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Title: Flattening filter free beams from TrueBeam and Versa HD units: Evaluation of the parameters for quality assurance

Journal Article · · Medical Physics
DOI:https://doi.org/10.1118/1.4938060· OSTI ID:22579805
; ; ; ;  [1]; ; ;  [2]; ;  [3];  [4]
  1. Radiotherapy and Radiosurgery Department, Humanitas Research Hospital, Milan-Rozzano I-20098 (Italy)
  2. Department of Radiation Oncology, University Medical Center Mannheim, University of Heidelberg, Mannheim D-68167 (Germany)
  3. Radiation Oncology Department, Hôpital Riviera Chablais, Vevey CH-1800 (Switzerland)
  4. Radio-Oncology Department, Kaiser Franz Josef Spital, Vienna A-1100 (Austria)

Purpose: Flattening filter free (FFF) beams generated by medical linear accelerators are today clinically used for stereotactical and non-stereotactical radiotherapy treatments. Such beams differ from the standard flattened beams (FF) in the high dose rate and the profile shape peaked on the beam central axis. Definition of new parameters as unflatness and slope for FFF beams has been proposed based on a renormalization factor for FFF profiles. The present study aims to assess the dosimetric differences between FFF beams generated by linear accelerators from different vendors, and to provide renormalization and parameter data of the two kinds of units. Methods: Dosimetric data from two Varian TrueBeam and two Elekta Versa HD linear accelerators, all with 6 and 10 MV nominal accelerating potentials, FF and FFF modes have been collected. Renormalization factors and related fit parameters according to Fogliata et al. [“Definition of parameters for quality assurance of flattening filter free (FFF) photon beams in radiation therapy,” Med. Phys. 39, 6455–6464 (2012)] have been evaluated for FFF beams of both units and energies. Unflatness and slope parameters from profile curves were evaluated. Dosimetric differences in terms of beam penetration and near-the-surface dose were also assessed. Results: FFF profile parameters have been updated; renormalization factors and unflatness from the Varian units are consistent with the published data. Elekta FFF beam qualities, different from the Varian generated beams, tend to express similar behaviour as the FF beam of the corresponding nominal energy. TPR{sub 20,10} for 6 and 10 MV FF and FFF TrueBeam beams are 0.665, 0.629 (6 MV) and 0.738, 0.703 (10 MV). The same figures for Versa HD units are 0.684, 0.678 (6 MV) and 0.734, 0.721 (10 MV). Conclusions: Renormalization factor and unflatness parameters evaluated from Varian and Elekta FFF beams are provided, in particular renormalization factors table and fit parameters.

OSTI ID:
22579805
Journal Information:
Medical Physics, Vol. 43, Issue 1; Other Information: (c) 2016 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA); ISSN 0094-2405
Country of Publication:
United States
Language:
English