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Integral small field output factor measurements using a transmission ionisation chamber

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Abstract

Previous studies describe the use of a large area parallel-plate chamber, the PTW Bragg Peak chamber, for measuring dose-area product (DAP) and output factors in small megavoltage photon fields. However, in radiotherapy departments without protons, this detector would have to be purchased separately for this purpose. This work investigated the feasibility of alternatively using a large transmission ionisation chamber, the IBA round Stealth chamber (SC), for output factor measurements of stereotactic fields. This type of detector is more commonly found in radiotherapy departments as a reference chamber for water tank scanning of small fields, and hence DAP could be performed without an additional purchase. The SC’s large sensitive area (diameter of 94 mm) measures the integral dose, also known as DAP, over the whole two-dimensional (2D) dose distribution of the small field. The measurements were performed using a 6 MV beam from an Elekta Infinity linear accelerator. Conversion of DAP to central axis point dose was performed using 2D dose maps from Gafchromic EBT3 films. The field sizes measured ranged from side length of 5 mm to 50 mm (all square). The resultant output factors were compared against measurements with a stereotactic diode. The small field output factors measured using SC + film were in good agreement with the stereotactic diode (within 2% for field sizes as small as 6 mm; 3% difference at 5 mm). The new proposed method showed that a transmission chamber like SC is a good alternative large-area parallel plate chamber to measure DAP and derive small field OFs. Furthermore, the feasibility of using 2D reconstructed dose maps from water tank profiles and hence filmless approach was investigated. Results showed that filmless conversion of DAP to central axis point dose is feasible using profiles. However, a large number of profiles are required (i.e. 15° increments (star pattern) are required for accurate 2D dose reconstruction), and hence the water tank scanning for this approach may be prohibitively time-consuming.

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References

  1. Taylor ML, Kron T, Franich RD (2011) A contemporary review of stereotactic radiotherapy: inherent dosimetric complexities and the potential for detriment. Acta Oncol (Madr) 50:483–508

    Article  Google Scholar 

  2. Das IJ, Ding GX, Ahnesjo A (2008) Small fields: nonequilibrium radiation dosimetry. Med Phys 35:206–215

    Article  PubMed  Google Scholar 

  3. Aspradakis M, Byrne J, Palmans H, Conway J, Rosser K, Warrington J et al (2010) Small field MV photon dosimetry. IPEM Report No. 103. Institute of Physics and Engineering in Medicine, York

    Google Scholar 

  4. Charles PH, Cranmer-Sargison G, Thwaites DI, Crowe SB, Kairn T, Knight RT, Kenny J, Langton CM, Trapp JV (2014) A practical definition of very small field size for radiotherapy output factor measurements. Med Phys https://doi.org/10.1118/1.4868461

    Article  PubMed  Google Scholar 

  5. Kairn T, Charles PH, Cranmer-Sargison G, Crowe SB, Langton CM, Thwaites DI, Trapp JV (2015) Clinical use of diodes and micro-chambers to obtain accurate small field output factor measurements. Australas Phys Eng Sci Med 8:357–367

    Article  Google Scholar 

  6. Palmans H, Andreo P, Huq MS, Seuntjens J, Christaki K (2017) Dosimetry of small static fields used in external beam radiotherapy: an IAEA-AAPM international code of practice for reference and relative dose determination. Technical Report Series No. 483. International Atomic Energy Agency, Vienna

    Google Scholar 

  7. Cranmer-Sargison G, Weston S, Sidhu NP, Thwaites DI (2011) Experimental small field 6MV output ratio analysis for various diode detector and accelerator combinations. Radiother Oncol 100(3):429–435

    Article  PubMed  Google Scholar 

  8. Oliver CP, Butler DJ, Takau V, Williams I (2018) Survey of 5 mm small-field output factor measurements in Australia. J Appl Clin Med Phys 2018 19(2):329–337

    Article  PubMed  PubMed Central  Google Scholar 

  9. Cranmer-Sargison G, Weston S, Evans JA, Sidhu NP, Thwaites DI (2011) Implementing a newly proposed Monte Carlo based small field dosimetry formalism for a comprehensive set of diode detectors. Med Phys 38(12):6592–6602

