Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-13T05:55:27.276Z Has data issue: false hasContentIssue false

Evaluation of dosimetric parameters of small fields of 6 MV flattening filter free photon beam measured using various detectors against Monte Carlo simulation

Published online by Cambridge University Press:  09 March 2020

Gopinath Mamballikalam*
Affiliation:
R & D, Bharathiar University, Coimbatore, Tamilnadu, India Aster Medcity, Kochi, Kerala, India
S Senthilkumar
Affiliation:
Rajaji Hospital & Madurai Medical College, Madurai, Tamilnadu, India
P. M. Jayadevan
Affiliation:
Aster Medcity, Kochi, Kerala, India
R. C. Jaon bos
Affiliation:
Aster Medcity, Kochi, Kerala, India
P. M. Ahamed Basith
Affiliation:
Aster Medcity, Kochi, Kerala, India
Rohit Inippully
Affiliation:
Aster Medcity, Kochi, Kerala, India
N. S. Shine
Affiliation:
Banasthali Vidyapith, Jaipur, Rajasthan, India
C. O. Clinto
Affiliation:
Aster Medcity, Kochi, Kerala, India
*
Author for correspondence: Gopinath Mamballikalam, Aster Medcity, Kochi, Kerala, India. E-mail: mgnmenon@gmail.com

Abstract

Purpose:

This study aims to evaluate dosimetric parameters like percentage depth dose, dosimetric field size, depth of maximum dose surface dose, penumbra and output factors measured using IBA CC01 pinpoint chamber, IBA stereotactic field diode (SFD), PTW microDiamond against Monte Carlo (MC) simulation for 6 MV flattening filter-free small fields.

Materials and Methods:

The linear accelerator used in the study was a Varian TrueBeam® STx. All field sizes were defined by jaws. The required shift to effective point of measurement was given for CC01, SFD and microdiamond for depth dose measurements. The output factor of a given field size was taken as the ratio of meter readings normalised to 10 × 10 cm2 reference field size without applying any correction to account for changes in detector response. MC simulation was performed using PRIMO (PENELOPE-based program). The phase space files for MC simulation were adopted from the MyVarian Website.

Results and Discussion:

Variations were seen between the detectors and MC, especially for fields smaller than 2 × 2 cm2 where the lateral charge particle equilibrium was not satisfied. Diamond detector was seen as most suitable for all measurements above 1 × 1 cm2. SFD was seen very close to MC results except for under-response in output factor measurements. CC01 was observed to be suitable for field sizes above 2 × 2 cm2. Volume averaging effect for penumbra measurements in CC01 was observed. No detector was found suitable for surface dose measurement as surface ionisation was different from surface dose due to the effect of perturbation of fluence. Some discrepancies in measurements and MC values were observed which may suggest effects of source occlusion, shift in focal point or mismatch between real accelerator geometry and simulation geometry.

Conclusion:

For output factor measurement, TRS483 suggested correction factor needs to be applied to account for the difference in detector response. CC01 can be used for field sizes above 2 × 2 cm2 and microdiamond detector is suitable for above 1 × 1 cm2. Below these field sizes, perturbation corrections and volume averaging corrections need to be applied.

Type
Original Article
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

This article was originally published with an error in the title. This error has now been updated and a corrigendum published.

