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Lessons learned from a HDR brachytherapy well ionisation chamber calibration error

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Abstract

The outcomes of a recent brachytherapy well-type ionization chamber calibration error are given in the hope that other brachytherapy treatment centres may better understand the importance of each entry stated in a well chamber calibration certificate. A Nucletron Source Dosimetry System (SDS) PTW well-type ionization chamber was sent for a biennial calibration in September 2010. Upon calibration of the chamber, it was discovered that the previous calibration (in July 2008) contained a +2.6% error in the chamber calibration coefficient. Investigation of the information on the 2008 well chamber calibration certificate indicated the source of the error, which could or should have been detected by both the calibration laboratory and/or the radiation therapy department upon return of the chamber. Consideration must be given to all values and conditions given on the calibration certificate when accepting a ionization chamber back from a calibration laboratory. The issue of whether the source strength from the source calibration certificate or the measured source strength from the calibrated ionization chamber should be entered into the treatment unit is also raised.

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References

  1. Kutcher GJ, Coia L, Gillin M, Hanson WF, Leibel S, Morton RJ, Palta JR, Purdy JA, Reinstein LE, Svensson GK, Weller M, Wingfield L (1994) Comprehensive QA for radiation oncology: report of the AAPM radiation therapy committee task group 40. Med Phys 21(4):581–618

    Article  PubMed  CAS  Google Scholar 

  2. Glasgow GP, Bourland JD, Grigsby PW, Meli JA, Weaver KA (1993) Remote afterloading technology: report of the AAPM task group 41. Published for the American Association of Physicists in Medicine by the American Institute of Physics, New York

  3. Nath R, Anderson LL, Luxton G, Weaver KA, Williamson JF, Meigooni AS (1995) Dosimetry of interstitial brachytherapy sources: recommendations of the AAPM radiation therapy committee task group no 43. Med Phys 22:209–234

    Article  PubMed  CAS  Google Scholar 

  4. Baltas D, Sakelliou L, Zamboglou N (2007) The physics of modern brachytherapy for oncology, series in medical physics and biomedical engineering. CRC Press, Taylor and Francis Group, p 585, IBSN-13: 978-0-7503-0708-6

  5. Nath R, Anderson LL, Meli JA, Olch AJ, Stitt JA, Williamson JF (1997) Code of practice for brachytherapy physics: report of the AAPM radiation therapy committee task group no 56. Med Phys 24(10):1557–1598

    Article  PubMed  CAS  Google Scholar 

  6. ACPSEM Position Paper (1997) Recommendations for the safe use of external beams and sealed brachytherapy sources in radiation therapy. Australasian College of Physical Scientists and Engineers in Medicine, Melbourne

    Google Scholar 

  7. Nair MTK, Cheng M-C (1997) HDR Source calibration methods and discrepancies. Int J Radiat Oncol Biol Phys 38(1):207–211

    Article  PubMed  CAS  Google Scholar 

  8. IAEA (2002) Calibration of photon and beta ray sources used in brachytherapy, International Atomic Energy Agency, IAEA-TECDOC-1274, Vienna

  9. Goetsch SJ, Attix FH, Pearson DW, Thomadsen BR (1991) Calibration of 192Ir high-dose-rate afterloading systems. Med Phys 18(3):462–467

    Article  PubMed  CAS  Google Scholar 

  10. Stump KE, DeWerd LA, Micka JA, Anderson DR (2002) Calibration of new high dose rate 192Ir sources. Med Phys 29(7):1483–1488

    Article  PubMed  CAS  Google Scholar 

  11. Büermann L, Kramer HM, Schrader H, Selbach HJ (1994) Activity determination of 192Ir solid sources by ionization chamber measurements using calculated corrections for self-absorption. Nucl Instrum Methods Phys Res A 339:369–376

    Article  Google Scholar 

  12. Loftus TP (1980) Standardization of iridium-192 gamma-ray sources in terms of exposure. J Res Natl Bur Stand 85:19–25

    CAS  Google Scholar 

  13. Sander T, Nutbrown RF (2006) The NPL air kerma primary standard TH100C for high dose rate 192Ir brachytherapy sources, NPL Report DQL-RD 004, http://publications.npl.co.uk

  14. Butler D, Haworth A, Sander T, Todd S (2008) Comparison of 192Ir air kerma calibration coefficients derived at ARPANSA using the interpolation method and the national physical laboratory using a direct measurement, Australas. Phys Eng Sci Med 31(4):332–338

    CAS  Google Scholar 

  15. Douysset G, Sander T, Gouriou J, Nutbrown R (2008) Comparison of air kerma standards of LNE-LNHB and NPL for 192Ir HDR brachytherapy sources: EUROMET project no 814. Phys Med Biol 53:N85–N97

    Article  PubMed  CAS  Google Scholar 

  16. Bidmead AM, Sander T, Locks SM, Lee CD, Aird EGA, Nutbrown RF, Flynn A (2010) The IPEM code of practice for determination of the reference air kerma rate for HDR 192Ir brachytherapy sources based on the NPL air kerma standard. Phys Med Biol 55:3145–3159

    Article  PubMed  CAS  Google Scholar 

  17. ICRU (1985) Dose and volume specification for reporting intracavitary therapy in gynaecology, ICRU Report No 38, Washington, DC

  18. ICRU (1997) Dose and volume specification for reporting interstitial therapy, ICRU Report No 58, Bethesda, MD

  19. Brown RL, Butler DJ (2010) The 2009 survey of therapy equipment and dosimetry practices in Australian radiotherapy centres, Australas. Phys Eng Sci Med 33(4):285–297

    Google Scholar 

  20. Douysset G, Ostrowsky A, Delaunay F (2008) Some unexpected behaviours of PTW/Nucletron well-type ionization chambers. Phys Med Biol 53:269–275

    Article  Google Scholar 

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Correspondence to Claire Dempsey.

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Dempsey, C. Lessons learned from a HDR brachytherapy well ionisation chamber calibration error. Australas Phys Eng Sci Med 34, 529–533 (2011). https://doi.org/10.1007/s13246-011-0095-z

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  • DOI: https://doi.org/10.1007/s13246-011-0095-z

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