TURKISH JOURNAL OF ONCOLOGY 2013 , Vol 28 , Num 3
The effects of thermoplastic masks used for immobilization of patients on surface and build-up for megavoltage radiation
H. Elvan ERKAN, Gönül KEMİKLER
İstanbul Üniversitesi Onkoloji Enstitüsü, Sağlık Fiziği Bilim Dalı, İstanbul OBJECTIVES
To examine the effect of thermoplastic masks used for immobilization on surface dose at Co-60 and 6MV photon energies.

METHODS
Three pieces of Aquaplast masks were used. One of these masks was used intact as a standard. The hole diameters of the other masks were stretched 1.25 and 2-fold. The masks were numbered as 1, 2, 3. Doses were measured with Markus parallel-plate (pp) ionization chamber, EBT2 film and MOSFET dosimetry.

RESULTS
The 1, 2 and 3 numbered masks were increased the surface dose from 24.2% to %73.3, 55.6% and %40.6, respectively, for 10x10 cm2 at Co-60. For 6MV, the surface dose of 14.4% increased to 50.1%, 34.7% and 23.7%, respectively. Markus pp results were compatible with the EBT2 film results. MOSFET measured higher surface doses.

CONCLUSION
The surface dose increases in the presence of mask. Mask material thickness and hole diameter significantly affects the surface dose. The diameter of the holes should be enlarged or cut the relevant region. Keywords : Surface dose; Markus parallel plane ionization chamber; EBT2 film; MOSFET; thermoplastic mask