Investigation of triaxial cables and microdetectors in small field dosimetry.

Small field dosimetry presents unique challenges with source occlusion, lateral charged particle equilibrium and detector size. As detector volume decreases, signal strength declines while noise increases, deteriorating the signal-to-noise ratio (SNR). This issue may be compounded by triaxial cables connecting detectors to electrometers. However, effects of cables, critical for precision dosimetry, are often overlooked. There is a need to evaluate triaxial cable and detector impacts on SNR in small fields. To evaluate the influence of triaxial cables and microdetectors on signal-to-noise ratios in small-field dosimetry. This study also aims to establish the importance of cable quality assurance for measurement accuracy.Six 9.1 m length triaxial cables from different manufacturers were tested with six microdetectors . A 6 MV photon beam (TrueBeam) was used, with a water phantom at 5 cm depth with 0.5×0.5 cm2 to 10×10 cm2 fields at 600 MU/min. Readings were acquired using cable-detector permutations with a dedicated electrometer. Cables had differing connector types, conductor materials, insulation, and diameter. Detectors had various sensitive volumes, materials, typical signals, and bias voltages.
Normalized FOFs showed 13.4% and 4.6% variation across cables for 0.5×0.5 cm2 and 1×1 cm2 fields, respectively. The maximum estimated error between any cable-detector combinations was 0.2%. No consistent FOF trend was observed with increasing cable diameter, likely due to different types of detectors used. However, absolute FOF differences of 0.9% and 0.3% were noted between cables for 0.5×0.5 cm2 and 1×1 cm2 fields, respectively.
Regular triaxial cable quality assurance is critical for precision small field dosimetry. A national protocol is needed to standardize cable evaluations/calibrations, particularly for small signals from modern detectors. This could enhance measurement accuracy and treatment delivery with advanced small-field radiotherapy techniques that promise improved patient outcomes. Further studies should expand detector and cable models tested across institutions to establish robust quality control guidelines.