W1 Plastic Scintillator Research Articles

THE USE OF THE EXRADIN W1 PLASTIC SCINTILLATOR FOR MEASUREMENTS IN EXTERNAL RADIOTHERAPY.

The Exradin W1 plastic scintillator (Standard Imaging) was examined for measurement suitability in high-energy photon beams, high-energy electron beams and tomotherapy in terms of dose to water for reference fields. For photon beams, pulse repetition rate dependence, calibration stability, noise from the photodiode enclosure, detector motion during treatment, output factors, off-axis doses and percentage depth doses were tested. For electron and tomotherapy beams, energy non-dependence was verified. All features make the detector suitable in small and non-standards fields, and for electron beams.

Output correction factors for small static fields in megavoltage photon beams for seven ionization chambers in two orientations - perpendicular and parallel.

PurposeThe goal of the present work was to provide a large set of detector‐specific output correction factors for seven small volume ionization chambers on two linear accelerators in four megavoltage photon beams utilizing perpendicular and parallel orientation of ionization chambers in the beam for nominal field sizes ranging from 0.5 cm2 × 0.5 cm2 to 10 cm2 × 10 cm2. The present study is the second part of an extensive research conducted by our group.MethodsOutput correction factors kQclin,Qreffclin,fref were experimentally determined on two linacs, Elekta Versa HD and Varian TrueBeam for 6 and 10 MV beams with and without flattening filter for nine square fields ranging from 0.5 cm2 × 0.5 cm2 to 10 cm2 × 10 cm2, for seven mini and micro ionization chambers, IBA CC04, IBA Razor, PTW 31016 3D PinPoint, PTW 31021 3D Semiflex, PTW 31022 3D PinPoint, PTW 31023 PinPoint, and SI Exradin A16. An Exradin W1 plastic scintillator and EBT3 radiochromic films were used as the reference detectors.ResultsFor all ionization chambers, values of output correction factors kQclin,Qreffclin,fref were lower for parallel orientation compared to those obtained in the perpendicular orientation. Five ionization chambers from our study set, IBA Razor, PTW 31016 3D PinPoint, PTW 31022 3D PinPoint, PTW 31023 PinPoint, and SI Exradin A16, fulfill the requirement recommended in the TRS‐483 Code of Practice, that is, 0.95<kQclin,Qreffclin,fref<1.05, down to the field size 0.8 cm2 × 0.8 cm2, when they are positioned in parallel orientation; two of the ionization chambers, IBA Razor and PTW 31023 PinPoint, satisfy this condition down to the field size of 0.5 cm2 × 0.5 cm2.ConclusionsThe present paper provides experimental results of detector‐specific output correction factors for seven small volume ionization chambers. Output correction factors were determined in 6 and 10 MV photon beams with and without flattening filter down to the square field size of 0.5 cm2 × 0.5 cm2 for two orientations of ionization chambers — perpendicular and parallel. Our main finding is that output correction factors are smaller if they are determined in a parallel orientation compared to those obtained in a perpendicular orientation for all ionization chambers regardless of the photon beam energy, filtration, or linear accelerator being used. Based on our findings, we recommend using ionization chambers in parallel orientation, to minimize corrections in the experimental determination of field output factors. Latter holds even for field sizes below 1.0 cm2 × 1.0 cm2, whenever necessary corrections remain within 5%, which was the case for several ionization chambers from our set.TRS‐483 recommended perpendicular orientation of ionization chambers for the determination of field output factors. The present study presents results for both perpendicular and parallel orientation of ionization chambers. When validated by other researchers, the present results for parallel orientation can be considered as a complementary dataset to those given in TRS‐483.

Quality assurance for Gamma Knife Perfexion using the Exradin W1 plastic scintillation detector and Lucy phantom

