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Title: Small fields output factors measurements and correction factors determination for several detectors for a CyberKnife{sup Registered-Sign} and linear accelerators equipped with microMLC and circular cones

Purpose: The use of small photon fields is now an established practice in stereotactic radiosurgery and radiotherapy. However, due to a lack of lateral electron equilibrium and high dose gradients, it is difficult to accurately measure the dosimetric quantities required for the commissioning of such systems. Moreover, there is still no metrological dosimetric reference for this kind of beam today. In this context, the first objective of this work was to determine and to compare small fields output factors (OF) measured with different types of active detectors and passive dosimeters for three types of facilities: a CyberKnife{sup Registered-Sign} system, a dedicated medical linear accelerator (Novalis) equipped with m3 microMLC and circular cones, and an adaptive medical linear accelerator (Clinac 2100) equipped with an additional m3 microMLC. The second one was to determine the k{sub Q{sub c{sub l{sub i{sub n,Q{sub m{sub s{sub r}{sup f{sub c}{sub l}{sub i}{sub n},f{sub m}{sub s}{sub r}}}}}}}}} correction factors introduced in a recently proposed small field dosimetry formalism for different active detectors.Methods: Small field sizes were defined either by microMLC down to 6 Multiplication-Sign 6 mm{sup 2} or by circular cones down to 4 mm in diameter. OF measurements were performed with several commercially available active detectorsmore » dedicated to measurements in small fields (high resolution diodes: IBA SFD, Sun Nuclear EDGE, PTW 60016, PTW 60017; ionizing chambers: PTW 31014 PinPoint chamber, PTW 31018 microLion liquid chamber, and PTW 60003 natural diamond). Two types of passive dosimeters were used: LiF microcubes and EBT2 radiochromic films.Results: Significant differences between the results obtained by several dosimetric systems were observed, particularly for the smallest field size for which the difference in the measured OF reaches more than 20%. For passive dosimeters, an excellent agreement was observed (better than 2%) between EBT2 and LiF microcubes for all OF measurements. Moreover, it has been shown that these passive dosimeters do not require correction factors and can then be used as reference dosimeters. Correction factors for the active detectors have then been determined from the mean experimental OF measured by the passive dosimeters.Conclusions: Four sets of correction factors needed to apply the new small field dosimetry formalism are provided for several active detectors. A protocol for small photon beams OF determination based on passive dosimeters measurements has been recently proposed to French radiotherapy treatment centers.« less
Authors:
; ; ; ; ; ;  [1] ; ;  [2] ; ;  [3] ;  [4]
  1. Institut de Radioprotection et de Surete Nucleaire (IRSN), BP17, 92262 Fontenay-aux-Roses Cedex (France)
  2. Institut de Cancerologie de l'Ouest Rene Gauducheau, bd Jacques Monod, 44805 Saint Herblain Cedex (France)
  3. Groupe Hospitalier Pitie-Salpetriere, 47/83 bd de l'Hopital, 75651 Paris Cedex 13 (France)
  4. Centre Oscar Lambret, 3, rue Frederic Combemale, BP 307, 59020 Lille Cedex (France)
Publication Date:
OSTI Identifier:
22121622
Resource Type:
Journal Article
Resource Relation:
Journal Name: Medical Physics; Journal Volume: 40; Journal Issue: 7; Other Information: (c) 2013 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
61 RADIATION PROTECTION AND DOSIMETRY; 62 RADIOLOGY AND NUCLEAR MEDICINE; CORRECTIONS; DIAMONDS; DOSEMETERS; DOSIMETRY; FILMS; LINEAR ACCELERATORS; LITHIUM FLUORIDES; PHOTON BEAMS; PHOTONS; RADIATION DOSES; RADIOTHERAPY