Accounting for the ion recombination factor in relative dosimetry of flattening filter free photon radiation

Abstract

Flattening filter free (FFF) linear accelerators (linacs) are increasingly being used to deliver external beam radiotherapy. Advantages of FFF include lower out-of-field dose to the patient due to reduced head scatter, and shorter treatment times due to increased dose rate. The ion recombination factor (kion) is known to increase linearly with dose per pulse in pulsed photon beams. This variation is neglected when performing relative dosimetry in flattened beams, however could be significant in the higher dose rates encountered with FFF. kion has been derived from theory and measured using Jaffe plots and two voltage analysis for three ionisation chambers at a range of depths and points off-axis in 6 and 10 MV FFF beams produced by an Elekta Versa HD linac. The chambers under investigation were the PTW 30013 ‘Farmer’ (0.60 cc), the Exradin A1SL (0.053 cc) and the IBA CC04 (0.04 cc). The effect of neglecting ion recombination corrections in commissioning data was quantified using a 1D gamma analysis (1%/2 mm) on depth dose curves and beam profiles. The largest variation in kion was for a Farmer chamber in a 10 MV FFF beam, where kion varied by up to 1.2% ± 0.15% (95% CL) between different points in a water tank. The Farmer variation with depth was comparable to that measured by Kry et al (2012 J. Appl. Clin. Med. Phys. 13 318–325). Other chambers exhibited negligible changes in kion. It was concluded that neglecting ion recombination in relative measurements at 6 MV FFF would have a negligible effect on dosimetric accuracy. Furthermore kion could be safely neglected when acquiring relative data with small volume chambers for commissioning 10 MV FFF, although may need to be accounted for if relative data are acquired with a Farmer chamber and when routine energy checks are performed.