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Correction factors for induced radioactivity: comparing simplified continuous and periodic irradiation scenarios in medical cyclotron decommissioning. 诱导放射性校正系数:比较医用回旋加速器退役中简化的连续辐照和周期辐照方案。
IF 0.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-10 DOI: 10.1093/rpd/ncae173
Po-Wen Fang, Rong-Jiun Sheu

The use of a Monte Carlo code in the assessment of residual radioactivity for decommissioning of a medical cyclotron facility requires a reasonable approximation to the facility's history of operations. A periodic irradiation scenario simulating the cyclotron's daily operation for radioisotope production is generally considered reasonable, but its implementation in the code's input file can be cumbersome because more than thousands of irradiation cycles must be modeled. In practice, two simplified scenarios with continuous irradiation are commonly used instead: (i) omitting the downtime between two irradiation periods and (ii) extending the irradiation duration across the entire operational lifespan of the facility, albeit with a reduced beam current to maintain workload consistency. A systematic comparison of residual radionuclide productions across various half-lives under these three scenarios was performed. This technical note presents the resulting correction factors for the two simplified continuous irradiation models, enhancing their applicability in estimating radioactive inventories under a range of circumstances.

在评估医用回旋加速器设施退役时的残余放射性时使用蒙特卡洛代码,需要对设施的运行历史进行合理的近似。一般认为,模拟回旋加速器放射性同位素生产日常运行的周期性辐照方案是合理的,但在代码输入文件中实施这种方案可能会很麻烦,因为必须模拟数千次以上的辐照周期。在实践中,通常采用两种连续辐照的简化方案:(i) 省略两个辐照周期之间的停机时间;(ii) 将辐照持续时间延长至设施的整个运行寿命,但降低束流以保持工作量的一致性。对这三种情况下不同半衰期的放射性核素残留量进行了系统比较。本技术说明介绍了两种简化连续辐照模型的修正系数,以提高它们在各种情况下估算放射性库存的适用性。
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引用次数: 0
Assessment of radiation dose values in common orthopaedic trauma examinations performed under X-ray fluoroscopy guidance. 评估在 X 射线透视引导下进行的常见创伤骨科检查的辐射剂量值。
IF 0.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-10 DOI: 10.1093/rpd/ncae175
Tristan Genetay, Axel Gamulin, Arnaud Lorimier, Marta Sans Merce

This study aims to provide radiation reference levels in orthopaedic surgery. A total of 753 procedures were collected within 1 y. Categories containing several similar procedures were created based on four criteria: same anatomical area, same level of complexity, only single procedures, and at least 10 cases per category. Exposure was defined in terms of air kerma-area product, fluoroscopy time, and air kerma at the patient entrance reference point. For common procedures, median effective doses to patient were calculated using the Monte Carlo Software PCXMC. Most irradiating procedure in this study i.e. intramedullary nailing of the proximal femur was equivalent to an air kerma at the patient entrance reference point of 37.1 mGy, which is ~50 times lower than the threshold for acute deterministic effects of radiation. Optimization remains a must to reduce the dose while maintaining the image quality and reducing the likelihood of stochastic effects.

本研究旨在为骨科手术提供辐射参考水平。根据以下四个标准创建了包含多个类似手术的类别:解剖区域相同、复杂程度相同、只有单个手术且每个类别至少有 10 个病例。暴露量根据患者入口参考点的空气切迹-面积乘积、透视时间和空气切迹进行定义。对于常见的手术,使用蒙特卡罗软件 PCXMC 计算患者的有效剂量中值。本研究中辐照度最高的手术,即股骨近端髓内钉手术,患者入口参考点的空气灼烧度为 37.1 mGy,比辐射急性确定效应阈值低约 50 倍。要想在保持图像质量和降低随机效应可能性的同时降低剂量,优化仍是必须的。
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引用次数: 0
Assessment of safety culture in radiotherapy facilities using safety performance indicators. 利用安全绩效指标评估放射治疗设施的安全文化。
IF 0.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-10 DOI: 10.1093/rpd/ncae178
Smriti Sharma, Mahalakshmi Sivaramakrishnan, Arti Tripathi, Pramod Kumar Dixit, Namitha Krishnakumar, Ghanshyam Sahani, Pankaj Kumar Dash Sharma, Sunil Dutt Sharma

