Independent quality assurance of a helical tomotherapy machine using the dose magnifying glass.

Abstract:

PURPOSE:Helical tomotherapy is a complex delivery technique, integrating CT image guidance and intensity modulated radiotherapy in a single system. The integration of the CT detector ring on the gantry not only allows patient position verification but is also often used to perform various QA procedures. This convenience lacks the rigor of a machine-independent QA process. METHODS:In this article, a Si strip detector, known as the Dose Magnifying Glass (DMG), was used to perform machine-independent QA measurements of the multileaf collimator alignment, leaf open time threshold, and leaf fluence output factor (LFOF). RESULTS:The DMG measurements showed good agreements with EDR2 film for the MLC alignment test while the CT detector agrees well with DMG measurements for leaf open time threshold and LFOF measurements. The leaf open time threshold was found to be approximately 20 ms. The LFOF measured with the DMG agreed within error with the CT detector measured LFOF. CONCLUSIONS:The DMG with its 0.2 mm spatial resolution coupled to TERA ASIC allowed real-time high temporal resolution measurements of the tomotherapy leaf movement. In conclusion, DMG was shown to be a suitable tool for machine-independent QA of a tomotherapy unit.

journal_name

Med Phys

journal_title

Medical physics

authors

Wong JH,Hardcastle N,Tomé WA,Bayliss A,Tolakanahalli R,Lerch ML,Petasecca M,Carolan M,Metcalfe P,Rosenfeld AB

doi

10.1118/1.3566067

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

2256-64

issue

4

eissn

0094-2405

issn

2473-4209

journal_volume

38

pub_type

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