Use of a plastic scintillator detector for patient-specific quality assurance of VMAT SRS.

Autor: Snyder JD; Department of Radiation Oncology, The University of Alabama at Birmingham, Birmingham, AL, USA., Sullivan RJ; Department of Radiation Oncology, The University of Alabama at Birmingham, Birmingham, AL, USA., Wu X; Department of Radiation Oncology, The University of Alabama at Birmingham, Birmingham, AL, USA., Covington EL; Department of Radiation Oncology, The University of Alabama at Birmingham, Birmingham, AL, USA., Popple RA; Department of Radiation Oncology, The University of Alabama at Birmingham, Birmingham, AL, USA.
Jazyk: angličtina
Zdroj: Journal of applied clinical medical physics [J Appl Clin Med Phys] 2019 Sep; Vol. 20 (9), pp. 143-148.
DOI: 10.1002/acm2.12705
Abstrakt: Purpose: To evaluate a scintillator detector for patient-specific quality assurance of VMAT radiosurgery plans.
Methods: The detector was comprised of a 1 mm diameter, 1 mm high scintillator coupled to an acrylic optical fiber. Sixty VMAT SRS plans for treatment of single targets having sizes ranging from 3 mm to 30.2 mm equivalent diameter (median 16.3 mm) were selected. The plans were delivered to a 20 cm × 20 cm x 15 cm water equivalent plastic phantom having either the scintillator detector or radiochromic film at the center. Calibration films were obtained for each measurement session. The films were scanned and converted to dose using a 3-channel technique.
Results: The mean difference between scintillator and film was -0.45% (95% confidence interval -0.1% to 0.8%). For target equivalent diameter smaller than the median, the mean difference was 1.1% (95% confidence interval 0.5% to 1.7%). For targets larger than the median, the mean difference was -0.2% (95% confidence interval -0.7% to 0.1%).
Conclusions: The scintillator detector response is independent of target size for targets as small as 3 mm and is well-suited for patient-specific quality assurance of VMAT SRS plans. Further work is needed to evaluate the accuracy for VMAT plans that treat multiple targets using a single isocenter.
(© 2019 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. on behalf of American Association of Physicists in Medicine.)
Databáze: MEDLINE
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