Designed and validation of inhouse Head and Neck phantom for quality assurance and radiotherapy dose measurements

Document Type : Original Paper


1 1. Department of Radiotherapy, Delhi State Cancer Institute, Dilshad Garden, Delhi – 110095, India 2. II. Department of Physics, School of Basic Sciences & Research, Sharda University, Greater Noida, Uttar Pradesh- 201310, India

2 Department of Physics, School of Basic Sciences and Research, Sharda University, Greater Noida, India

3 Government Cancer Hospital, MGM Medical College, Indore

4 Army Hospital (Research & Referral), Delhi Cantonment, New Delhi-110010, India


Introduction: In radiotherapy treatment of head and neck (H&N) cancers, more complex quality assurance checks and patient specific dosimetry is required to ensure accuracy in modern technology.

Objectives: In this paper a new cost-effective human tissue equivalent H&N phantom was designed to serve as an economical and adaptable tool for assessment and assurance of precise radiotherapy dose delivery.

Methods: The phantom was designed using locally available paraffin wax and tissue equivalent materials. Computed tomography (CT) images of the phantom were acquired using a conventional CT simulator and were registered with the images of a real patient having approximately similar physical dimensions. Geometric and attenuation properties of the structures in the phantom were studied and compared to the structures of the real patient.

Results: Hounsfield unit (HU) values of different structures of phantom were compared to the values obtained from the CT images of a real patient and were found to be in good agreement. HU values obtained for right, left eye, brain, larynx and bone shell were 7(±10) HU, 6(±9), 30(±14) HU, -984(±6) HU and 873(±214) HU in phantom. Structures simulated in phantom agreed well on comparison regarding both their design and radiation properties with respect to real patient human tissues. Gamma analysis performed for axial dose plane at plan isocenter for both the calculated dose distribution in H&N phantom and patient agrees for 98.79% passing rate for 3% /3mm criteria.

Conclusion: The designed phantom depicts human anatomy and meets the requirements of tissue equivalence. The result shows that phantom has proved to be a cost-effective and a valuable tool for accurate verification of dose distributions in regions of clinical and dosimetric interests.


Main Subjects

Articles in Press, Accepted Manuscript
Available Online from 18 September 2022
  • Receive Date: 08 February 2022
  • Revise Date: 31 August 2022
  • Accept Date: 18 September 2022
  • First Publish Date: 18 September 2022