The goal of this work is to validate the use of the Exradin W1 plastic scintillation detector (PSD) to measure profiles and output factors from Gamma Knife Perfexion collimators in a Lucy phantom.The Exradin W1 PSD has a small-volume, near-water-equivalent, energy-independent sensitive element. Output measurements were performed for all 3 collimators (4 mm, 8 mm, and 16 mm) of the Gamma Knife Perfexion system, and these measurements were compared to measurements made with an A16 ion chamber and an EBT3 film and to the nominal values. We showed that a configuration in which the focus or ‘shot’ moves while the detector remains fixed is essentially equivalent to a configuration in which the focus is fixed while the detector moves. A Lucy phantom containing a PSD was moved in small steps to acquire profiles in all three dimensions. EBT3 film was inserted in the Lucy phantom and exposed to a single shot for each collimator.The relative values for output factors measured with the PSD were 1.000, 0.892, and 0.795, for the 16 mm, 8 mm, and 4 mm collimators, respectively. The values measured with EBT3 film were 1.000, 0.881, and 0.793, and the values measured with the A16 ion chamber were 1.000, 0.883, and 0.727. The nominal output factors for the Gamma Knife Perfexion are 1.000, 0.900, and 0.814, respectively. There was excellent agreement between all profiles measured with the PSD and EBT3 as well as with the treatment planning system data provided by the vendor.In light of our results, the Exradin W1 PSD is well suited for beam quality assurance of a Gamma Knife Perfexion irradiator.

Benchmarking novel optical fibre sensors for applications in radiation therapy

Detecting ionising radiation using scintillation light is a long-established technique, yet scintillator-based dosimetry in radiotherapy was not commercially available until recently. Scintillator materials can be organic or inorganic. Organic based scintillator detectors suffer from low light conversion efficiency and Cerenkov light ratio (CLR) coefficient energy dependence. The aim of this study was to characterise novel optical fiber sensors (OFS) based on an inorganic scintillating material for external beam radiotherapy due to the high sensitivity and high light conversion efficiency of inorganic scintillators. The sensor was constructed using a polymethyl methacrylate (PMMA) plastic optical fibre. The core of the PMMA was micro machined to make a cavity with a 700 μ m diameter and a 3 mm depth. The cavity was filled with the scintillating material terbium doped gadolinium oxysulphide (Gd2O2S:Tb) and then sealed with an epoxy. The scintillation material fluoresces on exposure to ionising radiation and the resultant emitted fluorescent light is detected using a multi-pixel photon counting module. Essential dosimetric properties were quantified, including the repeatability of the OFS system response, linearity of the output signal with radiation doses and dose rate and dose per pulse (DPP) dependency of the system. Percentage depth dose (PDD) and lateral dose profiles were measured for different field sizes and compared to the commercial W1 plastic scintillator and Monte Carlo simulations using BEAMnrc/DOSXYZnrc codes.

Dosimetric Characterization of an Inorganic Optical Fiber Sensor for External Beam Radiation Therapy

The aim of this study was to investigate the dosimetric performance of a novel optical fiber sensor for use in external beam radiation therapy. Repeatability and reproducibility of the output signal, linearity, dose rate, and dose per pulse dependence were evaluated. Angular dependence was investigated in the axial and azimuthal planes. The percentage depth dose and lateral dose profiles were measured using the optical fiber sensor system and compared to commercially available detectors such as Exradin W1 plastic scintillator and a PTW-microdiamond detector. The result of this study shows that the optical fiber sensor system has good repeatability and reproducibility of the output signal with a maximum deviation of 0.17% and 1.00%, respectively. The system also showed an excellent linearity with dose, and its signal was independent of dose rate. However, the system showed a strong dependence on dose per pulse with 27% deviation from the W1 result at the highest dose per pulse value, that was achieved at 75 cm source to surface distance. The system also showed an angular dependence when the incident beam was in the azimuthal plane due to the geometry of the scintillator at the tip of the fiber. The optical fiber sensor over-responded when measuring the percentage depth dose curves and lateral dose profiles due in part to the sensitivity of the scintillating material (Gd2O2S:Tb) to low energy scattered radiation. However, further investigation is needed to quantify the overall contribution of Cerenkov radiation to the over-response of the optical fiber sensor.

A novel method for the determination of field output factors and output correction factors for small static fields for six diodes and a microdiamond detector in megavoltage photon beams.

