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Small Field Dosimetry: A Clinical Perspective


I Das


I Das1*, (1) Indiana University- School of Medicine, Indianapolis, IN

TH-C-BRCD-1 Thursday 10:30:00 AM - 11:25:00 AM Room: Ballroom CD

Small fields on the order of few millimeters are now being used in specialized radiation treatments such as intensity modulated radiation therapy (IMRT), stereotactic radiosurgery (SRS), cyber-knife and gamma-knife. Small-field dosimetry is challenging due to finite source size, lack of electronic equilibrium, size of detectors, changes in energy spectrum with associated dosimetric parameters and stopping power ratio. Source size is dependent on the design of the accelerator and could be obstructed by the collimating system with decreasing field sizes. Electronic equilibrium is a phenomenon associated with the range of secondary particles and hence dependent on the beam energy, spectrum and the composition of the medium (homogeneous vs inhomogeneous).

This talk will elaborate on current understanding of the small field dosimetry. It will provide insight of the new IAEA/AAPM non-complainant dosimetry (1) IPEM report 103 (2) and AAPM task group report 155(3). Explanation of the difficulties and possible solutions to accurately measure dose in small fields with various techniques (ion chamber, diode, diamond, TLD, films (radiographic and Gafchromic), MOSFET, bang gel, and Monte Carlo) will be elaborated. Correction factors that have been published will be presented and the consequences in accuracy for patient care will be discussed.

Learning Objective:
1. Description of absolute and relative dosimetry
2. Definition of small fields
3. Choice of detector
4. Correction factor
5. Understanding the implication of small fields in clinical practice

1. Alfonso P, Andreo P, Capote R, et al. A new formalism for refeence dosimetry of small and nonstandard fields. Med Phys 2008;35:5179-5186.
2. Aspradakis MM. Report No 103: Small Field MV dosimetry. York, England: IPEM; 2010.
3. Das IJ, Francescon P, Ahnesjö A, et al. Task Group 155 report: Small fields and non-equilibrium condition photon beam dosimetry. Med Phys (under review).



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