Investigation of the mechanical performance of Siemens linacs components during arc: gantry, MLC, and electronic portal imaging device

Pejman Rowshanfarzad,1 Peter Häring,2 Hans L Riis,3 Sune J Zimmermann,3 Martin A Ebert1,4 1School of Physics, The University of Western Australia, Crawley, WA, Australia; 2German Cancer Research Center (DKFZ), Medical Physics in Radiation Oncology, Heidelberg, Germany; 3Radiofysisk Laborato...

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Autores principales: Rowshanfarzad P, Häring P, Riis HL, Zimmermann SJ, Ebert MA
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2015
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Acceso en línea:https://doaj.org/article/8b0904b485524437b212ebe7ffa16c38
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Sumario:Pejman Rowshanfarzad,1 Peter Häring,2 Hans L Riis,3 Sune J Zimmermann,3 Martin A Ebert1,4 1School of Physics, The University of Western Australia, Crawley, WA, Australia; 2German Cancer Research Center (DKFZ), Medical Physics in Radiation Oncology, Heidelberg, Germany; 3Radiofysisk Laboratorium, Odense University Hospital, Odense C, Denmark; 4Department of Radiation Oncology, Sir Charles Gairdner Hospital, Nedlands, WA, Australia Background: In radiotherapy treatments, it is crucial to monitor the performance of linac components including gantry, collimation system, and electronic portal imaging device (EPID) during arc deliveries. In this study, a simple EPID-based measurement method is suggested in conjunction with an algorithm to investigate the stability of these systems at various gantry angles with the aim of evaluating machine-related errors in treatments. Methods: The EPID sag, gantry sag, changes in source-to-detector distance (SDD), EPID and collimator skewness, EPID tilt, and the sag in leaf bank assembly due to linac rotation were separately investigated by acquisition of 37 EPID images of a simple phantom with five ball bearings at various gantry angles. A fast and robust software package was developed for automated analysis of image data. Three Siemens linacs were investigated. Results: The average EPID sag was within 1 mm for all tested linacs. Two machines showed >1 mm gantry sag. Changes in the SDD values were within 7.5 mm. EPID skewness and tilt values were <1° in all machines. The maximum sag in leaf bank assembly was <1 mm. Conclusion: The method and software developed in this study provide a simple tool for effective investigation of the behavior of Siemens linac components with gantry rotation. Such a comprehensive study has been performed for the first time on Siemens machines. Keywords: linac, Siemens, arc, sag, EPID, gantry