Table 4.
Category | Typical level (%) | Assumptions |
---|---|---|
Source strength | 3 | PSDL traceable calibrations |
Treatment planning | 4 | Reference data with the appropriate bin width |
Medium dosimetric corrections | 5 | No consideration is given for calcifications or their composition in the patient |
Inter-seed attenuation | 4 | An advanced dose calculation formalism may indicate source models and orientations cause the largest effects |
Treatment delivery imaging | 2 | US QA performed according to AAPM TG-128 |
Target contouring uncertainty | 2 | Using CT or CT + T2 imaging |
Anatomy changes between dose delivery and post-implant imaging | 7⁎ | Post-implant imaging using CT, with a scalar correction factor for edema correction |
Total dosimetric uncertainty (k = 1) | 11 | For treatment delivered without excreted seeds |
Estimated value based on expert discussion.