Abstract

The effect of gantry rotation on beam profiles of photon and electron beams is an important issue in quality assurance for radiotherapy. To address variations in the profiles of photon and electron beams at different gantry angles, a Dynamic Phantom scanner composed of a 20×12×6 cm3 scanning Lucite block was designed as a cross‐beam‐profile scanner. To our knowledge, differences between scanned profiles acquired at different gantry angles with a small size Lucite block and those acquired a full‐size (60×60×50 cm3) water phantom have not been previously investigated. We therefore performed a feasibility study for a first prototype Dynamic Phantom scanner without a gantry attachment mount. Radiation beams from a Varian LINAC 21EX and 2100C were used. Photon beams (6 MV and 18 MV) were shaped by either collimator jaws or a Varian 120 Multileaf (MLC) collimator, and electron beams (6 MeV, 12 MeV, and 20 MeV) were shaped by a treatment cone. To investigate the effect on profiles by using a Lucite block, a quantitative comparison of scanned profiles with the Dynamic Phantom and a full‐size water phantom was first performed at a 0° gantry angle for both photon and electron beams. For photon beam profiles defined by jaws at 1.0 cm and 5.0 cm depths of Lucite (i.e., at 1.1 cm and 5.7 cm depth of water), a good agreement (less than 1% variation) inside the field edge was observed between profiles scanned with the Dynamic Phantom and with a water phantom. The use of Lucite in the Dynamic Phantom resulted in reduced penumbra width (about 0.5 mm out of 5 mm to 8 mm) and reduced (1% to 2%) scatter dose beyond the field edges for both 6 MV and 18 MV beams, compared with the water phantom scanner. For profiles of the MLC‐shaped 6 MV photon beam, a similar agreement was observed. For profiles of electron beams scanned at 2.9 cm depth of Lucite (i.e., at 3.3 cm depth of water), larger disagreements in profiles (3% to 4%) and penumbra width (3 mm to 4 mm out of 12 mm) were observed. Additional profiles with the gantry at 90° and 270° were performed for both MLC‐ and jaw‐shaped photon beams and electron beams to evaluate the effect of gantry rotation. General good agreement is seen (less than 1 % variation) at all field sizes for collimator‐shaped 6 MV and 18 MV photon beams. Similar variations observed for MLC‐shaped photon beams indicate that the uncertainty in MLC position is similar to that for the collimator jaws. We conclude that the Dynamic Phantom scanner is a useful device for the routine quality assurance on beam profiles of photon beams and for constancy check on electron beams at various gantry angles. Caution should be taken when using this device to acquire basic electron dosimetry data.PACS number: 87.53.‐j

Highlights

  • There are many advantages associated with the use of a multileaf collimator[1] (MLC), including enhanced precision and ease of dose conformality to designated targets, and protection of critical normal organs and tissues for both 3D conformal and intensity-modulated radiation therapy

  • Based on quantitative comparisons of photon/electron beam profiles at different gantry angles, we evaluate the suitability of the Dynamic Phantom scanner to determine the effect of gantry rotation on beam profiles in routine quality assurance (QA)

  • Results obtained by comparing the scanned profiles just inside of the field edges for both 6 MV and 18 MV at 5 cm depth of Lucite gave good agreement (

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Summary

Introduction

There are many advantages associated with the use of a multileaf collimator[1] (MLC), including enhanced precision and ease of dose conformality to designated targets, and protection of critical normal organs and tissues for both 3D conformal and intensity-modulated radiation therapy. By dividing the MLC QA process into routine LINAC-based and patient-specific components, the challenge of MLC QA is more readily approached. During patient-specific dosimetric verification, the calculated dose distribution for each treatment field with reassigned 0 ̊ gantry angle can be verified against one measured from film or MAPCHECK, a diode-based dose measurement device available in many institutions, including our own. In this verification approach, one assumes that dose profiles and output factors for each treatment field do not vary with gantry angle. It is essential to consider and measure the gantry-angle-dependent dosimetric variation

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