Confirmation of skin doses resulting from bolus effect of intervening alpha-cradle and carbon fiber couch in radiotherapy

Technology in Cancer Research and Treatment

Volumn 11, Issue 6, 2012, Pages 571-581

  Chan, Maria F ^a   Chiu Tsao, Sou Tung ^b   Li, Jingdong ^a   Schupak, Karen ^a   Parhar, Preeti ^a   Burman, Chandra ^a  

^a MEMORIAL SLOAN KETTERING CANCER CENTER   (United States)

^b Quality MediPhys LLC   (United States)

Author keywords

Bolus effect; Dosimetry; EBT2 film; Skin dose; Treatment planning

Indexed keywords

EID: 84867293692     PISSN: 15330346     EISSN: None     Source Type: Journal    
DOI: 10.7785/tcrt.2012.500269     Document Type: Article

References (79)

1. Laufer, I., Rose, P., Lis, E., Bilsky, M. H., Yamada, Y. An analysis of risk factors for vertebral body fracture following high-dose singlefraction image guided intensity modulated radiotherapy (IGIMRT) of spine metastases. Int J Rad Onc Biol Phys 72, S52 (2008).
2. Hoppe, B. S., Laser, B., Kowalski, A. V., Fontenla, S. C., Pena-Greenberg, E., Yorke, E. D., Lovelock, D. M., Hunt, M. A., Rosenzweig, K. E. Acute skin toxicity following stereotactic body radiation therapy for Stage I non-small-cell lung cancer: Who's at risk? Int J Rad Onc Biol Phys 72, 1283-1286 (2008).
3. Pan, L., Thiagarajan, A., Fontenla, S., Zatcky, J., Yamada, Y. Acute skin toxicity following radiosurgery for metastatic spine tumors: A prospective study. Int J Rad Onc Biol Phys 78, S66 (2010).
4. Carl, J., Vestergaard, A. Skin damage probabilities using fixation materials in high-energy photon beams. Radiother Oncol 55, 191-198 (2000).
5. Fontenla, D. P., Napoli, J. J., Hunt, M., Fass, D., McCormick, B., Kutcher, G. J. Effects of beam modifiers and immobilization devices on the dose in the build-up region. Int J Rad Onc Biol Phys 30, 211-219 (1994).
6. Mellenberg, D. E., Dose behind various immobilization and beam modifying devices. Int J Rad Onc Biol Phys 32, 1193-1197 (1995).
7. De Ost, B., Vanregemorter, J., Schaeken, B., Van den Weyngaert, D. The effect of carbon fiber inserts on the build-up and attenuation of high energy photon beams. Radiother Oncol 45, 275-277 (1997).
8. Cheung, T., Butson, M. J., Yu, P. K. N. Evaluation of build-up dose from 6MV X-rays under pelvic and abdominal patient immobilisation devices. Radiation Measurements 35, 235-238 (2002).
9. Higgins, D. M., Whitehurst, P., Morgan, A. M. The effect of carbon fiber couch inserts on surface dose with beam size variation. Med Dosim 26, 251-254 (2001).
10. Meydanci, T. P., Kemikler, G. Effect of a carbon fiber tabletop on the surface dose and attenuation for high-energy photon beams. Radiation Medicine 26, 539-544 (2008).
11. Fiorino, C., Cattaneo, G. M., del Vecchio, A., Longobardi, B., Signorotto, P., Calandrino, R. Skin dose measurements for head and neck radiotherapy. Med Phys 19, 1263-1266 (1992).
12. Fiorino, C. Skin-sparing reduction effects of thermoplastics used for patient immobilization in head and neck radiotherapy. Radiother Oncol 30, 267-270 (1994).
13. Hsu, S. H., Roberson, P. L., Chen, Y., Marsh, R. B., Morgan, J. M. Assessment of skin dose for breast chest wall radiotherapy as a function of bolus material. Phys Med Biol 53, 2593-2606 (2008).
