Comparison of Enhanced Dynamic Wedge with Physical Metal Wedge based on the Basic Dosimetric Parameters

Lee, Jeong Woo; Hong, Semie; Choi, Kyoung Sik; Chung, Jin Beom; Choe, Bo Young; Jang, Hong Seok; Suh, Tae Suk

Abstract

For clinical implementation of Enhanced Dynamic Wedge (EDW), it is necessary to adequately analyze and commission its dosimetric properties in comparison to common physical metal wedge (MTW). This study was implemented with the essential measurements of parameters for clinical application, such as percentage depth dose, peripheral dose, surface dose, effective wedge factor, and wedge profile. In addition, through the comparison study of EDW with open and MTW, the analysis was performed to characterize the EDW. We also compared EDW dose profiles of measured values using chamber array 24 (CA24) with calculated values using radiation treatment planning system. PDDs of EDW showed good agreements between 0.2~0.5% of open beam, but 2% differences with MTW. In the result of the measurements of peripheral dose, it was shown that MTW was about 1% higher than open field and EDW. The surface doses of 60degrees MTW showed 10% lower than the others. We found that effective wedge factor of EDW had linear relationships according to Y jaw sizes and was independent of X jaw sizes and was independent of X jaw sizes and asymmetric Y jaw opening. In comparison with measured values and calculate values from Golden-STT based radiation treatment planning system (RTP system), it showed very good agreement within difference of 1%. It could be concluded that EDW is a very reliable and useful tool as a beam modification substitute for conventional MTW.