{"title":"Photoneutron production mechanisms, their characteristics, and shielding strategies in high-energy linac environment: A review","authors":"","doi":"10.1016/j.jrras.2024.101031","DOIUrl":null,"url":null,"abstract":"<div><p>Radiotherapy, a mainstay cancer treatment for patients worldwide, utilizes medical linear accelerators (linacs) with photon energies ranging from 4 MV to 25 MV. However, concerns arise at higher energies (>6 MV, particularly >10 MV). These high-energy photons interact with high-atomic number materials in the linac head and collimation system, generating unwanted neutrons through (γ,n) reactions. This neutron contamination, present in both photon and electron beams, is a significant issue. Neutrons, with their high Linear Energy Transfer (LET), are more effective at causing clustered DNA damage (single and double-strand breaks). These neutrons not only impact shielding requirements in treatment rooms but also increase out-of-field radiation doses for patients receiving high-energy photon therapy. Therefore, for radiotherapy treatments exceeding 6 MV, additional precautions become crucial, including enhanced door shielding and optimized treatment planning. This review discusses in detail the multifaceted aspects of neutron production and shielding requirements during radiotherapy.</p></div>","PeriodicalId":16920,"journal":{"name":"Journal of Radiation Research and Applied Sciences","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1687850724002152/pdfft?md5=0fa5eabe3dab31474b45651cb0a0d7f7&pid=1-s2.0-S1687850724002152-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Radiation Research and Applied Sciences","FirstCategoryId":"103","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1687850724002152","RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MULTIDISCIPLINARY SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Radiotherapy, a mainstay cancer treatment for patients worldwide, utilizes medical linear accelerators (linacs) with photon energies ranging from 4 MV to 25 MV. However, concerns arise at higher energies (>6 MV, particularly >10 MV). These high-energy photons interact with high-atomic number materials in the linac head and collimation system, generating unwanted neutrons through (γ,n) reactions. This neutron contamination, present in both photon and electron beams, is a significant issue. Neutrons, with their high Linear Energy Transfer (LET), are more effective at causing clustered DNA damage (single and double-strand breaks). These neutrons not only impact shielding requirements in treatment rooms but also increase out-of-field radiation doses for patients receiving high-energy photon therapy. Therefore, for radiotherapy treatments exceeding 6 MV, additional precautions become crucial, including enhanced door shielding and optimized treatment planning. This review discusses in detail the multifaceted aspects of neutron production and shielding requirements during radiotherapy.
期刊介绍:
Journal of Radiation Research and Applied Sciences provides a high quality medium for the publication of substantial, original and scientific and technological papers on the development and applications of nuclear, radiation and isotopes in biology, medicine, drugs, biochemistry, microbiology, agriculture, entomology, food technology, chemistry, physics, solid states, engineering, environmental and applied sciences.