EPR/alanine dosimetry for verification in Helical Tomotherapy Stereotactic Radiosurgery (HTSRS) treatments

Introduction Intracranial stereotactic radiosurgery (SRS) is a technique to deliver an ablative radiation dose with an extremely sharp dose gradient to small brain tumors. In this study the accuracy of the dose delivered in SRS by a non conventional radiotherapy machine, the TomoTherapy Hi-Art System, was investigated using an "end-to-end" test using alanine pellets and gafchromic films. Methods Dose verifications were made using alanine dosimeters placed in an antropomorphic head phantom (Alderson Rando Phantom) under different treatment conditions in case of both single and multiple brain tumors. 1.25mm slice kVCT scan of the phantom was used to generate SRS plans on the TomoTherapy Plann…