A surface bolus material for high-energy photon and electron therapy

The authors describe a useful bolus material for therapy with high-energy photons and electrons (greater than 1 MeV). Qualities evaluated included flexibility, transparency, tissue equivalence (re radiation interactions), stability at high doses, durability, lack of toxicity, ease in cleaning, low flammability, and cost. Using a parallel-plate ionization chamber and 60Co, 4-, and 10-MV photons as well as 6- and 18-MeV electrons, maximum deviation from water-equivalent values was approximately 2 mm for 6-MeV electrons. The material comes in large sheets of precise thickness (+/- 0.5 mm) which can be cut and layered to form more complex shapes.