Nov 13 – 15, 2024
Hotel Lahan, Pohang, Korea
Asia/Seoul timezone

A Simple Daily QA Method for PBS Proton Therapy Using Patterned Phantoms and EBT3 Film

Nov 14, 2024, 1:00 PM
1h 30m
2F Poster Hall

2F Poster Hall

Board: WG4-11
Poster ICABU WG4. Applications of Particle Beams ICABU Poster Session

Speaker

Young Kyu Lee (Department of Radiation Oncology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea)

Description

Purpose
This study aimed to develop an efficient daily quality assurance (QA) program for pencil beam scanning (PBS) proton therapy, using custom-designed patterned phantoms and EBT3 film to measure and visually confirm proton range and spot position.

Methods
Two polymethylmethacrylate (PMMA) phantoms were used: a spiral step pattern for proton range verification and a round pattern for spot position verification.
For range measurements, the step pattern phantom with EBT3 film evaluated five proton beam energies (103-200 MeV). Sensitivity was assessed by varying measurement depth and spot position by ±0.1cm and ±0.2cm.
Spot position verification used the round pattern phantom at 119 MeV with 140 MU and 280 MU at 10 cm depth. The phantom was shifted ±2mm laterally. Irradiated films were scanned and analyzed to detect spot position changes.

Results
The step pattern method visually differentiated proton range variations across energies. Grayscale analysis of irradiated films showed distinct patterns corresponding to depth and position variations, allowing easy identification of range deviations.
In round pattern experiments, clear changes in beam profile graphs were observed with 2mm offsets. Spot position changes were more pronounced at 280 MU compared to 140 MU, suggesting increased MU enhances verification accuracy.

Conclusion
This QA method using patterned phantoms and EBT3 film enables quick, accurate verification of proton range and spot position in PBS proton therapy. The round pattern phantom showed high sensitivity for spot position verification, indicating effectiveness for daily QA.
As heavy ion therapy systems are introduced, this patterned phantom technique could be adapted for developing Daily QA protocols. This approach offers a time-efficient alternative to complex measurement techniques, suitable for routine QA checks in both proton and heavy ion therapy.

Contribution track ICABU WG4. Applications of Particle Beams
Paper submission Plan Yes

Primary author

Young Kyu Lee (Department of Radiation Oncology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea)

Co-authors

Dr Chankyu Kim (Proton Therapy Center, National Cancer Center, Goyang-si, Gyeonggi-do, Republic of Korea) Dr Dongho Shin (Proton Therapy Center, National Cancer Center, Goyang-si, Gyeonggi-do, Republic of Korea) Dr Haksoo Kim (Proton Therapy Center, National Cancer Center, Goyang-si, Gyeonggi-do, Republic of Korea) Dr Jong Hwi Jeong (Proton Therapy Center, National Cancer Center, Goyang-si, Gyeonggi-do, Republic of Korea) Dr Se Byeong Lee (Proton Therapy Center, National Cancer Center, Goyang-si, Gyeonggi-do, Republic of Korea) Prof. Wonjoong Cheon (Department of Radiation Oncology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea) Dr Young Kyung Lim (Proton Therapy Center, National Cancer Center, Goyang-si, Gyeonggi-do, Republic of Korea) Prof. Young-Nam Kang (Department of Radiation Oncology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea)

Presentation materials

There are no materials yet.