| Purpose: Fiber carbon is the most common material used in treating couch as it
causes less beam attenuation than other materials. Beam attenuation replaces buildup
region, reduces skin-sparing effect and causes target volume under dosage. In this
study, we aimed to evaluate beam attenuation and variation of build-up region in 550
TxT radiotherapy couch.
Materials and Methods: In this study, we utilized cylindrical PMMA Farmer
chamber, DOSE-1 electrometer and set PMMA phantom in isocenter of gantry and
the Farmer chamber on the phantom. Afterwards, the gantry rotated 10°, and attenuation
was assessed. To measure build-up region, we used Markus chamber, Solid
water phantom and DOSE-1 electrometer. Doing so, we set Solid water phantom on
isocenter of gantry and placed Markus chamber in it, then we quantified the build-up
region at 0° and 180° gantry angels and compared the obtained values.
Results: Notable attenuation and build-up region variation were observed in 550
TxT treatment table. The maximum rate of attenuation was 5.95% for 6 MV photon
beam, at 5×5 cm2 field size and 130° gantry angle, while the maximum variation was
7 mm for 6 MV photon beam at 10×10 cm2 field size.
Conclusion: Fiber carbon caused beam attenuation and variation in the build-up
region. Therefore, the application of fiber carbon is recommended for planning radiotherapy
to prevent skin side effects and to decrease the risk of cancer recurrence. |