Literature DB >> 24593737

Remote auditing of radiotherapy facilities using optically stimulated luminescence dosimeters.

Jessica Lye1, Leon Dunn1, John Kenny1, Joerg Lehmann2, Tomas Kron3, Chris Oliver4, Duncan Butler4, Andrew Alves1, Peter Johnston4, Rick Franich5, Ivan Williams2.   

Abstract

PURPOSE: On 1 July 2012, the Australian Clinical Dosimetry Service (ACDS) released its Optically Stimulated Luminescent Dosimeter (OSLD) Level I audit, replacing the previous TLD based audit. The aim of this work is to present the results from this new service and the complete uncertainty analysis on which the audit tolerances are based.
METHODS: The audit release was preceded by a rigorous evaluation of the InLight® nanoDot OSLD system from Landauer (Landauer, Inc., Glenwood, IL). Energy dependence, signal fading from multiple irradiations, batch variation, reader variation, and dose response factors were identified and quantified for each individual OSLD. The detectors are mailed to the facility in small PMMA blocks, based on the design of the existing Radiological Physics Centre audit. Modeling and measurement were used to determine a factor that could convert the dose measured in the PMMA block, to dose in water for the facility's reference conditions. This factor is dependent on the beam spectrum. The TPR20,10 was used as the beam quality index to determine the specific block factor for a beam being audited. The audit tolerance was defined using a rigorous uncertainty calculation. The audit outcome is then determined using a scientifically based two tiered action level approach. Audit outcomes within two standard deviations were defined as Pass (Optimal Level), within three standard deviations as Pass (Action Level), and outside of three standard deviations the outcome is Fail (Out of Tolerance).
RESULTS: To-date the ACDS has audited 108 photon beams with TLD and 162 photon beams with OSLD. The TLD audit results had an average deviation from ACDS of 0.0% and a standard deviation of 1.8%. The OSLD audit results had an average deviation of -0.2% and a standard deviation of 1.4%. The relative combined standard uncertainty was calculated to be 1.3% (1σ). Pass (Optimal Level) was reduced to ≤2.6% (2σ), and Fail (Out of Tolerance) was reduced to >3.9% (3σ) for the new OSLD audit. Previously with the TLD audit the Pass (Optimal Level) and Fail (Out of Tolerance) were set at ≤4.0% (2σ) and >6.0% (3σ).
CONCLUSIONS: The calculated standard uncertainty of 1.3% at one standard deviation is consistent with the measured standard deviation of 1.4% from the audits and confirming the suitability of the uncertainty budget derived audit tolerances. The OSLD audit shows greater accuracy than the previous TLD audit, justifying the reduction in audit tolerances. In the TLD audit, all outcomes were Pass (Optimal Level) suggesting that the tolerances were too conservative. In the OSLD audit 94% of the audits have resulted in Pass (Optimal level) and 6% of the audits have resulted in Pass (Action Level). All Pass (Action level) results have been resolved with a repeat OSLD audit, or an on-site ion chamber measurement.

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Mesh:

Year:  2014        PMID: 24593737     DOI: 10.1118/1.4865786

Source DB:  PubMed          Journal:  Med Phys        ISSN: 0094-2405            Impact factor:   4.071


  7 in total

1.  Radiotherapy dosimetry audit: three decades of improving standards and accuracy in UK clinical practice and trials.

Authors:  Catharine H Clark; Edwin G A Aird; Steve Bolton; Elizabeth A Miles; Andrew Nisbet; Julia A D Snaith; Russell A S Thomas; Karen Venables; David I Thwaites
Journal:  Br J Radiol       Date:  2015-09-02       Impact factor: 3.039

2.  Long term OSLD reader stability in the ACDS level one audit.

Authors:  Andrew D C Alves; Jessica Lye; John Kenny; Leon Dunn; Joerg Lehmann; Andrew Cole; Tomas Kron; Duncan Butler; Peter Johnston; Ivan Williams
Journal:  Australas Phys Eng Sci Med       Date:  2014-12-14       Impact factor: 1.430

3.  Evaluation of NanoDot Optically Stimulated Luminescence Dosimeter for Cone-shaped Small-field Dosimetry of Cyberknife Stereotactic Radiosurgery Unit: A Monte Carlo Simulation and Dosimetric Verification Study.

Authors:  Fadil Akyol; Neslihan Sarigul; Mete Yeginer; Yagiz Yedekci; Haluk Utku
Journal:  J Med Phys       Date:  2019 Jan-Mar

4.  Remote beam output audits: a global assessment of results out of tolerance.

Authors:  Stephen F Kry; Christine B Peterson; Rebecca M Howell; Joanna Izewska; Jessica Lye; Catharine H Clark; Mitsuhiro Nakamura; Coen Hurkmans; Paola Alvarez; Andrew Alves; Tomislav Bokulic; David Followill; Pavel Kazantsev; Jessica Lowenstein; Andrea Molineu; Jacob Palmer; Susan A Smith; Paige Taylor; Paulina Wesolowska; Ivan Williams
Journal:  Phys Imaging Radiat Oncol       Date:  2018-09-16

5.  Dosimetric end-to-end tests in a national audit of 3D conformal radiotherapy.

Authors:  Joerg Lehmann; Andrew Alves; Leon Dunn; Maddison Shaw; John Kenny; Stephanie Keehan; Jeremy Supple; Francis Gibbons; Sophie Manktelow; Chris Oliver; Tomas Kron; Ivan Williams; Jessica Lye
Journal:  Phys Imaging Radiat Oncol       Date:  2018-04-24

6.  Preliminary study for dose evaluation depending on dose range with optically stimulated luminescence dosimeter considering individual dosimeter sensitivity.

Authors:  Su Chul Han
Journal:  PLoS One       Date:  2022-03-29       Impact factor: 3.240

7.  In vivo monitoring of total skin electron dose using optically stimulated luminescence dosimeters.

Authors:  Tanya Kairn; Rachael Wilks; Liting Yu; Craig Lancaster; Scott B Crowe
Journal:  Rep Pract Oncol Radiother       Date:  2019-12-16
  7 in total

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