Iranian Journal of Medical Physics

Iranian Journal of Medical Physics

Determination of therapeutic standard field for cancer patients including the medical megavoltage accelerator jaws movement.

Document Type : Conference Proceedings

Authors
Mohammad Javad Tahmasebi Birgani 1
Nahid Chegeni 2
Raziye Fayazi 3
Marziyeh Tahmasbi 4
Jafar Fatahi Asl 4
Mohammad.Ali Behrooz 1
1 Professor of Radiotherapy and Oncology, Department of Radiotherapy and Oncology, Golestan Hospital, Ahvaz Jndishapur University of Medical Sciences, Ahvaz, Iran.
2 Assistant Professor of Medical Physics. Department of Medical Physics, Medical School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3 Msc students of medical physics, Department of Medical Physics, Medical School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4 Assistant Professor of Medical Physics. Department of Radiology Technology, Jundishapur University of Medical Sciences, Ahvaz, Iran
10.22038/ijmp.2019.12999
Abstract
Introduction: Accurate calculation of equal square field size is important in radiation therapy and A factor, in the Vadash formula must be determine by considering collimator exchange effect. Therefore, the purpose of this study was to determine the best A factor, for calculation of equal square field size in treatment planning
 
Materials and Methods: A new simple protocol method based on the selection of best dosimetric data was proposed to obtain A value in Vadash relation to predict the equivalent square field size, which compensates collimator exchange effect in output factors in air (OFair). Measurements performed with Farmer chamber 0.6 cc in SSD 100cm and build up cap of Plexiglas, 1.5 and 3.5 cm equals water, for 6 and 18 MV, respectively on a Perimus Plus linear accelerator. OFair measured for square and rectangular fields. MATLAB software (version R2014a) was used to calculations and curve fitting.
Results: Power model with constant value applied to OFair as a function of square field size. OFair ranged from 0.983 to 1.038 in 6MV and from 0.731 to 1.05 in 18 MV and Y collimator had a greater effect on the OFair. The values of 1.42 and 1.55 were selected for "A" in 6 and 18 MV, respectively.
Conclusion: The proposed A values minimize the collimator exchange effect, in calculating the equivalent squares which plays an important role in the patient dose calculation and treatment planning. The value of A should be calculated for each machine and energy.
Keywords
equal square field size
collimator exchange effect
Vadash formula
Output factors in air

  • Receive Date 21 May 2018
  • Revise Date 11 May 2019
  • Accept Date 06 July 2018