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The Total Skin Electron Beam (TSEB) irradiation is a radiotherapeutic technique that aims to provide the patient's skin surface with a more homogeneous dose, in order to treat cutaneous T-cell lymphomas, both for curative and palliative purposes. Electron irradiation penetrates a few millimeters into the skin, reaching the affected parts completely, without penetrating the internal organs. In vivo dosimetry has become an important role for the treatment of total skin irradiation within a rigorous quality assurance program that should be an integral part of the radiotherapy departments. The use of TLDs in vivo can identify variations in the prescribed dose because its measurement accuracy and great precision. The LiF:Mg,Ti is the most used TL material and widely studied in radiotherapy dosimetry due to near tissue-equivalence of the material, along with its overall reliability. The dosimeters of μLiF:Mg,Ti have been gaining considerable importance in the radiotherapy departments. These detectors allow measurements in vivo with great advantages due to their minimum dimensions of 1 × 1 × 1 mm3. This paper reports a comparative study of the TL responses of both materials to dose evaluation in TSEB treatments. The TL response of both materials in several TSEB parameter tests and in clinical application were evaluated, analyzing the dose distribution in a treatment simulation using AldersonRando anthropomorphic phantom. The results showed that the μLiF:Mg,Ti presented greater variation of the response in relation to LiF dosemeters in some parameters analyzed, due to the small dimensions and to evaluate doses absorbed in the surface over a large area in the treatment plan.

The commissioning and quality assurance The Total Skin Electron Beam (TSEB) irradiation treatment is based on the AAPM's report 23, which describes the six-dual-field (Standford) technique, and the Hospital Israelita Albert Einstein (HIAE) follows this recommended guidance. The Dosimetric Materials Laboratory of the Instituto de Pesquisas Energeticas e Nucleares (IPEN-LMD) has tradition in research related to thermoluminescent materials and its clinical applications. Thus, aiming to apply the LiF:Mg,Ti, the most common TLD material, and CaSO4:Dy + Teflon produced at IPEN as easy-to-use alternatives to electron beams dosimetry and its parameters applied to TSEB, this paper reports a comparative study of the TL responses of both materials to dose evaluation in TSEB treatments. The TL response of both materials was evaluated in several TSEB parameter tests such as clinical field homogeneity, Monitor Units (MU) calculation, absorbed doses over the reference line and throughout the surface of the skin in a treatment simulation using AldersonRando anthropomorphic phantom. Results show that the field homogeneity measurements remained within ± 8% acceptance limit from AAPM Report 23, little to no energy dependency over the range of 4 o 9 MeV electron beams and, for clinical measurements and MU calculations, both TLDs present compatible results and can be used as alternative tools in TSEB dosimetry.

Thermoluminescent dosimeters (TLDs) play an important role in radiotherapy for the dosimetry of ionizing radiation. This type of dosimeter presents advantages that makes them a useful tool for measurements in anthropomorphic phantoms and in vivo dosimetry. Several dosimetric materials have been used in the radiotherapy sectors such as LiF, µLiF, CaSO4:Dy. The OSL dosimetry has also been widely applied using Aluminum Oxide (Al2O3:C). These dosimeters have advantages over TLDs due to their high sensitivity, extensive linearity in response to the dose, faster reading, possibility of multiple readings and the need to perform the heat treatment of the samples. The aim of this work was to compare and characterize, using TL and OSL techniques, different luminescent dosimeters (LiF, µLiF, CaSO4:Dy and Al2O3:C) to be applied in clinical electron beam used to TSEB treatments. Measurements were performed in order to study the applicability of these detectors as easy-to-take alternatives to calibration and measurements of TSEB treatments. Parameters such as dose-response curves; average sensitivity to radiation, intrinsic efficiency and energy and angular dependences were evaluated. The results show good agreement within CaSO4:Dy and TLD-100 measurements and, applying energy and angle dependence factors over the other two materials, all the four detectors can be applied as alternative easy-to-take dosimetric tools for commissioning and quality assurance of 6 MeV clinical electron beams used in TSEB treatments.

The Total Skin Electron Beam (TSEB) therapy is a technique that aims to provide skin surface homogeneous absorbed dose in order to treat cutaneous T-cell lymphomas, both for curative and palliative purposes with electron beams penetrating a few millimeters into the skin, reaching the affected parts without affecting internal organs. In vivo dosimetry has become an important role for the treatment of total skin irradiation within a rigorous quality assurance. The luminescent dosimeters, such as TLDs and OSLDs, have proven to be very useful for the verification of the dose distribution and prescribed for the patient as the dose may differ from place to place due to patient body geometry, overlapping of structures and asymmetries of the radiation field. Other routine in vivo dosimetry tool is the DIODEs and they as well help validating radiation therapy dosimetry. Al2O3:C OSL pellets manufactured and marketed by REXON Components and TLD Systems have already been characterized for TSEB applications. The aim of this work is to compare the performance of Al2O3:C OSL pellets from REXON to in vivo TSEB dosimetry with silicon DIODEs QEDTM detectors from Sun Nuclear (EUA) using an anthropometric phantom. Dosimeters and DIODEs were previously characterized for 6 MeV HDTSe- electron beams and then placed over an Anderson Rando® anthropomorphic phantom, evaluating the body dose distribution. The reference point of measurement was the umbiculous as recommended by formalism. The results showed that the Al2O3:C OSL pellets presented acceptable results, but some greater variation of the response in relation to silicon DIODEs were found due to its considerable rotational dependency.

Total-skin electron beam (TSEB) irradiation is used to deliver a homogeneous dose distribution over the entire skin surface of a patient. TSEB dosimetry is quite complex as to the evaluation and measurement of absorbed dosage in the cutaneous region. This paper evaluates the performance of different dosimetric materials, using TL and OSL dosimetry, in the extremity-dose assessment of TSEB treatments using the six-dual-field technique and an anthropomorphic phantom. Dosimeters were selected with repeatability better than [Formula: see text] and calibrated to 6-MeV electron-beam dosimetry. Measurements were conducted in the abdominal region as a reference point and on the extremities. Results show expected deviations ranging up to [Formula: see text] in the dose received in the extremities and good results in dose assessment using all dosimetric materials tested.