Application of the TRS 483 code of practice for reference and relative dosimetry in tomotherapy.

Abstract:

PURPOSE:To apply the recent code of practice from the IAEA/AAPM, TRS 483, to helical tomotherapy (HT) for reference and relative dosimetry obtaining correction factors for the Exradin A1SL ionization chamber. METHODS:The beam quality correction factor for the A1SL chamber was obtained through three different approaches following TRS 483 concepts and compared with published values. The determination of the reference absolute dose for the machine-specific reference (msr) field was complemented with relative dosimetry through the determination of output factors of small fields using different detectors. The response of A1SL was compared with correction-free film results and corrected output factors of other detectors. RESULTS:A weighted mean beam quality correction factor of 0.9945± 0.0073 was obtained for the A1SL chamber which is in agreement with values reported in the literature. Output factors obtained with different detectors were in agreement, given the uncertainty level. Considering the film output factors as free of corrections, the average value for A1SL output factors corrections was 1.000 ± 0.007. CONCLUSIONS:The beam quality correction factors for the A1SL chamber obtained through the three different pathways recommended by TRS 483 agreed with each other and also with published values. The measurements from the A1SL chamber normalized to the msr field in HT can be taken as output factors for small clinical field sizes without further corrections.

journal_name

Med Phys

journal_title

Medical physics

authors

Lopes MDC,Santos T,Ventura T,Capela M

doi

10.1002/mp.13855

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

5799-5806

issue

12

eissn

0094-2405

issn

2473-4209

journal_volume

46

pub_type

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