A quality control system especially designed for dosimetry in scanning
proton beams has been designed and tested. The system consists of a s
cintillating screen (Gd2O2S:Tb), mounted at the beam-exit side of a ph
antom, and observed by a low noise CCD camera with a long integration
time. The purpose of the instrument is to make a fast and accurate two
-dimensional image of the dose distribution at the screen position in
the phantom. The linearity of the signal with the dose, the noise in t
he signal, the influence of the ionization density on the signal, and
the influence of the field size on the signal have been investigated.
The spatial resolution is 1.3 mm (1 s.d.), which is sufficiently small
er than typical penumbras in dose distributions, The measured yield de
pends linearly on the dose and agrees within 5% with the calculations.
In the images a signal to noise ration (signal/l s.d.) of 10(2) has b
een found, which is in the same order of magnitude as expected from th
e calculations. At locations in the dose distribution possessing a str
ong contribution of high ionization densities (i.e., in the Bragg peak
), we found some quenching of the light output, which can be described
well by existing models if the beam characteristics are known. For cl
inically used beam characteristics such as a Spread Out Bragg peak, th
ere is at most 8% deviation from the NACP ionization chamber measureme
nts. The conclusion is that this instrument is a useful tool for quick
and reliable quality control of proton beams. The long integration-ti
me capabilities of the system make it worthwhile to investigate its ap
plicability in scanning proton beams and other dynamic treatment modal
ities. (C) 1998 American Association of Physicists in Medicine. [S0094
-2405(98)02104-X].