Evaluation of a complementary metal oxide semiconductor detector as a tool for stereotactic body radiotherapy plan quality assurance

Background and purpose: A sub-mm resolution Complementary Metal Oxide Semiconductor sensor has been developed for stereotactic radiotherapy quality assurance. Herein we evaluate its basic dosimetric performance and its application for linac C-arm stereotactic body radiotherapy (SBRT) plan quality as...

Full description

Bibliographic Details
Main Authors: Chris J. Stepanek, Jackie A. Haynes, Sally Fletcher
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Physics and Imaging in Radiation Oncology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240563162300009X
_version_ 1827990083579412480
author Chris J. Stepanek
Jackie A. Haynes
Sally Fletcher
author_facet Chris J. Stepanek
Jackie A. Haynes
Sally Fletcher
author_sort Chris J. Stepanek
collection DOAJ
description Background and purpose: A sub-mm resolution Complementary Metal Oxide Semiconductor sensor has been developed for stereotactic radiotherapy quality assurance. Herein we evaluate its basic dosimetric performance and its application for linac C-arm stereotactic body radiotherapy (SBRT) plan quality assurance. Materials and methods: The detector was integrated into its accompanying phantom or in Water Equivalent Plastic (WEP). The measurement reproducibility, stability, dose linearity and dependence on angularity, dose rate and field size were investigated. Clinical plan measurements were compared to our radiotherapy treatment planning system and radiochromic film. Sensitivity to introduced Multi Leaf Collimator (MLC) offsets was evaluated by simulating single MLC offsets in SBRT plans and comparing measurements to expected doses. Results: Signal reproducibility was within ± 0.1 % and output calibration was stable over a 6 month period. Detector showed good linearity with dose (r2 = 1). Signal decreased by 5 % when dose rate was decreased from 1300 MU/min to 300 MU/min. Output factors agreed within 0.5 % of chamber measurements for 1x1 cm field sizes or greater. Angularity measurements showed good agreement with reference. For measurement of planned clinical doses, gamma pass-rates were 98.5 % ± 2.3 % (treatment planning system reference, 2 %/2mm) and 99.2 % ± 1.0 % (film reference, 2 %,2mm). The detector also showed sensitivity to errors of 1 mm offsets in MLC positioning. Conclusion: The detector performed well when used for pre-treatment SBRT plan quality assurance, offering a good alternative to radiochromic film.
first_indexed 2024-04-10T00:30:10Z
format Article
id doaj.art-b37823b33eed4e22a5ad0e7482ad8caf
institution Directory Open Access Journal
issn 2405-6316
language English
last_indexed 2024-04-10T00:30:10Z
publishDate 2023-01-01
publisher Elsevier
record_format Article
series Physics and Imaging in Radiation Oncology
spelling doaj.art-b37823b33eed4e22a5ad0e7482ad8caf2023-03-15T04:28:41ZengElsevierPhysics and Imaging in Radiation Oncology2405-63162023-01-0125100418Evaluation of a complementary metal oxide semiconductor detector as a tool for stereotactic body radiotherapy plan quality assuranceChris J. Stepanek0Jackie A. Haynes1Sally Fletcher2Corresponding author.; Department of Radiotherapy, Bristol Haematology & Oncology Centre, University Hospitals Bristol & Weston NHS Foundation Trust, Horfield Road, Bristol BS2 8ED, United KingdomDepartment of Radiotherapy, Bristol Haematology & Oncology Centre, University Hospitals Bristol & Weston NHS Foundation Trust, Horfield Road, Bristol BS2 8ED, United KingdomDepartment of Radiotherapy, Bristol Haematology & Oncology Centre, University Hospitals Bristol & Weston NHS Foundation Trust, Horfield Road, Bristol BS2 8ED, United KingdomBackground and purpose: A sub-mm resolution Complementary Metal Oxide Semiconductor sensor has been developed for stereotactic radiotherapy quality assurance. Herein we evaluate its basic dosimetric performance and its application for linac C-arm stereotactic body radiotherapy (SBRT) plan quality assurance. Materials and methods: The detector was integrated into its accompanying phantom or in Water Equivalent Plastic (WEP). The measurement reproducibility, stability, dose linearity and dependence on angularity, dose rate and field size were investigated. Clinical plan measurements were compared to our radiotherapy treatment planning system and radiochromic film. Sensitivity to introduced Multi Leaf Collimator (MLC) offsets was evaluated by simulating single MLC offsets in SBRT plans and comparing measurements to expected doses. Results: Signal reproducibility was within ± 0.1 % and output calibration was stable over a 6 month period. Detector showed good linearity with dose (r2 = 1). Signal decreased by 5 % when dose rate was decreased from 1300 MU/min to 300 MU/min. Output factors agreed within 0.5 % of chamber measurements for 1x1 cm field sizes or greater. Angularity measurements showed good agreement with reference. For measurement of planned clinical doses, gamma pass-rates were 98.5 % ± 2.3 % (treatment planning system reference, 2 %/2mm) and 99.2 % ± 1.0 % (film reference, 2 %,2mm). The detector also showed sensitivity to errors of 1 mm offsets in MLC positioning. Conclusion: The detector performed well when used for pre-treatment SBRT plan quality assurance, offering a good alternative to radiochromic film.http://www.sciencedirect.com/science/article/pii/S240563162300009XStereotactic body radiotherapyQuality assuranceSpatial resolutionDosimetric characterisationClinical dose measurementDelivery error sensitivity
spellingShingle Chris J. Stepanek
Jackie A. Haynes
Sally Fletcher
Evaluation of a complementary metal oxide semiconductor detector as a tool for stereotactic body radiotherapy plan quality assurance
Physics and Imaging in Radiation Oncology
Stereotactic body radiotherapy
Quality assurance
Spatial resolution
Dosimetric characterisation
Clinical dose measurement
Delivery error sensitivity
title Evaluation of a complementary metal oxide semiconductor detector as a tool for stereotactic body radiotherapy plan quality assurance
title_full Evaluation of a complementary metal oxide semiconductor detector as a tool for stereotactic body radiotherapy plan quality assurance
title_fullStr Evaluation of a complementary metal oxide semiconductor detector as a tool for stereotactic body radiotherapy plan quality assurance
title_full_unstemmed Evaluation of a complementary metal oxide semiconductor detector as a tool for stereotactic body radiotherapy plan quality assurance
title_short Evaluation of a complementary metal oxide semiconductor detector as a tool for stereotactic body radiotherapy plan quality assurance
title_sort evaluation of a complementary metal oxide semiconductor detector as a tool for stereotactic body radiotherapy plan quality assurance
topic Stereotactic body radiotherapy
Quality assurance
Spatial resolution
Dosimetric characterisation
Clinical dose measurement
Delivery error sensitivity
url http://www.sciencedirect.com/science/article/pii/S240563162300009X
work_keys_str_mv AT chrisjstepanek evaluationofacomplementarymetaloxidesemiconductordetectorasatoolforstereotacticbodyradiotherapyplanqualityassurance
AT jackieahaynes evaluationofacomplementarymetaloxidesemiconductordetectorasatoolforstereotacticbodyradiotherapyplanqualityassurance
AT sallyfletcher evaluationofacomplementarymetaloxidesemiconductordetectorasatoolforstereotacticbodyradiotherapyplanqualityassurance