Professional Documents
Culture Documents
Tools For IMRT Commissioning Static and Rotating Gantries - 42-12033-18861-275
Tools For IMRT Commissioning Static and Rotating Gantries - 42-12033-18861-275
1
TG-119 Goal: Determine what is
Focus on IMRT commissioning achievable in practice
• Use concept of “confidence limit” from • Local institutions can perform the suite
Venselaar, refined by Palta of tests, comparing their
• For a set of (measured – expected) measurements to predictions and
values: creating a local “confidence limit”
- CL = |mean| + 1.96 * • If the local confidence limit exceeds
• TG-119 combined results from 9 that of the TG-119 group, then that
centers to obtain confidence limits to may indicate a problem with the local
be a baseline for comparison commissioning
2
TG-119 Status Participants
3
Dosimetry tools Preliminary tests to assess uncertainties
- Overlapping AP:PA 4
fields to different 8
10
doses
12
14
16
18
20
Referenc e:Eclipse D os e Map
Bands.dcm
8
• Model common clinical cases
• Use consistent approach
10
12
14
16
20 - 6 MV
- 7 – 9 coplanar fields, equally spaced
• Dose goals specified so plans are
similar
4
Mock Head/Neck Mock Head/Neck
Bladder 30% 70 Gy
Three cylindrical targets are stacked along the axis of 10% > 75 Gy
rotation. Each has a diameter of approximately 4 cm
and length of 4 cm
5
CShape Results - Chamber
0.040
0.030
0.020
Prostate
Head/Neck
corresponding chamber measurement
0.010
MultiTarget
0.000
CShape50
-0.010
-0.020 CShape20
-0.030 Bands
-0.040
-0.050
• CL: (100 – mean) + 1.96 *
-0.060
-0.070
A B C D E F G H I J
Institution
6
Film measurements – composite
irradiations
Individual field measurements
7
Using TG-119 process