Abstract

Aluminum oxide based optically stimulated luminescent dosimeters (OSLD) have been recognized as a useful dosimeter for measuring CT dose, particularly for patient dose measurements. Despite the increasing use of this dosimeter, appropriate dosimeter calibration techniques have not been established in the literature; while the manufacturer offers a calibration procedure, it is known to have relatively large uncertainties. The purpose of this work was to evaluate two clinical approaches for calibrating these dosimeters for CT applications, and to determine the uncertainty associated with measurements using these techniques. Three unique calibration procedures were used to calculate dose for a range of CT conditions using a commercially available OSLD and reader. The three calibration procedures included calibration (a) using the vendor‐provided method, (b) relative to a 120 kVp CT spectrum in air, and (c) relative to a megavoltage beam (implemented with 60Co). The dose measured using each of these approaches was compared to dose measured using a calibrated farmer‐type ion chamber. Finally, the uncertainty in the dose measured using each approach was determined. For the CT and megavoltage calibration methods, the dose measured using the OSLD nanoDot was within 5% of the dose measured using an ion chamber for a wide range of different CT scan parameters (80–140 kVp, and with measurements at a range of positions). When calibrated using the vendor‐recommended protocol, the OSLD measured doses were on average 15.5% lower than ion chamber doses. Two clinical calibration techniques have been evaluated and are presented in this work as alternatives to the vendor‐provided calibration approach. These techniques provide high precision for OSLD‐based measurements in a CT environment.

Highlights

  • The nanoDot optically stimulated luminescent dosimeter (OSLD) (Landauer Inc, Glenwood, IL, USA), is a common detector for point dosimetry, in therapeutic applications.[1,2,3,4,5,6,7] More recently, in conjunction with the increased interest in improved computed tomography (CT) dosimetry, there has been interest in using the nanoDot for this purpose

  • For a range of measurement conditions, varying measurement position, phantom size, kVp, and scan extent, the dose to the OSLD was determined using each of three calibration protocols

  • The results of the calibration protocol comparison indicate that similar results can be expected using either the CT‐based or megavoltage‐based calibration method

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Summary

Introduction

The nanoDot optically stimulated luminescent dosimeter (OSLD) (Landauer Inc, Glenwood, IL, USA), is a common detector for point dosimetry, in therapeutic applications.[1,2,3,4,5,6,7] More recently, in conjunction with the increased interest in improved computed tomography (CT) dosimetry, there has been interest in using the nanoDot for this purpose. Several recent studies have used OSLD in this capacity,[8,9,10,11,12,13,14] including a few in‐depth evaluations of the dosimeter characteristics in a CT environment.[15,16,17,18] Importantly, no studies to date explore or describe calibration procedures for OSL‐based dosimetry in a CT environment. This is not just practically useful information when conducting these measurements, but is relevant in the context of dosimetric uncertainty. While the AAPM TG‐191 report[19] details dosimetric uncertainty associated with more common applications, the uncertainty of OSLD measurements in CT dosimetry has not yet been quantified

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