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artículo
Publicado 2024
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Introduction: Quality control is essential to ensure safety and prevent errors in the administration of ionizing radiation across various radiotherapy techniques. Objective: To evaluate the performance of the ArcCheck detector with the goal of implementing a specific quality control technique for patients treated with dynamic arc therapy. Methods: Fifty patients treated with 6 MV and 10 MV energies on the Clinac® Varian CX were selected. Doses at the isocenter of each treatment plan were analyzed using a PMMA phantom (30 x 30 x 15 cm³) to validate reference values between the treatment planning system and the ionization chamber. The treatment plans were also recreated using the ArcCheck. Results: The mean dose difference at the isocenter was -0.96% and -1.34% for 6 MV and 10 MV, respectively. The average passing rate of the dose distributions in the gamma analysis exceeded 98.0% for bo...
2
artículo
Publicado 2024
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The diagnostic medical practice using X-rays significantly contributes to the collective dose worldwide, where the inherent risk in each examination is proportional to the absorbed dose, which is related to deterministic and stochastic effects of ionizing radiation. Therefore, due to the necessity of optimizing each radiological procedure, this study aimed to reduce the absorbed dose in patients undergoing X-ray examinations by evaluating each parameter that modifies the spectral distribution. The Birch and Marshall method was employed to reconstruct and modify the X-ray spectra based on tube voltage, filtration, tube current, anode angle, and energy pass factor. By modifying these parameters, it was possible to reduce the absorbed dose in the patient’s skin by up to 38%. The proposed methodology is feasible for implementation in clinical centers, given the availability of copper filt...
3
artículo
Publicado 2022
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Objective: To implement a Postal Quality Control System to verify the Treatment Planning System in Teletherapy using Dosimeters Al2O3 :C, based on optically stimulated luminescence (OSL), commercially known as OSLD nanoDotTM. Materials and Methods: A mannequin containing OSLD nanoDot TM dosimeters, (Al2O3 :C), previously characterized and calibrated for the energy of a 6.0 MV x-ray beam generated in a linear accelerator, the absorbed dose values were measured with: a Semiflex, ionization chamber, PTW – Freigburg electrometer, 3D radiation geometries, such as: Simple geometry (open field at 0º and 25º), Complex geometry (three open fields at 0º, 90º and 270º) and Combined geometry (field and various variations of Gantry rotation), using square fields (6cm2), circular (diameter 6cm), oblique (6cm x 6cm) and Irregular, equal weights and virtual wedge filters in different ...