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The Effect of An Electromagnetic Array Used for Patient Localization and Tumor Tracking On OSLD in Vivo Dosimetry

A Rea

A Rea MS*, A Kuruvilla MS, G Gill MS, A Riegel PhD, E Klein PhD, Northwell Health, Center for Advanced Medicine, Department of Radiation Medicine, Lake Success, NY


SU-F-T-321 (Sunday, July 31, 2016) 3:00 PM - 6:00 PM Room: Exhibit Hall

The purpose of this study was to observe the effect of an electromagnetic array used for patient localization and tumor tracking on optically-stimulated luminescent in-vivo dosimetry.

A linear accelerator equipped with four photon energies was used to irradiate optically stimulated luminescent dosimeters (OSLDs) at the respective dmax depths and in the buildup region, with and without the presence of an electromagnetic array used for tumor tracking and patient localization. The OSLDs were placed on solid water slabs under 5 mm bolus and on each face of an octagonal phantom, and irradiated using both static beam and arc geometry, with and without the electromagnetic array under our setup. The electromagnetic array was placed 6 cm above the phantom to coincide with similar distances used during patient treatment. Ionization chamber measurements in a water phantom were also taken initially for comparison with the simple geometry OSLD measurements and published data.

Under simple geometry, a negligible change was observed at dmax for all energies when the electromagnetic array was placed over the setup. When measuring at five millimeter depth, increases of 1.3/3.1/16/18% were observed for energies 4X/6X/10X/15X respectively when the electromagnetic array was in place. Measurements using the octagonal phantom yielded scattered results for the lateral and posterior oblique fields, and showed increases in dose to the OSLDs placed on the anterior and lateral anterior faces of the phantom.

Placing the electromagnetic array very close to the patient’s surface acts as a beam spoiler in the buildup region (at 5 mm depth), which in turn causes an increase in the measured dose reading of the OSLD. This increase in dose is more pronounced when the OSLD is placed directly underneath the electromagnetic array than off to one side or the other.

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