PurposeThe goal of this work is to provide a large and consistent set of data for detector‐specific output correction factors, kQclin,Qreffclin,fref, for small static fields for seven solid‐state detectors and to determine field output factors, ΩQclin,Qreffclin,fref, using EBT3 radiochromic films and W1 plastic scintillator as reference detectors on two different linear accelerators and four megavoltage photon beams. Consistent measurement conditions and recommendations given in the International Code of Practice TRS‐483 for small‐field dosimetry were followed throughout the study.Methods ΩQclin,Qreffclin,fref were determined on two linacs, Elekta Versa HD and Varian TrueBeam, for 6 and 10 MV beams with and without flattening filter and for nine fields ranging from 0.5 × 0.5 cm2 to 10 × 10 cm2. Signal readings obtained with EBT3 radiochromic films and W1 plastic scintillator were fitted by an analytical function. Volume averaging correction factors, determined from two‐dimensional (2D) dose matrices obtained with EBT3 films and fitted to bivariate Gaussian function, were used to correct measured signals. kQclin,Qreffclin,fref were determined empirically for six diodes, IBA SFD, IBA Razor, PTW 60008 P, PTW 60012 E, PTW 60018 SRS, and SN EDGE, and a PTW 60019 microDiamond detector.ResultsField output factors and detector‐specific kQclin,Qreffclin,fref are presented in the form of analytical functions as well as in the form of discrete values. It is found that in general, for a given linac, small‐field output factors need to be determined for every combination of beam energy and filtration (WFF or FFF) and field size as the differences between them can be statistically significant (P < 0.05). For different beam energies, the present data for kQclin,Qreffclin,fref are found to differ significantly (P < 0.05) from the corresponding data published in TRS‐483 mostly for the smallest fields (<1.5 cm). For the PTW microDiamond detector, statistically significant differences (P < 0.05) between kQclin,Qreffclin,fref values were found for all investigated beams on an Elekta Versa HD linac for field sizes 0.5 × 0.5 cm2 and 0.8 × 0.8 cm2. Significant differences in kQclin,Qreffclin,fref between beams of a given energy but with and without flattening filters are found for measurements made in small fields (<1.5 cm) at a given linac. Differences in kQclin,Qreffclin,fref are also found when measurements are made at different linacs using the same beam energy filtration combination; for the PTW microDiamond detector, these differences were found to be around 6% and were considered as significant.ConclusionsSelection of two reference detectors, EBT3 films and W1 plastic scintillator, and use of an analytical function, is a novel approach for the determination of ΩQclin,Qreffclin,fref for small static fields in megavoltage photon beams. Large set of kQclin,Qreffclin,fref data for seven solid‐state detectors and four beam energies determined on two linacs by a single group of researchers can be considered a valuable supplement to the literature and the TRS‐483 dataset.

Characterization of the exradin W1 plastic scintillation detector for small field applications in proton therapy

Accurate dosimetry in small field proton therapy is challenging, particularly for applications such as ocular therapy, and suitable detectors for this purpose are sought. The Exradin W1 plastic scintillating fibre detector is known to out-perform most other detectors for determining relative dose factors for small megavoltage photon beams used in radiotherapy but its potential in small proton beams has been relatively unexplored in the literature. The 1 mm diameter cylindrical geometry and near water equivalence of the W1 makes it an attractive alternative to other detectors. This study examines the dosimetric performance of the W1 in a 74 MeV proton therapy beam with particular focus on detector response characteristics relevant to relative dose measurement in small fields suitable for ocular therapy. Quenching of the scintillation signal is characterized and demonstrated not to impede relative dose measurements at a fixed depth. The background cable-only (Čerenkov and radio-fluorescence) signal is 4 orders of magnitude less than the scintillation signal, greatly simplifying relative dose measurements. Comparison with other detectors and Monte Carlo simulations indicate that the W1 is useful for measuring relative dose factors for field sizes down to 5 mm diameter and shallow spread out Bragg peaks down to 6 mm in depth.

Small composite field correction factors for the CyberKnife radiosurgery system: clinical and PCSR plans

A formalism has been proposed for small and non-standard photon fields in which correction factors are used to correct dosimeter response in small fields (indiviual or composite) relative to that in a larger machine-specific reference (MSR) field. For clinical plans consisting of several fields, a plan-class specific reference (PCSR) plan can also be defined, serving as an intermediate calibration field between the MSR and clinical plans within a certain plan-class. In this work, the formalism was applied in the calculation of for 21 clinical plans delivered by the radiosurgery system, each plan employing one or two of the smallest diameter collimators: 5 mm, 7.5 mm, and 10 mm. Three detectors were considered: the Exradin A16 and A26 micro chambers, and the W1 plastic scintillator. The clinical plans were grouped into 7 plan-classes according to commonly shared characteristics. The suitability of using a PCSR plan to represent the detector response of each plan within the plan-class was investigated. Total and intermediate correction factors were calculated using the Monte Carlo user code. The corrections for the micro chambers were large, primarily due to the presence of the low-density air cavity and the volume averaging effect. The correction for the scintillator was found to be close to unity for most plans, indicating that this detector may be used to measure small clinical plan correction factors in any plan except for those using the 5 mm collimator. The PCSR plan was shown to be applicable to plan-classes comprising isocentric plans only, with plan-classes divided according to collimator size. For non-isocentric plans, the variation of as a function of the point of measurement within a single plan, as well as the high inter-plan-class variability of the correction factor, precludes the use of a PCSR plan.

