[Dosimetry of small-size photon beams].

A high performance standard radiotherapy treatment unit could be used to perform stereotactic radiosurgery. The dosimetric aspects of stereotactic irradiation with small size photon beams (energies from 5 to 25 MV produced by electron linear accelerator or gamma-rays produced by cobalt-60 treatment unit) are analyzed. The diameter of circular beams used are 5 to 40 millimeters wide at the isocenter of the treatment unit. The dosimetry of small x-ray fields is complicated by two factors: the relationship between detector size and field size dimensions, and the lack of lateral electron equilibrium. The large dose gradients outside the beam's central axis require dosimetry techniques with higher spatial resolution. To determine the best dosimetry system for measurements at the beam's small focal point, particularly for measurement of the field size dependent on output factors, several different detectors were investigated: ionization chamber, silicon diode, diamond detector, thermoluminescent dosimeter, and film. Ionization chamber, which presents a sensitive volume smaller than 0.02 cm3, is the most commonly recommended detector for field diameter above 8 mm. Current representative examples of dosimetric measurements for different x-ray energies, including percent depth dose, tissue maximum ratios, beam profiles (off axis ratios), and output factors, are presented and discussed. As well, the dosimetric characteristics of small photon beams are detailed.