Turkish Journal of Oncology Turkish Society for Radiation Oncology
Article Open Access Volume 27 · Issue 2 · 2012 pp. 067–075

The measurement of entrance and exit doses with in-vivo dosimetry in head and neck cancers and comparison with treatment planning doses

Burçin PAİDAR1
1 İzmir Özel Onkomer Onkoloji Merkezi, Radyofizik, İzmir
2 Ege Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, Tıbbi Radyofizik, İzmir
Published: 2012 Pubmed: 112699 Article ID: 830
Abstract
OBJECTIVES

We aimed to measure entrance-exit doses using in-vivo
dosimetry for head and neck cancer patients and to compare
with planning system doses, to facilitate determination of
treatment accuracy.


METHODS

Three diodes were calibrated using water equivalent phantom.
Correction factors had been previously assessed for in-vivo
diodes and applied to the readings. Dose measurements were
performed on 30 treatment setups for 3 patients treated with
isocentric, asymmetric left-right two lateral and supraclavicular
fields using 6MV. Measured doses were compared with
expected doses.


RESULTS

The results indicated a small acceptable deviation from expected
doses. It was found that the mean deviations for entrance
and exit doses were 2.3% and 1.9%, respectively. The
deviation in the delivered dose is well within the 5% International
Commission on Radiation Units and Measurements
(ICRU) recommendation, and thus treatment doses are determined
to be in accordance with the planning system doses.


CONCLUSION

It has been shown that in-vivo dosimetry performed using diodes
is a reliable and high-precision method for patient dose
control.

Keywords: Head and neck cancers; in-vivo diode dosimetry; radiotherapy

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