Localization and System Integration Tests as Quality Assurance for the Leksell γ-Unit

Journal of Radiosurgery - Tập 2 Số 4 - Trang 225-231 - 1999
Ertl, Adolf1, Saringer, Walter1, Bertalanffy, Alexander1, Low, Hans G.2, Kindl, Peter3
1Department of Neurosurgery, University of Vienna, Austria
2Department of Radiotherapy, Vienna University, Austria
3Institute of Technical Physics, Techical University of Graz, Austria

Tóm tắt

Quality control in stereotactic radiotherapy of brain lesions with the Leksell γ-unit or the LINAC-facility is a must, as missing the target is the most serious error that can occur in that kind of treatment. We developed a quality assurance program to reduce this risk. To evaluate the accuracy of the procedure, which defines the target, including all possible errors of the therapy chain, irradiations of phantoms were performed, using the so-called “known” and “unknown” target method. Accuracy is defined by the deviation of the irradiated target from the calculated target with digital images used for therapy planning. GafChromic MD-55 films, which have been irradiated by means of a special author-developed phantom, were applied for measuring the precision of the radiation unit. The results obtained for isocentric accuracy of the Leksell γ-unit were in good agreement with the measurements of the manufacturing company. The deviation measured with the 4-mm collimator helmet was up to 0.3 mm, including the CT images and the stereotactic frame less than 0.85 mm, respectively. The phantom designed for this purpose is useful in quality assurance measurements of this stereotactic therapy chain.

Tài liệu tham khảo

citation_journal_title=Stereotact Func Neurosurg; citation_title=Quality assurance of Leksell Gamma units; citation_author=HW Berk, SK Agarval; citation_volume=57; citation_publication_date=1991; citation_pages=106; citation_id=CR1 citation_journal_title=Radiat Phys Chem; citation_title=GafChromic Dosimetry media: A new high dose, thin film routine dosimeter and dose mapping tool; citation_author=RDH Chu, G Van Dyk, DF Lewis, KPJ O'Hara, BW Buckland, F Dinelle; citation_volume=35; citation_publication_date=1990; citation_pages=767-773; citation_id=CR2 citation_journal_title=J Radiosurg; citation_title=Comparison of readout between a new diode laser scanner and a heliumneon laser densitometer for GafChromic MD-55 films; citation_author=A Ertl, A Schöggl, PO Kellermann, M Zehetmayer, P Kindl; citation_volume=2; citation_issue=2; citation_publication_date=1999; citation_pages=65-69; citation_id=CR3 citation_title=Quality assurance program on stereotactic radiosurgery; citation_inbook_title=Report from a quality assurance task group; citation_publication_date=1995; citation_id=CR4; citation_author=GH Hartmann; citation_author=W Lutz; citation_author=J Arndt; citation_author=I Ermakov; citation_author=EB Podgorsak; citation_author=L Schad; citation_author=C Serago; citation_author=SM Vatnitsky; citation_publisher=Springer citation_journal_title=Neurosurg; citation_title=The application accuracy of stereotactic frames; citation_author=RJ Maciunas, RL Galloway, JW Latimer; citation_volume=35; citation_issue=4; citation_publication_date=1994; citation_pages=682-695; citation_id=CR5 citation_journal_title=Stereotact Func Neurosurg; citation_title=An independent application accuracy evaluation of stereotactic frame systems; citation_author=RJ Maciunas, RL Galloway, JW Latimer, C Cobb, E Zaccharias, A Moore, VR Mandava; citation_volume=58; citation_publication_date=1992; citation_pages=103-107; citation_id=CR6 citation_journal_title=Int J Oncol Biol Phys; citation_title=Quality assurance for gamma knife stereotactic radiosurgery; citation_author=AH Maitz, A Wu, LD Lunsford, JC Flickinger, D Kondziolka, WD Bloomer; citation_volume=32; citation_issue=5; citation_publication_date=1995; citation_pages=1454-1471; citation_id=CR7 citation_journal_title=Nuclear Instr Meth Phys Research; citation_title=Sensitometry of the response of a new radiochromic film dosimeter to gamma radiation and electron beams; citation_author=WL McLaughlin, C Yun-Dong, CG Soares; citation_volume=A302; citation_publication_date=1991; citation_pages=165-176; citation_id=CR8 citation_journal_title=Med Phys; citation_title=The use of a radiochromic detector for the determination of stereotactic radiosurgery dose characteristics; citation_author=WL McLaughlin, CG Soares, JA Sayeg, EC McCullough, RW Kline, A Wu, AH Maitz; citation_volume=21; citation_issue=3; citation_publication_date=1994; citation_pages=379-388; citation_id=CR9 citation_journal_title=Med Phys; citation_title=Dosimetric characteristics of an improved radiochromic film; citation_author=AS Meigooni, MF Sanders, GS Ibbott, SR Szeglin; citation_volume=23; citation_issue=11; citation_publication_date=1996; citation_pages=1883-1888; citation_id=CR10 citation_journal_title=Med Phys; citation_title=Photon energy dependence of the sensitivity of radiochromic film and comparison with silver halide film and LiF TLDs used for brachytherapy dosimetry; citation_author=PJ Muench, AS Meigooni, R Nath, WL McLaughlin; citation_volume=18; citation_issue=4; citation_publication_date=1991; citation_pages=769-775; citation_id=CR11 citation_journal_title=Med Phys; citation_title=A QA phantom for dynamic stereotactic radiosurgery: Quantitative measurements; citation_author=R Ramani, MG Ketko, PF O'Brien, ML Schwartz; citation_volume=22; citation_issue=8; citation_publication_date=1995; citation_pages=1343-1346; citation_id=CR12 citation_journal_title=Med Phys; citation_title=Eliminating interference fringe artifacts in scanning He-Ne laser film densitometry; citation_author=LE Reinstein; citation_volume=22; citation_publication_date=1995; citation_pages=1011; citation_id=CR13 citation_journal_title=Stereotact Func Neurosurg; citation_title=Beam profile analysis using GafChromic films; citation_author=M Sanders, J Sayeg, C Coffey, P Patel, J Walsh; citation_volume=61; citation_issue=suppl1; citation_publication_date=1993; citation_pages=124-129; citation_id=CR14 citation_journal_title=Int J Radiat Oncol Biol Phys; citation_title=Stereotactic target point verification of an X-ray and CT localizer; citation_author=CF Serago, AA Lewin, PV Houdek, S Gonzales-Arias, GH Hartmann, AA Abitol, JG Schwade; citation_volume=20; citation_publication_date=1991; citation_pages=517-523; citation_id=CR15 citation_journal_title=Int J Radiat Oncol Biol Phys; citation_title=Physics of Gamma Knife approach on convergent beams in stereotactic radiosurgery; citation_author=A Wu, G Lindner, AH Maitz, AM Kalend, LD Lundsford, JC Flickinger, WD Bloomer; citation_volume=18; citation_publication_date=1990; citation_pages=941-949; citation_id=CR16