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Peer-reviewedCC BY-NC-SAJournal of Medical Physics

Characterization and Validation of MicroDiamond Detectors in Patient-specific Quality Assurance of Magnetic Resonance-guided Stereotactic Radiotherapy

Abstract

Introduction: A dosimetric performance analysis of microDiamond (MD) detector in magnetic resonance imaging linear accelerators (MR-Linac) was performed to evaluate its utility for patient-specific quality assurance (PSQA) in stereotactic radiotherapy (SRT). Methods: Output factors (OFs), depth dose curves, and dose profiles for field sizes from 1 cm × 1 cm to 10 cm × 10 cm were measured in an Elekta Unity 1.5 T MR-Linac. Measurements were conducted using an MR-Safe three-dimensional (3D) water phantom with a PTW Semiflex 3D ionization chamber and a PTW MD detector. Angular response was assessed for orientations perpendicular to the beam and parallel to the magnetic field; correction factors were determined for gantry angles from 0° to 360° in 20° increments. Detectors were cross-calibrated against a 0.6 cc Farmer chamber, and patient-specific point-dose verification was performed for SRT plans. Results: Average dmax measured with the MD detector (1.28 ± 0.1 cm) agreed closely with the Semiflex 3D (1.27 ± 0.1 cm). The Semiflex 3D overestimated penumbra by 1.8 ± 0.6 mm and underestimated small-field OFs, while the MD detector showed slight overresponse (0.5%). The angular dependence remains substantial and highly sensitive to field size, requiring field-size-specific angular correction factors to achieve clinical accuracy better than 2%. After cross-calibration, the difference between the measured and planned doses for the 1.2 cc target was − 6.92% for Semiflex 3D and 1.36% for MD detector. Conclusion: The MD detector was successfully validated for MR-Linac. Asymmetric angular dependence due to the Lorentz force was confirmed, necessitating gantry angle-specific corrections for dose estimation. The MD detector demonstrated superior accuracy for small-field SRT targets, confirming its significance for precise PSQA.

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BibTeX
@article{choudhary2026characterization,
  title = {{Characterization and Validation of MicroDiamond Detectors in Patient-specific Quality Assurance of Magnetic Resonance-guided Stereotactic Radiotherapy}},
  author = {Sanjana Choudhary and Chithra Krishnamoorthy and Radhakrishnan B. Nair and S. D. Sharma and Vinayaka Shenoy},
  journal = {Journal of Medical Physics},
  year = {2026},
  month = jul,
  doi = {10.4103/jmp.jmp_123_26},
  url = {https://doi.org/10.4103/jmp.jmp_123_26},
  note = {CC BY-NC-SA},
}
RIS
TY  - JOUR
TI  - Characterization and Validation of MicroDiamond Detectors in Patient-specific Quality Assurance of Magnetic Resonance-guided Stereotactic Radiotherapy
AU  - Sanjana Choudhary
AU  - Chithra Krishnamoorthy
AU  - Radhakrishnan B. Nair
AU  - S. D. Sharma
AU  - Vinayaka Shenoy
PY  - 2026
DA  - 2026/07/01
JO  - Journal of Medical Physics
DO  - 10.4103/jmp.jmp_123_26
UR  - https://doi.org/10.4103/jmp.jmp_123_26
AB  - Introduction: A dosimetric performance analysis of microDiamond (MD) detector in magnetic resonance imaging linear accelerators (MR-Linac) was performed to evaluate its utility for patient-specific quality assurance (PSQA) in stereotactic radiotherapy (SRT). Methods: Output factors (OFs), depth dose curves, and dose profiles for field sizes from 1 cm × 1 cm to 10 cm × 10 cm were measured in an Elekta Unity 1.5 T MR-Linac. Measurements were conducted using an MR-Safe three-dimensional (3D) water phantom with a PTW Semiflex 3D ionization chamber and a PTW MD detector. Angular response was assessed for orientations perpendicular to the beam and parallel to the magnetic field; correction factors were determined for gantry angles from 0° to 360° in 20° increments. Detectors were cross-calibrated against a 0.6 cc Farmer chamber, and patient-specific point-dose verification was performed for SRT plans. Results: Average dmax measured with the MD detector (1.28 ± 0.1 cm) agreed closely with the Semiflex 3D (1.27 ± 0.1 cm). The Semiflex 3D overestimated penumbra by 1.8 ± 0.6 mm and underestimated small-field OFs, while the MD detector showed slight overresponse (0.5%). The angular dependence remains substantial and highly sensitive to field size, requiring field-size-specific angular correction factors to achieve clinical accuracy better than 2%. After cross-calibration, the difference between the measured and planned doses for the 1.2 cc target was − 6.92% for Semiflex 3D and 1.36% for MD detector. Conclusion: The MD detector was successfully validated for MR-Linac. Asymmetric angular dependence due to the Lorentz force was confirmed, necessitating gantry angle-specific corrections for dose estimation. The MD detector demonstrated superior accuracy for small-field SRT targets, confirming its significance for precise PSQA.
SN  - 0971-6203
SN  - 1998-3913
ER  -