# Work Package 2 (lead by CEA)

### New integral quantities for high-energy x-rays small fields

The aim of this work package is to address the lack of metrological reference value to be used for very small radiation field in radiotherapy. Two proposals are made to overcome this problem: the definition of a suitable quality index for small irregular fields the introduction of a new quantity for radiotherapy similar to the Dose Area Product (DAP) used in diagnostic radiology.

Task 2.1: Optimised integral quantities as beam quality parameter

The aim of this task is to define an integral beam quality parameter such as the Dose Area Product Ratio (DAPR) at 10 20 cm, specifying the surface over which the absorbed dose at a point should be integrated the two depths at which measurements should be performed before taking the ratio of the resulting values. The definition should be optimal, taking into account the range of beam sizes for which the quality parameter may be used, the suitability of commercially available detectors with which to measure it , by an analysis of stopping power ratios Sw,air, its ability to discriminate between beam qualities for the purpose of ion chamber calibration. Since the most recent small field treatment machines (TomoTherapy, CyberKnife, TrueBeam) exclude flattening filters, it is important also to consider flattening filter free (FFF) beams.

Task 2.2: Optimised integral quantities for reference dosimetry

The aim of this task is to define at least one integral quantity reference geometry to replace absorbed dose at a point, suitable for use in reference dosimetry for small irregular fields, as the basis of traceable dosimetry for SRS, SRT IMRT. DAPw is the integral of the absorbed dose to water over a large area (mean absorbed dose to water).

Task 2.3: References in terms of DAPw

The aim of this task is to build dosimeters able to measure DAPw, to establish references in terms of DAPw to assure traceability in DAPw clinical measurements.