Development of breast tissue equivalent phantom made from paraffin with some additives and its characterization by using x-ray spectroscopy Poster No.: C-0145 Congress: ECR 2015 Type: Scientific Exhibit Authors: S. Cubukcu, H. Yücel; Ankara/TR Keywords: Breast, Radiation physics, Mammography, Acceptance testing, Physics, Dosimetry, Cancer, Image verification DOI: 10.1594/ecr2015/C-0145 Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations. References to any names, marks, products, or services of third parties or hypertext links to thirdparty sites or information are provided solely as a convenience to you and do not in any way constitute or imply ECR's endorsement, sponsorship or recommendation of the third party, information, product or service. ECR is not responsible for the content of these pages and does not make any representations regarding the content or accuracy of material in this file. As per copyright regulations, any unauthorised use of the material or parts thereof as well as commercial reproduction or multiple distribution by any traditional or electronically based reproduction/publication method ist strictly prohibited. You agree to defend, indemnify, and hold ECR harmless from and against any and all claims, damages, costs, and expenses, including attorneys' fees, arising from or related to your use of these pages. Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. www.myESR.org Page 1 of 12 Aims and objectives The aim of this study is to develop a nearly breast tissue equivalent phantom. To do this, paraffin was chosen as a base material since its chemical (e.g. hydrogen and carbon contents) and physical properties (e.g. easily machinable and cheap) are suitable for mimic the breast tissue. In the mammographic energy region the characterization of the proposed phantom was made by using x-ray spectroscopy with a CdTe detector. In literature for the testing the equivalence of the materials to breast tissues, pulse height x-ray spectroscopy technique is used for a complete characterization at diagnostic x-ray energies [Byng et al. 1998]. Thus the attenuation properties of the presently proposed phantom was determined from the acquired x-ray spectra. Methods and materials 1. Preparation of phantoms In the preparation process, first paraffin wax was melt at a suitable temperature and then the powder form of H3BO3 and CaSO4·2H2O compounds were added indivudually in specified proportions. After that, disc shaped petriplates were filled with the mixtures and allowed to cool down and become solid for a definite period. The percentage of the additive compounds, weight and density of the disc phantoms were written on the labels sticked on the phantoms. In Fig.1 some examples of homogenous disk phantom samples are shown. Page 2 of 12 Fig. 1: Paraffin disk phantoms References: Medical Physics, Ankara University Institute of Nuclear Sciences Ankara/TR 2. Characterization of phantoms The homogeneity of the phantoms was determined by a Carestream DRX-1C flat panel x-ray imaging detector (amorfSi-CsI). The disk phantoms were placed in the centre of detector and irradiated by GE Silhouette Radiographic System at 40 kVp and 5 mAs beam quality. The homogeneity values were determined by using Image J software with the relevant plug-in. Among the produced disc phantoms, the ones that have a better homogeneity than %2.5 were chosen and then characterized by x-ray spectroscopy system. The experimental set up shown in Fig. 2 is used for the x-ray characterization. A CdTe 2 detector (Amptek, having 1 mm thick, 25 mm active area CdTe crystal and energy 57 resolution FWHM=1.28 keV @122keV ( Co)) was placed on the breast support table and Page 3 of 12 the sensitive part of the detector was faced with the x-ray beam. The distance between the detector window and the focal spot is 27.5 cm to obtain the sufficient photon flux. The selected disc phantoms were then irradiated by GE Alpha RT mammographic xray unit which has Mo/Mo and Mo/Rh anode/filter combination 20-35 kVp energy range. A phantom support table, having a gap for disc phantoms to be irradiated directly, was placed between the detector and the x-ray tube. The detector side was collimated by using Amptek EXVC tungsten collimator with 1000 µm and 200 µm hole diameters to provide a pin hole beam. At six different beam energies in the range of 23 to 35 kVp, the x-ray spectra were obtained without any sample. After that all phantom samples were irradiated by adding a phantom disc on to the other phantom to see the transmission properties depending on the thickness, as seen in Fig. 3. Fig. 2: Irradiation and measurement geometry References: Medical Physics, Ankara