14. Benhabib, S. M., Syh, J., Austerlitz, C., Ferreira, M. C., Sibata, C. Investigation of Different Carbon Fiber Tabletops Used in Radiation Therapy. Med Phys 37, 3328 (2010).
15. Spezi, E., Angelini, A. L., Romani, F., Guido, A., Bunkheila, F., Ntreta, M., Ferri, A. Evaluating the influence of the Siemens IGRT carbon fiber tabletop in head and neck IMRT. Radiother Oncol 89, 114-122 (2008).
16. McCormack, S., Morgan, A., Diffey, J. The effect of gantry angle on megavoltage photon beam attenuation by a carbon fiber couch insert. Med Phys 32, 483-487 (2005).
17. Myint, W. K., Niedbala, M., Wilkins, D., Gerig, L. H. Investigating treatment dose error due to beam attenuation by a carbon fiber tabletop. J Appl Clin Med Phys 7, 21-27 (2006).
18. Munjal, R. K., Negi, P. S., Babu, A. G., Sinha, S. N., Anand, A. K., Kataria, T. Impact of 6MV photon beam attenuation by carbon fiber couch and immobilization devices in MRT planning and dose delivery. J Med Phys 31, 67-71 (2006).
19. Poppe, B., Chofor, N., Rühmann, A., Kunth, W., Djouguela, A, Kollhoff, R., Willborn, K. C. The effect of a carbon-fiber couch on the depth-dose curves and transmission properties for megavoltage photon beams. Strahlenther Onkol 183, 43-48 (2007).
20. Mihaylov, I. B., Corry, P., Yan, Y., Ratanatharathorn, V., Moros, E. G. Modeling of carbon fiber couch attenuation properties with a commercial treatment planning system. Med Phys 35, 4982-4988 (2008).
21. Njeh, C. F., Raines, T. W., Saunders, M. W. Determination of the photon beam attenuation by the BrainLAB imaging couch: angular and field size dependence. J Appl Clin Med Phys 10, 16-27 (2009).
22. van Prooijen, M., Kanesalingam, T., Islam, M. K., Heaton, R. K. Assessment and management of radiotherapy beam intersections with the treatment couch. J Appl Clin Med Phys 11, 128-139 (2010).
23. Lee, K., Wu, J., Jeng, S., Hsueh Liu, Y. W., Cheng, J. C. Skin dose impact from vacuum immobilization device and carbon fiber couch in intensity modulated radiation therapy for prostate cancer. Med Dosime 34, 228-232 (2009).
24. Butson, M. J., Cheung, T., Yu, P. K. N., Metcalfe, P. Measurement of skin dose variations produced by a silicon-based protective dressing in radiotherapy. Phys Med Biol 47, N145-N151 (2002).
25. Fontenla, S., Yorke, E., Lovelock, D., Mechalakos, J., Hunt, M. Skin toxicity in stereotactic body radiation therapy-improving the treatment planning and delivery process. Med Phys 37, 3382 (2010).
26. Butson, M. J., Cheung, T., Yu, P. K. N., Webb, B. Variations in skin dose associated with linac bed material at 6MV x-ray energy. Phys Med Biol 47, N25-N30 (2002).
27. Chiu-Tsao, S., Chan, M. F. Evaluation of two-dimensional bolus effect of immobilization/support devices on skin doses: a radiochromic EBT film dosimetry study in phantom. Med Phys 37, 3611-3626 (2010).
28. Smith, D. W., Christophides, D., Dean, C., Naisbit, M., Mason, J., Morgan, A. Dosimetric characterization of the iBEAM evo carbon fiber couch for radiotherapy. Med Phys 37, 3595-3606 (2010).
29. Vieira, S. C., Kaatee, R. S. J. P., Dirkx, M. L. P., Heijmen, B. J. M. Two-dimensional measurement of photon beam attenuation by the treatment couch and immobilization devices using an electronic portal imaging device. Med Phys 30, 2981-2987 (2003).
30. Spezi, E., Angelini, A. L., Ferri, A., Monte Carlo simulation of the SIEMENS IGRT carbon fibre tabletop. J Phys: Conference Series 74, 1-6 (2007).
