3D Polymer Gel Dosimeters with iCBCT 3D Reading and polyGeVero-CT Software Package for Quality Assurance in Radiotherapy.

Dynamically evolving radiotherapy instruments require advancements in compatible 3D dosimetry systems. This paper reports on such tools for the coincidence test of the mechanical and radiation isocenter for a medical accelerator as part of the quality assurance in routine radiotherapy practice. Three-dimensional polymer gel dosimeters were used in combination with 3D reading by iterative cone beam computed tomography and 3D data processing using the polyGeVero-CT software package. Different polymer gel dosimeters were used with the following acronyms: VIP, PAGAT, MAGIC, and NIPAM. The same scheme was used for each dosimeter: (i) irradiation sensitivity test for the iterative cone beam computed tomography reading to determine the appropriate monitor unit for irradiation, and (ii) verification of the chosen irradiation conditions by a star-shot 2D irradiation of each 3D dosimeter in the direction of performing the test. This work concludes with the optimum monitor unit per beam for each selected 3D dosimeter, delivers schemes for quick and easy determination of the radiation isocenter and performing the coincidence test.