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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Appl+Clin+Med+Phys
2011 ; 12
(4
): 3554
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Increased beam attenuation and surface dose by different couch inserts of
treatment tables used in megavoltage radiotherapy
#MMPMID22089010
Seppälä JK
; Kulmala JA
J Appl Clin Med Phys
2011[Nov]; 12
(4
): 3554
PMID22089010
show ga
The use of solid carbon fiber table materials in radiotherapy has become more
common with the implementation of image-guided radiotherapy (IGRT), since the
solid materials give less imaging artifacts than the so-called tennis racket
couchtops. The downside of the solid carbon fiber couch inserts is that they
increase the beam attenuation, resulting in increased surface doses and
inaccuracies in determine the dose in the patient. The purpose of this study was
to evaluate the interaction of 6 and 15 MV photons with eight different couch
inserts. The presented results enable direct comparison of the attenuation
properties of the studied couchtops. With a direct posterior beam the maximum
attenuations reach 3.6% and 2.4% with 6 and 15 MV, respectively. The measured
maximum attenuation by a couchtop with an oblique gantry angle was 10.8% and 7.4%
at 6 and 15 MV energies, respectively. The skin-sparing effect was decreased
substantially with every couchtop. The highest increases in surface doses were
recorded to be four- and threefold, as compared to the direct posterior open
field surface doses of 6 and 15 MV, respectively. In conclusion, the carbon fiber
tabletops decrease the skin-sparing effect of megavoltage photon energies. The
increased beam attenuation and skin doses should be taken into account in the
process of treatment planning.