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Mohyedin MZ, Zin HM, Abubakar A, Rahman ATA. Study of PRESAGE® dosimeter for end-to-end 3D radiotherapy verification using an anthropomorphic phantom with bespoke dosimeter insert. Phys Eng Sci Med 2024:10.1007/s13246-024-01418-9. [PMID: 38634981 DOI: 10.1007/s13246-024-01418-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Accepted: 02/26/2024] [Indexed: 04/19/2024]
Abstract
Modern radiotherapy techniques have advanced and become more sophisticated. End-to-end 3D verification of the complex radiotherapy dose distribution in an anthropomorphic phantom can ensure the accuracy of the treatment delivery. The phantoms commonly used for dosimetry are homogeneous solid water phantom which lacks the capability to measure the 3D dose distribution for heterogeneous tissues necessary for advanced radiotherapy techniques. Therefore, we developed an end-to-end 3D radiotherapy dose verification system based on MAX-HD anthropomorphic phantom (Integrated Medical Technologies Inc., Troy, New York) with bespoke intracranial insert for PRESAGE® dosimeter. In this study, several advanced radiotherapy treatment techniques of various levels of complexity; 3D-CRT, IMRT and VMAT treatment, were planned for a 20 mm diameter of a spherical target in the brain region and delivered to the phantom. The dosimeters were read out using an in-house developed optical computed tomography (OCT) imaging system known as 3DmicroHD-OCT. It was found that the measured dose distribution of the PRESAGE® when compared with the measured dose distribution of EBT film and Monaco TPS has a maximum difference of less than 3% for 3D-CRT, IMRT and VMAT treatment plans. The gamma analysis results of PRESAGE® in comparison to EBT film and Monaco TPS show pass rates of more than 95% for the criteria of 3% dose difference and 3 mm distance-to-agreement. This study proves the capability of PRESAGE® and bespoke MAX-HD phantom in conjunction with the 3DmicroHD-OCT system to measure 3D dose distribution for end-to-end dosimetry verification.
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Affiliation(s)
- Muhammad Zamir Mohyedin
- School of Physics and Material Studies, Faculty of Applied Sciences, Universiti Teknologi MARA, 40450, Shah Alam, Selangor, Malaysia
- Centre of Astrophysics and Applied Radiation, Institute of Science, Universiti Teknologi MARA, 40450, Shah Alam, Selangor, Malaysia
| | - Hafiz Mohd Zin
- Advanced Medical and Dental Institute, Universiti Sains Malaysia, Bertam, 13700, Kepala Batas, Penang, Malaysia.
| | - Auwal Abubakar
- Advanced Medical and Dental Institute, Universiti Sains Malaysia, Bertam, 13700, Kepala Batas, Penang, Malaysia
- Department of Medical Radiography, Faculty of Allied Health Sciences, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria
- Department of Clinical Oncology, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria
| | - Ahmad Taufek Abdul Rahman
- School of Physics and Material Studies, Faculty of Applied Sciences, Universiti Teknologi MARA, 40450, Shah Alam, Selangor, Malaysia.
- Centre of Astrophysics and Applied Radiation, Institute of Science, Universiti Teknologi MARA, 40450, Shah Alam, Selangor, Malaysia.
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Mohyedin MZ, Zin HM, Adenan MZ, Abdul Rahman AT. A Review of PRESAGE Radiochromic Polymer and the Compositions for Application in Radiotherapy Dosimetry. Polymers (Basel) 2022; 14:2887. [PMID: 35890665 PMCID: PMC9320230 DOI: 10.3390/polym14142887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 07/02/2022] [Accepted: 07/06/2022] [Indexed: 02/01/2023] Open
Abstract
Recent advances in radiotherapy technology and techniques have allowed a highly conformal radiation to be delivered to the tumour target inside the body for cancer treatment. A three-dimensional (3D) dosimetry system is required to verify the accuracy of the complex treatment delivery. A 3D dosimeter based on the radiochromic response of a polymer towards ionising radiation has been introduced as the PRESAGE dosimeter. The polyurethane dosimeter matrix is combined with a leuco-dye and a free radical initiator, whose colour changes in proportion to the radiation dose. In the previous decade, PRESAGE gained improvement and enhancement as a 3D dosimeter. Notably, PRESAGE overcomes the limitations of its predecessors, the Fricke gel and the polymer gel dosimeters, which are challenging to fabricate and read out, sensitive to oxygen, and sensitive to diffusion. This article aims to review the characteristics of the radiochromic dosimeter and its clinical applications. The formulation of PRESAGE shows a delicate balance between the number of radical initiators, metal compounds, and catalysts to achieve stability, optimal sensitivity, and water equivalency. The applications of PRESAGE in advanced radiotherapy treatment verifications are also discussed.
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Affiliation(s)
- Muhammad Zamir Mohyedin
- School of Physics and Material Studies, Faculty of Applied Sciences, Universiti Teknologi MARA, Shah Alam 40450, Selangor, Malaysia;
- Centre of Astrophysics & Applied Radiation, Institute of Science, Universiti Teknologi MARA, Shah Alam 40450, Selangor, Malaysia
| | - Hafiz Mohd Zin
- Advanced Medical & Dental Institute, Universiti Sains Malaysia, Bertam, Kepala Batas 13700, Penang, Malaysia;
| | - Mohd Zulfadli Adenan
- Centre of Medical Imaging, Faculty of Health Sciences, Universiti Teknologi MARA, Cawangan Selangor Campus of Puncak Alam, Puncak Alam 42300, Selangor, Malaysia;
| | - Ahmad Taufek Abdul Rahman
- School of Physics and Material Studies, Faculty of Applied Sciences, Universiti Teknologi MARA, Shah Alam 40450, Selangor, Malaysia;
- Centre of Astrophysics & Applied Radiation, Institute of Science, Universiti Teknologi MARA, Shah Alam 40450, Selangor, Malaysia
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