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https://www.readbyqxmd.com/read/28048924/mo-b-brb-02-3d-dosimetry-in-the-clinic-imrt-technique-validation-in-sweden
#1
S Ceberg
: Full three-dimensional (3D) dosimetry using volumetric chemical dosimeters probed by 3D imaging systems has long been a promising technique for the radiation therapy clinic, since it provides a unique methodology for dose measurements in the volume irradiated using complex conformal delivery techniques such as IMRT and VMAT. To date true 3D dosimetry is still not widely practiced in the community; it has been confined to centres of specialized expertise especially for quality assurance or commissioning roles where other dosimetry techniques are difficult to implement...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048796/mo-fg-campus-jep2-04-comparison-study-for-ct-and-mr-only-prostate-imrt-treatment-planning-a-framework-for-the-estimation-of-relative-contribution-of-body-contour-discrepancies-tissue-stratification-and-hu-red-conversion-to-the-overall-dose-difference
#2
M Maspero, P R Seevinck, G Schubert, M Hoesl, G J Meijer, M A Viergever, Jjw Lagendijk, Cat van den Berg
PURPOSE: To compare dose of prostate IMRT plans on CT vs MR-based pseudo-CT (pCT). A framework is demonstrated to isolate various confounding factors causing dose differences. This approach will be valuable for medical physicists interested in commissioning strategy of MR-only dose planning. METHODS: A retrospective study was conducted on fourteen prostate patients that underwent CT and MRI scans. MR was equipped with an in-house-developed flat table-top and coil support...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048700/tu-d-bra-00-treatment-planning-system-commissioning-and-qa
#3
Greg Salomons
INTRODUCTION: Treatment planning systems (TPS) are a cornerstone of modern radiation therapy. Errors in their commissioning or use can have a devastating impact on many patients. To support safe and high quality care, medical physicists must conduct efficient and proper commissioning, good clinical integration, and ongoing quality assurance (QA) of the TPS. AAPM Task Group 53 and related publications have served as seminal benchmarks for TPS commissioning and QA over the past two decades...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048602/su-f-t-262-commissioning-varian-portal-dosimetry-for-epid-based-patient-specific-qa-in-a-non-aria-environment
#4
M Schmidt, N Knutson, J Herrington, M Price
PURPOSE: Development of an in-house program facilitates a workflow that allows Electronic Portal Imaging Device (EPID) patient specific quality assurance (QA) measurements to be acquired and analyzed in the Portal Dosimetry Application (Varian Medical Systems, Palo Alto, CA) using a non-Aria Record and Verify (R&V) system (MOSAIQ, Elekta, Crawley, UK) to deliver beams in standard clinical treatment mode. METHODS: Initial calibration of an in-house software tool includes characterization of EPID dosimetry parameters by importing DICOM images of varying delivered MUs to determine linear mapping factors in order to convert image pixel values to Varian-defined Calibrated Units (CU)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048590/we-ab-brb-03-real-time-volumetric-scintillation-dosimetry-for-radiation-therapy
#5
S Beddar
: Despite widespread IMRT treatments at modern radiation therapy clinics, precise dosimetric commissioning of an IMRT system remains a challenge. In the most recent report from the Radiological Physics Center (RPC), nearly 20% of institutions failed an end-to-end test with an anthropomorphic head and neck phantom, a test that has rather lenient dose difference and distance-to-agreement criteria of 7% and 4 mm. The RPC report provides strong evidence that IMRT implementation is prone to error and that improved quality assurance tools are required...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048274/mo-b-brb-03-3d-dosimetry-in-the-clinic-validating-special-techniques
#6
T Juang
: Full three-dimensional (3D) dosimetry using volumetric chemical dosimeters probed by 3D imaging systems has long been a promising technique for the radiation therapy clinic, since it provides a unique methodology for dose measurements in the volume irradiated using complex conformal delivery techniques such as IMRT and VMAT. To date true 3D dosimetry is still not widely practiced in the community; it has been confined to centres of specialized expertise especially for quality assurance or commissioning roles where other dosimetry techniques are difficult to implement...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048260/su-f-p-37-implementation-of-an-end-to-end-qa-test-of-the-radiation-therapy-imaging-planning-and-delivery-process-to-identify-and-correct-possible-sources-of-deviation
#7
F Salinas Aranda, V Suarez, S Arbiser, R Sansogne
