Quality assurance and independent dosimetry for an intraoperative x-ray device

Journal Article · Thu Nov 15 00:00:00 EST 2012 · Medical Physics

DOI:https://doi.org/10.1118/1.4761865· OSTI ID:22099085

Eaton, D. J. ^[1]

---

1. Radiotherapy Physics, Royal Free Hospital, London NW3 2QG (United Kingdom)

Purpose: Quality assurance is an essential component of accurate and safe radiotherapy delivery, and should include measurements which are independent of manufacturer-provided calibration. However, the physical and dosimetric properties of the INTRABEAM compact mobile 50 kV x-ray source are different from conventional kilovoltage therapy units and few reports describe methods for independent checks, frequencies, or tolerances for quality assurance tests. Methods: Based on the available evidence and local experience, methods are described for determination of the key dosimetric parameters: beam quality, output, isotropy, and depth doses. Internal system checks are also described, along with measurements of long-term stability. Results: A small volume parallel plate ionization chamber in a liquid water tank is the gold standard for measurements with this unit, but solid water-equivalent materials, thermoluminescent dosimeters and radiochromic film can all be used as practical alternatives with an accuracy of 5%-10%. The main cause of measurement uncertainty is positioning of the detector in the steep dose gradient, but energy dependence should also be considered. Conclusions: A quality assurance schedule with suggested tolerances is proposed, which includes both internal tests, before each treatment and on a monthly basis, and independent tests every year or after servicing or recalibration.

• OSTI ID: 22099085
• Journal Information: Medical Physics, Vol. 39, Issue 11; Other Information: (c) 2012 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA); ISSN 0094-2405
• Country of Publication: United States
• Language: English

Related Subjects

61 RADIATION PROTECTION AND DOSIMETRY
62 RADIOLOGY AND NUCLEAR MEDICINE
60 APPLIED LIFE SCIENCES
ACCURACY
BRACHYTHERAPY
CALIBRATION
DEPTH DOSE DISTRIBUTIONS
DOSIMETRY
ENERGY DEPENDENCE
FILMS
IONIZATION CHAMBERS
QUALITY ASSURANCE
RADIATION DOSES
THERMOLUMINESCENT DOSEMETERS
WATER
X RADIATION
X-RAY SOURCES