their effective application for public benefit. To this end, the Bureau conducts research and provides: (1) a basis for theNation'sphysical measurement system, (2) scientific and technological services for industry and government, (3) a technical basis for equity in trade, and (4) technical services to promote public safety. 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THE INSTITUTE FOR COMPUTER SCIENCES AND TECHNOLOGY conducts research and provides scientific and technical services to aid Federal agencies in theselection, acquisition, application, and use of computer technology to improve effectiveness and economy in Government operations in accordance with Public Law 89-306 (40 U.S.C. 759), relevant Executive Orders, and other directives; carries out this mission by managing the ADP Federal Information Processing Standards Program, developing Federal standards guidelines, and managing Federal participation in ADP voluntary standardization activities; provides scientific and technological advisory services and assistance to Federal agencies; and provides the technical foundation for computer-related policies of the Federal Government. The Institute consists of the following centers: — Programming Science and Technology Computer Systems Engineering. 'Headquartersand LaboratoriesatGaithersburg, MD, unlessotherwisenoted; mailing address Washington, DC 20234. -Some divisions within the center are located at Boulder, CO 80303. Proceedings of a Conference ^^jo^ on Neutrons from Electron m :;n Medical Accelerators Proceedings of a Conference held at the National Bureau of Standards, C- Gaithersburg, Maryland, April 9-10, 1979 Edited by: H.T. Heaton, II National Measurement Laboratory National Bureau of Standards Washington, DC 20234 R. Jacobs Bureau of Radiological Health Food and Drug Administration Rockville, Maryland 20857 Sponsored in part by: Bureau of Radiological Health Food and Drug Administration U.S. Department of Health, Education, and Welfare With cooperation from: ^ American Association of Physicists in Medicine U.S. DEPARTMENT OF COMMERCE, Juanita M. Kreps, Secretary Luther H. Hodges, Jr., Under Secretary Jordan J. Baruch, Assistant Secretary for Science and Technology NATIONAL BUREAU OF STANDARDS, Ernest Ambler, Director Issued September 979 1 Library of Congress Catalog Card Number: 79-600133 National Bureau of Standards Special Publication 554 Nat. Bur. Stand. (U.S.), Spec. Publ. 554, 172 pages(Sept. 1979) CODEN: XNBSAV U.S. GOVERNMENT PRINTING OFFICE WASHINGTON: 1979 ForsalebytheSuperintendentofDocuments, U.S. Government Printing Office, Washington, D.C. 20402 StoolsNo. 003-003-02115-6 Price$4.75 (Add25 percentadditionalforotherthan U.S. mailing) PREFACE These are the proceedings of the Conference The papers are printed in the proceedings as on Neutrons from Electron Medical Accelerators they were received from the authors and in the held April 9-10, 1979 at the National Bureau of order in which they were presented in the sessions. Standards, Gaithersburg, Maryland. When medical For convenience we have preserved the conference accelerators such as betatrons, microtrons and notation for the sessions. To speed the publica- electron linear accelerators are operated at tion of the proceedings, all papers were submitted energies above about 10 MeV, neutrons can be pro- by the authors in camera-ready form. We are greatly duced by photonuclear interactions with machine indebted to the authors and all those who assisted components such as collimators, beam flatteners, in the preparation of the manuscripts. Their etc. The purpose of this conference was to efforts have made it possible to get the proceedings acquaint members of the scientific, radiotherapy, in print much more rapidly than would otherwise be regulatory, and accelerator manufacturing com- the case. munities with the latest state-of-the-art information concerning this neutron production. When commercial equipment, instruments and materials are mentioned or identified in this The program opened with a keynote address proceedings it is intended only to adequately which was followed by five invited paper sessions. specify experimental procedure. In no case does These sessions were concerned with the uses of such identification imply recommendation or high energy beams in radiotherapy; the existing endorsement by the National Bureau of Standards, regulations, their interpretation and application; nor does it imply that the material or equipment the biological effects of neutrons and the identified is necessarily the best available for appropriate quality factors to use in evaluating the purpose. the hazard associated with a given electron accelerator; the characteristics