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Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while...

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Validation and Dose Mapping Josef Mittendorfer , Consultant Seminar Copenhagen June 9 th 2017
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Page 1: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

ValidationandDose MappingJosef Mittendorfer, Consultant

Seminar Copenhagen June 9th 2017

Page 2: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Highly Appreciated Irradiation Service Provider since 1995

Three Technologies: E-Beam – Gamma – X-Ray

Devoted to Quality of Services and Innovation

TT-100 Rhodotron 10 MeV and TT-100 10 MeV/6.6 MeV E-Beam/X-Ray

Page 3: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

TT-300 “Duo” E-Beam “Workhorse” X-Ray “Special Products”

190 kW Power E-Beam: 10 MeV 19 mA X-Ray: 7 MeV 27 mA

Page 4: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Fully Automatic

Pallet Layers on Trays

Separate E-Beam andX-Ray Process Conveyors

Page 5: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Depalletizer/Palletizer Product Turning

Page 6: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Medical Devicein its Shipping Container

Sterilized usingIonizing Radiation

Electron Beam

Medical Device Example

Page 7: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Process Definition

Dster Minimum dose to ensure sterility

(Dose Setting)

Dmax,acc Maximum dose not

to harm the product

(Material Qualification)

Page 8: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Electron Beam Treatment

Improve Penetration:

1st Pass2nd Pass

Page 9: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

020406080

100120140

0 2 4 6

Do

es

[%]

z [g/cm²]

Dose in PE-Foam Phantom

z=Depth g/cm²]= depth cm] x Density g/cm³]

Standardized

Depth: z

Build-Up

Region

Fast Drop Off

Page 10: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Double Sided Treatment to Improve Penetration

Z=8.5 g/cm²

Page 11: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

ISO 11137-1 PQ Requirements

Page 12: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Product Validation- Dose Mapping

Dosimeters are placed inside the product to locate

the minimum and maximum dose zones

Quantify: Dmin, Dmax, Dmon

Dmin Dose at Minimum Position

Dmax Dose at Maximum Position

Dmon Dose at Monitoring Position

Page 13: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Mapping in General - in 2 Dimensions

Page 14: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Dose Mapping 3-Dimensional

Evalulating dose in x-y-z inside the product:

Where ? Locations/Grid

How? DosimeterModelling

Page 15: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

DosimeterAlanine PelletsRadiochromic Films

Page 16: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Dosimeter Placement

thin film dosimeter with poach(18- 50 m) with Al- pouch

Alanine PelletsCylinders R=2.4mmPlastic wrappingbarcoded

Page 17: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Established in Medical Physics New Possibilities with CAD input Place Dosimeters/Object is Dosimeter Simulate Changes to Product/Process Study Dose Effects

Mathematical Modelling to assist Dose Mapping

Page 18: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Visualisation - Example X-Ray Treatment

DUR 1.5DUR 1.5A … outer E … inner

Page 19: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Example Shielding of Medical Devices

DUR 1.5

Mo 2 mm Mo 10 mm

Page 20: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Deviation between Dose in Air and Dosimeter Measurement:

Pellet horizontal Pellet vertical. Film horizontal Film vertical-0.3% -2% -1.8% - 14.4%

Example: Dosimeter Response and Dose

Page 21: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

0.5mm Steel Wire in Tube

DUR 1.5DUR 1.5A … outer E … inner

Page 22: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

DUR 1.5

Steel Needle D=1mm Thickness 100µm

Page 23: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

DUR 1.5

Dose Mapping make synergistic use of:

Alanine Dosimeter ( averaging of microdose effects)

Mathematical Modelling (validated by experiments)to study and interpret radiation physics phenomena

No “hunt“ for dose gradientsUnderstand - Interpret – Assess Risk

Page 24: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Routine Monitoring Position

On-Product – Position Laser Guided

Manual Placement

Automatic Removal

Alanine Dosimeter

Page 25: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

PQ Run Summary

Color Indication: Hot Spots – Low Dose RegionCold Spots – High Dose Region

Variation between Runs: RSDRSD <4% 4%<RSD <8%RSD > 8%

Page 26: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Dose Mapping Summary

Dmin

Dmax

Dmon

Rmin/mon= Dmin/Dmon

Rmax/mon= Dmax/Dmon

DUR= Dmax/Dmin

Page 27: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Designing the Process

Customer Requirements

Dster

[kGy] 25

Dmax, acc

[kGy] 40

Process

Dster

Dmax,acc

Process Parameter:I,v,s

Dmon/lower,Dmon/upper]

Uncertainties: Dose Mapping (R-factors), Machine, Dosimeter

Page 28: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Dmonster 15.4 kGy Dtarget

lower=16.2kGy Dtargetupper=18.6kGy Dmon

max,acc 19.1 kGy

Setting Target Dose (taking into account uncertainties)

Page 29: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Dster=25kGy Dmin=27.7kGy Dmax=35.6kGy Dmax,acc=40kGy

Product Doses

Page 30: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Dose vs. Process Parameter

D Dose in kGy

I Beam Current

v Process Speed

s Scan Width

k= De(0)*F

Page 31: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Surface Dose – Beam Parameter Relationship

0

10

20

30

40

50

60

70

16 16,1 16,2 16,3 16,4 16,5 16,6 16,7 16,8 16,9 17 17,1 17,2 17,3 17,4

FREQ

UEN

CY

DOSIS [KGY]

Reference vs. Parametric Doses

Reference Dosimeter Machine Doses

Reference Dose:

RSD 1.4 % (k=1)

Parametric Dose:

RSD 0.5 % (k=1)

Page 32: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Product Batch Control Chart

Page 33: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

Long Term Reference Dose Analysis

Page 34: Validation and Dose Mapping...Dose Mapping is a core instrument to render a sterile product while sparing product from harm by preventing overdosing A fine-tuned, robust method, state-of-the-art

CONCLUSION

Dose Mapping is a core instrument to render a sterile product while sparing product from harm bypreventing overdosing

A fine-tuned, robust method, state-of-the-art dosimeters and advanced modelling are vital in achieving this goal


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