PMID- 31943095 OWN - NLM STAT- MEDLINE DCOM- 20210623 LR - 20210623 IS - 1742-3406 (Electronic) IS - 0144-8420 (Linking) VI - 188 IP - 4 DP - 2020 Jul 2 TI - NOVEL 'PHOTONEUTRON VOLUME DOSE EQUIVALENT' HYPOTHESIS AND METHODOLOGY FOR SECOND PRIMARY CANCER RISK ESTIMATION IN HIGH-ENERGY X-RAY MEDICAL ACCELERATORS. PG - 432-443 LID - 10.1093/rpd/ncz303 [doi] AB - A novel 'photoneutron (PN) volume dose equivalent' methodology was hypothesized and applied for the first time for estimating PN second primary cancer (PN-SPC) risks in high-energy X-ray medical accelerators. Novel position-sensitive mega-size polycarbonate dosimeters with 10B converter (with or without cadmium covers) were applied for determining fast, epithermal and thermal PN dose equivalents at positions on phantom surface and depths. The methodology was applied to sites of tumors such as brain, stomach and prostate in 47 patients. The PN-SPC risks were estimated for specific organs/tissues using linear International Commission on Radiological Protection cancer risks and were compared with some available data. The corresponding PN-SPC risk estimates ranged from 1.450 x 10-3 to 1.901 cases per 10 000 persons per Gray. The method was applied to 47 patients for estimating PN-SPC risks in patients undergoing radiotherapy. The PN-SPC risk estimates well match those calculated by simulation but are comparatively different from those estimated by 'PN point dose equivalent' methods, as expected. CI - (c) The Author(s) 2020. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com. FAU - Sohrabi, Mehdi AU - Sohrabi M AD - Health Physics and Dosimetry Research Laboratory, Department of Energy Engineering and Physics, Amirkabir University of Technology, Tehran, Iran. FAU - Hakimi, Amir AU - Hakimi A AD - Health Physics and Dosimetry Research Laboratory, Department of Energy Engineering and Physics, Amirkabir University of Technology, Tehran, Iran. LA - eng PT - Journal Article PL - England TA - Radiat Prot Dosimetry JT - Radiation protection dosimetry JID - 8109958 SB - IM MH - Humans MH - Male MH - *Neoplasms, Second Primary/epidemiology/etiology MH - Neutrons MH - Particle Accelerators MH - Radiometry MH - X-Rays EDAT- 2020/01/17 06:00 MHDA- 2021/06/24 06:00 CRDT- 2020/01/17 06:00 PHST- 2019/01/02 00:00 [received] PHST- 2019/12/04 00:00 [revised] PHST- 2020/01/03 00:00 [accepted] PHST- 2020/01/17 06:00 [pubmed] PHST- 2021/06/24 06:00 [medline] PHST- 2020/01/17 06:00 [entrez] AID - 5704035 [pii] AID - 10.1093/rpd/ncz303 [doi] PST - ppublish SO - Radiat Prot Dosimetry. 2020 Jul 2;188(4):432-443. doi: 10.1093/rpd/ncz303.