Recommendations of the American Association of Physicists in Medicine (AAPM) for the radiochromic film dosimetry are presented. These guidelines were prepared by a task group of the AAPM Radiation Therapy Committee and have been reviewed and approved by the AAPM Science Council.

Very few dosimetry data are available for the current generation of high-dose-rate (HDR) 192Ir sources, which have broad application in remotely afterloaded brachytherapy. We have measured the two-dimensional dose rate distribution around a microSelectron-HDR source and used the results to validate Monte Carlo simulations. Thermoluminescent dosimeters (TLDs) in solid-water phantoms were used to measure the transverse-axis dose rates in the distance range 0.5-10 cm and the polar dose-rate profiles at 1.5, 3 and 5 cm distance from the source. At close distances, 2-40 mm from the HDR source, we performed transverse axis dose-rate measurements with a Si diode in water. We performed diode measurements at the same distances also for a pulsed dose-rate (PDR) source to compare the results for 192Ir sources with different encapsulation. Both the HDR and the PDR sources were decayed, separated from their cables and calibrated prior to the measurements. The measured dose rates were compared with Monte Carlo photon transport calculations, which realistically modelled the experimental and source geometry at each measurement point. Agreement between Monte Carlo photon transport absolute dose-rate calculations and measurements was, on average, within 5%. From the transverse-axis experimental data, we deduced a value for the dose-rate constant lambda 0 of 192Ir HDR sources of 1.14 cGy h-1 U-1 +/- 5%. This value agrees within the experimental error with the Monte Carlo estimate of 1.115 cGy h-1 U-1 +/- 0.5%. Excellent agreement with previously measured anisotropy functions was observed. Higher anisotropy is observed for the point at 0 degree along the source cable for which no previous data have been reported.

Dosimetry of brachytherapy sources is critically dependent on precise measurement of the source-detector distance. A solid phantom can be precisely machined and hence distances can be accurately determined. In this work LiF thermoluminescent chips are used for absolute dose rate measurements in solid water, polymethylmethacrylate (PMMA), and polystyrene. These media are examined for their suitability in the dosimetry of 125I by comparing depth doses in each phantom. Measurements and Monte Carlo calculations show that solid water is equivalent to water for the dosimetry of 125I seeds, however, polystyrene and PMMA are not equivalent to water. Also, photon energy spectra for several depths in each phantom material have been calculated and are used to determine average photon energy and mass energy absorption coefficients as a function of depth.

Brachytherapy began at the turn of the 20th century, contemporary with external-beam radiotherapy. Physicists and physicians together developed the field. There has not been a period since the beginning that has not witnessed innovations and progress in brachytherapy. At the time of this article, the pace of change in the field has never been more rapid, particularly in image-guided brachytherapy and the development of unconventional sources and treatment techniques.

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