Feasibility study of skin dosimetry with TLD sheets for measuring the effect of 3D printed bolus in radiotherapy

IF 2.2 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of Applied Clinical Medical Physics Pub Date : 2025-02-18 DOI:10.1002/acm2.70035
Yuya Miyasaka, Mayumi Ichikawa, Takagi Akira, Yoshifumi Yamazawa, Hongbo Chai, Hikaru Souda, Miyu Ishizawa, Hiraku Sato, Takeo Iwai
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Abstract

The thermoluminescence dosimeter (TLD) sheet is a measurement device coated with manganese-doped LiB3O5 in sheet form. The sheet is 0.2-mm thick and flexible. Hence, it can fit and be installed on irregular surfaces. The current study aimed to evaluate the feasibility of measuring patient surface doses during radiation therapy using TLD sheets. Further, the surface doses when using a three-dimensional (3D) printed bolus were compared. First, calibration of the between TLD sheet measurements and the irradiation doses was performed. Second, dose calculations and TLD sheet measurements were compared to evaluate the error between treatment planning system (TPS) dose calculations and surface dose measurements. Finally, the TLD sheet was fitted to the head phantom to measure the surface dose at the uneven areas under two conditions (with a commercial [CM] bolus and a 3D-printed bolus). Based on the error from the dose calculation algorithm and the difference between the TLD sheet thickness and the dose grid size or evaluation structure volume, the differences between the TLD sheet measurements and the treatment plan doses were up to 68.6% for the X-ray collapsed cone convolution (CCC) method and up to 8.4% for the electron beam Monte Carlo (MC) method. Based on the results of the surface dosimetry of the head phantom, the application of surface dosimetry, particularly skin dosimetry, even on uneven body surfaces, can be feasible.

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TLD片皮肤剂量法测量3D打印丸放疗效果的可行性研究。
热释光剂量计(TLD)片是一种涂覆锰掺杂LiB3O5的片状测量装置。板材厚0.2毫米,柔韧性好。因此,它可以适合和安装在不规则的表面上。目前的研究旨在评估使用TLD片测量放射治疗期间患者表面剂量的可行性。此外,还比较了使用三维(3D)打印丸时的表面剂量。首先,进行了TLD薄片测量值与辐照剂量之间的校准。其次,比较剂量计算和TLD表测量,评估治疗计划系统(TPS)剂量计算与表面剂量测量之间的误差。最后,将TLD片安装在头部模体上,在两种条件下(商用[CM]丸和3d打印丸)测量不均匀区域的表面剂量。基于剂量计算算法的误差和TLD片厚与剂量网格尺寸或评价结构体积的差异,x射线塌锥卷积法(CCC)和电子束蒙特卡罗法(MC)的TLD片测量值与治疗计划剂量的差异分别高达68.6%和8.4%。基于头模表面剂量学的结果,表面剂量学,特别是皮肤剂量学的应用,即使在不平整的身体表面,也是可行的。
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来源期刊
CiteScore
3.60
自引率
19.00%
发文量
331
审稿时长
3 months
期刊介绍: Journal of Applied Clinical Medical Physics is an international Open Access publication dedicated to clinical medical physics. JACMP welcomes original contributions dealing with all aspects of medical physics from scientists working in the clinical medical physics around the world. JACMP accepts only online submission. JACMP will publish: -Original Contributions: Peer-reviewed, investigations that represent new and significant contributions to the field. Recommended word count: up to 7500. -Review Articles: Reviews of major areas or sub-areas in the field of clinical medical physics. These articles may be of any length and are peer reviewed. -Technical Notes: These should be no longer than 3000 words, including key references. -Letters to the Editor: Comments on papers published in JACMP or on any other matters of interest to clinical medical physics. These should not be more than 1250 (including the literature) and their publication is only based on the decision of the editor, who occasionally asks experts on the merit of the contents. -Book Reviews: The editorial office solicits Book Reviews. -Announcements of Forthcoming Meetings: The Editor may provide notice of forthcoming meetings, course offerings, and other events relevant to clinical medical physics. -Parallel Opposed Editorial: We welcome topics relevant to clinical practice and medical physics profession. The contents can be controversial debate or opposed aspects of an issue. One author argues for the position and the other against. Each side of the debate contains an opening statement up to 800 words, followed by a rebuttal up to 500 words. Readers interested in participating in this series should contact the moderator with a proposed title and a short description of the topic
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