Abstract
In this work, a dual detector system for simultaneous in-vivo dosimetry and MV imaging was investigated. The ability to measure real-time water equivalent dose post transit for a heterogeneous phantom was demonstrated, illustrating its advantage over non-water equivalent EPID dosimetry. Identification of incorrect MU delivery as well as patient misalignment can be identified in the dose profiles and confirmed through co-registration with EPID images. The dual detector comprising of a silicon array detector "Magic Plate" (MP) and an EPID was positioned beneath the patient couch at a source to detector distance of 150 cm. Two pseudo lung phantoms were utilised in this study; identical, except for the inclusion of a water equivalent hidden target mimicking a tumour. The dosimetric accuracy of the MP was evaluated with EBT3 film and TPS calculations. The presence and position of the hidden target was detected and accurately coregistered between the dose profiles measured with MP and the EPID image. The system measured a difference in post transit doses through the two phantoms of (5.0 +/- 1.6) cGy due to the presence of the target, in agreement with the TPS calculation of 5.16 cGy. The capability of the system for error detection was confirmed when a deliberate 7 mm lateral shift of the phantom was observed in both the dose profiles measured with MP and the EPID images. The MP as a dosimetric real time detector is lucent in MV photon fields and does not obstruct the EPID field of view.