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A method for determining angular characteristics of a spread of a pencil proton beam, associated with the nonuniform distribution of the initial momenta of particles, is examined. Considering this phenomenon is crucial when planning patient irradiation and conducting radiobiological experiments, because angular characteristics directly affect the size of the field during particle transport through air or other media. Experimental data are also compared with Monte Carlo simulations performed with the TOPAS MC software package using the obtained parameters. The results demonstrate good agreement and validate the described method. [ABSTRACT FROM AUTHOR]

Reliable dosimetry systems are crucial for radiobiological experiments either to quantify the biological consequences of ionizing radiation or to reproduce results by other laboratories. Also, they are essential for didactic purposes in the field of radiation research. Professional dosemeters are expensive and difficult to use in exposure facilities with closed exposure chambers. Consequently, a simple, inexpensive, battery-driven dosemeter was developed that can be easily built using readily available components. Measurements were performed to validate its readout with photons of different energy and dose rate and to demonstrate the applicability of the dosemeter. It turned out that the accuracy of the dose measurements using the developed dosemeter was better than 10%, which is satisfactory for radiobiological experiments. It is concluded that this dosemeter can be used both for determining the dose rates of an exposure facility and for educational purposes. [ABSTRACT FROM AUTHOR]

The electron beam (EB) energy is one of the most crucial parameters of EB treatment applications. It governs the dose distribution inside the bulk of the product treated with an energetic EB. An online monitoring and robust system is proposed for EB energy monitoring for radio frequency (RF) linear accelerator (LINAC). Attenuation method using dosimeter films is applied to reproduce the range of electron beam in aluminum. In online monitoring system, two electrically isolated aluminum plates having identical shape but different thicknesses, as per full penetration thickness of electron beam, are used. The current constituted in each plate is measured by an oscilloscope with suitable resistors, by keeping the set up under the beam. The ratio of the current signal from the front plate to the sum of the signals from both plates is very sensitive to the beam energy. Here, an electron accelerator of 10 MeV is used to incorporate this device. Sensitivity and robustness are the key factors to make this device highly suitable for desirous applications of 10 MeV LINAC and also to meet the regulatory mandates related to energy limitations for industrial utilities.

The electron beam (EB) energy is one of the most crucial parameters of EB treatment applications. It governs the dose distribution inside the bulk of the product treated with an energetic EB. An online monitoring and robust system is proposed for EB energy monitoring for radio frequency (RF) linear accelerator (LINAC). Attenuation method using dosimeter films is applied to reproduce the range of electron beam in aluminum. In online monitoring system, two electrically isolated aluminum plates having identical shape but different thicknesses, as per full penetration thickness of electron beam, are used. The current constituted in each plate is measured by an oscilloscope with suitable resistors, by keeping the set up under the beam. The ratio of the current signal from the front plate to the sum of the signals from both plates is very sensitive to the beam energy. Here, an electron accelerator of 10 MeV is used to incorporate this device. Sensitivity and robustness are the key factors to make this device highly suitable for desirous applications of 10 MeV LINAC and also to meet the regulatory mandates related to energy limitations for industrial utilities. [ABSTRACT FROM AUTHOR]

The discovery of the FLASH effect has revealed a high potential for treating cancer more efficiently by sparing healthy tissue. The surge in related medical research activities over the last couple of years has triggered a demand for technology with the capability of generating and measuring ionizing radiation at ultra-high dose-rates (UHDR). A reliable dosimetry system is an integral part of a radiotherapy machine. Because existing active dosimetry methods are unable to handle the dose-rates required for FLASH, UHDR dosimetry has emerged as an important area of research. In this paper we present an active dosimetry method based on a scintillating screen and an integrating current transformer. This method provides a simultaneous measurement of the absolute dose delivery as well as the 2D dose distribution. The measurements have been correlated with corresponding readings from radiochromic films (RCFs), and a procedure for image processing has been established. Moreover, different methods of calibrating the active dosimetry system against RCFs have been introduced and evaluated. Lastly, we present results which demonstrate that an agreement with RCFs of better than 5% can be realistically expected if camera parameters are carefully optimized. [ABSTRACT FROM AUTHOR]

Purpose: The ARRONAX cyclotron facility offers the possibility to deliver proton beams from low to ultra‐high dose rates (UHDR). As a good control of the dosimetry is a prerequisite of UHDR experimentations, we evaluated in different conditions the usability and the dose rate dependency of several radiochromic films commonly used for dosimetry in radiotherapy. Methods: We compared the dose rate dependency of three types of radiochromic films: GAFchromic™ EBT3 and GAFchromic™ EBT‐XD (Ashland Inc., Wayne, NJ, USA), and OrthoChromic OC‐1 (OrthoChrome Inc., Hillsborough, NJ, USA), after proton irradiations at various mean dose rates (0.25, 40, 1500, and 7500 Gy/s) and for 10 doses (2–130 Gy). We also evaluated the dose rate dependency of each film considering beam structures, from single pulse to multiple pulses with various frequencies. Results: EBT3 and EBT‐XD films showed differences of response between conventional (0.25 Gy/s) and UHDR (7500 Gy/s) conditions, above 10 Gy. On the contrary, OC‐1 films did not present overall difference of response for doses except below 3 Gy. We observed an increase of the netOD with the mean dose rate for EBT3 and EBT‐XD films. OC‐1 films did not show any impact of the mean dose rate up to 7500 Gy/s, above 3 Gy. No difference was found based on the beam structure, for all three types of films. Conclusions: EBT3 and EBT‐XD radiochromic films should be used with caution for the dosimetry of UHDR proton beams over 10 Gy. Their overresponse, which increases with mean dose rate and dose, could lead to non‐negligible overestimations of the absolute dose. OC‐1 films are dose rate independent up to 7500 Gy/s in proton beams. Films response is not impacted by the beam structure. A broader investigation of the usability of OC‐1 films in UHDR conditions should be conducted at intermediate and higher mean dose rates and other beam energies. [ABSTRACT FROM AUTHOR]

