How important is the dose rate sensitivity of 2D and 3D radiation dosimeters?

Several kinds of chemical 3D radiation dosimeters have been fabricated to acquire the dose distribution in clinical radiotherapy. A legitimate concern with every new dosimeter is its dose rate dependent response because, the dose rate in each point of the phantom during a clinical treatment is unknown. Unfortunately, many 3D dosimeters have shown some degree of dose rate dependence. In practice, radiation dosimeters are mostly calibrated using a calibration curve that is obtained by irradiating calibration vials with different doses but using a fixed dose rate. Therefore, when applying a dose calibration to an experimentally obtained dose distribution, a deviation between the measured dose distribution and the actual dose distribution can be expected. In this computational study, the effect of a dose rate dependent dosimeter response on a theoretical dose distribution has been investigated. In order to compare the effect of dose rate, a gamma evaluation is performed between the predefined dose distribution and the dose distribution that is affected by a dose rate dependent radiation response. It is found that a dose rate difference of -10%, results in a gamma pass rate of 100% in the 3D dose distribution.