A commercial optically stimulated luminescence (OSL) system developed for radiation protection dosimetry by Landauer, Inc., the InLight microStar reader, was tested for dosimetry procedures in radiotherapy. The system uses carbon-doped aluminum oxide, Al2O3:C, as a radiation detector material. Using this OSL system, a percent depth dose curve for 60Co gamma radiation was measured in solid water. Field size and SSD dependences of the detector response were also evaluated. The dose response relationship was investigated between 25 and 400 cGy. The decay of the response with time following irradiation and the energy dependence of the Al2O3:C OSL detectors were also measured. The results obtained using OSL dosimeters show good agreement with ionization chamber and diode measurements carried out under the same conditions. Reproducibility studies show that the response of the OSL system to repeated exposures is 2.5% (1sd), indicating a real possibility of applying the Landauer OSL commercial system for radiotherapy dosimetric procedures.

The EGSnrc Monte Carlo user-code CSnrc is used to calculate wall correction factors, Pwall,, for parallel-plate ionization chambers in photon and electron beams. A set of Pwall values, computed at the reference depth in water, is presented for several commonly used parallel-plate chambers. These values differ from the standard assumption of unity used by dosimetry protocols by up to 1.7% for clinical electron beams. Calculations also show that Pwall is strongly dependent on the depth of measurement and can vary by as much as 6% for a 6 MeV beam in moving from a depth of dref to a depth of R50. In photon beams, where there is limited information available regarding Pwall for parallel-plate chambers, CSnrc calculations show Pwall values of up to 2.4% at the reference depth over a range of photon energies. The Pwall values for photon beams are in good agreement with previous estimates of the wall correction but have much lower statistical uncertainties and cover a wider range of photon beam energies.

The EGSnrc Monte Carlo user-code CSnrc is used to calculate wall correction factors, Pwall, for thimble ionization chambers in photon and electron beams. CSnrc calculated values of Pwall give closer agreement with previous experimental results than do the values from the standard formalism used in current dosimetry protocols. A set of Pwall values, computed at the reference depth in water, is presented for several commonly used thimble chambers. These values differ from the commonly used values by up to 0.8% for megavoltage photon beams, particularly for nominal beam energies below 6 MV. The sleeve effect, which is not currently taken into account by the TG-51 dosimetry protocol, is computed to be up to 0.3% and is in some cases larger than the Pwal1 correction itself. In electron beams, where dosimetry protocols assume a wall correction of unity, CSnrc calculations show Pwall values of up to 0.6% at the reference depth, depending on the wall material. Pwall is shown to be sensitive to the depth of measurement, varying by 2.5% for a graphite-walled cylindrical Farmer-like chamber between a depth of 0.5 cm and R50 in a 6 MeV electron beam.

CSnrc, a new user-code for the EGSnrc Monte Carlo system is described. This user-code improves the efficiency when calculating ratios of doses from similar geometries. It uses a correlated sampling variance reduction technique. CSnrc is developed from an existing EGSnrc user-code CAVRZnrc and improves upon the correlated sampling algorithm used in an earlier version of the code written for the EGS4 Monte Carlo system. Improvements over the EGS4 version of the algorithm avoid repetition of sections of particle tracks. The new code includes a rectangular phantom geometry not available in other EGSnrc cylindrical codes. Comparison to CAVRZnrc shows gains in efficiency of up to a factor of 64 for a variety of test geometries when computing the ratio of doses to the cavity for two geometries. CSnrc is well suited to in-phantom calculations and is used to calculate the central electrode correction factor Pcel in high-energy photon and electron beams. Current dosimetry protocols base the value of Pcel on earlier Monte Carlo calculations. The current CSnrc calculations achieve 0.02% statistical uncertainties on Pcel, much lower than those previously published. The current values of Pcel compare well with the values used in dosimetry protocols for photon beams. For electrons beams, CSnrc calculations are reported at the reference depth used in recent protocols and show up to a 0.2% correction for a graphite electrode, a correction currently ignored by dosimetry protocols. The calculations show that for a 1 mm diameter aluminum central electrode, the correction factor differs somewhat from the values used in both the IAEA TRS-398 code of practice and the AAPM's TG-51 protocol.

