SU‐E‐P‐39: Characterization of Dose Impact On Different Beam Fields Size Attenuation for Elekta IGRT Couch

Purpose:Quantification of the dosimetric impact of the Elekta IGRT treatment couch in different beam field sizes. Established the relationship of relative dose versus beam angle at different beam field sizes.Methods:Measurements of couch attenuation were performed at gantry angles from 180° to 120°, using a 0.125cc semiflex ionization chamber, isocentrically placed in the center of a homogeneous cylindric sliced RW3 phantom for 6 photon beams. Measurements were performed at six different field sizes (3×3, 5×5, 7×7,10×10, 12×12 and 15×15 cm2). The phantom were positioned at the center of the couche,100 MU were delivered at every gantry angle. The dose difference to the ion chamber was determined.Results:For oblique fields with 6 MV photons at the same gantry angle the attenuation coefficient value from the lagest to the smallest the order is field size 7 cm2,5 cm2,10 cm2,12 cm2,15 cm2 and 3 cm2. The biggest couch attenuation by up to 4.15% at the gantry angle of 140°for the field size of 7 cm2, while for the field size of 3 cm2 the couch attenuated value only 3.5%. The other field size couch attenuation values are between the couch attenuated value of field size of 7 cm2 and 3 cm2Conclusion:The recommended treatment couch attenuation measured beam field size is 10×10 or 12×12 cm2. When measured using the beam field size 3×3 cm2 the tested value will be lower, while measuerd using the beam field size 7×7 cm2 the tested value will be higer than the recommended beam field size. This should be noted when modeling the treatment couch in the treatment planning system.