Alanine/ESR dosimetry for electron Intra-Operative RadioTherapy: output factor measurements and Monte Carlo-GEANT4 simulations for IORT mobile dedicate accelerator

Intra-operative radiation therapy (IORT) is a treatment modality where a single high dose of radiation is delivered directly to the tumor bed or to the exposed tumor during the surgical intervention, while avoiding surrounding dose-limiting structures. Mobile electron linear accelerators dedicated to IORT have been manufactured which have promoted a local large diffusion of this radiotherapy modality. For breast irradiation, a single fraction of 21 Gy delivered on the target volume during the surgical procedure is equivalent to the total dosage (60 Gy) usually delivered during 30 external fractionated radiotherapy at 2Gy/fraction. Alternatively, a single dose of 10 Gy can be administered as…