Purpose: First, this experimental study aims at comparing out‐of‐field doses delivered by three radiotherapy techniques (3DCRT, VMAT (two different accelerators), and tomotherapy) for a pediatric renal treatment. Secondly, the accuracy of treatment planning systems (TPS) for out‐of‐field calculation is evaluated. Methods: EBT3 films were positioned in pediatric phantoms (5 and 10 yr old). They were irradiated according to four plans: 3DCRT (Clinac 2100CS, Varian), VMAT (Clinac 2100CS and Halcyon, Varian), and tomotherapy for a same target volume. 3D dose determination was performed with an in‐house Matlab tool using linear interpolation of film measurements. 1D and 3D comparisons were made between techniques. Finally, measurements were compared to the Eclipse (Varian) and Tomotherapy (Accuray) TPS calculations. Results: Advanced radiotherapy techniques (VMATs and tomotherapy) deliver higher out‐of‐field doses compared to 3DCRT due to increased beam‐on time triggered by intensity modulation. Differences increase with distance to target and reach a factor of 3 between VMAT and 3DCRT. Besides, tomotherapy delivers lower doses than VMAT: although tomotherapy beam‐on time is higher than in VMAT, the additional shielding of the Hi‐Art system reduces out‐of‐field doses. The latest generation Halcyon system proves to deliver lower peripheral doses than conventional accelerators. Regarding TPS calculation, tomotherapy proves to be suitable for out‐of‐field dose determination up to 30 cm from field edge whereas Eclipse (AAA and AXB) largely underestimates those doses. Conclusion: This study shows that the high dose conformation allowed by advanced radiotherapy is done at the cost of higher peripheral doses. In the context of treatment‐related risk estimation, the consequence of this increase might be significative. Modern systems require adapted head shielding and a particular attention has to be taken regarding on‐board imaging dose. Finally, TPS advanced dose calculation algorithms do not certify dose accuracy beyond field edges, and thus, those doses are not suitable for risk assessment. [ABSTRACT FROM AUTHOR]

We have performed dosimetry studies using electron beams with energies up to 50 MeV, which exceed current clinical energy ranges and approaches the bottom end of the very high energy electron range. 50 MeV electron beams can reach deep-seated tumors. In contrast to photon beams, electron beams can be generated with ultra-high dose rates by linear accelerators, which could enable FLASH radiotherapy of deep-seated tumors. The response of radiochromic film and alanine is compared with dose measurements using an ionisation chamber. Energy dependence is not observed within the measurement uncertainty in the investigated energy range from 15 to 50 MeV.

• Low-energy photon IORT treatments of the breast are increasing in recent years. • The best verification of these treatments is to establish an in vivo dosimetry procedure. • XR-RV3 radiochromic films are a suitable dosimeter for measuring low energy photons at high doses. • An adequate calibration that considers the beam hardening with the distance significantly improves the measurement accuracy. The objectives of the study were to establish a procedure for in vivo film-based dosimetry for intraoperative radiotherapy (IORT), evaluate the typical doses delivered to organs at risk, and verify the dose prescription. In vivo dose measurements were studied using XR-RV3 radiochromic films in 30 patients with breast cancer undergoing IORT using the Axxent® device (Xoft Inc.). The stability of the radiochromic films in the energy ranges used was verified by taking measurements at different depths. The stability of the scanner response was tested, and 5 different calibration curves were constructed for different beam qualities. Six pieces of film were placed in each of the 30 patients. All the pieces were correctly sterilized and checked to ensure that the process did not affect the outcome. All calibration and dose measurements were analyzed using the Radiochromic.com software application. The doses were measured for 30 patients. The doses in contact with the applicator (prescription zone) were 19.8 ± 0.9 Gy. In the skin areas, the doses were as follows: 1–2 cm from the applicator, 1.86 ± 0.77 Gy; 2–5 cm, 0.73 ± 0.14 Gy; and greater than 5 cm, 0.28 ± 0.17 Gy. The dose delivered to the pectoral muscle (tungsten shielding disc) was 0.51 ± 0.27 Gy. The study demonstrated the viability of XR-RV3 films for in vivo dose measurement in the dose and energy ranges applied in a complex procedure, such as breast IORT. The doses in organs at risk were far below the tolerances for cases such as those studied. [ABSTRACT FROM AUTHOR]

This paper describes the role of the Polish Secondary Standard Dosimetry Laboratory (SSDL) in quality assurance in radiotherapy by means of providing calibration of ionisation chambers, TLD postal dosimetry audits and end-to-end audits for radiation therapy. A historical review of the methods and results are presented. The influence of the SSDL in Warsaw on radiation protection of patients in Poland is discussed. The International Atomic Energy Agency together with World Health Organisation (IAEA/WHO), through its network of SSDLs around the world, propagates newly developed methods for calibration and auditing. Suitable high quality equipment was provided by the IAEA, as well as special materials and technical support to the SSDL in Warsaw. The activity of the SSDL and the services provided for Polish radiotherapy centres have resulted in a reduction of discrepancies between planned doses and doses delivered to patients. The newly tested IAEA methods of end-to-end on-site dosimetry audits allow for monitoring and improving the quality of IMRT in Poland. The traceability of standards used for the calibration of therapy level dosimeters from Polish radiotherapy centres is assured by the IAEA dosimetry laboratory. The consistency of methods performed in the Polish SSDL with the ISO:17025 norm is supervised by the Polish Centre for Accreditation – a member of International Laboratory Accreditation Cooperation (ILAC), for calibration and testing. Due to the rapid technological development of radiotherapy, special attention has to be paid to newly developed methods for dosimetry auditing and institutions which provide services for assuring radiation safety of patients. [ABSTRACT FROM AUTHOR]

Aim: The objective of this study was to evaluate skin dose based on retrofit prototype multileaf collimators (MLCs), designed for cobalt-60 teletherapy machine. Since patient's skin is sensitive to radiation, evaluation of skin dose is of utmost importance for investigating the risk of late effects. Materials and Methods: Measurements were performed with a Phoenix cobalt-60 teletherapy machine and the detector used was EBT3 radiochromic film. The experiments were performed in a solid water phantom with two prototype MLCs mounted to the machine. Dose readings were taken by placing the films at source-to-surface distance (SSD) of 60 cm, 65 cm, 70 cm, 75 cm, 80 cm, 85 cm, and 90 cm for various MLC-generated field sizes starting from 2 cm × 2 cm to 14 cm × 14 cm. The films were analyzed using custom made programs. The measured doses were normalized to the dose at dmax for that particular measurement of SSD. Results: The skin dose is expressed as a percentage of dose at dose maximum. In general, the skin dose increases with field size and decreases with SSD. The measurements indicate surface doses within 20%-60% for the investigated SSD range. Furthermore, there is no significant difference between the surface doses of two prototype MLCs studied. Conclusions: From the measurements, it can be concluded that there is good skin sparing even at close distance to the MLCs. The skin dose is <50% for SSDs >65 cm. A minimum gap of 5 cm is required to produce acceptable skin dose. [ABSTRACT FROM AUTHOR]

