Ma Qiao,Liu Ran,Liu Deming,Hu Bo,Luo Suming.Verification of photon beam field absorbed dose and two-dimensional dose distribution in intensity modulated radiotherapy in Sichuan province[J].Chinese Journal of Radiological Medicine and Protection,2018,38(2):134-137
Verification of photon beam field absorbed dose and two-dimensional dose distribution in intensity modulated radiotherapy in Sichuan province
Received:July 26, 2017  
DOI:10.3760/cma.j.issn.0254-5098.2018.02.011
KeyWords:Thermoluminescent dosimeter  Film  Intensity modulated radiotherapy  Absorbed dose  Two-dimensional dose distribution
FundProject:IAEA资助项目(17821/CRP);四川省科技支撑计划项目(2012SZ0179)
Author NameAffiliationE-mail
Ma Qiao Provincial Key Laboratory of Applied Nuclear Techniques in Geosciences, Chengdu University of Technology, Chengdu 610059, China  
Liu Ran Institute of Occupational Health and Radiological Health, Sichuan Center for Disease Control and Prevention, Chengdu 610041, China  
Liu Deming Institute of Occupational Health and Radiological Health, Sichuan Center for Disease Control and Prevention, Chengdu 610041, China  
Hu Bo Institute of Occupational Health and Radiological Health, Sichuan Center for Disease Control and Prevention, Chengdu 610041, China  
Luo Suming Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institutre for Radiological Protection, Chinese Centre for Disease Control and Prevention, Beijing 100088, China sumingluo@163.com 
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Abstract::
      Objective To measure absorbed dose and verify two-dimensional dose distribution from IMRT MLC using thermoluminescence dosimeters (TLDs) and films. Methods The teflon phantom was scanned by CT and its images were transmitted to TPS for planning. The 6 Gy-corresponding MUs were calculated at 90 cm SSD and 10 cm depth and on 5 cm×5 cm radiation field. All the plans were implemented at 7 medical linear accelerators, which were produced by Varian, Elekta and Siemens and selected from 7 third-grade first-class hospitals according to the technical conditions of various regions in Sichuan province. The homogeneous solid phantoms used in hospitals were covered by 30 cm×30 cm and 25 cm×25 cm films. Then, the films were covered by thicker-than-20 cm phantoms. Finally, the plans were implemented by aligning the center of beams to the films center. Results The relative deviations of the measured absorbed dose to TPS-planned dose were 1.4%, 3.7%, -2.5%, -0.3%, 4.9%, 4.9%, 5.0% for TLDs and 4.7%, 4.3%, 1.5%, 3.9%, -1.6%, 3.3%, -1.3% for films, respectively, all consistent with the limit of less than 5%. The passing rates of 2D dose distribution (3 mm/3%) were 99.9%, 98.5%, 98.5%, 97.9% and 70.0% for 5 accelerators, with only one not consistent with the requirements. Conclusions It is convenient to measure the absorbed dose to photon beam field and verify two-dimensional dose distribution using TLDs and films, which can provide quality assurance for radiation treatment plans.
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