Backscattering in electron beam therapy for energies between 3 and 35 MeV

Abstract

Whenever a heterogeneity is present in an electron beam treatment field during radiotherapy, there is the possibility of tissue overdosage at the tissue-heterogeneity interface due to electrons backscattered from the heterogeneity. Measurements of this effect were made in a polystyrene phantom using a purpose-built thin-window parallel-plane ionisation chamber. Materials of various atomic numbers were used as scatterers and the investigations were made over a wide range of electron energies. Electron backscatter factor (EBF), defined as the ratio of dose at the interface surface with and without the scatterer present, was found to increase with increasing atomic number and decrease with increasing beam energy. Both of these relationships were found to be non-linear. The EBF dependence on the scatterer thickness was also investigated. All data in this work were expressed in relation to the beam energy incident on the scatterer in preference to the nominal beam energy set on the accelerator. This approach enables the dose enhancement at an interface to be predicted from a knowledge of the heterogeneity (atomic number and thickness), its depth in tissue and the beam energy being used for treatment. The results of this work were compared with the published data and an explanation is offered to account for the difference.