AAPM s TG 51 Protocol for Clinical Reference Dosimetry of High-Energy Photon and Electron Beams Peter R. Almond, Brown Cancer Center,Louisville, KY 40202 Peter J. Biggs, Department of Radiation Oncology, Massachusetts General Hospital, Boston, MA 02114 B.M. Coursey, Ionizing Radiation Division, National Institute of Standards and Technology, Gaithersburg, MD 20899 W.F. Hanson, M.D. Anderson Cancer Center, University of Texas, Houston, TX 77030 M.Saiful Huq, Kimmel Cancer Center of Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA 19107 Ravinder Nath, Yale Univ School of Medicine,New Haven, CT 06510 D.W.O. Rogers, Ionizing Radiation Standards, National Research Council of Canada, Ottawa K1A OR6, Canada Developed by TG 51 of the Radiation Therapy Committee of the AAPM. As published in Med Phys 26 (1999) 1847 1870 Abstract This is the figures from TG-51 in a large scale and colour format. Note the postscript and/or pdf versions available at http://www.irs.inms.nrc.ca/inms/irs/tg51 figures/tg51 figures.html 1
AAPM s TG 51 Protocol for Reference Dosimetry: Med Phys 26 (1999) 1847 1870 page 2 %depth ionization 100 90 80 70 60 d max II %dd(10) I A a) dose II I 50 B b) I 100 80 60 40 20 50 0 5 10 15 20 depth /cm 0 1 2 3 4 5 6 7 8 depth / cm 0 Figure 1: Effect of shifting depth-ionization data measured with cylindrical chambers upstream by 0.6 r cav for photon beams (panel a) and 0.5 r cav for electron beams (panel b) (with r cav = 1.0 cm). The raw data are shown by curve I (long dashes) in both cases and the shifted data, which are taken as the depth-ionization curve, are shown by curve II (solid line). The value of the % ionization at point A (10 cm depth) in the photon beam gives %dd(10) and the depth at point B (solid curve, 50% ionization) in the electron beam gives I 50 from which can be determined (see section VIII.C). For the photon beams, curve II is effectively the percentage depth-dose curve. For the electron beams, curve II must be further corrected (see section X.D) to obtain the percentage depth-dose curve shown (short dashes - but this is not needed for application of the protocol).
AAPM s TG 51 Protocol for Reference Dosimetry: Med Phys 26 (1999) 1847 1870 page 3 110 100 d ref = 0.6 0.1 cm % depth dose dd_r50_dref 90 80 70 60 50 40 30 20 10 0 d max 0 2 4 6 8 10 12 depth /cm Figure 2: is defined as the depth, in cm, at which the absorbed dose falls to 50% of its maximum value in a 10 10 cm 2 ( 20 20 cm 2 for > 8.5 cm) electron beam at an SSD of 100 cm. The depth for clinical reference dosimetry is d ref = 0.6 0.1 cm, in the same sized beam at an SSD between 90 and 110 cm. Note that for low-energy beams, d ref is usually at d max.
AAPM s TG 51 Protocol for Reference Dosimetry: Med Phys 26 (1999) 1847 1870 page 4 SSD SAD 10 cm 10x10 10 cm 10x10 SSD Setup SAD Setup Figure 3: Schematic of the SSD or SAD setups which may be used for photon beam reference dosimetry. In both cases the ion chamber is at a water equivalent depth of 10 cm in the water phantom. The actual value of SSD or SAD is that most useful in the clinic (expected to be about 100 cm).
AAPM s TG 51 Protocol for Reference Dosimetry: Med Phys 26 (1999) 1847 1870 page 5 A12,A1,PR05,PR05P,IC 5,IC 10 0.99 PTW N30002 k Q 0.98 0.97 0.96 0.95 PR06C PTW N30001,31003 NE2571, 2577 2505/3A, 30004 NE2561 0.94 kq_photon NE2581 55 60 65 70 75 80 85 90 %dd(10) X Figure 4: Values of k Q at 10 cm depth in accelerator photon beams as a function of %dd(10) x for cylindrical ion chambers commonly used for clinical reference dosimetry. When values were the same within 0.1%, only one curve is shown. Explicit values are given in Table I, as is a list of equivalent chambers. For 60 Co beams, k Q = 0.
AAPM s TG 51 Protocol for Reference Dosimetry: Med Phys 26 (1999) 1847 1870 page 6 Exradin A1,PR05,PR05P 1.03 NE2505.3A NE2571 N30001 PR06C/G NE2577 N30004 k at d ref 1.02 1.01 A12 N30002 IC10/5 0.9905+0.071e ( R50/3.67) N31003 kr50.prime NE2561 N23331 NE2581 PR06C/G 2 3 4 5 6 7 8 9 /cm Figure 5: Calculated values of k R 50 at d ref as a function of for several common cylindrical ion chambers. These values can be used with Eq.(6), (with a measured value of Pgr Q and a k ecal value from Table III) to determine the absorbed dose to water at the reference depth of d ref = 0.6 0.1 cm.
AAPM s TG 51 Protocol for Reference Dosimetry: Med Phys 26 (1999) 1847 1870 page 7 k at d ref 1.06 1.05 1.04 1.03 1.02 Markus NACP Exradin P11 Holt PTB/Roos Attix 1.2239 0.145( ) 0.214 1.01 Capintec 0.99 kr50.prime_pp 2 3 4 5 6 7 8 9 /cm Figure 6: Calculated values of k at d ref as a function of for several common plane-parallel chambers. Note that the values for the 5 well-guarded chambers lie on the same line in the figure. These values can be used with Eq.(6) (with P Q gr = 1.0) to determine the absorbed dose to water at the reference depth of d ref = 0.6 0.1 cm.
AAPM s TG 51 Protocol for Reference Dosimetry: Med Phys 26 (1999) 1847 1870 page 8 NE2505.3A NE2571 NE2577 N30001 NE2581 PR06C/G 0.99 NE2561 N23331 k at d ref 0.98 0.97 N30004 N30002 A12 IC10/5 N31003 0.96 Exradin A1,PR05,PR05P 9 10 11 12 13 14 15 16 17 18 19 20 /cm Figure 7: Calculated values of k R 50 at d ref for high-energy electron beams, as a function of for cylindrical ion chambers. These values can be used with Eq.(6), (with a measured value of Pgr Q and a k ecal value from Table III) to determine the absorbed dose to water at the reference depth of d ref = 0.6 0.1 cm.
AAPM s TG 51 Protocol for Reference Dosimetry: Med Phys 26 (1999) 1847 1870 page 9 0.99 k at d ref 0.98 0.97 0.96 0.95 Capintec Holt Exradin P11 Markus PTB/Roos Attix NACP 1.2239 0.145( ) 0.214 kr50.prime_pp.high 9 10 11 12 13 14 15 16 17 18 19 20 /cm Figure 8: Calculated values of k R 50 at d ref for high-energy electron beams, as a function of for plane-parallel chambers. Note that the values for the 5 well-guarded chambers lie on the same line in the figure. These values can be used with Eq.(6) (with Pgr Q = 1.0 and a k ecal value from Table II) to determine the absorbed dose to water at the reference depth of d ref = 0.6 0.1 cm.