of neutron The Editors gratefully acknowledge the radiation from existing accelerators, the instru- assistance of the National Bureau of Standards mentation, measurement and calculational techniques Office of Technical Publications in the prepara- available for determining the neutron spectral tion of these proceedings and of Mrs. Kathy Stang fluence and dose in both the primary as well as of the National Measurement Laboratory and the leakage beams; and finally what shielding and Miss Jo Ann Lorden of the Public Information design techniques can be employed to reduce the Division for help in the arrangements for the neutron production to a minimxam. The conference conference, and the excellent secretarial closed with a summary session which was recorded assistance of Mrs. Karen Fritz and Mrs. Joan Donahue. and is reproduced in full in these proceedings for those interested in comments and review of the full conference. In order to achieve broad and even coverage of the field, papers were presented by invita- tion only although attendance at the conference was open to anyone. In spite of the highly specific topic of the conference there were 208 registrants with 22 participants from 8 foreign countries. H. Thompson Heaton, II National Bureau of Standards Robert Jacobs Bureau of Radiological Health iii , ABSTRACT These proceedings are the compilation of 18 papers presented at the Conference on Neutrons from Electron Medical Accelerators held in Gaithersburg, MD on April 9 and 10, 1979. The topics addressed include: properties of high energy beams for radiotherapy, regulations, biological interpretation, physical measurements and calculations, and neutron reduction techniques. Key words: Dosimetry, high energy radiotherapy beams, leakage, measure- ment techniques, medical accelerators, neutrons, relative biological effei standards, shielding techniques. iv TABLE OF CONTENTS Preface , Abstract . . Conference Personnel KEYNOTE ADDRESS Unwanted Neutron Contribution to Megavoltage X-ray and Electron Therapy J. S. Laughlin, A. Ried, L. Zeitz, and J. Ding BEAMS FROM HIGH ENERGY ACCELERATORS FOR RADIOTHERAPY Chairman: H. E. Johns Advantages and Properties of High Energy Photon Beams H. E. Johns Use of High Energy X rays in Cancer Cure W. E. Powers Scattered Radiation Relative to Leakage Radiation in High Energy X ray Beams J. A. Rawlinson REGULATIONS Chairman: R. S. Caswell International Standards for Medical Accelerators G. R. Higson •. State Regulations for Medical Accelerators C. H. Smith BIOLOGICAL INTERPRETATION Co-chairmen: J. A. Devanney L. M. Bates The RBE of Neutrons H. H. Rossi Risk of Cancer Based on Promotion from Cytotoxicty T. D. Jones, D. G. Jacobs, J. A. Auxier, and G. D, Kerr . . . , Clinical Tradeoff: The Maximum Probability of Uncomplicated Cure L. Cohen Dependence of Radiation-Induced Neoplastic Transformation In Vitro Upon Radiation Quality and Repair A. Han and M. M. Elkind PHYSICAL MEASUREMENTS AND CALCULATIONS Co-chairmen; G, R. Holeman W, P. Swanson Neutron Sources and Their Characteristics R. C. McCall and ............ W. P. Swanson 75 Mixed Photon-Neutron Field Measurements R, Nath, K. W. Price and G. R. Holeman 87 Neutron Contamination in the Primary Beam P. H. McGinley and M. Sohrabi 99 Neutron Production from Electron Accelerators Used for Medical Purposes E. J. Axton and A. G. Bardell Survey of European Measurements on Photoneutron Production from Electron Accelerators Used for Medical Purposes E. J. Axton and A. G. Bardell Neutron Leakage from Current Machines P. R. Almond NEUTRON REDUCTION TECHNIQUES Chairman: C. S. Nunan Design Criteria for Photon Beam Exits on High Energy Medical Accelerators Accelerators to Minimize Neutron Production L. Taumann 139 Neutron Leakage Characteristics Related to Room Shielding E. Tochilin and P. D. LaRiviere ^ 145 SUMMARY PANEL DISCUSSION 155 List of Attendees 163 Author Index 175 vi CONFERENCE PERSONNEL Conference Co-chairmen J. E. Leiss National Bureau of Standards J. C. Villforth Bureau of Radiological Health Program Committee L, M. Bates J, S. Laughlin American Association of Physicists Memorial Sloan-Kettering Cancer in Medicine Center R. S, Caswell R. C. McCall National Bureau of Standards Stanford Linear Accelerator Center J. A. Devanney J. McDonald Bureau of Radiological Health Memorial Sloan-Kettering Cancer Center E. G. Fuller National Bureau of Standards C. S. Nunan Varian H. T. Heaton, II National Bureau of Standards R. Schneider Bureau of Radiological Health G. R. Holeman Yale University R. J. Schultz Yale University R. Jacobs Bureau of Radiological Health W. P. Swanson Stanford Linear Accelerator Center vii
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