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Title: SU-F-T-457: A Filmless Method for Measurement of Couch Translation Per Gantry Rotation and Couch Speed for Tomotherapy Using ArcCheck

Abstract

Purpose: To develop a filmless methodology based on an ArcCheck for QA measurement of the couch translation per gantry rotation and couch speed of a Tomotherapy unit. Methods: Two test plans recommended by TG148 were chosen for this study. A helical plan with 1 cm field size opened the leaves for 180 degrees at the 2nd, 7th and 12th of total 13 rotations and was used to verify if the couch travelled the expected distance per gantry rotation. The other test plan was a static plan with the gantry at 0°, 1cm field width and constant couch movement speed of 0.5mm/s. It was used for couch speed measurement. The ArcCheck was isocentrically set up and recorded movie files which took a snapshot exposure every 50ms. Due to the spiral pattern of diodes distribution, when one of the diodes of the ArcCheck located at the beam center, the dose profile as measured by the row of diodes which surrounded the center diode should have a symmetrical pattern. We divided the profile into left half A and right half B. Then a shape parameter was defined as S=Σ|(A−B)|/Σ(A+B). By searching the local minimum of S parameter, the beam center at different timemore » could be located. The machine trajectory log data were also collected and analyzed for comparison. Results: The mean value of measured couch translation and couch speed by ArcCheck had less than 0.05% deviation from the planned values. For couch speed measurement, our result showed a mean value of 0.5002 with an uncertainty ±0.0031, which agreed very well with both the plan setting of 0.5 mm/s and the machine log data of 0.5005 mm/s. Conclusion: Couch translation measured using ArcCheck is accurate and comparable to the film-based measurement. This filmless method also provides a convenient and independent way for measuring couch speed.« less

Authors:
; ; ; ; ;  [1]
  1. Hong Kong Sanatorium & Hospital, Hong Kong, N/A, Hong Kong (China)
Publication Date:
OSTI Identifier:
22649048
Resource Type:
Journal Article
Resource Relation:
Journal Name: Medical Physics; Journal Volume: 43; Journal Issue: 6; Other Information: (c) 2016 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSICS; 61 RADIATION PROTECTION AND DOSIMETRY; COMPUTERIZED TOMOGRAPHY; CT-GUIDED RADIOTHERAPY; ROTATION; VELOCITY

