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On the use of the absorbed depth-dose measurements in the beam calibration of a surface electronic high-dose-rate brachytherapy unit, a Monte Carlo-based study
Indexado
WoS WOS:000500356800001
Scopus SCOPUS_ID:85076111208
DOI 10.1002/MP.13920
Año 2020
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Purpose To evaluate the use of the absorbed depth-dose as a surrogate of the half-value layer in the calibration of a high-dose-rate electronic brachytherapy (eBT) equipment. The effect of the manufacturing tolerances and the absorbed depth-dose measurement uncertainties in the calibration process are also addressed. Methods The eBT system Esteya (R) (Elekta Brachytherapy, Veenendaal, The Netherlands) has been chosen as a proof-of-concept to illustrate the feasibility of the proposed method, using its 10 mm diameter applicator. Two calibration protocols recommended by the AAPM (TG-61) and the IAEA (TRS-398) for low-energy photon beams were evaluated. The required Monte Carlo (MC) simulations were carried out using PENELOPE2014. Several MC simulations were performed modifying the flattening filter thickness and the x-ray tube potential, generating one absorbed depth-dose curve and a complete set of parameters required in the beam calibration (i.e., HVL, backscatter factor (B-w), and mass energy-absorption coefficient ratios (mu(en)/rho)(water,air)), for each configuration. Fits between each parameter and some absorbed dose-ratios calculated from the absorbed depth-dose curves were established. The effect of the manufacturing tolerances and the absorbed dose-ratio uncertainties over the calibration process were evaluated by propagating their values over the fitting function, comparing the overall calibration uncertainties against reference values. We proposed four scenarios of uncertainty (from 0% to 10%) in the dose-ratio determination to evaluate its effect in the calibration process. Results The manufacturing tolerance of the flattening filter (+/- 0.035 mm) produces a change of 1.4% in the calculated HVL and a negligible effect over the B-w, (mu(en)/rho)(water,air), and the overall calibration uncertainty. A potential variation of 14% of the electron energies due to manufacturing tolerances in the x-ray tube (69.5 +/- similar to 10 keV) generates a variation of 10% in the HVL. However, this change has a negligible effect over the B-w and (mu(en)/rho)(water,air), adding 0.1% to the overall calibration uncertainty. The fitting functions reproduce the data with an uncertainty (k = 2) below 1%, 0.5%, and 0.4% for the HVL, B-w, and (mu(en)/rho)(water,air), respectively. The four studied absorbed dose-ratio uncertainty scenarios add, in the worst-case scenario, 0.2% to the overall uncertainty of the calibration process. Conclusions This work shows the feasibility of using the absorbed depth-dose curve in the calibration of an eBT system with minimal loss of precision.

Revista



Revista ISSN
Medical Physics 0094-2405

Métricas Externas



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Disciplinas de Investigación



WOS
Radiology, Nuclear Medicine & Medical Imaging
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 VALDES-CORTEZ, CHRISTIAN NELSON Hombre Univ Valencia - España
Ctr Oncol Norte - Chile
University of Valencia - España
Centro Oncológico del Norte - Chile
Universitat de València - España
2 Niatsetski, Yury Hombre R&D Elekta Brachytherapy - Países Bajos
Elekta Brachytherapy - Países Bajos
3 Ballester, Facundo Hombre Univ Valencia - España
IIS La Fe UV - España
University of Valencia - España
Instituto de Investigación Sanitaria La Fe - España
Universitat de València - España
4 Vijande, Javier Hombre Univ Valencia - España
IIS La Fe UV - España
University of Valencia - España
Instituto de Investigación Sanitaria La Fe - España
Universitat de València - España
5 Candela-Juan, Cristian Hombre Inst Nacl Gest Sanitaria - España
Instituto Nacional de Gestión Sanitaria - España
6 Perez-Calatayud, Jose Hombre IIS La Fe UV - España
La Fe Hosp - España
Instituto de Investigación Sanitaria La Fe - España
Hospital Universitari i Politècnic La Fe - España

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Financiamiento



Fuente
European Regional Development Fund
Generalitat Valenciana
Ministerio de Economía, Industria y Competitividad, Gobierno de España
EU FEDER
Ministerio de Economia, Industria y Competitividad (Spain)
Ministerio de Asuntos Económicos y Transformación Digital, Gobierno de España

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Agradecimientos



Agradecimiento
This work has been partially funded by Ministerio de Economia, Industria y Competitividad (Spain) and EU FEDER under Contract PGC2018-101302, and by Generalitat Valenciana through the project AICO/2019/132.
This work has been partially funded by Ministerio de Economía, Industria y Competitividad (Spain) and EU FEDER under Contract PGC2018‐101302, and by Generalitat Valenciana through the project AICO/2019/132.

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