Abstract：
:The purpose of this study was to determine the reproducibility of patient-specific, intensity-modulated radiation therapy (IMRT) quality assurance (QA) results in a clinical setting. Six clinical patient plans were delivered to a variety of devices and analyses, including 1) radiographic film; 2) ion chamber; 3) 2D diode array delivered and analyzed in three different configurations (AP delivery with field-by-field analysis, AP delivery with composite analysis, and planned gantry angle delivery); 4) helical diode array; and 5) in-house-designed multiple ion chamber phantom. The six clinical plans were selected from a range of treatment sites and were of various levels of complexity. Of note, three of the plans had failed at least preliminary evaluation with our in-house IMRT QA; the other three plans had passed QA. These plans were delivered three times sequentially without changing the setup, and then delivered two more times after breaking down and rebuilding the setup between each. This allowed for an investigation of reproducibility (in terms of dose, dose difference or percent of pixels passing gamma) of both the delivery and the physical setup. This study showed that the variability introduced from the setup was generally higher than the variability from redelivering the plan. Radiographic film showed the poorest reproducibility of the dosimeters investigated. In conclusion, the various IMRT QA systems demonstrated varying abilities to reproduce QA results consistently. All dosimetric devices demonstrated a reproducibility (coefficient of variation) of less than 4% in their QA results for all plans, with an average reproducibility of less than 2%. This work provides some quantification for the variability that may be seen for IMRT QA dosimeters.
journal_name
J Appl Clin Med Physjournal_title
Journal of applied clinical medical physicsauthors
McKenzie EM,Balter PA,Stingo FC,Jones J,Followill DS,Kry SFdoi
10.1120/jacmp.v15i3.4741subject
Has Abstractpub_date
2014-05-08 00:00:00pages
4741issue
3issn
1526-9914journal_volume
15pub_type
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