PURPOSE: To implement an end-to-end QA test of the radiation therapy imaging, planning and delivery process, aimed to assess the dosimetric agreement accuracy between planned and delivered treatment, in order to identify and correct possible sources of deviation. To establish an internal standard for machine commissioning acceptance. METHODS: A test involving all steps of the radiation therapy: imaging, planning and delivery process was designed. The test includes analysis of point dose and planar dose distributions agreement between TPS calculated and measured dose...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048146/tu-ab-brc-04-commissioning-of-a-new-mlc-model-for-the-gepts-monte-carlo-system-a-model-based-on-the-leaf-and-interleaf-effective-density
#8
O Chibani, F Tahanout, C Ma
PURPOSE: To commission a new MLC model for the GEPTS Monte Carlo system. The model is based on the concept of leaves and interleaves effective densities METHODS: GEPTS is a Monte Carlo system to be used for external beam planning verification. GEPTS incorporates detailed photon and electron transport algorithms (Med.Phys. 29, 2002, 835). A new GEPTS model for the Varian Millennium MLC is presented. The model accounts for: 1) thick (1 cm) and thin (0.5 cm) leaves, 2) tongue-and-groove design, 3) High-Transmission (HT) and Low-Transmission (LT) interleaves, and 4) rounded leaf end...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048038/tu-d-bra-01-tps-commissioning-and-qa-planning-and-monitoring
#9
G Salomons
INTRODUCTION: Treatment planning systems (TPS) are a cornerstone of modern radiation therapy. Errors in their commissioning or use can have a devastating impact on many patients. To support safe and high quality care, medical physicists must conduct efficient and proper commissioning, good clinical integration, and ongoing quality assurance (QA) of the TPS. AAPM Task Group 53 and related publications have served as seminal benchmarks for TPS commissioning and QA over the past two decades...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047973/tu-d-201-05-validation-of-treatment-planning-dose-calculations-experience-working-with-mppg-5-a
#10
J Xue, J Park, L Kim, P Balter, J Ohrt, S Kirsner, C Wang, G Ibbott
PURPOSE: Newly published medical physics practice guideline (MPPG 5.a.) has set the minimum requirements for commissioning and QA of treatment planning dose calculations. We present our experience in the validation of a commercial treatment planning system based on MPPG 5.a. METHODS: In addition to tests traditionally performed to commission a model-based dose calculation algorithm, extensive tests were carried out at short and extended SSDs, various depths, oblique gantry angles and off-axis conditions to verify the robustness and limitations of a dose calculation algorithm...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047961/su-f-t-285-evaluation-of-a-patient-dvh-based-imrt-qa-system
#11
H Zhen, G Redler, J Chu, J Turian
PURPOSE: To evaluate the clinical performance of a patient DVH-based QA system for prostate VMAT QA. METHODS: Mobius3D(M3D) is a QA software with an independent beam model and dose engine. The MobiusFX(MFX) add-on predicts patient dose using treatment machine log files. We commissioned the Mobius beam model in two steps. First, the stock beam model was customized using machine commissioning data, then verified against the TPS with 12 simple phantom plans and 7 clinical 3D plans...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047926/we-ab-brb-04-cherenkov-imaging-for-radiation-therapy-dose-verification-on-patients
#12
B Pogue
: Despite widespread IMRT treatments at modern radiation therapy clinics, precise dosimetric commissioning of an IMRT system remains a challenge. In the most recent report from the Radiological Physics Center (RPC), nearly 20% of institutions failed an end-to-end test with an anthropomorphic head and neck phantom, a test that has rather lenient dose difference and distance-to-agreement criteria of 7% and 4 mm. The RPC report provides strong evidence that IMRT implementation is prone to error and that improved quality assurance tools are required...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047911/su-f-t-281-monte-carlo-investigation-of-sources-of-dosimetric-discrepancies-with-2d-arrays
#13
M Afifi, N Deiab, A El-Farrash, A Abd El-Hafez, A Eldib, I Veltchev, C Ma
PURPOSE: Intensity modulated radiation therapy (IMRT) poses a number of challenges for properly measuring commissioning data and quality assurance (QA). Understanding the limitations and use of dosimeters to measure these dose distributions is critical to safe IMRT implementation. In this work, we used Monte Carlo simulations to investigate the possible sources of discrepancy between our measurement with 2D array system and our dose calculation using our treatment planning system (TPS)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047904/su-f-t-305-clinical-effects-of-dosimetric-leaf-gap-dlg-values-between-matched-varian-truebeam-tb-linacs
#14
D Mihailidis, J Mallah, D Zhu
