Journal of Medical Physics
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Year : 2017  |  Volume : 42  |  Issue : 3  |  Page : 133-139

Volumetric-modulated arc therapy lung stereotactic body radiation therapy dosimetric quality assurance: A comparison between radiochromic film and chamber array

1 Department of Medical Physics and Radiation Protection, Santa Lucia University Hospital, Cartagena, Murcia, Spain
2 Department of Medical Physic Radiology and Physical Medicine, Faculty of Medicine/Dentistry, University of Murcia, Murcia, Spain

Correspondence Address:
Juan Fernando Mata Colodro
Hospital Universitario Santa Lucia, C/Mezquita, s/n, Paraje Los Arcos, 30202, Santa Lucia, Cartagena, Murcia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmp.JMP_130_16

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Introduction: The aim of this work is to verify the use of radiochromic film in the quality assurance (QA) of volumetric-modulated arc therapy (VMAT) lung stereotactic body radiation therapy (SBRT) plans and compare the results with those obtained using an ion chamber array. Materials and Methods: QA was performed for 14 plans using a two-dimensional-array seven29 and EBT3 film. Dose values per session ranged between 7.5 Gy and 18 Gy. The multichannel method was used to obtain a dose map for film. Results: The results obtained were compared with treatment planning system calculated profiles through gamma analysis. Passing criteria were 3%/3 mm, 2%/2 mm and 3%/1.5 mm with maximum and local dose (LD) normalization. Mean gamma passing rate (GPR) (percentage of points presenting a gamma function value of <1) was obtained and compared. Calibration curves were obtained for each color channel within the dose range 0–16 Gy. Mean GPR values for film were >98.9% for all criteria when normalizing per maximum dose. When using LD, normalization was >92.7%. GPR values for the array were lower for all criteria; this difference being statistically significant when normalizing at LD, reaching 12% for the 3%/1.5 mm criterion. Conclusion: Both detectors provide satisfactory results for the QA of plans for VMAT lung SBRT. The film provided greater mean GPR values, afforded greater spatial resolution and was more efficient overall.

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