Purpose: To propose dosimetric guidelines specifically designed for the Cyberknife radiosurgery system. Non‐availability of 10×10cm2 field and use of small circular collimators (5mm to 60mm) pose serious problems, that have been faced in this study by means of 8 different detectors and Monte Carlo simulation. This work is oriented to measurement of total scatter factors (Sc,p) and to reference dosimetry, though indications will also be given in view of a comprehensive guideline. Method and Materials: PTW PinPoint 31014, Exradin A16 and T14P microchambers, TN 502RDM micromosfet, PTW 30008 diode and TM60003 diamond, MD55 and EBT radiochromic films were used to measure Sc,p. Monte Carlo simulations (BEAMnrc) were used to produce phase space descriptions at the exit plane of each collimator, to calculate: 1) theoretical Sc,p values in water, and 2) correction factors to be applied to Sc,p as measured by 5 detectors (PinPoint, A16, T14P, diode, diamond), obtained by simulating shape and chemical composition of each detector. BEAMnrc was also used to calculate stopping power ratios and chamber correction factors for the Cyberknife linac, to decide whether values of kQ from the IAEA398 protocol could be applied without using a 10×10cm2 field. Results: Sc,p of the 5mm collimator as measured by simulated detectors averaged 0.653 − 9%+14%. Variation for larger collimators was smaller. After Monte Carlo correction, Sc,p of the 5mm collimator became 0.686 −2%+1%. Pure Monte Carlo calculation gave Sc,p=0.715 +/−1%. Calculation of correction factors showed that kQ values for the investigated chambers could be chosen when using IAEA398, introducing +/−0.2% uncertainty. Conclusion: Pure Monte Carlo calculation gave higher values of Sc,p compared to Monte Carlo‐corrected measurement. The latter is to be preferred because correction factors are less sensitive to beam parameters than pure calculation of Sc,p. For determination of Sc,p use of microchambers and Monte Carlo correction is recommended.
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