Different dosimetersdetectors used in smallfield dosimetry. First, commissioning a treatment planning system for such small fields poses many unique challenges. Comparison with tps calculations 3 results and discussion 14 3. Small field dosimetry problem institutional variability in 6 mv radionics srs dosimetry 12% diff. Smallfield dosimetry american association of physicists. The first challenge in narrowbeam dosimetry is the definition of the field size. An external file that holds a picture, illustration, etc.
This is the first international code of practice dedicated to the dosimetry of small static fields used in radiotherapy. Small field is a condition where dosimetry is usually difficult due to electronic disequilibrium use of iaeaaapm protocol for reference and relative dosimetry based on alfonso et al 2008 is recommended focal spot of a machine is a critical parameter in small field dosimetry absolute dosimetry protocol for small field is forthcoming. In particular, source size2,3,4 and mlc modeling5 impact dose calculation for small fields more so than for larger fields. Uncertainty contributors in the dosimetry of small static fields 23. A probeformat graphite calorimeter for absolute dosimetry of small. Electron beam dosimetry with gafchromic ebt3 film in water. Iaeaaapm code of practice for the dosimetry of static. Small field xray beam dosimetry is difficult due to a number of challenges that include a lack of lateral electronic equilibrium, source occlusion, high dose gradients, and detector volume averaging. Small field conditions lcpe source occlusion detector size 0. Pdf small field xray beam dosimetry is difficult due to a number of challenges that include a lack of lateral electronic equilibrium, source. Detector, dosimeter, radiotherapy, small field dosimetry. The radiological physics centers standard dataset for. Iaeaaapm international code of practice for reference and relative dose.
The challenges of small field dosimetry in photon beams have been. Dosimetry of small static fields used in external beam radiotherapy. A multinational audit of small field output factors calculated. Reference dosimetry and smallfield dosimetry dtu orbit. Iaea small field dosimetry working group establishing correction factors for a range of detectors not published yet sonja dieterich.
Accurate dosimetry of smallfield photon beams used in stereotactic radiosurgery srs can be made difficult because of the presence of lateral electronic disequilibrium and steep dose gradients. Color flatbed scanners produce image files in which the. Notably, planning system accuracy for small fields is often more sensitive to modeling than for large fields. The conventional approach of classifying fields based on the full width at half. Challenges in small field mv photon dosimetry aapm. It provides consistent reference dosimetry, traceable to metrological primary standards, and enables common procedures within a country to be followed. Dosimetry of small static fields used in external beam. Challenges of small photon field dosimetry are still challenging ncbi.
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