This paper describes the development of the Safety Performance Indicators (SPIs), the methodology for assessment of the safety culture of radiotherapy institutions using SPIs and common strengths and common areas for improvement. SPIs were categorized into eight sections which all together contain 23 attributes and each attribute has scoring criteria from 0 to 2 (in steps of 0.5). The maximum absolute cumulative score of SPIs was 46. A relative cumulative SPIs score of >80% indicates an institution strong commitment towards safety while score <50% indicates need for additional guidance to enhance safety culture. The assessment using SPIs was conducted for 17 radiotherapy institutions. The methodology of assessment includes interactive discussion, direct observations and document analysis. The relative cumulative SPIs score of seven institutions was found to be >80% while it was found in the range of 67.0% to 80% for the remaining ten institutions. Institutions were communicated about the cumulative SPIs score, areas of strengths, and areas for improvement. SPIs were found to be a good tool for safety culture assessment and can be utilized by the radiotherapy institutes for self-assessment to identify the areas of improvement. Based on SPIs score, regulatory body can grade the institutions from a radiation safety compliance point of view.

本文介绍了安全绩效指标(SPIs)的制定、使用 SPIs 评估放射治疗机构安全文化的方法、共同优势和有待改进的共同领域。SPIs 分为八个部分,共包含 23 个属性,每个属性的评分标准从 0 到 2(以 0.5 为单位)。SPIs 的绝对累计得分最高为 46 分。相对累积 SPIs 得分大于 80%,表示院校对安全有很强的承诺,得分达到 80%,而其余 10 所院校的得分介于 67.0%至 80%之间。各院校就 SPIs 的累计得分、优势领域和有待改进的领域进行了交流。结果发现,SPIs 是安全文化评估的良好工具,放射治疗机构可利用它进行自我评估,找出需要改进的地方。监管机构可根据 SPIs 分数,从辐射安全合规角度对机构进行评级。
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引用次数: 0
Comparison of the equivalent doses of the eye lenses, thyroid, and mammary gland among three pediatric and one adult anthropomorphic phantom during the chest CT examinations using a 40 mm volume helical scan. 在使用 40 毫米容积螺旋扫描进行胸部 CT 检查时,比较三个小儿和一个成人拟人模型的眼球镜片、甲状腺和乳腺的等效剂量。
IF 0.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-10 DOI: 10.1093/rpd/ncae165
Takanori Masuda, Masao Kiguchi, Chikako Fujioka, Takayuki Oku, Toru Ishibashi, Yasushi Katsunuma, Takayasu Yoshitake, Shuji Abe, Kazuo Awai

Equivalent doses for the eye lenses, thyroid, and mammary glands were measured and compared between one adult and three pediatric anthropomorphic phantoms during chest computed tomography (CT) using 40 mm volume helical scan on the Aquilion ONE GENESIS Edition CT equipment. Placing an optically stimulated luminescence dosemeter (OSLD) on the eye lenses, thyroid, and mammary gland, we measured and compared the equivalent dose of OSLD among different phantoms during chest CT using a helical scan. Compared with adults, the equivalent doses to the eye lens, thyroid, and mammary glands were ~81%, 77%, and 63% lower in newborns, 1-year-olds, and 5-year-olds using comparable image noise during chest CT.

