Determination of kQ using MLC-collimated rectangular fields for absolute dosimetry of the CyberKnife.

Abstract

Traditional CyberKnife (CK) calibration uses TG‐51, which requires kQ to be defined using the standard reference condition of 100 cm SSD in a 10 cm×10 cm field. Since the CK is calibrated using a 6 cm fixed‐aperture collimating cone at 80 cm SAD, the BJR‐25 method is commonly used to relate circular‐field PDDs to square‐field PDDs for kQ determination. Using the InCise MLC system, the CK is able to deliver rectangular fields, allowing a more direct measurement of %dd(10 cm) using conventional reference conditions. We define the PDD correction factor (CPDD) as the ratio of %dd(10 cm) measured using CK reference conditions to that measured using standard TG‐51 reference conditions. Using four ionization chambers (A1SL, CC08, CC13, and A19), %dd(10 cm) is measured using a 6 cm fixed cone at 80 cm SSD and at 100 cm SSD using an effective 10 cm×10 cm MLC‐collimated field. These values are used to calculate CPDD, while the latter is used to directly calculate a kQ value. This direct kQ value is then compared to values determined using the BJR‐25 method. Using the MLC system, this study demonstrates conversion between the %dd(10 cm) measured using CyberKnife reference conditions and TG‐51 reference conditions. These values provide the means for derivation of a kQ curve as a function of direct measurements of %dd(10 cm) using a 6 cm fixed‐aperture collimating cone at 80 cm SSD.PACS number: 87.55.Qr