background: estimating dosimetric parameters for small fields under non-reference conditions leads to significant errors if done based on conventional protocols used for large fields in reference conditions. hence, further correction factors have been introduced to take into account the influence of spectral quality changes when various detectors are used in non-reference conditions at differen...

Background: Multiple beams are generally used with an increased possibility that the beam axis intersects the treatment table. Treatment tabletops are commonly made of carbon fiber due to its high mechanical strength and rigidity, low specific density, extremely light and low radiation beam attenuation properties. Purpose of this paper is investigated the dose changes in the buildup region and ...

background: physical wedges are still widely used as beam modifiers in external beam radiotherapy. however the presence of them in the beam trace may cause beam hardening which may not be considered in many treatment planning systems. the aim of this study is to investigate the beam hardening effect generated by physical wedges via different beam quality indexes as photon spectrum, half value l...

Background: Estimating dosimetric parameters for small fields under non-reference conditions leads to significant errors if done based on conventional protocols used for large fields in reference conditions. Hence, further correction factors have been introduced to take into account the influence of spectral quality changes when various detectors are used in non-reference conditions at differen...

background: during radiotherapy treatment, critical organs are shielded using lead and cerrobend blocks. the objective of this study is to compare the effects of lead and cerrobend shielding blocks on incident photon beam. methods: collimator scatter factors were measured for open square fields (3 x 3 cm to 40 x 40 cm) defined by collimator jaws and for fields blocked down to smaller asymmetric...

Background: Physical wedges are still widely used as beam modifiers in external beam radiotherapy. However the presence of them in the beam trace may cause beam hardening which may not be considered in many treatment planning systems. The aim of this study is to investigate the beam hardening effect generated by physical wedges via different beam quality indexes as photon spectrum, half value l...

introduction: radiation therapy following breast conserving surgery is one of the most common procedures performed in any radiation oncology department. a tangential parallel-opposed pair is almost always the technique of choice for this purpose. this technique is often performed based on 3d treatment planning. the aim of this study was to compare 3d treatment planning for two different energie...

In external beam radiation therapy (EBRT), the quality assurance (QA) of the radiation beam is crucial to the accurate delivery of the prescribed dose to the patient. One of the dosimetric parameters that require monitoring is the beam output, specified as the dose rate on the central axis under reference conditions. The aim of this project was to validate dose rate calibration of megavoltage p...

The purpose of this study is to report the dosimetric aspects of commissioning performed on an Elekta Versa HD linear accelerator (linac) with high-dose-rate flattening filter-free (FFF) photon modes and electron modes. Acceptance and commissioning was performed on the Elekta Versa HD linac with five photon energies (6 MV, 10 MV, 18 MV, 6 MV FFF, 10 MV FFF), four electron energies (6 MeV, 9MeV,...

Background: External beam radiation therapy is often administered to patients implanted with silicone gel breast prosthesis. The aim of this study was to investigate the influence of silicone gel breast prosthesis on photon dose distributions. In the event of recurrence, the oncologist may be forced to irradiate through the prosthetic device. To quantify the dose enhancement or reduction below ...