Analytical Method for Determination of Wedge Factors Dependency of Field Size and Depth for 6mv & 18mv Photon Beams In Siemens Primius Plus Accelerator

Document Type : Original Article

Authors

1 Associated Professor of Medical Physics.Department of Medical Physics, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 Professor of Medical Physics,Department of Medical Physics, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

3 Assistant Professor of Medical Physics.Department of Medical Physics, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

4 Student in Medical Physics.Department of Medical Physics, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

5 M.Sc. Medical Physics.Department of Medical Physics, Golestan Hospital, Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran.

Abstract

Background and Objectives: Shields with variable thickness (physical wedge) is used in radiotherapy for eliminating hot spots and create a uniform dose distribution beam. In this regard, determining a factor for calculating the attenuation of beam by using the wedge is important in order to compensate for the dose of the treatment. This study aims to use a semi-experimental method and convert it to computer software for determining the wedge factor and enlarging treatment planning system (TPS) in radiotherapy department.
Subjects and Methods: Relative  dosimetry of accelerator Primus plus of Ahvaz Golestan hospital radiotherapy department was performed for with wedge and without wedge fields at the reference depth (10 cm), by ionization chambers (CC13/SN-6186 & 6187) that was calibrated in atomic energy organization of Iran (SSDL center). The wedge factors were calculated for square fields with wedge angles 15,30,45 and 60. Finally, an analytical equation for wedge factor is defined. By this equation the attenuation coefficient of wedge can be obtained. With these  results the wedge factor in all depths­ of phantom, therapeutic fields and photon energy (6 and 18 MV) is determined. Therefore, using TBL Curve ver5 and MATLAB they were converted in to a computer software.
Results: By using TBL Curve ver5 software an analytical equation for different depths of wedged fields in photon energies 6 and 18 MV with accuracy (r2› 0/995) is obtained, that can determine the wedge factor with accuracy less than 5% compared to measurement.
Conclusion: Based on this research determination of wedge factor for all field size at any depth, energy and for each physical wedge is available even for any case which the measuring of wedge factor is not possible.

Keywords


1-McCullough EC, Gortney J, Blackwell CR. A depth dependence determination of the wedge transmission factor for 4-10 MV photon beams. Med Phys 1988;15(4):621-3.
2-Palta JR, Daftari I, Suntharalingam N. Field size dependence of wedge factors. Med Phys 1988;15(4):624-6.
3-Niroomand-Rad A, Haleem M, Rodgers J, Obcemea C. Wedge factor dependence on depth and field size for various beam energies using symmetric and half-collimated asymmetric jaw settings. Med Phys 1992;19(6):1445-50.
4-Heukelom S, Lanson JH, Mijnheer BJ. Wedge factor constituents of high energy photon beams: field size and depth dependence. Radiother Oncol 1994;30(1):66-73.
5-Popescu A, Lai K, Singer K, Phillips M. Wedge factor dependence with depth, field size, and nominal distance--a general computational rule. Med Phys 1999;26(4):541-9.
6-Ahmad M, Hussain A, Muhammad W, Rizvi SQ, Matiullah. Studying wedge factors and beam profiles for physical and enhanced dynamic wedges. J Med Phys 2010;35(1):33-41.
7-Hajizadeh Safar M, Ghavam Nasiri MR, Gholam Hosseinian H. Assesment of variation of wedge factor with depth, field size and SSD for Neptun 10PC Linac in Mashad Imam Reza Hospital. Iran J Radiat Res 2004;2(2):53-8.