• Accurate radiobiological data are necessary to include biophysically optimized treatment plans in clinical proton therapy. • Low energy proton facilities provide perfect beams for conducting radiobiology experiments with mono-layer cell cultures. • A system for the irradiation of cell cultures has been designed and mounted at the CNA, Seville, Spain. • A dedicated Geant4 Monte Carlo simulation has been developed and validated towards experimental measurements. • The first irradiation of mono-layer cell cultures has been carried out successfully. Proton therapy has gained interest in recent years due to its excellent clinical outcomes. However, the lack of accurate biological data, especially in the Bragg peak region of clinical beams, makes it difficult to implement biophysically optimized treatment plans in clinical practice. In this context, low energy proton accelerator facilities provide the perfect environment to collect good radiobiological data, as they can produce high LET beams with narrow energy distributions. This study presents the radiobiology beam line that has been designed at the 18 MeV proton cyclotron facility at the National Centre of Accelerators (CNA, Seville, Spain), to perform irradiations of mono-layer cell cultures. To ensure that all the cells receive the same dose with a suitable dose rate, low beam intensities and broad and homogeneous beam profiles are necessary. To do so, at the CNA an unfocused beam has been used, broadened with a 500 μ m thick aluminium scattering foil. Homogeneous dose profiles, with deviations lower than 10% have been obtained over a circular surface of 35 mm diameter for an incident average energy of 12.8 MeV. Further, a Monte Carlo simulation of the beam line has been developed with Geant4, and benchmarked towards experimental measurements, with differences generally below 1%. Once validated, the code has been used, together with an ionization chamber, for dosimetry studies, to characterize the beam and monitor the dose. Finally, cultures of Human Bone Osteosarcoma cells (U2OS) have been successfully irradiated at the radiobiology beam line, investigating the effects of radiation in terms of DNA damage induction. [ABSTRACT FROM AUTHOR]

• The absorption spectrum of EBT3 Gafchromic film is analyzed for doses up to 100 Gy. • A wavelength-based approach for dose calibration is presented as an alternative to measurements based on Optical Density. • Uncertainty below 2% in the range 5.52–100 Gy has been achieved. • Overall, the range 0.5–100 Gy was covered with an uncertainty below 4%. In this work, we report on a novel approach for measuring the dose absorbed by the EBT3 Gafchromic™ films exposed to 1 MeV electron beam and 250 kV X-rays in the range 0.5–100 Gy. Although EBT3 is specifically designed to obtain best performance for applications where the maximum dose is less than 10 Gy, there are certain clinical applications requiring dose ranges well above this value. In order to cover wider dose ranges, further models characterized by a thinner sensitive layer and/or different chemical composition have been released. Another method exploiting the three-channel flatbed scanner to delay the saturation point of EBT3 has been also reported. The technique proposed here, aimed at extending the sensitivity of the EBT3 film to high doses up to 100 Gy while ensuring a low dose uncertainty, is based on a broadband analysis of the absorption spectrum of the film in response to irradiation. By combining a wavelength-based approach with the monitoring of two characteristic peaks of the EBT3 absorption spectrum, we demonstrated the capability of measuring the dose in the range 0.5–100 Gy with an experimental uncertainty below 4% for doses lower than 5.52 Gy and below 2% for higher dose levels. Finally, through a dynamic fitting procedure integrating the two aforesaid approaches, a total uncertainty lower than 4%, including both the experimental and fitting errors, was achieved in the whole range 0.5–100 Gy. These results are promising in view of a potential application of this technique in the field of clinical dosimetry at high dose levels. [ABSTRACT FROM AUTHOR]

Abstract This work presents the study of the optical density as function of absorbed dose for radiochromic films (model EBT3 Gafchromic) irradiated with protons of energies below 5 MeV. Once the calibration curves are obtained, the study of the optical density as function of the linear energy transfer (LET) is presented. Such studies are useful in proton dosimetry applied to pre-clinical and in vitro radiobiological research. Measurements were performed at the National Centre of Accelerators (CNA) in Seville with a proton beam produced by a 3 MV Tandem accelerator. The incident energy onto the films was measured with an ion implanted silicon detector, and the particle fluence was monitored using a parallel plate ionization chamber. With this proton beam it is possible to investigate the interaction of high LET protons with EBT3 films with narrow energy spreads, as compared with therapeutic proton beams in the Bragg peak region. The data of the beam energy at the position of the film were used to simulate the energy deposition in the active layer of the film, by means of Monte Carlo codes. The measurements were performed for dose values up to 30 Gy and for five values of incident energy, obtained with a passive degradation of the beam by interposing mylar foils of different thickness upstream the EBT3 film. For each energy and corresponding value of proton LET, curves of the optical density as function of the dose are provided for the three color channels red, green and blue (RGB). The dose has been calculated considering two scenarios: dose to water (considering the film composition made by water) and dose to lucite (assuming the real composition of the film). The first corresponds to the case of clinical interest and the second to the real situation of the measurements. The comparison shows a non-negligible shift of the calculated doses even if density corrections are included. In the plateau region of the Bragg curve the film response can be well described by a simple polynomial function (at low doses up to about 4 MeV the response is almost linear). In regions covering the Bragg maximum the film response suffers a quenching and the optical density values were found to be 20–30 % lower than expected. [ABSTRACT FROM AUTHOR]

Aim of Study: The aim of this study is to evaluate some dosimetry parameters such as uniformity, surface dose, and max depth dose with thermoluminescent dosimetry (TLD) and EBT3 film in total skin electron beam therapy (TSEBT). Methods: Stationary and rotary methods were set on Varian linear accelerator, Clinac 2100C. To create a radiation field large enough (168 cm × 60 cm) and uniform, the source skin distance was set 400 cm. Electron beam energy was 6 MeV. The skin dose values were obtained in 21 different points on the phantom surface. Results: The results of dose uniformity in stationary technique were obtained as 10% and 2.6% by TLDs and 6% and 2.3% by films in longitudinal axis and transverse axis, respectively. The measurements at rotational technique by TLDs at the referred conditions showed a homogeneous total field with intensity variation of 10% in the longitudinal axis and 4% at horizontal axis. Conclusion: Based on the results of this study, stationary techniques are preferred for TSEBT. The main advantage of rotational techniques is reducing the time of treatment. The results also demonstrate that TLD should be routinely used in TSEBT treatment. Due to the high sensitivity of radiochromic films, this type of film was suitable for a wide therapeutic field. Comprehensive treatment to Rando phantom showed that the uniformity is better at the trunk than in the mobile parts of the body; the soles of the feet, perineum region, and scalp vertex should be treated in boost. [ABSTRACT FROM AUTHOR]

The study is aimed at a verification of dose changes for a computed tomography automatic tube-current modulation (ATCM) technique. For this purpose, anthropomorphic phantom and Gafchromic® XR-QA2 films were used. Radiochromic films were cut according to the shape of two thorax regions. The ATCM algorithm is based on noise index (NI) and three exam protocols with different NI were chosen, of which one was a reference. Results were compared with dose values displayed by the console and with Poisson statistics. The information obtained with radiochromic films has been normalized with respect to the NI reference value to compare dose percentage variations. Results showed that, on average, the information reported by the CT console and calculated values coincide with measurements. The study allowed verification of the dose information reported by the CT console for an ATCM technique. Although this evaluation represents an estimate, the method can be a starting point for further studies. [ABSTRACT FROM AUTHOR]

