TURKISH JOURNAL OF ONCOLOGY 2015 , Vol 30 , Num 4
Investigation of dose distribution at intersection region of split IMRT fields using two different dosimetric modality
Leyla SÜNCAK,1 Nazmiye DÖNMEZ KESEN,1 Mustafa Cem UZAL2
1İstanbul Üniversitesi Onkoloji Enstitüsü, Sağlık Fiziği Bilim Dalı, İstanbul
2Trakya Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, Edirne
OBJECTIVES
The purpose of this study is to investigate dose distribution in the overlap region of two split sub-fields generated by TPS.

METHODS
IMRT treatment fields larger than 15 cm were planned. TPS created two new sub-fields by splitting each original field. IMRT plans of 14 overlapping complementary binary sub-fields were sent to virtual phantom of TPS for quality assurance (QA) calculations by setting all gantry and collimator angles zero. The measurements at linac were taken using 2D-ion chamber lattice and film both placed at 5 cm depth in solid phantom at QA conditions.

RESULTS
According to different analyze criterias, consistence of dose fluence related to all fields and sub-fields were found respectively between 81%–99.2% and 80.4%–99.7% by 2D-Array ion chamber system.

CONCLUSION
As a result there was no statistically significant difference between calculated and measured dose distributions in overlap regions of two split fields derived from fields larger than 15 cm. Keywords : Split fields; gamma-index analysis; quality assurance; overlap region; intensity modulated radiation therapy