Practical role of polymerization inhibitors in polymer gel dosimeters

The fundamental role of pre-treatment quality assurance in radiotherapy is to verify the radiation treatment with respect to the planned dose distribution by means of a devoted dosimeter. This step is necessary to achieve the full clinical potential of the treatment by guaranteeing sparing of healthy tissues. In this study, the dose response of a modified version of the PAGAT polymer gel dosimeter, a chemical dosimeter capable of direct 3D dose measurements, has been characterized. The physical response of the dosimeter is proportional to polymerization efficiency between its constituting monomers. The effect of several polymerization inhibitors in controlling the chemical response of the gel was investigated. The addition of these compounds allows a tailoring of the range of dose response of the gel to the dose range used in clinical practice. Obtained results from optical and magnetic resonance imaging analyses of irradiated gels indicate that an accurate control of inhibitor concentration can lead to a significant extension of the useful dose range, from approximately 4 Gy for the reference composition up to 40 Gy when inhibitors are added, with no significant detriment on fundamental dosimetric parameters such as accuracy, dose resolution and stability of the dose response.