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Original paper| Volume 77, P176-180, September 2020

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Dosimetric impact of failing to apply correction factors to ion recombination in percentage depth dose measurements and the volume-averaging effect in flattening filter-free beams

Published:August 29, 2020DOI:https://doi.org/10.1016/j.ejmp.2020.07.006

      Highlights

      • Application of the kS factor in PDD(10) and kvol in FFF beams could be essential.
      • Error combination in dose calibration of FFF beams could otherwise approach 2%.
      • Error combination in FFF beams calibration for most common chambers is within 1%

      Abstract

      Purpose

      To examine whether it is essential to apply correction factors for ion recombination (kS) to percentage depth dose (PDD) measurements and to the volume-averaging effect (kvol) to ensure accurate absolute dose calibration for flattening filter-free (FFF) beams for the most commonly used ionization chambers.

      Methods

      We surveyed medical physicists worldwide (n = 159) to identify the five most common ionization chamber combinations used for absolute and relative reference dosimetry of FFF beams. We then assessed the overall absolute dose calibration error for FFF beams of the Artiste Siemens and TrueBeam Varian linear accelerators resulting from failing to apply correction factors kS in the PDD(10) and the volume-averaging effect (kvol) to such chamber combinations.

      Results

      All the chamber combinations examined—the Farmer PTW 30013 ionization chamber used for absolute dosimetry, and the PTW 31010, PTW 30013, IBA CC04, IBA CC13, and PTW 31021 ionization chambers used for PDD curves measurements—showed non-negligible errors (≥0.5%). The largest error (1.6%) was found for the combination of the Farmer PTW 30013 chamber with the IBA CC13 chamber, which was the most widely used chamber combination in our survey.

      Conclusions

      Based on our findings, we strongly recommend assessing the impact of failing to apply correction factors kS in the PDD(10) and kvol prior to using any chamber type for FFF beam reference dosimetry purposes.

      Keywords

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      References

        • Ong C.L.
        • Verbakel W.F.A.R.
        • Dahele M.
        • Cuijpers J.P.
        • Slotman B.J.
        • Senan S.
        Fast Arc Delivery for Stereotactic Body Radiotherapy of Vertebral and Lung Tumors.
        Int J Radiat Oncol Biol Phys. 2012; 83: e137-e143https://doi.org/10.1016/j.ijrobp.2011.12.014
        • Xiao Y.
        • Kry S.F.
        • Popple R.
        • Yorke E.
        • Papanikolaou N.
        • Stathakis S.
        • et al.
        Flattening filter-free accelerators: a report from the AAPM Therapy Emerging Technology Assessment Work Group.
        J Appl Clin Med Phys. 2015; 16: 12-29
        • Vassiliev O.N.
        • Titt U.
        • Pönisch F.
        • Kry S.F.
        • Mohan R.
        • Gillin M.T.
        Dosimetric properties of photon beams from a flattening filter free clinical accelerator.
        Phys Med Biol. 2006; 51: 1907-1917https://doi.org/10.1088/0031-9155/51/7/019
        • Sutherland B.
        • Middlebrook N.
        • Kairn T.
        • Hill B.
        A comparison between direct TMR measurements and TMRs calculated from PDDs using BJR Supplement 25 data for flattened and unflattened photon beams.
        Australas Phys Eng Sci Med. 2015; 38: 503-507https://doi.org/10.1007/s13246-015-0359-0
      1. International Atomic Energy Agency. Dosimetry of small static fields used in external_beam radiotherapy, Technical Reports Series No. 483. Vienna: IAEA; 2017.