31. Kinhikar, R. A., Murthy, V., Goel, V., Tambe, C. M., Dhote, D. S., Deshapande, D. D. Skin dose measurements using MOSFET and TLD for head and neck patients treated with tomotherapy. Appl Radiat Isot 67, 1683-1685 (2009).
32. Quach, K. Y., Morales, J., Butson, M. J., Rosenfeld, A. B., Metcalfe, P. E. Measurement of radiotherapy x-ray skin dose on a chest wall phantom. Med Phys 27, 1676-1680 (2000).
33. Stathakis, S., Li, J. S., Paskalev, K., Yang, J., Wang, L., Ma, C. M. Ultra-thin TLDs for skin dose determination in high energy photon beams. Phys Med Biol 51, 3549-3567 (2006).
34. Yorke, E. D., Alecu, R., Ding, L., Fontenla, D., Kalend, A., Kaurin, D., Masterson-McGary, M. E., Marinello, G., Matzen, T., Saini, A., Shi, J., Simon, W., Zhu, T. C., Zhu, X. R. Diode in vivo dosimetry for patients receiving external beam radiation therapy. Report of Task Group 62 of the AAPM Radiation Therapy Committee, AAPM Report 2005; #87.
35. Chan, M. F., Song, Y., Meli, J., Huang, D., Burman, C. Estimating dose to ICD outside the treatment fields using skin QED diode. Med Phys 33, 2218 (2006).
36. Xiang, H. F., Song, J. S., Chin, D. W. H., Cormack, R. A., Tishler, R. B., Makrigiorgos, G. M., Court, L. E., Chin, L.M. Build-up and surface dose measurements on phantoms using micro-MOSFET in 6 and 10MV x-ray beams and comparisons with Monte Carlo calculations. Med Phys 34, 1266-1273 (2007).
37. Jursinic, P. A. Characterization of optically stimulated luminescent dosimeters, OSLDs, for clinical dosimetric measurements. Med Phys 34, 4594-4604 (2007).
38. Akselrod, M. S., Botter-Jensen, L., McKeever, S. W. S. Optically stimulated luminescence and its use in medical dosimetry. Radiation Measurements 41, S78-S99 (2007).
39. Soares, C. G., Trichter, S., Devic, S. Radiochromic Film Dosimetry. Chapter 23 in "Clinical Dosimetry for Radiotherapy", Eds. Rogers, D. W. O., Cygler, J. E., Medical Physics Monograph No. 34 (AAPM 2009 Summer School Proceedings) Medical Physics Publishing, Madison, WI (2009).
40. Chiu-Tsao, S., Medich, D., Munro III, J. The use of new GAFCHROMIC® EBT film for 125 I seed dosimetry in Solid Water® phantom. Med Phys 35, 3787-3799 (2008).
41. Todorovic, M., Fischer, M., Cremers, F., Thom, E., Schmidt, R. Evaluation of GafChromic EBT prototype B for external beam dose verification. Med Phys 33, 1321-1328 (2006).
42. Su, F.C., Liu, Y., Stathakis, S., Shi, C., Esquivel, C., Papanikolaou, N. Dosimetry characteristics of GAFCHROMIC® EBT film responding to therapeutic electron beams. Appl Radiat Isot 65, 1187-1192 (2007).
43. Chiu-Tsao, S., Ho, Y., Shankar, R., Wang, L, Harrison, L. B. Energy dependence of response of new high sensitivity radiochromic films for megavoltage and kilovoltage radiation energies. Med Phys 32, 3350-3354 (2005).
44. Butson, M. J., Cheung, T., and Yu, P. K. N. Weak energy dependence of EBT Gafchromic TM film dose response in the 50 kVp-10MVp x-ray range. Appl Radiat Isot 64, 60-62 (2006).
45. Sutherland, J. G. H., Rogers, D. W. O. Monte Carlo calculated absorbed-dose energy dependence of EBT and EBT2 film. Med Phys 37, 1110-1116 (2010).
46. Devic, S., Seuntjens, J., Abdel-Rahman, W., Evans, M., Olivares, M., Podgorsak, E. B., Vuong, T., Soares, C. G. Accurate skin dose measurements using radiochromic film in clinical applications. Med Phys 33, 1116-1124 (2006).
