Different dosimetersdetectors used in smallfield dosimetry. Accurate dosimetry of smallfield photon beams used in stereotactic radiosurgery srs can be made difficult because of the presence of lateral electronic disequilibrium and steep dose gradients. The first challenge in narrowbeam dosimetry is the definition of the field size. Electron beam dosimetry with gafchromic ebt3 film in water. An external file that holds a picture, illustration, etc. Small field dosimetry problem institutional variability in 6 mv radionics srs dosimetry 12% diff. Comparison with tps calculations 3 results and discussion 14 3. The challenges of small field dosimetry in photon beams have been. A multinational audit of small field output factors calculated. Challenges in small field mv photon dosimetry aapm. Small field is a condition where dosimetry is usually difficult due to electronic disequilibrium use of iaeaaapm protocol for reference and relative dosimetry based on alfonso et al 2008 is recommended focal spot of a machine is a critical parameter in small field dosimetry absolute dosimetry protocol for small field is forthcoming. Detector, dosimeter, radiotherapy, small field dosimetry.
This is the first international code of practice dedicated to the dosimetry of small static fields used in radiotherapy. It provides consistent reference dosimetry, traceable to metrological primary standards, and enables common procedures within a country to be followed. The radiological physics centers standard dataset for. The conventional approach of classifying fields based on the full width at half. Iaea small field dosimetry working group establishing correction factors for a range of detectors not published yet sonja dieterich. A probeformat graphite calorimeter for absolute dosimetry of small. Dosimetry of small static fields used in external beam radiotherapy. Challenges of small photon field dosimetry are still challenging ncbi. In particular, source size2,3,4 and mlc modeling5 impact dose calculation for small fields more so than for larger fields. Small field conditions lcpe source occlusion detector size 0. Color flatbed scanners produce image files in which the. Small field xray beam dosimetry is difficult due to a number of challenges that include a lack of lateral electronic equilibrium, source occlusion, high dose gradients, and detector volume averaging. Smallfield dosimetry american association of physicists. Notably, planning system accuracy for small fields is often more sensitive to modeling than for large fields.
Pdf small field xray beam dosimetry is difficult due to a number of challenges that include a lack of lateral electronic equilibrium, source. Dosimetry of small static fields used in external beam. Reference dosimetry and smallfield dosimetry dtu orbit. Uncertainty contributors in the dosimetry of small static fields 23. Iaeaaapm code of practice for the dosimetry of static. First, commissioning a treatment planning system for such small fields poses many unique challenges.
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