Prostate SBRT: The use of ERB and MOSFET in vivo dosimetry feasibility

Abstract

Introduction Hypofractionated treatment regimens are indicated for some stages of prostate cancer. In order to provide the reproducibility of the relative position between rectum and prostate and to allow that only a small volume of the rectal wall remains close to the prostate, an endorectal balloon (ERB) may be used. Purpose This work aims to assess the dose on the rectal wall in the presence of the ERB filled with water or air and evaluate the deviation between the measured and calculated doses using two different algorithms (Eclipse AAA and iPlan PencilBeam) Materials and methods Two CT scans were obtained for a modified Rando phantom where an ERB (filled with water or air) with three MOSFET detectors was inserted. A simple 4 field in box plan and an IMRT (6MV beam) clinical plan were calculated in both CT sets, using two different algorithms. The treatment plans were delivered to the phantom using a Varian Novalis linac. Four sets of measurements were obtained and the results were compared with the calculated values. Results The difference between the calculated and measured doses around the ERB is lower when it is filled with water for both algorithms. The maximum relative differences when the ERB is filled with air are 1.8% for Eclipse and 5.5% for iPlan. Conclusion Both algorithms show a better a performance in the presence of water. Water filled ERB seems to be a suitable option. MOSFET dosimetry in association with ERBs for real-time in vivo during hypofractionated treatment of the prostate is a practical and reliable procedure. Disclosure The authors have no relevant financial or non-financial relationships to disclose.