title: Quantitative assessment of beam perturbations caused by silicon diodes used for in vivo dosimetry.
abstract: OBJECTIVE
  To measure the effect of silicon diode detectors used for in vivo dosimetry on beam characteristics and determine whether this effect is clinically significant.
  
  
  METHODS
  Commercially available photon and electron diodes were placed on the central axis of photon and electron beams. The beam characteristics were measured for 6- and 10-MV photon and 6-20-MeV electron energies from a Varian Clinac 1800 medical linear accelerator. Water was used for the medium, and measurements were made for various clinically common field sizes and depths.
  
  
  RESULTS
  Beam attenuations along the central axis were 10 and 7.5% for 6- and 10-MV photons, respectively. Electron beam dose reductions were between 13 and 25% for 20-6-MeV electrons. Photon beam flatness varied up to 7% at different depths, but the symmetry was not affected much. Electron beam flatness and symmetry were significantly changed to as much as 18 and 6%, respectively.
  
  
  CONCLUSIONS
  Use of diode detectors on central axis of photon and electron beams for in vivo dosimetry causes significant attenuation and alteration of the beam characteristics. The percentage of the volume affected is significant (e.g., 23% of the volume in a 4 x 4 field gets 10% less dose for a 6-MV photon beam), especially if these diodes are used for in vivo dosimetry on the central axis every day for every treatment, as is done in some clinics. Other beam parameters such as penumbra and skin dose are also affected. It is therefore recommended that the diodes be used only as needed.
authors.affiliation: Department of Radiation Therapy, Medical College of Ohio at Toledo 43699-0008, USA.
authors.forename: A
authors.initials: A
authors.lastname: Sen
authors.forename: E I
authors.initials: EI
authors.lastname: Parsai
authors.forename: S W
authors.initials: SW
authors.lastname: McNeeley
authors.forename: K M
authors.initials: KM
authors.lastname: Ayyangar
mesh_terms: D006801:Humans; D008961:Models, Structural; D010315:Particle Accelerators; D011879:Radiotherapy Dosage; D012825:Silicon; D014867:Water
chemical_list: D014867:Water; D012825:Silicon