PURPOSE: The dosimetric leaf gap (DLG) is an important parameter to be measured for dynamic beam delivery of modern linacs, like the Varian Truebeam (TB). The clinical effects of DLG-values on IMRT and/or VMAT commissioning of two "matched" TB linacs will be presented. METHODS AND MATERIALS: The DLG values on two TB linacs were measured for all energy modalities (filtered and FFF-modes) as part of the dynamic delivery mode commissioning (IMRT and/or VMAT. After the standard beam data was modeled in eclipse treatment planning system (TPS) and validated, IMRT validation was performed based on TG1191 benchmark, IROC Head-Neck (H&N) phantom and sample of clinical cases, all measured on both linacs...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047903/th-ab-201-10-portal-dosimetry-with-elekta-iviewdose-performance-of-the-simplified-commissioning-approach-versus-full-commissioning
#15
M Kydonieos, A Folgueras, L Florescu, T Cybulski, N Marinos, G Thompson, A Sayeed, R Rozendaal, I Olaciregui-Ruiz, A Subiel, I Silvestre Patallo
PURPOSE: Elekta recently developed a solution for in-vivo EPID dosimetry (iViewDose, Elekta AB, Stockholm, Sweden) in conjunction with the Netherlands Cancer Institute (NKI). This uses a simplified commissioning approach via Template Commissioning Models (TCMs), consisting of a subset of linac-independent pre-defined parameters. This work compares the performance of iViewDose using a TCM commissioning approach with that corresponding to full commissioning. Additionally, the dose reconstruction based on the simplified commissioning approach is validated via independent dose measurements...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047862/we-ab-brb-00-session-in-memory-of-robert-j-shalek-high-resolution-dosimetry-from-2d-to-3d-to-real-time-3d
#16
Harold Li
: Despite widespread IMRT treatments at modern radiation therapy clinics, precise dosimetric commissioning of an IMRT system remains a challenge. In the most recent report from the Radiological Physics Center (RPC), nearly 20% of institutions failed an end-to-end test with an anthropomorphic head and neck phantom, a test that has rather lenient dose difference and distance-to-agreement criteria of 7% and 4 mm. The RPC report provides strong evidence that IMRT implementation is prone to error and that improved quality assurance tools are required...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047732/th-cd-bra-02-3d-remote-dosimetry-for-mri-guided-radiation-therapy-a-hybrid-approach
#17
L Rankine, S Mein, J Adamovics, B Cai, A Curcuru, T Juang, D Miles, S Mutic, Y Wang, M Oldham, H Li
PURPOSE: To validate the dosimetric accuracy of a commercially available MR-IGRT system using a combination of 3D dosimetry measurements (with PRESAGE(R) radiochromic plastic and optical-CT readout) and an in-house developed GPU-accelerated PENELOPE Monte-Carlo dose calculation system. METHODS: (60) Co IMRT subject to a 0.35T lateral magnetic field has recently been commissioned in our institution following AAPM's TG-119 recommendations. We performed PRESAGE(R) sensitivity studies in 4ml cuvettes to verify linearity, MR-compatibility, and energy-independence...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047647/su-f-p-49-comparison-of-mapcheck-2-commission-for-photon-and-electron-beams
#18
J Lu, C Yang, B Morris, A Markovich
PURPOSE: We will investigate the performance variation of the MapCheck2 detector array with different array calibration and dose calibration pairs from different radiation therapy machine. METHODS: A MapCheck2 detector array was calibrated on 3 Elekta accelerators with different energy of photon (6 MV, 10 MV, 15 MV and 18 MV) and electron (6 MeV, 9 MeV, 12 MeV, 15 MeV, 18 MeV and 20 MeV) beams. Dose calibration was conducted by referring a water phantom measurement following TG-51 protocol and commission data for each accelerator...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047638/su-f-p-09-a-global-medical-physics-collaboration-for-implementation-of-modern-radiotherapy-in-botswana
#19
R Makufa, M Bvochora-Nsingo, T Karumekayi, R J Schneider, J A Efstathiou, S Dryden-Peterson, A Odom, A Shulman, Y Pipman, D P Gierga
PURPOSE: The global burden of cancer is considerable, particularly in low and middle-income countries. Massachusetts General Hospital (MGH) and Botswana-Harvard AIDS Institute have partnered with the oncology community and government of Botswana to form BOTSOGO (BOTSwana Oncology Global Outreach) to address the rising burden of cancer in Botswana. Currently, radiation therapy (RT) is only available at a single linear accelerator (LINAC) in Gaborone Private Hospital (GPH). BOTSOGO worked to limit the absence of RT during a LINAC upgrade and ensure a safe transition to modern radiotherapy techniques...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047627/mo-b-brb-04-3d-dosimetry-in-end-to-end-dosimetry-qa
#20
G Ibbott
: Full three-dimensional (3D) dosimetry using volumetric chemical dosimeters probed by 3D imaging systems has long been a promising technique for the radiation therapy clinic, since it provides a unique methodology for dose measurements in the volume irradiated using complex conformal delivery techniques such as IMRT and VMAT. To date true 3D dosimetry is still not widely practiced in the community; it has been confined to centres of specialized expertise especially for quality assurance or commissioning roles where other dosimetry techniques are difficult to implement...
June 2016: Medical Physics
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