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Evaluation of an EPID in vivo monitoring system using local and external independent audit measurements.
Avelino, Samuel Ramalho; Dias, Juliana Rosada; Peron, Taís Marques; Vidal, Gabriel Souza.
  • Avelino SR; VITTA Radiotherapy Center, Brasília-DF, Brazil.
  • Dias JR; VITTA Radiotherapy Center, Brasília-DF, Brazil.
  • Peron TM; VITTA Radiotherapy Center, Brasília-DF, Brazil.
  • Vidal GS; VITTA Radiotherapy Center, Brasília-DF, Brazil.
J Appl Clin Med Phys ; 23(12): e13822, 2022 Dec.
Article en En | MEDLINE | ID: mdl-36356260
ABSTRACT

PURPOSE:

The aim of this work was to evaluate the SunCHECK PerFRACTION, the software for in vivo monitoring using EPID images. MATERIALS/

METHODS:

First, the PerFRACTION ability to detect errors was investigated simulating two situations (1) variation of LINAC output and (2) variation of the phantom thickness. An ionization chamber was used as reference to measure the introduced dose variations. Both tests used EPID in integrated mode (absolute dose). Second, EPID measurements in integrated mode were carried out during an independent Brazilian governmental audit that provided four phantoms and TLDs. PerFRACTION calculated the absolute dose on EPID plane, and it compared with predicted calculated dose for every delivered plan. The dose deviations reported using PerFRACTION were compared with dose deviations reported by the independent audit. Third, an end-to-end test using a heterogeneous phantom was performed. A VMAT plan with EPID in cine mode was delivered. PerFRACTION calculated the mean dose on CBCT using EPID information and log files. The calculated doses at four different points were compared with ionization chambers measurements.

RESULTS:

About the first test, the largest difference found was 1.2%. Considering the audit results, the variations detected by TLD measurements and by PerFRACTION dose calculation on EPID plane were close 12 points had variations less than 2%, 2 points with variation between 2% and 3%, and 2 points with deviations greater than 3% (max 3.7%). The end-to-end tests using a heterogeneous phantom achieved dose deviation less than 1.0% in the water-equivalent region. In the mimicking lung region, the deviations were higher (max 7.3%), but in accordance with what is expected for complex situations.

CONCLUSION:

The tests results indicate that PerFRACTION dose calculations in different situations have good agreement with standard measurements. Action levels were suggested for absolute dose on EPID plane as well as 3D dose calculation on CBCT using PerFRACTION.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Radioterapia de Intensidad Modulada / Equipos y Suministros Eléctricos Límite: Humans Idioma: En Año: 2022 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Radioterapia de Intensidad Modulada / Equipos y Suministros Eléctricos Límite: Humans Idioma: En Año: 2022 Tipo del documento: Article