Citation Formats

Yang, B, Wong, R, Geng, H, Lam, W, Cheung, K, and Yu, S. SU-F-T-457: A Filmless Method for Measurement of Couch Translation Per Gantry Rotation and Couch Speed for Tomotherapy Using ArcCheck. United States: N. p., 2016. Web. doi:10.1118/1.4956642.
Yang, B, Wong, R, Geng, H, Lam, W, Cheung, K, & Yu, S. SU-F-T-457: A Filmless Method for Measurement of Couch Translation Per Gantry Rotation and Couch Speed for Tomotherapy Using ArcCheck. United States. doi:10.1118/1.4956642.
Yang, B, Wong, R, Geng, H, Lam, W, Cheung, K, and Yu, S. 2016. "SU-F-T-457: A Filmless Method for Measurement of Couch Translation Per Gantry Rotation and Couch Speed for Tomotherapy Using ArcCheck". United States. doi:10.1118/1.4956642.
@article{osti_22649048,
title = {SU-F-T-457: A Filmless Method for Measurement of Couch Translation Per Gantry Rotation and Couch Speed for Tomotherapy Using ArcCheck},
author = {Yang, B and Wong, R and Geng, H and Lam, W and Cheung, K and Yu, S},
abstractNote = {Purpose: To develop a filmless methodology based on an ArcCheck for QA measurement of the couch translation per gantry rotation and couch speed of a Tomotherapy unit. Methods: Two test plans recommended by TG148 were chosen for this study. A helical plan with 1 cm field size opened the leaves for 180 degrees at the 2nd, 7th and 12th of total 13 rotations and was used to verify if the couch travelled the expected distance per gantry rotation. The other test plan was a static plan with the gantry at 0°, 1cm field width and constant couch movement speed of 0.5mm/s. It was used for couch speed measurement. The ArcCheck was isocentrically set up and recorded movie files which took a snapshot exposure every 50ms. Due to the spiral pattern of diodes distribution, when one of the diodes of the ArcCheck located at the beam center, the dose profile as measured by the row of diodes which surrounded the center diode should have a symmetrical pattern. We divided the profile into left half A and right half B. Then a shape parameter was defined as S=Σ|(A−B)|/Σ(A+B). By searching the local minimum of S parameter, the beam center at different time could be located. The machine trajectory log data were also collected and analyzed for comparison. Results: The mean value of measured couch translation and couch speed by ArcCheck had less than 0.05% deviation from the planned values. For couch speed measurement, our result showed a mean value of 0.5002 with an uncertainty ±0.0031, which agreed very well with both the plan setting of 0.5 mm/s and the machine log data of 0.5005 mm/s. Conclusion: Couch translation measured using ArcCheck is accurate and comparable to the film-based measurement. This filmless method also provides a convenient and independent way for measuring couch speed.},
doi = {10.1118/1.4956642},
journal = {Medical Physics},
number = 6,
volume = 43,
place = {United States},
year = 2016,
month = 6
}
  • Purpose: To develop a practical method for routine QA of the MLC of a Tomotherapy unit using ArcCheck. Methods: Two standard test plans were used in this study. One was a helical test, in which the central leaves No. 32 and 33 opened simultaneously for 277.8ms at projections centered at 0°, 120° and 240° gantry angles. The other test plan was a static test with the gantry angle set at 0°, 45°, 90° and 135° respectively and leaves No. 32 and 33 opened sequentially for total 20s which was further divided into eleven or ten segments at each beam angle.more » The ArcCheck was isocentrically set up and adjusted for couch sag. Movie files which took a snapshot exposure every 50ms were recorded. The start/stop time of leaf open was decided by the ramp-up/ramp-down of the detectors. Results: The percentage differences between measured and planned leaf open time were calculated to be within 0.5% in all the tests. In static test, if leaves are synchronized perfectly, the sum of the two detectors’ signals after normalization should equal one when the leaves are in transition. Our results showed mean values of 0.982, 0.983, 0.978 and 0.995 at static gantry angle 0°, 45°, 90° and 135° respectively. Conclusion: A method for estimating the Tomotherapy binary MLC leaf open time using ArcCheck is proposed and proved to be precise enough to verify the planned leaf open time as small as 277.8ms. This method also makes the observation and quantification of the synchronization of leaves possible.« less
  • Purpose: Radiation isocentricity is an important benchmark for a LINAC and is typically determined by 3 separate film star-shots. We developed a technique to simultaneously determine the radiation isocenter of gantry, collimator and couch with a commercial 3D QA apparatus. Methods: The ArcCHECK from SunNuclear was used on two LINACs. It was aligned with room lasers. For gantry rotation, collimator and couch were set to zero and gantry was placed to 0, 49, 213 and 311 degrees. Similarly, a set of collimator/couch angles were chosen with the other two axes at neutral positions. The measured dose matrices were analyzed bymore » an in-house MATLAB program. For each shot, the central axis was determined by computing the FWHM of the diode arrays. The largest inscribed circle from these central axis lines was used to determine isocenter: the radius as the benchmark of isocentricity and the coordinates of the center as the discrepancy of radiation isocenter to the origin defined by lasers. To validate the method, the couch was shifted by ~5 mm in all three directions and measurements were repeated. Results: The radius of the largest inscribed circle for gantry, collimator and couch are (0.3, 0.5, 0.2) mm for one LINAC and (0.2, 0.3, 0.1) mm for the other, in agreement with the film star-shots at annual QA. The discrepancies of radiation isocenter are generally within 1 mm, except gantry rotation on one LINAC due to the drift of foot laser. The differences in positions detected are consistent with the intentional predefined shift. Conclusion: We have demonstrated a technique for the simultaneous measurement of gantry, collimator, and couch isocentricity with a set of carefully chosen irradiation parameters based on the specific construction geometry of the 3D detector ArcCheck. This can replace the standard film star-shots. The future work includes improving operation efficiency.« less
