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Is BJR Supplement #25 Recommendation for Megavoltage Energy Independent Scatter Factor Still Valid for Flattening Filter Free Photon Beams?


H Chung

H Chung*, B Yi, K Prado, Univ. of Maryland School Of Medicine, Baltimore, MD

SU-E-T-536 Sunday 3:00:00 PM - 6:00:00 PM Room: Exhibit Hall

Purpose: In the process of measuring and validating fundamental dosimetry data prior to the clinical use of a treatment unit, it is prudent to compare measurements with previously published equivalent data. During the commissioning of an accelerator with flattening filter free (FFF) photon beams (Varian True Beam 6 MV FFF and 10 MV FFF) we compared measured Phantom Scatter Factors (Sp) with the Normalized Peak Scatter Factors (NPSFs) from the British Journal of Radiology Supplement 25 (BJR #25). The purpose of this work was to determine whether the energy independent NPSFs BJR#25 are valid for comparison with FFF photon beams.

Methods: All measurements were performed using a Varian TrueBeam linear accelerator with photon energies of 6-MV, 6-MV FFF and 10-MV FFF modes. For all measurements, a Scanditronix CC04 ionization chamber was used. Both water and in-air measurements were made to obtain NPSFs normalized to the 10 x 10 cm² field size. For measurements in water, the chamber was positioned at 100 cm source-to-axis distance at the depth of dose maximum. For in-air measurements, the chamber was positioned at 100 cm source-to-axis distance with appropriate build-up cap. From BJR #25, NPSFs were obtained for comparison with the measurements.

Results: The NPSF agreement between the 6-MV and 6-MV FFF with the BJR#25 were all within ±0.5%. The agreement ranged from 0.996 to 1.004 and 0.995 to 1.002 for 6-MV and 6-MV FFF, respectively. We also found that 10-MV FFF showed very similar trend.

Conclusions: The scatter factors reported in BJR #25 are valid for comparison for 6-MV, 6-MV FFF, and 10-MV. Additional investigation is needed to further understand the dosimetric characteristics of FFF mode.

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