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Proceedings of the National Academy of Sciences of Belarus. Physical-technical series

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Method for assessing the accuracy of source positioning during brachytherapy

https://doi.org/10.29235/1561-8358-2022-67-3-324-331

Abstract

A method for assessing the accuracy of source positioning using a new phantom for quality control procedures of applicators in brachytherapy is presented. A description is given of a phantom for performing measurements as part of quality control procedures for brachytherapy applicators, which are placed in the phantom in the form of a rod at a distance of 2–4 cm from the location of the ionization chamber. The air kerma strength was measured and the distance from the source to the ionization chamber was calculated. The measured values of the distances were compared with the values obtained by measuring the X-ray images of the applicator with a source located in it or radiopaque markers. The parameters recorded using the developed phantom are in good agreement with the parameters obtained using the X-ray machine installed in the procedural room (p > 0.05). The use of the proposed phantom will allow not only determination of the accuracy of the radiation source position in the applicator channel, but also verification of the irradiation plans for various types of applicators, including the use of shielding blocks.

About the Author

D. I. Kazlouski
N.N. Alexandrov National Cancer Centre of Belarus, agro-town Lesnoy
Belarus

Dzianis I. Kazlouski – Master’s Degree (Medical Physics)

agro-town Lesnoy, 223040, Minsk Disrtict, Minsk Region



References

1. Kutcher G. J., Coia L., Gillin M., Hanson W. F., Leibel S., Morton R. J., Palta J. R., Purdy J. A., Reinstein L. E., Svensson G. K., et al. Comprehensive QA for radiation oncology: report of AAPM Radiation Therapy Committee Task Group 40. Medical Physics, 1994, vol. 21, no. 4, pp. 581–618. https://doi.org/10.1118/1.597316

2. Valentin J. Prevention of high-dose-rate brachytherapy accidents. ICRP Publication 97. Annals of the ICRP, 2005, vol. 35, no. 2, pp. 1–51. https://doi.org/10.1016/j.icrp.2005.05.002

3. Fonseca G. P., van den Bosch M. R., Voncken R., Podesta M. A novel system for commissioning brachytherapy applicators: example of a ring applicator. Physics in Medicine and Biology, 2017, vol. 62, no. 21, art. 8360. https://doi. org/10.1088/1361-6560/aa8d0a

4. Tanderup K., Hellebustb T. P., Langc S., Granfeldtd J., Pötterc R., Lindegaarda J. C., Kirisitsc C. Consequences of random and systematic reconstruction uncertainties in 3D image based brachytherapy in cervical cancer. Radiotherapy and Oncology, 2008, vol. 89, no. 2, pp. 156–163. https://doi.org/10.1016/j.radonc.2008.06.010

5. McMahon R., Zhuang T., Steffey B. A., Song H. Commissioning of Varian ring & tandem HDR applicators: reproducibility and interobserver variability of dwell position offsets. Journal of Applied Clinical Medical Physics, 2011, vol. 12, no. 4, art. 3447. https://doi.org/10.1120/jacmp.v12i4.3447

6. Smith R. L., Taylor M. L., McDermott L. N., Haworth A., Millar J. L., Franich R.D. Source position verification and dosimetry in HDR brachytherapy using an EPID. Medical Physics, 2013, vol. 40, no. 11, art. 111706. https://doi. org/10.1118/1.4823758

7. Tam C., Sonier M., Wronski M., Au P., Ravi A. EPID-based Quality Assurance Technique for HDR Ring and Tandem Source Dwell Positions with the Nucletron Flexitron Afterloader. Brachytherapy, 2014, vol. 13, no. 1, pp. S15e–S126. https:// doi.org/10.1016/j.brachy.2014.02.286

8. Awunor, O., Berger D., Kirisits C. A multicenter study to quantify systematic variations and associated uncertainties in source positioning with commonly used HDR afterloaders and ring applicators for the treatment of cervical carcinomas. Medical Physics, 2015, vol. 42, no. 8, pp. 4472–4483. https://doi.org/10.1118/1.4923173

9. Awunor O., Dixon B., Walker C. Direct reconstruction and associated uncertainties of (192)Ir source dwell positions in ring applicators using gafchromic film in the treatment planning of HDR brachytherapy cervix patients. Physics in Medicine and Biology, 2013, vol. 58, no. 10, pp. 3207–3225. https://doi.org/10.1088/0031-9155/58/10/3207

10. Tanderup K., Beddar S., Andersen C. E., Kertzscher G., Cygler J.E. In vivo dosimetry in brachytherapy. Medical Physics, 2013, vol. 40, no. 7, art. 070902. https://doi.org/10.1118/1.4810943

11. Roue A., Venselaar J., Ferreira I. H., Bridier A., Dutreix A. The ESTRO-QUALity assurance network for brachytherapy geometric check. ESTRO news, 2003, no. 56, pp. 8–9.

12. Fonseca G. P., Johansen J. G., Smith R. L., Beaulieu L., Beddar S., Kertzscher G., Verhaegen F., Tanderup K. In vivo dosimetry in brachytherapy: Requirements and future directions for research, development, and clinical practice. Physics and Imaging in Radiation Oncology, 2020, vol. 16, pp. 1–11. https://doi.org/10.1016/j.phro.2020.09.002


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ISSN 1561-8358 (Print)
ISSN 2524-244X (Online)