Three-Dimensional Dose Verification for Intensity-Modulated Radiation Therapy in the Radiological Physics Centre Head-and-Neck Phantom Using Optical Computed Tomography Scans of Ferrous Xylenol-Orange Gel Dosimeters

Journal Article · Sat Mar 15 04:00:00 EDT 2008 · International Journal of Radiation Oncology, Biology and Physics

DOI:https://doi.org/10.1016/j.ijrobp.2007.11.032· OSTI ID:21039854

Babic, Steven ^[1]; Battista, Jerry; Jordan, Kevin ^[1]

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1. Department of Physics and Engineering, London Regional Cancer Program at London Health Sciences Centre, London, ON (Canada)

Purpose: To extend the Radiological Physics Centre (RPC) intensity-modulated radiation therapy dose verification protocol to three dimensions using optical computed tomography (CT) scans of ferrous xylenol-orange (FX) gels. Methods and Materials: The dosimetry insert in the RPC head-and-neck phantom was replaced with an FX cylindrical gel dosimeter. Two gels were calibrated, independently irradiated with 6-MV X-ray beams and scanned using laser and cone-beam (Vista{sup TM}) optical CT, respectively. For matching dose slices, measured dose distributions were compared with Pinnacle{sup 3} computed distributions. Results: Within high-dose regions and low gradients, doses measured using laser CT were 2% to 3% less than the computed dose, whereas with cone-beam CT they were 4% to 5% less. Inside the central 90% of the gel cylinder diameter, the fraction of voxels satisfying the two-dimensional gamma analysis (5% dose difference, 3-mm distance to agreement) with laser-beam- and cone-beam-measured dose distributions were 98.4% and 99.0%, respectively. A three-dimensional gamma analysis with cone-beam data revealed that 96.7% of voxels within the central 90% gel volume satisfied the above criteria. Within the axial and sagittal planes through the primary planning target volume (PTV), computed and measured doses using GAFChromic EBT film (RPC measured) and cone-beam scanned FX gel generally agreed. At equivalent points in the planning target volumes, computed, thermoluminescent dosimeter (RPC-measured), and gel point doses agreed to within 5.1% in absolute dose. Conclusions: Laser and cone-beam CT yield comparable dose distributions in high-dose regions. The RPC head phantom and optical CT-scanned FX gels can be used for accurate intensity-modulated radiation therapy dose verification in three dimensions.

• OSTI ID: 21039854
• Journal Information: International Journal of Radiation Oncology, Biology and Physics, Journal Name: International Journal of Radiation Oncology, Biology and Physics Journal Issue: 4 Vol. 70; ISSN IOBPD3; ISSN 0360-3016
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BEAMS
COMPUTERIZED TOMOGRAPHY
DOSIMETRY
GELS
HEAD
IRRADIATION
LASERS
NECK
PHANTOMS
PLANNING
RADIATION DOSE DISTRIBUTIONS
RADIATION DOSES
RADIOTHERAPY
THERMOLUMINESCENT DOSEMETERS
VERIFICATION
XYLENOL ORANGE