Uniform Fluence (UV Dose) distribution on food surfaces is essential for an effective UV process design. In this study, the use of radiochromic films (RCFs) with a computer vision system (CVS) integrating image processing and Convolutional Neural Network (CNN) is proposed as an alternative method to assess Fluence distribution of UV-C light at 254 nm on food surfaces. The color difference of RCFs exposed to different UV irradiance and exposure times was correlated with Fluence. The validity of the developed methodology was proved by applying it to the surface of apple fruits of different shapes and sizes. A linear relationship was found between the color difference of RCF and Fluence. The maximum Fluence to be determined using RCFs was ∼60 mJ/cm2. The color of the films after UV irradiation remained stable for up to 15 days in darkness when stored at room and refrigeration temperatures. The results showed that RCF can be used as an alternative UV dosimeter. • RCFs can be used as an alternative dosimeter for UV treatment of food surfaces. • Color analysis of RCFs was successfully performed using image processing and CNN. • Color differences and Fluence are linearly related in the range of 2.5–125 mJ/cm2. • The maximum fluence determined using RCF at 254 nm was approximately 60 mJ/cm2. • RCF's color was stable in dark at room and refrigeration temperatures for 15 days. [ABSTRACT FROM AUTHOR]

[Display omitted] • A TPS for low-energy photon IORT based on photogrammetry was developed. • The 3D images are reconstructed from a video obtained with a smartphone or tablet. • In 3D printing models, radiochromic films are utilized to verify the absorbed doses. • Treatment planning: 522.6±45.7 s (465 s – 591 s), 3D model reconstruction: 227.8±7.1 s (216 s – 239 s). • Absorbed dose difference: applicator: 1.4% (1%-2%); 1–3 cm from applicator: 2.6%-6.2%. This study presents a treatment planning system for intraoperative low-energy photon radiotherapy based on photogrammetry from real images of the surgical site taken in the operating room. The study population comprised 15 patients with soft-tissue sarcoma. The system obtains the images of the area to be irradiated with a smartphone or tablet, so that the absorbed doses in the tissue can be calculated from the reconstruction without the need for computed tomography. The system was commissioned using 3D printing of the reconstructions of the tumor beds. The absorbed doses at various points were verified using radiochromic films that were suitably calibrated for the corresponding energy and beam quality. The average reconstruction time of the 3D model from the video sequence in the 15 patients was 229,6±7,0 s. The entire procedure, including video capture, reconstruction, planning, and dose calculation was 520,6±39,9 s. Absorbed doses were measured on the 3D printed model with radiochromic film, the differences between these measurements and those calculated by the treatment planning system were 1.4% at the applicator surface, 2.6% at 1 cm, 3.9% at 2 cm and 6.2% at 3 cm. The study shows a photogrammetry-based low-energy photon IORT planning system, capable of obtaining real-time images inside the operating room, immediately after removal of the tumor and immediately before irradiation. The system was commissioned with radiochromic films measurements in 3D-printed model. [ABSTRACT FROM AUTHOR]

The objective of this study was to investigate the dose enhancement to soft tissue due to backscatter radiation near metal interfaces during head and neck radiotherapy. The influence of titanium-mandibular plate with the screws on radiation dose was tested on four real bones from mandible with the metal and screws fixed. Radiochromic films were used for dosimetry. The bone and metal were inserted through the film at the center symmetrically. This was then placed in a small jig (7 cm × 7 cm × 10 cm) to hold the film vertically straight. The polymer granules (tissue-equivalent) were placed around the film for homogeneous scatter medium. The film was irradiated with 6 MV X-rays for 200 monitor units in Trilogy linear accelerator for 10 cm × 10 cm field size with source to axis distance of 100 cm at 5 cm. A single film was also irradiated without any bone and metal interface for reference data. The absolute dose and the vertical dose profile were measured from the film. There was 10% dose enhancement due to the backscatter radiation just adjacent to the metal-bone interface for all the materials. The extent of the backscatter effect was up to 4 mm. There is significant higher dose enhancement in the soft tissue/skin due to the backscatter radiation from the metallic components in the treatment region.

We have measured the dose, D, and dose rate, D', dependences of the radiation-induced change in optical absorption of four radiochromic films currently used for (2D) dosimetry: GafChromic® types EBT3, MD-V3, HD-V2 and HD-810. We have irradiated the films using two 60 Co γ-ray sources with dose rates of ~2 and ~30 Gy/min and a 200 kVp X-ray source with dose rates from ~0.2 to ~1.0 Gy/min. The 48-bit RGB image files of the films, obtained using an Epson V700 flatbed scanner, were color-channel separated and the red, green and blue pixel levels, P(D), were determined using ImageJ software. The relationship P(D)/P(0)=[1+ h D/ m ]/[ 1+ D/ m ] is found to provide a good description of the dose dependence for all four films at all dose rates. The parameter h is the "plateau level" of P(D)/P(0) approached at high doses, i.e. P(∞)/P(0). The parameter m is the “median-dose” for which P(D)/P(0)(1+ h )/2 which is the half point in the dynamic range of the particular film. The best-fit values of m over the dose rate range from ~0.2 to ~25 Gy/min using the red pixels were 1.42±0.03, 11.1±0.4, 63.6±0.9 and 60.6±1.6 Gy for EBT3, MD-V3, HD-V2 and HD-810 respectively. Using the green pixels the median dose is 1.8 times larger for the first 3 films and 2.5 times larger for HD-810. The blue pixels are considered unsuitable for dosimetry because of the large value of h (>0.4) and the resulting small dynamic range. [ABSTRACT FROM AUTHOR]

A feasibility study of an experimental setup for the irradiation of biological samples at the cyclotron facility installed at the National Centre of Accelerators (Seville, Spain) is presented. This cyclotron, which counts on an external beam line for interdisciplinary research purposes, produces an 18 MeV proton beam, which is suitable for the irradiation of mono-layer cultures for the measurement of proton cell damages and Relative Biological Effectiveness (RBE) at energies below the beam nominal value. Measurements of this kind are of interest for proton therapy, since the variation of proton RBE at the distal edge of the Bragg curve may have implications in clinical proton therapy treatments. In the following, the characteristics of the beam line and the solutions implemented for the irradiation of biological samples are described. When dealing with the irradiation of cell cultures, low beam intensities and broad homogeneous irradiation fields are required, in order to assure that all the cells receive the same dose with a suitable dose rate. At the cyclotron, these constraints have been achieved by completely defocusing the beam, intercepting the beam path with tungsten scattering foils and varying the exit-window-to-sample distance. The properties of the proton beam thus obtained have been analysed and compared with Monte Carlo simulations. The results of this comparison, as well as the experimental measurement of the lateral dose profiles expected at the position of samples are presented. Meaningful dose rates of about 2⁻3 Gy/min have been obtained. Homogeneous lateral dose profiles, with maximum deviations of 5%, have been measured at a distance of approximately 50 cm in air from the exit window, placing a tungsten scattering foil of 200 μm in the beam path.