References

Mamballikalam, G, Senthilkumar, S, Bos, R, Basith, P M, Jayadevan, P Stereotactic radiotherapy for small and very small tumours (≤1 to ≤3 cc): evaluation of the influence of volumetric-modulated arc therapy in comparison to dynamic conformal arc therapy and 3D conformal radiotherapy as a function of flattened and unflattened beam models. J Radiother Pract 2020; 17. doi: 10.1017/S146039691900102X.Google Scholar
Georg, D, Knöös, T, Mcclean, B. Current status and future perspective of flattening filter free photon beams. Med Phys 2011; 38: 12801293. doi: 10.1118/1.3554643.CrossRefGoogle ScholarPubMed
Dalaryd, M, Kragl, G, Ceberg, C, et al. A Monte Carlo study of a flattening filter-free linear accelerator verified with measurements. Phys Med Biol 2010; 55: 73337344. doi: 10.1088/0031-9155/55/23/010.CrossRefGoogle ScholarPubMed
Fogliata, A, Garcia, R, Knöös, T et al. Definition of parameters for quality assurance of flattening filter free (FFF) photon beams in radiation therapy. Med Phys 2012; 39: 64556464. doi: 10.1118/1.4754799.CrossRefGoogle ScholarPubMed
Das, I, Morales, J, Francescon, P. Small field dosimetry: What have we learnt?. AIP Conference Proceedings 1747. 060001. 2016. doi: 10.1063/1.4954111.CrossRefGoogle Scholar
Papaconstadopoulos, P, Tessier, F, Seuntjens, J On the correction, perturbation and modification of small field detectors in relative dosimetry. Phys Med Biol 2014; 59: 5937. doi: 10.1088/0031-9155/59/19/5937.CrossRefGoogle ScholarPubMed
Kalach, N, Rogers, D Which accelerator photon beams are ‘clinic-like’ for reference dosimetry purposes?. Med Phys. 2003; 30: 15461555. doi: 10.1118/1.1573205.CrossRefGoogle ScholarPubMed
Donya, H, Seniwal, B, Darwesh, R and Fonseca, TCF Prospective Monte Carlo Simulation for Choosing High Efficient Detectors for Small-Field Dosimetry, in Theory, Application, and Implementation of Monte Carlo Method in Science and Technology. Pooneh Saidi Bidokhti, IntechOpen, 2019. doi: 10.5772/intechopen.89150.CrossRefGoogle Scholar
Francescon, P, Cora, S, Satariano, N Calculation of k(Qclin), Q(msr) (fclin,fmsr) for several small detectors and for two linear accelerators using Monte Carlo simulations. Med Phys 2011; 38: 65136527. doi: 10.1118/1.3660770.CrossRefGoogle Scholar
Moignier, C, Huet, C, Makovicka, L Determination of the kQclin correction factors for detectors used with an 800 MU/min CyberKnife® system equipped with fixed collimators and a study of detector response to small photon beams using a Monte Carlo method. Med Phys 2014; 41: 071702. doi: 10.1118/1.4881098.CrossRefGoogle Scholar
Liu, P, Suchowerska, N, Mckenzie, D Can small field diode correction factors be applied universally?. Radiother Oncol 2014; 112: doi: 10.1016/j.radonc.2014.08.009.CrossRefGoogle ScholarPubMed
Czarnecki, D, Wulff, J, Zink, K The influence of linac spot size on scatter factors. Metrologia 2012; 49: doi: 10.1088/0026-1394/49/5/S215 CrossRefGoogle Scholar
Das, I, Cheng, C-W, Watts, R et al. Accelerator beam data commissioning equipment and procedures: Report of the TG-106 of the Therapy Physics Committee of the AAPM. Med Phys 2008; 35: 41864215. doi: 10.1118/1.2969070.CrossRefGoogle ScholarPubMed
Francescon, P, Beddar, S, Satariano, N, Das, I Variation of k(Qclin, Qmsr)(fclin, fmsr) for the small-field dosimetric parameters percentage depth dose, tissue-maximum ratio, and off-axis ratio. Med Phys 2014; 41: 101708. doi: 10.1118/1.4895978.CrossRefGoogle Scholar
Alfonso, R, Andreo, P, Capote, R et al. A new formalism for reference dosimetry of small and nonstandard fields. Med Phys 2008; 35: 51795186. doi: 10.1118/1.3005481.CrossRefGoogle ScholarPubMed
Francescon, P, Kilby, W, Satariano, N Monte Carlo simulated correction factors for output factor measurement with the CyberKnife system—Results for new detectors and correction factor dependence on measurement distance and detector orientation. Phys Med Biol 2014; 59: N11. doi: 10.1088/0031-9155/59/6/N11.CrossRefGoogle ScholarPubMed
