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Introduction: Cancer constitutes the greatest public health threat to humans, as its incidence and mortality rates continue to increase worldwide. With the development of medical physics, more practitioners focus on the direct and indirect anti-tumor effects of physical factors. Infrared radiation (INR) is currently the most rapidly developing physical therapy method for tumors and has become a favored target for many oncologists and researchers owing to its advantages of high efficiency, low toxicity, and strong feasibility. Areas covered: This work provides a comprehensive collection of the latest information on INR anti-tumor research, drawing from public medical databases (PubMed, Web of Science, Embase, and Clinical Trials) from the last 10 years (2014 to 2024), and encompassing both basic and clinical research in oncology and physics. This article reviews the application of INR in tumor hyperthermia, summarizes and analyzes the practical value of INR for tumor treatment, and discusses future development trends to provide valuable assistance for the subsequent development of oncology. Expert opinion: Currently, INR has continuously accumulated excellent data in the field of tumor hyperthermia, bringing practical survival benefits to patients with cancer, and playing an important role in basic and clinical cancer research. [ABSTRACT FROM AUTHOR]

Within the landscape of medical physics education, residency programs are instrumental in imparting hands‐on training and experiential knowledge to early‐career physicists. Ensuring access to educational opportunities for physicists with disabilities is a legal, ethical, and pragmatic requirement for programs, considering that a significant proportion of the United States population has a disability. Grounded in conceptual frameworks of competency‐based medical education and the social model of disability, this work provides an introduction to some practical recommendations for medical physics residency programs. Strategies include embracing universal design principles, fostering partnerships with disability service offices, using inclusive language, developing and publicizing clear procedures for disclosing disabilities and requesting accommodations, and maintaining an overall commitment to equitable access to education. This work urges medical physics residency leadership to proactively move towards training environments that support the needs of residents across the spectrum of disability, highlighting why disability inclusion fundamentally enriches diversity. [ABSTRACT FROM AUTHOR]

Over the past 35 years, the Calibration Laboratory of IPEN (LCI) has seen significant advancements in the development of ionization chambers. This paper highlights the key contributions and achievements in this field. Numerous Master’s and PhD students at LCI/IPEN, under the guidance of Linda Caldas, have devoted their careers to advancing the science and education of medical physics. This review showcases some of their work, all of which was made possible through the initial efforts in dosimetry at the IPEN by Prof. Shigueo Watanabe. [ABSTRACT FROM AUTHOR]

OBJECTIVES: Programmatic assessment approaches can be extended to the design of allied health professions training, to enhance the learning of trainees. The Australasian College of Physical Scientists and Engineers in Medicine worked with assessment specialists at the Australian Council for Educational Research and Amplexa Consulting, to revise their medical physics and radiopharmaceutical science training programs. One of the central aims of the revisions was to produce a training program that provides standardized training support to their registrars throughout the 3 years, better supporting their registrars to successfully complete the program in the time frame through providing timely and constructive feedback on the registrar's progression. METHODS: We used the principles of programmatic assessment to revise the assessment methods and progression decisions in the three training programs. RESULTS: We revised the 3-year training programs for diagnostic imaging medical physics, radiation oncology medical physics and radiopharmaceutical science in Australia and New Zealand, incorporating clear stages of training and associated progression points. CONCLUSIONS: We discuss the advantages and difficulties that have arisen with this implementation. We found 5 key elements necessary for implementing programmatic assessment in these specialized contexts: embracing blurred boundaries between assessment of and for learning, adapting the approach to each specialized context, change management, engaging subject matter experts, and clear communication to registrars/trainees. [ABSTRACT FROM AUTHOR]

The incorporation of medical physics into the field of oncology has profoundly changed the ways in which cancer is diagnosed and treated. This article highlights the essential roles that medical physicists play in cancer care, demonstrating how principles from physics improve various aspects of oncology practices. Our analysis reveals that medical physics plays a fundamental role in optimizing various oncological procedures, thereby revolutionizing the management of cancer. Specifically, medical physicists are integral to critical areas such as radiation therapy planning, surgical navigation, and quality assurance, which collectively facilitate personalized and effective treatment strategies for patients. By working closely with healthcare professionals, medical physicists help ensure patients receive top-notch care while minimizing side effects associated with treatments. Their dedication to innovation and research is essential for improving both patient outcomes and quality of life throughout the cancer journey. The ongoing partnership between medical physicists and clinicians is instrumental in propelling advancements in oncology research and clinical practices, leveraging physics principles alongside state-of-the-art technologies to enhance cancer management. As medical physicists commit to excellence and patient-centered practices, they are at the forefront of transforming oncology care, promising improved hope and outcomes for those battling cancer. This collaborative effort ensures a bright future for cancer treatment, where the integration of physics not only optimizes therapeutic approaches but also fosters a comprehensive understanding of cancer care. [ABSTRACT FROM AUTHOR]

This article documents the work conducted in implementing the IAEA non-agreement TC regional RAS6088 project "Strengthening Education and Training Programmes for Medical Physics". Necessary information on the project was collected from the project counterparts via emails for a period of one month, starting from 21st September 2023, and verified at the Final Regional Coordination Meeting in Bangkok, Thailand from 30th October 2023 to 3rd November 2023. Sixty-three participants were trained in 5 Regional Training Courses (RTCs), with 48%, 32% and 20% in radiation therapy, diagnostic radiology, and nuclear medicine, respectively. One RTC was successfully organised to introduce molecular biology as an academic module to participants. Three participating Member States, namely United Arab Emirates (UAE), Nepal and Afghanistan have initiated processes to start the postgraduate master medical physics education programmes by coursework, adopting the IAEA TCS56 Guidelines. UAE has succeeded in completing the process while Nepal and Afghanistan have yet to initiate the programme. The postgraduate master medical physics programmes by coursework were strengthened in Indonesia, Jordan, Malaysia, Pakistan, Syria, and Thailand, along with the national registration of medical physicists. In particular, Thailand has revised 6 postgraduate master medical physics programmes by coursework during the tenure of this project. Home Based Assignment and RTCs have resulted in two publications. In conclusion, the RAS6088 project was found to have achieved its planned outcomes despite challenges faced due to the COVID-19 pandemic. It is proposed that a follow up project be implemented to increase the number of Member States who are better prepared to improve medical physics education and training in the region. [ABSTRACT FROM AUTHOR]

