Radiotherapy reference dose audit in the United Kingdom by the National Physical Laboratory: 20 years of consistency and improvements

Autor: Russell A.S. Thomas, Matthew A. Bolt, Graham Bass, Rebecca Nutbrown, Tao Chen, Andrew Nisbet, Catharine H. Clark
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Physics and Imaging in Radiation Oncology, Vol 3, Iss , Pp 21-27 (2017)
Druh dokumentu: article
ISSN: 2405-6316
DOI: 10.1016/j.phro.2017.07.005
Popis: Background and purpose: Audit is imperative in delivering consistent and safe radiotherapy and the UK has a strong history of radiotherapy audit. The National Physical Laboratory (NPL) has undertaken audit measurements since 1994 and this work examines results from these audits. Materials and methods: This paper reviews audit results from 209 separate beams from 82 on-site visits to National Health Service (NHS) radiotherapy departments conducted between June 1994 and February 2015. Measurements were undertaken following the relevant UK code of practice. The accuracy of the implementation of absorbed dose calibration across the UK is quantified for MV photon, MeV electron and kV X-ray radiotherapy beams. Results: Over the measurement period the standard deviation of MV photon beam output has reduced from 0.8% to 0.4%. The switch from air kerma- to absorbed dose-based electron code of practice contributed to a reduction in the difference of electron beam output of 0.6% (p
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