Experimental determination of stereotactic cone size and detector specific output correction factor

Objective: To investigate the effect of intermediate field size , volume of reference ionization chamber (IC) and normalization conditions on output factor measurement using small field detectors (SDs) and derive correction factors for active and passive detectors. Methods: Measurements were made on Novalis-Tx accelerator for 6 MV photon at 1000 MU min–1. Six active SDs, high resolution diodes (SFD, EDGE, PTW 60008), CC01 IC, PTW 60003 natural diamond, Exradin W1 plastic scintillator and two passive detectors (Al2O3:C nanoDot-OSLD and Gafchromic EBT3 films) were used for measurement from small circular cones having 4 to 15 mm diameter. Effect of the choice of ranging from 20 × 20mm2 to 40 × 40 mm2 and reference ICs (FC65, PPC40, CC13) volume on was investigated for all active SDs. Influence of direct normalization at reference field of 40 × 40mm2 or 100 × 100 mm2 and indirect normalization at 100 × 100 mm2 through using Daisy-chain strategy on was also investigated. was calculated as ratio of the of each SDs relative to Gafchromic EBT3. Results: For any combination of SDs and reference ICs, selection of of 40 × 40 mm2 will result in variation to within ±1.8%. Indirect normalization at 100 × 100 mm2 through of 40 × 40 mm2 and direct normalization at 40 × 40 mm2 showed comparable (≤2%) results for EDGE, PTW 60008 and CC01. Whereas, for PTW 60003 and Exradin W1 direct and indirect normalization at 100 × 100 mm2 agrees within −2%. measurement by SDs following Daisy-chain strategy shows deviation as large as 23% for 4 mm cone which reduces to <2% for cone size >10 mm except for nanoDot. The calculated is least for SFD (0.992–1.013) and largest for nanoDot (1.047–1.294) which reduces to 0.99–1.023 after correcting for volume averaging effect. The long-term standard uncertainty (k = 2, 95%CI) was largest for nanoDot (2.93%) and least for PTW60003 (0.11%). Conclusion: Medium size IC is less sensitive to and could be a better alternative to standard volume ICs. Minimum of 40 × 40 mm2 is suggested in Daisy-chain strategy. Different normalization conditions could lead to variation measured by same SD up to ±5%. varies largely with cone size and detector volume. Advances in knowledge: Comprehensive study of the influencing parameters and conditions on measurement from single data set and estimation of for newly emerging detectors.

Dosimetric characterization of small fields using a plastic scintillator detector: A large multicenter study

PurposeIn modern radiation therapy accurate small fields dosimetry is a challenge and its standardization is fundamental to harmonize delivered dose in different institutions. This study presents a multicenter characterization of MLC-defined small field for Elekta and Varian linear accelerators. Measurements were performed using the Exradin W1 plastic scintillator detector. Materials and methodsThe project enrolled 24 Italian centers. Each center performed Tissue Phantom Ratio (TPR), in-plane and cross-plane dose profiles of 0.8×0.8cm2 field, and Output Factor (OF) measurements for square field sizes ranging from 0.8 to 10cm. Set-up conditions were 10cm depth in water phantom at SSD 90cm. Measurements were performed using two twin Exradin W1 plastic scintillator detectors (PSD) correcting for the Cerenkov effect as proposed by the manufacturer. ResultsData analysis from 12 Varian and 12 Elekta centers was performed. Measurements of 7 centers were not included due to cable problems. TPR measurements showed standard deviations (SD)<1%; SD<0.4mm for the profile penumbra was obtained, while FWHM measurements showed SD<0.5mm. OF measurements showed SD<1.5% for field size greater than 2×2cm2. Median OFs values were in agreement with the recent bibliography. ConclusionsHigh degree of consistency was registered for all the considered parameters. This work confirmed the importance of multicenter dosimetric intercomparison. W1 PSD could be considered as a good candidate for small field measurements.

