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Isodose Distributions
Ref:. F.M.Khan, 3rd ed. Chapter 11
Yoichi Watanabe, Ph.D.
Department of Therapeutic Radiology
Masonic Cancer Center M10-M
612-626-6708
watan016@umn.edu
http://www.tc.umn.edu/~watan016/Teaching.htm
Spring semester
Outline
1.
Isodose chart
2.
3.
4.
5.
6.
7.
8.
Isodose curve
Lines passing through points of equal dose
Drawn at regular intervals of absorbed dose
Expressed as a percentage of the dose at a
reference point
Isodose chart
SSD=80 cm
SAD=100 cm
Geometric Penumbra
W =D
SSD SDD
SDD
SDD
Jaw
SSD
Penumbra width, W
CAX
W = 1 cm
SDD = 45.5 cm
SSD = 100 cm
D = 0.3 cm
W = 0.36 cm
Co-60 beam
80cm SSD
10cmx10cm
At 10 cm depth
Co-60 beam
80cm SSD
10cmx10cm
At 10 cm depth
Accelerator head
Photon beam
Relataive do
21EX 6MVX
120
110
100
90
80
70
60
50
40
30
20
10
0
-250 -200 -150 -100 -50
1.5 cm
5 cm
10 cm
30 cm
20 cm
50
X [mm]
Beam Profiles:
flatness and symmetry
flatness
usually specified at 10 cm
within 3%. over 80% of the field
symmetry
usually specified at 10 cm
within 2%. over 80% of the field
Outline
1.
Isodose chart
2.
3.
4.
5.
6.
7.
8.
Ion chambers
Relatively flat energy response and precision
Waterproof and small size
Outline
2.
Isodose chart
Measurement of isodose curves
3.
4.
Wedge filters
Combination of radiation fields
Isocentric techniques
Wedge field techniques
Tumor dose specification for external photon
beams.
1.
5.
6.
7.
8.
SSD=80 cm
SAD=100 cm
Beam Quality
The depth of a given isodose curve
increases with beam quality.
Greater lateral scatter associated with
lower-energy beams
For megavoltage beams, the scatter
outside the field is minimized as a result of
forward scattering and becomes more a
function of collimation than energy.
200 kVp,
SSD=50 cm
60Co,
SSD=80 cm
4 MV, SSD=100 cm
10 MV, SSD=100 cm
d-max, cm
PDD10 cm
TPR2010
Co-60
0.5
56.4
0.512*
6MV
1.7
67.8
0.679
10MV
2.5
73.2
0.713
18MV
3.5
78.8
0.774
6MV
1.7
67.3
0.672
25MV
4.0
81.9
0.801
(*) TAR ratio
Field Size
One of the most important parameters in
treatment planning
Field size smaller than 6 cm
Collimation
Blocks
The flattening filter
To
Beam modulators
Outline
3.
Isodose chart
Measurement of isodose curves
Parameters of isodose curves
4.
Wedge filters
5.
1.
2.
6.
7.
8.
Wedge Filters
(A)
(B)
Normalized at d-max.
Norm. at d-max of open field.
Wedge angle
the angle through which an isodose
curve is titled at the central ray of a
beam at a specified depth. (10 cm)
The angle between the isodose
curve and the normal to the central
axis
Wedge angle
10 cm
Wedge Systems
Individualized wedge system
A separate wedge for each beam
width
To minimize the loss of beam output
To align the thin end of the wedge
with the border of the light field
Used in 60Co
W = 1 cm Universal wedge system
A single wedge for all beam widths
Fixed centrally in the beam
Used in Linac
B 3)
4)
5)
Nonwedge isodose 40
55
62
65
67
68
68
68
67
65
62
55
40
Wedge isodose
35
39
41
47
53
60
68
76
86
95
105
110
115
Wedge/nonwedge
0.875 0.710 0.660 0.720 0.790 0.880 1.00 1.12 1.28 1.46 1.70 1.20 2.88
Transmission ratio
mm Pb
15.2
13.6
12.2
10.5
8.3
6.5
4.5
2.3
Bolus
Tissue-equivalent
material
Used to increase the
skin/surface dose to
treat tumors at a
shallow depth with
high energy photon
beams.
The thickness is
usually 0.5 cm to 1.5
cm.
50
40
30
20
10
0
10
15
20
Depth [cm]
25
30
Outline
4.
Isodose chart
Measurement of isodose curves
Parameters of isodose curves
Wedge filters
5.
6.
Isocentric techniques
Wedge field techniques
Tumor dose specification for external photon
beams.
1.
2.
3.
7.
8.
Advantages
Disadvantage
Integral Dose
unit: g-rad, kg-Gy or J (1 Gy =1 J/kg)
= 1.44 D0 A d1 / 2 ( 1 e
0.693 d / d1 / 2
2.88d1 / 2
)
)( 1 +
SSD
Outline
5.
Isodose chart
Measurement of isodose curves
Parameters of isodose curves
Wedge filters
Combination of radiation fields
6.
Isocentric techniques
7.
1.
2.
3.
4.
8.
Isocentric Techniques
The isocenter is the point of intersection of
the collimator axis and the gantry axis of
rotation.
Isocentric technique
Stationary beams
full arc
D iso = D ref T
D iso = D 0 S c S p TMR
Outline
6.
Isodose chart
Measurement of isodose curves
Parameters of isodose curves
Wedge filters
Combination of radiation fields
Isocentric techniques
7.
8.
1.
2.
3.
4.
5.
= 90- /2
= the wedge angle
= the hinge angle
S = the separation or the
distance between the thick
ends of the wedge filters
as projected on the surface
Compensators
Contours are usually curved or irregular in
shape.
Compensators
(A)
The weights
of AP and
LLAT are
100 and 15.
(B)
AP and
opposed
lateral fields
15 MU
Outline
1.
2.
3.
4.
5.
6.
7.
8.
Isodose chart
Measurement of isodose curves
Parameters of isodose curves
Wedge filters
Combination of radiation fields
Isocentric techniques
Wedge field techniques