Effect of variation of silicone rubber RTV 52 and bluesil catalyst 60 R composition on bolus material for electron beam radiotherapy application

Abstract

A bolus is a material equivalent to soft tissue and is directly placed on the skin surface during radiotherapy. It is commonly used to increase the dose on the skin surface in electron beam radiation. A typical material for a bolus is silicone rubber (SR). We made a bolus with dimensions of 17 × 17 × 1 cm3 by varying silicone rubber (SR) RTV 52 and hardening material (bluesil catalyst 60 R) using a simple molded method. We characterized it using a CT scan to find the relative electron density (RED) and examined it using the electron beam of a linear accelerator (LINAC) at energies of 5 and 7 MeV to investigate the percentage of surface dose (PSD). The PSD value is relative to the dose at maximum doses (dmax). The RED value of the bolus was from 1.168 ± 0.021 to 1.176 ± 0.019, higher than the soft tissue (muscle) value of 1.043. The percentage of surface dose (PSD) test at 5 and 7 MeV LINAC energy showed that the highest PSD without using a bolus were 84.79 0.06% and 86.03 0.07%, respectively. With a bolus, the PSD values were 112.52 0.16% and 111.14 0.03%, respectively. The results indicate that bolus fabrication using SR RTV 52 and bluesil 60R is very effective for radiotherapy in the treatment of skin cancer due to an increase in surface dose.