The EGSnrc system is used to compare the response of an aluminum-walled thimble chamber to that of a graphite-walled thimble chamber for a 60Co beam. When compared to previous experimental results, the EGSnrc values of the ratios of chamber response differ by as much as 0.7% from the experiment. However, it is shown that this difference can be more than accounted for by switching from using the graphite mean excitation energy of 78 eV used in dosimetry protocols to the value of 86.8 eV suggested by more recent stopping-power experiments. This suggests that the uncertainty analysis of Monte Carlo results must be done more carefully, by taking into account uncertainties in the underlying basic data such as the electron and photon cross sections. In comparison to Spencer-Attix cavity theory for a thick-walled ion chamber, the Monte Carlo calculated values of the chamber response differ from the expected ones by 0.15% and 0.01% for the graphite and aluminum chambers, respectively, which are comparable to previously reported values for the Spencer-Attix correction factors. EGSnrc is also used to investigate the effect on the chamber response of thin dag layers on the inside of the aluminum wall. There is good agreement between the calculated and measured changes in chamber response versus the thickness of the dag. The results are compared to the predictions of the Almond-Svensson extension of cavity theory and show that the theory does not correctly predict the chamber response in the presence of thin dag layers. This finding is in agreement with previously reported experimental results. It is demonstrated that the values of alpha, the fraction of ionizations in the gas arising from electrons generated in the dag layer, used in the theory, are not the source of the disagreement.

A first-time survey across 15 cancer centers in Ontario, Canada, on the current practice of patient-specific quality assurance (PSQA) for intensity modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT) delivery was conducted. The objectives were to assess the current state of PSQA practice, identify areas for potential improvement, and facilitate the continued improvement in standardization, consistency, efficacy, and efficiency of PSQA regionally. The survey asked 40 questions related to PSQA practice for IMRT/VMAT delivery. The questions addressed PSQA policy and procedure, delivery log evaluation, instrumentation, measurement setup and methodology, data analysis and interpretation, documentation, process, failure modes, and feedback. The focus of this survey was on PSQA activities related to routine IMRT/ VMAT treatments on conventional linacs, including stereotactic body radiation therapy but excluding stereotactic radiosurgery. The participating centers were instructed to submit answers that reflected the collective view or opinion of their department and represented the most typical process practiced. The results of the survey provided a snapshot of the current state of PSQA practice in Ontario and demonstrated considerable variations in the practice. A large majority (80%) of centers performed PSQA measurements on all VMAT plans. Most employed pseudo-3D array detectors with a true composite (TC) geometry. No standard approach was found for stopping or reducing frequency of measurements. The sole use of delivery log evaluation was not widely implemented, though most centers expressed interest in adopting this technology. All used the Gamma evaluation method for analyzing PSQA measurements; however, no universal approach was reported on how Gamma evaluation and pass determination criteria were determined. All or some PSQA results were reviewed regularly in twothirds of the centers. Planning related issues were considered the most frequent source for PSQA failures (40%), whereas the most frequent course of action for a failed PSQA was to review the result and decide whether to proceed to treatment.

Intravascular brachytherapy requires that the dose be specified within millimeters of the source. High dose gradients near brachytherapy sources require that the source-detector distance be accurately known for dosimetry purposes. Solid phantoms can be designed to accommodate these stringent requirements. This study reports dosimeter readings from 90 Sr-90 Y sources measured in water, A150, polystyrene and in an epoxy-based water-equivalent plastic. Measurements showed that while A150 and the epoxy-based plastic agreed well with water when the surface of the source contacted the detector housing, the relative response in the phantoms decreased with increasing depth in phantom, falling to ϳ0.55 those of water at a depth of 5 mm. Readings in polystyrene were within 4% of those in water between 1 and 2 mm depth. However, while polystyrene followed water more closely than the other two materials, at greater depths the relative response in polystyrene to water varied from 0.65 to 1.34. When the density of the materials is accounted for, the relative response in A150 is nearly constant with increasing areal density. Furthermore, the response in A150 shows the closest agreement with that in water of any of the solid materials for higher areal densities. For values below 0.3 g/cm 2 , polystyrene shows the closest agreement with water.

Radiation therapy departments are faced with the challenge of tracking numerous quality control tests as well as monitoring service events affecting radiation therapy treatment units. Service events, in particular, pose a challenge since the clinic must be able to provide evidence to the regulatory body that both the service work and any required follow-up tests were recorded and authorized by the appropriate staff. This article presents an integrated approach to tracking quality control tests and service event logs using QATrack+. The newly developed version of this quality assurance software integrates quality control tracking with the service event log, allowing a direct link between a service event and any initiating routine tests or follow-up tests that are performed. This improves the ability of a licensee to ensure compliance with regulations and permits a simple platform from which to access all machine equipment tests and service events. Furthermore, this improves the ability of a department to assess the service record of equipment and to identify trends in failure modes.