UK SABR Consortium Lung Dosimetry Audit; absolute dosimetry results
2015
Purpose/Objective: The UK SABR Lung Consortium dose audit
was designed to assess the positional and dosimetric accuracy of SABR lung treatment delivery. The audit has been carried out in 21 radiotherapy centres between October 2013 and July 2014 in order to provide an independent check of safe implementation and to identify problems in the modelling and delivery of SABR lung treatment. Materials and Methods: A mail based audit using EBT3
GafChromic film and alanine dosimeters was designed. A CIRS
Model 002LFC anthropomorphic thorax phantom which
contained 9 adjacent alanine pellets in the tip of a Farmer
chamber shaped insert was scanned, structure sets for the
ITV and alanine pellets were pre-delineated, and was sent to
radiotherapy centres to be loaded into their treatment
planning system. Each centre used this CT scan set to create
a SABR plan using their current planning protocol (including
dose, fractionation and coverage) and technique. The centres
used their own margin to create the PTV. A range of delivery
techniques were used including conformal, VMAT and
Cyberknife and calculated using local algorithms (AAA,
Collapsed Cone, Monte Carlo and Pencil beam). The doses
determined by the alanine dosimeters were compared to
expected doses determined by treatment plan system (TPS)
calculation, film and local ionisation chamber measurements. Results: The mean % difference between the alanine
measured doses, the TPS calculated doses, and the local
chamber measurements found to be within 2% (1 SD) as given
in table 1. As shown, alanine findings were supported by the
film results.
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