Preliminary Investigation of a Cd0.9Zn0.1Te Detector for Small-Field Dosimetry Applications Using Therapeutic MV Beams

Stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT) require precise small-field dosimetry, verified through patient-specific quality assurance (PSQA). This study evaluated the feasibility of using a single-crystal cadmium–zinc–telluride (Cd0.9Zn0.1Te, CZT) detector for PSQA in SRS and SBRT. We fabricated a CZT detector with Au electrodes and examined its fundamental characteristics, including dose linearity, dose rate dependence, energy dependence, angular dependence, source-to-surface distance (SSD) dependence, field size dependence, depth dependence, and reproducibility, under 6 and 10 MV LINAC beam irradiation and compared the results with those from a standard ionization chamber. The results revealed that the CZT detector demonstrated excellent linearity across 0–1000 cGy with minimal deviation in the low-dose region, negligible dose rate dependence, and minimal energy dependence, exhibiting a 2.2% drop at 15 MV relative to 6 MV. Its angular and SSD dependencies deviated slightly from the ionization chamber, consistent with the expected physical behaviors and correctable in clinical practice. The detector also revealed consistent performance over time with excellent reproducibility, and its depth dependence results were consistent with those of the ionization chamber. Thus, the CZT detector provides consistent performance in small-field measurements under varying conditions, satisfying the requirements for SRS and SBRT.