medigraphic.com
SPANISH

Revista de Ciencias Médicas de Pinar del Río

ISSN 1561-3194 (Electronic)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2020, Number 5

<< Back Next >>

Rev Ciencias Médicas 2020; 24 (5)

Dosimetric characterization of X-ray Surface Radiotherapy Equipments

Aguiar FY, Nazco TJ, Alfonso LR, Milian BJ, Bory PL
Full text How to cite this article

Language: Spanish
References: 16
Page: 1-11
PDF size: 1009.68 Kb.


Key words:

dosimetry, radiotherapy, skin neoplasms, x-ray therapy, calibration.

ABSTRACT

Introduction: in Cuba, in 2018, a total of 12 070 new cases of skin cancer were diagnosed, from which it is estimated that 11 587 correspond to the non-melanoma type. Radiation therapy with X-rays is considered the first-line treatment in many of these cases. Recently, the national healthcare system acquired four SENSUS SRT-100TM units for treating Non-Melanoma Skin Cancer (NMSC).
Objective: to develop a standardized methodology for the dosimetric characterization of the equipments of surface radiotherapy with X-rays installed in Cuba.
Methods: four SENSUS SRT-100TM radiotherapy equipments were characterized for each of their radiological qualities, in terms of linearity, stability, hemi-reductive layer, reference dose rates, dose profiles, cone factors and percentage of dose in depth. The recommendations of the AAPM TG-61 and the IAEA-TRS 398 were applied for this purpose.
Results: the averages of HVLs (mm Al) and their respective coefficients of variation (CV) were 5,526 - 5,2 %; 1,130 - 2,1 % and 2,007 - 2,1 % for 50, 70 and 100 kV respectively. The yields presented little variability between machines (CV < 3%) and were very similar by the methods "in water" and "in air" (discrepancy < 0,5 %).
Conclusions: the equipments show excellent stability and very similar dosimetric characteristics among them, which allows establishing reference values for eventual external audits and beam readjustments after the maintenance or repairs involving the X-ray generator.


REFERENCES

  1. Kim HN, Lee JH, Park HB, Kim HJ, Cho SO. Surface applicator of a miniature X-ray tube for superficial electronic brachytherapy of skin cancer. Med Phys [Internet]. 2018 [Citado 20/05/2019]; 45(1): 29-36. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/29106708/

  2. Severina P. Development of The Slab Phantom for the Measurements of Irradiation Doses in Superficial X-Ray Therapy [Thesis]. Master’s Final Degree Project. Kaunas University of Technology. Faculty of Mathematics and Nature Sciences; 2018. [Citado 20/05/2019]: [aprox. 60p.] Disponible en: Disponible en: https://epubl.ktu.edu/object/elaba:29009047/

  3. Fahradyan A, Howell AC, Wolfswinkel EM, Tsuha M, Sheth P, Wong AK. Updates on the Management of Non-Melanoma Skin Cancer (NMSC). Healthcare (Basel) [Internet]. 2017 [Citado 20/05/2019]; 5(4): 82. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/29104226/

  4. Nazco Torres J, Labrador Díaz JF, Castro Crespo D, Aguiar Ferro Y, Rodríguez Hernández Y. Tratamiento de tumores de piel con SENSUS SRT-100TMen Centro Oncológico pinareño. Rev Ciencias Médicas [Internet]. 2019 [Citado 20/05/2019]; 23(6): 817-826. Disponible en: Disponible en: http://revcmpinar.sld.cu/index.php/publicaciones/article/view/4082

  5. Anuario estadístico de salud. 2018. Ministerio de Salud Pública, Dirección de registros médicos y estadísticos de salud. [Internet]. La Habana; 2019. Disponible en: https://files.sld.cu/bvscuba/files/2019/04/Anuario-Electr%C3%B3nico-Espa%C3%B1ol-2018-ed-2019-compressed.pdf

  6. Nestor MS, Berman B, Goldberg D, Cognetta A, Gold M, Roth W, et al. Consensus Guidelines on the Use of Superficial Radiation Therapy for Treating Nonmelanoma Skin Cancers and Keloids. J Clin Aesthet Dermatol [Internet]. 2019 [Citado 20/05/2019]; 12(2):12-18. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/30881578/

  7. Nazco Torres J, Torres Valle A, Labrador Díaz JF, Jiménez Ortega U, Castro Crespo D. Estudio del riesgo en radioterapia superficial con SENSUS SRT-100TM usando FMEA y código SECURE MR-FMEA. Revista de Ciencias Médicas de Pinar del Río [Internet]. oct. 2018 [Citado 20/05/2019]; 22(6): 1077-1089. Disponible en: Disponible en: http://www.revcmpinar.sld.cu/index.php/publicaciones/article/view/3762

  8. Hill R, Healy B, Holloway L, Kuncic Z, Thwaites D, Baldock C. Advances in kilovoltage x-ray beam dosimetry. Phys Med Biol [Internet]. 2014 [Citado 20/05/2019]; 59(6): 183-231. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/24584183/

  9. Furstoss C. COMP report: CPQR technical quality control guidelines for kilovoltage X ray radiotherapy machines. J Appl Clin Med Phys [Internet]. 2018 [Citado 20/05/2019]; 19(2):18-21. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5849838/

  10. Canadian Partnership for Quality Radiotherapy. Technical Quality Control Guidelines for Canadian Radiation Treatment Centres; 2016. Disponible en: http://www.cpqr.ca/wp-content/uploads/2017/01/TQC-2016-05-01.pdf

  11. Centro Nacional de Seguridad Nuclear. Resolución No. 41/2011. Guía de Seguridad Para la Práctica de Radioterapia; 2011.

  12. Sheu RD, Powers A, Lo YC. Commissioning a 50-100 kV X-ray unit for skin cancer treatment. J Appl Clin Med Phys [Internet]. 2015 [Citado 20/05/2019]; 16(2):5182. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/26103186/

  13. Chair M.AAPM TG-61. AAPM Protocol for 40-300 kV x-ray Beam Dosimetry in Radiotherapy and Radiobiology. Am. Assoc. Phys. Med [Internet]. 2001 [Citado 20/05/2019]; 28(6): 868-893. Disponible en: Disponible en: https://pdfs.semanticscholar.org/1eb3/a9f39f8c051321a4fe2575fa88dd0bfcc8f5.pdf

  14. IAEA - TRS 398. Determinación de la dosis absorbida en agua con haces externos [Internet]. Viena; 2005. [Citado 20/05/2019]. Disponible en: Disponible en: https://www-pub.iaea.org/MTCD/Publications/PDF/TRS_398s_Web.pdf

  15. IAEA-TECDOC 1151. Aspectos físicos de la garantía de calidad en radioterapia. Protocolo de control de calidad. 2000. https://www-pub.iaea.org/MTCD/publications/PDF/te_1151_prn.pdf

  16. British Journal of Radioology. Central Axis Depth Dose Data for Use in Radiotherapy 1996: A Survey of this Supplement Depth Doses and Related Data Measured in Water Or Equivalent Media [Internet]. Central axis dose data for use in radiotherapy; 1996. [Citado 20/05/2019]. Disponible en: Disponible en: https://books.google.com.cu/books/about/Central_Axis_Depth_Dose_Data_for_Use_in.html?id=dvnloAEACAAJ&redir_esc=y




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Ciencias Médicas. 2020;24