1. Three-dimensional quality assurance of IMRT prostate plans using gel dosimetry
- Author
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M. A. Silveira, Oswaldo Baffa, and Juliana Fernandes Pavoni
- Subjects
Male ,medicine.medical_specialty ,Quality Assurance, Health Care ,RADIOMETRIA ,medicine.medical_treatment ,Biophysics ,Planning target volume ,General Physics and Astronomy ,Gel dosimetry ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,Imaging, Three-Dimensional ,0302 clinical medicine ,Prostate ,medicine ,Humans ,Dosimetry ,Radiology, Nuclear Medicine and imaging ,Medical physics ,Radiometry ,Radiation treatment planning ,business.industry ,Radiotherapy Planning, Computer-Assisted ,Prostatic Neoplasms ,General Medicine ,Magnetic Resonance Imaging ,Radiation therapy ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Calibration ,Ionization chamber ,Radiotherapy, Intensity-Modulated ,Nuclear medicine ,business ,Gels ,Quality assurance - Abstract
Intensity modulated radiotherapy (IMRT) is one of the most modern radiation therapy treatment techniques. Although IMRT can deliver high and complex conformational doses to the tumor volume, its implementation requires rigorous quality assurance (QA) procedures that include a dosimetric pre-treatment verification of individual patient planning. This verification usually involves measuring a small volume of absolute dose with an ionization chamber and checking bi-dimensional fluency with an array of detectors. The planning technique has tri-dimensional characteristics, but no tridimensional dosimetry has been established in the clinical routine. One strategy to perform three-dimensional dosimetry is to use polymeric gels associated with magnetic resonance imaging to evaluate dose distribution. Here, we have compared the results of conventional QA procedures involving one- and two-dimensional dosimetry to the results of three-dimensional dosimetry conducted with MAGIC-f gel in 10 cases of prostate cancer IMRT planning. More specifically, we used the gamma index (3%/3mm) to compare the results of three-dimensional dosimetry to the expected dose distributions obtained with the treatment planning system. Except for one IMRT treatment plan, the gel dosimetry results agreed with the conventional quality control and provided an overview of dose distribution in the target volume.
- Published
- 2017