Department of Radiation Oncology, Seoul National University Hospital, Seoul, 03080, Republic of Korea.
Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, 03080, Republic of Korea.
Radiat Oncol. 2022 May 7;17(1):88. doi: 10.1186/s13014-022-02056-9.
Contact lens-type ocular in vivo dosimeters (CLODs) were recently developed as the first in vivo dosimeter that can be worn directly on the eye to measure the dose delivered to the lens during radiotherapy. However, it has an inherent uncertainty because of its curved shape. Newton's ring effect inevitably occurs because the spacing between the glass window and the active layer is not constant. Furthermore, it involves a large uncertainty because the objective of the CLOD with such morphological characteristics is to measure the dose delivered to an out-of-field lens. In this study, we aimed to investigate the effects of various compensating materials on the sensitivity, accuracy, and uniformity of analysis using a curved CLOD. We developed a new scanning methodology that involves applying a compensating material to reduce the uncertainty caused by the air gap.
Four compensating materials-Dragon Skin™ 10 (DS), a transparent silicon material, SORTA-Clear™ 40 (SC), optical grease (OG), and air (no compensating material)-were used in this study. The CLOD was scanned in the reflective mode and transmission mode using each compensating material. We then examined the sensitivity, accuracy, and scan uniformity to evaluate the scanning methodology using compensating materials.
The increase in sensitivity was the highest for OG compared to that for air in the reflective mode. On average, the sensitivity in the reflective mode was higher than that in the transmission mode by a factor of 2.5 for each dose. Among the four compensating materials, OG had the smallest uncertainty. Therefore, the best scan uniformity was achieved when OG was used.
Scanning methodology was proposed in which a compensating material is applied for a curved lens-type dosimeter. Our results show that OG is the most suitable compensating material to obtain the best accuracy of dose analysis. Following this methodology, the scan uncertainty of curved dosimeters significantly decreased.
隐形眼镜型体内剂量计(CLOD)最近被开发出来,它是第一个可以直接戴在眼睛上测量放射治疗中晶状体所受剂量的体内剂量计。然而,由于其曲面形状,它存在固有不确定性。由于玻璃窗口和有源层之间的间距不是恒定的,牛顿环效应不可避免地会发生。此外,由于具有这种形态特征的 CLOD 的目标是测量场外晶状体所受剂量,因此它涉及很大的不确定性。在这项研究中,我们旨在研究使用曲面 CLOD 时,各种补偿材料对灵敏度、准确性和分析均匀性的影响。我们开发了一种新的扫描方法,该方法涉及使用补偿材料来减少气隙引起的不确定性。
本研究使用了四种补偿材料——Dragon Skin™ 10(DS)、透明硅材料、SORTA-Clear™ 40(SC)、光学油脂(OG)和空气(无补偿材料)。使用每种补偿材料在反射模式和透射模式下对 CLOD 进行扫描。然后,我们检查了灵敏度、准确性和扫描均匀性,以评估使用补偿材料的扫描方法。
在反射模式下,与空气相比,OG 使灵敏度提高的幅度最大。平均而言,在每种剂量下,反射模式下的灵敏度比透射模式下的灵敏度高 2.5 倍。在这四种补偿材料中,OG 的不确定性最小。因此,使用 OG 可获得最佳的扫描均匀性。
提出了一种在曲面隐形眼镜型剂量计上使用补偿材料的扫描方法。我们的结果表明,OG 是获得最佳剂量分析准确性的最合适补偿材料。采用这种方法,曲面剂量计的扫描不确定性显著降低。