Quality assurance and independent dosimetry for an intraoperative x-ray device

Medical Physics

Volumn 39, Issue 11, 2012, Pages 6908-6920

  Eaton, D J ^a  

^a ROYAL FREE HOSPITAL   (United Kingdom)

Author keywords

electronic brachytherapy; INTRABEAM; intraoperative radiotherapy; quality assurance

Indexed keywords

DOSIMETRY; FITS AND TOLERANCES; IONIZATION OF LIQUIDS; RADIOTHERAPY; UNCERTAINTY ANALYSIS; WATER TANKS; X RAYS;

BRACHYTHERAPY; DOSIMETRIC PARAMETER; DOSIMETRIC PROPERTIES; INTRABEAM; INTRAOPERATIVE RADIOTHERAPY; MEASUREMENT UNCERTAINTY; QUALITY ASSURANCE TESTS; THERMOLUMINESCENT DOSIMETERS;

QUALITY ASSURANCE;

EID: 84868543003     PISSN: 00942405     EISSN: None     Source Type: Journal    
DOI: 10.1118/1.4761865     Document Type: Article

References (59)

1. Institute of Physics and Engineering in Medicine, Medical and Dental Guidance Notes (IPEM, York, UK, 2002).
2. International Commission on Radiological Protection, Preventing accidental exposures from new external beam radiation therapy technologies: ICRP publication 112., Ann. ICRP 39, 46-47 (2009).
3. Institute of Physics and Engineering in Medicine, Physics Aspects of Quality Control in Radiotherapy: Report 81 (IPEM, York, UK, 1999).
4. J. R. Williams and D. I. Thwaites, Radiotherapy Physics in Practice, 2nd ed. (Oxford University Press, Oxford, UK, 2000).
5. C. C. Park, S. S. Yom, M. B. Podgorsak, E. Harris, R. A. Price, A. Bevan, J. Pouliot, A. A. Konski, and P. E. Wallner, American Society for Therapeutic Radiology and Oncology (ASTRO) emerging technology committee report on electronic brachytherapy., Int. J. Radiat. Oncol. Biol. Phys. 76, 963-972 (2010). 10.1016/j.ijrobp.2009.10.068
6. M. Dinsmore, K. J. Harte, A. P. Sliski, D. O. Smith, P. M. Nomikos, M. J. Dalterio, A. J. Boom, W. F. Leonard, P. E. Oettinger, and J. C. Yanch, A new miniature x-ray source for interstitial radiosurgery: Device description., Med. Phys. 23, 45-52 (1996). 10.1118/1.597790
7. J. Beatty, P. J. Biggs, K. Gall, P. Okunieff, F. S. Pardo, K. J. Harte, M. J. Dalterio, and A. P. Sliski, A new miniature x-ray device for interstitial radiosurgery: Dosimetry., Med. Phys. 23, 53-62 (1996). 10.1118/1.597791
8. R. M. Douglas, J. Beatty, K. Gall, R. F. Valenzuela, P. Biggs, P. Okunieff, and F. S. Pardo, Dosimetric results from a feasibility study of a novel radiosurgical source for irradiation of intracranial metastases., Int. J. Radiat. Oncol. Biol. Phys. 36, 443-450 (1996). 10.1016/S0360-3016(96)00293-3
9. W. T. Curry, G. R. Cosgrove, F. H. Hochberg, J. Loeffler, and N. T. Zervas, Stereotactic interstitial radiosurgery for cerebral metastases., J. Neurosurg. 103, 630-635 (2005). 10.3171/jns.2005.103.4.0630
10. J. S. Vaidya, M. Baum, J. S. Tobias, D. P. D'Souza, S. V. Naidu, S. Morgan, M. Metaxas, K. J. Harte, A. P. Sliski, and E. Thomson, Targeted intra-operative radiotherapy (Targit): An innovative method of treatment for early breast cancer., Ann. Surg. Oncol. 12, 1075-1080 (2001). 10.1023/A:1011609401132
11. J. S. Vaidya, D. J. Joseph, J. S. Tobias, M. Bulsara, F. Wenz, C. Saunders, M. Alvarado, H. L. Flyger, S. Massarut, W. Eiermann, M. Keshtgar, J. Dewar, U. Kraus-Tiefenbacher, M. Sutterlin, L. Esserman, H. M. Holtveg, M. Roncadin, S. Pigorsch, M. Metaxas, M. Falzon, A. Matthews, T. Corica, N. R. Williams, and M. Baum, Targeted intraoperative radiotherapy versus whole breast radiotherapy for breast cancer (TARGIT-A trial): An international, prospective, randomised, non-inferiority phase 3 trial., Lancet 376, 91-102 (2010). 10.1016/S0140-6736(10)60837-9
