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International Journal of Innovative Research in Advanced Engineering (IJIRAE) ISSN: 2349-2163
Issue 03, Volume 5 (March 2018) www.ijirae.com
_________________________________________________________________________________________________
IJIRAE: Impact Factor Value – SJIF: Innospace, Morocco (2016): 3.916 | PIF: 2.469 | Jour Info: 4.085 |
ISRAJIF (2016): 4.011 | Indexcopernicus: (ICV 2016): 64.35
IJIRAE © 2014- 18, All Rights Reserved Page –98
PROFILE DOSE AND PDD ANALYSIS IN SMALL PHOTON
FIELD WITH PTW PINPOINT CHAMBER 0.015cc
Yuliani*,Wahyu Setia Budi,Heri Sutanto
Diponegoro University, Semarang, Jawa Tengah 50275, Indonesia
yuliani1104@st.fisika.undip.ac.id; wahyu.sb@fisika.undip.ac.id;herisutanto@fisika.undip.ac.id;
Manuscript History
Number: IJIRAE/RS/Vol.05/Issue03/MRAE10085
DOI: 10.26562/IJIRAE.2018.MRAE10085
Received: 05, March 2018
Final Correction: 15, March 2018
Final Accepted: 20, March 2018
Published: March 2018
Citation: Yuliani, Wahyu & Sutanto (2018). PROFILE DOSE AND PDD ANALYSIS IN SMALL PHOTON FIELD WITH
PTW PINPOINT CHAMBER 0.015cc. IJIRAE::International Journal of Innovative Research in Advanced Engineering,
Volume V, 98-102. doi://10.26562/IJIRAE.2018.MRAE10085
Editor: Dr.A.Arul L.S, Chief Editor, IJIRAE, AM Publications, India
Copyright: ©2018 This is an open access article distributed under the terms of the Creative Commons Attribution
License, Which Permits unrestricted use, distribution, and reproduction in any medium, provided the original author
and source are credited
Abstract: Profile dose and PDD of a small field 6MV have been measured using a PTW PinPoint Chamber 0.015 cc
detector. The aim of this study is to analyze the profile dose and PDD of small field using PTW PinPoint Chamber
detector 0.015 cc. From the results of this study is expected optimal dose measurement accuracy can be achieved in
clinical treatment. The analysis includes calculating the symmetry, penumbra value and PDD. Linear accelerator
Electa Precise Treatment SystemTM and PTW PinPoint Chamber 0.015cc are the material used in this research.
Profile Dose and PDD were measured with an SSD technique in 100 cm with a various of field sizes and depths. The
results showed that the symmetry values for depth variations would decrease in ranges (0.55-6.27)% when the
depth increase, and for field size variations will decrease in range (0.39-6.27)%. when the filed size increase. The
result of the penumbra analysis shows that its value is more than 4 mm for all variations of depth and field size. PDD
results showed that maximum dose for all fields size is achieved in maksimum depth (1.4 – 1.7) cm.
Keywords— Small Field; Ionization Chamber; Profile Dose; Radiotheraphy;
I. INTRODUCTION
There are modern radiation techniques such as 3D Conformal Radiation Therapy (3D CRT), Intensity Modulated
Radiation Therapy (IMRT), and Volumetric Modulated Arc Therapy (VMAT). These techniques allow for a more
optimal dose of radiation against the target tumor and low doses of healthy tissue.
One way for dose optimization can be done using a small field during treatment, often known as segmentation, as
used in IMRT and VMAT techniques. The use of this small field will ensure the received radiation dose is more
accurate and precision on the cancer target. In IMRT techniques the use of a small field for cancer therapy is 50%
more than the total number of segments used. The small field is a field of size < 4×4 cm2 [1-2].
External radiation safety verification may use results of commissioning test. External therapy commissioning test
activities include dosimetry and geometry verification activities. Geometry verification activities are performed to
ensure the correct position and form of a radiation field. While dosimetry verification includes measurement of the
radiation beam of photons or electrons. The dosimetry of the photon profile dose in question includes the correction
of the PDD, the output factor and the dose profile [3].