Workforce modelling for Radiation Oncology Medical Physicists (ROMPs) is evolving and challenging, prompting the development of the 2021 Australasian College of Physical Scientists and Engineers in Medicine (ACPSEM) ROMP Workforce (ARW) Model. In the exploration of this model at Sir Charles Gairdner Hospital, a comprehensive productivity exercise was conducted to obtain a detailed breakdown of ROMP time at a granular level. The results provide valuable insights into ROMP activities and enabled an evaluation of ARW Model calculations. The findings also capture the changing ROMP role as evidenced by an increasing involvement in consultation and advisory tasks with other professionals in the field. They also suggest that CyberKnife QA time requirements in the data utilised by the model may need to be revised. This study emphasises features inherent in the model, that need to be understood if the model is to be applied correctly. [ABSTRACT FROM AUTHOR]

High dose rate (HDR) brachytherapy procedures for cervical cancer require multiple applicator insertions for multiple (typically 5) fractions of a single plan, which carries a risk for variability in applicator position between fractions. Due to applicator displacement relative to patient anatomy, the dose to nearby organs-at-risk (OARs) may vary significantly from one fraction to the next. The purpose of this study was to evaluate the effect of changes in HDR tandem and ring (T&R) applicator position on doses to nearby OARs and to present a quick and simple method to estimate doses to OARs inter-fractionally without having to perform a re-plan. Ninety CT image sets for 20 patients, ages 44 to 86, undergoing T&R-based HDR for cervical cancer were used retrospectively for this study. Measures of applicator positional and angular changes relative to the bony anatomy were obtained using image fusion in MIM software, between the planning CT (plan CT) and the CT on the treatment day (CT-TX). Dosimetric data were determined, also using MIM software, using the original (first fraction) dose distribution applied to organs at risk (rectum and bladder), transferred via rigid registration from the plan CT to each CT-TX. Bladder and rectum contours were also transferred from each plan CT to each CT-TX and were tweaked manually to match anatomy on each CT-TX and examined visually for appropriateness. Differences in translation and rotation of the T&R applicator between the planning CT and subsequent individual fractions were recorded and plotted against dose differences between each fraction of treatment and the original (first) fraction. Absolute dose (D 2cc) and volume (V 50) differences vs positional shifts were calculated and plotted, and the Pearson Product-Moment correlation coefficient between dose parameters and measured positional shifts was determined. Average dosimetric differences between planned dose and subsequent fractional doses obtained through rigid registration were 1.48 ± 1.92 Gy, 14.91 ± 11.92 cm3, 0.56 ± 0.93 Gy, and 1.77 ± 2.18 cm3 for Bladder D 2cc , Bladder V 50 , Rectum D 2cc , and Rectum V 50 , respectively. Correlation between Bladder V 50 and sagittal plane rotation gave an r2 of 0.4, showing the most correlation of all parameters studied. Bladder dose and volume increased by a maximum of about 2.7 Gy and 50 cm3 overall for Bladder D 2cc and Bladder V 50 , respectively. Bladder V 50 was most sensitive to T&R applicator displacements. We have quantified the effects of applicator positional changes on dose changes for the bladder and rectum. Even large changes in applicator position between fractions did not result in significant changes in dose to these normal tissues, indicating that adaptive re-planning is not necessary. [ABSTRACT FROM AUTHOR]

Rhizophora-based particleboard was evaluated for its suitability as phantom material, especially in medical physics applications. The elemental composition, effective atomic number, micrographic structures, computed tomography (CT), and attenuation properties of Rhizophora-based particleboards were examined. These investigations considered three different particle sizes and three distinct adhesive mixtures. Rhizophora sample at particle sizes of 0 to 103 µm, with 4.5% soy flour and 1.5% lignin (C6) presented with a homogenous compound with better uniformity compared with other samples, and Rhizophora sample at particle sizes of 104 to 210 µm, with 9% soy flour and 3% lignin (B12) demonstrated an effective atomic number of 8.15, which is similar to water. C6 also presented with a density distribution profile with close proximity to water. The measured attenuation coefficients of samples were aligned closely with those of water, as determined by XCOM. The results suggest that the formulation of soy flour and lignin as adhesives for Rhizophora-based particleboard is suitable for the fabricating of phantom material for medical physics applications, especially mainly due to its natural origin.

Abstract Background The goal is to use three different machine learning models to predict the recurrence of breast cancer across a very heterogeneous sample of patients with varying disease kinds and stages. Methods A heterogeneous group of patients with varying cancer kinds and stages, including both triple-negative breast cancer (TNBC) and non-triple-negative breast cancer (non-TNBC), was examined. Three distinct models were created using the following five machine learning techniques: Adaptive Boosting (AdaBoost), Random Under-sampling Boosting (RUSBoost), Extreme Gradient Boosting (XGBoost), support vector machines (SVM), and Logistic Regression. The clinical model used both clinical and pathology data in conjunction with the machine learning algorithms. The machine learning algorithms were combined with dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) imaging characteristics in the radiomic model, and the merged model combined the two types of data. Each technique was evaluated using several criteria, including the receiver operating characteristic (ROC) curve, precision, recall, and F1 score. Results The results suggest that the integration of clinical and radiomic data improves the predictive accuracy in identifying instances of breast cancer recurrence. The XGBoost algorithm is widely recognized as the most effective algorithm in terms of performance. Conclusion The findings presented in this study offer significant contributions to the field of breast cancer research, particularly in relation to the prediction of cancer recurrence. These insights hold great potential for informing future investigations and clinical interventions that seek to enhance the accuracy and effectiveness of recurrence prediction in breast cancer patients.

Recent developments in ultrashort and intense laser systems have enabled the generation of short and brilliant proton sources, which are valuable for studying plasmas under extreme conditions in high-energy-density physics. However, developing sensors for the energy selection, focusing, transport, and detection of these sources remains challenging. This work presents a novel and simple design for an isochronous magnetic selector capable of angular and energy selection of proton sources, significantly reducing temporal spread compared to the current state of the art. The isochronous selector separates the beam based on ion energy, making it a potential component in new energy spectrum sensors for ions. Analytical estimations and Monte Carlo simulations validate the proposed configuration. Due to its low temporal spread, this selector is also useful for studying extreme states of matter, such as proton stopping power in warm dense matter, where short plasma stagnation time (<100 ps) is a critical factor. The proposed selector can also be employed at higher proton energies, achieving final time spreads of a few picoseconds. This has important implications for sensing technologies in the study of coherent energy deposition in biology and medical physics. [ABSTRACT FROM AUTHOR]