12. F. Schneider, H. Fuchs, F. Lorenz, V. Steil, F. Ziglio, U. Kraus-Tiefenbacher, F. Lohr, and F. Wenz, A novel device for intravaginal electronic brachytherapy., Int. J. Radiat. Oncol. Biol. Phys. 74, 1298-1305 (2009). 10.1016/j.ijrobp.2009.01.082
13. F. Wenz, F. Schneider, C. Neumaier, U. Kraus-Tiefenbacher, T. Reis, R. Schmidt, and U. Obertacke, Kypho-IORT-A novel approach of intraoperative radiotherapy during kyphoplasty for vertebral metastases., Radiat. Oncol. 5, 11 (2010). 10.1186/1748-717X-5-11
14. W. P. Polkowski, Intraoperative radiotherapy with low energy photons, surgery chemotherapy for the treatment of metastatic gallbladder carcinoma., Nowotwory J. Oncol. 59, e48-e50 (2009).
15. T. Rutkowski, A. Wygoda, M. Hutnik, K. Skadowski, J. Wydmanski, A. Maciejewski, C. Szymczyk, J. Wierzgon, A. Orlef, and B. Maciejewski, Intraoperative radiotherapy (IORT) with low-energy photons as a boost in patients with early-stage oral cancer with the indications for postoperative radiotherapy: Treatment feasibility and preliminary results., Strahlenther. Onkol. 186, 496-501 (2010). 10.1007/s00066-010-2117-2
16. J. C. Yanch and K. J. Harte, Monte Carlo simulation of a miniature, radiosurgery x-ray tube using the ITS 3.0 coupled electron-photon transport code., Med. Phys. 23, 1551-1558 (1996). 10.1118/1.597885
17. M. A. Ebert, B. Carruthers, P. J. Lanzon, A. Haworth, J. Clarke, N. M. Caswell, and S. A. Siddiqui, Dosimetry of a low-kV intra-operative x-ray source using basic analytical beam models., Australas. Phys. Eng. Sci. Med. 25, 119-124 (2002). 10.1007/BF03178772
18. M. A. Ebert and B. Carruthers, Dosimetric characteristics of a low-kV intra-operative x-ray source: Implications for use in a clinical trial for treatment of low-risk breast cancer., Med. Phys. 30, 2424-2431 (2003). 10.1118/1.1595611
19. P. J. Biggs, Long-term stability of a 50-kV X-ray unit for stereotactic irradiation., J. Appl. Clin. Med. Phys. 7, 12-20 (2006). 10.1120/jacmp.v7i3.2238
20. M. A. Ebert, A. H. Asad, and S. A. Siddiqui, Suitability of radiochromic films for dosimetry of very-low energy X-rays., J. Appl. Clin. Med. Phys. 10, 232-240 (2009). 10.1120/jacmp.v10i4.2957
21. D. J. Eaton, R. Gonzalez, S. Duck, and M. Keshtgar, Radiation protection for an intraoperative X-ray device., Br. J. Radiol. 84, 1034-1039 (2011). 10.1259/bjr/29466902
22. D. J. Eaton and S. Duck, Dosimetry measurements with an intraoperative x-ray device., Phys. Med. Biol. 55, N359-N369 (2010). 10.1088/0031-9155/55/12/ N02
23. D. J. Eaton, B. Best, C. Brew-Graves, S. Duck, T. Ghaus, R. Gonzalez, K. Pigott, C. Reynolds, N. R. Williams, and M. R. S. Keshtgar, In vivo dosimetry for single fraction targeted intraoperative radiotherapy (TARGIT) for breast cancer., Int. J. Radiat. Oncol. Biol. Phys. 82, e819-e824 (2012). 10.1016/j.ijrobp.2011.11.012
24. M. Avanzo, A. Rink, A. Dassie, S. Massarut, M. Roncardin, E. Borsatti, and E. Capra, In vivo dosimetry with radiochromic films in low-voltage intraoperative radiotherapy of the breast., Med. Phys. 39, 2359-2368 (2012). 10.1118/1.3700175
25. F. Schneider, IORT with 50 kV x-rays., in Intraoperative Radiotherapy for Breast Cancer, edited by, F. Wenz, and, U. Kraus-Tiefenbacher, (UNI-MED, Bremen, Germany, 2011), pp. 42-44.
26. D. S. Biggs and E. S. Thomson, Radiation properties of a miniature x-ray device for radiosurgery., Br. J. Radiol. 69, 544-547 (1996). 10.1259/0007-1285-69-822-544
27. K. S. Armoogum, J. M. Parry, S. K. Souliman, D. G. Sutton, and C. D. Mackay, Functional intercomparison of intraoperative radiotherapy equipment-Photon Radiosurgery System., Radiat. Oncol. 2, 11 (2007). 10.1186/1748-717X-2-11
28. Carl Zeiss Surgical, Calibration of the INTRABEAM® System (Carl Zeiss Surgical, Oberkochen, Germany, 2009).
