Film dosimetry is an attractive tool for dose distribution verification in intensity modulated radiotherapy (IMRT). A critical aspect of radiochromic film dosimetry is the scanner used for the readout of the film: the output needs to be calibrated in dose response and corrected for pixel value and spatial dependent nonuniformity caused by light scattering; these procedures can take a long time. A method for a fast and accurate calibration and uniformity correction for radiochromic film dosimetry is presented: a single film exposure is used to do both calibration and correction. Gafchromic EBT films were read with two flatbed charge coupled device scanners (Epson V750 and 1680Pro). The accuracy of the method is investigated with specific dose patterns and an IMRT beam. The comparisons with a two-dimensional array of ionization chambers using a 18 x 18 cm2 open field and an inverse pyramid dose pattern show an increment in the percentage of points which pass the gamma analysis (tolerance parameters of 3% and 3 mm), passing from 55% and 64% for the 1680Pro and V750 scanners, respectively, to 94% for both scanners for the 18 x 18 open field, and from 76% and 75% to 91% for the inverse pyramid pattern. Application to an IMRT beam also shows better gamma index results, passing from 88% and 86% for the two scanners, respectively, to 94% for both. The number of points and dose range considered for correction and calibration appears to be appropriate for use in IMRT verification. The method showed to be fast and to correct properly the nonuniformity and has been adopted for routine clinical IMRT dose verification.

In intraoperative electron radiation therapy for breast cancer, attenuation plates are commonly used to protect organs at risk. These plates can be made of different materials, and the correct material (or combination of materials) has to be chosen in order to achieve the desired attenuation, while avoiding excessive backscattered radiation. The Monte Carlo method (BEAMnrcMP and DOSXYZnrcMP) has been used to characterize the electron beam generated by the setup (composed of a nondedicated linac and an applicator), and to simulate the percent depth dose (PDD) for plates of different materials. The beam has been characterized for nominal energies of 9 and 12 MeV. Several differently composed plates have been investigated: it was found, as expected, that the use of a plate presenting to the electron beam a high-Z material (i.e., lead) has to be avoided because of excessive backscatter (up to 52% compared to the PDD without plate). On the other hand, the use of a single low-Z material (i.e., aluminum) in the plate can lead to an insufficient attenuation of the beam. The two-layer plate (6 mm of Al plus 3 mm of Cu) used in S. Chiara Hospital has been found to attenuate the beam almost completely for both considered energies, causing negligible backscatter radiation. The spectrum at various depth and at the tissue-plate interface has also been investigated.

No abstract

No abstract