Purpose Aim of this work is the assessment of build-up and superficial doses of different clinical Head&Neck plans delivered with Helical TomoTherapy (HT) (Accuray, Sunnyvale, CA). Depth dose profiles and superficial dose points were measured in order to evaluate the Treatment Planning System (TPS) capability of an accurate dose modeling in regions of disequilibrium. Geometries and scattering conditions were investigated, similar to the ones generally encountered in clinical treatments. Methods Measurements were performed with two dosimeters: Gafchromic® EBT3 films (Ashland Inc., Wayne, NJ) and a synthetic single crystal diamond detector (PTW-Frieburg microDiamond, MD). A modified version of the Alderson RANDO phantom was employed to house the detectors. A comparison with TPS data was carried out in terms of dose difference (DD) and distance-to-agreement (DTA). Results DD between calculated data and MD measurements are within 4% even in points with high spatial dose variation. For depth profiles, EBT3 data show a DDmax of 3.3% and DTAmax of 2.2 mm, in low and high gradient regions, respectively, and compare well with MD data. EBT3 superficial points always results in measured doses lower than TPS evaluated ones, with a maximum DTA value of 1.5 mm. Conclusions Doses measured with the two devices are in good agreement and compare well with calculated data. The deviations found in the present work are within the reference tolerance level, suggesting that the HT TPS is capable of a precise dose estimation both in superficial regions and in correspondence with interfaces between air and PMMA. [ABSTRACT FROM AUTHOR]

Although there are several two-dimensional (2D) dose-distribution measurement methods using proton beam therapy, they all have drawbacks; hence, there is no standard method established worldwide. The purpose of this study was to develop a simple, high-precision 2D distribution measurement method for proton beam therapy that uses an imaging plate and EBT3. First, we expanded the maximum readable dose (saturation dose) in the imaging plate. The method involves (i) the control of the fading phenomenon by an annealing process and (ii) the control of the photostimulated luminescence (PSL) phenomenon using a longpass filter (LPF). In method (i), upon heating at 80 °C, the PSL became 0.485 times the room temperature, and in method (ii), we attenuated the PSL by a factor of 0.245 using an LPF. Thus, by combining methods (i) and (ii), we expanded the saturation dose to 2 Gy. Thus, it was possible to measure the imaging plate and EBT3 in the same dose range. We simultaneously measured the percent depth dose using imaging plate and EBT3. We defined a correction factor to match the measured values-which had a reduced sensitivity because of the linear energy transfer (LET) dependence of the imaging plate and EBT3-with reference data and developed a correction factor function. Subsequently, by defining the relative LET dependence of imaging plate and EBT3 as the relative sensitivity and converting the relationship imaging plate between the relative sensitivity and correction factor into a function, we obtained a sensitivity-correction function. By employing this function, measurements with the same accuracy as the reference data were performed using the imaging plate and EBT3. [ABSTRACT FROM AUTHOR]

Gafchromic™ films have become popular due to their ease of use and their near water equivalence. This last property is crucial for stereotactic small beam dosimetry as demonstrated in recent papers. An accurate bi-dimensional dose measurement with Gafchromic™ films is very challenging mainly because of the non-uniformity response of flatbed scanners (used for films digitalization) and their own non-uniformity. The first proposal of this work is to develop bi-dimensional protocol for small beams and evaluate the associated uncertainty. The second proposal is to validate this protocol for the bi-dimensional measurements of treatment plans performed with the CyberKnife ® system. First, the uniformity of an Epson V700 flatbed scanner and a batch of EBT3 Gafchromic™ films has been investigated. A “four films” dosimeter was designed to reduce the errors (statistic and systematic) due to their non-uniformity. Then, the “four films” dosimeter protocol in both a homogeneous (RW3 material) and heterogeneous (RW3, lung-like and bone-like materials) phantoms has been used to measure the bi-dimensional dose distributions of three simple CyberKnife ® treatment plans. Two tumor locations (middle of the lung and near lung/bone interface) were considered for the heterogeneous phantom. These plans were achieved with the 10 mm fixed collimator and modeled with the PENELOPE Monte Carlo code in order to calculate accurate dose distributions. Finally, the “four films” bi-dimensional dose distributions were compared to the PENELOPE Monte Carlo simulations. Regarding the uncertainty associated to the bi-dimensional dose measurement protocol, the relative standard deviation σ D on the dose was 1.2% in the range from 0.5 to 4.0 Gy. Regarding the protocol validation on CyberKnife ® treatment plans, a very good agreement was found with all measurement points passing the {3% - 3 mm} Gamma Index criteria. [ABSTRACT FROM AUTHOR]

Background: Intraoperative electron radiotherapy (IOERT) is a highly selective radiotherapy technique which aims to treat restricted anatomic volumes during oncological surgery and is now the subject of intense re-evaluation. In vivo dosimetry has been recommended for IOERT and has been identified as a risk-reduction intervention in the context of an IOERT risk analysis. Despite reports of fruitful experiences, information about in vivo dosimetry in intraoperative radiotherapy is somewhat scarce. Therefore, the aim of this paper is to report our experience in developing a program of in vivo dosimetry for IOERT, from both multidisciplinary and practical approaches, in a consistent patient series. We also report several current weaknesses.Methods: Reinforced TN-502RDM-H mobile metal oxide semiconductor field effect transistors (MOSFETs) and Gafchromic MD-55-2 films were used as a redundant in vivo treatment verification system with an Elekta Precise fixed linear accelerator for calibrations and treatments. In vivo dosimetry was performed in 45 patients in cases involving primary tumors or relapses. The most frequent primary tumors were breast (37 %) and colorectal (29 %), and local recurrences among relapses was 83 %. We made 50 attempts to measure with MOSFETs and 48 attempts to measure with films in the treatment zones. The surgical team placed both detectors with supervision from the radiation oncologist and following their instructions.Results: The program was considered an overall success by the different professionals involved. The absorbed doses measured with MOSFETs and films were 93.8 ± 6.7 % and 97.9 ± 9.0 % (mean ± SD) respectively using a scale in which 90 % is the prescribed dose and 100 % is the maximum absorbed dose delivered by the beam. However, in 10 % of cases we experienced dosimetric problems due to detector misalignment, a situation which might be avoided with additional checks. The useful MOSFET lifetime length and the film sterilization procedure should also be controlled.Conclusions: It is feasible to establish an in vivo dosimetry program for a wide set of locations treated with IOERT using a multidisciplinary approach according to the skills of the professionals present and the detectors used; oncological surgeons' commitment is key to success in this context. Films are more unstable and show higher uncertainty than MOSFETs but are cheaper and are useful and convenient if real-time treatment monitoring is not necessary. [ABSTRACT FROM AUTHOR]

We present an evaluation of the precision and accuracy of image-based radiochromic film dosimetry. A stack of radiochromic film FWT-60 was used to map a radiation field produced by an electron pulse from a Febetron 707 accelerator (dose rate around 5•1011Gy/s; maximum dose around 160 kGy). The three-dimensional dose distribution was obtained by a He-Nescanning-laser microdensitometer and using image segmentation and correction for non-linear response of films. Calorimetry and electron paramagnetic resonance dosimetry were used to verify the results obtained with a FWT-60 film.

