An in vitro verification of strength estimation for moving an 125I source during implantation in brachytherapy

This study aims to demonstrate the feasibility of a method for estimating the strength of a moving brachytherapy source during implantation in a patient. Experiments were performed under the same conditions as in the actual treatment, except for one point that the source was not implanted into a patient. The brachytherapy source selected for this study was I-125 with an air kerma strength of 0.332 U (mu Gym(2)h(-1)), and the detector used was a plastic scintillator with dimensions of 10 cm x 5 cm x 5 cm. A calibration factor to convert the counting rate of the detector to the source strength was measured and then the accuracy of the proposed method was investigated for a manually driven source. The accuracy was found to be under 10% when the shielding effect of additional needles for implantation at other positions was corrected, and about 30% when the shielding was not corrected. Even without shielding correction, the proposed method can detect dead/dropped source, implantation of a source with the wrong strength, and a mistake in the number of the sources implanted. Furthermore, when the correction was applied, the achieved accuracy came close to within 7% required to find the Oncoseed 6711 (I-125 seed with unintended strength among the commercially supplied values of 0.392, 0.462 and 0.533 U).