Neutron peripheral contamination in patients undergoing high-energy photon radiotherapy is considered as a risk factor for secondary cancer induction. Organ-specific neutron-equivalent dose estimation is therefore essential for a reasonable assessment of these associated risks. This work aimed to develop a method to estimate neutron-equivalent doses in multiple organs of radiotherapy patients. The method involved the convolution, at 16 reference points in an anthropomorphic phantom, of the normalized Monte Carlo neutron fluence energy spectra with the kerma and energy-dependent radiation weighting factor. This was then scaled with the total neutron fluence measured with passive detectors, at the same reference points, in order to obtain the equivalent doses in organs. The latter were correlated with the readings of a neutron digital detector located inside the treatment room during phantom irradiation. This digital detector, designed and developed by our group, integrates the thermal neutron fluence. The correlation model, applied to the digital detector readings during patient irradiation, enables the online estimation of neutron-equivalent doses in organs. The model takes into account the specific irradiation site, the field parameters (energy, field size, angle incidence, etc) and the installation (linac and bunker geometry). This method, which is suitable for routine clinical use, will help to systematically generate the dosimetric data essential for the improvement of current risk-estimation models.

The use of high-energy linear electron accelerators (LINACs) for medical cancer treatments is widespread on an international scale. The associated bremsstrahlung X rays may produce neutrons as a result of subsequent photonuclear reactions with the different materials constituting the accelerator head. The generated neutron field is highly variable and depends strongly on the beam energy, on the accelerator shielding, on the flattering filter as well as on the movable collimators (jaws) design and on the irradiation field geometry. An estimate of this photoneutron component is, thus, of practical interest to quantify the radiological risk for the working staff and patients. Due to high frequency electromagnetic fields, and also to the presence of abundant leaked and scattered photons in these installations, measurements of the corresponding neutron fields by active dosemeters are extremely difficult. A modified version of the Bonner sphere system, based on passive gold activation detectors, has been used to perform neutron measurements at two points in a Varian 2,100C LINAC facility. A home-made unfolding procedure (CDM) has been utilised to determine the neutron spectra present at the measurement points. Results indicate that the giant dipole resonance process is the most adequate model to explain neutron production in the LINAC and that a thermal component is present at the measurement points.

We used Geant4 and MCNPX codes to evaluate the detection efficiency of planar silicon detectors coupled to different Boron-based converters with varied compositions and thicknesses that detect thermal neutrons via the 10 B(n,α) 7 Li nuclear reaction. Few studies about the thermal neutron transport in Geant4 have been reported so far and it is becoming increasingly difficult to ignore its discrepancies with MCNPX in this neutron energy range. In the thermal energy range, Geant4 shows high discrepancies with MCNPX giving a maximum efficiency of about 3.3% in the 10 B case whereas that obtained with MCNPX was 5%. Disagreements obtained between both codes in this energy range are analyzed and discussed. KEYWORDS: Solid state detectors; Simulation methods and programs; Neutron detectors (cold, thermal, fast neutrons); Detector modelling and simulations I (interaction of radiation with matter, interaction of photons with matter, interaction of hadrons with matter, etc)

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