Purpose: Microbeam radiation therapy (MRT) is a still preclinical tumor therapy approach that uses arrays of a few tens of micrometer wide parallel beams separated by a few 100 μm. The production, measurement, and planning of such radiation fields are a challenge up to now. Here, the authors investigate the feasibility of radiochromic film dosimetry in combination with a microscopic readout as a tool to validate peak and valley doses in MRT, which is an important requirement for a future clinical application of the therapy. Methods: Gafchromic® HD-810 and HD-V2 films are exposed to MRT fields at the biomedical beamline ID17 of the European Synchrotron Radiation Facility (ESRF) and are afterward scanned with a microscope. The measured dose is compared with Monte Carlo calculations. Image analysis tools and film handling protocols are developed that allow accurate and reproducible dosimetry. The performance of HD-810 and HD-V2 films is compared and a detailed analysis of the resolution, noise, and energy dependence is carried out. Measurement uncertainties are identified and analyzed. Results: The dose was measured with a resolution of 5×1000 μm² and an accuracy of 5% in the peak and between 10% and 15% in the valley region. As main causes for dosimetry uncertainties, statistical noise, film inhomogeneities, and calibration errors were identified. Calibration errors strongly increase at low doses and exceeded 3% for doses below 50 and 70 Gy for HD-V2 and HD-810 films, respectively. While the grain size of both film types is approximately 2 μm, the statistical noise in HD-V2 is much higher than in HD-810 films. However, HD-810 films show a higher energy dependence at low photon energies. Conclusions: Both film types are appropriate for dosimetry in MRT and the microscope is superior to the microdensitometer used before at the ESRF with respect to resolution and reproducibility. However, a very careful analysis of the image data is required. Dosimetry at low photon energies should be performed with great caution due to the energy sensitivity of the films. In this respect, HD-V2 films showed to have an advantage over HD-810 films. However, HD-810 films have a lower statistical noise level. When a higher resolution is required, e.g., for the dosimetry of pencil beam irradiations, noise may render HD-V2 films inapplicable. [ABSTRACT FROM AUTHOR]

The small fields in radiotherapy are widely used due to the development of techniques such as intensity-modulated radiotherapy and stereotactic radio surgery. The measurement of the dose distributions for small fields is a challenge. A perfect dosimeter should be independent of the radiation energy and the dose rate and should have a negligible volume effect. The radiochromic (RC) film characteristics fit well to these requirements. However, the response of RC films and their digitizing processes present a significant spatial inhomogeneity problem. The present work uses a method for two-dimensional (2D) measurement with RC films based on the reduction of the spatial inhomogeneity of both the film and the film digitizing process. By means of registering and averaging several measurements of the same field, the inhomogeneities are mostly canceled. Measurements of output factors (OFs), dose profiles (in-plane and cross-plane), and 2D dose distributions are presented. The field sizes investigated are 0.5 x 0.5 cm², 0.7 x 0.7 cm², 1 x 1 cm², 2 x 2 cm², 3 x 3 cm², 6 x 6 cm², and 10 x 10 cm² for 6 and 15 MV photon beams. The OFs measured with the RC film are compared with the measurements carried out with a PinPoint ionization chamber (IC) and a Semiflex IC, while the measured transversal dose profiles were compared with Monte Carlo simulations. The results obtained for the OFs measurements show a good agreement with the values obtained from RC films and the PinPoint and Semiflex chambers when the field size is greater or equal than 2 x 2 cm². These agreements give confidence on the accuracy of the method as well as on the results obtained for smaller fields. Also, good agreement was found between the measured profiles and the Monte Carlo calculated profiles for the field size of 1 x 1 cm². We expect, therefore, that the presented method can be used to perform accurate measurements of small fields. [ABSTRACT FROM AUTHOR]

Purpose: This paper presents a model for dose-response curves of radiochromic films. It is based on a modified version of single-hit model to take into account the growth experienced by lithium salt of pentacosa-10,12-diynoic acid polymers after irradiation. Methods: Polymer growth in radiochromic films is a critical phenomenon that can be properly described by means of percolation theory to provide an appropriate distribution function for polymer sizes. Resulting functional form is a power function featuring a critical exponent and two adjustable parameters. Moreover, these parameters act as scaling factors setting a natural scale for sensitometric curves where the dependence on channel sensitivity is removed. A unique reduced response curve is then obtained from all the color channels describing film behavior independently of film dosimetry system. Results: Resulting functional form has been successfully tested in several sensitometric curves from different Gafchromic EBT models, providing excellent agreement with experimental data in a wide dose range up to about 40 Gy and low dose uncertainty. Conclusions: The model presented in this paper describes accurately the sensitometric curves of radiochromic films in wide dose ranges covering all typical ranges used in external radiotherapy. Resulting dose uncertainty is low enough to render a reasonably good performance in clinical applications. Due to cross-correlation, only one of the adjustable parameters is totally independent and characterizes film batches. [ABSTRACT FROM AUTHOR]

Several passive solid state dosemeters, such as Gafchromic™ films and thermoluminescence (TL) detectors, are used to estimate and monitor patient skin doses in interventional radiology. To determine the suitability of XR-TypeR Gafchromic™ films and of detectors based on TL materials: pellets, chips and foils to measure skin dose, an intercomparison exercise has been organized within European Dosimetry Radiation Group – Working Group 12 “European Medical ALARA Network” (EURADOS WG12). To test response detectors were exposed to X-ray beams of energies and qualities applied clinically. A blind test was also performed to investigate the accuracy of the dose estimate by detectors exposed to unknown doses. We found the response of films to be strongly dependent on beam quality and filtration (increasing by up to 80% with respect to reference beam quality). The response of TL detectors was found to be less dependent on beam quality (less than 25% variation), with TL foils showing less than 10% variation with respect to reference beam quality. To accurately estimate patient skin doses in interventional radiology it is important to choose the quality of the calibration beam to be as close as possible to the quality of beams actually applied in clinical work. [ABSTRACT FROM AUTHOR]

Purpose: An improved method for multichannel dosimetry is presented. This method explicitly takes into account the information provided by the unexposed image of the film. Methods: The method calculates the dose by applying a couple of perturbations to the scanned dose, one dependent and the other independent on the color channel. The method has been compared with previous multichannel and two single channel methods (red and green) against measurements using two different tests: first, five percentage depth dose profiles covering a wide range of doses; second, the dose map perpendicular to the beam axis for a 15 × 15 cm2 square field. Finally, the results of 30 IMRT quality assurances tests are presented. All tests have been evaluated using the gamma analysis. Results: The coefficient of variation was found to be similar for all methods in a wide range of doses. The results of the proposed method are more in agreement with the experimental measurements and with the treatment planning system. Furthermore, the differences in the mean gamma pass rates are statistically significant. Conclusions: The improved multichannel dosimetric method is able to remove many of the common disturbances usually present in radiochromic films and improves the gamma analysis results compared with the other three methods. [ABSTRACT FROM AUTHOR]

