Department of Nuclear Engineering and Radiological Sciences, University of Michigan, Ann Arbor, MI, USA.
Department of Radiation Oncology, University of Michigan, Ann Arbor, MI, USA.
Med Phys. 2021 Mar;48(3):1404-1416. doi: 10.1002/mp.14685. Epub 2021 Feb 6.
To develop and implement an efficient and accurate commissioning procedure for small-field static beam animal irradiation studies on an MV research linear accelerator (Linatron-M9) using radiochromic gel dosimetry.
The research linear accelerator (Linatron-M9) is a 9 MV linac with a static fixed collimator opening of 5.08 cm diameter. Lead collimators were manually placed to create smaller fields of 2 × 2 cm , 1 × 1 cm , and 0.5 × 0.5 cm . Relative dosimetry measurements were performed, including profiles, percent depth dose (PDD) curves, beam divergence, and relative output factors using various dosimetry tools, including a small volume ionization chamber (A14), GAFCHROMIC™ EBT3 film, and Clearview gel dosimeters. The gel dosimeter was used to provide a 3D volumetric reference of the irradiated fields. The Linatron profiles and relative output factors were extracted at a reference depth of 2 cm with the output factor measured relative to the 2 × 2 cm reference field. Absolute dosimetry was performed using A14 ionization chamber measurements, which were verified using a national standards laboratory remote dosimetry service.
Absolute dosimetry measurements were confirmed within 1.4% (k = 2, 95% confidence = 5%). The relative output factor of the small fields measured with films and gels agreed with a maximum relative percent error difference between the two methods of 1.1 % for the 1 × 1 cm field and 4.3 % for the 0.5 × 0.5 cm field. These relative errors were primarily due to the variability in the collimator positioning. The measured beam profiles demonstrated excellent agreement for beam size (measured as FWHM), within approximately 0.8 mm (or less). Film measurements were more accurate in the penumbra region due to the film's finer resolution compared with the gel dosimeter. Following the van Dyk criteria, the PDD values of the film and gel measurements agree within 11% in the buildup region starting from 0.5 cm depth and within 2.6 % beyond maximum dose and into the fall-off region for depths up to 5 cm. The 2D beam profile isodose lines agree within 0.5 mm in all regions for the 0.5 × 0.5 cm and the 1 × 1 cm fields and within 1 mm for the larger field of 2 × 2 cm . The 2D PDD curves agree within approximately 2% of the maximum in the typical therapy region (1-4 cm) for the 1 × 1 cm and 2 × 2 cm and within 5% for the 0.5 × 0.5 cm field.
This work provides a commissioning process to measure the beam characteristics of a fixed beam MV accelerator with detailed dosimetric evaluation for its implementation in megavoltage small animal irradiation studies. Radiochromic gel dosimeters are efficient small-field relative dosimetry tools providing 3D dose measurements allowing for full representation of dose, dosimeter misalignment corrections and high reproducibility with low inter-dosimeter variability. Overall, radiochromic gels are valuable for fast, full relative dosimetry commissioning in comparison to films for application in high-energy small-field animal irradiation studies.
利用放射化学凝胶剂量计,为研究线性加速器(Linatron-M9)上的小动物静态射束照射研究开发并实施一种高效、准确的调试程序。
研究用直线加速器(Linatron-M9)为 9 MV 直线加速器,静态固定准直器开口直径为 5.08 cm。手动放置铅准直器以创建 2×2 cm、1×1 cm 和 0.5×0.5 cm 的较小射野。使用各种剂量测量工具(包括小体积电离室(A14)、GAFCHROMIC™ EBT3 胶片和 Clearview 凝胶剂量计)进行相对剂量测量,包括剖面、百分深度剂量(PDD)曲线、射束发散度和相对输出因子。凝胶剂量计用于提供照射射野的 3D 容积参考。在参考深度为 2 cm 时提取 Linatron 剖面和相对输出因子,输出因子相对于 2×2 cm 参考射野进行测量。使用 A14 电离室测量进行绝对剂量测量,使用国家标准实验室远程剂量测量服务对其进行验证。
绝对剂量测量结果在 1.4%以内(k=2,95%置信度=5%)得到确认。用胶片和凝胶测量的小射野的相对输出因子之间最大相对百分比误差差在 1.1%(1×1 cm 射野)和 4.3%(0.5×0.5 cm 射野)之间。这些相对误差主要是由于准直器定位的变化所致。在射束尺寸(以 FWHM 测量)方面,测量的射束剖面具有极好的一致性,相差约 0.8mm(或更小)。由于胶片的分辨率比凝胶剂量计更精细,胶片测量在半影区更准确。根据 van Dyk 标准,胶片和凝胶测量的 PDD 值在从 0.5 cm 深度开始的 0.5 cm 深度至最大剂量和进入衰减区域的 5 cm 深度范围内的 11%内一致,在超过最大剂量的 2.6%范围内一致。0.5×0.5 cm 和 1×1 cm 射野的 2D 射束等剂量线在所有区域内一致,相差 0.5mm,2×2 cm 射野相差 1mm。在典型的治疗区域(1-4 cm)内,1×1 cm 和 2×2 cm 的 2D PDD 曲线在大约 2%的最大误差内一致,0.5×0.5 cm 射野的误差在 5%以内。
这项工作提供了一种测量固定束 MV 加速器束特性的调试过程,并对其在兆伏小动物照射研究中的实施进行了详细的剂量评估。放射化学凝胶剂量计是高效的小射野相对剂量测量工具,提供 3D 剂量测量,可全面表示剂量、剂量计的对准误差校正以及高重复性和低剂量计间变异性。总的来说,与胶片相比,放射化学凝胶在高能小射野动物照射研究中的应用中,在快速、全面的相对剂量测量调试方面具有很高的价值。