Agarwal Arpita, Rastogi Nikhil, Maria Das K J, Yoganathan S A, Udayakumar D, Kumar Shaleen
Department of Physics, School of Sciences, IFTM University, Moradabad, Uttar Pradesh, India.
Department of Radiotherapy, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
J Med Phys. 2017 Apr-Jun;42(2):59-64. doi: 10.4103/jmp.JMP_131_16.
With the advent of state-of-the-art treatment technologies, the use of small fields has increased, and dosimetry in small fields is highly challenging. In this study, the potential use of Varian electronic portal imaging device (EPID) for small field measurements was explored for 6 and 15 MV photon beams.
The output factors and profiles were measured for a range of jaw-collimated square field sizes starting from 0.8 cm × 0.8 cm to 10 cm × 10 cm using EPID. For evaluation purpose, reference data were acquired using Exradin A16 microionization chamber (0.007 cc) for output factors and stereotactic field diode for profile measurements in a radiation field analyzer.
The output factors of EPID were in agreement with the reference data for field sizes down to 2 cm × 2 cm and for 2 cm × 2 cm; the difference in output factors was +2.06% for 6 MV and +1.56% for 15 MV. For the lowest field size studied (0.8 cm × 0.8 cm), the differences were maximum; +16% for 6 MV and +23% for 15 MV photon beam. EPID profiles of both energies were closely matching with reference profiles for field sizes down to 2 cm × 2 cm; however, penumbra and measured field size of EPID profiles were slightly lower compared to its counterpart.
EPID is a viable option for profile and output factor measurements for field sizes down to 2 cm × 2 cm in the absence of appropriate small field dosimeters.
随着先进治疗技术的出现,小射野的使用增加,小射野剂量学极具挑战性。本研究探讨了瓦里安电子射野影像装置(EPID)在6和15 MV光子束小射野测量中的潜在应用。
使用EPID测量了一系列从0.8 cm×0.8 cm到10 cm×10 cm的铅门准直方形射野大小的输出因子和剂量分布。为了进行评估,在辐射场分析仪中使用Exradin A16微电离室(0.007 cc)获取输出因子的参考数据,并使用立体定向射野二极管进行剂量分布测量。
对于2 cm×2 cm及以下射野大小,EPID的输出因子与参考数据一致;对于2 cm×2 cm射野,6 MV时输出因子差异为+2.06%,15 MV时为+1.56%。对于研究的最小射野大小(0.8 cm×0.8 cm),差异最大;6 MV光子束时为+16%,15 MV光子束时为+23%。两种能量的EPID剂量分布与2 cm×2 cm及以下射野大小的参考剂量分布紧密匹配;然而,EPID剂量分布的半值层和测量射野大小相比其对应参考值略低。
在没有合适的小射野剂量仪的情况下,EPID是测量2 cm×2 cm及以下射野大小的剂量分布和输出因子的可行选择。