    Article  CAS  PubMed  Google Scholar 

  10. Liu PZ, Suchowerska N, McKenzie DR (2014) Can small field diode correction factors be applied universally? Radiother Oncol 112(3):442–446

    Article  PubMed  Google Scholar 

  11. Cranmer-Sargison G, Charles PH, Trapp JV, Thwaites DI (2013) A methodological approach to reporting corrected small field relative outputs. Radiother Oncol 109:350–355

    Article  PubMed  Google Scholar 

  12. Djouguela A, Harder D, Kollhoff R, Rühmann A, Willborn KC, Poppe B (2006) The dose-area product, a new parameter for the dosimetry of narrow photon beams. Med Phys 16:217–227

    Article  Google Scholar 

  13. Sanchez-Doblado F, Hartmann GH, Pena J, Rosello JV, Russiello G, Gonzalez-Castaño DM (2017) A new method for output factor determination in MLC shaped narrow beams. Phys Med 23:58–66

    Article  Google Scholar 

  14. Kupfer T, Lehmann J, Butler DJ, Ganesan R, Bailey TE, Franich RD (2017) Commissioning of a PTW 34070 large-area plane-parallel ionization chamber for small field megavoltage photon dosimetry. J Appl Clin Med Phys 18:206–217

    Article  PubMed  PubMed Central  Google Scholar 

  15. Dufreneix S, Ostrowsky A, Le Roy M, Sommier L, Gouriou J, Delaunay F, Rapp B, Daures J, Bordy JM (2016) Using a dose-area product for absolute measurements in small fields: a feasibility study. Phys Med Biol 61:650–662

    Article  CAS  PubMed  Google Scholar 

  16. Dufreneix S, Ostrowsky A, Rapp B, Daures J, Bordy JM (2016) Accuracy of a dose-area product compared to an absorbed dose to water at a point in a 2 cm dimater field. Med Phys 43:4085–4092

    Article  CAS  PubMed  Google Scholar 

  17. Vasquez Quino LA, Huerta Hernandez CI, Calvo O, Rangaraj D (2016) Clinical experience with a novel reference chamber “stealth chamber” by IBA. American Institute of Physics, AIP Conference Proccedings 1747, 040006

  18. Gersh JA (2014) Stereotactic beam characterisation using the IBA stealth reference detector, IBA Dosimetry Whitepaper

  19. Diego Azcona J, Barbes B (2016) Small field dosimetry in radiosurgery collimators with a Stealth chamber. American Association of Physicists in Medicine, Virginia

    Google Scholar 

  20. P-Stealth Chamber-510-001 01 User’s Guide (2014) IBA Stealth chamber user guide, IBA Dosimetry GmbH, Schwarzenbruck

    Google Scholar 

  21. AAPM Task Group 142 (2009) Comprehensive QA for radiation oncology

  22. ACPSEM Position Paper (1996) Recommendations for the safe use of external beams and sealed brachytherapy sources in radiation oncology

  23. IPEM 81 (1999) Physics Aspects of Quality Control in Radiotherapy

  24. Charles PH, Ibrahim S, Paynter D, Thwaites DI, Monte Carlo simulation of \(K_{{Qclin,Qmsr}}^{{fclin,fmsr}}\) for small field detectors and the Elekta Agility collimation system

  25. Massillon -JLG, Cueva-Procel D, Diaz-Aguirre P, Rodrıguez-Ponce M, Herrera-Martinez F (2013) Dosimetry for small fields in stereotactic radiosurgery using Gafchromic MD-V2-55 Film, TLD-100 and alanine dosimeters, PLOS ONE 8(5):e63418

    Article  CAS  Google Scholar 

  26. Lewis D, Micke A, Yu X, Chan MF (2012) An efficient protocol for radiochromic film dosimetry combining calibration and measurement in a single scan. Med Phys 39(10):6339–6350

    Article  PubMed  Google Scholar 

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Correspondence to P. H. Charles.

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de Chavez, R., Jones, C.E. & Charles, P.H. Integral small field output factor measurements using a transmission ionisation chamber. Australas Phys Eng Sci Med 42, 235–244 (2019). https://doi.org/10.1007/s13246-018-0716-x

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  • DOI: https://doi.org/10.1007/s13246-018-0716-x

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