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Radiotherapy couches: is kevlar an obstacle? Attenuation study of three different tabletops

dc.contributor.authorSilva, Célia
dc.contributor.authorMateus, Dalila
dc.contributor.authorVieira, Sandra
dc.contributor.authorRodrigues, Milton
dc.contributor.authorEiras, Margarida
dc.contributor.authorGreco, Carlo
dc.date.accessioned2020-12-22T13:25:42Z
dc.date.available2020-12-22T13:25:42Z
dc.date.issued2016-07
dc.description.abstractIntroduction: Treatment tabletops are usually made of carbon fibre due to its high mechanical strength and rigidity, low specific density, extremely light and regularly considered radio translucent. Our clinic acquired a Calypso 4D Localization System where electromagnetic (EM) frequencies to detect implanted transponders in the patient are used. Carbon fibre is an electrical conductive material which interferes with EM frequencies. Therefore, in order to be able to use the Calypso System the carbon fibre tabletop in the treatment room must be replaced. It is our goal to determine the attenuation of the new, non-carbon fibre, tabletop in treatment delivery. Materials and Methods: Measurements were performed using an ionisation chamber inserted in a slab phantom positioned at the isocenter for 6, 10 MV, 6 and 10 flattening filter-free (FFF) MV photon beams. These measurements were performed with and without tabletop for 0°, 30° and 60° beam angle for a True Beam STx linac, for 5×5 cm2 and 10×10 cm2 field size beams. The attenuation was calculated for each measurement for each tabletop. Results: At 0° incidence on the Exact IGRT Couch, the measured attenuation for 10×10 cm2 was 2·8 and 2·1% for 6 and 10 MV beams, respectively. For the same field size was measured 3·3 and 2·6% attenuation for 6 and 10 FFF MV beams, respectively. At the same incidence and regarding the other tabletops, the calculated attenuation is lower. For 10×10 cm2 field, there is 2·0, 1·4, 2·1 and 2·6% attenuation for 6, 10 MV, 6 and 10 FFF MV energy beams on the kVueTM Universal Couch. For the KvueTM Calypso® Couch 10×10 cm2 irradiation field, the measurements were 1·6, 1·3, 1·9 and 1·5%, respectively. This tendency is observed for all gantry angles. Discussion: The attenuation outputs were definitely higher for the Varian Exact IGRT Couch when compared with the kVue tabletops. The attenuation measurements for the kVue tabletops were closer to each other. Nevertheless kVueTM Calypso® Varian tabletop showed smaller mean attenuation of the beams than kVueTM Universal Tip Insert for all measurements. Conclusions: There was no loss in treatment quality administration due to beam attenuation in the tabletop when tabletops were exchanged because of Calypso system integration. There is no need to change between kVue tabletops whenever there is a regular treatment or a Calypso System guided treatment.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSilva C, Mateus D, Vieira S, Rodrigues M, Eiras M, Greco C. Radiotherapy couches: is kevlar an obstacle? Attenuation study of three different tabletops. J Radiother Pract. 2016;15(4):346-53.pt_PT
dc.identifier.doi10.1017/S1460396916000297pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/12511
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCambridge University Presspt_PT
dc.relation.publisherversionhttps://www.cambridge.org/core/journals/journal-of-radiotherapy-in-practice/article/abs/radiotherapy-couches-is-kevlar-an-obstacle-attenuation-study-of-three-different-tabletops/DBDABA558596151375980E13CB5F48F1pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectCalypso®pt_PT
dc.subjectTabletoppt_PT
dc.subjectAttenuationpt_PT
dc.subjectCarbon fiberpt_PT
dc.subjectKevlarpt_PT
dc.titleRadiotherapy couches: is kevlar an obstacle? Attenuation study of three different tabletopspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage353pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage346pt_PT
oaire.citation.titleJournal of Radiotherapy in Practicept_PT
oaire.citation.volume15pt_PT
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT

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