在 Aquilion ONE GENESIS 版 CT 设备上使用 40 毫米容积螺旋扫描进行胸部计算机断层扫描(CT)时,我们测量并比较了一个成人和三个儿童拟人化模型的眼球晶状体、甲状腺和乳腺的等效剂量。我们在眼球镜片、甲状腺和乳腺上放置了一个光刺激发光剂量计(OSLD),测量并比较了不同模型在使用螺旋扫描进行胸部计算机断层扫描时的等效剂量。与成人相比,新生儿、1 岁儿童和 5 岁儿童在胸部 CT 期间使用可比图像噪声时,其眼球晶状体、甲状腺和乳腺的等效剂量分别降低了约 81%、77% 和 63%。
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引用次数: 0
Incorporating boron distribution variations in microdosimetric kinetic model-based relative biological effectiveness calculations for boron neutron capture therapy. 将硼分布变化纳入基于微剂量动力学模型的硼中子俘获疗法相对生物有效性计算中。
IF 0.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-09-10 DOI: 10.1093/rpd/ncae158
Mingzhu Li, Changran Geng, Yang Han, Fada Guan, Yuanhao Liu, Diyun Shu, Xiaobin Tang

This study introduces the MKM_B model, an approach derived from the MKM model, designed to evaluate the biological effectiveness of Boron Neutron Capture Therapy (BNCT) in the face of challenges from varying microscopic boron distributions. The model introduces a boron compensation factor, allowing for the assessment of compound Biological Effectiveness (CBE) values for different boron distributions. Utilizing the TOPAS simulation platform, the lineal energy spectrum of particles in BNCT was simulated, and the sensitivity of the MKM_B model to parameter variations and the influence of cell size on the model were thoroughly investigated. The CBE values for 10B-boronphenylalanine (BPA) and 10B-sodium (BSH) were determined to be 3.70 and 1.75, respectively. These calculations were based on using the nucleus radius of 2.5 μm and the cell radius of 5 μm while considering a 50% surviving fraction. It was observed that as cell size decreased, the CBE values for both BPA and BSH increased. Additionally, the model parameter rd was identified as having the most significant impact on CBE, with other parameters showing moderate effects. The development of the MKM_B model enables the accurate prediction of CBE under different boron distributions in BNCT. This model offers a promising approach to optimize treatment planning by providing increased accuracy in biological effectiveness.

本研究介绍了 MKM_B 模型,这是一种从 MKM 模型衍生出来的方法,旨在评估硼中子俘获疗法(BNCT)在面对不同微观硼分布的挑战时的生物有效性。该模型引入了硼补偿因子,可评估不同硼分布的复合生物有效性(CBE)值。利用 TOPAS 模拟平台,模拟了 BNCT 中粒子的线能谱,并深入研究了 MKM_B 模型对参数变化的敏感性以及细胞大小对模型的影响。经测定,10B-硼苯丙氨酸(BPA)和 10B-钠(BSH)的 CBE 值分别为 3.70 和 1.75。这些计算基于 2.5 μm 的细胞核半径和 5 μm 的细胞半径,同时考虑了 50% 的存活率。结果表明,随着细胞大小的减小,BPA 和 BSH 的 CBE 值均有所增加。此外,模型参数 rd 被确定为对 CBE 影响最大的参数,其他参数的影响适中。MKM_B 模型的建立能够准确预测 BNCT 中不同硼分布条件下的 CBE。该模型提高了生物有效性的准确性,为优化治疗计划提供了一种可行的方法。
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引用次数: 0
Modification of algorithm for accurate estimation of Hp(3) based on response of head TLD badge calibrated using ISO cylindrical phantom. 根据使用 ISO 圆柱模型校准的头部 TLD 徽章的响应,修改算法以准确估计 Hp(3)。
IF 0.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-08-09 DOI: 10.1093/rpd/ncae164
Madhumita Bhattacharya, Kasthuri Samuel, Kshama Srivastava, Ashok Kumar Bakshi

