Klinik für Strahlendiagnostik, Medizinisches Zentrum für Radiologie, Philipps Universität Marburg.
Z Med Phys. 2010;20(1):25-33. doi: 10.1016/j.zemedi.2009.09.003. Epub 2009 Oct 22.
Current dosimetry protocols require geometrical reference conditions for the determination of absorbed dose in external radiotherapy. Whenever these geometrical conditions cannot be maintained the application of additional corrections becomes necessary, in principle. The current DIN6800-2 protocol includes a corresponding factor k(NR), but numerical values are lacking and no definite information about the magnitude of this correction is available yet. This study presents Monte-Carlo based calculations within the 6 MV-X photon field of a linear accelerator for a common used ion chamber (PTW31010) employing the EGSnrc code system. The linear accelerator model was matched to measurements, showing good agreement and is used as a realistic source. The individual perturbation correction factors as well as the resulting correction factor k(NR) were calculated as a function of depth for three field sizes, as a function of central axis distance for the largest field and within the build-up region. The behaviour of the ion chamber was further investigated for an idealized hypothetical field boundary. Within the field of the linear accelerator where charged particle equilibrium is achieved the factor k(NR) was generally below approximately 0.5%. In the build-up region a depth dependent correction of up to 2% was calculated when positioning the chamber according to DIN6800-2. Minimizing the depth dependence of the corrections in the build-up region lead to a slightly different positioning of the ion chamber as currently recommended. In regions of the hypothetical field boundary with missing charged particle equilibrium and high dose gradients, the ion chamber response changed by up to approximately 40%, caused by the comparatively large volume (0.125 cm(3)) of the investigated chamber.
当前的剂量学协议要求在外部放射治疗中确定吸收剂量时使用几何参考条件。只要不能保持这些几何条件,原则上就需要应用额外的修正。目前的 DIN6800-2 协议包括相应的修正因子 k(NR),但缺乏数值,并且尚未提供有关此修正幅度的明确信息。本研究在 6 MV-X 光子线性加速器的射束中进行了基于蒙特卡罗的计算,使用了 EGSnrc 代码系统,针对一个常用的离子室(PTW31010)。线性加速器模型与测量结果相匹配,显示出良好的一致性,并被用作实际的源。计算了三个射野大小的深度修正因子和结果修正因子 k(NR),作为最大射野的中心轴距离的函数,以及在建成区的函数。还进一步研究了离子室在理想化的假设射野边界下的行为。在达到带电粒子平衡的线性加速器射野中,因子 k(NR)通常低于约 0.5%。在建成区中,当根据 DIN6800-2 定位腔室时,计算出深度相关的修正值高达 2%。最小化建成区修正的深度依赖性导致当前推荐的离子室位置略有不同。在假设射野边界的区域,由于带电粒子平衡缺失和剂量梯度较高,离子室的响应变化了高达约 40%,这是由所研究腔室的相对较大体积(0.125 cm3)引起的。