Patient dose estimation in TBI using portal film transit dosimetry in combination with semiconductor detectors
PHYSICA MEDICA(1996)
摘要
The ability of portal films in combination with diode detectors in estimating in-vivo midline dose distributions during Total Body Irradiation (TBI) has been investigated. A method to estimate midline dose distributions in a lateral field technique for Total Body Irradiation (TBI) by using diodes and portal films has been suggested. The proposed technique has been verified in a phantom simulating quasi-clinical conditions. In order to better assess the reliability of the method in clinical conditions, we tested an algorithm for estimating midline doses in TBI in a number of situations with cork inhomogeneities both symmetrically and asymmetrically positioned with respect to the phantom midline, by on-axis diodes measurements. A good agreement between estimated and measured off-axis midline doses has been found in correspondence of cork inhomogeneities on a phantom simulating the head-thorax-abdomen region; when using high-Z lungs attenuators, the agreement is still acceptable. Regarding on-axis measurements, this agreement is within 1% (considering the sum of opposed fields for nonsymmetrical inhomogeneities), when the longitudinal dimension of the inhomogeneities is large (18 cm). For the critical case of inhomogeneities with a very small longitudinal dimension (6 cm) the agreement is worse but still acceptable for Quality Assurance aims (4.5 % in the worst situation of "large" distance between the inhomogeneities, better than 2 % in the other situations). The reproducibility of the exit dose measurements by portal films has been found within 2 % (1 S.D.), corresponding to about 1 % at the midline level. Results indicate the possibility of application of portal films in combination with semiconductors in the in-vivo estimation of midline dose distributions in lateral opposed fields TBI techniques.
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关键词
in-vivo dosimetry,portal dosimetry,Total Body Irradiation,treatment verification
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