Using eclipse scripting to fully automate in-vivo image analysis to improve treatment quality and safety.

Purpose: An automated, in-vivo system to detect patient anatomy changes and machine output was developed using novel analysis of in-vivo electronic portal imaging device (EPID) images for every fraction of treatment on a Varian Halcyon. In-vivo approach identifies errors that go undetected by routine quality assurance (QA) to compliment daily machine performance check (MPC), with minimal physicist workload.

Methods: Images for all fractions treated on a Halcyon were automatically downloaded and analyzed at the end of treatment day.

Carbon-11 and Carbon-12 beam range verifications through prompt gamma and annihilation gamma measurements: Monte Carlo simulations.

Range uncertainty remains a big concern in particle therapy, as it may cause target dose degradation and normal tissue overdosing. Positron emission tomography (PET) and prompt gamma imaging (PGI) are two promising modalities for range verification. However, the relatively long acquisition time of PET and the relatively low yield of PGI pose challenges for real-time range verification.