ESTRO
 37
S465
PO-0880 Independent Evaluation Of Dose-Volume
Histogram (Dvh) Calculation Accuracy
S. Moragues Femenia1, J.F. Calvo-Ortega1, J. Casals1
1
HOSPITAL QUIRON BARCELONA, Radiotherapy,
Barcelona, Spain
Purpose or Objective
To evaluate the accuracy of DVH calculateion against
published analytical values.
Material and Methods
The designed datasets and metrics reported by Nelms et
al (Med Phys. 2015 Aug;42(8):4435-48) have been use as
reference (“ground truth”) to check the accuracy of the
DVH calculated by Eclipse v 10.0. These datasets include
DICOM RT structure sets (a small sphere, cylinder, and
cone) created programmatically with axial plane spacing
varying from 0.2 to 3 mm, and synthetic DICOM RT dose
files generated with 1D linear dose gradient and with grid
resolution varying from 0.4 to 3 mm. We focused our
investigation for the scenario of CT scans with 1 mm axial
spacing and 1 mm calculation grid size, as used routinely
in our cranial stereotactic (SRS) plans. DVHs for 20
combinations RT structure/RT dose file were analyzed.
Differences (Eclipse vs. ground truth) in the following
metrics were calculated: structure volume (V), Dmax,
Dmin, D99%, D95%, D5%, D1% (where Dx% is the dose to
x% volume), and D0.03 cm3 (minimum dose at 0.03 cm3).
Differences are referred as local percent differences, i.e,
all normalized based on the ground truth values reported
by Nelms et al.
Results
Table 1 shows the differences obtained. Differences on
volume metric were within 2.5%. Very large differences
(up to 70%) were found on Dmin, which were reduced
within 10% for D99%. Better agreement (within 5%) was
noted for D95%. Differences on remaining metrics were
within 5%.
Conclusion
In SRS plans are commonly normalized such as D99% in
target volume is equal to the prescribed dose. As large
differences (up to 10%) have been noted on D99%, it
seems reasonable to normalize the SRS plan using the
D95% metric instead of D99%.
PO-0881 Absolute dosimetry with EBT3 films
F.J. San Miguel Avedillo1, F. Clemente Gutierrez1
1
Hospital de la Defensa Gomez Ulla, Radiotherapy,
madrid, Spain
Purpose or Objective
Most dosimetric quality assurance (QA) devices have low
spatial resolution. In treatments with small or modulated
fields such as intensity modulated radiotherapy (IMRT),
stereotactic body radiation therapy (SBRT) and
stereotactic radiosurgery (SRS), a high resolution dose
measurement technique would be advantageous, and
radiochromic film dosimetry is suitable for this purpose.
In this work, two different multichannel film dosimetry
algorithms using the triple channel approximation and a
hybrid version have been compared.
Material and Methods
EBT3 film was used for QA of IMRT and SBRT cases for a
range of anatomical sites. Dose distributions were
generated from the film using:
1. Red channel only
2. Méndez multichannel algorithm using the
truncated normal distribution (TN) [1]
3. Pérez-Azorín multichannel algorithm [2]
4. A hybrid of the Méndez and Pérez-Azorín
algorithms developed in his study.
All images were analysed at the same resolution. An
adaptive median filter was used to minimise noise
dependencies and the calibration curve was fitted to a
rational parametric form. To perform absolute dosimetry,
net optical density was used rather than pixel value.
OmniPro I’mRT software was used to perform absolute
gamma analysis using 3%/3mm and 2%2mm criteria on a
20% threshold comparing the various generated
distributions from film to the calculated distribution from
the treatment planning system[M1] (TPS) (Monaco v5,
Elekta). All plans were calculated in the same TPS
Results
Figure 1 shows a representative dose profile comparison
from a bilateral breast case comparing the hybrid
algorithm (4) from EBT3 film with the TPS.
Table 1 depicts the gamma analysis results for a range of
IMRT and SBRT cases. Dose delivered ranged from 180
cGy to 1800 cGy.
Figure 1: Dose profile of a bilateral breast case
comparing QA dose calculation from the Monaco TPS
(green) with the measured dose determinad from and
EBT3 film using the hybrid algorithm (4 )(red).