The response of radiation detectors in modulated fields for small targets

Abstract

Intensity-modulated delivery techniques in radiotherapy are advanced methods that use the superposition of small fields to create complex dose distributions. These techniques result in intense gradients and inhomogeneous dose regions, making the dosimetry of composite fields challenging, especially when the sub-fields superposition does not restore charged particle equilibrium. This work aims to address the response of radiation detectors in non-equilibrium conditions. Two ionization chambers and a micro-diamond detector were irradiated using composite fields from VMAT plans with spherical targets with diameters ranging from 0.5 to 8 cm. The radiation detectors' response and the dose delivered by the VMAT plans were measured using a plastic scintillator detector and radiochromic film as reference detectors. It was observed that an under-response of the ionization chambers was up to 13% and an over-response of the micro-diamond detector was up to 2.5%. Additionally, output correction factors were derived and used to measure the absorbed dose in composite plans using the radiation detectors. The measured dose was compared with that measured with radiochromic film. A dose difference was found within radiochromic film uncertainties (<2.5%). The results of this work suggest that radiation detectors require output correction factors when non-equilibrium conditions persist in composite fields. However, a link between static and composite fields could not be established because the field size cannot be determined accurately.