In this study, Ce3+-doped Lu3Al5O12 garnet (LuAG) crystal detectors, with a density of ρ = 6 g/cm3 and an effective atomic number Zeff = 62, are proposed as promising materials for radiotherapy applications. This type of detector demonstrates excellent uniformity of structural and optical properties, high thermoluminescence (TL) light yield, optimal position of main TL glow peaks at temperatures around 245–295 °C, and high radiation stability. The set of TL detectors made from LuAG:Ce single crystal was used to evaluate the uniformity of dose and energy spectra of X-ray radiation from a clinical accelerator with 6 MV and 15 MV beams at the Department of Medical Physics, Oncology Center in Bydgoszcz, Poland, and γ-rays from a 60Co source at the National Institute of Oncology in Warsaw. The LuAG:Ce crystal detectors demonstrated highly promising results for registering X-ray radiation from accelerators with both 6 MV and 15 MV electron beams, as well as γ-rays from a 60Co source with energies of 1.17 and 1.33 MeV. [ABSTRACT FROM AUTHOR]

FLASH radiotherapy, which refers to the delivery of radiation at ultra-high doserates (UHDRs), has been demonstrated with various forms of radiation and is the subject of intense research and development recently, including the use of very high-energy electrons (VHEEs) to treat deep-seated tumors. Delivering FLASH radiotherapy in a clinical setting is expected to place high demands on real-time quality assurance and dosimetry systems. Furthermore, very high-energy electron research currently requires the transformation of existing nonmedical accelerators into radiotherapy research environments. Accurate dosimetry is crucial for any such transformation. In this article, we assess the response of the MOSkin, developed by the Center for Medical Radiation Physics, which is designed for on-patient, real-time skin dose measurements during radiotherapy, and whether it exhibits dose-rate independence when exposed to 100 MeV electron beams at the Pulsed Energetic Electrons for Research (PEER) end-station. PEER utilizes the electron beam from a 100 MeV linear accelerator when it is not used as the injector for the ANSTO Australian Synchrotron. With the estimated pulse dose-rates ranging from (7.84 ± 0.21) χ 10[sup 5] Gy/s to (1.28 ± 0.03) χ 10[sup 7] Gy/s and an estimated peak bunch dose-rate of (2.55 ± 0.06) χ 10[sup 8] Gy/s, MOSkin measurements were verified against a scintillating screen to confirm that the MOSkin responds proportionally to the charge delivered and, therefore, exhibits dose-rate independence in this irradiation environment. [ABSTRACT FROM AUTHOR]

Dose management systems (DMS) are an essential tool for quality assurance and optimising patient radiation exposure. For radiologists and medical physicists, they are important for managing many radiation protection tasks. In addition, they help fulfil the requirements of Directive 2013/59/EURATOM regarding the electronic transmission of dosimetric data and the detection of unintended patient exposures. The EuroSafe Imaging Clinical Dosimetry and Dose Management Working Group launched a questionnaire on the use of DMS in European member states and analysed the results in terms of modalities, frequency of radiological procedures, involvement of medical physics experts (MPEs), legal requirements, and local issues (support by information technology (IT), modality interfaces, protocol mapping, clinical workflow, and associated costs). Critical relevance statement: Despite the great advantages of dose management systems for optimising radiation protection, distribution remains insufficient. This questionnaire shows that reasons include: a lack of DICOM interfaces, insufficient harmonisation of procedure names, lack of medical physicist and IT support, and costs. Key Points: Quantitative radiation dose information is essential for justification and optimisation in medical imaging. Guidelines are required to ensure radiation dose management systems quality and for acceptance testing. Verifying dose data management is crucial before dose management systems clinical implementation. Medical physics experts are professionals who have important responsibilities for the proper management of dose monitoring. [ABSTRACT FROM AUTHOR]

Introduction: Phantoms mimicking tissue motion have become a valuable tool for quality control in various fields of medical physics including lung phantoms for image-guided radiotherapy and functional imaging in nuclear medicine or magnetic resonance imaging (MRI) in the body. In MRI, precise kinematic models are more difficult to realize owing to the requirements of MRcompatibility. Pneumatic stepper motors built entirely of non-conducting materials can be safely used in an MR environment, with pressurized air supply and switching residing outside the magnet room. Methods: In this research, a torso phantom was built adopting a 3D-printed linear stepper drive for use with high-field MR scanners. It was possible to simulate respiratory motion of a 3D-printed left ventricle phantom using the stepper. Results and discussion: Precise and accurate motion for a time of 15 min over a range of 8 cm were achieved with speeds up to 5.5 mm/s when the stepper was loaded with the left ventricle phantom. It was shown that the motor is an effective tool for quality control in multi-modal medical imaging. [ABSTRACT FROM AUTHOR]

Women remain underrepresented in medical physics in the United States, and determinants of persisting disparities remain unclear. Here, we performed a detailed investigation of American Association of Physicists in Medicine (AAPM) membership trajectories to evaluate trends in Full membership with respect to gender, age, and highest degree. Membership data, including gender, date of birth, highest degree, membership type, and years of active membership for 1993 to 2023 were obtained from AAPM. Group 1 included Full members who joined AAPM in 1993 or later. A subset of group 1 including only members who joined and left AAPM since 1993 (former members, group 1 F) was used to calculate age at membership cessation and duration. Results were compared by gender and highest degree. A Kaplan-Meier analysis was also used to evaluate membership "survival" by age and highest degree. Complete data were available for 6647 current and former Full members (group 1), including 2211 former members (group 1 F). On average, women became Full members at a significantly younger age than men (34.6 vs 37.5 years of age, P <.001) and ended their memberships (if applicable) at a significantly younger age than men (46.1 vs 50.1 years of age, P <.001). The Kaplan-Meier "survival" analysis showed that for a given age, women were at a significantly greater risk of membership cessation than men, and women with master's degrees had the lowest membership survival of any gender/degree subgroup. When analyzing by membership duration, there was no difference in survival by gender alone. Still, women with PhDs were found to have the greatest membership survival among gender/degree subgroups. Both gender and degree type influenced AAPM membership trajectories. Although we have offered a discussion of possible explanations, qualitative data collected from both continuing and departing AAPM members will be critical in the ongoing journey toward gender parity in the profession of medical physics. [ABSTRACT FROM AUTHOR]

