Dosimetric characterization of linac small beams using a plastic scintillator detector: A multicenter study

Abstract

Purpose In modern radiation therapy accurate dosimetry within small photon fields is a challenge. This study presents a multicenter characterization of MLC-defined small field for the two major linear accelerator manufacturers. Materials and methods The project enrolled 31 Italian centers, 15 equipped with Elekta Linacs and 16 equipped with Varian Linacs. Each center performed TPR, in-plane and cross-plane dose profile of 0.8 × 0.8 cm2 field and OFs measurements for field sizes ranging from 0.6 × 0.6 to 10 × 10 cm2. Set-up conditions were 10 cm depth in water phantom at SSD 90 cm. Measurements were performed using two Exradin W1 plastic scintillator detectors correcting for the Cerenkov effect as proposed by the manufacturer. Results Analysis of the measurements performed by 12 Varian and 13 Elekta centers was performed. TPR measurements showed standard deviations within 0.6%; penumbra values of dose profiles showed standard deviations within 0.5 mm. FWHM measurements showed a greater variability. OF measurements showed standard deviations within 1.5% for field size greater than 2 × 2 cm2; for field size less than 2 × 2 cm2 measurements’ variability increases with decreasing field size. OF values show no dependence from the effective field size. Conclusions Relatively high degree of consistency regarding TPR and penumbra values was registered. FWHM and OF instead show greater variability. Our work confirmed the importance of multicenter dosimetric studies and W1 PSD as a candidate for small field clinical radiation dosimetry in advanced radiation therapy techniques.