Scatter and attenuation measurements at distances greater than 10 cm from an 192Ir source

Most algorithms developed by various investigators for use in brachytherapy treatment planning have typically been designed to calculate the dose within a 10 cm range of a radiation source. These algorithms predict the dose well at distances <10 cm from the source but were not developed and should not be utilized to predict the dose at distances >10 cm. On the contrary, treatment planning systems and manual calculations will produce erroneous results when dose points >10 cm are calculated using these algorithms. The spread in the data generated by the above algorithms is 16% at 15 cm and 42% at 20 cm. Physical measurements were performed at distances between 5 and 50 cm from a high activity Ir-192 source in water. The measured data correlated well with the predicted data from 5 to 10 cm, which had a 5% spread. Beyond 10 cm the measured data fell central to the range of the predicted data, with the spread of the predicted data increasing from 5% to 80% with increasing distance from the source. The measured data was fitted with a model incorporating a buildup factor and an attenuation factor. The best fit values are in reasonable agreement with those obtained by two of the investigators, Thomason and Tripathi. (C) 1999 American Association of Physicists in Medicine. [S0094-2405(99)01001-9].