Improving animal-specific radiotherapy quality assurance for kilovoltage X-ray radiotherapy using a 3D printed dog skull water phantom

Autor: Yoshinori Tanabe, Toshie Iseri, Ryouta Onizuka, Takayuki Ishida, Hidetoshi Eto, Munekazu Nakaichi
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Open Veterinary Journal, Vol 13, Iss 4, Pp 427-432 (2023)
Druh dokumentu: article
ISSN: 2226-4485
DOI: 10.5455/OVJ.2023.v13.i4.4
Popis: Background: Accurate dose assessment during animal radiotherapy is beneficial for veterinary medicine and medical education. Aim: To visualize the radiation treatment distribution of orthovoltage X-ray equipment in clinical practice using Monte Carlo simulations and created a dog skull water phantom for animal-specific radiotherapy. Methods: EGSnrc-based BEAMnrc and DOSXYZnrc codes were used to simulate orthovoltage dose distributions. At 10, 20, 30, 40, 50 and 80 mm in a water phantom, depth dose was measured with waterproof Farmer dosimetry chambers and the diagonal off-axis ratio was measured with Gafchromic EBT3 film to simulate orthovoltage dose distributions. Energy differences between orthovoltage and linear accelerated radiotherapy were assessed with a heterogeneous bone and tissue virtual phantom. The animal-specific phantom for radiotherapy quality assurance was created from CT scans of a dog and printed with a three-dimensional printer using polyamide 12 nylon, with insertion points for dosimetry chambers and Gafchromic EBT3 film. Results: Monte Carlo simulated and measured dose distributions differed by no more than 2.0% along the central axis up to a depth of 80 mm. The anode heel effect occurred in shallow areas. The orthovoltage radiotherapy percentage depth dose in bone was >40%. Build-up was >40%, with build-down after bone exit, whereas linear accelerator radiotherapy absorption changed little in the bone. A highly water-impermeable, animal-specific dog skull water phantom could be created to evaluate dose distribution. Conclusion: Animal-specific water phantoms and Monte Carlo simulated pre-treatment radiotherapy is useful quality assurance for orthovoltage radiotherapy and yields a visually familiar phantom that will be useful for veterinary medical education. [Open Vet J 2023; 13(4.000): 427-432]
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