Previous studies have demonstrated the remarkable resistance of bdelloid rotifers to ionizing radiation, making them an interesting model system for studying radiation effects on living organisms. In this study, we use simulations, instead of direct experimental exposures, to examine whether all bdelloids are affected equally by radiation exposure and to explore the relationship between biological data and energy deposition patterns induced by low and high linear energy transfer (LET) radiation. To this end, tool for particle simulation (TOPAS) a simulation tool, widely used in the field of medical physics and radiation therapy, was utilized. Using simulations for proton, iron ions, and X-ray exposure, our findings showed that all individuals, cells, and nuclei were effectively hit by the administered doses of 4 MeV protons, 0.5 GeV/n 56Fe, and X-ray radiation. The results support that the impact on survival and fertility rate measured in Adineta vaga is caused by radiation-induced damage rather than the absence of hits in certain individuals or germinal cells. Notably, simulations revealed significant differences between low- and high-LET radiation concerning irradiated individuals' nuclei. Specifically, for an equivalent dose, high-LET radiation requires fewer incident particles compared to low-LET radiation, resulting in a sparser distribution of radiation hits on the nucleus surface. In conclusion, the study supports the idea that reduced fertility described in high-LET exposed samples is associated with complex DNA damage caused by the condensed energy deposition pattern of high-LET radiation compared to low-LET. [ABSTRACT FROM AUTHOR]

Rhizophora-based particleboard was evaluated for its suitability as phantom material, especially in medical physics applications. The elemental composition, effective atomic number, micrographic structures, computed tomography (CT), and attenuation properties of Rhizophorabased particleboards were examined. These investigations considered three different particle sizes and three distinct adhesive mixtures. Rhizophora sample at particle sizes of 0 to 103 μm, with 4.5% soy flour and 1.5% lignin (C6) presented with a homogenous compound with better uniformity compared with other samples, and Rhizophora sample at particle sizes of 104 to 210 μm, with 9% soy flour and 3% lignin (B12) demonstrated an effective atomic number of 8.15, which is similar to water. C6 also presented with a density distribution profile with close proximity to water. The measured attenuation coefficients of samples were aligned closely with those of water, as determined by XCOM. The results suggest that the formulation of soy flour and lignin as adhesives for Rhizophorabased particleboard is suitable for the fabricating of phantom material for medical physics applications, especially mainly due to its natural origin. [ABSTRACT FROM AUTHOR]

Charged particles have been extensively utilized in medical physics as well as in numerous radiation investigations, including cosmic radiation, which is formed of nearly 99% alpha and protons. In this study, lithium-borotellurite glasses strengthened through cerium (IV) oxide (TBLC groups) and gadolinium (III) oxide (TBLG group) are examined on mass stopping power, projected range, and KERMA parameters over the kinetic energy range from 0 to 10 MesV. SRIM and PAGEX code are utilized for determining the critical parameters. The TBLG20 sample with the greatest material density as well as Gd reinforcement is reported with the highest KERMA value. TBLG20 sample consistently yields the lowest values for the mass stopping power values obtained for alpha and protons. Moreover, alpha and proton mass stopping power values are reported to be the lowest for the TBLG20 sample. The lowest projected range values are observed for the TBLG20 sample with the greatest amount of Gd addition. This noticeable difference confirms the superiority observed in KERMA and mass stopping power values and is attributed to the maximal Gd contribution. It can be concluded that Gd reinforcement into tellurite glasses may provide a non-decreasing monotonic effect on stopping power properties of high-density tellurite glasses. [ABSTRACT FROM AUTHOR]

Background: There currently exists no widespread high dose‐rate (HDR) brachytherapy afterloader quality assurance (QA) tool for simultaneously assessing the afterloader's positional, temporal, transit velocity and air kerma strength accuracy. Purpose: The purpose of this study was to develop a precise and rigorous technique for performing daily QA of HDR brachytherapy afterloaders, incorporating QA of: dwell position accuracy, dwell time accuracy, transit velocity consistency and relative air kerma strength (AKS) of an Ir‐192 source. Method: A Sharp ProGuide 240 mm catheter (Elekta Brachytherapy, Veenendaal, The Netherlands) was fixed 5 mm above a 256 channel epitaxial diode array 'dose magnifying glass' (DMG256) (Centre for Medical and Radiation Physics, University of Wollongong). Three dwell positions, each of 5.0 s dwell times, were spaced 13.0 mm apart along the array with the Flexitron HDR afterloader (Elekta Brachytherapy, Veenendaal, The Netherlands). The DMG256 was connected to a data acquisition system (DAQ) and a computer via USB2.0 link for live readout and post‐processing. The outputted data files were analyzed using a Python script to provide positional and temporal localization of the Ir‐192 source by tracking the centroid of the detected response. Measurements were repeated on a weekly basis, for a period of 5 weeks to determine the consistency of the measured parameters over an extended period. Results: Using the DMG256 for relative AKS measurements resulted in measured values within 0.6%–3.0% of the expected activity over a 7‐week period. The sub‐millisecond temporal accuracy of the device allowed for measurements of the transit velocity with an average of (10.88 ± 1.01) cm/s for 13 mm steps. The dwell position localization for 1, 2, 3, 5, and 10 mm steps had an accuracy between 0.1 and 0.3 mm (3σ), with a fixed temporal accuracy of 10 ms. Conclusion: The DMG256 silicon strip detector allows for clinics to perform rigorous daily QA of HDR afterloader dwell position and dwell time accuracy with greater precision than the current standard methodology using closed circuit television and a stopwatch. Additionally, DMG256 unlocks the ability to perform measurements of transit velocity/time and relative AKS, which are not possible using current standard techniques. [ABSTRACT FROM AUTHOR]

The urban environment may be a relevant setting for special military operations. Due to the options offered by urban infrastructure, this environment can be an essential catalyst for the proliferation of local asymmetric actions. These actions are triggered by extremist groups offering resistance to regular troops. Improvised weapons such as radiological dispersive devices (RDD) can be used to provoke even more threatening situations by increasing the risks of operations. This study is directed, via computer simulation using the Hot Spot Health Physics code, to a hypothetical context where a multistage RDD (RDD-M) is triggered in two non-simultaneous phases. This non-linear triggering causes overlapping contamination and impacts the coping strategy and the projections of variations in the size of the potentially affected population. In this study, the primary consideration is the contamination carried out at such a level that the association between human exposure and deterministic effects is feasible. The exposure to high doses of radiation at short distances about the triggering location of the device. The simulated data show that the threats are leveraged, and the environmental variables have a high value when assessing the criticality of the situation and establishing effective countermeasures. [ABSTRACT FROM AUTHOR]

