Jaw positions on a linear accelerator are calibrated to have accurate field size values over the range of jaw positions and to have excellent junctions when matching fields. It is sufficient to have field size accuracy on the order of a millimeter for most clinical applications but good junctions require submillimeter precision and accuracy in the jaw positioning. Presented is a method to measure collimator walkout with the MV imager and a mathematical model to determine an optimal origin for calibrating jaws on the TrueBeam accelerator. The calibration procedure uses the jaw position encoders which are sufficiently accurate and precise enough to achieve a homogeneous junction dose for abutting fields.
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http://dx.doi.org/10.1002/acm2.12586 | DOI Listing |
J Appl Clin Med Phys
July 2020
Department of Radiation Oncology, University of Iowa, Iowa City, IA, USA.
MR image-guided radiotherapy has the potential to improve patient care, but integration of an MRI scanner with a linear accelerator adds complexity to the commissioning process. This work describes a single institution experience of commissioning an Elekta Unity MR-linac, including mechanical testing, MRI scanner commissioning, and dosimetric validation. Mechanical testing included multileaf collimator (MLC) positional accuracy, measurement of radiation isocenter diameter, and MR-to-MV coincidence.
View Article and Find Full Text PDFTechnol Cancer Res Treat
May 2020
Department of Radiation Oncology, Stanford University, Palo Alto, CA, USA.
Purpose: While critical for safe and accurate radiotherapy, monthly quality assurance of medical linear accelerators is time-consuming and takes physics resources away from other valuable tasks. The previous methods at our institution required 5 hours to perform the mechanical and dosimetric monthly linear accelerator quality assurance tests. An improved workflow was developed to perform these tests with higher accuracy, with fewer error pathways, in significantly less time.
View Article and Find Full Text PDFJ Appl Clin Med Phys
May 2019
Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Purpose: To measure dosimetric and spatial accuracy of stereotactic radiosurgery (SRS) delivered to targets as small as the trigeminal nerve (TN) using a standard external beam treatment planning system (TPS) and multileaf collimator-(MLC) equipped linear accelerator without cones or other special attachments or modifications.
Methods: Dosimetric performance was assessed by comparing computed dose distributions to film measurements. Comparisons included the γ-index, beam profiles, isodose lines, maximum dose, and spatial accuracy.
J Appl Clin Med Phys
May 2019
Medical Physics, Fraser Valley Centre, British Columbia Cancer Agency, Surrey, BC, Canada.
Jaw positions on a linear accelerator are calibrated to have accurate field size values over the range of jaw positions and to have excellent junctions when matching fields. It is sufficient to have field size accuracy on the order of a millimeter for most clinical applications but good junctions require submillimeter precision and accuracy in the jaw positioning. Presented is a method to measure collimator walkout with the MV imager and a mathematical model to determine an optimal origin for calibrating jaws on the TrueBeam accelerator.
View Article and Find Full Text PDFJ Appl Clin Med Phys
March 2015
The Norton Cancer Institute Radiation Center, Louisville, KY and Associates in Medical Physics, LLC, Greenbelt, MD.
A dataset range of isocenter congruency verification tests have been examined from a statistical perspective for the purpose of establishing tolerance levels that are meaningful, based on the fundamental limitation of linear accelerator isocentricity and the demands of a high-precision stereotactic radiosurgery program. Using a laser-defined isocenter, a total of 149 individual isocenter congruency tests were examined with recorded values for ideal spatial corrections to the isocenter test tool. These spatial corrections were determined from radiation exposures recorded on an electronic portal imaging device (EPID) at various gantry, collimator, and treatment couch combinations.
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