Dosimetric characterization of linac small beams using a plastic scintillator detector: A multicenter study

Purpose In modern radiation therapy accurate dosimetry within small photon fields is a challenge. This study presents a multicenter characterization of MLC-defined small field for the two major linear accelerator manufacturers. Materials and methods The project enrolled 31 Italian centers, 15 equipped with Elekta Linacs and 16 equipped with Varian Linacs. Each center performed TPR, in-plane and cross-plane dose profile of 0.8 × 0.8 cm2 field and OFs measurements for field sizes ranging from 0.6 × 0.6 to 10 × 10 cm2. Set-up conditions were 10 cm depth in water phantom at SSD 90 cm. Measurements were performed using two Exradin W1 plastic scintillator detectors correcting for the Cerenkov effect as proposed by the manufacturer. Results Analysis of the measurements performed by 12 Varian and 13 Elekta centers was performed. TPR measurements showed standard deviations within 0.6%; penumbra values of dose profiles showed standard deviations within 0.5 mm. FWHM measurements showed a greater variability. OF measurements showed standard deviations within 1.5% for field size greater than 2 × 2 cm2; for field size less than 2 × 2 cm2 measurements’ variability increases with decreasing field size. OF values show no dependence from the effective field size. Conclusions Relatively high degree of consistency regarding TPR and penumbra values was registered. FWHM and OF instead show greater variability. Our work confirmed the importance of multicenter dosimetric studies and W1 PSD as a candidate for small field clinical radiation dosimetry in advanced radiation therapy techniques.

CyberKnife beam output factor measurements: A multi-site and multi-detector study

PurposeNew promising detectors are available for measuring small field size output factors (OFs). This study focused on a multicenter evaluation of two new generation detectors for OF measurements on CyberKnife systems. MethodsPTW-60019 microDiamond and W1 plastic scintillation detector (PSD) were used to measure OFs on eight CyberKnife units of various generations for 5–60mm fixed cones. MicroDiamond and PSD OF were compared to routinely used silicon diodes data corrected applying published Monte Carlo (MC) factors. PSD data were corrected for Čerenkov Light Ratio (CLR). The uncertainties related to CLR determination were estimated. ResultsConsidering OF values averaged over all centers, the differences between MC corrected diode and the other two detectors were within 1.5%. MicroDiamond exhibited an over-response of 1.3% at 7.5mm and a trend inversion at 5mm with a difference of 0.2%. This behavior was consistent among the different units. OFs measured by PSD slightly under-responded compared to MC corrected diode for the smaller cones and the differences were within 1%. The observed CLR variability was 2.5% and the related variation in OF values was 1.9%. ConclusionThis study indicates that CyberKnife microDiamond OF require corrections below 2%. The results are enhanced by the consistency observed among different units. Scintillator shows a good agreement to MC corrected diode but CLR determination remains critical requiring further investigations. The results emphasized the value of a multi-center validation over a single center approach.

SU‐F‐T‐68: Characterizes of Microdetectors in Electron Beam Dosimetry

Purpose:Electron beam dosimetry requires high resolution data due to finite range that can be accomplished with small volume detectors. The small‐field used in advance technologies in photon beam has created a market for microdetectors, however characteristics are significantly variable in photon beams and relatively unknown in electron beam that is investigated in this study.Methods:Among nearly 2 dozen microdetectors that have been investigated in small fields of photon beam, two popular detectors (microDiamond 60019 (PTW)) and W1 plastic scintillator detector (Standard Imaging)) that are tissue equivalent and have very small sensitive volume are selected. Electron beams from Varian linear accelerators were used to investigate dose linearity dose rate dependence, energy dependence, depth dose and profiles in a reference condition in a water phantom. For W1 that has its own Supermax electrometer point by point measurements were performed. For microDiamond, a PTW‐scanning tank was used for both scanning and point dose measurements.Results:W1 detector showed excellent dose linearity (r2 =1.0) from 5–500 MU either with variation of dose rate or beam energy. Similar findings were also observed for microdiamond with r2=1.0. Percent variations in dose/MU for W1 and microDiamond were 0.2–1.1% and 0.4–1.2%, respectively among dose rate and beam energy. This variation was random for microDiamond, whereas it decreased with beam energy and dose rate for W1. The depth dose and profiles were within ±1 mm for both detectors. Both detectors did not show any energy dependence in electron beams.Conclusion:Both microDiamond and W1 detectors provided superior characteristics of beam parameters in electron beam including dose, dose rate linearity and energy independence. Both can be used in electron beam except W1 require point by point measurements and microdiamond requires 1500 MU for initial quenching.

