RESUMEN
Medical linear-accelerator-based stereotactic radiosurgery (SRS) using a stereotactic apparatus or image-guided radiotherapy system for intracranial lesions is performed widely in clinical practice. In general, Winston-Lutz (WL) tests using films or electric portal imaging devices (EPIDs) have been performed as pre-treatment and routine quality assurance (QA) for the abovementioned treatment. Two-dimensional displacements between the radiation isocentre and mechanical isocentre are analysed from the test; therefore, it is difficult to identify the three-dimensional (3D) isocentre position intuitively. In this study, we developed an innovative 3D WL test for SRS-QA using a novel radiochromic gel dosimeter based on a polyvinyl alcohol-iodide (PVA-I) complex that can be reused after annealing. A WL gel phantom that was consisted of the PVA-I gel dosimeter poured into a tall acrylic container and an embedded small tungsten sphere was used as a position detector. A flatbed scanner was used to analyse the isocentre position. The measured 3D isocentre accuracy from the gel-based WL test was within 0.1 mm compared with that obtained from the EPID-based WL test. Furthermore, excellent reusability of the WL gel phantom was observed in long-term SRS isocentre verification, in which clinical SRS cases involving repeated irradiation and annealing were analysed. These results demonstrate the high accuracy and reliable evaluation of the isocentre position using an innovative test. In addition, the clinical-based routine SRS-QA using the PVA-I gel dosimeter demonstrates a highly convenience while affording an easy and fast analysis process.
Asunto(s)
Aceleradores de Partículas , Radiocirugia , Yoduros , Fantasmas de Imagen , Alcohol Polivinílico , Dosímetros de Radiación , Radiocirugia/métodosRESUMEN
Three-dimensional (3D) radiation dosimeter has received growing interest with the implementation of highly conformal radiotherapy treatments. Optical Computed tomography (CT) scanners have been developed for 3D quantitative measurement of optical attenuation. Malachite green and Leuco Crystal Violet (LCV) dye radiochromic gels were recently developed as radiation dosimeters in combination with optical CT scanners. Malachite green and LCV are colorless dyes and they become green or violet after irradiation, respectively. The dyes mixed with gelatin and surfactant became hardened and can be used as a 3D gel dosimeter. The radiochromic gels dosimeter with optical CT scanners provides many of desired features such as: low cost, easy to fabricate, low toxicity and fast readout. In this article, the fundamental characteristics of radiochromic gel dosimeter with optical CT scanners are reviewed.
Asunto(s)
Dosímetros de Radiación , Radiometría , Geles , Tomografía Computarizada por Rayos XRESUMEN
The conventional ferrous xylenol orange (XO) gel (FXG) dosimeter is being wildly investigated for radiotherapy dose measurements. Upon irradiation, its color turns red due to oxidation of Fe(2+) into Fe(3+), which forms a complex with xylenol orange. The effect of perchloric acid (PCA) on the dosimetric properties of the gel in the dose range of 1-15Gy was investigated using visual spectrophotometry. FXG-PCA responds to radiation dose linearly and exhibits higher radiation sensitivity than the conventional gel dosimeter. PCA in a concentration of 20mM enhances the radiation sensitivity ~44%. Stability of the absorbances of both the gels during storage under various conditions was investigated, and the uncertainty of dose measurements was estimated.