TH-AB-201-04: Clinical Protocol for Reuse of Optically Stimulated Luminescence Detectors




OSLDs made of Al2O3:C have many useful dosimetric characteristics including their ability to be reused. The signal on an OSLD can be removed through heat or light. The objective of this study was to characterize the change in sensitivity associated with annealing OSLDs with light and in doing so define a range through which reuse is viable.


Four groups of nanoDot OSLDs were repeatedly irradiated and bleached to create accumulated dose history. Each group's repeated irradiation remained constant at either 50, 100, 200, or 500 cGy. Before both irradiation and bleaching the OSLDs were read out, giving the dose reading and ensuring that ample bleaching had occurred, respectively. New and used OSLDs were compared in several clinical situations to verify accuracy. One final test involved correcting the readout dose based on the loss of sensitivity seen in the accumulated dose data.


In the first 40 Gy of accumulated dose the sensitivity can be broken into two regions: a region of sensitivity change and a region of no sensitivity change. From 0 cGy to an average of 1080 cGy the sensitivity does not change. After 1080 cGy the sensitivity begins to decrease linearly with an average slope of 0.00456 cGy lost per cGy accumulated after the cutoff point. The slope and cutoff point were used to correct readings in the final test, reducing the error from 6.8% to 3.9%.


In the region of no sensitivity change OSLDs can be reused without concern to the validity of their result. Readings must be corrected if OSLDs are to be used in the region of sensitivity change, above 1080 cGy. After 40 Gy OSLDs must be retired because the sensitivity change reverses, making linear correction no longer feasible.