Imrt Qa Software

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FilmQA Pro software is a sophisticated, quantitative analysis tool specifically designed to. The intensity-modulated radiation therapy quality assurance (IMRT QA). Our software is also effective for the QA of SRS, SBRT and VMAT procedures.

1742-6596/250/1/012101

Abstract

We have used the DosimetryCheck program with the EPID's on our Varian 2100EX's to perform pre-treatment QA on more than 350 patients, between the last quarter of 2006 and the present. The software uses the EPID measured fluences of the treatment fields to reconstuct the dose distribution in the CT planning model of the patient. Since the dose calculation algorithm, is different from that used by our Eclipse planning system, this provides an independent check of planning accuracy as well as treatment delivery. 2D and 3D dose distributions, point doses, Gamma distributions, DVH statistics and MU calculations can be compared. Absolute differences of Reference Point doses between Dosimetry Check and Eclipse average 1.20%, which is similar to the ionization chamber dose differences of 1.29% for the same patient verification plans. Examples of cases for various treatment sites and delivery modes will be presented. A Special Report in Medical Physics Vol. 37 Number 6 Pg. 2638–2644 from Mans et al at The Netherlands Cancer Institute demonstrated the ability of in vivo EPID dosimetry to detect treatment errors, that escaped other QA checks. A new version of DosimetryCheck awaiting FDA approval, is capable of successfully reconstructing the dose distribution in the patient from the EPID measured exit fluences. This can also be applied to CBCT images providing actual patient dose verification for a treatment session. This should be particularly useful for monitoring hypo-fractionated treatment regimens. Examples of this method will also be presented.

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References

  • [1]
    Renner W D, Sarfaraz M, Earl M A, Yu C X A dose delivery verification method for conventional and intensity modulated radiation therapy using measured field fluence distributions Medical Phys.30 (11) 2996-3005 Nov. 2003
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    Renner W D, Norton K, Holmes T 2005 A method for deconvolution of integrated electronic portal images to obtain incident fluences for dose reconstruction JACMP6 (4) 22-39 Fall
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    Renner W D 2007 3D dose reconstruction to insure correct external beam treatment patients Medical Dosimetry32 (3) 157-165
  • [4]
    Mans A, et al 2010 Catching errors with vivo EPID dosimetry Med. Phys.37 (6) 2638-2644
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    Kasper L P, et al 1999 Transit dosimetry with an electronic portal imaging device (EPID) for 115 prostate cancer patients Int. J. Radiation Oncol. Biol. Phys.45 (5) 1297-1303
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    Mans A, et al 2010 3D dosimetric verification of volumetric modulated arc therapy by portal dosimetry Radiotherapy Oncology94 181-187
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    Dutreix A, Leunens G, Van Dam J and Van Der Schueren E 1992 Quality Assurance in radiotherapy at the patient level AMPI Medical Phys. Bulletin17 (4) 22-25

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