S Tanny

Correction factor measurements for multiple detectors used in small field dosimetry on the Varian Edge radiosurgery system.

PURPOSE Accurate dosimetry of small fields remains a challenge to the clinical physicist. Choosing the appropriate detector and determination of kQclin,Qmsr (fclin,fmsr) factors continue to be an area of active research. The purpose of this study is to evaluate the output factors for a dedicated stereotactic accelerator using multiple dosimeters designed for use in small fields and evaluate published kQclin,Qmsr (fclin,fmsr) factors relative to measured values using a commercial scintillating fiber. METHODS Four microionization chambers, a commercial plastic scintillation detector, and a semiconducting diode were used to measure output factors for a linear accelerator. Field sizes ranging from 6 × 6 to 0.6 × 0.6 cm(2) were measured in a water phantom at 10 cm depth for 100 cm SSD. All microionization chambers were mounted in both vertical and horizontal configurations. Fields were normalized to the output at 5 × 5 cm(2). Output correction factors, kQclin,Qmsr (fclin,fmsr), were calculated as the ratio of a detector response relative to the scintillating fiber response for a given clinical field size, fclin. RESULTS Ionization chambers consistently under-responded for small fields relative to the scintillating fiber. Variations in response between horizontal and vertical mounting were most notable for the microchambers, with the vertical mounting which reduced the magnitude of the necessary correction factor, kQclin,Qmsr (fclin,fmsr), for the microionization chambers ranging from 1.1 to 1.2 for the smallest field size at all energies. The semiconducting diode over-responded by 7% for the smallest field size across all energies, resulting in a kQclin,Qmsr (fclin,fmsr) of ∼ 0.93. CONCLUSIONS The commercial scintillating fiber, which produces accurate and consistent ratios of dose to water for nonstandard fields, can be used to measure correction factors for various detectors used in a clinical setting. This can allow for comparison of measured correction factors to previously published values.

Technical Note: Influence of Compton currents on profile measurements in small‐volume ion chambers

PURPOSE This work is to evaluate the effects of Compton current generation in three small-volume ionization chambers on measured beam characteristics for electron fields. METHODS Beam scans were performed using Exradin A16, A26, and PTW 31014 microchambers. Scans with varying chamber components shielded were performed. Static point measurements, output factors, and cable only irradiations were performed to determine the contribution of Compton currents to various components of the chamber. Monte Carlo simulations were performed to evaluate why one microchamber showed a significant reduction in Compton current generation. RESULTS Beam profiles demonstrated significant distortion for two of the three chambers when scanned parallel to the chamber axis, produced by electron deposition within the wire. Measurements of ionization produced within the cable identified Compton current generation as the cause of these distortions. The size of the central collecting wire was found to have the greatest influence on the magnitude of Compton current generation. CONCLUSIONS Microchambers can demonstrate significant (>5%) deviations from properties as measured with larger volume chambers (0.125 cm(3) and above). These deviations can be substantially reduced by averaging measurements conducted at opposite polarities.

SU-E-T-382: Influence of Compton Currents On Profile Measurements in Small- Volume Ion Chambers

PURPOSE Ionization chambers in electron radiation fields are known to exhibit polarity effects due to Compton currents. Previously we have presented a unique manifestation of this effect observed with a microionization chamber. We have expanded that investigation to include three micro-ionization chambers commonly used in radiation therapy. The purpose of this project is to determine what factors influence this polarity effect for micro-chambers and how it might be mitigated. METHODS Three chambers were utilized: a PTW 31016, an Exradin A-16, and an Exradin A- 26. Beam profile scans were obtained on a Varian TrueBeam linear accelerator in combination with a Wellhofer water phantom for 6, 9, and 12 MeV electrons. Profiles were obtained parallel and perpendicular to the chambers long axis, with both positive and negative collecting bias. Profiles were obtained with various chamber components shielded by 5 mm of Pb at 6 MeV to determine their relative contributions to this polarity effect. RESULTS The polarity effect was observed for all three chambers, and the ratio of the polarity effect for the Exradin chambers is proportional to the ratio of chamber volumes. Shielding the stem of both Exradin chambers diminished, but did not remove the polarity effect. However, they demonstrated no out-of-field effect when the cable was shielded with Pb. The PTW chamber demonstrated a significantly reduced polarity effect without any shielding despite its comparable volume with the A-26. CONCLUSIONS The sensitive volume of these micro-chambers is relatively insensitive to collecting polarity. However, charge deposition within the cable can dramatically alter measured ionization profiles. This is demonstrated by the removal of the out-of-field ionization when the cable is shielded for the Exradin chambers. We strongly recommend analyzing any polarity dependence for small-volume chambers used in characterization of electron fields.

