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AAPM's TG‐51 protocol for clinical reference dosimetry of high‐energy photon and electron beams
Author(s) -
Almond Peter R.,
Biggs Peter J.,
Coursey B. M.,
Hanson W. F.,
Huq M. Saiful,
Nath Ravinder,
Rogers D. W. O.
Publication year - 1999
Publication title -
medical physics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.473
H-Index - 180
eISSN - 2473-4209
pISSN - 0094-2405
DOI - 10.1118/1.598691
Subject(s) - ionization chamber , dosimetry , absorbed dose , laser beam quality , electrometer , beam (structure) , physics , photon , calibration , atomic physics , ion beam , ion , nuclear medicine , nuclear physics , optics , ionization , medicine , laser , quantum mechanics , laser beams
A protocol is prescribed for clinical reference dosimetry of external beam radiation therapy using photon beams with nominal energies between60 Co and 50 MV and electron beams with nominal energies between 4 and 50 MeV. The protocol was written by Task Group 51 (TG‐51) of the Radiation Therapy Committee of the American Association of Physicists in Medicine (AAPM) and has been formally approved by the AAPM for clinical use. The protocol uses ion chambers with absorbed‐dose‐to‐water calibration factors, N D , w60 Co , which are traceable to national primary standards, and the equation D w Q= Mk QN D , w60 Co , where Q is the beam quality of the clinical beam, D w Qis the absorbed dose to water at the point of measurement of the ion chamber placed under reference conditions, M is the fully corrected ion chamber reading, and k Qis the quality conversion factor which converts the calibration factor for a60 Co beam to that for a beam of quality Q . Values of k Qare presented as a function of Q for many ion chambers. The value of M is given byM = P ionP TPP elecP polM raw , where M rawis the raw, uncorrected ion chamber reading and P ioncorrects for ion recombination, P TPfor temperature and pressure variations, P elecfor inaccuracy of the electrometer if calibrated separately, and P polfor chamber polarity effects. Beam quality, Q , is specified (i) for photon beams, by% dd ( 10 ) x , the photon component of the percentage depth dose at 10 cm depth for a field size of 10 × 10cm 2on the surface of a phantom at an SSD of 100 cm and (ii) for electron beams, by R 50 , the depth at which the absorbed‐dose falls to 50% of the maximum dose in a beam with field size ⩾ 10 × 10cm 2on the surface of the phantom ( ⩾ 20 × 20cm 2for R 50> 8.5 cm) at an SSD of 100 cm. R 50is determined directly from the measured value of I 50 , the depth at which the ionization falls to 50% of its maximum value. All clinical reference dosimetry is performed in a water phantom. The reference depth for calibration purposes is 10 cm for photon beams and0.6 R 50− 0.1 cm for electron beams. For photon beams clinical reference dosimetry is performed in either an SSD or SAD setup with a 10 × 10cm 2field size defined on the phantom surface for an SSD setup or at the depth of the detector for an SAD setup. For electron beams clinical reference dosimetry is performed with a field size of ⩾ 10 × 10cm 2( ⩾ 20 × 20cm 2for R 50> 8.5 cm) at an SSD between 90 and 110 cm. This protocol represents a major simplification compared to the AAPM's TG‐21 protocol in the sense that large tables of stopping‐power ratios and mass‐energy absorption coefficients are not needed and the user does not need to calculate any theoretical dosimetry factors. Worksheets for various situations are presented along with a list of equipment required.