Radiochromic film based transit dosimetry for verification of dose delivery with intensity modulated radiotherapy

Kwangzoo Chung, Myonggeun Yoon, Jaeman Son, Sung Yong Park, Kiho Lee, Dongho Shin, Young Kyung Lim, Se Byeong Lee

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose: To evaluate the transit dose based patient specific quality assurance (QA) of intensity modulated radiation therapy (IMRT) for verification of the accuracy of dose delivered to the patient. Methods: Five IMRT plans were selected and utilized to irradiate a homogeneous plastic water phantom and an inhomogeneous anthropomorphic phantom. The transit dose distribution was measured with radiochromic film and was compared with the computed dose map on the same plane using a gamma index with a 3% dose and a 3 mm distance-to-dose agreement tolerance limit. Results: While the average gamma index for comparisons of dose distributions was less than one for 98.9% of all pixels from the transit dose with the homogeneous phantom, the passing rate was reduced to 95.0% for the transit dose with the inhomogeneous phantom. Transit doses due to a 5 mm setup error may cause up to a 50% failure rate of the gamma index. Conclusions: Transit dose based IMRT QA may be superior to the traditional QA method since the former can show whether the inhomogeneity correction algorithm from TPS is accurate. In addition, transit dose based IMRT QA can be used to verify the accuracy of the dose delivered to the patient during treatment by revealing significant increases in the failure rate of the gamma index resulting from errors in patient positioning during treatment.

Original languageEnglish
Article number021725
JournalMedical Physics
Volume40
Issue number2
DOIs
Publication statusPublished - 2013 Feb 1

Fingerprint

Intensity-Modulated Radiotherapy
Radiotherapy
Patient Positioning
Plastics
Water
Therapeutics

Keywords

  • intensity modulated radiation therapy
  • quality assurance
  • radiochromic film
  • transit dose

ASJC Scopus subject areas

  • Biophysics
  • Radiology Nuclear Medicine and imaging

Cite this

Radiochromic film based transit dosimetry for verification of dose delivery with intensity modulated radiotherapy. / Chung, Kwangzoo; Yoon, Myonggeun; Son, Jaeman; Park, Sung Yong; Lee, Kiho; Shin, Dongho; Lim, Young Kyung; Lee, Se Byeong.

In: Medical Physics, Vol. 40, No. 2, 021725, 01.02.2013.

Research output: Contribution to journalArticle

Chung, Kwangzoo ; Yoon, Myonggeun ; Son, Jaeman ; Park, Sung Yong ; Lee, Kiho ; Shin, Dongho ; Lim, Young Kyung ; Lee, Se Byeong. / Radiochromic film based transit dosimetry for verification of dose delivery with intensity modulated radiotherapy. In: Medical Physics. 2013 ; Vol. 40, No. 2.
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