Thermoluminescent dosimeters (TLD) and optically stimulated luminescent dosimeters (OSLD) are practical, accurate, and precise tools for point dosimetry in medical physics applications. The objective of this study is to investigate the luminescence properties—both OSL and TL—of lithium fluoride (LiF) doped with magnesium (Mg), copper (Cu), and phosphorous (P) (LiF: Mg, Cu, P), commercially known as TLD-100H. The goal is to devise a methodological approach for dose measurement that allows for obtaining two independently measured dose values at each irradiation point, thereby improving accuracy and precision. The luminescence properties of TLD-100H were studied using a beta irradiation source (90Sr/90Y) integrated into the TL/OSL DA-15 automated Risø reader. This study identified the ideal experimental conditions for optimal dose evaluation and used them for dosimeter calibration across doses ranging from 0.5 to 4.0 Gy. The results demonstrated that, under optimal measurement parameters, the OSL and residual thermoluminescence (ResTL) signals—correlated to two trap systems within the dosimeter—exhibited high reproducibility, stability over multiple cycles, and high precision and accuracy (≤2%). Specifically, the OSL response showed good linear behavior across the investigated dose range, while the ResTL signal exhibited linear behavior between 0.5 and 2 Gy and sublinear behavior for doses >2 Gy. [ABSTRACT FROM AUTHOR]

A comprehensive validation of data acquired by different myocardial perfusion imaging (MPI) systems was performed to evaluate contrast, self-attenuation properties, and perfusion detection capability. An anthropomorphic phantom with a myocardial insert and perfusion defect was used to simulate 99mTc-tetrofosmin distribution. Different MPI systems were evaluated: a SPECT system with iterative reconstruction algorithms and resolution recovery (IRR) with/without scatter correction (SPECT-IRR-SC and SPECT-IRR), and a cardio-centric IQ SPECT/CT system with IRR, with/without scatter and attenuation corrections (IQ-IRR-SC-AC and IQ-IRR). The image quality was assessed through physical descriptors: the contrast between the left ventricular (LV) wall and LV inner chamber ( C L V / L V I C ), intrinsic contrast (IC), and net contrast (NC). C L V / L V I C was found to be superior for IQ-IRR-SC-AC. The IC results showed non-uniformity of the signal intensity in the LV wall for the SPECT systems. The lowest IC values were obtained for IQ-IRR-SC-AC, except for septal position, where an underestimation of the signal intensity was revealed. The NC was found to be the highest for IQ-IRR-SC-AC and SPECT-IRR-SC. Additionally, for IQ-IRR-SC-AC, the NC increased in posterior and septal positions compared to IQ-IRR, enabling better perfusion detection capability over short-axis images. IQ-IRR showed performances comparable to SPECT-IRR. The characterization and evaluation perfusion detection capability of the MPI systems enabled the investigation of the systems' performance and limitations. [ABSTRACT FROM AUTHOR]

Background: The goal is to use three different machine learning models to predict the recurrence of breast cancer across a very heterogeneous sample of patients with varying disease kinds and stages. Methods: A heterogeneous group of patients with varying cancer kinds and stages, including both triple-negative breast cancer (TNBC) and non-triple-negative breast cancer (non-TNBC), was examined. Three distinct models were created using the following five machine learning techniques: Adaptive Boosting (AdaBoost), Random Under-sampling Boosting (RUSBoost), Extreme Gradient Boosting (XGBoost), support vector machines (SVM), and Logistic Regression. The clinical model used both clinical and pathology data in conjunction with the machine learning algorithms. The machine learning algorithms were combined with dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) imaging characteristics in the radiomic model, and the merged model combined the two types of data. Each technique was evaluated using several criteria, including the receiver operating characteristic (ROC) curve, precision, recall, and F1 score. Results: The results suggest that the integration of clinical and radiomic data improves the predictive accuracy in identifying instances of breast cancer recurrence. The XGBoost algorithm is widely recognized as the most effective algorithm in terms of performance. Conclusion: The findings presented in this study offer significant contributions to the field of breast cancer research, particularly in relation to the prediction of cancer recurrence. These insights hold great potential for informing future investigations and clinical interventions that seek to enhance the accuracy and effectiveness of recurrence prediction in breast cancer patients. [ABSTRACT FROM AUTHOR]

Since 2010, there has been little published data on the state of equipment and infrastructure in veterinary radiation oncology clinical practice. These data are important not only to identify the status and use of technology within the veterinary radiation oncology community but also to help identify the extent of medical physics support. The purpose of our study is to report findings from a survey of veterinary radiation oncologists in the USA, Canada, and select centers outside of North America in 2022. A 40‐question survey covering topics such as type of radiotherapy equipment, techniques offered, treatment planning systems and dose calculation algorithms, special techniques, board‐certified radiation oncologists and residents, and extent of medical physics support was distributed through an online survey tool. Results from 40 veterinary radiation oncology institutions, with equipment explicitly used for veterinary care, suggest that the current state of practice is not dissimilar to what currently exists in human radiation oncology facilities; techniques and technologies commonly employed include flattening filter‐free mode megavoltage beams, volumetric arc therapy, daily cone‐beam computed tomography, image‐guided radiation therapy, and sophisticated dose calculation algorithms. These findings suggest the need for modern radiation oncology acceptance testing, commissioning, and quality assurance programs within the veterinary community. The increase in veterinary radiation oncology residency positions and increasing sophistication of equipment suggests that increased levels of standardized medical physics support would benefit the veterinary radiation oncology community. [ABSTRACT FROM AUTHOR]

Pediatric Normal Tissue Effects in the Clinic (PENTEC) is an international multidisciplinary effort that aims to summarize normal-tissue toxicity risks based on published dose-volume data from studies of children and adolescents treated with radiation therapy (RT) for cancer. With recognition that children are uniquely vulnerable to treatment-related toxic effects, our mission and challenge was to assemble our group of physicians (radiation and pediatric oncologists, subspecialists), physicists with clinical and modeling expertise, epidemiologists, and other scientists to develop evidence-based radiation dosimetric guidelines, as affected by developmental status and other factors (eg, other cancer therapies and host factors). These quantitative toxicity risk estimates could serve to inform RT planning and thereby improve outcomes. Tandem goals included the description of relevant medical physics issues specific to pediatric RT and the proposal of dose-volume outcome reporting standards to inform future studies. We created 19 organ-specific task forces and methodology to unravel the wealth of data from heterogeneous published studies. This report provides a high-level summary of PENTEC's genesis, methods, key findings, and associated concepts that affected our work and an explanation of how our findings may be interpreted and applied in the clinic. We acknowledge our predecessors in these efforts, and we pay homage to the children whose lives informed us and to future generations who we hope will benefit from this additional step in our path forward. [ABSTRACT FROM AUTHOR]