International Journal of Innovative Research in Advanced Engineering (IJIRAE) ISSN: 2349-2163
Issue 03, Volume 5 (March 2018) www.ijirae.com
_________________________________________________________________________________________________
IJIRAE: Impact Factor Value – SJIF: Innospace, Morocco (2016): 3.916 | PIF: 2.469 | Jour Info: 4.085 |
ISRAJIF (2016): 4.011 | Indexcopernicus: (ICV 2016): 64.35
IJIRAE © 2014- 18, All Rights Reserved Page –99
Small field dosimetry is one of the ways to know the performance of X-ray beams. The dosimetry in the small field
itself has several problems, among others, disturbance of dose distribution because the detector dimensions are
almost equal or too large with radiation sources [4], and reduced electronic equilibrium that may cause source
occlusion [5]. So small dosimetry field results can be used as an evaluation of the function, equipment
characteristics and dose calculations on radiotherapy. Some research on small field dosimetry continues to grow.
Cheng et al (2007) have conducted a study of small field PDD determination with SFD detector, Exradin A-14
chamber ionization, and Farmer 0.6 cm3[6]. The study obtained the measurement results of PDD with SFD detector
having the best measurement result matching ± 1% [6]. Wulandari et al (2016) measured the output factor with ion
chamber detector Exradin A11 plan-parallel and gafchromic film which resulted in a drastically decreased output
factor of 0.1244 from 0.8724 when the radiation in (1×1) cm2 [7]. Godson et al (2016) conducted a penumbral
analysis with a chamber ionization RK cylinder detector, PFD and EFD. The results show that the RK cylinder
detector produces the widest widening of the penumbra by 1,0 mm compared to other detectors such as PFD and
EFD [8]. Fuadi et al (2015) show that gafchromic film detectors and farmer detectors are equally accurate when
used to measure PDD and radiation beam profiles [9]. Problems in the small field disturb the of doses distribution of
the photon beam on the target. In order to minimize the problem of dosimetry in the small field, the correct detector
is needed. One of them by using a small volume sensitive detector to fit the radiation field. In this study we studied
the characteristic distribution of doses of small field photon files with detectors that have small sensitive volumes.
Therefore a PTW PinPoint Chamber detector is used 0.015 cc.
II. MATERIAL AND METHODE
An Electa Precise Treatment SystemTM linear accelerator was used in this investigation. It is also used PTW PinPoint
Chamber detector 0.015 cc TM31014 produced by PTW Freiburg [12]. The detector is coupled with PTW MP3 Water
Phantom with PTW Tandem electrometer, PTW TBA Control Unit and Mephysto software. The percentage dose
value at a certain depth compared to the dose at the maximum depth is called PDD (Percentage Depth Dose). The
measurements of the PDD curve can be used to determine the specific dose. The PDD is influenced by energy, an
area of the field, the source distance to the skin (Source Skin Distance, SSD) and the composition of the irradiated
medium. While the radiation beams profile is a relative intensity in the perpendicular plane of the axis of the beam
[10]. The calculated file profile parameters are beam symmetry and width penumbra. Measurements were
performed with SSD 100 cm and used a step by step mode (1 mm) for x-ray 6 MV. The fields size that we used is
(1×1) cm2, (2×2) cm2, (3×3) cm2, (4×4) cm2 and (5×5) cm2. In addition, measurements were made for various depth
variations (1.5 cm, 5 cm, 10 cm, and 15 cm). This measurement is done by directly detecting radiation beam of 500
MU using PTW PinPoint Chamber detector which is placed in the water phantom and driven by a controlled and
controlled system in three dimensions. Excel and Origin software was used to extract and analyze data ( beam
symmetry, penumbra, and percent depth dose) measurement results.
III.RESULT AND DISCUSSION
The results of measurement a 6MV photon profile dose were used to assess the dosee homogeneity by analyzing the
quality of beam symetrys and penumbra. Profile dose measurements were performed on various fields size and
various depth variations. The fields size is formed by MLC moving. All results of the measurements are displayed in
the profile dose curves, can be seen in Fig. 1 and Fig. 2. The results for depth variation we can see in figure 1 and
table 1.
