Cheng Xiaojun,Hu Chuanpeng,Jia Chenzhi,Luo Suming,Wu Hao.Methods of verification and measurement of MLC-defined small field output factors for eight medical accelerators in Henan province[J].Chinese Journal of Radiological Medicine and Protection,2015,35(10):780-783
Methods of verification and measurement of MLC-defined small field output factors for eight medical accelerators in Henan province
Received:December 09, 2014  
DOI:10.3760/cma.j.issn.0254-5098.2015.10.015
KeyWords:IMRT  Small field output factors  Multi-leaf collimator (MLC)  Treatment planning system (TPS)
FundProject:IAEA基金资助项目(17821/CRP)
Author NameAffiliationE-mail
Cheng Xiaojun Henan Institute of Occupational Medicine, Zhengzhou 450052, China  
Hu Chuanpeng Henan Institute of Occupational Medicine, Zhengzhou 450052, China  
Jia Chenzhi Henan Institute of Occupational Medicine, Zhengzhou 450052, China  
Luo Suming 中国疾病预防控制中心辐射防护与核安全医学所 辐射防护与核应急中国疾病预防控制中心重点实验室 sumingluo@163.com 
Wu Hao 北京肿瘤医院  
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Abstract::
      Objective To investigate muli-leaf collimator (MLC)-defined small field output factors calculated by the treatment planning system (TPS), and to study the measuring method of small field output factors verified by 0.015 cc PinPoint ionization chamber. Methods Eight medical accelerators for intensity-modulated radiation therapy (IMRT) were investigated in Henan province, and TPS-calculated output factors for various small fields (6 cm×6 cm,4 cm×4 cm,3 cm×3 cm and 2 cm×2 cm ) were compared with published values recommended by IAEA. If the relative deviation was more than±3% for the 2 cm×2 cm field size and ±2% for the fields of 6 cm×6 cm, 4 cm×4 cm and 3 cm×3 cm, which was beyond the scope of IAEA allowed, the output factors will be measured and verified using 0.015 cc PinPoint ionization chamber and Unidos electrometer. Results TPS-calculated small field output factors for eight medical accelerators were compared with published values. The relative deviation of small field output factors for five pieces of equipment, which accounted for 62.5% of the total, met the IAEA's requirement, while the other three, which accounted for 37.5% of the total, did not. After measuring with PinPoint ionization chamber, the results from only three pieces of equipment met minimum IAEA's requirement. Conclusions MLC-defined small field output factors calculated by TPS for some medical accelerators in Henan need to be measured and corrected using micro-ionization chamber, and the measured values could be taken as the basis of radiation treatment planning.
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