Vol 26, No 1 (2021)
Research paper
Published online: 2021-01-22

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In-vivo dose measurements with MOSFET dosimeters during MV portal imaging

Sathish Kumar1, Rabi Raja Singh1, Henry Finlay Godson1, Retna Ponmalar1, Paul Ravindran1, Sunil Dutt Sharma2, Subhashini John1
Rep Pract Oncol Radiother 2021;26(1):93-100.

Abstract

Background: The purpose of this study was to investigate the feasibility of MOSFET dosimeter in measuring eye dose during 2D MV portal imaging for setup verification in radiotherapy.

Materials and methods: The in-vivo dose measurements were performed by placing the dosimeters over the eyes of 30 brain patients during the acquisition of portal images in linear accelerator by delivering 1 MU with the field sizes of 10 × 10 cm2 and 15 × 15 cm2.

Results: The mean doses received by the left and right eyes of 10 out of 30 patients when both eyes were completely inside the anterior portal field were found to be 2.56 ± 0.2 cGy and 2.75 ± 0.2, respectively. Similarly, for next 10 patients out of the same 30 patients the mean doses to left and right eyes when both eyes were completely out of the anterior portal fields were found to be 0.13 ± 0.02 cGy and 0.17 ± 0.02 cGy, respectively. The mean doses to ipsilateral and contralateral eye for the last 10 patients when one eye was inside the anterior portal field were found to be 3.28 ± 0.2 cGy and 0.36 ± 0.1 cGy, respectively.

Conclusion: The promising results obtained during 2D MV portal imaging using MOSFET have shown that this dosimeter is well suitable for assessing low doses during imaging thereby enabling to optimize the imaging procedure using the dosimetric data obtained. In addition, the documentation of the dose received by the patient during imaging procedure is possible with the help of an in-built software in conjunction with the MOSFET reader module.

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References

  1. Murphy MJ. Tracking moving organs in real time. Semin Radiat Oncol. 2004; 14(1): 91–100.
  2. Mageras G. Introduction Management of Target Localization Uncertainties in External-Beam Therapy. Semin Radiat Oncol. 2005; 15(3): 133–135.
  3. Jaffray DA. Emergent technologies for 3-dimensional image-guided radiation delivery. Semin Radiat Oncol. 2005; 15(3): 208–216.
  4. Xing L, Thorndyke B, Schreibmann E, et al. Overview of image-guided radiation therapy. Med Dosim. 2006; 31(2): 91–112.
  5. Baumann M, Petersen C. TCP and NTCP: a basic introduction. Rays. 2005; 30(2): 99–104.
  6. Gay HA, Niemierko A. A free program for calculating EUD-based NTCP and TCP in external beam radiotherapy. Phys Med. 2007; 23(3-4): 115–125.
  7. Keinj R, Bastogne T, Vallois P. Multinomial model-based formulations of TCP and NTCP for radiotherapy treatment planning. J Theor Biol. 2011; 279(1): 55–62.
  8. Murphy MJ, Balter J, Balter S, et al. The management of imaging dose during image-guided radiotherapy: report of the AAPM Task Group 75. Med Phys. 2007; 34(10): 4041–4063.
  9. Van Dyk J. The Modern Technology of Radiation Oncology. Vol. 3. Medical Physics Publishing, Madison 2013.
  10. Kutcher GJ, Coia L, Gillin M, et al. Comprehensive QA for radiation oncology: report of AAPM Radiation Therapy Committee Task Group 40. Med Phys. 1994; 21(4): 581–618.
  11. International Commission on Radiation Units and Measurements. Determination of absorbed dose in a patient irradiated by beams of X or gamma rays in radiotherapy procedures. Report 24. ICRU Publications, Washington. 1976.
  12. Procedures in external radiation therapy dosimetry with electron and photon beams with maximum energies between 1 and 50 MeV. Recommendations by the Nordic Association of Clinical Physics (NACP). Acta Radiol Oncol. 1980; 19(1): 55–79.
  13. Alecu R, Loomis T, Alecu J, et al. Guidelines on the implementation of diode in vivo dosimetry programs for photon and electron external beam therapy. Med Dosim. 1999; 24(1): 5–12.
  14. Higgins PD, Alaei P, Gerbi BJ, et al. In vivo diode dosimetry for routine quality assurance in IMRT. Med Phys. 2003; 30(12): 3118–3123.
  15. Heukelom S, Lanson JH, Mijnheer BJ. Comparison of entrance and exit dose measurements using ionization chambers and silicon diodes. Phys Med Biol. 1991; 36(1): 47–59.
  16. Gilhuijs K, Drukker K, Touw A, et al. Interactive three dimensional inspection of patient setup in radiation therapy using digital portal images and computed tomography data. Int J Radiat Oncol Biol Phys. 1996; 34(4): 873–885.
  17. Walter C, Boda-Heggemann J, Wertz H, et al. Phantom and in-vivo measurements of dose exposure by image-guided radiotherapy (IGRT): MV portal images vs. kV portal images vs. cone-beam CT. Radiother Oncol. 2007; 85(3): 418–423.
  18. Herman MG. Clinical use of electronic portal imaging. Semin Radiat Oncol. 2005; 15(3): 157–167.