Pm. Ostwald et T. Kron, VARIATION IN CALCULATED EFFECTIVE SOURCE-SURFACE DISTANCES WITH DEPTH, Physics in medicine and biology, 41(10), 1996, pp. 2067-2078
Effective source-surface distances (ESSD) are assessed at the depth of
maximum dose in electron beams. This study investigated the variation
of the ESSD with the depth of measurement. The dose was measured with
the range of SSDs 100-130 cm, using a water-equivalent parallel-plate
ion chamber in solid water. ESSDs were calculated for electron beams
in the energy range 4-20 MeV and were found to vary with depth. The su
rface ESSD varied from 68 cm for 4 MeV to 82 cm for 16 MeV, but increa
sed with depth to a maximum value, which was found at approximately ha
lf the practical range (R(p)), at 0.3R(p) for 4 MeV and at 0.6R(p) for
20 MeV. Beyond this depth the ESSD decreased towards the end of the p
ractical range. Without an electron applicator, the ESSD was higher at
the surface. For smaller field sizes, the depth of the maximum ESSD i
ncreased towards R(p), and ESSD values increased. The 20 MeV beam in t
he 6 cm x 6 cm(2) field showed a difference of 31 cm between the surfa
ce ESSD and the maximum ESSD. The ESSD calculated at the maximum dose
depth (D-max) may be used with reasonable accuracy for calculation of
the dose in the therapeutic range, except at larger SSDs or when high-
energy beams are used in small fields. Depth-dose distributions under
these conditions should be compared with measured results.