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Vol 11, No 6 (2006)
Original papers
Published online: 2006-01-01
Submitted:
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Measurements of peripheral dose for multileaf collimator based linear accelerator

R. Balasubramanian, P. Sellakumar, Ramesh S. Bilimagga, Sanjay S. Supe, B.N. Sankar
DOI: 10.1016/S1507-1367(06)71073-2
·
Rep Pract Oncol Radiother 2006;11(6):281-285.

open access

Vol 11, No 6 (2006)
Original papers
Published online: 2006-01-01
Submitted:

Abstract

Background

In radiation therapy, peripheral dose (PD), or the dose outside the geometrical boundaries of the radiation field, is of clinical importance when anatomical structures such as foetus in pregnant women, gonads, and lenses of the eye, with low dose tolerances are involved. Even a small percentage of the total treatment dose might cause injury in such cases. The sources of peripheral dose are leakage from the treatment unit, scatter from the secondary collimators and beam modifiers such as wedges and blocks, and internal scatter originating in the patient.

Aim

To determine the peripheral dose (PD) for multileaf collimator (MLC) based linear accelerator in water equivalent slab phantom for open and wedged fields.

Materials/Methods

PD measurements were carried out for 6 and 15 MV photons using a 0.4cc parallel plate chamber in the slab phantom. Measurements were performed for different field sizes at different depths (Dmax, 5 cm and 10 cm) and up to a maximum distance of 30 cm beyond the field edges. PD was measured using wedge filters also. PD was further computed using a three-dimensional treatment planning system (3D TPS).

Results

For 6 MV photon beams, the maximum PD for open beams at 5 cm distance from the field edge was 3.42% and the minimum PD at 20 cm distance was 0.11%. For 15 MV, the maximum PD for open beam at 5 cm distance was 3.07% and the minimum PD was 0.14%. For wedge filters, the maximum PD measured at 5 cm distance for 6 and 15 MV photons were 5.56% (60° Wedge) and 5.03% (45° wedge). The TPS PD values showed minimal variation from the measured values.

Conclusions

The PD due to MLC and beam modifiers would definitely be helpful to assess the doses received by the relevant critical structures outside the treatment field.

Abstract

Background

In radiation therapy, peripheral dose (PD), or the dose outside the geometrical boundaries of the radiation field, is of clinical importance when anatomical structures such as foetus in pregnant women, gonads, and lenses of the eye, with low dose tolerances are involved. Even a small percentage of the total treatment dose might cause injury in such cases. The sources of peripheral dose are leakage from the treatment unit, scatter from the secondary collimators and beam modifiers such as wedges and blocks, and internal scatter originating in the patient.

Aim

To determine the peripheral dose (PD) for multileaf collimator (MLC) based linear accelerator in water equivalent slab phantom for open and wedged fields.

Materials/Methods

PD measurements were carried out for 6 and 15 MV photons using a 0.4cc parallel plate chamber in the slab phantom. Measurements were performed for different field sizes at different depths (Dmax, 5 cm and 10 cm) and up to a maximum distance of 30 cm beyond the field edges. PD was measured using wedge filters also. PD was further computed using a three-dimensional treatment planning system (3D TPS).

Results

For 6 MV photon beams, the maximum PD for open beams at 5 cm distance from the field edge was 3.42% and the minimum PD at 20 cm distance was 0.11%. For 15 MV, the maximum PD for open beam at 5 cm distance was 3.07% and the minimum PD was 0.14%. For wedge filters, the maximum PD measured at 5 cm distance for 6 and 15 MV photons were 5.56% (60° Wedge) and 5.03% (45° wedge). The TPS PD values showed minimal variation from the measured values.

Conclusions

The PD due to MLC and beam modifiers would definitely be helpful to assess the doses received by the relevant critical structures outside the treatment field.

Get Citation

Keywords

multileaf collimator; megavolt beams; peripheral dose; radiation dosimetry

About this article
Title

Measurements of peripheral dose for multileaf collimator based linear accelerator

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 11, No 6 (2006)

Pages

281-285

Published online

2006-01-01

DOI

10.1016/S1507-1367(06)71073-2

Bibliographic record

Rep Pract Oncol Radiother 2006;11(6):281-285.

Keywords

multileaf collimator
megavolt beams
peripheral dose
radiation dosimetry

Authors

R. Balasubramanian
P. Sellakumar
Ramesh S. Bilimagga
Sanjay S. Supe
B.N. Sankar

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