Determination of small-field output factors for beam-matched linear accelerators using various detectors and comparison of detector-specific output correction factors using IAEA Technical Report Series 483 protocol.

Autor: Kannan M; Department of Radiation Physics, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India., Saminathan S; Department of Radiation Physics, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India., Chandraraj V; Department of Radiation Physics, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India., Gowtham Raj D; Department of Radiation Physics, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India., Ganesh KM; Department of Radiation Physics, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India.
Jazyk: angličtina
Zdroj: Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology [Rep Pract Oncol Radiother] 2023 Jun 26; Vol. 28 (2), pp. 241-254. Date of Electronic Publication: 2023 Jun 26 (Print Publication: 2023).
DOI: 10.5603/RPOR.a2023.0024
Abstrakt: Background: Beam matching is widely used to ensure that linear accelerators used in radiotherapy have equal dosimetry characteristics. Small-field output factors (OF) were measured using different detectors infour beam-matched linear accelerators and the measured OFs were compared with existing treatment planning system (TPS) Monte Carlo algorithm calculated OFs.
Materials and Methods: Three Elekta Versa HD TM and one Elekta Infinity TM linear accelerators with photon energies of 6 MV flattening filter (FF), 10 MVFF, 6 MV flattening filter free (FFF) and 10 MVFFF were used in this study. All the Linac'swere beam-matched, Dosimetry beam data were ± 1% compare with Reference Linac. Ten different type of detectors (four ionizationchambers and six diode detectors) were used for small-field OF measurements. The OFs were measured for field sizes of 1 × 1 to 10 × 10 cm 2 , and normalized to 10 × 10 cm 2 field size. The uncorrected and corrected OFs were calculated from these measurements. The corrected OF was compare with existing treatment planning system (TPS) Monte Carlo algorithm calculated OFs.
Results: The small-field corrected and Uncorrected OF variations among the linear accelerators was within 1% for all energies and detectors. An increase in field size led to a reduction in the difference between OFs among the detectors, which was the case for all energies. The RSD values decreased with increasing field size. The TRS 483 provided Detector-specificoutput-correction factor (OCF) reduced uncertainty in small-field measurements.
Conclusion: It is necessary to implement the OF-correction of small fields in a TPS. Special care must be taken to incorporate the corrected small-field OF in a TPS.
Competing Interests: Conflict of interest None declared.
(© 2023 Greater Poland Cancer Centre.)
Databáze: MEDLINE