Fields Size (1×1) cm2 Fields Size (3×3) cm2
International Journal of Innovative Research in Advanced Engineering (IJIRAE) ISSN: 2349-2163
Issue 03, Volume 5 (March 2018) www.ijirae.com
_________________________________________________________________________________________________
IJIRAE: Impact Factor Value – SJIF: Innospace, Morocco (2016): 3.916 | PIF: 2.469 | Jour Info: 4.085 |
ISRAJIF (2016): 4.011 | Indexcopernicus: (ICV 2016): 64.35
IJIRAE © 2014- 18, All Rights Reserved Page –100
Fields Size (2×2) cm2 Fields Size (4×4) cm2
Figure 1. Profile doses curve of 6 MV photon with various depth
Table 1. Results of profile dose analyze in various depth
Fields Size (cm2) Depth (mm) Symetry (%) Penumbra (mm)
1x1
15 6.27 4.00
50 5.74 4.00
100 4.92 4.10
150 4.16 4.10
2x2
15 2.45 4.10
50 2.46 4.40
100 2.28 4.50
150 2.08 4.80
3x3
15 1.21 4.10
50 1.21 4.10
100 0.90 4.90
150 0.90 4.70
4x4
15 0.70 4.20
50 0.77 4.40
100 0.72 4.70
150 0.55 4.80
Table 1 represents the data results for beam symetry and penumbra with various depth. For each depth variation
we used fields size variation too. Beam symetry value at fields size (1×1) cm2, (2×2) cm2, (3×3) cm2 and(4×4) cm2
will decrease when the depth increase. Range value for beam symetry is (0.55-6.27)%. Previous reaserch had
symetry value for standart field (10x10) was 3.20% [14]. In the reference region, the dose should not differ more
than 2% at any pair of points situated symmetrically with respect to the central ray [15]. So, symmetricity value for
fields size (1x1) cm2 is more than 2% in all depth variation. Width penumbra value is an increase for all depth
variation, at ranges value (4.00-4.90) mm. The detector volume averaging is cause the broadening penumbra.
The result for fields size variation, we can see at figure 2 and table 2.
The result of dose profile analysis with fields size variation shows that the value of symmetry will decrease when
the filed size increase. Range value for beam symetry is (0.39-6.27)%. Penumbra value will increase when the filed
size increase. Range value for penumbra is (4.00-5.00) mm. Penumbra values from the dose profile measurements
with PTW PinPoint chamber detector have significant differences when compared to the penumbra on the small
field when measured by the Farmer chamber detector. Zryan et al (2017) had the penumbra value that used Farmer
chamber detector for field size (1x1), (2x2), and (3x3) at depth 100 mm are (5.6 mm, 5.6 mm and 6.3 mm)
[11].PDD measurements were performed on various fields size using SSD 100 cm. Various radiation fields exposed
with 500 MU. The results of the measurements are displayed in PDD curves, can be seen in figure 3.
International Journal of Innovative Research in Advanced Engineering (IJIRAE) ISSN: 2349-2163
Issue 03, Volume 5 (March 2018) www.ijirae.com
_________________________________________________________________________________________________
IJIRAE: Impact Factor Value – SJIF: Innospace, Morocco (2016): 3.916 | PIF: 2.469 | Jour Info: 4.085 |
ISRAJIF (2016): 4.011 | Indexcopernicus: (ICV 2016): 64.35
IJIRAE © 2014- 18, All Rights Reserved Page –101
Depth 15 mm Depth 100 mm
Figure 2. Profile doses curve of 6 MV photon with various fields size
Table 2. Results of profile dose analyze in various fields Size
Depth (mm) Fields Size (cm2) Symetry (%) Penumbra (mm)
15
1x1 6.27 4.00
2x2 2.45 4.10
3x3 1.21 4.10
4x4 0.70 4.20
5x5 0.35 4.50
100
1x1 4.92 4.10
2x2 2.28 4.50
3x3 0.90 4.90
4x4 0.72 4.70
5x5 0.39 5.00
Figure 3. PDD curve of 6 MV photon with various fields size
Table 3. Results of PDD analyze in various fields Size
Field Size (mm) Rmax (mm)
10x10 14.0
20x20 17.0
30x30 17.0
40x40 16.0
50x50 16.0
The maximum dose of the photon beam on the small field area achieved at maximum depth (Rmax). The percentage
depth dose (beyond the depth of maximum dose) decrease with depth [15]. The results of PDD analysis of various
field area showed that maximum dose was achieved at depth (14-17) mm (See Table.3). Previous research had
results maximum depth for the standard field size (10x10) cm2 was 14.8 mm [9,13]. So, in general maximum dose in
a small field is achieve deeper than standard field.
