Sharpening the penumbra of high energy electron beams with low weight narrow photon beams.
OBJECTIVE
High energy (20-50 MeV) electron beams, available from the MM50 Racetrack Microtron, can be used for the treatment of deep-seated tumors. A disadvantage is the increasing penumbra width as a function of depth. By the addition of a narrow (typically 1 cm wide) photon beam near the field edge, the 50-90% penumbra width of the electron beam is reduced, yielding a significantly increased effective field size.


METHODS
For rectangular electron beams in a water phantom (energies 25 and 40 MeV, field sizes 5 x 5-15 x 15 cm2) a computer program was used to optimize the photon beam parameters (position, weight and width) to obtain a combined beam with the sharpest penumbra at the optimization depth and a beam flatness within certain constraints. The study furthermore included penumbra sharpening of an irregular multileaf collimator-shaped field.


CONCLUSIONS
At optimization depths near R90, photon beam addition reduces the penumbra width by 40-50% (from 15-20 mm to 8-10 mm). Beam flatness at the optimization depth is within +/-5% and hot-spots are < or =120% for all depths. By the addition of narrow photon beams around the rectangular or irregular field, the electron field width can be reduced by 1-3 cm, while the effective field size is maintained.
Korevaar
E W
EW
Department of Clinical Physics, Daniel den Hoed Cancer Center, University Hospital Rotterdam, The Netherlands.
van Vliet
R J
RJ
Woudstra
E
E
Heijmen
B J
BJ
Huizenga
H
H
D004583:Electrons / Q000627:therapeutic use*; D006801:Humans; D019047:Phantoms, Imaging; D017785:Photons / Q000627:therapeutic use*; D011881:Radiotherapy, Computer-Assisted; D020266:Radiotherapy, Conformal / Q000379:methods*; D011882:Radiotherapy, High-Energy / Q000379:methods*; D013679:Technology, Radiologic / Q000379:methods*