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Updated: Jun 16, 2026

Dosimetry for Cell Irradiation using Orthovoltage (40-300 kV) X-Ray Facilities
Published on: February 20, 2021
Evaluation of a 3D diode array dosimeter for helical tomotherapy delivery QA
Vladimir Feygelman1, D Opp, K Javedan
1Moffitt Cancer Center, Tampa, FL, USA. vladimir.feygelman@moffitt.org
The Delta4 biplanar diode array is a reliable tool for helical tomotherapy quality assurance. It demonstrates excellent accuracy and reproducibility for radiation therapy dose verification.
Area of Science:
- Medical Physics
- Radiation Oncology
- Dosimetry
Background:
- Helical tomotherapy requires precise quality assurance (QA) for accurate dose delivery.
- Diode array dosimeters are essential tools for verifying treatment plans.
- The Delta4 biplanar diode array is a novel system for 3D dose measurements.
Purpose of the Study:
- To validate the Delta4 biplanar diode array dosimeter for helical tomotherapy delivery QA.
- To assess the detector's characteristics and accuracy in a clinical setting.
Main Methods:
- The Delta4 dosimeter's characteristics (reproducibility, linearity, dose rate dependence, absolute calibration) were evaluated.
- Relative calibration was verified using film and detector rotation.
- Clinical plans were assessed using the gamma index (γ(3%, 3 mm)) passing rate.
Main Results:
- The Delta4 dosimeter exhibited satisfactory characteristics: short-term reproducibility (0.1%), linearity (<0.1%), dose rate dependence (0.4%), and absolute calibration accuracy (0.4%).
- Rotational irradiation response changed by ≤0.2%.
- The γ(3%, 3 mm) passing rate for clinical plans was high, averaging 97 ± 2.7%, with >90% passing for all plans.
Conclusions:
- The Delta4 biplanar diode array is a suitable and accurate dosimeter for helical tomotherapy QA.
- Careful phantom alignment, potentially using megavoltage computed tomography, is recommended for optimal results.
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