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Rapid acceptance testing of modern linac using on‐board MV and kV imaging systems
Author(s) -
Yaddanapudi Sridhar,
Cai Bin,
Harry Taylor,
Dolly Steven,
Sun Baozhou,
Li Hua,
Stinson Keith,
Noel Camille,
Santanam Lakshmi,
Pawlicki Todd,
Mutic Sasa,
Goddu S. Murty
Publication year - 2017
Publication title -
medical physics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.473
H-Index - 180
eISSN - 2473-4209
pISSN - 0094-2405
DOI - 10.1002/mp.12294
Subject(s) - truebeam , imaging phantom , linear particle accelerator , quality assurance , image guided radiation therapy , computer science , acceptance testing , collimator , medical imaging , medical physics , beam (structure) , optics , artificial intelligence , physics , engineering , operations management , external quality assessment , software engineering
Purpose The purpose of this study was to develop a novel process for using on‐board MV and kV Electronic Portal Imaging Devices ( EPID s) to perform linac acceptance testing ( AT ) for two reasons: (a) to standardize the assessment of new equipment performance, and (b) to reduce the time to clinical use while reducing physicist workload. Methods and materials In this study, Varian TrueBeam linacs equipped with amorphous silicon‐based EPID ( aS 1000) were used. The conventional set of AT tests and tolerances were used as a baseline guide. A novel methodology was developed or adopted from published literature to perform as many tests as possible using the MV and kV EPID s. The developer mode on Varian TrueBeam linacs was used to automate the process. In the EPID ‐based approach, most of mechanical tests were conducted by acquiring images through a custom phantom and software tools were developed for quantitative analysis to extract different performance parameters. The embedded steel‐spheres in a custom phantom provided both visual and radiographic guidance for beam geometry testing. For photon beams, open field EPID images were used to extract inline/crossline profiles to verify the beam energy, flatness and symmetry. EPID images through a double wedge phantom were used for evaluating electron beam properties via diagonal profile. Testing was augmented with a commercial automated application (Machine Performance Check) which was used to perform several geometric accuracy tests such as gantry, collimator rotations, and couch rotations/translations. Results The developed process demonstrated that the tests, which required customer demonstration, were efficiently performed using EPID s. The AT tests that were performed using EPID s were fully automated using the developer mode on the Varian TrueBeam system, while some tests, such as the light field versus radiation field congruence, and collision interlock checks required user interaction. Conclusions On‐board imagers are quite suitable for both geometric and dosimetric testing of linac system involved in AT . Electronic format of the acquired data lends itself to benchmarking, transparency, as well as longitudinal use of AT data. While the tests were performed on a specific model of a linear accelerator, the proposed approach can be extended to other linacs.