Dosimetric comparison of linear accelerator-based stereotactic radiosurgery systems

Stereotactic radiosurgery (SRS) is a special radiotherapy technique used to irradiate intracranial lesions by 3-D arrangements of narrow photon beams eliminating the needs of invasive surgery. Three different tertiary collimators, namely BrainLab and Radionics circular cones and BrainLab micro multi...

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Main Authors: Sharma S, Kumar Sudhir, Dagaonkar S, Bisht Geetika, Dayanand S, Devi Reena, Deshpande S, Chaudhary S, Bhatt B, Kannan S
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2007-01-01
Series:Journal of Medical Physics
Subjects:
Online Access:http://www.jmp.org.in/article.asp?issn=0971-6203;year=2007;volume=32;issue=1;spage=18;epage=23;aulast=Sharma
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author Sharma S
Kumar Sudhir
Dagaonkar S
Bisht Geetika
Dayanand S
Devi Reena
Deshpande S
Chaudhary S
Bhatt B
Kannan S
author_facet Sharma S
Kumar Sudhir
Dagaonkar S
Bisht Geetika
Dayanand S
Devi Reena
Deshpande S
Chaudhary S
Bhatt B
Kannan S
author_sort Sharma S
collection DOAJ
description Stereotactic radiosurgery (SRS) is a special radiotherapy technique used to irradiate intracranial lesions by 3-D arrangements of narrow photon beams eliminating the needs of invasive surgery. Three different tertiary collimators, namely BrainLab and Radionics circular cones and BrainLab micro multileaf collimator (mMLC), are used for linear accelerator-based SRS systems (X-Knife). Output factor (St), tissue maximum ratio (TMR) and off axis ratio (OAR) of these three SRS systems were measured using CC01 (Scanditronix/ Welhofer) and Pinpoint (PTW) cylindrical and Markus plane parallel ionization chambers as well as TLD and radiochromic film. Measurement results of CC01 and Pinpoint chambers were very close to each other which indicate that further reduction in volume and physical dimensions of cylindrical ionization chamber is not necessary for SRS/SRT dosimetry. Output factors of BrainLab and Radionics SRS cones were very close to each other while output factors of equivalent diameter mMLC field were different from SRS circular cones. TMR of the three SRS systems compared were very close to one another. OAR of Radionics cone and BrainLab mMLC were very close to each other, within 2%. However, OARs of BrainLab cone were found comparable to OARs of Radionics cone and BrainLab mMLC within maximum variation of 4%. In addition, user-measured similar data of other three mMLC X-Knives were compared with the mMLC X-Knife data measured in this work and found comparable. The concept of switching over to mMLC-based SRS/SRT is thus validated from dosimetric characteristics as well.
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spelling doaj.art-431d8f28da0a4d66a7259650f2a472522022-12-21T17:23:47ZengWolters Kluwer Medknow PublicationsJournal of Medical Physics0971-62032007-01-013211823Dosimetric comparison of linear accelerator-based stereotactic radiosurgery systemsSharma SKumar SudhirDagaonkar SBisht GeetikaDayanand SDevi ReenaDeshpande SChaudhary SBhatt BKannan SStereotactic radiosurgery (SRS) is a special radiotherapy technique used to irradiate intracranial lesions by 3-D arrangements of narrow photon beams eliminating the needs of invasive surgery. Three different tertiary collimators, namely BrainLab and Radionics circular cones and BrainLab micro multileaf collimator (mMLC), are used for linear accelerator-based SRS systems (X-Knife). Output factor (St), tissue maximum ratio (TMR) and off axis ratio (OAR) of these three SRS systems were measured using CC01 (Scanditronix/ Welhofer) and Pinpoint (PTW) cylindrical and Markus plane parallel ionization chambers as well as TLD and radiochromic film. Measurement results of CC01 and Pinpoint chambers were very close to each other which indicate that further reduction in volume and physical dimensions of cylindrical ionization chamber is not necessary for SRS/SRT dosimetry. Output factors of BrainLab and Radionics SRS cones were very close to each other while output factors of equivalent diameter mMLC field were different from SRS circular cones. TMR of the three SRS systems compared were very close to one another. OAR of Radionics cone and BrainLab mMLC were very close to each other, within 2%. However, OARs of BrainLab cone were found comparable to OARs of Radionics cone and BrainLab mMLC within maximum variation of 4%. In addition, user-measured similar data of other three mMLC X-Knives were compared with the mMLC X-Knife data measured in this work and found comparable. The concept of switching over to mMLC-based SRS/SRT is thus validated from dosimetric characteristics as well.http://www.jmp.org.in/article.asp?issn=0971-6203;year=2007;volume=32;issue=1;spage=18;epage=23;aulast=SharmaCircular conesdosimetrymicro multileaf collimatorradiosurgeryX-knife
spellingShingle Sharma S
Kumar Sudhir
Dagaonkar S
Bisht Geetika
Dayanand S
Devi Reena
Deshpande S
Chaudhary S
Bhatt B
Kannan S
Dosimetric comparison of linear accelerator-based stereotactic radiosurgery systems
Journal of Medical Physics
Circular cones
dosimetry
micro multileaf collimator
radiosurgery
X-knife
title Dosimetric comparison of linear accelerator-based stereotactic radiosurgery systems
title_full Dosimetric comparison of linear accelerator-based stereotactic radiosurgery systems
title_fullStr Dosimetric comparison of linear accelerator-based stereotactic radiosurgery systems
title_full_unstemmed Dosimetric comparison of linear accelerator-based stereotactic radiosurgery systems
title_short Dosimetric comparison of linear accelerator-based stereotactic radiosurgery systems
title_sort dosimetric comparison of linear accelerator based stereotactic radiosurgery systems
topic Circular cones
dosimetry
micro multileaf collimator
radiosurgery
X-knife
url http://www.jmp.org.in/article.asp?issn=0971-6203;year=2007;volume=32;issue=1;spage=18;epage=23;aulast=Sharma
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AT bishtgeetika dosimetriccomparisonoflinearacceleratorbasedstereotacticradiosurgerysystems
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AT bhattb dosimetriccomparisonoflinearacceleratorbasedstereotacticradiosurgerysystems
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