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PyMCGPU-IR: a new tool for patient dose monitoring in interventional radiology procedures

David Fernández Bosman

2024

Abstract

(English) Interventional radiology procedures are associated with potentially high radiation doses to the skin. The 2013/59/EURATOM Directive establishes that the equipment used for interventional radiology must have a device or a feature informing the practitioner of relevant parameters for assessing patient dose at the end of the procedure. Monte Carlo codes of radiation transport are considered to be one of the most reliable tools available to assess doses. However, they are usually too time consuming for use in clinical practice. This thesis has been developed at the Institute of Energy Technologies of the Universitat Politècnica de Catalunya within the framework of the European project "Implications of Medical Low Dose Radiation Exposure" (MEDIRAD). The main objective of this work is to develop a software tool based on the Monte Carlo program MC-GPU for assessing the skin dose in patients undergoing interventional radiology (IR) procedures. The achievement of this objective can be divided into two main blocks: the validation of MC-GPU and the development and validation of PyMCGPUIR, a skin dose calculation tool for IR procedures based on MC-GPU. For the validation of MC-GPU, simulations were conducted and compared with the well-validated code PENELOPE/penEasy and then compared against thermoluminescent measurements performed on slab phantoms, both in a calibration laboratory and at a hospital. MC-GPU demonstrated excellent agreement in organ dose distribution, with…

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