International Journal of Innovative Research in Advanced Engineering (IJIRAE) ISSN: 2349-2163
Issue 03, Volume 5 (March 2018) www.ijirae.com
_________________________________________________________________________________________________
IJIRAE: Impact Factor Value – SJIF: Innospace, Morocco (2016): 3.916 | PIF: 2.469 | Jour Info: 4.085 |
ISRAJIF (2016): 4.011 | Indexcopernicus: (ICV 2016): 64.35
IJIRAE © 2014- 18, All Rights Reserved Page –102
IV. CONCLUSIONS
The results showed that detector PTW PinPoint Chamber 0.015 cc (TM31014) could be used for profile dose and
PDD measurement in the small field. The symmetry values for depth variations will decrease in ranges (0.55-6.27)%
when the depth increase, and for field size variations will decrease in range (0.39-6.27)%. When the filed size
increase. The result of the penumbra analysis shows that its value is more than 4 mm for all variation of depth and
field size. PDD results showed that maximum dose for all fields size is achieved in maximum depth (1.4 – 1.7) cm.
Maximum dose in the small field is achieved deeper than standard field.
REFERENCES
1. Das, I.J., George X.D., and Anders A., 2008, Small field: Non equilibrium radiation dosimetry, Med. Phys.,35:1.
2. Spang and Francisco J. 2011, Monte Carlo study of the dosimetry of small-photon beams using CMOS active
pixel sensors. London: Department of Medical Physics and Bioengineering University College London, UCL.
3. Perka BAPETEN, No.3 Tahun 2013, Tentang Keselamatan Radiasi Dalam Penggunaan Radioterapi.
4. Azimi, R., Parham A., and Patrick H., 2012, The effect of small field output factor measurement on IMRT
dosimetry, Med. Phys.,39,8.
5. Fatimah, L. A. N., Andrian D. H., Wahyu E. W., Supriyanto A. P., 2016, Pengaruh kedalaman pada output faktor
lapangan kecil dengan detektor Thermoluminesemse Dosimeter Rods dan Ionization Chamber Exradin A16,
Seminar Nasional Fisika 2016 Prodi Pendidikan Fisika dan Fisika, Fakultas MIPA Universitas Negeri Jakarta,V.
6. Cheng, C.W., Sang H. C., Michael T., and Indra J. Das., 2007, Determination of zero-field size percent depth doses
and tissue maximum ratios for stereotactic radiosurgery and IMRT dosimetry: comparation between
experimental measurement and Monte Carlo Simulation, Med. Phys., 34,8.
7. Wulandari, C., Wahyu E. W., and Supriyanto A. P., 2016, Penentuan faktor keluaran berkas elektron lapangan
kecil pada pesawat Liniear Accelerator, Spektra : Jurnal Fisika dan Aplikasinya, 1,1.
8. Godson, H.F., Ravikumar M., Sathiyan S., Ganesh K M, Ponmalar Y R, and Varatharaj C., 2016, Analysis of small
field percent depth dose and profiles: Comparison of measurements with various detectors and effects of
detector orientation with different jaw settings. J Med.Phys.,41, 12-20.
9. Fuadi, H. dan Sutanto, H., 2015, Perbandingan Pengukuran PDD dan Beam Profil Antara Detektor Ionisasi
Chamber dengan Gafchromic Film pada Lapangan 10 x 10cm2, Youngster Physics Journal, 4, 15-22.
10. Ihya, F.N., Choirul, A., dan Vincensius, G., 2013, Pembuatan Kurva Isodosis 2D dengan menggunakan Kurva
Percentage Depth Dose (PDD) dan Profil Dosis degan Variasi Kedalaman untuk Treatment Planning System.
Berkala Fisika, 16,131-138.
11. Zryan Y S, Kharman A F, Huner A H, Araz W, Akhtar S. 2017. Penumbra and Output Factors Measurements in
Small and Non-Small Fields. Canc Therapy & Oncol Int J. 7,3.
12. PTW Small Field Dosimetry: Application Guide© PTW Freiburg. www.ptw.de/small_field_dosimetry.html
13. Sandy, K. Y.T., 2010. Profil Berkas Sinar-X Lapangan Simetris dan Asimetris pada Pesawat Linac Seimens
Primus 2D Plus. Seminar Nasional Keselamatan Kesehatan dan Lingkungan VI. Jakarta, 15-16 Juni 2010.
14. Khiftiyah, M.,Hidayanto, E.,danArifin, Z., 2014, AnalisaKurva Percentage Depth Dose (PDD) Dan Profil Dose
Untuk Lapangan Radiasi Simetri Dan Asimetri Linear Acceleretor (Linac) 6 Dan 10 MV, Skripsi, Fakultas Sains
dan Matematika UNDIP, Semarang.
