Dosimetric Effects Of Thermoplastic Immobilizing Devices On Skin Dose

ABSTRACT This work shows the increase in surface dose caused by thermoplastic immobilizing masks used for positioning and immobilization of patients. Thermoplastics are organic materials which soften when they are heated. They can be formed after softening and retain their final shape when cooled. The use of these thermoplastic masks are relevant during patient treatment. However, it can lead to an increased skin dose. Measurements were done at source-to-suface distance of 80 cm for external radiation beams produced by cobalt 60 using the Farmer type ionization chamber and the Unidos electrometer. Measurements were carried out using various mask thicknesses and no mask material on a solid water phantom. The thermoplastic percentage depth dose (PDD), equivalent thickness of water of the various thicknesses of the mask and surface doses were determined. The increase in the surface dose caused by the thermoplastic mask was compared by looking at the PDD at depth 0 with and without the mask present and was found to increase between 0.76 and 0.79% with no mask for a field size of 5 x 5 cm2 . It was found that, the presence of the mask shifted the percentage depth dose curve to lower values. The physical thermoplastic thickness was measured to be between 2.30 and 1.80 mm, and the equivalent thicknesses of water, de, were determined to be 1.2, 1.15, 1.10 and 1.09 and 1.00 mm for the unstretched, 5 cm stretched, 10 cm stretched, 15 cm stretched and 20 cm stretched masks, respectively. This meant that, as the mask thickness decreased, its water equivalent thickness also decreased. The presence of the mask material did not increase the skin dose signaficantly ( less than 1%).