Document Type : Original Article

Authors

1 Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran

2 Department of Medical Physics, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Background: International Atomic Energy Agency (IAEA) and American Association of physicist in Medicine (AAPM) have introduced new protocols for dosimetry of electron and photon megavoltage beams and increased them to more than five protocols at the beginning of new decade. Selecting a protocol by medical physicists and acquiring skill for using reference conditions and recommended formulation by each protocol necessitate recognition of various dosimetry protocols. The aim of this study was to compare the protocols TRS-277, TRS-381, and TRS-398 of IAEA for megavoltage electron beams used in radiation therapy.
Methods: Comparison of TRS-398 with other protocols was done as follows:
1. Measurement and estimation of the absorbed dose of 6MeV Neptun 10 linear accelerator through ionization chamber with parallel NACP plates in water phantom and acrylic.
2- Measurement of the absorbed dose in 17MeV Saturn 20 linear accelerator through ionization chamber with parallel NACP plates in water phantom
Results: The results indicated that the differences observed between the protocols compared to TRS-398 protocol was between -4.9 and 0.2%; the highest difference was related to 17 MeV electron beam using TRS-277 protocol.
Conclusions: According to the results, the considerable difference observed in 17MeV electrons was related to TRS-277 and TRS-388 protocols. Given that calibration ratio of the absorbed dose in air is used in the TRS-277 protocol, the difference obtained was related to the application of secondary calibration used in this research.

Highlights

Zahra Jomehzadeh(google scholar)(pubmed)

Ali Jomehzadeh(google scholar)(pubmed)

Keywords

Main Subjects

  1. Kudo H. Radiation Applications. Singapore: Springer; 2018.
  2. Hine GJ, Brownell GL. Radiation Dosimetry. Elsevier; 2013.
  3. Kron T, Lehmann J, Greer PB. Dosimetry of ionising radiation in modern radiation oncology. Phys Med Biol. 2016;61(14):R167-205. doi: 10.1088/0031-9155/61/14/r167.
  4. Kanehira T, Svensson S, van Kranen S, Sonke JJ. Accurate estimation of daily delivered radiotherapy dose with an external treatment planning system. Phys Imaging Radiat Oncol. 2020;14:39-42. doi: 10.1016/j.phro.2020.05.005.
  5. Thwaites D. Accuracy required and achievable in radiotherapy dosimetry: have modern technology and techniques changed our views? J Phys Conf Ser. 2013;444(1):012006. doi: 10.1088/1742-6596/444/1/012006.
  6. Shahbazi-Gahrouei D, Changizi B, Jomehzadeh A, Larizadeh MH. The effect of contrast media on treatment planning and dose calculation in radiation therapy of pelvis cancers. J Isfahan Med Sch. 2017;34(408):1389-94. [Persian].
  7. Meaze AM, Purohit S, Rahman MS, Sattar A, Kabir SE, Patwary MKA, et al. Studies of dosimetry protocols for accelerated photons and electrons delivered from medical linear accelerator. East Eur J Phys. 2021(1):20-6. doi: 10.26565/2312-4334-2021-1-03.
  8. Adeberg S, Harrabi SB, Bougatf N, Verma V, Windisch P, Bernhardt D, et al. Dosimetric comparison of proton radiation therapy, volumetric modulated arc therapy, and three-dimensional conformal radiotherapy based on intracranial tumor location. Cancers (Basel). 2018;10(11):401. doi: 10.3390/cancers10110401.
  9. Palmans H, Andreo P, Huq MS, Seuntjens J, Christaki KE, Meghzifene A. Dosimetry of small static fields used in external photon beam radiotherapy: summary of TRS-483, the IAEA-AAPM international Code of Practice for reference and relative dose determination. Med Phys. 2018;45(11):e1123-e45. doi: 10.1002/mp.13208.
  10. International Atomic Energy Agency (IAEA). Report No. 277: Absorbed Dose Determination in Photon and Electron Beams: An International Code of Practice. Vienna: IAEA; 1987.
  11. International Atomic Energy Agency (IAEA). Report No. 381: The Use of Plane Parallel Ionization Chambers in High Energy Electron and Photon Beams: An International Code of Practice for Dosimetry. Vienna: IAEA; 1996.
  12. International Atomic Energy Agency (IAEA). Report No. 398: Absorbed Dose Determination in External Beam Radiotherapy: An International Code of Practice for Dosimetry Based on Standards of Absorbed Dose to Water. Vienna: IAEA; 2000.
  13. Mahdavi S, Mahdavi M, Alijanzadeh H, Zabihzadeh M, Mostaar A. A comparison of dosimetric parameters between IAEA TRS-398, AAPM TG-51 protocols and Monte-Carlo simulation. Int J Radiat Res. 2012;10(1):43-51.
  14. Araki F, Kubo HD. Comparison of high-energy photon and electron dosimetry for various dosimetry protocols. Med Phys. 2002;29(5):857-68. doi: 10.1118/1.1470208.