15. Khan, Faiz M., John P. G. 2014. The Physics of Radiation Therapy, Fifth edition. USA: Lippincott Williams and
Wilkins.

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PROFILE DOSE AND PDD ANALYSIS IN SMALL PHOTON FIELD WITH PTW PINPOINT CHAMBER 0.015cc

  • 1. International Journal of Innovative Research in Advanced Engineering (IJIRAE) ISSN: 2349-2163 Issue 03, Volume 5 (March 2018) www.ijirae.com _________________________________________________________________________________________________ IJIRAE: Impact Factor Value – SJIF: Innospace, Morocco (2016): 3.916 | PIF: 2.469 | Jour Info: 4.085 | ISRAJIF (2016): 4.011 | Indexcopernicus: (ICV 2016): 64.35 IJIRAE © 2014- 18, All Rights Reserved Page –98 PROFILE DOSE AND PDD ANALYSIS IN SMALL PHOTON FIELD WITH PTW PINPOINT CHAMBER 0.015cc Yuliani*,Wahyu Setia Budi,Heri Sutanto Diponegoro University, Semarang, Jawa Tengah 50275, Indonesia yuliani1104@st.fisika.undip.ac.id; wahyu.sb@fisika.undip.ac.id;herisutanto@fisika.undip.ac.id; Manuscript History Number: IJIRAE/RS/Vol.05/Issue03/MRAE10085 DOI: 10.26562/IJIRAE.2018.MRAE10085 Received: 05, March 2018 Final Correction: 15, March 2018 Final Accepted: 20, March 2018 Published: March 2018 Citation: Yuliani, Wahyu & Sutanto (2018). PROFILE DOSE AND PDD ANALYSIS IN SMALL PHOTON FIELD WITH PTW PINPOINT CHAMBER 0.015cc. IJIRAE::International Journal of Innovative Research in Advanced Engineering, Volume V, 98-102. doi://10.26562/IJIRAE.2018.MRAE10085 Editor: Dr.A.Arul L.S, Chief Editor, IJIRAE, AM Publications, India Copyright: ©2018 This is an open access article distributed under the terms of the Creative Commons Attribution License, Which Permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Abstract: Profile dose and PDD of a small field 6MV have been measured using a PTW PinPoint Chamber 0.015 cc detector. The aim of this study is to analyze the profile dose and PDD of small field using PTW PinPoint Chamber detector 0.015 cc. From the results of this study is expected optimal dose measurement accuracy can be achieved in clinical treatment. The analysis includes calculating the symmetry, penumbra value and PDD. Linear accelerator Electa Precise Treatment SystemTM and PTW PinPoint Chamber 0.015cc are the material used in this research. Profile Dose and PDD were measured with an SSD technique in 100 cm with a various of field sizes and depths. The results showed that the symmetry values for depth variations would decrease in ranges (0.55-6.27)% when the depth increase, and for field size variations will decrease in range (0.39-6.27)%. when the filed size increase. The result of the penumbra analysis shows that its value is more than 4 mm for all variations of depth and field size. PDD results showed that maximum dose for all fields size is achieved in maksimum depth (1.4 – 1.7) cm. Keywords— Small Field; Ionization Chamber; Profile Dose; Radiotheraphy; I. INTRODUCTION There are modern radiation techniques such as 3D Conformal Radiation Therapy (3D CRT), Intensity Modulated Radiation Therapy (IMRT), and Volumetric Modulated Arc Therapy (VMAT). These techniques allow for a more optimal dose of radiation against the target tumor and low doses of healthy tissue. One way for dose optimization can be done using a small field during treatment, often known as segmentation, as used in IMRT and VMAT techniques. The use of this small field will ensure the received radiation dose is more accurate and precision on the cancer target. In IMRT techniques the use of a small field for cancer therapy is 50% more than the total number of segments used. The small field is a field of size < 4×4 cm2 [1-2]. External radiation safety verification may use results of commissioning test. External therapy commissioning test activities include dosimetry and geometry verification activities. Geometry verification activities are performed to ensure the correct position and form of a radiation field. While dosimetry verification includes measurement of the radiation beam of photons or electrons. The dosimetry of the photon profile dose in question includes the correction of the PDD, the output factor and the dose profile [3].
