[Effect of source positional discrepancy on dose and dose distributions in cobalt-60 stereotactic radiosurgery units]. 2015

Hisato Nakazawa, and Yukio Uchiyama
Nagoya Radiosurgery Center, Nagoya Kyoritsu Hospital.

We assessed the impact of source positional discrepancy on dose and dose distributions in Gamma Knife (GK) Perfexion (PFX) stereotactic radiosurgery. A spherical phantom dedicated in GK machine was used and irradiated by 2 Gy in each position moved at an interval of 0.1 mm from its original position using three types of collimators (4, 8, 16 mm) to evaluate the changes of dose. In addition, to obtain the dose distributions, radiochromic film was inserted in the phantom and irradiated by 6 Gy in each position moved at an interval of 1 mm from its original position using three types of collimators. A distance-to-agreement analysis (DTA) was performed to compare isodose lines from 10% to 90% of dose distributions between the original and deviated position. As a result, when the source moved toward the discrepancy from the center of the collimator, the dose and dose distributions discrepancies increased according to the degree of discrepancy. Especially in 4-mm collimator, 0.5 mm discrepancy caused dose reduction of 5%. On the other hand, 0.5 mm discrepancy showed merely dose differences less than 0.5% in 8 mm and 16 mm collimators. Regarding dose distributions, 1 mm discrepancy in all collimators showed little changes in DTA within 1 mm on average.

UI MeSH Term Description Entries
D011829 Radiation Dosage The amount of radiation energy that is deposited in a unit mass of material, such as tissues of plants or animal. In RADIOTHERAPY, radiation dosage is expressed in gray units (Gy). In RADIOLOGIC HEALTH, the dosage is expressed by the product of absorbed dose (Gy) and quality factor (a function of linear energy transfer), and is called radiation dose equivalent in sievert units (Sv). Sievert Units,Dosage, Radiation,Gray Units,Gy Radiation,Sv Radiation Dose Equivalent,Dosages, Radiation,Radiation Dosages,Units, Gray,Units, Sievert
D003037 Cobalt Radioisotopes Unstable isotopes of cobalt that decay or disintegrate emitting radiation. Co atoms with atomic weights of 54-64, except 59, are radioactive cobalt isotopes. Radioisotopes, Cobalt
D016634 Radiosurgery A radiological stereotactic technique developed for cutting or destroying tissue by high doses of radiation in place of surgical incisions. It was originally developed for neurosurgery on structures in the brain and its use gradually spread to radiation surgery on extracranial structures as well. The usual rigid needles or probes of stereotactic surgery are replaced with beams of ionizing radiation directed toward a target so as to achieve local tissue destruction. Gamma Knife Radiosurgery,Linear Accelerator Radiosurgery,Stereotactic Body Radiotherapy,Stereotactic Radiosurgery,CyberKnife Radiosurgery,LINAC Radiosurgery,Radiosurgery, Gamma Knife,Radiosurgery, Linear Accelerator,Radiosurgery, Stereotactic,Stereotactic Radiation,Stereotactic Radiation Therapy,CyberKnife Radiosurgeries,Gamma Knife Radiosurgeries,LINAC Radiosurgeries,Linear Accelerator Radiosurgeries,Radiation Therapy, Stereotactic,Radiation, Stereotactic,Radiosurgery, CyberKnife,Radiosurgery, LINAC,Radiotherapy, Stereotactic Body,Stereotactic Body Radiotherapies,Stereotactic Radiation Therapies,Stereotactic Radiations,Stereotactic Radiosurgeries,Therapy, Stereotactic Radiation
D019047 Phantoms, Imaging Devices or objects in various imaging techniques used to visualize or enhance visualization by simulating conditions encountered in the procedure. Phantoms are used very often in procedures employing or measuring x-irradiation or radioactive material to evaluate performance. Phantoms often have properties similar to human tissue. Water demonstrates absorbing properties similar to normal tissue, hence water-filled phantoms are used to map radiation levels. Phantoms are used also as teaching aids to simulate real conditions with x-ray or ultrasonic machines. (From Iturralde, Dictionary and Handbook of Nuclear Medicine and Clinical Imaging, 1990) Phantoms, Radiographic,Phantoms, Radiologic,Radiographic Phantoms,Radiologic Phantoms,Phantom, Radiographic,Phantom, Radiologic,Radiographic Phantom,Radiologic Phantom,Imaging Phantom,Imaging Phantoms,Phantom, Imaging

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