SU-E-T-224: Dose Distribution of Oesophagus Stents Measured by EBT2 Film Dosimetry

The purpose of this study is to investigate the dose enhancement at oesophagus stents made of nitinol. The material is a nickel titan alloy with an effective atomic number of 26. Because of the increased atomic number in comparison to the human body, dose enhancement in surrounding tissue is expected.

The relative dose distribution around the stent was measured in a water phantom. To simulate the air cavity within the oesophagus, a styrodur cylinder was placed inside the stent. The stent was held with a circular PMMA holder. An EBT2 film was wrapped around the stent to measure the relative radial dose distribution.The setup was irradiated with a 6MV photon beam (Siemens Primus) and a field size of 5cmx5cm. The distance between source and centre of the stent was 100cm.The EBT2 films were digitized at a scanning resolution of 72dpi using an Epson 10000XL flatbed scanner with a transparency unit. Furthermore, the films were fixed in a frame to prevent Newton rings in the scanned image.

The dose increases in all directions around the stent. With approximately 18%, the highest increase is caused on the proximal side of the stent. On the backside the dose enhancement is approximately 10%.

Dose enhancements around a stent are detectable and one should be aware of it's occurence in the radiotherapeutical treatment of oesophageal cancer. Because of the enhancement in all directions healthy tissue may be affected.