29. T. Yasuda, J. Beatty, P. J. Biggs, and K. Gall, Two-dimensional dose distribution of a miniature x-ray device for stereotactic radiosurgery., Med. Phys. 25, 1212-1216 (1998). 10.1118/1.598298
30. P. J. Biggs, J. Beatty, and T. Yasuda, Distance-dose curve for a miniature x-ray tube for stereotactic radiosurgery using an optimized aperture with a parallel-plate ionization chamber., Med. Phys. 26, 2550-2554 (1999). 10.1118/1.598792
31. K.-P. Hermann, L. Geworski, M. Muth, and D. Harder, Polyethylene-based water-equivalent phantom material for x-ray dosimetry at tube voltages from 10 to 100 kV., Phys. Med. Biol. 11, 1195-1200 (1985). 10.1088/0031-9155/30/11/002
32. 125I brachytherapy sources., Med. Phys. 15, 695-701 (1988). 10.1118/1.596182
33. R. Hill, L. Holloway, and C. Baldock, A dosimetric evaluation of water equivalent phantoms for kilovoltage x-ray beams., Phys. Med. Biol. 50, N331-N344 (2005). 10.1088/0031-9155/50/21/N06
34. B. J. Healy, A. Gibbs, R. L. Murry, J. E. Prunster, and K. N. Nitschke, Output factor measurements for a kilovoltage x-ray therapy unit., Australas. Phys. Eng. Sci. Med. 28, 115-121 (2005). 10.1007/BF03178702
35. R. Hill, Z. Kuncic, and C. Baldock, The water equivalence of solid phantoms for low energy photon beams., Med. Phys. 37, 4355-4363 (2010). 10.1118/1.3462558
36. A. Dorgu, D. Pavord, J. Gong, G. Sherouse, and S. Kriminski, Evaluation of two formulations of commercial water-equivalent plastic to establish suitability for dosimetry of the Zeiss Intrabeam® 50 kVp x-ray source., Med. Phys. 37, 3252-3253 (2010). 10.1118/1.3468685
37. International Atomic Energy Agency, Absorbed Dose Determination in External Beam Radiotherapy: An International Code of Practice for Dosimetry Based on Standards of Absorbed Dose to Water: TRS-398 (IAEA, Vienna, Austria, 2000).
38. N. E. Ipe, K. E. Rosser, C. J. Moretti, J. W. Manning, and M. J. Palmer, Air kerma calibration factors and chamber correction values for PTW soft x-ray, NACP and Roos ionization chambers at very low x-ray energies., Phys. Med. Biol. 46, 2107-2117 (2001). 10.1088/0031-9155/46/8/306
39. R. J. Aukett, J. E. Burns, A. G. Greener, R. M. Harrison, C. Moretti, A. E. Nahum, and K. E. Rosser, Addendum to the IPEMB code for practice for the determination of absorbed dose for x-rays below 300 kV generating potential (0.035 mm Al-4 mm Cu HVL)., Phys. Med. Biol. 50, 2739-2748 (2005). 10.1088/0031-9155/50/12/001
40. P. M. Härtl, B. Dobler, O. Kölbl, and M. Treutwein, Practical dosimetry and constancy check at introduction of intraoperative radiotherapy with Intrabeam® (Zeiss)., Z. Med. Phys. 19, 288-293 (2009). 10.1016/j.zemedi.2009.09.001
41. P. Fogg, K. R. Das, T. Kron, C. Fox, B. Chua, and J. Hagekyriakou, Thermoluminescence dosimetry for skin dose assessment during intraoperative radiotherapy for early breast cancer., Australas. Phys. Eng. Sci. Med. 33, 211-214 (2010). 10.1007/s13246-010-0019-3
42. R. Hakim, N. T. Zervas, F. Hakim, W. E. Butler, J. Beatty, J. Yanch, P. J. Biggs, K. Gall, and A. Sliski, Initial characterization of the dosimetry and radiobiology of a device for administering interstitial stereotactic radiosurgery., Neurosurgery 40, 510-517 (1997). 10.1097/00006123-199703000-00016
43. C. Soares, C. Drupieski, B. Wingert, G. Pritchett, V. Pagonis, M. O'Brien, A. Sliski, P. Bilski, and P. Olko, Absorbed dose measurements of a handheld 50 kVp x-ray source in water with thermoluminescence dosemeters., Radiat. Prot. Dosim. 120, 78-82 (2006). 10.1093/rpd/nci622
44. K. Armoogum and C. Watson, A dosimetry intercomparison phantom for intraoperative radiotherapy., Z. Med. Phys. 18, 120-127 (2008). 10.1016/j.zemedi.2007.09.002
