Program Information
Quantitatively Comparison of Low Dose Spillage Outside of PTV Edge in Arc Therapy Modalities
J Gong*, R Sarwan , D Pavord , Health-quest, Poughkeepsie, NY
Presentations
SU-E-T-444 Sunday 3:00PM - 6:00PM Room: Exhibit HallPurpose: To quantitatively compare low dose spillage outside of PTV edge in arc therapy modalities
Methods: The machines used in the study are Tomotherapy Hi-Arc and Varian 21EX with millennium120 MLC. TPS are TomoPlaning and RayStation for VMAT, respectively. The phantom is a 30cm diameter cylindrical solid water (TOMOTHERAPY, TOMOPHANTOM ASSY). The PTV is 4cm length with ellipsoidal sectional shape with major axis=5cm, minor axis=3cm in the axial plane and reversed in the coronal plane. The PTV volume is created with interpolation. It is located at the center of the phantom. The prescribed dose is 1000x5 cGy to 95% the PTV. The isocenter is set co-centered with the PTV. EBT-3 film was used to measure iso-dose lines at the center plane. Film dosimetry is performed with the RIT, v6.2.
Results: the study shows: (1) dose falloff gradient is usually uneven, depending on the PTV shape in the gantry rotation plane. For an elliptical shape, the low dose spillage is wider in the minor axis direction than that in the major axis direction. The more a shape is closer to circular, the more even gradient is all directions; (2)for a circular shape (CAX plane in this study), the maximum dose in % of Rx dose at 2cm from PTV is 55% for Tomo, vs. 70% for VMAT (3) the most rapid dose falloff rang is between 95%-80% IDL for both modalities.
Conclusion: Tomo has more rapid dose falloff outside of PTV. In some areas, the gradient is double for Tomo helical than that for LINAC VMAT at same points. Future work will examine the differences between optimization of doses and inherent delivery limitations.
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