TH‐AB‐201‐11: Small‐Field Beam Quality Corrections and Their Clinical Impact for Flattened and Unflattened Fields of the TrueBeam

Purpose:To determine small‐field beam quality correction factors for several detectors used with flattened and unflattened beams of the Varian TrueBeam accelerator, and to quantify the clinical impact of these corrections through a treatment planning study.Methods:Small‐field beam quality correction factors were measured and simulated in EGSnrc for several microchambers and diodes. The Exradin W1 plastic scintillation detector was used as a reference for the measured results, and its response was validated using alanine measurements traceable to a primary standard. Symmetric, jaw‐defined field sizes ranging from 6 mm to 10 cm were used. Twelve hypofractionated clinical cases were then recalculated and/or reoptimized using beam models that were modified based on the resulting output factors. Three‐dimensional dose distributions and cumulative dose‐volume‐histogram plots were compared between the models. The impact of these measurements on the flattening‐filter‐scatter‐source (FFSS) model, and its subsequent effect on treatment plans, was also investigated.Results:The diodes exhibited over‐response in small fields, whereas the microchambers tended to under‐respond as field size decreased. Field‐size‐dependent effects were less significant for the flattening‐filter‐free beams (i.e., corrections were closer to unity) than for flattened fields of the same size. Recalculated and reoptimized plans displayed varying levels of deviation from the original dose distributions, with larger discrepancies at effective jaw settings of 3×3 cm2 or smaller. Dose distributions calculated using uncorrected microchamber output factors and/or modified FFSS showed large discrepancies in the low‐dose regions, which manifested as DVH changes for the organs at risk (OAR).Conclusion:Field‐size‐dependent beam quality corrections were measured and simulated for ionization chambers and diodes typically used in small fields. Plans calculated with models based on these measured data showed dosimetric deviations mainly out of field, which affected OAR dose metrics. Accordingly, these beam quality corrections should be accounted for during commissioning to ensure greater treatment planning accuracy.

SU-F-T-577: Comparison of Small Field Dosimetry Measurements in Fields Shaped with Conical Applicators On Two Different Accelerating Systems

Purpose: To investigate small field dosimetry measurements and associated uncertainties when conical applicators are used to shape treatment fields from two different accelerating systems. Methods: Output factor measurements are made in water in beams from the CyberKnife radiosurgery system, which uses conical applicators to shape fields from a (flattening filter-free) 6 MV beam, and in a 6 MV beam from the Elekta Precise linear accelerator (with flattening filter) with BrainLab external conical applicators fitted to shape the field. The measurements use various detectors: (i) an Exradin A16 ion chamber, (ii) two Exradin W1 plastic scintillation detectors, (iii) a Sun Nuclear Edge diode, and (iv) two PTW microDiamond synthetic diamond detectors. Profiles are used for accurate detector positioning and to specify field size (FWHM). Output factor measurements are corrected with detector specific correction factors taken from the literature where available and/or from Monte Carlo simulations using the EGSnrc code system. Results: Differences in measurements of up to 1.7% are observed with a given detector type in the same beam (i.e., intra-detector variability). Corrected results from different detectors in the same beam (inter-detector differences) show deviations up to 3 %. Combining data for all detectors and comparing results from the two accelerators results in a 5.9% maximum difference for the smallest field sizes (FWHM=5.2–5.6 mm), well outside the combined uncertainties (∼1% for the smallest beams) and/or differences among detectors. This suggests that the FWHM of a measured profile is not a good specifier to compare results from different small fields with the same nominal energy. Conclusion: Large differences in results for both intra-detector variability and inter-detector differences suggest potentially high uncertainties in detector-specific correction factors. Differences between the results measured in circular fields from different accelerating systems provide insight into sources of variability in small field dosimetric measurements reported in the literature.