In India, the prevailing approach to eye lens dosimetry is the placement of an existing dosemeter on the forehead region after slight modification serves as a dedicated Eye Lens Dosemeter. A methodology for estimating the eye lens dose in terms of the Hp(3) has been previously explored employing an algorithm based on the response characteristics of this dosemeter using ISO slab phantom. It was observed that the performance of the dosemeter in terms of Hp(3) using previous algorithm showed under response at higher angles of incidence and photon beams of energy < 200 keV. Further, study was conducted to modify the algorithm following the latest ISO recommendations. This involved generation of data from the response of existing dosemeter on a cylindrical phantom. The results of this study revealed better performance of the newly established algorithm in estimating eye lens dose in terms of Hp(3) when compared to the earlier algorithm.

在印度,眼透镜剂量测定的普遍方法是将现有的剂量计稍加改动后放置在前额区域,作为专用的眼透镜剂量计。以前曾根据该剂量计的响应特性,使用 ISO 板状模型探索过一种用 Hp(3) 估算眼透镜剂量的方法。结果表明,使用以前的算法估算 Hp(3)时,剂量计的性能在较高的入射角和能量光子束下反应不足。
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引用次数: 0
Utilization of machine learning methods for prediction of acute and late rectal toxicity due to curative prostate radiotherapy. 利用机器学习方法预测根治性前列腺放疗引起的急性和晚期直肠毒性。
IF 0.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-08-09 DOI: 10.1093/rpd/ncae154
Emine Elif Ozkan, Tekin Ahmet Serel, Arap Sedat Soyupek, Zumrut Arda Kaymak

Objective: Rectal toxicity is one of the primary dose-limiting side effects of prostate cancer radiotherapy, and consequential impairment on quality of life in these patients with long survival is an important problem. In this study, we aimed to evaluate the possibility of predicting rectal toxicity with artificial intelligence model which was including certain dosimetric parameters.

Materials and methods: One hundred and thirty-seven patients with a diagnosis of prostate cancer who received curative radiotherapy for prostate +/- pelvic lymphatics were included in the study. The association of the clinical data and dosimetric data between early and late rectal toxicity reported during follow-up was evaluated. The sample size was increased to 274 patients by synthetic data generation method. To determine suitable models, 15 models were studied with machine learning algorithms using Python 2.3, Pycaret library. Random forest classifier was used with to detect active variables.

Results: The area under the curve and accuracy were found to be 0.89-0.97 and 95%-99%, respectively, with machine learning algorithms. The sensitivity values for acute and toxicity were found to be 0.95 and 0.99, respectively.

Conclusion: Early or late rectal toxicity can be predicted with a high probability via dosimetric and physical data and machine learning algorithms of patients who underwent prostate +/- pelvic radiotherapy. The fact that rectal toxicity can be predicted before treatment, which may result in limiting the dose and duration of treatment, makes us think that artificial intelligence can enter our daily practice in a short time in this sense.

