Present limitations of CVD diamond detectors for IMRT applications

The aim of the work was to test the suitability of chemical vapor deposited (CVD) diamond detectors for dosimetry in IMRT fields. We used in-house CVD detectors prepared with state-of-the-art polycrystalline diamond films (Element Six Ltd., UK). The parameters considered were time stability, dynamic response, dose-rate dependence and energy dependence. Output factors and TPR were measured in conventional photon fields and dose measurements were performed in IMRT fields using the step-and-shoot technique. Results prove that CVD diamond detectors are suitable for dosimetry in conventional treatments, but they still do not fit the IMRT dosimetry requirements, mainly because of their slow dynamic response. In particular, the slow dynamics affects linearity at low Monitor Units and renders it impossible to follow the sharp transients of IMRT fields. Time stability and dose-rate dependence as well must be improved to reduce their influence on dose assessment.