The purpose of this study is to evaluate End to End test and dosimetric test of small field SRS MapCHECK dosimeter. The Fundamental properties of the SRS MapCHECK Diode Detector such as reproducibility, linearity, Energy dependence, Dose rate dependency and output factor are studied for 6MV FFF energy photon beams. All dosimetric test carried out on a medical accelerator consisting High definition 120 multileaf collimator (HD120 MLC), provide stereotactic treatments. End to End test of SRSMapCHECK carried out with StereoPHAN Cylindrical Phantom with CT and MRI inserts. The E2E test includes MRI scan, CT scan, Target contouring on CT/MRI scan, MRI/CT image fusion, Treatment planning and Dose delivery. SRS MapCHECK comprise of 1013 solid state diode detector, are equally spaced at 2.47mm. The active detector area is 0.48mm x 0.48mm and resolution is 0.007mm3. The maximum field size is 7 X 7 cm2. Before to start dosimetric measurement the calibration of SRS MapCHECK and StereoPHAN is necessary. The calibration process includes background measurement, array calibration and StereoPHAN factor calculation. The reproducibility of SRS MapCHECK checked by measuring output for 5 consecutive days for 6MV FFF beam with field size 5x5cm2. The Linearity of dose measurement also evaluated. The response of SRS MapCHECK to different energy (6, 10 & 15MV) also studied. Dose rate dependency also studied by varying dose rate from 400 to 1400 MU/min. Output Factor for different field sizes ranging from 1 x 1 cm2 to 7 x 7 cm2 was measured. Geometric accuracy of inserts volumes are find with CT and MRI fusion. Actual Insert volumes of Central Sphere, Right Sphere, Left Sphere are 4.17cc and 0.52 cc, 0.52cc respectively. The TPS measured volume on CT scan is 4.09cc, 0.52cc and 0.53 cc respectively similarly on MRI TPS measured volume is 4.22cc, 0.50cc and 0.52cc. The % variation on CT volume is less than 2%. For MRI the % difference for right sphere is -4.0%, central and left side are less than 2% The reproducibility of SRS MapCHECK output is well within less than 2% of the first day measurement. The SRS MapCHECK showed linear dose response for energy 6 MV FFF. Energy Dependency checked for 6MV, 10MV and 15MV with fixed dose rate 600MU/min it showed linear response to energy. We found SRS MapCHECK are independent on dose rate. Output factor was measured and compared with pinpoint chamber 0.015cc. SRS MapCHECK showed under response compared to pinpoint chamber for field size 1 x 1 cm2 to 4 x 4 cm2 and showed over response from the 5 x 5 cm2 to 7 x 7 cm2 The gamma analysis done with Dose difference 3% and Dose to agreement 3mm, we also checked with DAT 2mm, 1mm with threshold 10%. The result of gamma passing is 97.6%, 96.8% and 95.8 % respectively. All dosimetric test performed on SRS MapCHECK are comparable with ionization chamber measurement and clinically acceptable. It is an effective tool for E 2 E test and patient’s specific QA for SRS Patients.
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