Measurement and analysis on distribution of radiation field dose inside thetreatment room of TaiChi Pro multimodal integrated digitalradiotherapy system

Objective:To examine the leakage radiation dose from the accelerator module's primary beam self-shielding,aswell as stray radiation levels and distribution in the treatment room across various planes for the innovative X/γmultimodal radiotherapy system,TaiChi Pro,which is the world's first digitally integrated system that combines alinear accelerator,multi-source rotational focused gamma knife,and multi-modal image guidance,in order toformulate treatment room safety strategies and estimate additional radiation doses to patients.Methods:The TaiChi Pro multi-mode integrated radiotherapy system was utilized with a 6 MV X-ray accelerator inthe flatten-filter free(FFF)treatment mode.The system has a primary radiation beam self-shielding,and anisocenter dose rate of 800 cGy/min.For detection points in various planes,an x,y,z coordinate system wasestablished with the isocenter as the origin.To simulate the situation of patient,water-equivalent phantom wasemployed.The ambient dose equivalent and ambient dose equivalent rate at detection points in the radiation fieldwere measured using thermoluminescence dosimeters.Results:The self-shielding area achieved a maximum dose of 114.0 mGy at 1 m distance from the target point after3 min of cumulative irradiation.The leakage radiation ratios at all points remained below 0.5%,fulfilling the selfshielding design requirements.Regarding the couch,the highest radiation was observed in the opposite directionof the beam at the target point.The stray radiation on the treatment bed plane resulted in an ambient doseequivalent that did not exceed 0.5%of the ambient dose equivalent at the central point.Conclusion:The levels and distribution patterns of stray and leakage radiation inside the TaiChi Pro treatmentroom meet the requirements of the relevant national standard.The measured values of indoor radiation levels anddistribution are very useful for room shielding design and personnel protection.