SU‐F‐J‐50: Study On the Magnetic Field Effect On the Exradin W1 Plastic Scintillation Detector

Purpose:To study the response of the Exradin W1 plastic scintillator detector to a 6 MV photon field in the presence of a strong magnetic field (B).Methods:An Exradin W1 scintillator detector coupled to a SuperMax two‐channel electrometer, both manufactured by Standard Imaging, Inc., was first calibrated in a Co‐60 beam. The Cerenkov Light Ratio (CLR) was obtained following the procedure recommended by the manufacturer. Subtracting signal in channel 2 multiplied by CLR from the signal in channel 1 should lead to a Cerenkov‐free signal. The W1 scintillator was placed in a plastic phantom inside a dipole electromagnet (GMW Associates) that could produce a strong B field, and irradiated using a 6 MV beam from an Elekta Versa HD LINAC. Signals from both channels of the W1 scintillator were acquired as a function of B (0 ‐ 1.5 T).Results:The signals from both channels increased as a function of the B field strength. At 1.5 T, channel 1 increased by 11% compared to the baseline (B=0 T), while channel 2 increased by 22%. Applying the recommended Cerenkov correction led to a 2% difference between dose measurement with and without a magnetic field. The values between B=0.3 T and B=1.5 T remained constant.Conclusion:Signals from the Exradin W1 plastic scintillation detector increased as the B field increased. This increase mainly comes from a change in the amount of Cerenkov light coupled within the optical fiber. Removing the Cerenkov component following the procedure recommended by the manufacturer showed to be an effective way to measure dose accurately in strong magnetic fields. The cause for the residual 2% difference is currently under investigation.We acknowledge research support from Elekta AB.

Percentage depth dose calculation accuracy of model based algorithms in high energy photon small fields through heterogeneous media and comparison with plastic scintillator dosimetry.

Small fields smaller than 4×4 cm2 are used in stereotactic and conformal treatments where heterogeneity is normally present. Since dose calculation accuracy in both small fields and heterogeneity often involves more discrepancy, algorithms used by treatment planning systems (TPS) should be evaluated for achieving better treatment results. This report aims at evaluating accuracy of four model‐based algorithms, X‐ray Voxel Monte Carlo (XVMC) from Monaco, Superposition (SP) from CMS‐Xio, AcurosXB (AXB) and analytical anisotropic algorithm (AAA) from Eclipse are tested against the measurement. Measurements are done using Exradin W1 plastic scintillator in Solid Water phantom with heterogeneities like air, lung, bone, and aluminum, irradiated with 6 and 15 MV photons of square field size ranging from 1 to 4 cm2. Each heterogeneity is introduced individually at two different depths from depth‐of‐dose maximum (Dmax), one setup being nearer and another farther from the Dmax. The central axis percentage depth‐dose (CADD) curve for each setup is measured separately and compared with the TPS algorithm calculated for the same setup. The percentage normalized root mean squared deviation (%NRMSD) is calculated, which represents the whole CADD curve's deviation against the measured. It is found that for air and lung heterogeneity, for both 6 and 15 MV, all algorithms show maximum deviation for field size 1×1 cm2 and gradually reduce when field size increases, except for AAA. For aluminum and bone, all algorithms' deviations are less for 15 MV irrespective of setup. In all heterogeneity setups, 1×1 cm2 field showed maximum deviation, except in 6 MV bone setup. All algorithms in the study, irrespective of energy and field size, when any heterogeneity is nearer to Dmax, the dose deviation is higher compared to the same heterogeneity far from the Dmax. Also, all algorithms show maximum deviation in lower‐density materials compared to high‐density materials.PACS numbers: 87.53.Bn, 87.53.kn, 87.56.bd, 87.55.Kd, 87.56.jf

Application of the Exradin W1 scintillator to determine Ediode 60017 and microDiamond 60019 correction factors for relative dosimetry within small MV and FFF fields

In this work we use EBT3 film measurements at 10 MV to demonstrate the suitability of the Exradin W1 (plastic scintillator) for relative dosimetry within small photon fields. We then use the Exradin W1 to measure the small field correction factors required by two other detectors: the PTW unshielded Ediode 60017 and the PTW microDiamond 60019. We consider on-axis correction-factors for small fields collimated using MLCs for four different TrueBeam energies: 6 FFF, 6 MV, 10 FFF and 10 MV. We also investigate percentage depth dose and lateral profile perturbations. In addition to high-density effects from its silicon sensitive region, the Ediode exhibited a dose-rate dependence and its known over-response to low energy scatter was found to be greater for 6 FFF than 6 MV. For clinical centres without access to a W1 scintillator, we recommend the microDiamond over the Ediode and suggest that ‘limits of usability’, field sizes below which a detector introduces unacceptable errors, can form a practical alternative to small-field correction factors. For a dosimetric tolerance of 2% on-axis, the microDiamond might be utilised down to 10 mm and 15 mm field sizes for 6 MV and 10 MV, respectively.

