Interferometer-Based Calorimetric Measurements of Absorbed Dose to Water in External Beam Radiotherapy

摘要

Calorimetry is often used to establish high-energy photon absorbed dose to water (ADW) primary standards as calorimetry is a direct measurement of the energy imparted to the water by ionizing radiation. Current calorimeters use thermistors to establish national standards but there is the possibility of systematic errors in these instruments because thermistors overheat due to their low heat capacity. For this reason, there has been renewed interest in using alternative temperature measurement techniques, especially those that do not require a mechanical probe. Interferometer-based thermometry is a technique that exploits the temperature dependence of the refractive index of water and can be used as an alternative method for temperature measurement in radiation calorimetry. A distinctive advantage of the use of interferometry for radiation calorimetry is the capability of obtaining 2D or 3D temperature/dose distributions. Compared to thermistor-based measurements, the use of interferometer-based ADW measurements has been limited by the low measurement resolution. Optimized setups with higher accuracy and precision are necessary to perform measurements at clinically relevant dose rates. A calorimeter for thermistor-based ADW measurements was developed. The instrument was used to measure thermal drifts and noise were measured using the instrument in a water phantom. Residual thermal drifts were accounted for by using a three-step measurement protocol. Additionally, the instrument was used to measure ADW from a 6MV photon beam from a medical linear accelerator. A Michelson-type interferometer was built, characterized, and placed inside the calorimeter with the water phantom at the reference arm. Interferometer and phantom temperature fluctuations were minimized by means of the passive thermal control provide by the calorimeter enclosure, leading to increased fringe pattern stability. The interferometer characterization included phase shift measurements induced by displacing a piezoelectric transducer. Measurements were compared with calculations to estimate the accuracy of the technique. The interferometer-based system was used to measure ADW in a water-filled glass phantom, irradiated with a 6MV photon beam. The estimated Type-A, (k = 1) uncertainty in the associated doses was about 0.3Gy, which is an order of magnitude lower than previously published interferometer-based ADW measurements. Additionally a comparative analysis was performed with the thermistor-based measurements, results for both techniques agreed within the uncertainty. This work presents the first absolute ADW measurements performed using interferometry in the dose range of linac-based radiotherapy and represents a significant step towards standards-level measurements using this technique.