This study used an analytical computational model to evaluate safe zones in contaminated areas that may result from a hypothetical significant off-site release from a nuclear power plant. The model, considering local atmospheric stability, wind direction, and location, calculates the expected total effective dose equivalent (TEDE) and potential safety zones. This research, focused on an area near a nuclear facility affected by an accidental release, used SCALE and HotSpot Health Physics codes to simulate the reactor's core inventory content and off-site release. This study's findings underscore that the risk of developing solid cancer (testing morbidity) is influenced by both local atmospheric stability and the composition of the potentially affected population (primarily age and sex). These findings, backed by an analytical approach, can significantly influence logistical and operational planning. The utilization of computer simulations can also aid in creating flexible response scenarios to real events. [ABSTRACT FROM AUTHOR]

Doctoral education has been shaped by a continuous interaction between the research community and representatives of the governmental authorities. In Sweden, doctorates were organised into structured educational programmes in 1969. In this study, the development of doctoral education in Medical Radiation Physics at Lund University, Sweden, was analysed over approximately 50 years, in terms of quantitative parameters related to throughput rate and scientific production making up the doctoral theses. Theses from two time periods (1970 to 1999 versus 2001 to 2023) were compared in terms of the total number of full papers (either accepted or in manuscript form), number of accepted full papers and number of accepted full papers as first author. For all three categories of included papers, median values were not significantly different between the two time periods while the variances were significantly smaller for the period 2001 to 2023 (level of significance 0.05). The time between admission and thesis defence decreased with time, according to linear correlation analysis, while the number of supervisors increased. Doctoral theses showed a significantly more uniform composition after a major political reform in 1998. Hence, doctoral education can be described as becoming more efficient and predictable. It is suggested that the primary causes include the introduction of individual study plans and secured personal financial support. The increased efficiency can also be problematised regarding, for example, insufficient independence and limited freedom of research. [ABSTRACT FROM AUTHOR]

ObjectiveThis systematic review aims to analyze and synthesize the current state of research on the role of immersive technologies, specifically augmented reality (AR), virtual reality (VR), and mixed reality (MR), in medical physics and radiation physics education. The primary focus is to evaluate their impact on learning outcomes, performance, and engagement across various educational contexts.MethodsWe conduct a comprehensive search of four major databases: Scopus, Web of Science, PubMed, and IEEE Xplore, covering the period from 2012 to 2023. A total of 316 articles are initially identified. After removing duplicates and screening for relevance based on titles and abstracts, 107 articles are selected for full-text review. Finally, 37 articles met the inclusion criteria and are included in the analysis. The review follows the PRISMA guidelines and utilizes the PICOS framework to structure the research question.AnalysisData extraction focuses on key variables such as the type of immersive technology used, educational context, study design, participant demographics, and measured outcomes. The studies are analyzed for their reported effects on learning outcomes, performance, and engagement.ResultsThe review found that immersive technologies significantly enhance learning outcomes and engagement. Specifically, 36.4% of the studies reported increased engagement, while 63.6% of studies focusing on practical skills noted performance improvements. The use of AR, VR, and MR showed broad applicability across different educational levels, from undergraduate courses to professional training programs.ConclusionImmersive technologies have considerable potential to transform medical and radiation physics. They enhance student engagement, improve learning outcomes, and boost performance in practical skills. Nevertheless, future research should focus on standardizing methodologies, expanding participant demographics, and exploring long-term impacts on skill retention and clinical practice. This review provides a valuable resource for guiding future research and implementing innovative educational strategies in the dynamic fields of medical physics and radiation physics.

BACKGROUND: Lacrimal glands and lacrimal pathways are one of the main undesirable targets during radionuclide therapy using I-131, namely, in 24% of cases, secondary lacrimal pathways obliteration occurs [1]. In the legislation of the Russian Federation in the field of atomic energy use, there are a number of administrative documents obliging to keep records and control of individual radiation doses with the provision of data to the unified system for monitoring individual radiation doses of citizens. At the same time, statistical analysis does not include systematic accounting and control of individual doses of internal radiation to patients, in particular, to the lacrimal apparatus, when using nuclear medicine methods for therapeutic purposes. AIM: To develop a software and hardware preventive complex — a system for accounting and monitoring dose loads on lacrimal pathways during radioiodotherapy. MATERIALS AND METHODS: GE Discovery NM/CT 670 imaging systems, GE Discovery NM 630, the Xeleris 4 DR Workstation nuclear Medicine Workstation and the I-131-based radioisotope were used. To exclude the ingress of radioisotope into lacrimal pathways, the use of vasoconstrictive drugs and the use of tear point obturators were considered. The client part of the web service was implemented based on the React JavaScript library. The development of the Backend component was carried out in the Python programming language. RESULTS: To assess the risk of complications, a method was developed that takes into account the following parameters: age, gender, total administered activity to the patient, the presence of current lacrimation at the time of hospitalization, the presence of menopause (for women) and the accumulation index I-131 in lacrimal pathways. The primary data (anamnesis and prescribed treatment) are entered by the patient's attending physician in the questionnaire during the initial examination. At 72 hours after the introduction of radioisotope, using a molecular imaging system, a medical physicist determines the index of accumulation of radioisotope in lacrimal pathways. Based on the data obtained, the overall risk level of secondary obliteration of the lacrimal tract is determined and, depending on the result obtained, appropriate recommendations are made to the patient. Since the described process is quite time-consuming in a clinical setting, an intelligent medical decision support system has been developed that allows automating the process and minimizing the likelihood of errors. CONCLUSION: The development of a software and hardware preventive complex will make it possible to prescribe preventive methods with greater efficiency at all stages of the course of treatment in order to minimize the occurrence of adverse events (such as secondary obliteration of the tear ducts), which in turn will improve the quality of life of patients.

Current medical physics graduate training in the United States seldom explicitly includes education on foundational skills necessary to produce Patient-Centered Care (PCC)-focused healthcare providers. Such abilities include effective communication, critical reflection, and ethical decision-making. In this article, we present examples of curricula used to purposefully introduce these skills into graduate training to fill this gap. Presented didactic activities include an introduction to patient communication, ethics in medical physics, and a primer in health disparities for medical physicists. Although development of new curricula is resource-intensive when left to individual programs, we here propose resource-sharing and interprofessional collaboration to overcome these barriers.