47. Butson, M. J., Cheung, T., Yu, P. K.N. Megavoltage x-ray skin dose variation with an angle using grid carbon fibre couch tops. Phys Med Biol 52, N485-N492 (2007).
48. Price, S., Williams, M., Butson, M. J., Metcalfe, P. Comparison of skin dose between conventional radiotherapy and IMRT. Australas Phys Eng Sci Med 29, 272-277 (2006).
49. Chung, H., Jin, H., Dempsey, J. F., Liu, C., Palta, J., Suh, T. S., Kim, S. Evaluation of surface and build-up region dose for intensity-modulated radiation therapy in head and neck cancer. Med Phys 32, 2682-2689 (2005).
50. Chiu-Tsao, S., Chan, M. F. Photon beam dosimetry in the superficial buildup region using radiochromic EBT film stack. Med Phys 36, 2074-2083 (2009).
51. van Battum, L. J., Hoffmans, D., Piersma, H., Heukelom, S. Accurate dosimetry with GafChromic TM EBT film of a 6MV photon beam in water: What level is achievable? Med Phys 35, 704-716 (2008).
52. Soares, C. G. New developments in radiochromic film dosimetry. Radiat Prot Dosimetry 120, 100-106 (2006).
53. Devic, S., Tomic, N., Soares, C. G., Podgorsak, E. B. Optimizing the dynamic range extension of a radiochromic film dosimetry system. Med Phys 36, 429-437 (2009).
54. Andic, F., Ors, Y., Davutoglu, R., Baz Cifci, S, Ispir, E. B., Erturk, M. E. Evaluation of skin dose associated with different frequencies of bolus applications in post-mastectomy three-dimensional conformal radiotherapy. J Experimental & Clinical Cancer Research 28, 41 (2009).
55. Lye, J. E., Butler, D. J., Webb, D. V., Enhanced epidermal dose caused by localized electron contamination from lead cutouts used in kilovoltage radiotherapy. Med Phys 37, 3935-3939 (2010).
56. Oldham, M., Sakhalkar, H., Guo, P., Adamovics, J. An investigation of the accuracy of an IMRT dose distribution using two-and threedimensional dosimetry techniques. Med Phys 35, 2072-2080 (2008).
57. Fontanarosa, D., Orlandini, L. C., Andriani, I., Bernardi, L. Commissioning Varian enhanced dynamic wedge in the PINNACLE treatment planning system using Gafchromic™ EBT film. Med Phys 36, 4504-4510 (2009).
58. Furstoss, C., Reniers, B., Bertrand, M. J., Poon, E., Carrier, J. F., Keller, B. M., Pignol, J. P., Beaulieu, L., Verhaegen, F. Monte Carlo study of LDR seed dosimetry with an application in a clinical brachytherapy breast implant. Med Phys 36, 1848-1858 (2009).
59. Novotny, Jr., J., Bhatnagar, J. P., Quader, M. A., Bednarz, G., Lunsford, L. D., Huq, M. S. Measurement of relative output factors for the 8 and 4 mm collimators of Leksell Gamma Knife Perfexion by film dosimetry. Med Phys 36, 1768-1774 (2009).
60. Chung, E., Seuntjens, J., Bouchard, H. Investigation of three radiation detectors for accurate measurement of absorbed dose in nonstandard fields. Med Phys 37, 2404-2413 (2010).
61. Fragoso, M., Wen, N., Kumar, S., Liu, D., Ryu, S., Movsas, B., Munther, A., Chetty, I. J. Dosimetric verification and clinical evaluation of a new commercially available Monte Carlo-based dose algorithm for application in stereotactic body radiation therapy (SBRT) treatment planning. Phys Med Biol 55, 4445-4464 (2010).
62. Zeidan, O. A., Stephenson, S. A. L., Meeks, S. L., Wagner, T. H., Willoughby, T. R., Kupelian, P. A., Langen, K. M. Characterization and use of EBT radiochromic film for IMRT dose verification. Med Phys 33, 4064-4072 (2006).