Abstract: Aim: To present the results obtained using radiochromic films EBT and RTQA 1010P for the reconstruction the dose distributions for targets irradiated by proton beam and modified by wax boluses. Background: In Medico-Technical Complex at the Joint Institute for Nuclear Research in Dubna implemented technology of wax boluses. Materials and methods: Wax boluses are easier to make and they give better dose distributions than boluses made from modeling clay previously used at our center. We irradiated two imaginary targets, one shaped as a cylinder and the other one as two cuboids. The evaluated calibration curve was used for calculation of the dose distributions measured by the EBT and RTQA radiochromic film. In both cases, the measured dose distributions were compared to the dose distributions calculated by the treatment planning system (TPS). We also compared dose distributions using three different conformity indices at a 95% isodose. Results: Better target coverage and better compliance of measurements (semiconductor detectors and radiochromic films) with calculated doses was obtained for cylindrical target than for cuboidal target. The 95% isodose covered well the tumor for both target shapes, while for cuboidal target larger volume around the target received therapeutic dose, due to the complicated target shape. The use wax boluses provided to be effective tool in modifying proton beam to achieve appropriate shape of isodose distribution. Conclusion: EBT film yielded the best visual matching. Both EBT and RTQA films confirmed good conformity between calculated and measured doses, thus confirming that wax boluses used to modify the proton beam resulted in good dose distributions. [Copyright &y& Elsevier]

The objective of this study was to investigate the dose enhancement to soft tissue due to backscatter radiation near metal interfaces during head and neck radiotherapy. The influence of titanium-mandibular plate with the screws on radiation dose was tested on four real bones from mandible with the metal and screws fixed. Radiochromic films were used for dosimetry. The bone and metal were inserted through the film at the center symmetrically. This was then placed in a small jig (7 cm x 7 cm x 10 cm) to hold the film vertically straight. The polymer granules (tissue-equivalent) were placed around the film for homogeneous scatter medium. The film was irradiated with 6 MV X-rays for 200 monitor units in Trilogy linear accelerator for 10 cm x 10 cm field size with source to axis distance of 100 cm at 5 cm. A single film was also irradiated without any bone and metal interface for reference data. The absolute dose and the vertical dose profile were measured from the film. There was 10% dose enhancement due to the backscatter radiation just adjacent to the metal-bone interface for all the materials. The extent of the backscatter effect was up to 4 mm. There is significant higher dose enhancement in the soft tissue/skin due to the backscatter radiation from the metallic components in the treatment region. [ABSTRACT FROM AUTHOR]

Abstract: Purpose: The aim of this study is to report results of measurements of dose to the skin in vivo with radiochromic EBT films in treatments with helical tomotherapy. Methods and materials: In vivo measurements were performed by applying pieces of radiochromic films to the skin or to the inner side of thermoplastic mask before the treatment. The sites of treatment included scalp, brain, head and neck, cranio-spinal axis and lower limbs. Skin dosimetry was performed in a patient who experienced grade 3–4 acute side effects to the skin shortly after the first treatment sessions. For each patient we measured the setup errors using the daily MVCT acquired for image guidance of the treatment. EBT films were read with a flatbed Epson Expression scanner and images were processed with an in-house written routine. Results: A total of 96 measurements of dose to the skin performed on 14 patients. The mean difference and standard error of the mean difference between measured and TPS-calculated dose was −9.2% ± 2.6% for all treatments, −6.6% ± 2.6% for head and neck treatments. These differences were statistically significant at the 0.05 significance level (t-Student test). Planned dose and dose range in the region of measurements were not correlated with dose discrepancy. Conclusions: Radiochromic EBT films are suitable detectors for surface dose measurements in tomotherapy treatments. Results show that TPS overestimates dose to the skin measured with EBT radiochromic films. In vivo skin measurements with EBT films are a useful tool for quality assurance of tomotherapy treatments, as the treatment planning system may not give accurate dose values at the surface. [Copyright &y& Elsevier]

Objective: To evaluate the feasibility of using radiochromic films as an alternative dosimeter to estimate the multiple scan average dose on the basis on kerma profiles. Materials and Methods: The radiochromic films were distributed in cylinders positioned in the center and in four peripheral bores of a standard abdominal phantom utilized for computed tomography dosimetry. Results: Values for multiple scan average dose values corresponded to 13.6 ± 0.7, 13.5 ± 0.7 and 18.7 ± 1.0 mGy for pitch of 0.75, 1.00 and 1.50, respectively. Conclusion: In spite of results showing lower values than the reference level for radiodiagnosis (25 mGy) established by the Brazilian regulations for abdominal studies, it is suggested that there is room to optimize procedures and review the reference level for radiodiagnosis in Brazil. [ABSTRACT FROM AUTHOR]

Abstract: EBT2 radiochromic films were used to study the relative dose distribution of the neutron field. The correlation between the beam current and the optical density showed good linear dependence with a correlation coefficient exceeding 98%. At any given beam energy, neutron dose rates can be changed by a factor of 40 without changing the neutron spectrum. This result is consistent with what was found by the Tissue Equivalent Proportional Counter measurements. The uniformity of the neutron field was inspected by the optical density profile of the exposed film. [Copyright &y& Elsevier]

Abstract: The dosimetric characterization of laser-accelerated electrons applied for the worldwide first systematic radiobiological in vitro cell irradiation will be presented. The laser-accelerated electron beam at the JeTi laser system has been optimized, monitored and controlled in terms of dose homogeneity, stability and absolute dose delivery. A combination of different dosimetric components were used to provide both an online beam as well as dose monitoring and a precise absolute dosimetry. In detail, the electron beam was controlled and monitored by means of an ionization chamber and an in-house produced Faraday cup for a defined delivery of the prescribed dose. Moreover, the precise absolute dose delivered to each cell sample was determined by an radiochromic EBT film positioned in front of the cell sample. Furthermore, the energy spectrum of the laser-accelerated electron beam was determined. As presented in a previous work of the authors, also for laser-accelerated protons a precise dosimetric characterization was performed that enabled initial radiobiological cell irradiation experiments with laser-accelerated protons. Therefore, a precise dosimetric characterization, optimization and control of laser-accelerated and therefore ultra-short pulsed, intense particle beams for both electrons and protons is possible, allowing radiobiological experiments and meeting all necessary requirements like homogeneity, stability and precise dose delivery. In order to fulfill the much higher dosimetric requirements for clinical application, several improvements concerning, i.e., particle energy and spectral shaping as well as patient safety are necessary. [Copyright &y& Elsevier]

Abstract: Polyvinyl chloride (PVC) dyed with bromocresol purple was investigated as a high-dose radiation dosimeter. The absorbance at 417nm depends linearly on the dose below 50kGy. The response depends neither on dose rate nor on the irradiation temperature. The effects of post-irradiation storage in the dark and in indirect sunlight are also discussed. [ABSTRACT FROM AUTHOR]