Background: Failure mode and effects analysis (FMEA), which is an effective tool for error prevention, has garnered considerable attention in radiotherapy. FMEA can be performed individually, by a group or committee, and online. Purpose: To meet the needs of FMEA for various purposes and improve its accessibility, we developed a simple, self‐contained, and versatile web‐based FMEA risk analysis worksheet. Methods: We developed an FMEA worksheet using Google products, such as Google Sheets, Google Forms, and Google Apps Script. The main sheet was created in Google Sheets and contained elements necessary for performing FMEA by a single person. Automated tasks were implemented using Apps Script to facilitate multiperson FMEA; these functions were built into buttons located on the main sheet. Results: The usability of the FMEA worksheet was tested in several situations. The worksheet was feasible for individual, multiperson, seminar, meeting, and online purposes. Simultaneous online editing, automated survey form creation, automatic analysis, and the ability to respond to the form from multiple devices, including mobile phones, were particularly useful for online and multiperson FMEA. Automation enabled through Google Apps Script reduced the FMEA workload. Conclusions: The FMEA worksheet is versatile and has a seamless workflow that promotes collaborative work for safety. [ABSTRACT FROM AUTHOR]

The Saba thyroid shield is a new X-ray dose reduction tool for radiosensitive organs that can reduce the X-ray dose without degrading the image quality. This study investigated its effectiveness in reducing the X-ray dose on the thyroid surface during diagnostic X-ray. This study was conducted in the lab of the Medical Physics Department at Umm-Alqura University. The experiments were performed in the year 2022. A mixed fission product phantom and a solid-state detector were used to measure the radiation dose on the thyroid surface during diagnostic X-ray using a tube voltage within 40–120 kVp. The effectiveness of the Saba thyroid shield was examined in two settings: in-field and out-of-field. Measurements were conducted for these two settings without and with the Saba thyroid shield, and the attenuation percentages were computed. Analysis of covariance was used to test the tool's effectiveness in X-ray dose reduction. The average in- and out-of-field dose attenuation percentages using the Saba thyroid shield were 80.12 ± 0.12% and 81.13 ± 0.18%, respectively. A significant difference was shown between the measurements done without and with the Saba thyroid shield (p = 0.000) for both the in-field and out-of-field doses. The in-field and out-of-field dose reduction levels using the shield were approximately the same. This study demonstrated that the newly developed Saba thyroid shield made of copper and bismuth effectively reduces both the in-field and out-of-field radiation doses. [ABSTRACT FROM AUTHOR]

Medical diagnostic imaging tests that produce ionizing radiation now deploy technology that captures an individual patient’s cumulative radiation dose. This raises the question of whether there is an imperative for regional health authorities to disclose this information to physicians who may then engage their patients in decisions about whether the potential harms are worth the benefits of subsequent diagnostic imaging. Currently, the advice of the professional bodies providing standards of practice for medical diagnostic imaging is to withhold this information from physicians. Their concern is that cumulative dose information is difficult to evaluate in terms of risk to individual patients; it is not easily applicable to clinical decision making about the appropriateness of a subsequent imaging exam; and referring clinicians will feel compelled to offer a patient a less efficacious non-ionizing test, which could negatively affect patient care. We present a critical analysis of several assumptions underlying the stance of non-disclosure. Working at the intersection of medical physics, medical anthropology, and clinical ethics, we offer an alternative framing of the discourse of risk that has shaped the recent scholarly debate on disclosure of individual cumulative radiation dose. We posit that a persuasive argument can be made against the stance of the professional bodies and for a policy of disclosure – provided that such a policy prioritizes patient-centred shared decision making, radiologists as risk-interpretation experts, and the authority of the prescribing physician. [ABSTRACT FROM AUTHOR]

Professor John Roderick Cameron (1922-2005) stands out as a trailblazer in the field of medical physics, whose innovative work has deeply influenced radiation protection and the broader medical radiation field through sound technical judgment and insight. Best known for inventing the bone densitometry device, his pioneering efforts have reshaped modern medical practices far beyond his initial breakthroughs. Cameron's explorations extended into the realms of space biomedical science and models of terrestrial radiation, areas where his insights continue to resonate today. As the Emeritus Professor of Medical Physics at the University of Wisconsin-Madison and a founding member of the American Association of Physicists in Medicine, Cameron laid crucial groundwork for safety standards in environments with high natural radiation levels. His leadership was instrumental in advancing thermoluminescence dosimetry, radiation measurement, and image quality assurance, driving progress in both academia and clinical practices. Moreover, through establishing Medical Physics Publishing, Cameron played a pivotal role in spreading vital research and educational materials across the fields of health physics and medical physics. This commentary reflects on Cameron's far-reaching contributions, highlighting his critical work in space radiation research and terrestrial radiation models-key to the future of interplanetary travel and potential human settlement on planets like Mars. His research in areas of high background radiation, like Ramsar, Iran, has been fundamental in developing strategies for biological protection in space, which are essential for ensuring astronaut safety during long-duration space missions. We honor Professor Cameron's profound legacy, celebrating his visionary spirit and the lasting impact of his contributions on generations of scientists in radiation science. [ABSTRACT FROM AUTHOR]

Purpose: In 2019, a formal review and update of the current training program for medical physics residents/registrars in Australasia was conducted. The purpose of this was to ensure the program met current local clinical and technological requirements, to improve standardization of training across Australia and New Zealand and generate a dynamic curriculum and programmatic assessment model. Methods: A four‐phase project was initiated, including a consultant desktop review of the current program and stakeholder consultation. Overarching program outcomes on which to base the training model were developed, with content experts used to update the scientific content. Finally, assessment specialists reviewed a range of assessment models to determine appropriate assessment methods for each learning outcome, creating a model of programmatic assessment. Results: The first phase identified a need for increased standardized assessment incorporating programmatic assessment. Seven clear program outcome statements were generated and used to guide and underpin the new curriculum framework. The curriculum was expanded from the previous version to include emerging technologies, while removing previous duplication. Finally, a range of proposed assessments for learning outcomes in the curriculum were generated into the programmatic assessment model. These new assessment methods were structured to incorporate rubric scoring to provide meaningful feedback. Conclusions: An updated training program for Radiation Oncology Medial Physics registrars/residents was released in Australasia. Scientific content from a previous program was used as a foundation and revised for currency with the ability to accommodate a dynamic curriculum model. A programmatic model of assessment was created after comprehensive review and consultation. This new model of assessment provides more structured, ongoing assessment throughout the training period. It contains allowances for local bespoke assessment, and guidance for supervisors by the provision of marking templates and rubrics. [ABSTRACT FROM AUTHOR]