目的:直肠毒性是前列腺癌放疗的主要剂量限制性副作用之一,对这些生存期较长的患者的生活质量造成影响是一个重要问题。本研究旨在评估人工智能模型预测直肠毒性的可能性:研究对象包括 137 名确诊为前列腺癌并接受前列腺 +/- 盆腔淋巴根治性放疗的患者。对随访期间报告的早期和晚期直肠毒性之间的临床数据和剂量学数据的关联性进行了评估。通过合成数据生成法将样本量增加到 274 例患者。为了确定合适的模型,使用 Python 2.3 和 Pycaret 库对 15 个模型进行了机器学习算法研究。随机森林分类器用于检测活跃变量:使用机器学习算法得出的曲线下面积和准确率分别为 0.89-0.97% 和 95%-99%。急性和毒性的灵敏度值分别为 0.95 和 0.99:通过前列腺+/-盆腔放疗患者的剂量测量和物理数据以及机器学习算法,可以高概率地预测早期或晚期直肠毒性。在治疗前就能预测直肠毒性,从而限制治疗剂量和疗程,这让我们认为人工智能可以在短时间内进入我们的日常工作。
{"title":"Utilization of machine learning methods for prediction of acute and late rectal toxicity due to curative prostate radiotherapy.","authors":"Emine Elif Ozkan, Tekin Ahmet Serel, Arap Sedat Soyupek, Zumrut Arda Kaymak","doi":"10.1093/rpd/ncae154","DOIUrl":"10.1093/rpd/ncae154","url":null,"abstract":"<p><strong>Objective: </strong>Rectal toxicity is one of the primary dose-limiting side effects of prostate cancer radiotherapy, and consequential impairment on quality of life in these patients with long survival is an important problem. In this study, we aimed to evaluate the possibility of predicting rectal toxicity with artificial intelligence model which was including certain dosimetric parameters.</p><p><strong>Materials and methods: </strong>One hundred and thirty-seven patients with a diagnosis of prostate cancer who received curative radiotherapy for prostate +/- pelvic lymphatics were included in the study. The association of the clinical data and dosimetric data between early and late rectal toxicity reported during follow-up was evaluated. The sample size was increased to 274 patients by synthetic data generation method. To determine suitable models, 15 models were studied with machine learning algorithms using Python 2.3, Pycaret library. Random forest classifier was used with to detect active variables.</p><p><strong>Results: </strong>The area under the curve and accuracy were found to be 0.89-0.97 and 95%-99%, respectively, with machine learning algorithms. The sensitivity values for acute and toxicity were found to be 0.95 and 0.99, respectively.</p><p><strong>Conclusion: </strong>Early or late rectal toxicity can be predicted with a high probability via dosimetric and physical data and machine learning algorithms of patients who underwent prostate +/- pelvic radiotherapy. The fact that rectal toxicity can be predicted before treatment, which may result in limiting the dose and duration of treatment, makes us think that artificial intelligence can enter our daily practice in a short time in this sense.</p>","PeriodicalId":20795,"journal":{"name":"Radiation protection dosimetry","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141458975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to: Dose, dose, dose, but where is the patient dose? 更正:剂量、剂量、剂量,但病人的剂量在哪里?
IF 0.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-08-09 DOI: 10.1093/rpd/ncae172
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引用次数: 0
Simultaneous indoor radon/thoron and in situ outdoor gamma dose measurements and estimation of annual effective dose in a tin mining area of Jos Plateau, Nigeria. 尼日利亚乔斯高原锡矿区室内氡/钍和室外原位伽马剂量同步测量及年度有效剂量估算。
IF 0.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-08-09 DOI: 10.1093/rpd/ncae152
Jasini Waida, Oyebode A Oyeleke, Janet A Ademola

Radon, a radioactive gas can increase the risk of lung cancer when breathe in. Indoor Rn-222 and Rn-220 concentrations were determined using passive radon monitor in some dwellings in a Sn mining area of Jos Plateau. Outdoor gamma radiation was also measured with a hand-held survey meter. The range of Rn-222 and Rn-220 concentrations was from 7-53 Bq m-3 to 41-267 Bq m-3 with averages of 27 ± 17 and 92 ± 65 Bq m-3, respectively. The mean total effective dose due to Rn-222 + Rn-220 was estimated as 2.84 ± 1.57 mSv y-1. Rn-220 contributed between 50 and 95% to the total annual effective dose. There was no correlation between indoor Rn-220 and Rn-222 concentrations in the dwellings. Outdoor gamma radiation measured was between 0.31 ± 0.06 and 0.62 ± 0.08 μSv h-1, and mean annual effective dose calculated was 1.14 ± 0.21 mSv y-1. It is concluded from this study that thoron should not be neglected in dose assessment.

