Introduction

Radiotherapy relies heavily on precision, and every component involved in the treatment pathway must support optimal dose delivery. One crucial factor is beam attenuation—the reduction in radiation intensity as it passes through various materials. Carbon fiber, known for its high strength-to-weight ratio and radiolucency, is widely used in patient positioning devices. In this article, we explore the dosimetric performance of Panacea’s carbon fiber couch top used with the IMPACT positioning device, tested at RCC Trivandrum.

Panacea’s Proven Carbon Fiber Solution

Panacea’s carbon fiber technology has a well-established legacy, with materials used in systems like Bhabhatron-II, Imagin and Lilac all of which are FDA 510(k) cleared and certified. With over 25 years of safe clinical use, our carbon fiber solutions ensure durability, stability and minimal radiation interaction—key for modern radiotherapy workflows.

The Specific Product tested

Panacea Patient Couch Carbon Fiber

This evaluation tested its performance integrated with the IMPACT device to assess overall beam attenuation.

Test Methodology

The dosimetric test was carried out on both 6MV and 15MV photon beams using a linear accelerator. Measurements were taken using an FC-65G ion chamber placed inside a 5cm slab phantom on the carbon fiber couch top, both with and without the IMPACT device in place measuring radiation dose (in nanoCoulombs, nC). The field size was kept constant at 10×10 cm², with SSD at 95cm, under SAD technique.

The attenuation percentage is calculated as given below,

Attenuation % = [(Absorbed dose in open state − Absorbed dose with IMPACT) / Absorbed dose in open state] × 100

Results Overview

                        Attenuation of Carbon Fiber (IMPACT)

Date 24/02/19                                    Chamber FC-65G

Temperature 22.5°C                          Field Size 10×10 cm2

Pressure 1008.1 mbar                      Technique SAD

Ktp 1.0134                                           Depth 5cm

                                                               SSD 95cm

 

Open Readings

                                                                                             6 MV

MR1(nC)

MR2(nC)

MR(nC)

SAD Output

19.12

19.1

19.115

0.93 cGy/MU

 

Gantry Angle

                                  MR (nC)

Attenuation

Open

With im.PAc.T

      (%)

0

15

30

45

60

19.115

18.94

18.48

17.53

15.38

       18.7

       18.55

       18.07

       17.01

       14.79

     2.17

     2.06

     2.21

     2.96

     3.83

 

Open Readings

                                                                                            15 MV

MR1(nC)

MR2(nC)

MR(nC)

SAD Output

21.26

21.23

21.245

1.03 cGy/MU

 

Gantry Angle

                                        MR (nC)

Attenuation

Open

With im.PAc.T

       (%)

0

15

30

45

60

21.245 

21.14

20.8

20.08

18.42

       20.96

       20.83  

       20.47

       19.68

        17.9

       1.3

      1.46

      1.58

      1.99

      2.82

Outcome and Clinical Relevance

The evaluation clearly demonstrates that Panacea’s carbon fiber solution with the IMPACT device exhibits minimal attenuation, especially for higher energy beams such as 15MV. Even at oblique angles (60°), attenuation remained within acceptable clinical limits.

This performance ensures:

  • High-precision dose delivery
  • Reproducibility across angles
  • Minimal dose perturbation
  • Patient safety and comfort

Conclusion

With verified low attenuation rates, Panacea’s carbon fiber couch top integrated with the IMPACT device reaffirms its reliability and clinical safety for advanced radiotherapy procedures. Backed by over two decades of successful field usage and CE-certified design, it continues to support treatment centers in delivering uncompromised care.

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