A novel extrapolation method using OSL detectors for very small field output factor measurement for stereotactic radiosurgery.

Appropriate methods for the determination of very small X-ray beam output factors are essential to ensure correct clinical outcomes for stereotactic radiosurgery. To date, substantial work has been performed in identifying and quantifying suitable dosimeters for relative output factor (ROF) measurements including recent IAEA published recommendations. In this work, we provide a novel method using optically stimulated luminescent dosimeters (OSLDs) with different effective sizes of the readout area to determine ROFs. This involves applying an extrapolation technique to assess ROFs for 6MV SRS X-ray beams with field diameters ranging from 4 to 30 mm as defined by the Brainlab SRS cones. By combining the use of multiple sized OSLDs and water droplets to remove air gaps located around the OSLD detectors, both volume averaging and density variation effects were minimised to estimate ROFs for an extrapolated zero volume detector. The measured results showed that for a 4 mm diameter cone, the ROF was 0.660 ± 0.032 (2SD) as compared to 0.661 ± 0.01 and 0.651 ± 0.018 for the PTW 600019 microDiamond detector and Gafchromic EBT3 film respectively. Whilst the uncertainties were larger than conventional detectors, the technique shows promise and improvements in accuracy may be obtained by higher quality manufacturing techniques. Based on these results, using OSLDs with different effective sizes of readout area and an extrapolation technique shows promise for use as an independent verification tool for very small X-ray field ROFs in the clinical department.

Skin and build up dose determination for a 2.5 MV medical linear accelerator imaging beam.

The 2.5 MV Imaging beam produced by a Varian TrueBeam linear accelerator produces a dose build up effect at the beam entrance similar to other high energy photon beams. The surface dose values were found to range from 39% of maximum dose at a 5 cm × 5 cm field size up to 69% of maximum at a 40 cm × 40 cm field. The depth of maximum dose deposition was found to range from 5 mm at smaller field sizes to 4 mm at larger field sizes. Whilst large absorbed doses will not be delivered utilizing these beams, the data provided will allow the medical physics community to assess and estimate doses to patient's skin and subcutaneous tissue from low energy MV imaging beams.

Practical time considerations for optically stimulated luminescent dosimetry (OSLD) in total body irradiation.

Total body irradiation (TBI) treatments are used to treat the whole body in preparation for hematopoietic stem cell (or bone marrow) transplantation. Our standard clinical regimen is a 12 Gy in 6 fraction, bi-daily technique using 6 MV X-rays at an extended Source-to-Surface distance (SSD) of 300 cm. Utilizing these characteristics, the beam dose rate is reduced below 7 cGy/min as is standard for TBI treatment. Dose received by the patient is monitored using optically stimulated luminescent dosimetry (OSLD). This work presents some practical calibration corrections based on time-dependant factors for OSLD calibration related to TBI procedure. Results have shown that a negligible difference is seen in OSL sensitivity for 6 MV X-rays irradiated in standard SSD (100 cm) and high dose rate (600 cGy/min) conditions compared to extended SSD (300 cm) and low TBI dose rate (6 cGy/min) conditions. Results have also shown that whilst short term signal fading occurs in the OSL after irradiation at a high dose rate (37% reduction in signal in the first 15 min), thereafter, negligible differences are seen in the OSL signal between 600 and 7 cGy/min irradiations. Thus a direct comparison can be made between calibration OSLs and clinical TBI OSLs between 15 min and 2 h. Finally a table is presented to provide corrections between calibration OSL readout and clinical TBI dose readout for a period up to 7 days. Combining these three results allows users to pre-irradiate their calibration OSLs at standard dose rate and SSD, up to 1 week prior to clinical treatment, and still provide accurate in-vivo dosimetry. This can help with time saving and work efficiency in the clinic.

Solar ultraviolet radiation response of EBT2 Gafchromic, radiochromic film.

Measurement of solar ultraviolet (UV) radiation is an important aspect of dosimetry for the improved knowledge of UV exposure and its associated health related issues. EBT2 Gafchromic film has been designed by its manufacturers as an improved tool for ionizing radiation dosimetry. The film is stated as exhibiting a significant reduction in UV response. However, results have shown that when exposed to UV from the 'bottom side' i.e. from the thick laminate side, the film exhibits a sensitivity to solar UV radiation which is both measurable and accurate for UV dosimetry. Films were irradiated in this position to known solar UV exposures and results are quantified showing a reproducibility of measurement to within ±7% (1 SD) when compared to calibrated UV meters. With an exposure of 20 J cm(-2) broad spectrum solar UV, the films net OD change was found to be 0.248 OD ± 0.021 OD when analysing the results using the red channel region of an Epson V700 desktop scanner. This was compared to 0.0294 OD ± 0.0053 OD change with exposure to the same UV exposure from the top side. This means that solar UV dosimetry can be performed using EBT2 Gafchromic film utilizing the underside of the film for dosimetry. The main advantages of this film type for measurement of UV exposure is the visible colour change and thus easy analysis using a desktop scanner as well as its uniformity in response and its robust physical strength for use in outside exposure situations.

Scanner uniformity improvements for radiochromic film analysis with matt reflectance backing.

A simple and reproducible method for increasing desktop scanner uniformity for the analysis of radiochromic films is presented. Scanner uniformity, especially in the non-scan direction, for transmission scanning is well known to be problematic for radiochromic film analysis and normally corrections need to be applied. These corrections are dependant on scanner coordinates and dose level applied which complicates dosimetry procedures. This study has highlighted that using reflectance scanning in combination with a matt, white backing material instead of the conventional gloss scanner finish, substantial increases in the scanner uniformity can be achieved within 90% of the scanning area. Uniformity within ±1% over the scanning area for our epsonV700 scanner tested was found. This is compared to within ±3% for reflection scanning with the gloss backing material and within ±4% for transmission scanning. The matt backing material used was simply 5 layers of standard quality white printing paper (80 g/m(2)). It was found that 5 layers was the optimal result for backing material however most of the improvements were seen with a minimum of 3 layers. Above 5 layers, no extra benefit was seen. This may eliminate the need to perform scanner corrections for position on the desktop scanners for radiochromic film dosimetry.

Measuring solar UV radiation with EBT radiochromic film.

Ultraviolet radiation dosimetry has been performed with the use of a radiochromic film dosimeter called Gafchromic EBT for solar radiation exposure. The film changes from a clear colour to blue colour when exposed to ultraviolet radiation and results have shown that the colour change is reproducible within ±10% at 5 kJ m(-2) UV exposure under various conditions of solar radiation. Parameters tested included changes in season (summer versus winter exposure), time of day, as well as sky conditions such as cloudy skies versus clear skies. As the radiochromic films' permanent colour change occurs in the visible wavelengths the film can be analysed with a desktop scanner with the most sensitive channel for analysis being the red component of the signal. Results showed that an exposure of 5 kJ m(-2) (approximately 1 h exposure in full sun during summer) produced an approximate 0.28 change in the net OD when analysed in reflection mode on the desktop scanner which is significant darkening. The main advantages of this film type, and thus the new EBT2 film which has replaced EBT for measurement of UV exposure, is the visible colour change and thus easy analysis using a desktop scanner, its uniformity in response and its robust physical strength for use in outside exposure situations.