Dose calculation accuracies in whole breast radiotherapy treatment planning: a multi-institutional study.

Our objective in this study was to evaluate the variation in the doses delivered among institutions due to dose calculation inaccuracies in whole breast radiotherapy. We have developed practical procedures for quality assurance (QA) of radiation treatment planning systems. These QA procedures are designed to be performed easily at any institution and to permit comparisons of results across institutions. The dose calculation accuracy was evaluated across seven institutions using various irradiation conditions. In some conditions, there was a >3 % difference between the calculated dose and the measured dose. The dose calculation accuracy differs among institutions because it is dependent on both the dose calculation algorithm and beam modeling. The QA procedures in this study are useful for verifying the accuracy of the dose calculation algorithm and of the beam model before clinical use for whole breast radiotherapy.

Visual comparisons between Cherenkov radiation from water and fluorescence from a scintillator.

A system for observing blue light of Cherenkov radiation was constructed using a Co-60 gamma-ray irradiation unit. However, there was some doubt that the observed light was not Cherenkov light, but scintillation. Therefore, the radiation from water was compared with that from a scintillator. The difference between both luminosities was examined using photographs taken in a dark irradiation room with mirrors and a camera. The radiation from the scintillator was much stronger than that from water. The differences between luminosities of the light radiated in the beam direction, at right angles to the beam and in the reverse beam direction were examined for both radiations. The luminosity from water showed very definite anisotropy, while that from the scintillator was almost isotropic. Furthermore, the light radiated in the beam direction from water was the strongest, and the strengths of the light radiated in the three directions from the scintillator were almost equivalent to each other. It was confirmed that the radiation from water irradiated by Co-60 gamma-rays was indeed Cherenkov light. The anisotropy of the radiated Cherenkov light and the isotropy of the scintillation were clearly observed in the photographs.