

PDD and TMR scans for a variety of field sizes were measured in water using a Sun Nuclear Corporation 3D SCANNER™ on a Varian TrueBeam linear accelerator in 6 MV, 10 MV and 6 MV FFF beams. This study assessed the validity of the conversion from percentage depth dose (PDD) to tissue maximum ratio (TMR) using BJR Supplement 25 data for flattened and flattening filter free (FFF) beams.

By changing field size and position, and adding patient-specific field shaping blocks, more complex historical treatment set-ups can be to recreated, particularly those for which 2D or 3D image sets are unavailable. The source-term model was subsequently combined with patient-morphometry matched computational hybrid phantoms as a method for estimating in-field and out-of-field organ doses for patients treated for Hodgkin's Lymphoma.

Absolute and relative differences between computed and measured out-of-field doses varied between ☒.5% and ☑00%, respectively, at distances up to 60 cm from the central axis. Out-of-field doses were found to vary between 0.6% to 2.4% of central axis dose at 10 cm from field edge and 0.42% to 0.97% of central axis dose at 20 cm from the field edge, all at 5 cm depth. The computational model of the Theratron T-1000 agrees with central axis percentage depth dose data to within 2% for 6 × 6 to 30 × 30 cm2 fields. Model validation is based upon in-field commissioning data collected at the University of Florida, published out-of-field data from the British Journal of Radiology (BJR) Supplement 25, and out-of-field measurements performed at the University of Wisconsin's Accredited Dosimetry Calibration Laboratory (UWADCL). In this study, a computational model and experimental validation of the Theratron T-1000 are presented. In recreating historical patient treatments with 60Co based systems, the major components to be modeled include the source capsule, surrounding shielding layers, collimators (both fixed and adjustable), and trimmers as needed to vary field size. Alternatively, Monte Carlo-based models of radiotherapy devices coupled with whole-body computational phantoms can permit estimates of historical in-field and out-of-field organ doses as needed for studies associating radiation exposure and late tissue toxicities. Historical radiotherapy treatment plans lack 3D images sets required for estimating mean organ doses to patients.