  • 2. International Journal of Innovative Research in Advanced Engineering (IJIRAE) ISSN: 2349-2163 Issue 03, Volume 5 (March 2018) www.ijirae.com _________________________________________________________________________________________________ IJIRAE: Impact Factor Value – SJIF: Innospace, Morocco (2016): 3.916 | PIF: 2.469 | Jour Info: 4.085 | ISRAJIF (2016): 4.011 | Indexcopernicus: (ICV 2016): 64.35 IJIRAE © 2014- 18, All Rights Reserved Page –99 Small field dosimetry is one of the ways to know the performance of X-ray beams. The dosimetry in the small field itself has several problems, among others, disturbance of dose distribution because the detector dimensions are almost equal or too large with radiation sources [4], and reduced electronic equilibrium that may cause source occlusion [5]. So small dosimetry field results can be used as an evaluation of the function, equipment characteristics and dose calculations on radiotherapy. Some research on small field dosimetry continues to grow. Cheng et al (2007) have conducted a study of small field PDD determination with SFD detector, Exradin A-14 chamber ionization, and Farmer 0.6 cm3[6]. The study obtained the measurement results of PDD with SFD detector having the best measurement result matching ± 1% [6]. Wulandari et al (2016) measured the output factor with ion chamber detector Exradin A11 plan-parallel and gafchromic film which resulted in a drastically decreased output factor of 0.1244 from 0.8724 when the radiation in (1×1) cm2 [7]. Godson et al (2016) conducted a penumbral analysis with a chamber ionization RK cylinder detector, PFD and EFD. The results show that the RK cylinder detector produces the widest widening of the penumbra by 1,0 mm compared to other detectors such as PFD and EFD [8]. Fuadi et al (2015) show that gafchromic film detectors and farmer detectors are equally accurate when used to measure PDD and radiation beam profiles [9]. Problems in the small field disturb the of doses distribution of the photon beam on the target. In order to minimize the problem of dosimetry in the small field, the correct detector is needed. One of them by using a small volume sensitive detector to fit the radiation field. In this study we studied the characteristic distribution of doses of small field photon files with detectors that have small sensitive volumes. Therefore a PTW PinPoint Chamber detector is used 0.015 cc. II. MATERIAL AND METHODE An Electa Precise Treatment SystemTM linear accelerator was used in this investigation. It is also used PTW PinPoint Chamber detector 0.015 cc TM31014 produced by PTW Freiburg [12]. The detector is coupled with PTW MP3 Water Phantom with PTW Tandem electrometer, PTW TBA Control Unit and Mephysto software. The percentage dose value at a certain depth compared to the dose at the maximum depth is called PDD (Percentage Depth Dose). The measurements of the PDD curve can be used to determine the specific dose. The PDD is influenced by energy, an area of the field, the source distance to the skin (Source Skin Distance, SSD) and the composition of the irradiated medium. While the radiation beams profile is a relative intensity in the perpendicular plane of the axis of the beam [10]. The calculated file profile parameters are beam symmetry and width penumbra. Measurements were performed with SSD 100 cm and used a step by step mode (1 mm) for x-ray 6 MV. The fields size that we used is (1×1) cm2, (2×2) cm2, (3×3) cm2, (4×4) cm2 and (5×5) cm2. In addition, measurements were made for various depth variations (1.5 cm, 5 cm, 10 cm, and 15 cm). This measurement is done by directly detecting radiation beam of 500 MU using PTW PinPoint Chamber detector which is placed in the water phantom and driven by a controlled and controlled system in three dimensions. Excel and Origin software was used to extract and analyze data ( beam symmetry, penumbra, and percent depth dose) measurement results. III.RESULT AND DISCUSSION The results of measurement a 6MV photon profile dose were used to assess the dosee homogeneity by analyzing the quality of beam symetrys and penumbra. Profile dose measurements were performed on various fields size and various depth variations. The fields size is formed by MLC moving. All results of the measurements are displayed in the profile dose curves, can be seen in Fig. 1 and Fig. 2. The results for depth variation we can see in figure 1 and table 1. Fields Size (1×1) cm2 Fields Size (3×3) cm2