  • Purpose: ArcCHECK (Sun Nuclear) is a cylindrical diode array detector allowing three-dimensional sampling of dose, particularly useful in treatment delivery QA of helical tomotherapy. Gamma passing rate is a common method of analyzing results from diode arrays, but is less intuitive in 3D with complex measured dose distributions. This study explores the sensitivity of gamma passing rate to choice of analysis technique in the context of its ability to detect errors introduced into the treatment delivery. Methods: Nine treatment plans were altered to introduce errors in: couch speed, gantry/sonogram synchronization, and leaf open time. Each plan was then delivered tomore » ArcCHECK in each of the following arrangements: “offset,” when the high dose area of the plan is delivered to the side of the phantom so that some diode measurements will be on the order of the prescription dose, and “centered,” when the high dose is in the center of the phantom where an ion chamber measurement may be acquired, but the diode measurements are in the mid to low-dose region at the periphery of the plan. Gamma analysis was performed at 3%/3mm tolerance and both global and local gamma criteria. The threshold of detectability for each error type was calculated as the magnitude at which the gamma passing rate drops below 90%. Results: Global gamma criteria reduced the sensitivity in the offset arrangement (from 2.3% to 4.5%, 8° to 21°, and 3ms to 8ms for couch-speed decrease, gantry-error, and leaf-opening increase, respectively). The centered arrangement detected changes at 3.3%, 5°, and 4ms with smaller variation. Conclusion: Each arrangement has advantages; offsetting allows more sampling of the higher dose region, while centering allows an ion chamber measurement and potentially better use of tools such as 3DVH, at the cost of positioning more of the diodes in the sometimes noisy mid-dose region.« less
  • To design a quality assurance (QA) procedure for helical tomotherapy that measures multiple beam parameters with 1 delivery and uses a rotating gantry to simulate treatment conditions. The customized QA procedure was preprogrammed on the tomotherapy operator station. The dosimetry measurements were performed using an ArcCHECK diode array and an A1SL ion chamber inserted in the central holder. The ArcCHECK was positioned 10 cm above the isocenter so that the 21-cm diameter detector array could measure the 40-cm wide tomotherapy beam. During the implementation of the new QA procedure, separate comparative measurements were made using ion chambers in both liquidmore » and solid water, the tomotherapy onboard detector array, and a MapCHECK diode array for a period of 10 weeks. There was good agreement (within 1.3%) for the beam output and cone ratio obtained with the new procedure and the routine QA measurements. The measured beam energy was comparable (0.3%) to solid water measurement during the 10-week evaluation period, excluding 2 of the 10 measurements with unusually high background. The symmetry reading was similarly compromised for those 2 weeks, and on the other weeks, it deviated from the solid water reading by ∼2.5%. The ArcCHECK phantom presents a suitable alternative for performing helical tomotherapy QA, provided the background is collected properly. The proposed weekly procedure using ArcCHECK and water phantom makes the QA process more efficient.« less
  • Purpose: To compare plan quality of volumetric modulated arc radiotherapy (VMAT) using different gantry rotation times. Methods: In ten rectal carcinoma patients, plans with different gantry rotation times were designed by Oncentra4.3 planning system, each of them was optimized by experienced planners using almost similar parameters and dose constraints except the different gantry rotation time. The gantry rotation time was increased from 30s to 150s by step of 30(30s, 60s, 90s, 120s, and 150s). Plans (VMAT30s, VMAT60s, VMAT90s, VMAT120s and VMAT150s) were normalized so that at least 95% of PTV would receive the prescription dose 50 Gray in 25 fractions.more » Dose-volume histograms and isodose distributions were evaluated. Conformity indices (CI), homogeneous indices (HI), monitor units (MUs), delivery time were also compared. Results: As the increasing of gantry rotation time, VMAT150s provided comparable organs at risk sparing and better target coverage and conformity than VMAT30s. In the normal tissue such as bladder and femurs, the VMAT plans show almost the same V30 and Dmean for them compared with IMRT plans, meanwhile the conformity indices (CI) was better than IMRT plans(p=0.021). However, there was no significant different among the VMAT60s, VMAT90s, VMAT120s and VMAT150s (p=0.054). VMAT150s increased delivery time and monitor units in plans without improving plan quality compared to VMAT60s, VMAT90s and VMAT120s. Conclusion: VMAT60s, VMAT90s, VMAT120s and VMAT150s achieved comparable treatment plans in rectal carcinoma. Slower gantry movement in VMAT150s only improves slight improvement than the others.« less