Department of Radiotherapy, Medical University of Vienna/AKH, Vienna, Austria.
Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna, Vienna, Austria.
Med Phys. 2019 Jul;46(7):3278-3284. doi: 10.1002/mp.13567. Epub 2019 May 31.
Radiochromic film dosimetry is extensively used for quality assurance in photon and proton beam therapy. So far, GafchromicTM EBT3 film appears as a strong candidate to be used in future magnetic resonance (MR) based therapy systems. The response of Gafchromic EBT3 films in the presence of magnetic fields has already been addressed for different MR-linacs systems. However, a detailed evaluation of the influence of external magnetic fields on the film response and calibration curves for proton therapy has not yet been reported. This study aims to determine the dose responses of EBT3 films for clinical proton beams exposed to magnetic field strengths up to 1 T in order to investigate the feasibility of EBT3 film as an accurate dosimetric tool for a future MR particle therapy system (MRPT).
The dosimetric characteristics of EBT3 films were studied for a proton beam passing through magnetic field strengths of B = 0, 0.5, and 1 T. Absorbed dose calibration and measurements were performed using clinical proton beams in the nominal energy range of 62.4-252.6 MeV. Irradiations were done using an in-house developed PMMA slab phantom placed in the center of a dipole research magnet. Monte Carlo (MC) simulations using the GATE/Geant4 toolkit were performed to predict the effect of magnetic fields on the energy deposited by proton beams in the phantom. Planned and measured doses from 3D box cube irradiations were compared to assess the accuracy of the dosimetric method using EBT3 films with/without the external magnetic field.
Neither for the mean pixel value nor for the net optical density, any significant deviations were observed due to the presence of an external magnetic field (B ≤ 1T) for doses up to 10 Gy. Dose-response curves for the red channel were fitted by a three-parameter function for the field-free case and for B = 1T, showing for both cases an R-square coefficient of unity and almost identical fitting parameters. Independently of the magnetic field, EBT3 films showed an under-response as high as 8% in the Bragg peak region, similarly to previously reported effects for particle therapy. No noticeable influence of the magnetic field strength was observed on the quenching effect of the EBT3 films.
For the first time detailed absorbed dose calibrations of EBT3 films for proton beams in magnetic field regions were performed. Results showed that EBT3 films represent an attractive solution for the dosimetry of a future MRPT system. As film response functions for protons are not affected by the magnetic field strenght, they can be used for further investigations to evaluate the dosimetric effects induced due to particle beams bending in magnetic fields regions.
放射色迹胶片剂量测定在光子和质子束治疗的质量保证中得到了广泛应用。到目前为止,GafchromicTM EBT3 胶片似乎是一种很有前途的候选材料,可以用于未来基于磁共振(MR)的治疗系统。已经针对不同的 MR 直线加速器系统研究了 Gafchromic EBT3 胶片在磁场存在下的响应。然而,对于质子治疗,外部磁场对胶片响应和校准曲线的影响还没有详细的评估。本研究旨在确定 EBT3 胶片在临床质子束中暴露于高达 1T 的磁场强度下的剂量响应,以研究 EBT3 胶片作为未来 MR 粒子治疗系统(MRPT)的精确剂量测定工具的可行性。
研究了 EBT3 胶片在质子束通过磁场强度 B=0、0.5 和 1T 时的剂量测定特性。使用标称能量范围为 62.4-252.6MeV 的临床质子束进行吸收剂量校准和测量。辐照在置于偶极子研究磁铁中心的自制 PMMA 平板体模中进行。使用 GATE/Geant4 工具包进行蒙特卡罗(MC)模拟,以预测磁场对质子束在体模中沉积能量的影响。比较 3D 方块照射的计划和测量剂量,以评估使用 EBT3 胶片在有/无外部磁场时的剂量测定方法的准确性。
对于高达 10Gy 的剂量,无论是平均像素值还是净光密度,都没有观察到由于存在外部磁场(B≤1T)而导致的显著偏差。对于无磁场和 B=1T 的情况,红色通道的剂量响应曲线均采用三参数函数拟合,两种情况下的 R 平方系数均为 1,拟合参数几乎相同。无论磁场如何,EBT3 胶片在布拉格峰区域都表现出高达 8%的欠响应,这与之前报道的粒子治疗效应相似。没有观察到磁场强度对 EBT3 胶片淬灭效应的明显影响。
首次在磁场区域对质子束的 EBT3 胶片进行了详细的吸收剂量校准。结果表明,EBT3 胶片是未来 MRPT 系统剂量测定的一种有吸引力的解决方案。由于质子的胶片响应函数不受磁场强度的影响,因此可以用于进一步的研究,以评估由于粒子束在磁场区域弯曲而引起的剂量测定效应。