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Development and Evaluation of Multipurpose Phantom for Delivery Quality Assurance of Intensity-modulated Radiation Therapy

Journal of Magnetics, Volume 27, Number 4, 31 Dec 2022, Pages 430-439
Jae-Uk Jang (Korea Disease Control and Prevention Agency), Man-Seok Han * (Kangwon National University), Ki-Hwan Kim * (Chungnam National University Hospital), Min-Cheol Jeon (Daejeon Health Institute of Technology), Ui-Jung Hwang (Chungnam National University Sejong Hospital)
Abstract
Treatments demanding high accuracy, such as intensity-modulated radiation therapy (IMRT), should provide
the optimal dose distribution and correct intervention. Otherwise, they may become unsafe and cause adverse
effects to patients. Delivery quality assurance (DQA) for treatment verification can be performed considering
the absolute dose using an ionization chamber and relative dose using a film. However, a film imposes a long
waiting time for measurement and is sensitive to temperature and humidity, development conditions, and noise.
We aim to evaluate the usefulness of a multipurpose phantom for fast and simple IMRT DQA. The multipurpose
phantom is made of poly (methyl methacrylate)-based resin. The phantom allows the insertion of a 2D
array detector and an ionization chamber. Therefore, the relative and absolute doses can be measured simultaneously.
The IMRT DQA evaluation provided absolute dose of 0.35 ± 1.74% and relative dose of 99.03 ± 0.6 %
in 3 mm/3% gamma evaluation for a linear accelerator. In addition, the absolute and relative doses were 1.37 ±
1.05% and 98.7 ± 0.78% in helical tomotherapy, respectively. Therefore, the dose measurements were within
acceptable error limits of 3%. The results demonstrate the multipurpose capabilities of the proposed phantom
for evaluating dose distribution and absolute dosimetry.
Keywords: electromagnetic radiation; multipurpose phantom; relative dose; absolute dose; intensity-modulated radiation therapy; delivery quality assurance
DOI: https://doi.org/10.4283/JMAG.2022.27.4.430
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