Purpose: Errors and incidents may occur at any point within radiotherapy (RT). The aim of the present retrospective analysis is to evaluate the impact of a customized ARIA Visual Care Path (VCP) on quality assurance (QA) for the RT process. Materials and Methods: The ARIA VCP was implemented in June 2019. The following tasks were customized and independently verified (by independent checks from radiation oncologists, medical physics, and radiation therapists): simulation, treatment planning, treatment start verification, and treatment completion. A retrospective analysis of 105 random and unselected patients was performed, and 945 tasks were reviewed. Patients' reports were categorized based on treatment years period: 2019–2020 (A); 2021 (B); and 2022–2023 (C). The QA metrics included data for timeliness of task completion and data for minor and major incidents. The major incidents were defined as incorrect prescriptions of RT dose, the use of different immobilization systems during RT compared to the simulation, the absence of surface-guided RT data for patients' positioning, incorrect dosimetric QA for treatment plans, and failure to complete RT as originally planned. A sample size of approximately 100 was able to obtain an upper limit of 95% confidence interval below 5–10% in the case of zero or one major incident. Results: From June 2019 to December 2023, 5300 patients were treated in our RT department, an average of 1300 patients per year. For the purpose of this analysis, one hundred and five patients were chosen for the study and were subsequently evaluated. All RT staff achieved a 100% compliance rate in the ARIA VCP timely completion. A total of 36 patients were treated in Period A, 34 in Period B, and 35 in Period C. No major incidents were identified, demonstrating a major incident rate of 0.0% (95% CI 0.0–3.5%). A total of 26 out of 945 analyzed tasks (3.8%) were reported as minor incidents: absence of positioning photo in 32 cases, lack of patients' photo, and absence of plan documents in 4 cases. When comparing periods, incidents were statistically less frequent in Period C. Conclusions: Although the present analysis has some limitations, its outcomes demonstrated that software for the RT workflow, which is fully integrated with both the record-and-verify and treatment planning systems, can effectively manage the patient's care path. Implementing the ARIA VCP improved the efficiency of the RT care path workflow, reducing the risk of major and minor incidents. [ABSTRACT FROM AUTHOR]

Monitoring Ultra-High Dose Rate (UHDR) beams is one of the multiple challenges posed by the emergent FLASH radiotherapy. Technologies (i.e., gas-filled ionization chambers) nowadays used in conventional radiotherapy are no longer effective when applied to UHDR regimes, due to the recombination effect they are affected by, and the time required to collect charges. Exploiting the expertise in the field of silicon sensors' applications into clinics, the medical physics group of the University and INFN Torino is investigating thin silicon sensors as possible candidates for UHDR beam monitoring, exploiting their excellent spatial resolution and well-developed technology. Silicon sensors of 30 and 45 μιτι active thicknesses and 0.25, 1 and 2 mm[sup 2] active areas were tested at the SIT ElectronFlash machine (CPFR, Pisa) on 9 MeV electron beams, featuring a pulse duration of 4 μ^ a frequency of 1 Hz, and a dose-per-pulse ranging from 1.62 to 10.22 Gy/pulse. The silicon sensors were positioned at the exit of the ElectronFlash applicator, after a solid water build-up slab, and were readout both with an oscilloscope and with a multi-channel front-end readout chip (TERA08). A response linearity extending beyond 10 Gy/pulse was demonstrated by comparison with a reference dosimeter (FlashDiamond), thus fulfilling the first requirement of a potential application in UHDR beam monitoring. [ABSTRACT FROM AUTHOR]

Objectives To establish the variation in film dosimetry usage in radiotherapy centres across the United Kingdom. To identify consensus and highlight areas of potential improvement to enhance radiotherapy dosimetry verification with film. Methods A survey questionnaire was designed by members of the Institute of Physics and Engineering in Medicine Interdepartmental Dosimetry Audit Group via Microsoft Forms and distributed to all Heads of Radiotherapy Physics in the United Kingdom. The survey was open from June 19, 2023, to July 31, 2023. Results Forty responses were received from the 62 radiotherapy centres in the United Kingdom, of which 58% were currently using film dosimetry and a further 7 were keen to commence use. Many reported film use had decreased in recent years but was still valuable particularly for commissioning and implementing new techniques. The variation and consensus of methods for film dosimetry calibration, measurement, and application was established. A review of barriers to implementation and methods to reduce uncertainty were included in the assessment. Conclusions A comprehensive assessment of film dosimetry usage in radiotherapy in the United Kingdom has been collated, which demonstrates a wide variation in methods, across typical clinical users, but maintains film as a valuable dosimetry option. Advances in knowledge This research provides a snapshot of current film dosimetry use across the United Kingdom. It examines the variation and consensus of practice to which individual users can compare their systems, and identifies opportunities to improvement in the accuracy of film dosimetry. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study was to investigate the suitability of three radiochromic film analysis software for stereotactic radiotherapy patient-specific quality assurance (PSQA): FilmQA Pro v5.0, SNC Patient v6.2, and eFilmQA v5.0. Methods: Film calibration was conducted for each software followed by three sets of measurements.The first set assessed calibration accuracy by comparing measured and delivered doses at increments different from those used for calibration. The second set used each software to conduct PSQA through gamma analysis on 10 stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT) patients. The third set utilized SNC Patient and eFilmQA to carry out gamma analysis on a collection of four digital test images, eliminating delivery and scanning uncertainties from impacting the analysis.Key supporting features within each software for conducting gamma analysis were identified. Results: Overall, FilmQA Pro and eFilmQA were deemed comparable and favoured over SNC Patient due to the presence of key features such as triplechannel dosimetry, auto-optimization, and dose scaling. FilmQA Pro has a substantial user base and established reputation. eFilmQA, having been introduced more recently, serves as a viable alternative to FilmQA Pro, having been further refined for stereotactic radiotherapy PSQA. Conclusion: This study investigated the suitability of three film analysis software (FilmQA Pro, eFilmQA, and SNC Patient) for stereotactic radiotherapy PSQA. Results from the investigation indicated that both FilmQA Pro and eFilmQA are comparably suitable and are preferred over SNC Patient. Both FilmQA Pro and eFilmQA are recommended for radiotherapy clinics. [ABSTRACT FROM AUTHOR]