63. Chiu-Tsao, S., Chan, M. F. Dose response characteristics of the new EBT-2 film for different megavoltage beams. Med Phys 36, 2604 (2009).
64. Butson, M. J., Yu, P. K. N., Cheung, T., Alnawaf, H. Energy response of the new EBT2 radiochromic film to x-ray radiation. Radiation Measurements 45, 836-839 (2010).
65. Arjomandy, B., Tailor, R., Anand, A., Sahoo, N., Gillin, M., Prado, K., Vicic, M. Energy dependence and dose response of Gafchromic EBT2 film over a wide range of photon, electron, and proton beam energies. Med Phys 37, 1942-1947 (2010).
66. Andrés, C., del Castillo, A., Tortosa, R., Alonso, D., Barquero, R. A comprehensive study of the Gafchromic EBT2 radiochromic film. A comparison with EBT. Med Phys 37, 6271-6278 (2010).
67. Ozawa, S., Kurokawa, C., Furuya, T., Tsutsumi, Y., Isobe, A., Fujita, T., Kurokawa, C., Sugimoto, S., Toramatsu, C., Itoh, K., Karasawa, K. Patient specific QA for ELEKTA VMAT by EBT and EBT2 Gafchromic film. Ninth Asian Oceania Congress of Medical Physics, Conference Proceedings (2009).
68. Kairn, T., Kenny, J., Crowe, S. B., Fielding, A. L., Franich, R. D., Johnson, P. N., Knight, R. T., Langton, C. M., Schlect, D., Trapp, J. Technical Note: Modeling a complex micro-multileaf collimator using the standard BEAMnrc distribution. Med Phys 37, 1761-1767 (2010).
69. Wong, J. H. D., Knittel, T., Downes, S., Carolan, M., Lerch, M. L., Petasecca, M., Perevertaylo, V. L., Metcalfe, P., Jackson, M., Rosenfeld, A. B. The use of a silicon strip detector dose magnifying glass in stereotactic radiotherapy QA and dosimetry. Med Phys 38, 1226-1238 (2011).
70. Mihaylov, I. B., Penagaricano, J., Moros, E. G. Quantification of the skin sparing effect achievable with high-energy photon beams when carbon fiber tables are used. Radiother Oncol 93, 147-152 (2009).
71. Mihaylov, I. B., Bzdusek, K., Kaus, M. Carbon fiber couch effects on skin doses for volumetric modulated arcs. Med Phys 38, 2419-2423 (2011).
72. Gerig, L. H., Niedbela, M., Nyiri, B. J. Dose perturbations by two carbon fiber treatment couches and the ability of a commercial treatment planning system to predict these effects. Med Phys 37, 322-328 (2010).
73. Chui, C. S., Spirous, S. Inverse planning algorithms for external beam radiation therapy. Med Dosime 26, 189-197 (2001).
74. Mohan, R., Barest, G., Brewster, L. J., Chui, C. S., Kutcher, G. J., Laughlin, J. S., Fuks, Z. A comprehensive three-dimensional radiation treatment planning system. Int J Rad Onc Biol Phys 15, 481-495 (1988).
75. Spirous, S., Chui, C. S. A gradient inverse planning algorithm with dose-volume constraints. Med Phys 25, 321-333 (1998).
76. Abramoff, M. D., Magelhaes, P. J., Ram, S. J. Image processing with ImageJ. Biophotonics International 11, 36-42 (2004).
77. ICRU, Determination of dose equivalents resulting from external radiation sources. Report No. 39, 510. International Commission on Radiation Units and Measurement, Washington, DC (1985).
78. Archambeau, J. O., Pezner, R., Wasserman, T. Pathophysiology of irradiated skin and breast. Int J Radiat Oncol Biol Phys 31, 1171-1185 (1995).
79. RTOG website: http://www.rtog.org/ClinicalTrials/ProtocolTable/StudyDetails.aspx?study 5 0915. Pg. 19-27; last accessed May 21, (2011).