  • 3. International Journal of Innovative Research in Advanced Engineering (IJIRAE) ISSN: 2349-2163 Issue 03, Volume 5 (March 2018) www.ijirae.com _________________________________________________________________________________________________ IJIRAE: Impact Factor Value – SJIF: Innospace, Morocco (2016): 3.916 | PIF: 2.469 | Jour Info: 4.085 | ISRAJIF (2016): 4.011 | Indexcopernicus: (ICV 2016): 64.35 IJIRAE © 2014- 18, All Rights Reserved Page –100 Fields Size (2×2) cm2 Fields Size (4×4) cm2 Figure 1. Profile doses curve of 6 MV photon with various depth Table 1. Results of profile dose analyze in various depth Fields Size (cm2) Depth (mm) Symetry (%) Penumbra (mm) 1x1 15 6.27 4.00 50 5.74 4.00 100 4.92 4.10 150 4.16 4.10 2x2 15 2.45 4.10 50 2.46 4.40 100 2.28 4.50 150 2.08 4.80 3x3 15 1.21 4.10 50 1.21 4.10 100 0.90 4.90 150 0.90 4.70 4x4 15 0.70 4.20 50 0.77 4.40 100 0.72 4.70 150 0.55 4.80 Table 1 represents the data results for beam symetry and penumbra with various depth. For each depth variation we used fields size variation too. Beam symetry value at fields size (1×1) cm2, (2×2) cm2, (3×3) cm2 and(4×4) cm2 will decrease when the depth increase. Range value for beam symetry is (0.55-6.27)%. Previous reaserch had symetry value for standart field (10x10) was 3.20% [14]. In the reference region, the dose should not differ more than 2% at any pair of points situated symmetrically with respect to the central ray [15]. So, symmetricity value for fields size (1x1) cm2 is more than 2% in all depth variation. Width penumbra value is an increase for all depth variation, at ranges value (4.00-4.90) mm. The detector volume averaging is cause the broadening penumbra. The result for fields size variation, we can see at figure 2 and table 2. The result of dose profile analysis with fields size variation shows that the value of symmetry will decrease when the filed size increase. Range value for beam symetry is (0.39-6.27)%. Penumbra value will increase when the filed size increase. Range value for penumbra is (4.00-5.00) mm. Penumbra values from the dose profile measurements with PTW PinPoint chamber detector have significant differences when compared to the penumbra on the small field when measured by the Farmer chamber detector. Zryan et al (2017) had the penumbra value that used Farmer chamber detector for field size (1x1), (2x2), and (3x3) at depth 100 mm are (5.6 mm, 5.6 mm and 6.3 mm) [11].PDD measurements were performed on various fields size using SSD 100 cm. Various radiation fields exposed with 500 MU. The results of the measurements are displayed in PDD curves, can be seen in figure 3.
  • 4. International Journal of Innovative Research in Advanced Engineering (IJIRAE) ISSN: 2349-2163 Issue 03, Volume 5 (March 2018) www.ijirae.com _________________________________________________________________________________________________ IJIRAE: Impact Factor Value – SJIF: Innospace, Morocco (2016): 3.916 | PIF: 2.469 | Jour Info: 4.085 | ISRAJIF (2016): 4.011 | Indexcopernicus: (ICV 2016): 64.35 IJIRAE © 2014- 18, All Rights Reserved Page –101 Depth 15 mm Depth 100 mm Figure 2. Profile doses curve of 6 MV photon with various fields size Table 2. Results of profile dose analyze in various fields Size Depth (mm) Fields Size (cm2) Symetry (%) Penumbra (mm) 15 1x1 6.27 4.00 2x2 2.45 4.10 3x3 1.21 4.10 4x4 0.70 4.20 5x5 0.35 4.50 100 1x1 4.92 4.10 2x2 2.28 4.50 3x3 0.90 4.90 4x4 0.72 4.70 5x5 0.39 5.00 Figure 3. PDD curve of 6 MV photon with various fields size Table 3. Results of PDD analyze in various fields Size Field Size (mm) Rmax (mm) 10x10 14.0 20x20 17.0 30x30 17.0 40x40 16.0 50x50 16.0 The maximum dose of the photon beam on the small field area achieved at maximum depth (Rmax). The percentage depth dose (beyond the depth of maximum dose) decrease with depth [15]. The results of PDD analysis of various field area showed that maximum dose was achieved at depth (14-17) mm (See Table.3). Previous research had results maximum depth for the standard field size (10x10) cm2 was 14.8 mm [9,13]. So, in general maximum dose in a small field is achieve deeper than standard field.
