Department of Radiological and Medical Laboratory Sciences, Nagoya University Graduate School of Medicine, 1-1-20, Daiko-Minami, Higashi, Nagoya, 461-8673, Japan.
Radiological Center, University of Fukui Hospital, 23-3, Matsuoka-shimoaizuki, Eiheiji, Fukui, 910-1193, Japan.
Med Phys. 2019 Feb;46(2):1037-1043. doi: 10.1002/mp.13315. Epub 2018 Dec 26.
Phantoms for horizontal beam geometry can avoid issues in vertical-beam geometry, such as change in chamber depth due to evaporation, and defining the origin at the water surface. However, their thin entrance windows would deform when these phantoms are filled, which can change the chamber depth, as pointed out by The International Atomic Energy Agency (IAEA) TRS-398. Currently, few reports (Arib et al., J Appl Clin Med Phys. 2006; 7:55-64, and Kinoshita et al., Rep Pract Oncol Radiother. 2018; 23:199-206) are available with practical data on window deformation. Therefore, we investigated the influence of entrance window deformation on chamber depths in water phantoms and the measurements in various beam modalities.
To examine widely used phantoms and phantoms with different characteristics, three phantom types were investigated (the number of phantoms investigated appears in parentheses): PTW-type 41023 (2), Qualita-QWP-04 (2), and IBA-WP34 (2). Prior to the investigation, these phantoms were stored for acclimatization in a room for approximately 10 h under the following two conditions: (a) room temperature: 21 ± 2°C; (b) room temperature: 27 ± 2°C. Using a dial indicator, the centers of the windows were monitored every 30 min for 12 h immediately after the phantoms were filled, in a treatment room at the room temperature of 21 ± 2°C.
Immediately after the phantoms were filled, the window deformation ranged from -0.07 (inward-deformation) to 0.3 mm (outward deformation) among the six phantoms, in comparison with empty phantom windows. For 12 h after the phantoms were filled, the change in the deformation was up to 0.23 mm, but typically less than 0.15 mm.
Reference dosimetry in photon, electron, and proton beams would not be influenced significantly by these window behaviors, whereas the window deformation has a slight impact on those heavy ion beams.
水平束几何的体模可以避免垂直束几何中的问题,例如由于蒸发导致的腔深变化,以及将原点定义在水面上。然而,正如国际原子能机构(IAEA)TRS-398 所指出的,当这些体模被填充时,它们的薄入口窗会发生变形,这会改变腔深。目前,很少有报告(Arib 等人,J Appl Clin Med Phys. 2006; 7:55-64,和 Kinoshita 等人,Rep Pract Oncol Radiother. 2018; 23:199-206)提供关于窗口变形的实际数据。因此,我们研究了入口窗变形对水模体腔深度以及各种射束模式下测量的影响。
为了检查广泛使用的体模和具有不同特性的体模,研究了三种体模类型(括号内显示研究的体模数量):PTW 型 41023(2)、Qualita-QWP-04(2)和 IBA-WP34(2)。在研究之前,这些体模在以下两种条件下在房间中适应约 10 小时:(a)室温:21±2°C;(b)室温:27±2°C。使用千分表,在 21±2°C 的治疗室中,在体模填充后立即每 30 分钟监测一次窗口中心,持续 12 小时。
体模填充后立即,六个体模中的窗口变形范围为-0.07(向内变形)至 0.3mm(向外变形),与空体模窗口相比。体模填充后 12 小时,变形变化可达 0.23mm,但通常小于 0.15mm。
光子、电子和质子射束中的参考剂量测量不会受到这些窗口行为的显著影响,而窗口变形对重离子射束有轻微影响。