45. J. G. H. Sutherland and D. W. O. Rogers, Monte Carlo calculated absorbed-dose energy dependence of EBT and EBT2 film., Med. Phys. 37, 1110-1116 (2010). 10.1118/1.3301574
46. P. Munck af Rosenschöld, P. Nilsson, and T. Knöös, Kilovoltage x-ray dosimetry - An experimental comparison between different dosimetry protocols., Phys. Med. Biol. 53, 4431-4442 (2008). 10.1088/0031-9155/53/16/014
47. International Commission on Radiation Units and Measurements, Prescribing, Reporting and Recording Photon Beam Radiotherapy: Report 50 (ICRU, Bethesda, MD, 1993).
48. C. F. Njeh, M. W. Saunders, and C. M. Langton, Accelerated partial breast irradiation (APBI): A review of available techniques., Radiat. Oncol. 5, 90 (2010). 10.1186/1748-717X-5-90
49. TARGIT Trial Protocol, version 5.1, 2010, see http://www.targittrial.org.
50. F. Schneider, F. Greineck, S. Clausen, S. Mai, U. Obertacke, T. Reis, and F. Wenz, Development of a novel method for intraoperative radiotherapy during kyphoplasty for spinal metastases (Kypho-IORT)., Int. J. Radiat. Oncol. Biol. Phys. 81, 1114-1119 (2011). 10.1016/j.ijrobp.2010.07.1985
51. M. G. Metaxas, R. D. Speller, G. J. Royle, and J. Seco, Source location and dose verification for x-ray intra-operative radiotherapy (IORT)., in Nuclear Science Symposium Conference Record (Institute of Electrical and Electronics Engineers, New York, NJ, 2004), pp. 3066-3070.
52. J. J. Segala, G. A. Cardarelli, J. R. Jiatt, B. H. Curran, and E. S. Sternick, Interface dosimetry for electronic brachytherapy breast balloon applicators., J. Appl. Clin. Med. Phys. 12, 293-300 (2011).
53. M. J. Rivard, S. D. Davis, L. A. DeWerd, T. W. Rusch, and S. Axelrod, Calculated and measured brachytherapy dosimetry parameters in water for the Xoft Axxent X-Ray Source: An electronic brachytherapy source., Med. Phys. 33, 4020-4032 (2006). 10.1118/1.2357021
54. H. Safigholi, R. Faghihi, S. K. Jashni, and A. S. Meegooni, Characteristics of miniature electronic brachytherapy x-ray sources based on TG-43U1 formalism using Monte Carlo simulation techniques., Med. Phys. 39, 1971-1979 (2012). 10.1118/1.3693046
55. J. Hiatt, G. Cardarelli, J. Hepel, D. Wazer, and E. Sternick, A commissioning procedure for breast intracavitary electronic brachytherapy systems., J. Appl. Clin. Med. Phys. 9, 58-68 (2008). 10.1120/jacmp.v9i3.2775
56. J. F. Williamson, P. B. Dunscombe, M. B. Sharpe, B. R. Thomadsen, J. A. Purdy, and J. A. Deye, Quality assurance needs for modern image-based radiotherapy: Recommendations from 2007 interorganizational symposium on Quality assurance of radiation therapy: Challenges of advanced technology., Int. J. Radiat. Oncol. Biol. Phys. 71, S2-S12 (2008). 10.1016/j.ijrobp.2007.08.080
57. M. Ciocca, M.-C. Cantone, I. Veronese, F. Cattani, G. Pedroli, S. Molinelli, V. Vitolo, and R. Orrechia, Application of failure mode and effects analysis to intraoperative radiation therapy using mobile electron linear accelerators., Int. J. Radiat. Oncol. Biol. Phys. 82, e305-e311 (2012). 10.1016/j.ijrobp.2011.05.010
58. B. R. Thomadsen, P. J. Biggs, L. A. DeWerd, C. W. Coffey, S.-T. Chiu-Tsao, M. S. Gossman, G. S. Ibbott, M. K. Islam, S. K. Jani, M. T. LaFrance, A. S. Meigooni, M. J. Rivard, V. Sehgal, R. J. Smith, D. J. Keys, M. Benker, and T. W. Rusch, The 2007 AAPM Response to the CRCPD Request for Recommendations for the CRCPDs Model Regulations for Electronic Brachytherapy: Report 152 (AAPM, College Park, MD, 2009).
59. D. J. Eaton, T. Ghaus, R. Gonzalez, B. Best, C. Hourihane, B. Mastroianni, N. Simpson, and S. Duck, Multidisciplinary intra-operative breast radiotherapy., Clin. Oncol. (R. Coll. Radiol.) 21, 255 (2009).