SU-G-BRB-12: Polarity Effects in Small Volume Ionization Chambers in Small Fields

PURPOSE Dosimetric quantities such as the polarity correction factor (Ppol) are important parameters for determining the absorbed dose and can influence the choice of dosimeter. Ppol has been shown to depend on beam energy, chamber design, and field size. This study is to investigate the field size and detector orientation dependence of Ppol in small fields for several commercially available micro-chambers. METHODS We evaluate the Exradin A26, Exradin A16, PTW 31014, PTW 31016, and two prototype IBA CC-01 micro-chambers in both horizontal and vertical orientations. Measurements were taken at 10cm depth and 100cm SSD in a Wellhofer BluePhantom2. Measurements were made at square fields of 0.6, 0.8, 1.0, 1.2, 1.4, 2.0, 2.4, 3.0, and 5.0 cm on each side using 6MV with both ± 300VDC biases. PPol was evaluated as described in TG-51, reported using -300VDC bias for Mraw. Ratios of PPol measured in the clinical field to the reference field are presented. RESULTS A field size dependence of Ppol was observed for all chambers, with increased variations when mounted vertically. The maximum variation observed in PPol over all chambers mounted horizontally was <1%, and occurred at different field sizes for different chambers. Vertically mounted chambers demonstrated variations as large as 3.2%, always at the smallest field sizes. CONCLUSION Large variations in Ppol were observed for vertically mounted chambers compared to horizontal mountings. Horizontal mountings demonstrated a complicated relationship between polarity variation and field size, probably relating to differing details in each chambers construction. Vertically mounted chambers consistently demonstrated the largest PPol variations for the smallest field sizes. Measurements obtained with a horizontal mounting appear to not need significant polarity corrections for relative measurements, while those obtained using a vertical mounting should be corrected for variations in PPol.

SU-E-T-361: Energy Dependent Radiation/light-Field Misalignment On Truebeam Linear Accelerator

Purpose: Verifying the co-incidence of the radiation and light field is recommended by TG-142 for monthly and annual checks. On a digital accelerator, it is simple to verify that beam steering settings are consistent with accepted and commissioned values. This fact should allow for physicists to verify radiation-light-field co-incidence for a single energy and accept that Result for all energies. We present a case where the radiation isocenter deviated for a single energy without any apparent modification to the beam steering parameters. Methods: The radiation isocenter was determined using multiple Methods: Gafchromic film, a BB test, and radiation profiles measured with a diode. Light-field borders were marked on Gafchromic film and then irradiated for all photon energies. Images of acceptance films were compared with films taken four months later. A phantom with a radio-opaque BB was aligned to isocenter using the light-field and imaged using the EPID for all photon energies. An unshielded diode was aligned using the crosshairs and then beam profiles of multiple field sizes were obtained. Field centers were determined using Omni-Pro v7.4 software, and compared to similar scans taken during commissioning. Beam steering parameter files were checked against backups to determine that the steering parameters were unchanged. Results: There were no differences between the configuration files from acceptance. All three tests demonstrated that a single energy had deviated from accepted values by 0.8 mm in the inline direction. The other two energies remained consistent with previous measurements. The deviated energy was re-steered to be within our clinical tolerance. Conclusions: Our study demonstrates that radiation-light-field coincidence is an energy dependent effect for modern linacs. We recommend that radiation-light-field coincidence be verified for all energies on a monthly basis, particularly for modes used to treat small fields, as these may drift without influencing results from other tests.

