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The main objective of multichannel radiochromic film dosimetry methods is to correct, or at least mitigate, spatial heterogeneities in the film-scanner response, especially variations in the active layer thickness. To this end, films can also be scanned prior to irradiation. In this study, the abilities of various single channel and multichannel methods to reduce spatial heterogeneities, with and without scanning before irradiation, were tested. A new approach to multichannel dosimetry, based on experimental findings, i.e., the Multigaussian method, is introduced. The Multigaussian method assumes that the probability density function of the response vector formed by the pixel values of the different color channels, including irradiated and non-irradiated scans, follows a multivariate Gaussian distribution. The Multigaussian method provided more accurate doses than the other models under comparison, especially when incorporating the information of the film prior to irradiation.

Purpose: When comparing different scans of the same radiochromic film, several patterns can be observed. These patterns are caused by different sources of uncertainty, which affect the repeatability of the scanner. The purpose of this work was to study these uncertainties. Methods: The variance of the scanner noise, as a function of the pixel position, was studied for different resolutions. The inter-scan variability of the scanner response was analyzed taking into account spatial discrepancies. Finally, the distance between the position of the same point in different scans was examined. Results: The variance of noise follows periodical patterns in both axes, causing the grid patterns. These patterns were identified for resolutions of 50, 72 and 96 dpi, but not for 150 dpi. Specially recognizable is the sinusoidal shape with a period of 8.5 mm that is produced with 72 dpi. Inter-scan variations of the response caused systematic relative dose deviations larger than 1% in 5% of the red channel images, 9% of the green and 51% of the blue. No systematic deviation larger than 1% was found after applying response corrections. The initial positioning and the speed of the scanner lamp vary between scans. Conclusions: Three new sources of uncertainty, which influence radiochromic film dosimetry with flatbed scanners, have been identified and analyzed in this work: grid patterns, spatial inter-scan variations and scanning reading repeatability. A novel correction method is proposed, which mitigates spatial inter-scan variations caused by deviations in the autocalibration of the individual Charge Coupled Device detectors.

Purpose: A dosimetric system formed by Gafchromic EBT2 radiochromic film and Epson Expression 10000XL flatbed scanner was commissioned for dosimetry. In this paper, several open questions concerning the commissioning of radiochromic films for dosimetry were addressed: a) is it possible to employ this dosimetric system in reflection mode; b) if so, can the methods used in transmission mode also be used in reflection mode; c) is it possible to obtain accurate absolute dose measurements with Gafchromic EBT2 films; d) which calibration method should be followed; e) which calibration models should be used; f) does three-color channel dosimetry offer a significant improvement over single channel dosimetry. The purpose of this paper is to help clarify these questions. Conclusions: Reflection mode with Gafchromic EBT2 radiochromic film was found to be a viable alternative to transmission mode. The same methods that are used in transmission mode can be followed in reflection mode. A novel plan-based method was developed for calibration and multichannel dosimetry. This novel method offers increased robustness against film response inhomogeneities and reduces considerably the time required for calibration.