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Title: An algorithm for independent verification of Gamma Knife{sup TM} treatment plans

Journal Article · · Medical Physics
DOI:https://doi.org/10.1118/1.1786532· OSTI ID:20634592
;  [1]
  1. Division of Medical Physics, CancerCare Manitoba, 675 McDermot Avenue, Winnipeg, Manitoba R3E 0V9 (Canada)

A formalism for independent treatment verification has been developed for Gamma Knife{sup TM} radiosurgery in analogy to the second checks being performed routinely in the field of external beam radiotherapy. A verification algorithm is presented, and evaluated based on its agreement with treatment planning calculations for the first 40 Canadian Gamma Knife{sup TM} patients. The algorithm is used to calculate the irradiation time for each shot, and the value of the dose at the maximum dose point in each calculation matrix. Data entry consists of information included on the plan printout, and can be streamlined by using an optional plan import feature. Calculated shot times differed from those generated by the treatment planning software by an average of 0.3%, with a standard deviation of 1.4%. The agreement of dose maxima was comparable with an average of -0.2% and a standard deviation of 1.3%. Consistently accurate comparisons were observed for centrally located lesions treated with a small number of shots. Large discrepancies were almost all associated with dose plans utilizing a large number of collimator plugs, for which the simplifying approximations used by the program are known to break down.

OSTI ID:
20634592
Journal Information:
Medical Physics, Vol. 31, Issue 10; Other Information: DOI: 10.1118/1.1786532; (c) 2004 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA); ISSN 0094-2405
Country of Publication:
United States
Language:
English