SU-E-T-271: Direct Measurement of Tenth Value Layer Thicknesses for High Density Concretes with a Clinical Machine

Purpose: Use of high density concrete for radiation shielding is increasing, trading cost for space savings associated with the reduced tenth value layer (TVL). Precise information on the attenuation properties of high-density concretes is not readily present in the literature. A simple approximation is to scale the TVLs from NCRP 151 according relative increase in density. Here we present measured TVLs for heavy concretes of various densities using a built-in shielding test port. Methods: Concrete densities tested range from 2.35 g cc−1 (147 pcf) to 5.6 g cc−1 (350 pcf). Measurements were taken using 6MV, 6FFF, and 10FFF on a Varian Truebeam linear accelerator. Field sizes of 4x4, 9x9 and 30x30 cm2 were measured. A PTW 31013 Farmer chamber with a buildup cap was positioned 5.5 m from isocenter along the beam CAX. Concrete thicknesses were incremented in 5 cm intervals. Comparison TVLs were determined by scaling the NCRP 151 TVLs by the density ratio between the sample and standard density. Results: The trend from the first to equilibrium TVL was an increase in thickness, compared with MC modeling, which predicted a decrease. Measured TVLs for 6 MV were reduced by as much as 8.9 cm for TVL₁ and 3.4 cm for TVLE compared to values scaled from NCRP 151. There was 1–3 mm difference in TVL between measurements done at 4x4 versus 30x30 cm2. TVL₁ for 6FFF was 1.1 cm smaller than TVL₁ for 6MV, but TVLE was consistent to within 4 mm. TVL₁ and TVLE for 10FFF were reduced by 8.8 and 3.7 cm from scaled NCRP values, respectively. Conclusions: We have measured the TVL thicknesses for various concretes. Simple density scaling of the values in NCRP 151 is a conservatively safe approximation, but actual TVLs may be reduced enough to eliminate some of the expense of installation. Daniel Harrell and Jim Noller are employees of Shielding Construction Solutions, Inc, the shielding construction company that built the vault discussed in this abstract. Manjit Chopra is an employee of Universal Minerals International, Inc, the company that provided the aggregates for the high density concretes used in the vault construction.

SU-E-T-243: Design of a Novel Testing Port for Radiation Protection and Shielding Measurements

Purpose: The majority of radiation shielding research utilizes Monte Carlo simulation because of the difficulty in eliminating secondary radiations from measurements. We have designed a test port into a primary barrier of our newest vault to allow for shielding measurements while ensuring adequate protection to the public and staff during normal machine operation. This port allows for measurement of attenuation values of shielding materials, differential dose albedos, and radiation scatter fractions. Methods: The vault design utilized the maze as part of a compound primary barrier. The test port is contained within the maze and is centered along isocenter. The inner 30 cm has a 20×20 cm2 opening, while the remaining length has a 30×30 cm2 opening. The block that contains the port has a density of 200 pcf to minimize internal scatter. The 30×30 cm2 opening is occupied by removable 215 pcf concrete blocks. The innermost and outermost blocks activate an interlock wired into the beam-enable loop. This disallows beam-on in treatment mode if the interlock isn’t closed. The interlock can be overridden in service mode, or by-passed via an override switch in case of circuit failure. Results: The test port was installed in August. The beam is disabled when the interlock is tripped. Measurements taken when the primary beam is not incident on the port are indistinguishable from background. Ambient dose levels surrounding the vault with the designed shielding blocks in place are all within allowable limits for occupational workers. Conclusions: We have designed and installed a unique testing port for radiation protection and shielding measurements. This port is appropriately interlocked and designed to mitigate any risks of incidental exposure to staff or members of the public. The test port design allows measurements with “good geometry” and efficient removal of contaminating sources of radiation present in many shielding measurements. Daniel Harrell and Jim Noller are employees of Shielding Construction Solutions, Inc, the shielding construction company that built the vault discussed in this abstract. Manjit Chopra is an employee of Universal Minerals International, Inc, the company that provided the aggregates for the high density concretes used in the vault construction.

SU-E-T-465: Implementation of An Automated Collision Detection Program Using Open Source Software for the Pinnacle Treatment Planning System