Francescon, P, Kilby, W, Satariano, N, Cora, S Monte Carlo simulated correction factors for machine specific reference field dose calibration and output factor measurement using fixed and iris collimators on the CyberKnife system. Phys Med Biol 2012; 57: 37413758. doi: 10.1088/0031-9155/57/12/3741.CrossRefGoogle ScholarPubMed
Chalkley, A, Heyes, G Evaluation of a synthetic single-crystal diamond detector for relative dosimetry measurements on a CyberKnife™. Br J Radiol 2014; 87: 20130768. doi: 10.1259/bjr.20130768.CrossRefGoogle Scholar
Benmakhlouf, H, Sempau, J, Andreo, P Output correction factors for nine small field detectors in 6 MV radiation therapy photon beams: A PENELOPE Monte Carlo study. Med Phys 2014; 41: 041711. doi: 10.1118/1.4868695.CrossRefGoogle ScholarPubMed
Francescon, P, Cora, S, Cavedon, C, Scalchi, P Application of a Monte Carlo-based method for total scatter factors of small beams to new solid state micro-detectors. J Appl Clin Med Phys/Am College Med Phys 2009; 10: 2939. doi: 10.1120/jacmp.v10i1.2939.Google ScholarPubMed
Francescon, P, Cora, S, Cavedon, C Total scatter factors of small beams: A multidetector and Monte Carlo study. Med Phys 2008; 35: 504513. doi: 10.1118/1.2828195.CrossRefGoogle ScholarPubMed
Chibani, O, Ma, C-M C On the discrepancies between Monte Carlo dose calculations and measurements for the 18 MV Varian photon beam. Med Phys 2007; 34: 12061216. doi: 10.1118/1.2712414.CrossRefGoogle ScholarPubMed
Bassinet, C, Huet, C, Derreumaux, S et al. Small fields output factors measurements and correction factors determination for several detectors for a CyberKnife® and linear accelerators equipped with microMLC and circular cones. Med Phys 2013; 40: 071725. doi: 10.1118/1.4811139.CrossRefGoogle ScholarPubMed
THE PRIMO PROJECT. PRIMO: User’s Manual, location: Essen Auther: L. Brualla, M. Rodriguez, J. Sempau, WWW. PRIMOPROJECT.NET, 2019.Google Scholar
Gete, E, Duzenli, C, Milette, M-P et al. A Monte Carlo approach to validation of FFF VMAT treatment plans for the TrueBeamlinac. Med Phys 2013; 40: 021707. doi: 10.1118/1.4773883.Google Scholar
Belosi, M, Rodriguez, M, Fogliata, A Monte Carlo simulation of TrueBeam fattening-filter-free beams using Varian phase-space files: Comparison with experimental data. Med Phys 2014; 41: 051707. doi: 10.1118/1.4871041.CrossRefGoogle ScholarPubMed
TRS- 398:Absorbed dose determination in external beam radiotherapy : an international code of practice for dosimetry based on standards of absorbed dose to water. International Atomic Energy Agency, Vienna (2000)Google Scholar
Muralidhar, K R, Rout, B, Ramesh, K K et al. Small field dosimetry and analysis of flattening filter free beams in true beam system. J Cancer Res Ther 2014; 11: 103107. doi: 10.4103/0973-1482.138226.Google Scholar
Godson, H, Manickam, R, Saminathan, S, Ganesh, K, Ponmalar, Y, Chandraraj, V Analysis of small field percent depth dose and profiles: Comparison of measurements with various detectors and effects of detector orientation with different jaw settings. J Med Phys 2016; 41: 12. doi: 10.4103/0971-6203.177284.Google ScholarPubMed
Cashmore, J Surface dose variations in 6 and 10 MV flattened and flattening filter-free (FFF) photon beams. J Appl Clin Med Phys 2016; 17: 6284. doi: 10.1120/jacmp.v17i5.6284.CrossRefGoogle ScholarPubMed
Keivan, H, Shahbazi-Gahrouei, D, Shanei, A Evaluation of dosimetric characteristics of diodes and ionization chambers in small megavoltage photon field dosimetry. Iranian J Radiat Res (IJRR). 2018; 16: 311321. doi: 10.18869/acadpub.ijrr.16.2.311.Google Scholar
Damodar, J, Odgers, D, Pope, D, Hill, R A study on the suitability of the PTW microDiamond detector for kilovoltage x-ray beam dosimetry. Appl Radiat Isot 2018; 135: 104109 10.1016/j.apradiso.2018.01.025.Google Scholar
Denia, P, García, M, García, C et al. Comparison of detector performance in small 6 MV and 6 MV FFF beams using a Versa HD accelerator. PLOS One. 2019; 14: e0213253. doi: 10.1371/journal.pone.0213253.CrossRefGoogle Scholar