Evaluation of Stability and Reliability of the Measurement of Absorbed Dose-to-water for an HDR 192Ir Sandwich Setup Phantom

Abstract

In this study, we evaluated the stability and reliability of absorbed dose-to-water for an HDR 192Ir sandwich setup phantom method by comparing measurements with absorbed dose-to-water determination based on the AAPM TG-43 protocol. The sandwich setup phantom was designed with a dedicated device for two ion chamber measurements of absorbed dose-to-water for a mHDR-v2r 192Ir brachytherapy source is presented. To test the reliability of sandwich setup phantom of measurements with absorbed dose-to-water, we were compared with values based on AAPM TG-43 protocol and evaluated temporal variations of the measurement, intra-rater reliability. The measured doses at sandwich setup phantom agreed within 1.0% with AAPM TG-43 protocol. In all measurement fractions, the temporal variations of measurement value were less than 1.0%, and the intra-rater reliability were 0.94% or more. The measurement value obtained by the absorbed dose-towater had good reliability, and sandwich setup phantom is potentially useful and convenient for daily dose management of 192Ir sources in clinics.