Korean J Med Phys.  2007 Sep;18(3):107-117.

A Comparison of Peripheral Doses Scattered from a Physical Wedge and an Enhanced Dynamic Wedge

  • 1Department of Radiation Applying Life Science, Seoul National University Graduate School.
  • 2Department of Radiation Oncology, Seoul National University Hospital. sye@snu.ac.kr
  • 3Department of Radiation Oncology, Seoul National University College of Medicine.
  • 4Institute of Radiation Medicine, Medical Research Center, Seoul National University College of Medicine.


In order to evaluate the radio-protective advantage of an enhanced dynamic wedge (EDW) over a physical wedge (PW), we measured peripheral doses scattered from both types of wedges using a 2D array of ion-chambers. A 2D array of ion-chambers was used for this purpose. In order to confirm the accuracy of the device, we first compared measured profiles of open fields with the profiles calculated by our commissioned treatment planning system. Then, we measured peripheral doses for the wedge angles of 15 degrees, 30 degrees, 45 degrees, and 60 degrees at source to surface distances (SSD) of 80 cm and 90 cm. The measured points were located at 0.5 cm depth from 1 cm to 5 cm outside of the field edge. In addition, the measurements were repeated by using thermoluminescence dosimeters (TLD). The peripheral doses of EDW were (1.4% to 11.9%) lower than those of PW (2.5% to 12.4%). At 15 MV energy, the average peripheral doses of both wedges were 2.9% higher than those at 6MV energy. At a small SSD (80 cm vs. 90 cm), peripheral dose differences were more recognizable. The average peripheral doses to the heel direction were 0.9% lower than those to the toe direction. The results from the TLD measurements confirmed these findings with similar tendency. Dynamic wedges can reduce unnecessary scattered doses to normal tissues outside of the field edge in many clinical situations. Such an advantage is more profound in the treatment of steeper wedge angles, and shorter SSD.


Enhanced dynamic wedge; Physical wedge; Peripheral dose; Ion-chambers; TLD

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Silver Sulfadiazine
Silver Sulfadiazine
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