Experience with the Alderson Rando phantom

The dose delivered to the spinal cord is of particular interest in electron beam therapy of medulloblastoma. Lithium fluoride thermoluminescent dosimetry has been used in an assessment of the dose distributions from a 17 MeV electron beam in an Alderson Rando Phantom (Alderson, S.W., Lanzl, L.H., Rollins, M., and Spira, J., 1962, American J. of Roentgenology, Radium Therapy and Nuclear Medicine, vol. 87, 185). Measurements were also made on three autopsy specimens immersed in water. There were substantial differences between the two sets of results. The density of the bony part of the phantom seemed to be markedly lower than that of the water; radiographs of various parts of the phantom confirmed that large areas of low density existed. The manufacturers have stated that in order to simulate true in vivo conditions, an artificial skeleton would have to be introduced into the tissue-like material of the phantom, and that the real skeletons now used appear to be unsuitable for electron beam dosimetry. It is therefore doubtful whether this electron beam dosimetry justifies the expense associated with the insertion of these unsatisfactory skeletons into the soft tissue-equivalent material. (U.K.)