Abstract: This study reports the investigation of different GEANT4 settings for proton therapy applications in the context of Treatment Planning System comparisons. The GEANT4.9.2 release was used through the GATE platform. We focused on the Pencil Beam Scanning delivery technique, which allows for intensity modulated proton therapy applications. The most relevant options and parameters (range cut, step size, database binning) for the simulation that influence the dose deposition were investigated, in order to determine a robust, accurate and efficient simulation environment. In this perspective, simulations of depth-dose profiles and transverse profiles at different depths and energies between 100 and 230MeV have been assessed against reference measurements in water and PMMA. These measurements were performed in Essen, Germany, with the IBA dedicated Pencil Beam Scanning system, using Bragg-peak chambers and radiochromic films. GEANT4 simulations were also compared to the PHITS.2.14 and MCNPX.2.5.0 Monte Carlo codes. Depth-dose simulations reached 0.3mm range accuracy compared to NIST CSDA ranges, with a dose agreement of about 1% over a set of five different energies. The transverse profiles simulated using the different Monte Carlo codes showed discrepancies, with up to 15% difference in beam widening between GEANT4 and MCNPX in water. A 8% difference between the GEANT4 multiple scattering and single scattering algorithms was observed. The simulations showed the inability of reproducing the measured transverse dose spreading with depth in PMMA, corroborating the fact that GEANT4 underestimates the lateral dose spreading. GATE was found to be a very convenient simulation environment to perform this study. A reference physics-list and an optimized parameters-list have been proposed. Satisfactory agreement against depth-dose profiles measurements was obtained. The simulation of transverse profiles using different Monte Carlo codes showed significant deviations. This point is crucial for Pencil Beam Scanning delivery simulations and suggests that the GEANT4 multiple scattering algorithm should be revised. [Copyright &y& Elsevier]

Purpose: The aim of this work is to present an updated implementation of total skin electron therapy (TSET) using IAEA TRS-398 code of practice for absolute dosimetry and taking advantage of the use of radiochromic films. The optimization of quality control tests is also included. Methods: A Varian 2100 C/D linear accelerator equipped with the special procedure HDTSe- (high dose rate total skin electron mode, E=6 MeV) was employed to perform TSET irradiations using the modified Stanford technique. The commissioning was performed following the AAPM report 23 recommendations. In particular, for dual-field beams irradiation, the optimal tilt angle was investigated and the dose distribution in the treatment plane was measured. For a complete six dual-field beams irradiation, the treatment skin dose on the surface of a cylindrical phantom was evaluated by radiochromic films and the B factor which relates the single dual-field skin dose to the six dual-field skin dose was assessed. Since the TRS-398 reference conditions do not meet the requirements of TSET absolute dosimetry, GafChromic EBT films were also employed to check and validate the application of the protocol. Simplified procedures were studied to verify beam constancy in PMMA phantoms without the more difficult setup of total skin irradiation. Results: The optimized geometrical setup for dual-field beams was: Tilt angle=±19°, SSD=353 cm, and the beam degrader (200×100×1 cm3) placed at 320 cm from the source. As regards to dose homogeneity in the treatment plane, for dual-field beams irradiation, the mean relative dose value was 97%±5% (normalizing to 100% at the calibration point level). For six dual-field beams irradiation, the multiplication factor B was 2.63. In addition, beam quality, dose rate, and bremsstrahlung contribution were also suitable for TSET treatments. The TRS-398 code of practice was used for TSET dosimetry, as dose measurements performed by ionization chamber and radiochromic film agreed within 2.5%. Simplified quality control tests and baseline values were presented in order to check flatness, symmetry, and field size with radiochromic films and output and beam quality constancy with ionization chamber. Short-term reproducibility and MU linearity tests were also included. Conclusions: Commissioning parameters met the requirements of TSET treatments and the matching of AAPM guidelines with the IAEA code of practice was successful. Frequent beam performance controls can be easily performed through the presented quality assurance tests. Radiochromic dosimetry facilitated the TSET commissioning and played a major role to validate the application of TRS-398. [ABSTRACT FROM AUTHOR]

Abstract: Aim: The purpose of the study was to examine the energy dependence of Gafchromic EBT radiochromic dosimetry films, in order to assess their potential use in intensity-modulated radiotherapy (IMRT) verifications. Materials and methods: The film samples were irradiated with doses from 0.1 to 12Gy using photon beams from the energy range 1.25MeV to 25MV and the film response was measured using a flat-bed scanner. The samples were scanned and the film responses for different beam energies were compared. Results: A high uncertainty in readout of the film response was observed for samples irradiated with doses lower than 1Gy. The relative difference exceeds 20% for doses lower than 1Gy while for doses over 1Gy the measured film response differs by less than 5% for the whole examined energy range. The achieved uncertainty of the experimental procedure does not reveal any energy dependence of Gafchromic EBT film response in the investigated energy range. Conclusions: Gafchromic EBT film does not show any energy dependence in the conditions typical for IMRT but the doses measured for pre-treatment plan verifications should exceed 1Gy. [Copyright &y& Elsevier]

Gafchromic® XR-QA films were developed for patient dosimetry in diagnostic radiology. A possible application of these films is the measurement of doses in computed tomography. In this study a method to evaluate the CTDI using Gafchromic XR-QA film and a flatbed scanner was developed and tested. Film samples were cut to dimensions of 6×170 mm2 in order to have an integration area similar to that of a pencil ionization chamber, with the possibility of changing the integration length. Prior to exposing these films to a computed tomography beam, the angular dependence of the film dose response was investigated by exposing film strips to a static x-ray beam at different angles in the range 0°–180°. A difference of 49% was found between the response with the axis beam parallel to the film surface (90°) and with the axis beam perpendicular (0° and 180°). Integrating over a 360° exposure like the one in computed tomography, a difference of less than 2% was estimated, which is comparable with the measurement error obtainable with XR-QA film. A calibration with a CT beam in the scout mode was performed and film strips were then exposed to single axial scans and to helical scans both in air and in phantoms. Two different types of flatbed scanners were used to read the film samples, a Microtek ScanMaker 9800XL scanner and an Epson Expression 10000 XL scanner, and the accuracy of the results were compared. For beam collimations above 10 mm differences between CTDI measured by film and CTDI measured by ionization chamber below 9% were found for the Epson scanner, with an average estimated error at 1 σ level of 5%. For the Microtek scanner and for the same film samples, differences below 11% with an average error at 1 σ level of 8% were founded. The 1 σ uncertainty of the measured CTDI was provided by the method for each measurement, and it was shown that about the 95% of the differences between the CTDI measurements with radiochromic films and with the ionization chamber were below the estimated 2 σ uncertainty, for both scanners. After an accurate calibration procedure and the consideration of the uncertainty associated with the measurement, Gafchromic® XR-QA films can be used to evaluate the CTDI. [ABSTRACT FROM AUTHOR]