Novel method based on Fricke gel dosimeters for dose verification in IMRT techniques

Modern radiotherapy is becoming increasingly complex. Conformal and intensity modulated (IMRT) techniques are nowadays available for achieving better tumour control. However, accurate methods for 3D dose verification for these modern irradiation techniques have not been adequately established yet. Fricke gel dosimeters consist, essentially, in a ferrous sulphate (Fricke) solution fixed to a gel matrix, which enables spatial resolution. A suitable radiochromic marker (xylenol orange) is added to the solution in order to produce radiochromic changes within the visible spectrum range, due to the chemical internal conversion (oxidation) of ferrous ions to ferric ions. In addition, xylenol orange has proved to slow down the internal diffusion effect of ferric ions. These dosimeters suitably shaped in form of thin layers and optically analyzed by means of visible light transmission imaging have recently been proposed as a method for 3D absorbed dose distribution determinations in radiotherapy, and tested in several IMRT applications employing a homogeneous plane (visible light) illuminator and a CCD camera with a monochromatic filter for sample analysis by means of transmittance images. In this work, the performance of an alternative read-out method is characterized, consisting on visible light images, acquired before and after irradiation by means of a commercially available flatbed-like scanner. Registered images are suitably converted to matrices and analyzed by means of dedicated 'in-house' software. The integral developed method allows performing 1D (profiles), 2D (surfaces) and 3D (volumes) dose mapping. In addition, quantitative comparisons have been performed by means of the Gamma composite criteria. Dose distribution comparisons between Fricke gel dosimeters and traditional standard dosimetric techniques for IMRT irradiations show an overall good agreement, supporting the suitability of the method. The agreement, quantified by the gamma index (that seldom reaches the 3 value for all the here considered dosimetric systems) satisfactorily indicates the feasibility of the proposed method. (author)