On the use of Gafchromic EBT3 films for validating a commercial electron Monte Carlo dose calculation algorithm

This study aims to investigate the effects of oblique incidence, small field size and inhomogeneous media on the electron dose distribution, and to compare calculated (Elekta/CMS XiO) and measured results. All comparisons were done in terms of absolute dose. A new measuring method was developed for high resolution, absolute dose measurement of non-standard beams using Gafchromic EBT3 film. A portable U-shaped holder was designed and constructed to hold EBT3 films vertically in a reproducible setup submerged in a water phantom. The experimental film method was verified with ionisation chamber measurements and agreed to within 2% or 1 mm. Agreement between XiO electron Monte Carlo (eMC) and EBT3 was within 2% or 2 mm for most standard fields and 3% or 3 mm for the non-standard fields. Larger differences were seen in the build-up region where XiO eMC overestimates dose by up to 10% for obliquely incident fields and underestimates the dose for small circular fields by up to 5% when compared to measurement. Calculations with inhomogeneous media mimicking ribs, lung and skull tissue placed at the side of the film in water agreed with measurement to within 3% or 3 mm. Gafchromic film in water proved to be a convenient high spatial resolution method to verify dose distributions from electrons in non-standard conditions including irradiation in inhomogeneous media.