Preliminary study on CT imaging of polymer gel radiation dosimetry

Abstract

Summary Background New radiotherapy techniques such as stereotactic radiotherapy (SRT) stereotactic radiosurgery (SRS), three dimensional conformal radiotherapy (3DCRT) and intensity modulated radiation therapy (IMRT) aim to deliver a high dose to the tumour while sparing the surrounding normal healthy tissues. As a result of these complicated treatment techniques there is a need for a 3-dimensional (3D) dose verification system. However, currently available dosimeters such as ion chambers, diodes, thermoluminescent dosimeters and films are limited to point (or) planar measurement. Multiple measurements are required to obtain the 3-dimensional dose distribution using the above dosimeters. Hence volumetric measurements are not feasible without multiple detectors (or) multiple measurements. Gel dosimetry attempts to meet the requirements of 3D radiation dose distribution. Gel dosimetry is tissue equivalent [1] and it acts as a phantom as well as dosimeter so there is no need for dose perturbation correction. Aim Radiation-induced polymerization in polymer gel dosimeters gives rise to a change in CT number which can be measured with X-ray computed tomography (CT). The aim of this study is to assess the feasibility of using the X-ray CT scanner for the evaluation of dose distribution in polymer gel dosimetry. Materials/Methods Polymer gel called PAGAT ( P oly a crylamide G elatin a nd T etrakis hydroxymethyl phosphonium) consisting of 3.5% (w/w) BIS, 3.5% (w/w) acrylamide, 5% (w/w) gelatin, 10 mM Tetrakis hydroxymethyl phosphonium (THP) and 88% (w/w) water was manufactured in normal atmospheric conditions. The gel was irradiated using a Siemens Primus linear accelerator. The radiation-induced change in CT number was evaluated using a Siemens Somatom Emotion CT scanner. The percentage depth doses and profiles were deduced. The same study was carried out using radiation field analyzer RFA-200 with RK-ion chamber and film and compared with polymer gel measurements. Results Polymer gel dosimetry measurement was in agreement with ion chamber and film measurements except for a slight deviation in the build-up region. Discrepancies found were due to analysis of image without image averaging and background subtraction. Conclusions This preliminary study was conducted to evaluate the feasibility of using X-ray CT-based polymer gel dosimetry for clinical use. The results of this study encourage further use of X-ray CT in conjunction with polymer gel for 3D radiation dose measurements.