Report on Use of a Methodology for Commissioning and Quality Assurance of a VMAT System |
| |
Authors: | Charles Mayo Luis Fong de los Santos Jon Kruse Charles R Blackwell Luke B McLemore Deanna Pafundi Joshua Stoker Michael Herman |
| |
Institution: | Department of Radiation Oncology, Mayo Clinic, Rochester, Minnesota, United States of America.; The University of Chicago, United States of America, |
| |
Abstract: | IntroductionResults of use of methodology for VMAT commissioning and quality assurance, utilizing both control point tests and dosimetric measurements are presented.Methods and MaterialsA generalizable, phantom measurement approach is used to characterize the accuracy of the measurement system. Correction for angular response of the measurement system and inclusion of couch structures are used to characterize the full range gantry angles desirable for clinical plans. A dose based daily QA measurement approach is defined.ResultsAgreement in the static vs. VMAT picket fence control point test was better than 0.5 mm. Control point tests varying gantry rotation speed, leaf speed and dose rate, demonstrated agreement with predicted values better than 1%. Angular dependence of the MatriXX array, varied over a range of 0.94–1.06, with respect to the calibration condition. Phantom measurements demonstrated central axis dose accuracy for un-modulated four field box plans was ≥2.5% vs. 1% with and without angular correction respectively with better results for VMAT (0.4%) vs. IMRT (1.6%) plans. Daily QA results demonstrated average agreement all three chambers within 0.4% over 9 month period with no false positives at a 3% threshold.DiscussionThe methodology described is simple in design and characterizes both the inherit limitations of the measurement system as well at the dose based measurements that may be directly related to patient plan QA. |
| |
Keywords: | |
|
|