        • McEwen M.
        • DeWerd L.
        • Ibbott G.
        • Followill D.
        • Rogers D.W.O.
        • Seltzer S.
        • et al.
        Addendum to the AAPM’s TG-51 protocol for clinical reference dosimetry of high-energy photon beams.
        Med Phys. 2014; 41041501https://doi.org/10.1118/1.4866223
        • Corns R.A.
        • Huang V.W.
        • Thomas S.D.
        Pion effects in flattening filter-free radiation beams.
        J Appl Clin Med Phys. 2015; 16: 376-385https://doi.org/10.1120/jacmp.v16i6.5869
        • Sutton J.D.
        • Littler J.P.
        Accounting for the ion recombination factor in relative dosimetry of flattening filter free photon radiation.
        Biomed Phys Eng Express. 2017; 3017002https://doi.org/10.1088/2057-1976/aa5493
        • Vargas Castrillón S.
        • Cutanda H.F.
        Choice of a Suitable Dosimeter for Photon Percentage Depth Dose Measurements in Flattening Filter-Free Beams.
        J Med Phys. 2017; 42: 140-143https://doi.org/10.4103/jmp.JMP_11_17
        • Sudhyadhom A.
        • Kirby N.
        • Faddegon B.
        • Chuang C.F.
        Technical Note: Preferred dosimeter size and associated correction factors in commissioning high dose per pulse, flattening filter free x-ray beams: Absolute and relative measurement errors in FFF beams.
        Med Phys. 2016; 43: 1507-1513https://doi.org/10.1118/1.4941691
        • Martin-Martin G.
        • Aguilar P.B.
        • Barbés B.
        • Guibelalde E.
        Assessment of ion recombination correction and polarity effects for specific ionization chambers in flattening-filter-free photon beams.
        Phys Med. 2019; 67: 176-184https://doi.org/10.1016/j.ejmp.2019.07.018
      2. IBA dosimetry GmbH. Detectors 2019. https://www.iba-dosimetry.com/radiationtherapy/ detectors/ (accessed December 23, 2019).

      3. PTW GmbH Ionizing Radiation Detectors n.d. https://www.ptwdosimetry.com/fileadmin/user_upload/DETECTORS_Cat_en_16522900_12/blaetterkatalog/index.html#page_4 (accessed March 6, 2020).

        • McEwen M.R.
        Measurement of ionization chamber absorbed dose k(Q) factors in megavoltage photon beams.
        Med Phys. 2010; 37: 2179-2193https://doi.org/10.1118/1.3375895
      4. International Atomic Energy Agency (IAEA), Technical Reports Series No 398, Absorbed Dose Determination in External Beam Radiotherapy: An International Code of Practice for Dosimetry Based on Standards of Absorbed Dose to Water (IAEA, Vienna, 2001). n.d.

      5. Andreo P, Burns DT, Hohlfeld K, Bundesanstalt P-T, Huq MS, Kanai T, et al. An International Code of Practice for Dosimetry based on Standards of Absorbed Dose to Water n.d.:183.

        • Hyun M.A.
        • Miller J.R.
        • Micka J.A.
        • DeWerd L.A.
        Ion recombination and polarity corrections for small-volume ionization chambers in high-dose-rate, flattening-filter-free pulsed photon beams.
        Med Phys. 2017; 44: 618-627https://doi.org/10.1002/mp.12053
        • Kry S.F.
        • Popple R.
        • Molineu A.
        • Followill D.S.
        Ion recombination correction factors (P(ion)) for Varian TrueBeam high-dose-rate therapy beams.
        J Appl Clin Med Phys. 2012; 13: 318-325https://doi.org/10.1120/jacmp.v13i6.3803
        • Wang Y.
        • Easterling S.B.
        • Ting J.Y.
        Ion recombination corrections of ionization chambers in flattening filter-free photon radiation.
        J Appl Clin Med Phys. 2012; 13: 262-268https://doi.org/10.1120/jacmp.v13i5.3758
        • Chang Z.
        • Wu Q.
        • Adamson J.
        • Ren L.
        • Bowsher J.
        • Yan H.
        • et al.
        Commissioning and dosimetric characteristics of TrueBeam system: composite data of three TrueBeam machines.
        Med Phys. 2012; 39: 6981-7018https://doi.org/10.1118/1.4762682
        • Lang S.
        • Hrbacek J.
        • Leong A.
        • Klöck S.
        Ion-recombination correction for different ionization chambers in high dose rate flattening-filter-free photon beams.
        Phys Med Biol. 2012; 57: 2819-2827https://doi.org/10.1088/0031-9155/57/9/2819
        • Johnsen S.
        SU-GG-T-195: Ion Chamber Collection Efficiency Considerations for Un-Flattened X-Ray Beams.
        Med Phys. 2008; 35: 2770
        • Muir B.
        • Culberson W.
        • Davis S.
        • Kim G.-Y.
        • Huang Y.
        • Lee S.-W.
        • et al.
        Insight gained from responses to surveys on reference dosimetry practices.
        J Appl Clin Med Phys. 2017; 18: 182-190https://doi.org/10.1002/acm2.12081