Copenhagen, Denmark
Onsite/Online

ESTRO 2022

Session Item

Saturday
May 07
10:30 - 11:30
Room D2
Dosimetry
Claus Andersen, Denmark;
Cristina Garibaldi, Italy
1250
Proffered Papers
Physics
10:50 - 11:00
Improving QA: Increasing resolution of detector arrays in dosimetry systems using a simple add-on
Michiel van den Bosch, The Netherlands
OC-0121

Abstract

Improving QA: Increasing resolution of detector arrays in dosimetry systems using a simple add-on
Authors:

Michiel van den Bosch1, Sander van het Schip1, Hans van Velzen1, Willy de Kruijf1

1Institute Verbeeten, Department of Medical Physics & Instrumentation, Tilburg, The Netherlands

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Purpose or Objective

In radiotherapy, dosimetry systems with diodes or ionization chambers are commonly used to verify whether the linear accelerator can deliver the treatment plan correctly. By adding more detectors, the measurement resolution can be increased.

Another way to increase the measurement resolution is to shift the dosimetry system slightly after the first measurement, repeat the measurement and combine both results. For example, this method is used for the Delta4 (Scandidos; cylindrical solid PPMA phantom with two orthogonal planes with diodes) in the craniocaudal direction. Due to its cylindrical shape the outer contour does not change when shifting the dosimetry system in that direction. Unfortunately, a shift in the other directions will result in a change of the outer contour. This results in a change of the attenuation of the incident beam and consequently a dosimetric error.

In this study, we introduce shells that prevent geometry changes when shifting the dosimetry system between measurements (patent pending). By combining the measurement values the resolution can be improved.

Material and Methods

Two shells were printed with a 3D printer. They were made of Acrylonitril Butadieen Styreen (1.01g/cc) and printed in 3 parts to ensure an easy (un)mount of the shell onto the Delta4.

In the first measurement a shell is used to increase the body diameter with 10mm. The shell is also simulated in the treatment planning software and incorporated in the dose calculation. In the second measurement the first shell is removed and the second shell is added. The outer diameter of this shell is identical to the first shell, yet the position of the inner surface is shifted 2.5mm (see Figure A). The wall is 7.5mm thick at one side and 12.5mm in the opposite direction. The couch (PerfectPitch, Varian) of the linear accelerator (TrueBeam, Varian) is shifted 2.5mm to compensate for the asymmetry of this shell. At start of the second measurement the outer geometry is identical to the first measurement, but the positions of the Delta4 diodes are shifted with 2.5mm. The results of the first and second measurement are combined afterwards to increase the resolution with a factor 2.

Results

It was possible to add and remove the shells without changing the orientation and position of the Delta4 dosimetry system. Figure B shows the measurement profile of a patient VMAT plan. The points of the first measurements are shown in blue, the second in orange. In the central region (width 6cm) the extra measurements points are situated centrally, since the distance between the diodes is 5mm in this central region of the Delta4. In the outer region, the Delta4 resolution is 10mm.


Conclusion

It is possible to increase the measurement resolution using 3D printed shells. This solution is not limited to the Delta4, but can also be applied to other dosimetry systems. Furthermore, different designs (e.g. wall thickness) can be used to shift diodes differently with respect to the outer contour.