Small field in-air output factors: The role of miniphantom design and dosimeter type
Purpose: The commissioning of treatment planning systems and beam modeling requires measured input parameters. The measurement of relative output in-air, S{sub c} is particularly difficult for small fields. The purpose of this study was to investigate the influence of miniphantom design and detector selection on measured S{sub c} values for small fields and to validate the measurements against Monte Carlo simulations. Methods: Measurements were performed using brass caps (with sidewalls) or tops (no sidewalls) of varying heights and widths. The performance of two unshielded diodes (60012 and SFD), EBT2 radiochromic film, and a fiber optic dosimeter (FOD) were compared for fields defined by MLCs (5–100 mm) and SRS cones (4–30 mm) on a Varian Novalis linear accelerator. Monte Carlo simulations were performed to theoretically predict S{sub c} as measured by the FOD. Results: For all detectors, S{sub c} agreed to within 1% for fields larger than 10 mm and to within 2.3% for smaller fields. Monte Carlo simulation matched the FOD measurements for all size of cone defined fields to within 0.5%. Conclusions: Miniphantom design is the most important variable for reproducible and accurate measurements of the in-air output ratio, S{sub c}, in small photon fields (less than 30 mm). Sidewalls are not required for fields ≤ 30 mm and tops are therefore preferred over the larger caps. Unlike output measurements in water, S{sub cp,} the selection of detector type for S{sub c} is not critical, provided the active dosimeter volume is small relative to the field size.