Planning and Dosimetric Study of Volumetric Modulated Arc Based Hypofractionated Stereotactic Radiotherapy for Acoustic Schwannoma--6MV Flattening Filter Free Photon Beam.

The purpose of this study was to assess the dosimetric and clinical feasibility of volumetric modulated arc based hypofractionated stereotactic radiotherapy (RapidArc) treatment for large acoustic schwannoma (AS>10 cc). Ten AS patients were immobilized using BrainLab mask. They were subject to multimodality imaging (magnetic resonance and computed tomography) to contour target and organs at risk (brainstem and cochlea). Volumetric modulated arc therapy (VMAT) based stereotactic plans were optimized in Eclipse (V11) treatment planning system (TPS) using progressive resolution optimizer-III and final dose calculations were performed using analytical anisotropic algorithm with 1.5 mm grid resolution. All AS presented in this study were treated with VMAT based HSRT to a total dose of 25 Gy in 5 fractions (5 fractions/ week). VMAT plan contains 2-4 non-coplanar arcs. Treatment planning was performed to achieve at least 99% of PTV volume (D99) receives 100% of prescription dose (25 Gy), while dose to OAR's were kept below the tolerance limits. Dose-volume histograms (DVH) were analyzed to assess plan quality. Treatments were delivered using upgraded 6 MV un-flattened photon beam (FFF) from Clinac-iX machine. Extensive pretreatment quality assurance measurements were carried out to report on quality of delivery. Point dosimetry was performed using three different detectors, which includes CC13 ion-chamber, Exradin A14 ion-chamber and Exradin W1 plastic scintillator detector (PSD) which have measuring volume of 0.13 cm3, 0.009 cm3 and 0.002 cm3 respectively. Average PTV volume of AS was 11.3 cc (±4.8), and located in eloquent areas. VMAT plans provided complete PTV coverage with average conformity index of 1.06 (±0.05). OAR's dose were kept below tolerance limit recommend by American Association of Physicist in Medicine task group-101(brainstem V0.5 cc<23 Gy, cochlea maximum<25 Gy and Optic pathway<25 Gy). PSD resulted in superior dosimetric accuracy compared with other two detectors (p=0.021 for PSD.

SU‐C‐304‐06: Determination of Intermediate Correction Factors for Three Dosimeters in Small Composite Photon Fields Used in Robotic Radiosurgery

Purpose:To calculate using Monte‐Carlo the intermediate and total correction factors (CFs) for two microchambers and a plastic scintillator for composite fields delivered by the CyberKnife system.Methods:A linac model was created in BEAMnrc by matching percentage depth dose (PDD) curves and output factors (OFs) measured using an A16 microchamber with Monte Carlo calculations performed in egs_chamber to explicitly model detector response. Intermediate CFs were determined for the A16 and A26 microchambers and the W1 plastic scintillator in fourteen different composite fields inside a solid water phantom. Seven of these fields used a 5 mm diameter collimator; the remaining fields employed a 7.5 mm collimator but were otherwise identical to the first seven. Intermediate CFs are reported relative to the respective CF for a 60 mm collimator (800 mm source to detector distance and 100 mm depth in water).Results:For microchambers in composite fields, the intermediate CFs that account for detector density and volume were the largest contributors to total CFs. The total CFs for the A26 were larger than those for the A16, especially for the 5 mm cone (1.227±0.003 to 1.144±0.004 versus 1.142±0.003 to 1.099±0.004), due to the A26's larger active volume (0.015 cc) relative to the A16 (0.007 cc), despite the A26 using similar wall and electrode material. The W1 total and intermediate CFs are closer to unity, due to its smaller active volume and near water‐equivalent composition, however, 3–4% detector volume corrections are required for 5 mm collimator fields. In fields using the 7.5 mm collimator, the correction is nearly eliminated for the W1 except for a non‐isocentric field.Conclusion:Large and variable CFs are required for microchambers in small composite fields primarily due to density and volume effects. Corrections are reduced but not eliminated for a plastic scintillator in the same fields.