Dosimetric characteristics of the Siemens IGRT carbon fiber tabletop.

In this work, the dosimetric characteristics of a new commercial carbon fiber treatment table are investigated. The photon beam attenuation properties of the Siemens image-guided radiation therapy (IGRT) tabletop were studied in detail. Two sets of dosimetric measurements were performed. In the first experiment a polystyrene slab phantom was used: the central axis attenuation and the skin-sparing detriment were investigated. In the second experiment, the off-axis treatment table transmission was investigated using a polystyrene cylindrical phantom. Measurements were taken at the isocenter for a 360 degrees rotation of the radiation beam. Our results show that the photon beam attenuation of the Siemens IGRT carbon fiber tabletop varies from a minimum of 2.1% (central axis) to a maximum of 4.6% (120 degrees and 240 degrees beam incidence). The beam entrance dose increases from 82% to 97% of the dose at the depth of maximum for a clinical 6-MV radiation field. The depth of maximum also decreases by 0.4 cm. Despite the wedge cross section of the table the beam attenuation properties of the IGRT tabletop remain constant along the longitudinal direction. American Association of Medical Dosimetrists.

[1]  L. Mell,et al.  Intensity‐modulated radiation therapy use in the U.S., 2004 , 2005, Cancer.

[2]  K. Langmack,et al.  An investigation into the use of carbon fibre for megavoltage radiotherapy applications. , 1998, Physics in medicine and biology.

[3]  The effect of carbon fiber couch inserts on surface dose with beam size variation. , 2001, Medical dosimetry : official journal of the American Association of Medical Dosimetrists.

[4]  Jennifer Diffey,et al.  The effect of gantry angle on megavoltage photon beam attenuation by a carbon fiber couch insert. , 2005, Medical physics.

[5]  Martin J Butso,et al.  Variations in skin dose associated with linac bed material at 6 MV x-ray energy. , 2002, Physics in medicine and biology.

[6]  Leen Paelinck,et al.  Evaluation of the Sinmed Mastercouch as replacement for a standard couch. , 2005, Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology.

[7]  B. Schaeken,et al.  The effect of carbon fibre inserts on the build-up and attenuation of high energy photon beams. , 1997, Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology.

[8]  Two-dimensional measurement of photon beam attenuation by the treatment couch and immobilization devices using an electronic portal imaging device. , 2003, Medical physics.

[9]  J. Sham,et al.  Preliminary results of radiation dose escalation for locally advanced nasopharyngeal carcinoma. , 2006, International journal of radiation oncology, biology, physics.

[10]  A. Buckle An algorithm for detection of couch-beam intersection. , 2005, Medical dosimetry : official journal of the American Association of Medical Dosimetrists.

[11]  Nancy Lee,et al.  Intensity‐modulated radiation therapy in head and neck cancers: An update , 2007, Head & neck.