Poster - Thur Eve - 22: Bone heterogeneity in kV x-ray radiotherapy

Medical Physics
James C L Chow, Grigor N Grigorov

Abstract

This study evaluated the dosimetric impact of bone heterogeneity on the surface dose and dose prescription, when dose is assumed to be prescribed on a homogeneous medium in kV x-ray radiotherapy. A heterogeneous phantom containing a thin water layer (thickness = 1-5 mm) over a bone (thickness =1 cm) was used to mimic treatment sites of forehead, knee and chest wall. The phantom was irradiated by a 220 kVp photon beam with field size of 5 cm diameter. Percentage depth dose, surface dose and photon energy spectrum with different thicknesses of water were determined using Monte Carlo simulations (the EGSnrc code) with experimental verifications using parallel-plate ionization chamber and radiochormatic film. Our results (treatment cone of 5 cm diameter) showed that the surface dose increased in a range of 2.5-3.7% when the water layer above the bone was increased from 1 to 5 mm. However, the surface dose did not increase linearly with the increase of water thickness, and the maximum increase of surface dose was found at a water thickness of 3 mm. Results of the percentage depth dose showed that the maximum bone dose was about 210% higher than the surface dose in the heterogeneous phantom. It is concluded that in treatment sites ha...Continue Reading

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