Purpose: Potential collisions between the gantry head and the patient or table assembly are difficult to detect in most treatment planning systems. We have developed and implemented a novel software package for the representation of potential gantry collisions with the couch assembly at the time of treatment planning. Methods: Physical dimensions of the Varian Edge linear accelerator treatment head were measured and reproduced using the Visual Python display package. A script was developed for the Pinnacle treatment planning system to generate a file with the relevant couch, gantry, and isocenter positions for each beam in a planning trial. A python program was developed to parse the information from the TPS and produce a representative model of the couch/gantry system. Using the model and the Visual Python libraries, a rendering window is generated for each beam that allows the planner to evaluate the possibility of a collision. Results: Comparison against heuristic methods and direct verification on the machine validated the collision model generated by the software. Encounters of <1 cm between the gantry treatment head and table were visualized as collisions in our virtual model. Visual windows were created depicting the angle of collision for each beam, including the anticipated table coordinates. Visual rendering of a 6 arc trial with multiple couch positions was completed in under 1 minute, with network bandwidth being the primary bottleneck. Conclusion: The developed software allows for quick examination of possible collisions during the treatment planning process and helps to prevent major collisions prior to plan approval. The software can easily be implemented on future planning systems due to the versatility and platform independence of the Python programming language. Further integration of the software with the treatment planning system will allow the possibility of patient-gantry collision detection for a range of treatment machines.

SU‐E‐T‐489: Incorporating Skin Flash Into VMAT WBI: Impacts On Surface Dosimetry

Purpose: Increased use of inverse planning limits the amount of skin flash in whole breast irradiation (WBI). Strategies to incorporate flash into inverse-planned treatments involve overriding air to the density of water or tissue. This introduces uncertainties to the superficial dose distribution, potentially degrading the coverage at the skin-bolus interface. We investigate the accuracy of various commonly used bolus materials to incorporate flash in VMAT WBI plans while minimizing the perturbation near the skin. Methods: We obtained a CT-simulation of an anthropomorphic phantom with a breast attachment. Three VMAT plans were created with different boluses: 1 cm of 1 g/cm3 bolus (Superflab), 1 cm of 0.65 g/cm3 bolus (wet towels), and 1 cm of g/cm3 bolus with 2 dose levels accounting for the difference between bolus and tissue density. The PTV was extended into the bolus, outside the patient body contour to incorporate flash. OSLDs were used to obtain surface doses at the medial, lateral and tip sites of the breast. Each plan was irradiated four times using CBCT for positioning and dosimeter localization. Results: The average thickness of the wet-towel bolus on delivery was 8 mm with a CBCT-measured density of 0.6 g/cm3. OSLD measurements demonstrated good agreement with predicted doses from Pinnacle. Average deviations were −5.7%, −2.5%, and −2.6% for plans 1, 2, and 3, respectively. OSLDs placed at the medial and lateral portions of the breast showed the largest average deviations. The maximum recorded deviation from planned values was −8.6%. The largest dose fluctuations occurred near areas where the bolus failed to properly conform to the breast contour. Conclusion: Use of wet-towel bolus improved dose delivery accuracy compared to standard Superflab bolus. Areas of poor bolus conformity adversely affected dose delivery. We recommend the use of wet-towel bolus over Superflab bolus for VMAT WBI.

SU‐E‐T‐90: Concrete Forward‐Scatter Fractions for Radiotherapy Shielding Applications

PURPOSE There is little instruction within the primary shielding guidance document NCRP 151 for vault designs where the primary beam intercepts the maze. We have conducted a Monte-Carlo study to characterize forward-scattered radiation from concrete barriers with the intent of quantifying what amount of additional shielding outside the primary beam is needed in this situation. METHODS We reproduced our vault in MCNP 5 and simulated spectra obtained from the literature and from our treatment planning system for 10 and 18 MV beams. Neutron and gamma-capture contributions were not simulated. Energy deposited was scored at isocenter in a water phantom, within various cells that comprised the maze, and within cells that comprised the vault door. Tracks were flagged that scattered from within the maze to the door and their contributions were tallied separately. Three different concrete mixtures found in the literature were simulated. An empirically derived analytic equation was used for comparison, utilizing patient scatter fractions to approximate the scatter from concrete. RESULTS Our simulated data confirms that maze-scattered radiation is a significant contribution to total photon dose at the door. It contributes between 20-35% of the photon shielding workload. Forward-scatter fractions for concrete were somewhat dependent on concrete composition and the relative abundance of higher-Z elements. Scatter fractions were relatively insensitive to changes in the primary photon spectrum. Analytic results were of the same magnitude as simulated results. CONCLUSIONS Forward-scattered radiation from the maze barrier needs to be included in the photon workload for shielding calculations in non-standard vault designs. Scatter fractions will vary with concrete composition, but should be insensitive to spectral changes between machine manufacturers. Further plans for investigation include refined scatter fractions for various concrete compositions, scatter fraction measurement, and simulation of photo-nuclear interaction within the maze barrier for high-energy beams.