Online combination of EPID & Cherenkov imaging for 3D dosimetry in a liquid phantom

Online acquisition of Cherenkov and portal imaging data was combined with a reconstruction scheme called EC3D, providing a full 3D dosimetry of megavoltage X-ray beams in a water tank. The methodology was demonstrated and quantified in a single static beam. Furthermore, the dynamics and visualization of the 3D dose reconstruction were demonstrated with a volumetric modulated arc therapy (VMAT) plan for TG-119 C-Shape geometry. The developed algorithm combines depth dose information, provided by Cherenkov images, with the lateral dose distribution, provided by the electronic portal imaging device (EPID). The strength of our approach lies in the acquisition of both imaging data-streams with sub-millimeter theoretical resolution at 5 Hz frame-rate, which can be concurrently processed by Fast Fourier Transform-based analysis, thus providing means for an efficient real-time 3D dosimetry.