  • 5. International Journal of Innovative Research in Advanced Engineering (IJIRAE) ISSN: 2349-2163 Issue 03, Volume 5 (March 2018) www.ijirae.com _________________________________________________________________________________________________ IJIRAE: Impact Factor Value – SJIF: Innospace, Morocco (2016): 3.916 | PIF: 2.469 | Jour Info: 4.085 | ISRAJIF (2016): 4.011 | Indexcopernicus: (ICV 2016): 64.35 IJIRAE © 2014- 18, All Rights Reserved Page –102 IV. CONCLUSIONS The results showed that detector PTW PinPoint Chamber 0.015 cc (TM31014) could be used for profile dose and PDD measurement in the small field. The symmetry values for depth variations will decrease in ranges (0.55-6.27)% when the depth increase, and for field size variations will decrease in range (0.39-6.27)%. When the filed size increase. The result of the penumbra analysis shows that its value is more than 4 mm for all variation of depth and field size. PDD results showed that maximum dose for all fields size is achieved in maximum depth (1.4 – 1.7) cm. Maximum dose in the small field is achieved deeper than standard field. REFERENCES 1. Das, I.J., George X.D., and Anders A., 2008, Small field: Non equilibrium radiation dosimetry, Med. Phys.,35:1. 2. Spang and Francisco J. 2011, Monte Carlo study of the dosimetry of small-photon beams using CMOS active pixel sensors. London: Department of Medical Physics and Bioengineering University College London, UCL. 3. Perka BAPETEN, No.3 Tahun 2013, Tentang Keselamatan Radiasi Dalam Penggunaan Radioterapi. 4. Azimi, R., Parham A., and Patrick H., 2012, The effect of small field output factor measurement on IMRT dosimetry, Med. Phys.,39,8. 5. Fatimah, L. A. N., Andrian D. H., Wahyu E. W., Supriyanto A. P., 2016, Pengaruh kedalaman pada output faktor lapangan kecil dengan detektor Thermoluminesemse Dosimeter Rods dan Ionization Chamber Exradin A16, Seminar Nasional Fisika 2016 Prodi Pendidikan Fisika dan Fisika, Fakultas MIPA Universitas Negeri Jakarta,V. 6. Cheng, C.W., Sang H. C., Michael T., and Indra J. Das., 2007, Determination of zero-field size percent depth doses and tissue maximum ratios for stereotactic radiosurgery and IMRT dosimetry: comparation between experimental measurement and Monte Carlo Simulation, Med. Phys., 34,8. 7. Wulandari, C., Wahyu E. W., and Supriyanto A. P., 2016, Penentuan faktor keluaran berkas elektron lapangan kecil pada pesawat Liniear Accelerator, Spektra : Jurnal Fisika dan Aplikasinya, 1,1. 8. Godson, H.F., Ravikumar M., Sathiyan S., Ganesh K M, Ponmalar Y R, and Varatharaj C., 2016, Analysis of small field percent depth dose and profiles: Comparison of measurements with various detectors and effects of detector orientation with different jaw settings. J Med.Phys.,41, 12-20. 9. Fuadi, H. dan Sutanto, H., 2015, Perbandingan Pengukuran PDD dan Beam Profil Antara Detektor Ionisasi Chamber dengan Gafchromic Film pada Lapangan 10 x 10cm2, Youngster Physics Journal, 4, 15-22. 10. Ihya, F.N., Choirul, A., dan Vincensius, G., 2013, Pembuatan Kurva Isodosis 2D dengan menggunakan Kurva Percentage Depth Dose (PDD) dan Profil Dosis degan Variasi Kedalaman untuk Treatment Planning System. Berkala Fisika, 16,131-138. 11. Zryan Y S, Kharman A F, Huner A H, Araz W, Akhtar S. 2017. Penumbra and Output Factors Measurements in Small and Non-Small Fields. Canc Therapy & Oncol Int J. 7,3. 12. PTW Small Field Dosimetry: Application Guide© PTW Freiburg. www.ptw.de/small_field_dosimetry.html 13. Sandy, K. Y.T., 2010. Profil Berkas Sinar-X Lapangan Simetris dan Asimetris pada Pesawat Linac Seimens Primus 2D Plus. Seminar Nasional Keselamatan Kesehatan dan Lingkungan VI. Jakarta, 15-16 Juni 2010. 14. Khiftiyah, M.,Hidayanto, E.,danArifin, Z., 2014, AnalisaKurva Percentage Depth Dose (PDD) Dan Profil Dose Untuk Lapangan Radiasi Simetri Dan Asimetri Linear Acceleretor (Linac) 6 Dan 10 MV, Skripsi, Fakultas Sains dan Matematika UNDIP, Semarang. 15. Khan, Faiz M., John P. G. 2014. The Physics of Radiation Therapy, Fifth edition. USA: Lippincott Williams and Wilkins.