氡是一种放射性气体,吸入后会增加患肺癌的风险。使用被动式氡监测仪测定了乔斯高原 Sn 采矿区一些住宅的室内 Rn-222 和 Rn-220 浓度。室外伽马辐射也是用手持式测量仪测量的。Rn-222 和 Rn-220 的浓度范围从 7-53 Bq m-3 到 41-267 Bq m-3,平均值分别为 27 ± 17 和 92 ± 65 Bq m-3。据估计,Rn-222 + Rn-220 的平均总有效剂量为 2.84 ± 1.57 mSv y-1。Rn-220 占全年总有效剂量的 50% 至 95%。住宅室内的 Rn-220 和 Rn-222 浓度之间没有关联。室外伽马辐射的测量值介于 0.31 ± 0.06 和 0.62 ± 0.08 μSv h-1 之间,计算得出的年平均有效剂量为 1.14 ± 0.21 mSv y-1。这项研究的结论是,在剂量评估中不应忽视钍。
{"title":"Simultaneous indoor radon/thoron and in situ outdoor gamma dose measurements and estimation of annual effective dose in a tin mining area of Jos Plateau, Nigeria.","authors":"Jasini Waida, Oyebode A Oyeleke, Janet A Ademola","doi":"10.1093/rpd/ncae152","DOIUrl":"10.1093/rpd/ncae152","url":null,"abstract":"<p><p>Radon, a radioactive gas can increase the risk of lung cancer when breathe in. Indoor Rn-222 and Rn-220 concentrations were determined using passive radon monitor in some dwellings in a Sn mining area of Jos Plateau. Outdoor gamma radiation was also measured with a hand-held survey meter. The range of Rn-222 and Rn-220 concentrations was from 7-53 Bq m-3 to 41-267 Bq m-3 with averages of 27 ± 17 and 92 ± 65 Bq m-3, respectively. The mean total effective dose due to Rn-222 + Rn-220 was estimated as 2.84 ± 1.57 mSv y-1. Rn-220 contributed between 50 and 95% to the total annual effective dose. There was no correlation between indoor Rn-220 and Rn-222 concentrations in the dwellings. Outdoor gamma radiation measured was between 0.31 ± 0.06 and 0.62 ± 0.08 μSv h-1, and mean annual effective dose calculated was 1.14 ± 0.21 mSv y-1. It is concluded from this study that thoron should not be neglected in dose assessment.</p>","PeriodicalId":20795,"journal":{"name":"Radiation protection dosimetry","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Simulation study for design of long counter for standard neutron fields from 1 keV to 20 MeV at NMIJ/AIST. 在 NMIJ/AIST 为 1 keV 至 20 MeV 标准中子场设计长计数器的模拟研究。
IF 0.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2024-08-09 DOI: 10.1093/rpd/ncae151
Tetsuro Matsumoto, Akihiko Masuda, Hideki Harano, Seiya Manabe

A De-Pangher-type long counter was designed for neutron measurements in standard neutron fields based on the results of simulations using the MCNP6 code at the National Metrology Institute of Japan, the National Institute of Advanced Industrial Science and Technology. The effects of six parameters in the design on the energy response of the long counter were investigated. The energy response was then quantitatively evaluated for eight design candidates selected from the investigation. The calculation results show that these candidates have a flatter energy response from 100 eV to 10 MeV compared to that of the current long counter. These candidates also reduce the difference between the average energy response from 10 eV to 1 MeV and that from 10 to 20 MeV.

根据日本国立计量研究所(国立产业技术综合研究所)使用 MCNP6 代码进行模拟的结果,设计了用于在标准中子场中测量中子的 De-Pangher 型长计数器。研究了设计中的六个参数对长计数器能量响应的影响。然后对从调查中选出的八个候选设计方案的能量响应进行了定量评估。计算结果表明,与目前的长计数器相比,这些候选设计在 100 eV 至 10 MeV 之间的能量响应更平缓。这些候选设计还缩小了从 10 eV 到 1 MeV 的平均能量响应与从 10 MeV 到 20 MeV 的平均能量响应之间的差异。
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引用次数: 0
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Radiation protection dosimetry
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