The justification for the use of table of equivalent squares with respect to reference depth total scatter factor, and phantom scatter factor, for cobalt-60 teletherapy

The use of equivalent squares is of great value and importance when determining output and depth dose data for rectangular fields. The variation with field shape of collimator scatter factors (Sc), phantom scatter factors (Sc,p) were studied using measurements on GWGP 80 cobalt - 60 teletherapy machine at the National Centre of Radiotherapy and Nuclear Medicine in the Korle-Bu Teaching Hospital. Measurements of the collimator scatter factors (Sc), phantom scatter factors (Sp) and total scatter factors (Sc,p) were made at the depth of 5 cm, 10 cm, 15 cm and 20 cm in full scatter water phantom for square field side and rectangular fields of varying dimensions. The measurements were done using the source - axis distance (Sad) technique. The values of total scatter factor (Sc,p), phantom scatter factor and collimator scatter factor (Sc) obtained were used to estimate equivalent squares for the rectangular fields at the various depths. The equivalent squares were computed using the method of interpolation which is based on the scatter analysis of these scatter factors and these estimated equivalent squares were then compared with equivalent squares were then compared with equivalent square fields from BJR (supplement 21) tables of equivalent squares. The research revealed that there were average deviation of 1.5% for smaller rectangular field sizes and 8.8% for elongated rectangular field sizes between the estimated square field sizes and the equivalent square field from BJR (supplement 21) Table of equivalent square fields. The 8.8% for the elongated rectangular fields is not accepted, though such fields are rarely used in our Hospitals. It was found that the values of the equivalent square at the various depth were very consistent and do not vary with reference depth. These findings confirm that the clinical use of the BJR (supplement 21) Table of equivalent squares for total scatter factors and phantom scatter related quantities of rectangular fields is justified (au).