"Siemens ONCOR" tedavi cihazının küçük monitor unit değerlerinde ve küçük segment boyutlarında dozimetrik performansının değerlendirilmesi ve planlama sistemi ile uyumu

AMAÇ Siemens ONCOR Avant-Garde lineer hızlandırıcısının“intensity modulated radiation therapy=IMRT” uygulamalarındaki performansını değerlendirmek için, küçük monitor unit (MU) değerlerindeki doz linearitesi, doz doğruluğu ve küçük alan boyutlu segmentlerdeki doz değerlerinin doğruluğu araştırıldı.GEREÇ VE YÖNTEM Cihazın küçük MU değerlerinde doz linearitesi ve doğruluğu için 0.6 cc “Farmer” iyon odası ve 47 tane diod içeren PTWLA48 lineer dedekt örü kullanıldı. Küçük alanlarda doz doğrulaması ise, PTW Si Diod dedektörlerle ölçülen doz değerleri ile planlama sisteminde elde edilen doz değerleri karşılaştırılarak yapıldı.BULGULAR Küçük MU değerinde doz linearitesi için alınan ölçümlerde

Evaluation of dosimetric performance of "Siemens ONCOR" linear accelerator with small monitor unit values and small segment sizes and consistency with treatment planning system

OBJECTIVES The aim of our study was to evaluate the performance of the “Siemens ONCOR Avant-Garde” linear accelerator under intensity modulated radiation therapy (IMRT) conditions. The beam stability for small monitor units in terms of dose linearity, inter-segment variations and profiles was investigated. Validation of doses at small size segments was done to compare with measurement and calculation dose values.METHODS Measurements of linearity and beam stability with small monitor units were done using 0.6 cc “Farmer” ion chamber and PTW-LA48 linear detector with 47 diodes. Validation of doses for small segment sizes was done for comparison of the values obtained with the PTW Si diode detector and the calculated values on the planning system.RESULTS Dose linearity of small monitor units was found to be 2 monitor unit setting were measured at an acceptable value, 3%,

___

  • 1) Ezzell GA, Galvin JM, Low D, Palta JR, Rosen I, Sharpe MB, et al. Guidance document on delivery, treatment planning, and clinical implementation of IMRT: report of the IMRT Subcommittee of the AAPM Radiation Therapy Committee. Med Phys 2003;30(8):2089-115.
  • 2) Galvin JM, Ezzell G, Eisbrauch A, Yu C, Butler B, Xiao Y, et al. Implementing IMRT in clinical practice: a joint document of the American Society for Therapeutic Radiology and Oncology and the American Association of Physicists in Medicine. Int J Radiat Oncol Biol Phys 2004;58(5):1616-34.
  • 3) Sharpe MB, Miller BM, Yan D, Wong JW. Monitor unit settings for intensity modulated beams delivered using a step-and-shoot approach. Med Phys 2000;27(12):2719-25.
  • 4) Grigorov GN, Chow JC, Barnett RB. Dosimetry limitations and a dose correction methodology for stepand-shoot IMRT. Phys Med Biol 2006;51(3):637-52.
  • 5) Bayouth JE, Morrill SM. MLC dosimetric characteristics for small field and IMRT applications. Med Phys 2003;30(9):2545-52.
  • 6) Das IJ, Desobry GE, McNeeley SW, Cheng EC, Schultheiss TE. Beam characteristics of a retrofitted double-focused multileaf collimator. Med Phys 1998;25(9):1676-84.
  • 7) Saw CB, Li S, Ayyangar KM, Yoe-Sein M, Pillai S, Enke CA, et al. Dose linearity and uniformity of a linear accelerator designed for implementation of multileaf collimation system-based intensity modulated radiation therapy. Med Phys 2003;30(8):2253-6.
  • 8) Kang SK, Cheong KH, Hwang T, Cho BC, Kim SS, Kim KJ, et al. Dosimetric characteristics of linear accelerator photon beams with small monitor unit settings. Med Phys 2008;35(11):5172-8.
  • 9) Cheng CW, Das IJ. Comparison of beam characteristics in intensity modulated radiation therapy (IMRT) and those under normal treatment condition. Med Phys 2002;29(2):226-30.
  • 10) Kuperman VY, Lam WC. Improving delivery of segments with small MU in step-and-shoot IMRT. Med Phys 2006;33(4):1067-73.
  • 11) Aspradakis MM, Lambert GD, Steele A. Elements of commissioning step-and-shoot IMRT: delivery equipment and planning system issues posed by small segment dimensions and small monitor units. Med Dosim 2005;30(4):233-42.
  • 12) Reena P, Dayananda S, Pai Rajeshri, Jamema SV, Gupta Tejpal, Deepak D, et al. Performance characterization of siemens primus linear accelerator under small monitor unit and small segments for the implementation of step-and-shoot intensitymodulated radiotherapy. J Med Phys 2006;31(4):269-274.
  • 13) Bhangle Janhavi R, Sathiya Narayanan VK, Deshpande Shrikant A. Dose linearity and uniformity of Siemens ONCOR impression plus linear accelerator designed for step-and-shoot intensity-modulated radiation therapy. J Med Phys 2007;32(3):103-07.
  • 14) Laub WU, Wong T. The volume effect of detectors in the dosimetry of small fields used in IMRT. Med Phys 2003;30(3):341-7.
  • 15) Reitz B, Miften M. Comparison of the KonRad IMRT and XiO treatment planning systems. J Appl Clin Med Phys 2008;9(3):2770.