Quantitative Evaluation of Coincidence between Quantified Light Field Width and X-ray Field Width as Mechanical Quality Assurance

Abstract

Aim: The aim of this work was to evaluate the coincidence between light and X-ray field width in air. Background: Light fields are often used for confirmation of irradiation position to superficial tumors and final confirmation of the patient’s irradiation position. To guarantee collation by the light field, the light and X-ray fields must coincide. Currently, the light field width is determined mainly by visual evaluation using manual methods, such as use of graph paper and rulers. The light field width is difficult to visually recognize a definite position at the edge of the light field. Materials and Methods: We quantified the width of light fields emitted from a linear accelerator using a light probe detector and compared the results with those of X-ray fields. In-air measurements were conducted at the same position in the light field with the light probe detector and X-ray field using an ionization chamber installed in an emptied three-dimensional water phantom. Results: The radiation field in air was approximately 2 mm larger than the light field, and we found some influence of transmission and scattered rays on the penumbra region. Before and after exchanging crosshair sheets, the fields also exhibited differences in uniformity. Conclusions: The proposed method quantifies the light field using a photodetector and can be used to compare the light field with the X-ray field, conforming a useful tool for evaluating the accuracy of treatment devices in an objective and systematic manner.