Feasibility test of 3 dimensional patient specific quality assurance of gamma knife radiosurgery using novel mobile phospor probe system

Abstract This study evaluates a novel three-dimensional (3D) quality assurance (QA) device, the Mobile Phosphor Probe (MPP), for pretreatment dose verification in Gamma Knife (GK) stereotactic radiosurgery. The MPP system consists of a cylindrical phantom with a phosphor screen, an imaging unit with...

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Main Authors: Minsik Lee, KyoungJoon Yoon, Jun-Bong Shin, BongHyo Lee, Jungwon Kwak, DoHeui Lee
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-04925-1
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author Minsik Lee
KyoungJoon Yoon
Jun-Bong Shin
BongHyo Lee
Jungwon Kwak
DoHeui Lee
author_facet Minsik Lee
KyoungJoon Yoon
Jun-Bong Shin
BongHyo Lee
Jungwon Kwak
DoHeui Lee
author_sort Minsik Lee
collection DOAJ
description Abstract This study evaluates a novel three-dimensional (3D) quality assurance (QA) device, the Mobile Phosphor Probe (MPP), for pretreatment dose verification in Gamma Knife (GK) stereotactic radiosurgery. The MPP system consists of a cylindrical phantom with a phosphor screen, an imaging unit with a charge-coupled device (CCD) camera, and a motorized driving unit. Dose distributions are reconstructed from images using a lookup table, which correlates CCD pixel optical density with dose values, calibrated against EBT3 film readings. Results show that the full width at half maximum of normalized dose distributions between film and CCD were consistent within a 0.2 mm margin. A 3D dose distribution was constructed by stacking two-dimensional images obtained at 0.3 mm intervals over a ± 30 mm range in the superior-inferior direction. Validation was achieved by comparing the reconstructed 3D doses with planned distributions across multiple planes using gamma evaluation. All cases within the 20–80% isodose line (IDL) range achieved a 95% gamma passing rate under 2.0%/2.0 mm criteria, and the 1.0%/1.0 mm criteria were met at the 50% IDL in all dimensions. The MPP system demonstrates potential as an efficient patient-specific QA tool for GK radiosurgery, offering a streamlined alternative to traditional film dosimetry.
format Article
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institution Kabale University
issn 2045-2322
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publishDate 2025-07-01
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spelling doaj-art-b1d8bc6de75540ad8d6ed80d8bdc58ba2025-08-20T03:42:25ZengNature PortfolioScientific Reports2045-23222025-07-011511710.1038/s41598-025-04925-1Feasibility test of 3 dimensional patient specific quality assurance of gamma knife radiosurgery using novel mobile phospor probe systemMinsik Lee0KyoungJoon Yoon1Jun-Bong Shin2BongHyo Lee3Jungwon Kwak4DoHeui Lee5Department of Radiation Oncology, Kangwon National University HospitalDepartment of Radiation Oncology, Asan Medical CenterDepartment of Radiation Oncology, Kangwon National University HospitalDepartment of Physics, Yeungnam UniversityDepartment of Radiation Oncology, Asan Medical CenterDepartment of Radiation Oncology, Asan Medical CenterAbstract This study evaluates a novel three-dimensional (3D) quality assurance (QA) device, the Mobile Phosphor Probe (MPP), for pretreatment dose verification in Gamma Knife (GK) stereotactic radiosurgery. The MPP system consists of a cylindrical phantom with a phosphor screen, an imaging unit with a charge-coupled device (CCD) camera, and a motorized driving unit. Dose distributions are reconstructed from images using a lookup table, which correlates CCD pixel optical density with dose values, calibrated against EBT3 film readings. Results show that the full width at half maximum of normalized dose distributions between film and CCD were consistent within a 0.2 mm margin. A 3D dose distribution was constructed by stacking two-dimensional images obtained at 0.3 mm intervals over a ± 30 mm range in the superior-inferior direction. Validation was achieved by comparing the reconstructed 3D doses with planned distributions across multiple planes using gamma evaluation. All cases within the 20–80% isodose line (IDL) range achieved a 95% gamma passing rate under 2.0%/2.0 mm criteria, and the 1.0%/1.0 mm criteria were met at the 50% IDL in all dimensions. The MPP system demonstrates potential as an efficient patient-specific QA tool for GK radiosurgery, offering a streamlined alternative to traditional film dosimetry.https://doi.org/10.1038/s41598-025-04925-1Gamma knife3D patient specific QARadiosurgeryMobile phosphor probe
spellingShingle Minsik Lee
KyoungJoon Yoon
Jun-Bong Shin
BongHyo Lee
Jungwon Kwak
DoHeui Lee
Feasibility test of 3 dimensional patient specific quality assurance of gamma knife radiosurgery using novel mobile phospor probe system
Scientific Reports
Gamma knife
3D patient specific QA
Radiosurgery
Mobile phosphor probe
title Feasibility test of 3 dimensional patient specific quality assurance of gamma knife radiosurgery using novel mobile phospor probe system
title_full Feasibility test of 3 dimensional patient specific quality assurance of gamma knife radiosurgery using novel mobile phospor probe system
title_fullStr Feasibility test of 3 dimensional patient specific quality assurance of gamma knife radiosurgery using novel mobile phospor probe system
title_full_unstemmed Feasibility test of 3 dimensional patient specific quality assurance of gamma knife radiosurgery using novel mobile phospor probe system
title_short Feasibility test of 3 dimensional patient specific quality assurance of gamma knife radiosurgery using novel mobile phospor probe system
title_sort feasibility test of 3 dimensional patient specific quality assurance of gamma knife radiosurgery using novel mobile phospor probe system
topic Gamma knife
3D patient specific QA
Radiosurgery
Mobile phosphor probe
url https://doi.org/10.1038/s41598-025-04925-1
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