Spatial and Dosimetric accuracy of 3D polymer gel with CBCT readout - Varian HyperArc® SRS implementation

Abstract

3D polymer gel dosimetry is a promising means to verify complex radiation treatments such as stereotactic radiosurgery (SRS), as it provides both 3D dosimetric and spatial information. The purpose of the study is to use a polymer gel read-out with cone-beam computed tomography (CBCT) to commission Varian’s HyperArc®-treatment planning and delivery. Three targets (3 cm, 2 cm, 1 cm diameter respectively) were defined on a treatment plan with a maximum dose of 25 Gy, resembling a single isocentre, multiple-lesion SRS plan. Pre- and post-irradiation CBCT images of the gel were obtained for dosimetry analysis. One slice containing two large targets was used to self-calibrate the entire gel volume for dose comparison. We were able to achieve sub-millimeter spatial accuracy and all evaluated gamma criterion (5% 1mm, 3% 1mm, 2% 1 mm were > 95%). In summary, in this study we have demonstrated that CBCT polymer gel dosimetry can be a highly valuable tool for commissioning complex radiation treatment techniques such as SRS.