University Institute of Nuclear Sciences Ankara/TR From the obtained spectra, the transmissions were determined, and plotted against the thickness. The plots were then fitted to Archer equation [NCRP 147, 2004] by MATLAB software and from the fits the total attenuation properties and half value layers (HVLs) were calculated. Page 4 of 12 Fig. 3: Transmission spectra obtained by CdTe detector with %10 H3BO3 mixed paraffin References: Medical Physics, Ankara University Institute of Nuclear Sciences Ankara/TR The same procedure was repeated to commercially available BR12 [White et al. 1977] and PMMA phantoms. Images for this section: Page 5 of 12 Fig. 1: Paraffin disk phantoms Page 6 of 12 Fig. 2: Irradiation and measurement geometry Fig. 3: Transmission spectra obtained by CdTe detector with %10 H3BO3 mixed paraffin Page 7 of 12 Results For the comparison, effective atomic number, effective atomic number to atomic weight ratio, effective atomic weight, mass attenuation coefficient and mass energy attenuation coefficients at the average energy of 28 kVp beam quality are given in Table 1 for proposed disc phantoms, BR12 and PMMA phantoms [NIST, 2014]. Material Zeff (Z/A)eff Aeff µ/# µen/# 2 (cm /g) 2 (cm /g) (@19.5 keV) (@19.5 keV) Paraffin only 4.99 0.60 5.39 0.49 0.25 Paraffin mixed with %10 H3BO3 5.21 0.59 5.66 0.53 0.29 %20 H3BO3 5.42 0.58 5.95 0.57 0.33 %30 H3BO3 5.64 0.57 6.27 0.61 0.37 %5 CaSO4 5.42 0.59 5.68 0.80 0.58 %10 CaSO4 5.84 0.59 6.00 1.11 0.91 %15 CaSO4 6.26 0.58 6.34 1.43 1.25 PMMA 6.34 0.53 9.79 0.69 0.44 BR12 6.02 0.53 8.58 0.69 0.44 Table 1 - Some physical properties of prepared phantoms, PMMA and BR12 phantoms. From Table 1, with the ideal mixing ratio, it is possible to simulate breast tissue with paraffin and some additives. CaSO4 has higher attenuation properties because of relatively high Z number of calcium element. So in the mixture, paraffin and H3BO3 should be the major compounds and CaSO4 should be a trace amount. From the measurements, the transmission values were calculated and plotted against sample thickness, and an example is shown in Fig.3 Page 8 of 12 Fig. 4: Transmission values for phantoms made of paraffin mixtures, PMMA and BR12 References: Medical Physics, Ankara University Institute of Nuclear Sciences Ankara/TR The HVL values and total attenuation coefficients were also calculated from the transmission curves and given in Table 2 and Table 3. Material %10 H3BO3 HVL 13.46 %20 H3BO3 %30 H3BO3 %5 CaSO4 %10 CaSO4 %15 CaSO4 PMMA BR-12 10.62 10.40 8.44 6.80 6.24 8.55 8.35 (mm Material) Table 2 - HVL values of paraffin mixtures and PMMA and BR12 phantoms Material %10 H3BO3 µtotal 0.050 %20 H3BO3 %30 H3BO3 %5 CaSO4 %10 CaSO4 %15 CaSO4 PMMA BR-12 0.058 0.061 0.073 0.102 0.111 0.081 0.083 Table 3 - Total attenuation coefficients of paraffin mixtures and PMMA and BR12 phantoms Page 9 of 12 Images for this section: Fig. 4: Transmission values for phantoms made of paraffin mixtures, PMMA and BR12 Page 10 of 12 Conclusion The results for the proposed phantoms are compared with commercially available mammography phantoms BR12 and PMMA. The transmission curves of our proposed phantoms indicated that the specific proportions of the additive compounds can be used for simulating the breast tissue. As a base material, paraffin is a good candidate for breast phantoms from point of attenuation properties when mixed with different amounts of additives. Thus it can mimic different density range of breast tissues such as adipose and glandular tissues. The main advantage of proposed breast phantom is being cheap and easy machineable in-house. They can be used for basic quality control tests of mammography units. However the gained experience showed that paraffin has also some disadvantages in view of mechanical strength, hardness and resistance to heat under normal environment conditions. Hence we should try also another base material such as epoxy to obtain more durable phantoms. Personal information Corresponding Author: S. Cubukcu, Ankara University, Faculty of Engineering, Physics Engineering Department, 06100 Tandogan Ankara, Turkey, E-mail: [email protected] H. Yücel, Ankara University, Institute of Nuclear Sciences, 06100 Tandogan Ankara, Turkey. References J.W. Byng, J.G. Mainprize, M.J. Yaffe, X-ray characterization of breast phantom materials, Phys.Med.Biol., 43, 1367-1377, 1998. NCRP Report No: 147, 2004. D.R. White, J.R. Martin, R. Darlison, Epoxy resin based tissue substitutes, BRJ, 50, 814-821, 1977. Page 11 of 12 NIST, 2014, "http://physics.nist.gov/PhysRefData/XrayMassCoef/tab3.html", accessible date 20.Dec.2014 Last Page 12 of 12
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