logo_hcam

Revista Médica Científica CAMbios

Periodicidad semestral: flujo continuo.

ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)

Ver PDF (Spanish)

Keywords

Radiosurgery
Brachytherapy
Therapeutics
Wounds and Injuries
Lasers, Semiconductor
Research

How to Cite

1.
Activation of the Apex micro-collimator for stereotactic radiosurgery (SRS) in the Radiotherapy department at Carlos Andrade Marin Hospital. Cambios rev. méd. [Internet]. 2019 Jun. 28 [cited 2025 May 19];16(1):10-3. Available from: https://revistahcam.iess.gob.ec/index.php/cambios/article/view/261

Abstract

Introduction: Stereotactic radiosurgery allows the treatment of small lesions, giving only one hypo-fractioned, radiation dose, according to the conditions of targeted tissues and other external factors to the patient. In our case, the photon field is generated in a linear electron accelerator. Radiation beams to treat small lesions are formed by a micro collimator (mMLC). Methods: A linear accelerator and a micro collimator were used when implementing the technique. Two ionization chambers, a diode and an electrometer were also used. Data was registered on an IBA Brand water phantom. The dosimetry parameters measured were: radiation transmission through the laminated sheets, absolute dosimetry (water and air) and relative dosimetry (PDD and profiles). These parameters follow the Data recollection guide for Apex and Monaco. Results: The transfer values were set at 0.60% in the CAX, 0.39% and 0.34% in the extremes established by protocol. Data obtained with the output factors adjust, in an optimum way, the curve for each measurement and corresponding field range. After filtering the data in an Omnipro software, the tendency line is now comparable with the references from Elekta. Every PDD with its own field range and every profile obtained were approved by the modelers. Discusion: Setting up the micro collimator system in radiosurgery begins with satisfactory test results and is then ready to offer treatment to patients at this hospital. The documentation delivered by Elekta’s modeler physicist includes a simulation algorithm pack, the machine’s geometrical parameters, verification and calibration data and measured data.

Ver PDF (Spanish)

References

Phillips, M. H. Physical Aspects of Stereotactic Radiosurgery. New York: Springer Science+Business Media; 1997.

Elekta Limited. Manuales del acelerador Sinergy. Site Planning Environmental Information. Fleming Way, Crawley, United Kingdom: Elekta Limite; 2008.

Aspradakis, M., Byrne, J., Palmans, H., Duane, S., Conway, J., Warrington, A., & Rosser, K. IPEM report 103: Small field MV photon dosimetry. International Atomic Energy Agency (IAEA). 2010; 182.

Ayala, E. Notas del Curso de Física Nuclear y Radiaciones. Quito: Facultad de Ciencias, EPN; 2008.

Elekta Limited. Apex Customer Acceptance Test Fleming Way: Elekta Limited, 2014.

Godwin, G., Simpson, J., & Mugabe, K. Characterization of a dynamic multi-leaf collimator for stereotactic radiotherapy applications. Physics in medicine and biology. 2012; 57(14): 4643-4654.

Mendoza, I., & López, C. Comparación Básica de Micromultilálminas de doble foacalización: Larancio 3mm vs Appex 2.5mm empleados

en radiocirugía estereotáctica. Revista latinoamericana de física médica. 2015; 3(3): 4-8.

 

The authors who publish in this journal accept the following conditions:

1. The authors retain the copyright and grant to the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM the right of the first publication, with the work registered with the Creative Commons attribution license, which allows third parties to use the published material provided that they mention the authorship of the work and the first publication in this journal.

2. Authors can make other independent and additional contractual agreements for the non-exclusive distribution of the version of the article published in this journal (for example, include it in an institutional repository or publish it in a book) as long as it clearly indicates that the work was published. for the first time in the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM.