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Portal Dosimetry 11, Rev. 1.2 - Annotated - Flattened-2
Portal Dosimetry 11, Rev. 1.2 - Annotated - Flattened-2
Portal Dosimetry 11, Rev. 1.2 - Annotated - Flattened-2
Revision 1.2
April, 2014
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 2 Rev. 1.2
Portal Dosimetry
Abstract The Portal Dosimetry 11 course provides a working understanding of the Portal
Dosimetry system and the pre-treatment IMRT and RapidArc QA process.
Notice Information in this release note is subject to change without notice and does not
represent a commitment on the part of Varian. Varian is not liable for errors
contained in this user guide or for incidental or consequential damages in
connection with furnishing or use of this material.
HIPAA Varian’s products and services are specifically designed to include features that
help our customers comply with the Health Insurance Portability and Accountability
Act of 1996 (HIPAA). The software application uses a secure login process,
requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability
to edit and add data or may limit access to data. When a user adds or modifies
data within the database, a record is made that includes which data were changed,
the user ID, and the date and time the changes were made. This establishes an
audit trail that can be examined by authorized system administrators.
Trademarks Varian®, Clinac® linear accelerator, Exact® Arm are registered trademarks,
AriaTM, EclipseTM, Enhanced Dynamic WedgeTM, Millennium™ MLC, Portal
TM
Imaging are trademarks of Varian Medical Systems, Inc.
If you have access to the Internet, you will find Varian Medical System support at the
following location:
Then click Support from the menu list along the left side of the window.
Sending E-Mail
This document uses the following visual cues to help you locate and find information:
Course introduction
System Overview
GUI overview
PD Commissioning
References TAB 8
Appendix TAB 9
Course introduction
1 1
©©Varian
VarianMedical Systems
Medical Systems Portal Dosimetry 11
For training purposes only! Rev. 1.2
For education purposes only pg 10
Course Introduction
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VarianMedical Systems
Medical Systems Portal Dosimetry 11
For training purposes only! Rev. 1.2
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Course Introduction
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VarianMedical Systems
Medical Systems Portal Dosimetry 11
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Course Introduction
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Medical Systems Portal Dosimetry 11
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Course Introduction
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Medical Systems Portal Dosimetry 11
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Course Introduction
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Medical Systems Portal Dosimetry 11
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Course Introduction
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Course Introduction
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Course Introduction
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Course Introduction
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Course Introduction
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Course Introduction
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Course Introduction
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Course Introduction
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Course Introduction
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Course Introduction
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Course Introduction
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Course Introduction
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Course Introduction
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Course Introduction
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System Overview
GUI overview
2 2
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Portal Dosimetry System Overview
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Portal Dosimetry System Overview
2 2
Portal Dosimetry (PD) has been designed as a pre-treatment IMRT and VMAT plan QA
tool
Verifies 2D dose matrix of an IMRT/VMAT field against the dose predicted by a TPS
PD is not designed as a transit dosimetry
- There is no patient or phantom in the beam during the acquisition
Varian PD is an integrated, fast and precise IMRT QA system
Portal Dosimetry system provides:
- Advanced evaluation tools, custom analysis templates
- Advanced printing and Export features
High Resolution of PDIP algorithm is 512x384 pixels giving pixel pitch of 0.78mm
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VarianMedical Systems
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Portal Dosimetry System Overview
2 2
The older (discontinued) type of the Varian image detector was Liquid Ion Chamber (LIC)
The new imagers are based on the Amorphous Silicon (aSi) detector technology
aSi active detector area is 30x40cm
aSi 500 system: imager type was delivered with the Image Acquisition System 2 (IAS2)
- Maximum imager resolution is 512x384 pixels (0.78mm)
aSi 500-II system: is shipped with IAS3
- IAS3 frame rate is roughly twice of IAS2 (faster read-out electronics)
- Maximum imager resolution is 512x384 pixels (0.78mm)
aSi 1000 uses IAS3
- Optional (licensed) hi-resolution mode
- Standard with Trilogy accelerators
- Maximum imager resolution is 1024x768 (0.39mm)
©©Varian
VarianMedical Systems
Medical Systems Portal Dosimetry 11
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Portal Dosimetry System Overview
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VarianMedical Systems
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Portal Dosimetry System Overview
2 2
Imaging isocenter is confined in the circle well below radius of +/- 0.5mm
©©Varian
VarianMedical Systems
Medical Systems Portal Dosimetry 11
For training purposes only! Rev. 1.2
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Portal Dosimetry System Overview
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VarianMedical Systems
Medical Systems Portal Dosimetry 11
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Portal Dosimetry System Overview
2 2
MV Acquisition module is part of the Xi node responsible for the Image acquisition
TrueBeam workstation contains: Treatment Application, Imaging Application and auxiliary
applications in order to perform Imaging Calibration, IsoCal, Service Console (to perform
PU calibration
Data Flow:
1) Treatment Application imports the treatment plan in the DICOM format
2) The Treatment Application transfers the treatment data which contains image
acquisition related information to the Imaging Application
3) Imaging Application prepares the acquisition on the XI node (MV module)
4) Imaging Application sends commands with beam and image acquisition parameters to
Treatment application
5) Treatment Application sends the set-up beam and set-up target commands to the
Supervisor. This Prepares the beam.
6) The Supervisor triggers the image acquisition on the Xi system.
7) The Xi system sends the acquired data to Imaging application. When the plan is closed
images are stored in the integrated system.
©©Varian
VarianMedical Systems
Medical Systems Portal Dosimetry 11
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Portal Dosimetry System Overview
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Portal Dosimetry System Overview
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Portal Dosimetry System Overview
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Portal Dosimetry System Overview
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Portal Dosimetry System Overview
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Portal Dosimetry System Overview
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Portal Dosimetry System Overview
All information for all the products can be accessed with one login. Customers are given
access to information based upon which products they have purchased.
Access to: Product Documentation; Customer Support (Help); Event Center
application tips, manuals, reference materials, release notes, safety notifications, CTB’s,
FAQ’s, presentations, user group links, announcements, events, demo lab
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Medical Systems Portal Dosimetry 11
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Portal Dosimetry System Overview
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Portal Dosimetry System Overview
Requirements:
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Portal Dosimetry System Overview
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GUI Overview
2 2
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User can choose between different view layouts for image display: 2 Views; 3 Views;
5 Views and Plan Overview Mode
Visibility Configuration, Display Mode and View Layout enables user to customize the
user interface
These settings can be set as default per user
2 2
Visibility configuration gives many options how to display images and allows to place
graticule and field outline (Complete Irradiation Area Outline)
Predicted and Portal Dose display mode creates blended image – also blending slide
bar allows to blend from Predicted to Portal Dose image
Dose difference displays the difference map between Predicted and Portal Dose
(Dose Difference = Portal Dose – Predicted Dose)
Gamma Evaluation mode displayes Gamma map based on the user selected
Gamma Evaluation criteria (Dose difference and Distance to agreement)
2 2
Task Panel is divided into three tabs that give user comprehensive Evaluation,
Alignment and Normalization functionalities
2 2
Gamma Evaluation offers the following tests for Global or Local gamma or
improved Gamma evaluation:
- Area Gamma < 1.0 >xx.x%
- Maximum Gamma < x.x%
- Average Gamma < x.x%
- LCA(Local Connected Area) Gamma >1 < x% -test for user given smallest
acceptable connected area with gamma larger than 1
- Area Gamma > xx < xx.x% test for total acceptable areas expressed in % with
gamma value smaller than user given value
- Area Gamma > x.x < x.x% -test for total acceptable areas expressed in % with
gamma value larger than user given value
Dose Difference offers the following tests:
- Maximum Dose Difference < x.x%
- Average Dose Difference < x.x%
- Area Dose Difference > x.x% < xx.x% - test for total acceptable areas expressed
in % with the dose difference value smaller than user given value
- Area Dose Difference > x.x% < x.x% - test for total acceptable areas expressed
in % with dose difference value larger than user given value
Point Dose and Profile measurement tools can be used in both absolute and relative
modes on blended gamma or dose difference images
2 2
Leaf Motion Overlay (PD 10 and higher) offers MLC leaves and motion to be
displayed over any evaluated image – this gives advanced evaluation options during
identifying of areas of disagreement
Show Field Outline displays field CIAO Complete Irradiated Area Outline over any
evaluated image.
This functionality automatically creates Composite images for both Portal Dose and
Predicted Dose images
Composite Image could be used to create composite images from split IMRT fields
or RA segments …
This functionality is available from PD 10 and higher
2 2
Gamma/Dose Difference Height Field allows to identify whether the areas of high
gamma or dose difference are located outside/inside of the field and steep field
gradients
2 2
If desired to use relative mode Normalization tab gives many choices for image
normalization
2 2
3 3
3 3
3 3
For more information on saturation effect with the early IAS2 see the following
reference: Van Esch A, Radiotherapy and Oncology 2004; 71(2)
Saturation with IAS2 can be minimized with increasing SID(Source to Imager
Distance)
6 MV output factors
- Ion chamber data: 8 mm depth and SDD = 145 cm
- aSi detector data: SDD = 105 cm and 145 cm
- All data series are normalized to the 10x10 cm2 field
- Portal dose measurements for rectangular field size are plotted as a function of
their corresponding equivalent square field size
aSi output is field size dependent
- The output factors must be provided for the correct dose prediction
3 3
18 MV output factors
- Ion chamber - 8 mm depth and SDD = 145 cm
- aSi detector - SDD = 105 cm and 145 cm
- All data series are normalized to the 10x10 cm2 field
- Portal dose measurements for rectangular field size are plotted as a function of
their corresponding equivalent square field size
aSi output factors are significantly different from the machine ones especially for the
higher energies and larger field sizes
- It is recommended to measure the output factors for each imager and each
energy separately
- Do not use the machine (ion chamber) output factors
3 3
Mechanical parts of the imager cassette and arm produce backscatter radiation
captured by the imager
Backscatter is corrected by the flood field calibration
- FF calibration is done for the maximum imager field size
- Amount of the backscatter changes with the field size
- Mostly pronounced for medium open fields
- IMRT fields generate relatively low amount of backscatter as these fields are
delivered by small segments
See references:
- Lung, Ko, Jong Oh Kim and Jeffrey V Siebers, “Investigation of the optimal
backscatter for an aSi electronic portal imaging device”, Phys. Med. Biol. 49
(2004) 1723-1738
- Joseph A Moore and Jeffrey V Siebers, “Verification of the optimal backscatter for
and aSi electronic portal imaging device”, Phys. Med. Biol. 50 (2005) 2341-2350
Known limitations:
3 3
Picture above describes image orientation when displayed on the monitor of Imaging
application or Portal Dosimetry Application
3 3
3 3
3 3
3 3
3 3
3 3
3 3
After the configuration, the kernel shape is displayed in the Beam Configuration (BC)
in the logarithmic scale
Individual Gaussian parameter are tabulated and displayed as a graph as well
There may be small negative ai (amplitude) values
The ultimate test of the prediction kernel quality is to compare prediction with the
measurement
3 3
Actual fluence is calculated by selected Volume Dose algorithm and thus the input
fluence calculation is defined by user selected calculation grid.
If AcurosXB is used as a Volume Dose algorithm, resolution of actual fluence is ½ of
selected calculation grid.
3 3
Objective:
After completing this lesson the student will have understood input data needs
and algorithm limitations by identifying the principles of the PDIP algorithm
configuration and calculation process
3
A. The PDIP algorithm is based on a single kernel _________________
principle.
Optimal fluence
Actual fluence
C. The input fluence is first corrected by the _____________ profile before the
convolution.
1. 2.5x2.5mm
2. Calculation grid size of selected Volume Dose calculation algorithm.
F. The prediction is corrected for the field size effects by ________ factor and
__________ _________ factor.
G. The four variables needed for the kernel calculation are __________ profile,
________ factors, measured _________ image and ___________ fluence of
the test plan.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 111 Rev. 1.2
Dose Evaluation Algorithms
3 3
3 3
Portal Dosimetry is the only workspace where the dose images can be visualized and
evaluated
Evaluation can be performed in two modes
- Absolute: CU image calibrations are used to compare the images
- Relative: Images are first normalized relative to the selected reference point and
then compared
Dose evaluation methods
- Dose Difference: simple 2D dose matrix subtraction
- Gamma Evaluation: Quantitative dose evaluation (D.A. Low at.al; A technique for
the quantitative evaluation of dose distributions; Medical Physics 25(5), 1998
3 3
The fraction which is used to cut off the upper end of the histogram in order to prevent
outliers from being.
The last remaining bin is then used as the reference dose for global gamma as well
as threshold for ROI calculation.
3 3
3 3
3 3
Before starting the evaluation the status of the images has to be set to aligned if the
alignment is required.
The user can align images manually by moving the images with a mouse or providing
displacement values
The alignment can be performed automatically. The auto align function matches
intensity values of the images
After the images are aligned the user can copy the alignment to other fields.
3 3
Objective:
After completing this exercise the student will have successfully defined all the
system parameters necessary for the Portal Dosimetry system
4 4
1. Login to Home Screen ( ).
2. Select Quick Links > Administration > RT Administration. See Figure 1.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 126 Rev. 1.2
Setup of software for Portal Dosimetry
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 127 Rev. 1.2
Setup of software for Portal Dosimetry
5. From machine list select appropriate machine(To_Config machine is used for the
purpose of the class exercise). See Figure 4.
4 4
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 128 Rev. 1.2
Setup of software for Portal Dosimetry
6. Double click on selected machine to display property window and select External
Beam tab. Verify the setting of Automatic MV Imager Position Correction. Click
OK to continue. See Figure 5.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 129 Rev. 1.2
Setup of software for Portal Dosimetry
7. Select Imager tab. If there are no MV imagers defined click on New Port Imager.
See Figure 6.
4 4
Figure 6: Radiation & Imaging devices workspace – Imager tab
8. Click on the New Port Imager button, to create new imager. In General tab
define ID, Machine Model and Manufacturer Name. See Figure 7.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 130 Rev. 1.2
Setup of software for Portal Dosimetry
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 131 Rev. 1.2
Setup of software for Portal Dosimetry
4 4
Figure 9: Quick Links > Administration > RT Administration
3. Read the message and press Yes to continue. See Figure 10.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 132 Rev. 1.2
Setup of software for Portal Dosimetry
5. Select Sequence Templates tab and click on New Sequence Template button
to create sequence template. See Figure 12.
6. Define sequence template ID and Name. Click OK to continue. See Figure 13.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
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Setup of software for Portal Dosimetry
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VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
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Setup of software for Portal Dosimetry
8. In General tab of Sequence Template Image Properties select During setup and
deselect Beam off function. Continue to Setup tab and select Integrated Image.
Click OK to continue. See Figure 15.
9. Save All ( ).
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 135 Rev. 1.2
Setup of software for Portal Dosimetry
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VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 136 Rev. 1.2
Setup of software for Portal Dosimetry
5. Select the new template in the template list and press the Edit Images button to
add images to this template. See Figure 17.
4
Figure 17: Edit Images selection
6. In the next window press the Add button, select DURING Setup and from Quality
dropdown select Integrated. Click OK to continue. See Figure 18.
7. Save All ( )
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© Varian MedicalSystems
Systems Portal Dosimetry 11
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Setup of software for Portal Dosimetry
D. AM Maintenance
1. Open AM Maintenance
2. Login as service user with password 1111
3. From Maintenance menu select Acquisition Technique… See Figure 19.
4 4
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© Varian MedicalSystems
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Setup of software for Portal Dosimetry
4. In displayed window verify that technique is set properly for all energies.
See Figure 20.
Figure 20: Acquisition technique setup for IAS2 (Left) and IAS3 (Right)
NOTE: If the Full resolution license was not purchased only Half will
be available under Integrated Image acquisition technique.
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Setup of software for Portal Dosimetry
Information Disclaimer
Abstract
The Eclipse Inverse Planning Training material is an educational aid for Varian Eclipse treatment planning
System.
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Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
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Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
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All other trademarks or registered trademarks are the property of their respective owners.
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FOR TRAININGpurposes
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Hardware Calibration C-Series
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Hardware Calibration C-Series
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Hardware Calibration C-Series
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Hardware Calibration C-Series
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Hardware Calibration C-Series
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Hardware Calibration C-Series
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Hardware Calibration C-Series
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Hardware Calibration C-Series
Files have extension cdp and can imported exactly like regular w2cad file even though
these are not w2cad files
©©Varian
VarianMedical Systems
Medical Systems Portal Dosimetry 11
For training purposes only! Rev. 1.2
For education purposes only pg 149
Hardware Calibration C-Series
4 4
©©Varian
VarianMedical Systems
Medical Systems Portal Dosimetry 11
For training purposes only! Rev. 1.2
For education purposes only pg 150
Hardware Calibration C-Series
©©Varian
VarianMedical Systems
Medical Systems Portal Dosimetry 11
For training purposes only! Rev. 1.2
For education purposes only pg 151
Hardware Calibration C-Series
4 4
©©Varian
VarianMedical Systems
Medical Systems Portal Dosimetry 11
For training purposes only! Rev. 1.2
For education purposes only pg 152
TrueBeam Hardware Calibration
4 4
4 4
The Installation Calibration determines the reference position (hardstops) for all
rotational axes. It is prerequisite for all other calibrations and initialization routines.
This calibration is responsibility of Varian Service representative.
The Axis Calibration is a process which establishes the offset between the fixed
reference position (hardstop) and the axis home position. This calibration is
responsibility of Varian Service representative.
The Axis Initialization is calibration verification procedure that compares baseline
calibration values (hardstops and home positions) against the actual values. Axis
initialization is necessary to be performed after Axis Calibration (Varian Service),
power failure, Emergency Off or severe fault
System Calibration is calibration of the robotic arms in respect to the TrueBeam
mechanical isocenter.
Imaging system IsoCal will be performed once the System Calibration is complete to
determine the Positioning Unit isocenter correction as a function of the gantry
rotation.
4 4
4 4
4 4
4 4
4 4
4 4
4 4
Diagonal profile must be provided in the w2cad format and these parameters
- One curve in the file
- Measured for the largest field size (40x40cm)
- Shallow depth (ideally 8mm, Dmax is sufficient)
- Point separation is 2.5mm
- Distance increases in the x-axis (positive half of the profile)
4 4
Single field should be used for a verification plan. The configuration optimal fluence
needs to be imported. The configuration fluence is delivered with the system and can
be found at the following path:
\\”DCFServer”\DCF$\client\PreconfiguredBeamData\Portal Dose Image Prediction
(“version number”)\PDIP-Configuration.optimal_fluence
The fluence displayed on the picture above is for MLC120
4 4
The acquired images will be exported to ASCII from Portal Dosimetry application and
used in the configuration process of PDIP algorithm
4 4
4 4
PDIP calibration has to match absolute dose (in CU) calibration of the imager done at
the machine for reference/calibration beam.
4 4
OF table calibration
In Eclipse
- Create the configuration plan
- Import provided optimal test fluence
- Calculate actual fluence by running the final dose calculation)
- Prepare plan for treatment (schedule the Integrated images)
On Clinac
- Measure the imager output factors
- Deliver the test plan and acquire the test image(s)
In Beam Configuration
- Create a new PDIP Model
- Import the actual fluence of the test plan
- Import the test image(s)
- Insert the intensity profile
- Import and calibrate the output factors
4 4
4 4
4 4
Objective:
After completing this lesson the student will have successfully completed the
hardware calibrations necessary to use the Portal Dosimetry system
3. Using the imager hand pendant, select the Physics mode [MODE] [P3] (access
code: 4x [P1]) 187-1
4. Select IDU Iso Calibration [P3] and calibrate all axis [P4]
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Hardware Configuration – C-series
188-1
B. Preset imager position
4 4
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Hardware Configuration – C-series
189-1
1. Align the arm of the PV imager with the beam central axis, SDD e.g. 105cm (Vrt=-
5.0, Lng=0, Lat=0).
2. Put the Treatment application to Standby mode.
5. Select the Integrated image mode from the Acquisition Technique list. See
Figure 2.
6. Energy/Dose Rate mode will be selected automatically upon the Clinac mode up
(if Manual Selection is unchecked)
7. Click the Dark Field button. It’s recommended to acquire at least 60 frames for
the dark field calibration
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Hardware Configuration – C-series
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Hardware Configuration – C-series
8. Setup the field size to cover the active part of the detector. Press the Flood Field
button and then Beam On. See Figure 3. It is recommended to acquire at least 30
frames for IMRT flood field calibration.
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Hardware Configuration – C-series
9. When requested number of frames is delivered Beam OFF. Then click Save
Calibration Set to update calibration information (save acquired Dark field and
Flood field images). See Figure 4.
4 4
10. Repeat dark/flood field calibrations for all energy/dose rate combination used for
the Portal Dosimetry.
11. When finished with the calibration, close the IAS3 Service Monitor window.
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Hardware Configuration – C-series
D. Dosimetry Calibration
2. Select all acquisition modes to be calibrated and click OK. See Figure 6.
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Hardware Configuration – C-series
3. Select Dose normalization and Beam Profile Correction check box and define
the imager position for calibration, then click OK. See Figure 7.
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Hardware Configuration – C-series
5. Mode up the Clinac for a 10x10cm reference field with the selected number of
MUs (e.g. 100MU).
6. Press the Start button, wait at least 10s and then start the beam - BEAM ON.
See Figure 9.
NOTE: If the beam is started before the IDU is ready, the yellow
beam icon will not be displayed in the Acquisition and Beam
Status section.
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Hardware Configuration – C-series
7. After the delivery, define the desired value in CU’s in the Measured Dose box for
given imager position and delivered number of MU’s. Click OK to continue.
See Figure 10.
4 4
Figure 10: Imager absolute calibration window
8. Repeat steps 5 - 7 for each selected dose rate and energy combination. When
finished press OK. See Figure 11.
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Hardware Configuration – C-series
1. Align the arm of the PV imager with the beam central axis, SDD e.g. 105cm (Vrt=-
5.0, Lng=0, Lat=0).
2. Put the Treatment application to Standby mode.
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Hardware Configuration – C-series
5. Select an IMRT acquisition mode to calibrate from the drop down list.
Frame Averages value (9996) is used to enable the integrated acquisition
mode.
6. Click the Dark Field button.
4 4
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Hardware Configuration – C-series
7. The acquisition can be stopped using the Abort button. It’s recommended to
acquire at least 60 frames for the dark field calibration. See Figure 14.
8. Setup the field size to cover the active part of the detector. Start the beam and
then click on the Flood Field button. See Figure 15. Maximum field size for the
flood field calibration at SDD=105cm is X=38cm, Y=28.5cm (0˚ collimator 4
rotation).
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Hardware Configuration – C-series
CAUTION: The beam must be turned off using the “BEAM OFF”
button (on the Clinac console) at least 2 frames before the total
number of frames is reached.
9. The acquisition must be stopped using the “BEAM OFF” button (Clinac Console)
10. It is recommended to acquire at least 30 frames for IMRT flood field calibration
11. After each Dark Field and Flood field acquisition click Update Cal. Set to update
calibration information within the IAS2 unit. See Figure 16.
4 4
12. Repeat dark/flood field calibrations for all energy/dose rate combinations used for
Portal Dosimetry.
13. When finished with calibration select Close. See Figure 16.
14. To perform Dosimetry Calibration follow the instructions described in section D
page 7 of this procedure.
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Hardware Configuration – C-series
Information Disclaimer
Abstract
The Eclipse Inverse Planning Training material is an educational aid for Varian Eclipse treatment planning
System.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
4
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
VarianMedical
© Varian MedicalSystems
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FOR TRAININGpurposes
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only pg 201 Rev. 1.2
Imager Output Factor Measurement
PROCEDURE
Objective:
After completing this procedure, the student will have successfully created a test
plan for imager output factor measurement and use the output factor tool in Portal
Dosimetry application to get the doses at iso-center for different field sizes.
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Imager Output Factor Measurement
4. Make sure the Advanced Feature Set is turned on. Press OK. See Figure 3.
NOTE: If the Advanced Feature Set was turned on the setting will
take effect only after restart of the User Home.
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Imager Output Factor Measurement
6. Create new patient. Press the New Patient button. See Figure 4.
7. In the patient explorer fill in required fields. Click OK to continue. See Figure 5.
4 4
NOTE: Create new patient for every energy the output factors will
be measured.
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Imager Output Factor Measurement
8. Create new course. Select Insert > New Course. See Figure 6.
9. In the Course Properties define course ID. Press OK. See Figure 7.
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Imager Output Factor Measurement
10. Create new plan. Select Insert > New Plan. See Figure 8.
11. In the plan Properties General tab define ID=Y03, Plan Intent and Patient
Position. In the Dose tab define Number of Fractions and Prescribed dose
Per Fraction. Press OK. See Figure 9.
4 4
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Imager Output Factor Measurement
12. Create new field. Select Insert > New Field. See Figure 10.
13. Select the treatment unit, make sure Treatment field type is selected. Click OK.
See Figure 11.
4
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Imager Output Factor Measurement
14. In the parameter window Define field ID, Energy, Dose Rate, MU, Treatment
Time, Tolerance Table, change Field X , Y and define couch and imager
position. See Figure 12.
4 4
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Imager Output Factor Measurement
15. In the Plan Parameters RMC on the field in the Scope window and select Copy
Field. See Figure 13.
16. RMC on the plan in the Scope window and select Paste > Field. See Figure 14.
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Imager Output Factor Measurement
4 4
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Imager Output Factor Measurement
19. When done, RMC on the plan in the Scope window and Select Copy Plan.
See Figure 16.
20. RMC on the course and select Paste > Plan. See Figure 17.
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Imager Output Factor Measurement
21. Change the new plan ID to correspond to Y jaw size and click OK. See Figure 18.
4 4
22. Change Y jaw settings for all the fields in the new plan to the next increment
value.
23. For clarity change the field ID’s to correspond to field X and Y jaw sizes.
24. Repeat steps 20 to 22 for other Y field sizes to be created.
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Imager Output Factor Measurement
25. For the plan with largest Y jaw setting (Y38) change also Collimator rotation, to
90 dgr. See Figure 19.
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Imager Output Factor Measurement
26. RMC on the 38x38 field and select Delete. See Figure 20.
4 4
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Imager Output Factor Measurement
4
Figure 22: Reference Points
29. Create new patient volume. Select New > Patient Volume. See Figure 23.
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Imager Output Factor Measurement
30. In the Patient Volume Properties define ID and Volume Type. Press OK.
See Figure 24.
4 4
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Imager Output Factor Measurement
31. Create new reference point. Select New > Reference Point. See Figure 25.
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Imager Output Factor Measurement
33. From the Reference Point dropdown select reference point for each plan.
See Figure 27.
4 4
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Imager Output Factor Measurement
36. Approve plans. RMC > Plan Approval > Planning Approved. See Figure 30.
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Imager Output Factor Measurement
4 4
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Imager Output Factor Measurement
44. Click on the validation links. Press Plan is not scheduled. See Figure 35.
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Imager Output Factor Measurement
45. Scheduling workspace opens. Schedule each plan by pressing the Schedule
button. Prescribed fractions will be scheduled. See Figure 36 and Figure 37.
4 4
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Imager Output Factor Measurement
47. Highlight scheduled fields in the imaging section and schedule integrated images.
Select Add Imaging > Integrated Image. See Figure 38.
48. As a result integrated imaging templates are scheduled. See Figure 39.
4
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Imager Output Factor Measurement
4 4
Figure 41: Approval – Approved plans
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Imager Output Factor Measurement
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Imager Output Factor Measurement
1. Select Quicklinks > Imaging > Portal Dosimetry. See Figure 42.
4 4
2. Select Output Factor patient and click OK. See Figure 43.
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Imager Output Factor Measurement
3. From the plan dropdown select plan for the first field size. See Figure 44.
4
Figure 44: Portal Dosimetry plan selection
4. In the Field display select the first acquired image to be evaluated. See Figure 45
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Imager Output Factor Measurement
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Imager Output Factor Measurement
7. After pressing the Get dose at Isocenter button tool automatically selects
another acquired Portal Dose image. See Figure 48.
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Imager Output Factor Measurement
9. Select next plan and the first field. Click Get dose at Isocenter and repeat for all
fields within the plan. See Figure 50.
4 4
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Imager Output Factor Measurement
11. When complete, press the Copy to Clipboard button. See Figure 52.
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Imager Output Factor Measurement
12. Paste the copied result in the opened Notepad. See Figure 52.
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Imager Output Factor Measurement
Information Disclaimer
Abstract
The Eclipse Inverse Planning Training material is an educational aid for Varian Eclipse treatment planning
System.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential 4
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 233 Rev. 1.2
4 4
Objective:
After completing this lesson the student will have successfully configured the
PDIP algorithm in the Eclipse Beam Configuration and evaluated the configured
data
5 5
A. Eclipse: Configuration plan creation
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PDIP Algorithm Configuration
3. Open patient ( ) to be used for the test plan creation. See Figure 2.
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PDIP Algorithm Configuration
4. In the object explorer highlight All Structure Sets in the left pane and select
Structure Set in right pane. Click OK to continue. See Figure 3.
5 5
Figure 3: 3D image selection in Object Explorer
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PDIP Algorithm Configuration
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PDIP Algorithm Configuration
5 5
Figure 5: Select Target Volume
7. Select existing Primary Reference Point or define new one. See Figure 6.
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PDIP Algorithm Configuration
5
Figure 7: Select Patient Position
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PDIP Algorithm Configuration
5 5
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PDIP Algorithm Configuration
11. In Field Properties window select Geometry tab and set Collimator Rotation to
90º, Field X to 12cm, Y1 to -13 and Y2 to 12cm (IEC 61217). Click OK to
continue. See Figure 10.
NOTE: For the HDMLC, set the Field X to 12cm and Field Y to
22cm. For SRS, set the Field X to 12cm and Field Y to 15cm.
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PDIP Algorithm Configuration
12. Import the configuration optimal fluence, RMC on the field in the focus window
and select Import Optimal Fluence. See Figure 11.
5 5
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PDIP Algorithm Configuration
NOTE: For SRS, open fluence editor and erase the fluence outside
the Y jaw settings (3 middle bars will stay) See Figure 13 and
Figure 14.
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PDIP Algorithm Configuration
14. Select Dose Prescription tab in the info window and define dose prescription for
configuration plan - 2 fractions, 1.0Gy/Fraction. See Figure 15.
15. Go to Calculation Models tab, select desired Volume Dose calculation model
and make sure the calculation grid selected is 2.5mm or smaller. See Figure 16.
5 5
Figure 16: Info window Calculation Models tab and Calculation Options window
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PDIP Algorithm Configuration
18. Set the delivery method to Sliding window and select Fixed Jaw. See Figure 18.
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only pg 247 Rev. 1.2
PDIP Algorithm Configuration
20. Approve the plan. RMC > Plan Approval > Planning Approved. See Figure 19.
5 5
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PDIP Algorithm Configuration
5
Figure 21: Planning Approval – Delta couch shift
23. Define multiplication factor for treatment time. Press Next. See Figure 22.
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PDIP Algorithm Configuration
24. Authorize planning approval and press Finish. See Figure 23.
5 5
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PDIP Algorithm Configuration
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PDIP Algorithm Configuration
27. Define couch, imager parameters, tolerance table and read the Validation
findings. Define tolerance table. See Figure 25.
5 5
Figure 25: Treatment Preparation
28. In Validation Findings section click on the suggested link. Click Plan is not
scheduled. See Figure 26.
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PDIP Algorithm Configuration
29. In the plan scheduling section select the course and press the Schedule button.
See Figure 27.
5
Figure 27: Treatment Preparation – Scheduling
30. Press the show images button, highlight the slots where to attach imaging
template. Then select Add Imaging > Portal Dosimetry. See Figure 28.
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PDIP Algorithm Configuration
31. Approve the Plan. Authorize the treatment approval by typing in username and
password. See Figure 29.
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PDIP Algorithm Configuration
B. Image acquisition
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PDIP Algorithm Configuration
1. Open Portal Dosimetry. Select Quicklinks > Imaging > Portal Dosimetry.
See Figure 31.
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PDIP Algorithm Configuration
3. Make sure correct plan is selected. Highlight the first acquired image, RMC and
select export to text file. See Figure 33.
4. Select save location and define the file name. See Figure 34.
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PDIP Algorithm Configuration
1. Open Beam Configuration. Select Quicklinks > Treatment Planning > Beam
Configuration. See Figure 35.
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PDIP Algorithm Configuration
5
Figure 37: New beam data context menu item
5. Select Start with empty data and define the Therapy Unit Name. Click OK to
continue. See Figure 38.
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PDIP Algorithm Configuration
7. RMC on the therapy unit name and select New Add-on. See Figure 40.
5 5
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PDIP Algorithm Configuration
5
Figure 42: Calibration MU parameter definition
10. Highlight Portal Image Parameters and define Number of Portal Images, the
Rotation and Acquisition MU parameters of the acquired configuration images.
See Figure 43.
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PDIP Algorithm Configuration
11. Highlight Image 1 – Import Portal Image File From field then select Beam Data
> Parameter Values > Browse File Path to Parameter Value. See Figure 44.
5 5
Figure 44: Beam Data > Parameter Values > Browse File Path to Parameter Value
12. Browse to the folder containing previously exported acquired images. Select the
first image and click Open. See Figure 45.
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PDIP Algorithm Configuration
14. Right click on the Open Field add-on and select Insert > New Intensity Profile.
See Figure 46.
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PDIP Algorithm Configuration
17. In the focus window select Intensity Profile object and click on intensity profile at
the shallowest depth in the detail window. See Figure 48.
5 5
18. From the Edit menu select Copy Curve. See Figure 49.
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PDIP Algorithm Configuration
19. Go back to the PDIP model, RMC on the Intensity Profile and select Paste
Curve. See Figure 50.
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PDIP Algorithm Configuration
20. Highlight Intensity Profile object and in Parameter View define the Distance
From Source value. See Figure 51.
5 5
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PDIP Algorithm Configuration
21. Select File> Import> Actual Fluence From Database. See Figure 52.
5
Figure 52: File > Import > Actual Fluence from Database
22. In the patient explorer select configuration patient and click OK. See Figure 53.
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PDIP Algorithm Configuration
23. Select the configuration plan in the Object Explorer and click OK.
See Figure 54.
5 5
Figure 54: Configuration plan selection in the Object Explorer window
24. RMC the Open Field add-on and select Import > Output Factors. See Figure 55.
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PDIP Algorithm Configuration
25. Browse to the folder with output factor files. Select the output factor file and click
the OK button. See Figure 56.
5
Figure 56: Output factor file selection
26. RMC on the Output Factors and select Interpolate Missing Values.
See Figure 57.
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PDIP Algorithm Configuration
27. RMC on the Output Factors, select Calibrate Dose Rates. See Figure 58.
28. Define the expected number of CU for the given reference field size FX, FY and
5 Calibration MU (see step D.9) and source -axis distance (see step D.6) in the 5
New Output Factor box. Click OK. See Figure 59.
expected number of CU
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PDIP Algorithm Configuration
29. RMC on the Open Field add-on and select Calculate Beam Data.
See Figure 60.
30. Approve data set by selecting the Therapy Unit Name, RMC > Approve Data.
See Figure 61.
5
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PDIP Algorithm Configuration
Information Disclaimer
Abstract
The Eclipse Inverse Planning Training material is an educational aid for Varian Eclipse treatment planning
System.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
5 FDA 21 CFR 820 Quality System Regulations (CGMPs) 5
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within this federal regulation.
ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
VarianMedical
© Varian MedicalSystems
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FOR TRAININGpurposes
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Portal Dosimetry Commissioning TAB 6
PD Commissioning
6 6
After the configuration (in gray, solid lines):
The PDIP model (yellow) is used to calculate the predicted image (pink) for the Test Plan
The verification plan would be, in a routine use, sent to Clinac for the delivery and
acquired images would be compared in Portal Dosimetry (gray dashed line)
For the commissioning (solid black line), the original images (exported to the DXF files for
configuration) can be imported to Portal Dosimetry for evaluation
©©Varian
VarianMedical Systems
Medical Systems Portal Dosimetry 11
For training purposes only! Rev. 1.2
For education purposes only pg 274
PDIP calculation model commissioning
EXERCISE
Objective:
After the completion of this lesson the student will have successfully performed
commissioning of configured PDIP algorithm.
6
1. Login to Home Screen ( ).
2. Select QuickLinks > Treatment Planning > External Beam Planning.
See Figure 1.
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PDIP calculation model commissioning
3. Open the patient ( ) that was used for creation of the PDIP configuration.
See Figure 2.
6 6
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PDIP calculation model commissioning
4. Open the test plan that was used for PDIP configuration. See Figure 3.
5. Create a verification plan, Planning > Create Verification Plan. See Figure 4.
6
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PDIP calculation model commissioning
6. Create a new course by clicking on the New Course button. See Figure 5.
7. Define the new course ID (e.g. PD Commissioning) and click OK. See Figure 6
6 6
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PDIP calculation model commissioning
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PDIP calculation model commissioning
10. Select the parameters of the verification plan and proceed by clicking the Next
button. Do not reset the collimator rotation. See Figure 9.
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PDIP calculation model commissioning
12. Review selections and proceed by clicking Finish. See Figure 11.
13. Eclipse will calculate predicted dosimetric portal image. See Figure 12.
6
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PDIP calculation model commissioning
15. In the Focus Window highlight the verification plan RMC and select Add Field
Image…. See Figure 13.
16. Object Explorer window opens. Under correct Study ( ) and Series ( )
select the acquired image and click OK to add it to the Field. See Figure 14.
6 6
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PDIP calculation model commissioning
17. An acquired image will be added to the field. See Figure 15.
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PDIP calculation model commissioning
20. As a result the same patient should be opened. From the Plan dropdown make
sure the correct plan with predicted and acquired image is opened.
See Figure 17.
6 6
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PDIP calculation model commissioning
21. Align the images. Select the Alignment tab and press the Set Aligned button.
See Figure 18.
23. Define the criteria. Press the Set ROI button and select the None option button.
See Figure 20.
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FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 285 Rev. 1.2
PDIP calculation model commissioning
6 6
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FOR TRAININGpurposes
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PDIP calculation model commissioning
26. In the Display Mode window select the Gamma Evaluation option button and
review the Gamma map. See Figure 23.
Figure 23: Display Mode window (left) Gamma Evaluation window (right)
27. Print the results. From the menu select File > Print…See Figure 24.
6
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© Varian MedicalSystems
Systems Portal Dosimetry 11
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only pg 287 Rev. 1.2
PDIP calculation model commissioning
28. Define print preferences in the Print window and press Preview. See Figure 25.
6 6
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© Varian MedicalSystems
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FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 288 Rev. 1.2
PDIP calculation model commissioning
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FOR TRAININGpurposes
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only pg 289 Rev. 1.2
PDIP calculation model commissioning
Information Disclaimer
Abstract
The Eclipse Inverse Planning Training material is an educational aid for Varian Eclipse treatment planning
System.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
6 ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
6
requirements specified within ISO 13485 quality standards.
HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 290 Rev. 1.2
Clinical Use of Portal Dosimetry TAB 7
Objective:
After completing this procedure, the student will have successfully performed the
following tasks:
Identified Portal Dosimetry Options
Reviewed and created Isodose Level templates
7 7
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PD – Workstation and User Preferences
4. In the Startup Settings tab define the default Start in mode, View Layout,
Display Mode, Plan Overview Mode display and default Visibility
Configuration by selecting appropriate checkboxes. See Figure 3.
Visibility
Configuration
7
NOTE: All settings in this tab take effect when the application is
started next time. These settings are saved per user.
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PD – Workstation and User Preferences
5. In the Profile/Histogram tab define default Dose Profile and Dose Histogram
settings. See Figure 4.
7 7
Figure 4: Options - Profile/Histogram tab
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PD – Workstation and User Preferences
6. In the Misc Settings tab define default Histogram Cut-Off, Local Gamma
Threshold for Gamma Analysis, password Grace Period and default Isodose
level Templates. See Figure 5.
7
Figure 5: Options – Misc Setting tab
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PD – Workstation and User Preferences
7. In the Printing tab type the text to be printed for Header and Footer.
Enable/disable this options by checking the Print Header and Print Footer
checkboxes. When done press the Save & Close button. See Figure 6.
7 7
Figure 6: Options – Printing tab
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PD – Workstation and User Preferences
8. In the Toolbar tab chose the size of the toolbar buttons. Press OK when done.
See Figure 7.
NOTE: These settings are saved per user and the application must
be restarted for these settings to take effect.
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PD – Workstation and User Preferences
1. Open Patient. In the Toolbar press the Open Patient ( ) button. In the Patient
Explorer utilize filtering options and select patient. PD-005 will be used in this
procedure. Press OK. See Figure 9.
7 7
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PD – Workstation and User Preferences
3. Create new isodose level template. Press the New button. See Figure 11.
Relative Type – The levels are in percents. These templates can be applied
to images in relative mode only.
Absolute Type – The levels are in CU. These templates can be applied to
images in absolute mode only.
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PD – Workstation and User Preferences
5. In the Create New Template window type in the template Name, Type,
Start/Stop Level and Step Size. Press OK.
6. If necessary modify the values or colors by clicking in the fields. RMC to change
the isoline thickness to Bold Line or Start Color Gradient from selected color. In
order to insert a new isolevel RMC on background between existing isolevels.
Press Save & Close when done. See Figure 14.
7 7
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PD – Workstation and User Preferences
8. From the Isodose Level Template dropdown in the Toolbar select the previously
created isodose level template and apply it to the image display. See Figure 16.
9. Review the Isodose Level display in the Image view. See Figure 17.
VarianMedical
© Varian MedicalSystems
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FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 301 Rev. 1.2
PD – Workstation and User Preferences
Information Disclaimer
Abstract
The Eclipse Inverse Planning Training material is an educational aid for Varian Eclipse treatment planning
System.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
ISO 13485
7 Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
7
HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 302 Rev. 1.2
Analysis template management
PROCEDURE
Objective:
After completing this procedure, the student will have reviewed:
Access to Analysis Template Manager
Creation of new analysis template in the manager
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© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
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Analysis template management
7 7
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Systems Portal Dosimetry 11
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Analysis template management
6. Enable desired tests and modify evaluation parameters. Press Save & Close.
See Figure 7.
VarianMedical
© Varian MedicalSystems
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FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 305 Rev. 1.2
Analysis template management
7 7
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only pg 306 Rev. 1.2
Analysis template management
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Analysis template management
10. Modify evaluation parameters as desired. In this example change the Region of
Interest to Field + 0 cm. Click Save and Close to save changes to template. See
Figure 9.
7 7
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© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 308 Rev. 1.2
Analysis template management
Information Disclaimer
Abstract
The training material is an educational aid for Varian Portal Dosimetry System.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with 7
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 309 Rev. 1.2
IMRT QA usecase
PROCEDURE
Objective:
After completing this procedure, the student will have reviewed:
Verification plan generation options for IMRT plan with combination of
IMRT and Large Field IMRT (LFIMRT) fields
Plan processing for QA purposes in RT chart
Setting evaluation options
Evaluation of acquired images including analysis template generation and
application
7 7
Figure 1: Quick Links > Treatment Planning > External Beam Planning
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IMRT QA usecase
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IMRT QA usecase
6. Create New Course for Verification Plan. Select New Course. See Figure 5.
7 7
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IMRT QA usecase
8. Click ( )
9. Select Portal Dose Prediction verification method and define Source Imager
Distance (SID). Click Next to continue. See Figure 7.
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IMRT QA usecase
10. Define geometry for verification plan and define tolerance table. Click Next
to continue. See Figure 8.
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IMRT QA usecase
11. Decide if to verify fields with multiple carriage groups (LFIMRT fields) as single
fields or if to split each carriage group into separate field. Click Next to
continue See Figure 9.
7
NOTE: The machine used for verification must be LFIMRT capable
to allow verification of LFIMRT fields without splitting. Eclipse
recognizes LFIMRT enabled machine by motion mode of collimator
operating limits. The motion mode must be set to Mulitple Static
Positions or Dynamic if the machine also allows jaw tracking.
See Figure 10.
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FOR TRAININGpurposes
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IMRT QA usecase
14. If a setup image should be used for imager alignment insert a new setup field.
Right Mouse Click (RMC) on the Verification plan and select New Setup
Field. See Figure 12.
7 7
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IMRT QA usecase
15. In the info window define ID and geometry for the setup field. See Figure 13.
16. Planning approve verification plan. Select Edit > Plan Approval > Planning
Approved. See Figure 14.
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IMRT QA usecase
17. Read the warning message and continue Next. See Figure 15.
18. Delta couch shift calculation will be displayed. Skip this step by clicking
7 . 7
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IMRT QA usecase
19. Check to calculate treatment times, provide multiplication factor and click
Next. See Figure 16.
20. Authorize plan status change. Type in your username and password. Click
Finish. See Figure 17.
7
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IMRT QA usecase
1. Select Quicklinks > EMR > Treatment Preparation. See Figure 18.
7 7
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IMRT QA usecase
2. In the Scheduling make sure the correct course is selected and press the
Schedule ( ) button. See Figure 19.
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IMRT QA usecase
5. If setup fields are defined, select those and assign a single exposure image.
See Figure 22
6. When done press the approve button and authorize the approval. See Figure
23.
7 7
Figure 23: Treatment approval
7. Schedule the plan in time planner and deliver it acquiring images at previously
selected SID.
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IMRT QA usecase
1. Open Portal Dosimetry application. Select Quicklinks > Imaging > Portal
Dosimetry. See Figure 24.
2. Open Patient ( ). In the Patient Explorer utilize filtering options, and select
PD-004 patient. Press OK. See Figure 25.
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IMRT QA usecase
7 7
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IMRT QA usecase
5. In the Task Panel – Alignment tab press Set Unaligned. See Figure 27.
6. For purpose of this exercise Setup image alignment will be used. Select Setup
Image from Align using dropdown. See Figure 28
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IMRT QA usecase
7 7
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IMRT QA usecase
9. Go back to Evaluation tab in the task panel and click Set ROI button to define the
Evaluation Region Of Interest. See Figure 30.
7
Figure 30: Portal Dosimetry - set ROI
10. For purpose of this exercise set the ROI to MLC CIAO + 0.5cm. This will set
the region of interest to Complete Irradiated Area Outline + 5 mm.
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IMRT QA usecase
12. Define gamma evaluation parameters and select tests to use for evaluation.
See Figure 31.
7 7
Figure 31: Dose evaluation options
13. Switch the display mode to Gamma Evaluation. See Figure 32.
14. Review gamma evaluation image. Red areas represent gamma > 1.
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IMRT QA usecase
15. Turn on MLC overlay to estimate if the high gamma is in between leaves.
Select Tools > Leaf Motion Overlay. See Figure 33
16. By default the leaves are displayed as solid. RMC on the tool bar in the Leaf
Motion Overlay view and disable solid rendering for leaves. See Figure 34.
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IMRT QA usecase
19. The gamma/Dose Difference Height field displays acquired image as height of
the graph and gamma or dose difference as a color map. This display helps
identifying if the discrepancy is on steep dose gradients, low dose region etc.
See Figure 36.
7 7
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IMRT QA usecase
20. Close the Gamma/Dose Difference Height field display and apply previously
defined tests by clicking in the Task panel.
21. Rename the analysis to Initial Evaluation and set it as primary. RMC on the
analysis and select Edit Name. See Figure 37
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IMRT QA usecase
7 7
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IMRT QA usecase
4. Options from current analysis are copied to template. Click Save and Close to
store the template. See Figure 41.
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IMRT QA usecase
1. Apply created analysis template to other fields in the plan. RMC on each
acquired image for a field and select Apply template >
IMRT(3%,2mm,Improved).
See Figure 42
7 7
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IMRT QA usecase
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IMRT QA usecase
6. In the approval dialog box select images to approve and decide if to set the
most recent analysis as primary. Authorize status change. See Figure 46.
7 7
7. Enable plan overview mode. Select the View Layout button ( ) and
change the layout to Plan Overview Mode. See Figure 47
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IMRT QA usecase
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IMRT QA usecase
9. Print analysis batch print. Select File > Print. From Report dropdown select
Analysis batch print and set other print options. Click Print. See Figure 49.
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IMRT QA usecase
Information Disclaimer
Abstract
The training material is an educational aid for Varian Portal Dosimetry System.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with 7
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 339 Rev. 1.2
Printing Images and Reports
PROCEDURE
Objective:
After completing this procedure, the student will have successfully performed the
following tasks:
Print Images and Reports from Portal Dosimetry
Export Objects from Portal Dosimetry
A. Open Patient
7 7
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Printing Images and Reports
3. Select the Open Patient ( ) button. In the Patient Explorer utilize filtering
options, and select PD-005 patient. Press OK. See Figure 2.
7
Figure 2: Patient Explorer
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Printing Images and Reports
4. In the Navigation Panel select Session tab and the *QA/5FIMRT1 plan.
See Figure 3.
7 7
Figure 3: Portal Dosimetry plan selection
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Printing Images and Reports
7. Approve selected evaluated images and define the primary analysis. Press the
Approved button( ). Confirm the status change by entering the User Name and
Password and press OK. See Figure 6.
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FOR TRAININGpurposes
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Printing Images and Reports
8. Approved image will have checkmark sign with a user time stamp in the lower
right corner of the evaluated image. See Figure 7(left). Primary analysis is
denoted by #1 in the icon. See Figure 7(right).
7 7
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© Varian MedicalSystems
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FOR TRAININGpurposes
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only pg 344 Rev. 1.2
Printing Images and Reports
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 345 Rev. 1.2
Printing Images and Reports
7 7
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Printing Images and Reports
4. Press the Preview button to see the example. See Figure 11.
7
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Printing Images and Reports
2. Select the Plan Summary Report to be printed. Press Properties to define Page
Setup. See Figure 13.
7 7
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Printing Images and Reports
3. Press the Preview button to see the example. See Figure 14.
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Printing Images and Reports
1. In the Navigation Panel select the desired analysis object. See Figure 15.
7 7
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Printing Images and Reports
3. Select the Current Analysis from Report dropdown to be printed. Select Zoom
to Field and/or Color Legend if desired. Press Properties to define Page Setup.
See Figure 17.
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Printing Images and Reports
4. Press the Preview button to see the example. See Figure 18.
7 7
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Printing Images and Reports
1. In the Toolbar press the View Layout button and select Plan Overview Mode.
See Figure 19.
NOTE: If there are multiple analyses for an image the primary will
be displayed and printed. If there is no primary analysis then the
latest will be displayed and printed.
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Printing Images and Reports
3. Select the Analysis Batch Print from Report dropdown to be printed. Select
Zoom to Field and/or Color Legend if desired. Press Select Analysis to define
and check the analysis to be printed. Close. See Figure 22.
7 7
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Printing Images and Reports
4. Press the Preview button to see the example. See Figure 23.
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Printing Images and Reports
1. In the Navigation Panel highlight the Predicted/Portal Dose Image, RMC and
select Export to Text File. See Figure 24.
Figure 24: Export Predicted Dose (left) and Portal Dose (right)
2. Define file name and location. Press Save. See Figure 25.
7 7
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Printing Images and Reports
3. In the Navigation Panel highlight the Predicted/Portal Dose Image, RMC and
select Export to DICOM > To [configured DICOM export filter]. See Figure 26.
Figure 26: Export Predicted Dose (upper) and Portal Dose (bottom)
4. Follow the export wizard. Review/Select Output directory( ) and press the arrow
( ). See Figure 27.
7
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Printing Images and Reports
5. Read the export summary and detailed log. See Figure 28.
7 7
NOTE: If selected export filter is configured for automatic export
only the last summary page of the export wizard is displayed
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Printing Images and Reports
6. If desired also analysis can be exported to text file. In the Navigation Panel
highlight the Analysis, RMC and select Export to Text File. See Figure 31.
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FOR TRAININGpurposes
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only pg 359 Rev. 1.2
Printing Images and Reports
Information Disclaimer
Abstract
The Eclipse Inverse Planning Training material is an educational aid for Varian Eclipse treatment planning
System.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
7 HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with
7
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 360 Rev. 1.2
RA QA Usecase - split arc verification
PROCEDURE
Objective:
After completing this procedure, the student will have reviewed:
Verification plan generation options for RA plan
Evaluation of acquired images using previously created template
Figure 1: Quick Links > Treatment Planning > External Beam Planning
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RA QA Usecase - split arc verification
3. In the Patient Explorer utilize filtering options, and select PD-007 patient. Press
OK. See Figure 2.
7 7
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RA QA Usecase - split arc verification
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RA QA Usecase - split arc verification
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RA QA Usecase - split arc verification
8. Select Portal Dose Prediction verification method and define Source Imager
Distance (SID). Click Next to continue. See Figure 7
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RA QA Usecase - split arc verification
9. Define geometry for verification plan and define tolerance table. Click Next to
continue. See Figure 8.
7 7
NOTE: The Field Geometry, Tolerance table and arc field splitting
is remembered as a user preference.
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RA QA Usecase - split arc verification
10. Decide if to split each arc field into multiple subarcs and define the size of subarc..
For the purpose of this exercise the arc fields will be splited into arcs of 36 deg
each. Click Next to continue. See Figure 9
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RA QA Usecase - split arc verification
13. Planning approve verification plan. Select Edit > Plan Approval > Planning
Approved. See Figure 11
7 7
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RA QA Usecase - split arc verification
16. Check to calculate treatment times, provide multiplication factor and click
Next. See Figure 12.
17. Authorize plan status change. Type in your username and password. Click
Finish. See Figure 13.
7
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RA QA Usecase - split arc verification
1. Select Quicklinks > EMR > Treatment Preparation. See Figure 14.
7 7
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RA QA Usecase - split arc verification
2. In the Scheduling make sure the correct course is selected and press the
Schedule ( ) button. See Figure 15.
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RA QA Usecase - split arc verification
4. Schedule image templates. Highlight treatment fields and assign sequence image
template using integrated mode of acquisition. Select Add Imaging > Integrated
Image. See Figure 17.
7 7
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RA QA Usecase - split arc verification
5. When done press the approve button and authorize the approval. See Figure 18.
6. Schedule the plan in time planner and deliver it acquiring images at previously
selected SID.
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RA QA Usecase - split arc verification
1. Open Portal Dosimetry application. Select Quicklinks > Imaging > Portal
Dosimetry. See Figure 19.
2. In the Patient Explorer utilize filtering options, and select PD-007 patient.
Press OK. See Figure 20.
7 7
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RA QA Usecase - split arc verification
3. Select verification plan the Plan dropdown, select Session tab. navigation
window to see the plan ID. See Figure 21.
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only pg 375 Rev. 1.2
RA QA Usecase - split arc verification
5. Apply analysis template to all images in the plan. Highlight the session RMC and
select Apply Template to Session > RA default.See Figure 23.
7 7
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RA QA Usecase - split arc verification
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RA QA Usecase - split arc verification
8. Create composite predicted and acquired image. RMC on one of the acquired
images in the plan and select Create Composite Image. See Figure 26.
9. In the Create Composite Image dialog define composite image ID and select the
images to be used for composite image creation. Press OK to continue.
7 See Figure 27. 7
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RA QA Usecase - split arc verification
11. To evaluate the composite image using template RMC on the image and select
Apply Template > RA default. See Figure 29.
12. Review the evaluation results in Task panel / Evaluation tab. See Figure 30
7 7
13. Approve the images. Use image approval button ( ).
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RA QA Usecase - split arc verification
14. In the approval dialog box select images to approve and decide if to set the most
recent analysis as primary. Authorize status change. See Figure 31.
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RA QA Usecase - split arc verification
15. Print Plan Summary. Select File > Print. From Report dropdown select Plan
Summary and set other print options. Click Preview. See Figure 32.
7 7
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Information Disclaimer
Abstract
The training material is an educational aid for Varian Portal Dosimetry System.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with 7
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
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RA QA Usecase - full arc verification
PROCEDURE
Objective:
After completing this procedure, the student will have reviewed:
Verification plan generation options for RA plan
Evaluation of acquired using previously created template
7 7
Figure 1: Quick Links > Treatment Planning > External Beam Planning
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RA QA Usecase - full arc verification
3. In the Patient Explorer utilize filtering options, and select PD-007 patient. Press
OK. See Figure 2.
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7 7
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RA QA Usecase - full arc verification
8. Select Portal Dose Prediction verification method and define Source Imager
Distance (SID). Click Next to continue. See Figure 7
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RA QA Usecase - full arc verification
9. Define geometry for verification plan and define tolerance table. Click Next to
continue. See Figure 8.
7
NOTE: The Field Geometry, Tolerance table and arc field splitting
is remembered as a user preference.
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RA QA Usecase - full arc verification
10. Decide if to split each arc. For the purpose of this exercise the arc field will not be
split. Click Next to continue. See Figure 9.
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RA QA Usecase - full arc verification
13. Planning approve verification plan. Select Edit > Plan Approval > Planning
Approved. See Figure 11
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RA QA Usecase - full arc verification
16. Check to calculate treatment times, provide multiplication factor and click
Next. See Figure 12.
17. Authorize plan status change. Type in your username and password. Click
Finish. See Figure 13.
7 7
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RA QA Usecase - full arc verification
1. Select Quicklinks > EMR > Treatment Preparation. See Figure 14.
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RA QA Usecase - full arc verification
2. In the Scheduling make sure the correct course is selected and press the
Schedule ( ) button. See Figure 15.
7 7
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RA QA Usecase - full arc verification
4. Schedule image templates. Highlight treatment fields and assign sequence image
template using integrated mode of acquisition. Select Add Imaging > Integrated
Image. See Figure 17.
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RA QA Usecase - full arc verification
5. When done press the Approve button and authorize the approval. See Figure 18.
6. Schedule the plan in time planner and deliver it acquiring images at previously
selected SID.
7 7
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RA QA Usecase - full arc verification
1. Open Portal Dosimetry application. Select Quicklinks > Imaging > Portal
Dosimetry. See Figure 19.
2. In the Patient Explorer utilize filtering options, and select PD-007 patient. Press
OK. See Figure 20.
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5. Apply analysis template to all images in the session. RMC on the session and
select Apply Template to Session > RA default. See Figure 23.
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7 7
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10. Print Plan Brief summary. Select File > Print. From Report dropdown select Plan
Brief Summary and set other print options. Click Print. See Figure 27.
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RA QA Usecase - full arc verification
Information Disclaimer
Abstract
The training material is an educational aid for Varian Portal Dosimetry System.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
HIPAA
7 Varian’s products and services are specifically designed to include features that help our customers comply with 7
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
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Portal Dose Image Status and Patient Alert
PROCEDURE
Objective:
After completing this procedure, the student will have successfully performed the
following tasks:
Identified all portal dose image statuses
Reviewed, Created New and Managed Patient Alerts
A. Open Patient
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Portal Dose Image Status and Patient Alert
3. Select the Open Patient ( ) button. In the Patient Explorer utilize filtering
options, and select PD-006 patient. Press OK. See Figure 2.
7 7
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Portal Dose Image Status and Patient Alert
4. In the Navigation Panel select Session tab and the first plan. See Figure 3.
5. Make sure Portal Dose Image Analysis has been performed. If not RMC on
session and Apply Template to Session. See Figure 4.
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Portal Dose Image Status and Patient Alert
Portal Dose images have a status that uniquely identifies their position during
the RT process, which can be used to manage the clinical workflow.
The status icons are displayed in the lower right corner of every Portal Dose
image. Status can be changed for Portal Dose Images only. See Figure 5.
7 7
New ( ) – The image has been recently acquired and has not
been reviewed in Portal Dosimetry. See also Figure 5.
Reviewed ( ) – The image has been reviewed in Portal
Dosimetry but has not yet been approved. User and Time stamp is
also placed next to the Reviewed icon. See also Figure 6.
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Portal Dose Image Status and Patient Alert
Figure 6: Portal Dose image status – Reviewed (left), Approved (center) Action Required (left)
Figure 7: Image status – Disposed – Field icon (left), Image view (right)
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Portal Dose Image Status and Patient Alert
2. Set the image status to reviewed by pressing the Review ( ) button in the
Image approval corner. See Figure 8.
3. Authorize the status change for selected Images and press OK. See Figure 9.
7 7
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Portal Dose Image Status and Patient Alert
5. Approve the images. Select the images that passed the Analysis test, press the
Approve button ( ) and approve the images that passed the analysis. Authorize
and press OK. See Figure 11.
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Portal Dose Image Status and Patient Alert
6. Press the Action Required button ( ) and request action on the images that
did not pass the analysis. Authorize and press OK. Create more descriptive
Patient Alert if necessary, press OK. See Figure 12.
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Portal Dose Image Status and Patient Alert
7. Dispose one of the images. Images with a status Approved or Action Required
cannot be changed to Disposed. Their status needs to be changed to Reviewed
first.
8. Press the Review ( ) button in the Image approval panel. Authorize and press
OK.
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Portal Dose Image Status and Patient Alert
9. Highlight the image that needs to be disposed and select Portal Dosimetry >
Dispose Image. See Figure 14.
7 7
Figure 15: Confirm window
11. Image will be hidden. To see Portal Dose Images with the status Disposed select
Portal Dosimetry > Show Disposed Images. See Figure 16.
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Portal Dose Image Status and Patient Alert
12. As a result all disposed images will be displayed in the Image View Panel and
corresponding icon will be displayed in the Navigation Panel. See Figure 18.
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Portal Dose Image Status and Patient Alert
A change request always results in a patient alert. The reviewer can use
patient alerts to communicate important information to the other radiotherapy
personnel without creating a change request.
The patient alert must be acknowledged by user at the time of treatment.
The Patient Alert button indicates the status of existing patient alerts.
See Figure 18.
There are the three Patient Alert statuses. See Figure 19.
7 7
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Portal Dose Image Status and Patient Alert
1. To Review Patient Alerts select Portal Dosimetry > Show Patient Alerts.
Alternatively this can be done by pressing the Patient Alert button.
See Figure 20.
Figure 20: Portal Dosimetry > Show Patient Alerts selection(left), Patient Alert button (right)
2. Patient Alerts window opens. To see more detailed description highlight the
Patient Alert line and double click. See Figure 21.
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Portal Dose Image Status and Patient Alert
3. More detailed information about patient alert will be displayed. Press Close.
See Figure 22.
4. If the Patient Alert is not relevant any more it can be errored. Press the Error
Alert button to delete selected alert. See Figure 23.
7 7
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Portal Dose Image Status and Patient Alert
6. As a result the Patient Alert will be crossed out. Press Close. See Figure 25.
NOTE: User can modify own existing Patient Alerts that are not
signed off using the Error Alert functionality and create new instead.
7. Create new patient alert. Select Portal Dosimetry > New Patient Alert.
See Figure 26.
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Portal Dose Image Status and Patient Alert
8. Type in the Patient Alert, define Display Date. Press OK. It is possible to create
Predefined Patient Alert if necessary by pressing the Define/Edit Alerts.
See Figure 27.
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Information Disclaimer
Abstract
The Eclipse Inverse Planning Training material is an educational aid for Varian Eclipse treatment planning
System.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
7 HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with
7
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
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only pg 420 Rev. 1.2
PD Clinical Case 2
EXERCISE
Objective:
After completing this lesson the student will have successfully accomplished pre-
treatment verification of a given IMRT plan using the Portal Dosimetry system
6. Save All ( ).
7
B. Portal Dose Prediction Verification plan preparation
5. Save All ( ).
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PD Clinical Case 2
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PD Clinical Case 2
5. Repeat for all fields. See Error! Reference source not found..
6. Save All ( ).
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PD Clinical Case 2
1. In Portal Dosimetry open the patient with predicted and acquired dose images.
2. In Portal Dosimetry perform manual evaluation. Define ROI, define options and
Perform Analysis.
3. Perform the evaluation applying Analysis templates. Apply more then one
template.
4. Look at the Gamma Evaluation and Dose Difference window.
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PD Clinical Case 2
Information Disclaimer
Abstract
The Eclipse Inverse Planning Training material is an educational aid for Varian Eclipse treatment planning
System.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards. 7
HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
VarianMedical
© Varian MedicalSystems
Systems Portal Dosimetry 11
FOR TRAININGpurposes
For education PURPOSES ONLY!
only pg 425 Rev. 1.2
7 7
1. Chang J, Mageras GS, Chui CS et al. Relative profile and dose verification of
intensity modulated radiation therapy. Int. J. Radiat Oncol Biol Phys
2000;47(1):231-240
2. Depuydt T, Van Esch A, Huyskens DP. A quantitative evaluation of IMRT
distributions: refinement and clinical assessment of the gamma evaluation.
Radiother Oncol 2002;62:309-319
3. El-Mohri Y, Antonuk LE, Yorkston J et al. Relative dosimetry using active matrix
flat-panel imager (AMFPI) technology. Med Phys 1999;26:1530-1541
4. Essers M, Boellaard R, van Herk M, Lanson JH, Mijnheer BJM. Transmission
dosimetry with a liquid-filled electronic portal imaging device. Int J Radiat Oncol
Biol Phys 1996;34:931-941
5. Heijmen BJM, Pasma KL, Kroonwijk M et al. Portal dose measurement in
radiotherapy using an electronic portal imaging device (EPID). Phys Med Biol
1995;40:1943-1955
6. Kausch C, Schreiber B, Kreuder F, Schmidt R, Dössel O. Monte Carlo simulations
of the imaging performance of metal plate/phosphor screens used in radiotherapy.
Med Phys 1999;26:2113-2124
7. Low DA, Harms WB, Mutic S., Purdy JA. A technique for the quantitative
8 evaluation of dose distributions. Med Phys 1998;25:656-661 8
8. McCurdy BMC, Luchka K, Pistorius S. Dosimetric investigation and portal dose
image prediction using an amorphous silicon electronic portal imaging device.
Med Phys 2001;28(6):911-924
9. McCurdy BMC, Pistorius S. A two-step algorithm for predicting portal dose images
in arbitrary detectors. Med Phys 2000;27:2109-2116
10. McCurdy BMC, Pistorius S. Photon scatter in portal images: Physical
characteristics of pencil beam kernels generated using the EGS Monte Carlo
code. Med Phys 2000;27:312-320
11. Pasma K, Heijmen BJM, Kroonwijk M, Visser AG. Portal dose image (PDI)
prediction for dosimetric treatment verification in radiotherapy. I. An algorithm for
open beams. Med Phys 1998;25:830-840
12. Van Esch A, Vanstraelen B, Verstraete J, Kutcher GJ, Huyskens DP. Pre-
treatment dosimetric verification by means of a liquid-filled electronic portal
VarianMedical
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FOR TRAININGpurposes
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Portal Dosimetry Publication Reference List
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8 8
Objective:
After completing this lesson the student will have successfully performed
IsoCal calibration tasks relevant to physicists in the lab exercise.
1. IsoCal Description:
In an ideal environment, MV and kV central beam axes intersect at the
treatment isocenter for all gantry angles. The treatment isocenter therefore
coincides with the rotation center of the kV and MV imaging system. For real
installations, these three locations may not exactly overlap.
The purpose of IsoCal is to determine the location and alignment between the
treatment isocenter and MV / kV rotation center, and to generate corrections
for imager and X‐ray source shifts—caused by repeatable mechanical
deflections and arm position errors—as a function of gantry angle. OBI may
apply the generated IsoCal calibration data to correct the acquired images for
an even more precise patient positioning.
IsoCal consists of a cylindrical polyoxymethylene phantom with 16 inserted
tungsten‐carbid ball bearings (BB’s), an aluminum collimator plate with a
central steel pin and the IsoCal Application for OBI. (Figure 1)
9 The general approach consists of finding the treatment isocenter, the phantom 9
position and Source‐Imager‐Distance (SID), and then find and relate the
kV/MV rotation centers to the treatment isocenter. Therefore the phantom
does not need to be positioned precisely (within 5 mm) into the laser isocenter
position.
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IsoCal-Calibration – C-Series
2. IsoCal Recommendations
The frequency of IsoCal calibration must be based on the professional
judgment of the person in charge and also based on the requirements of the
institutions calibration program. Documents such as the AAPM Task Group
142 may be referenced for guidance. Varian recommends performing an
IsoCal calibration no more frequently than monthly and no less frequently than
annually.
IsoCal calibration must be performed:
After a new Isocenter calibration has been done on any of the Exact Arms
(Chapter 7 of the OBI Maintenance Manual).
If the geometric check done for your periodic QA (Chapter 4 of the OBI
Maintenance Manual) fails to meet your ‘pass‘ criteria.
1. The basic calibration process involves the following steps (Figure 2):
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IsoCal-Calibration – C-Series
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IsoCal-Calibration – C-Series
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IsoCal-Calibration – C-Series
C. In Room Preparations
D. OBI Preparations
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IsoCal-Calibration – C-Series
4. Perform machine override by selecting Machine Override > Select All >
Convert.
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IsoCal-Calibration – C-Series
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IsoCal-Calibration – C-Series
Figure 3: Dashboard
28. When all kV images have been acquired close the plan.
F. Loading Images
1. Start the IsoCal Application on OBI Workstation from Windows Start menu >
All Programs > Varian > IsoCal > IsoCal
2. Load the four acquired Collimator images:
Press one of the Browse buttons in the MV Collimator Shots pane and
select the first DICOM file from D:\VMSOS\AppData\IsoCal\Calibration\COLL.
Load the remaining three images.
Verify that the following Coll Rtn are displayed: 195, 270, 0 and 90 (for Varian 9
IEC scale). Order doesn’t matter.
3. Load the acquired MV images:
Press Browse in the MV Scan pane and select the folder
D:\VMSOS\AppData\IsoCal\Calibration\MV and press OK.
The names of the eight images appear in the list left to the button.
Verify that Coll Rtn is 90.
4. Load the eight acquired kV images:
Press Browse in the kV Scan pane and navigate to
D:\VMSOS\AppData\IsoCal\Calibration\
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IsoCal-Calibration – C-Series
You should find three new folders name according to creation date and time
(YY‐MM‐DD HH_MM_SS). Select the most recent one and press OK.
If the correct folder has been selected, then eight names appear in the list,
otherwise none.(Figure 4)
9 9
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IsoCal-Calibration – C-Series
G. IsoCal Calibration
1. Press Start to initiate the calibration. The four collimator shots are analyzed first
in order to detect central steel pin (Figure 5).
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IsoCal-Calibration – C-Series
Figure 5: Calibration
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IsoCal-Calibration – C-Series
Information Disclaimer
Abstract
The On-Board Imager® Training material is an educational aid for Varian On-Board Imager® System.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the On-Board Imager® System. For complete information concerning
components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the applicable Varian
product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
9
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
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IsoCal Verification
PROCEDURE
Objective:
After completing this lesson, the student will have performed imaging system
IsoCal Verification.
A. Exercise Key:
9 9
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IsoCal Verification
B. System preparation
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IsoCal Verification
9 9
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IsoCal Verification
6. Click on the Axis Position button in order to display current axis positions.
See Figure 5.
7. The Calibration workspace window will open on the Summary tab displaying all
Imager calibration modes. See Figure 6.
9
Figure 6: PVA Calibration Summary screen
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IsoCal Verification
8. Enter the treatment room and mount the IsoCal mounting device at the end of the
treatment table. The device should be locked in H4 index position and latched
under the table. See Figure 7.
9 9
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IsoCal Verification
9. Mount IsoCal phantom at the end of the treatment table. See Figure 8
10. Position the IsoCal phantom at isocenter. Use crosshair and room lasers as a
reference. See Figure 9.
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IsoCal Verification
11. Place the partial transmission plate into Interface mount. See Figure 10.
9 9
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IsoCal Verification
C. Isocenter Verification
2. Isocenter verification screen will open. All calibration steps will be displayed on
the left side of the screen. See Figure 12.
3. Follow the calibration wizard by reading instructions in the lower left part of the
imager calibration screen.
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IsoCal Verification
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IsoCal Verification
5. Move the system to position select Motion axis and Imager arms and enable
motions. See Figure 14.
6. Turn the beam on. Select MV Ready and then MV Beam On. See Figure 15.
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IsoCal Verification
9 9
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IsoCal Verification
9. Move the axes to position. Select Motion axis and Imager arms and enable
motions. See Figure 18.
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IsoCal Verification
10. Turn the beam on. Select MV Ready and then MV Beam On. See Figure 19.
11. Approximately 120 projections will be acquired during arc rotation. Click Next to
continue. A new beam will be prepared. See Figure 20.
9 9
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IsoCal Verification
12. Move the axes to position. Select Motion axis and Imager arms and enable
motions. See Figure 21
13. Turn the beam on. Push KV Beam On half way for KV Ready status and then all
the way to beam on. See Figure 22.
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IsoCal Verification
14. kV projections are acquired. Click Next to continue. See Figure 23.
9 9
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IsoCal Verification
15. The system will detect center pin on the MV collimator shots. Review the images.
Click Next to continue. See Figure 24.
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IsoCal Verification
16. The system will detect BBs on the MV projections. Review the images – use the
slider to select projections. Click Next to continue. See Figure 25.
9 9
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IsoCal Verification
17. The system will detect BBs on the kV projections. Review the images – use the
slider to select projections. Click Next to continue. See Figure 26.
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IsoCal Verification
9 9
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IsoCal Verification
Information Disclaimer
Abstract
The training material is an educational aid for Varian TrueBeam machine.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
9
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
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MV Dosimetry Calibration on TrueBeam
PROCEDURE
Objective:
After completing this lesson, the student will have performed the following tasks:
o Calibration of MV imaging system for Portal Dosimetry
A. Exercise Key:
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MV Dosimetry Calibration on TrueBeam
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MV Dosimetry Calibration on TrueBeam
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MV Dosimetry Calibration on TrueBeam
6. Click on the Axis Position button in order to display current axis positions.
See Figure 6.
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MV Dosimetry Calibration on TrueBeam
7. The Calibration workspace window will open on the Summary tab displaying all
Imager calibration modes. See Figure 7.
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MV Dosimetry Calibration on TrueBeam
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MV Dosimetry Calibration on TrueBeam
CTRL +
CTRL +
10. MV mode calibration screen will open. All calibration steps will be displayed on
the left side of the screen. Acquisition of dark field for selected energies and dose
rates will start. See Figure 11.
9 9
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MV Dosimetry Calibration on TrueBeam
11. Read the wizard instructions and follow the calibration flow. Acquire flood fields.
12. Calibration screen will set required imager, couch, gantry, jaw positions. Once all
the options are set press OK to set the beam. See Figure 12.
13. Required beam will be set on the service console. See Figure 13.
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MV Dosimetry Calibration on TrueBeam
14. Move the system to position. Select Prepare, select Motion axis and Imager
arms and enable motions. See Figure 14.
15. Turn the beam on. Select MV Ready and then MV Beam On. See Figure 15.
9 9
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MV Dosimetry Calibration on TrueBeam
16. The flood field image will be acquired. Once required number of frames is
acquired the beam will be turned off.
17. The calibration screen will display dark field and flood field images for evaluation.
Evaluate the images and click Accept Correction when images are accepted.
See Figure 16.
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MV Dosimetry Calibration on TrueBeam
18. The Review Pixel Correction Map window will open displaying the current pixel
correction map. Existing ‘defective’ pixels are displayed in Red. Newly detected
defective pixels appear in Blue. Decide if to Keep Current Map, Update Map or
Reset Map. See Figure 17.
19. Select desired button in the lower right corner. See Figure 17.
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MV Dosimetry Calibration on TrueBeam
21. The calibration screen will proceed to Beam Profile Definition. Figure 18.
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MV Dosimetry Calibration on TrueBeam
23. Navigate to folder where the diagonal profile is stored. If needed change the
extension filter. Select the file and click Open. See Figure 20.
24. Review beam profile settings. If approved click Accept. See Figure 21.
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MV Dosimetry Calibration on TrueBeam
25. Dose normalization step will be selected. A Beam will be prepared in the
Calibration screen. Define Reference Dose [CU] – reference dose establishes
CU value. Typically reference dose corresponds to MU if the imager is at
isocenter. When done click OK. See Figure 22.
9 9
NOTE: For the purpose of dosimetry calibration system
automatically sets the reference MU to 100, reference field size to
10x10cm2 and imager is moved to the plane of isocenter.
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MV Dosimetry Calibration on TrueBeam
26. The beam will be set in the Service console. See Figure 23.
27. Move the system to position. Select Prepare, select Motion axis and Imager
arms and enable motions. See Figure 24.
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MV Dosimetry Calibration on TrueBeam
28. Turn the beam on. Select MV Ready and then MV Beam On. See Figure 25.
9 9
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29. Make sure all MUs are delivered. The image is acquired. Review dose
normalization image and parameters. If satisfactory click Accept. See Figure 26.
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Information Disclaimer
Abstract
The training material is an educational aid for Varian TrueBeam machine.
Worldwide Headquarters
Varian Medical Systems, Inc.
3100 Hansen Way, Bldg. 4A
Palo Alto, CA 94304-1030, U.S.A.
Notice
This information is an educational aid only and is intended solely as a supplemental document. This information
provides information concerning the use of the Eclipse Treatment Planning System. For complete information
concerning components, safety instructions, installation, maintenance, troubleshooting, etc., refer to the
applicable Varian product Operator’s Manual. This document does not replace the Varian Operator’s Manual.
Carefully read all instructions prior to use. Observe all contraindications, warnings and precautions noted in these
instructions. Failure to do so may result in patient and/or user complications.
Information within the manual is subject to change without notice and does not represent a commitment on the
part of Varian. Varian is not liable for errors contained in this information or for incidental or consequential
damages in connection with furnishing or use of this material. This contains proprietary information protected by
copyright. No part of this information may be reproduced, translated, or transmitted without the express written
permission of Varian Medical Systems, Inc.
ISO 13485
Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the
requirements specified within ISO 13485 quality standards.
HIPAA
Varian’s products and services are specifically designed to include features that help our customers comply with
the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ARIA and VARiS Vision systems
use a secure login process, requiring a user name and password that supports role-based access. Users are
assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit
access to data. When a user adds or modifies data within the database, a record is maintained of the data that
was changed, the users ID and the date and time the changes were made. This establishes an audit trail that can
be examined by authorized system administrators.
CE
9 Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD
93/42/EEC.
9
Trademarks
Argus Software®, Clinac®, On-Board Imager®, SonArray®, Trilogy® and VARiS® are registered trademarks of
Varian Medical Systems, Inc. 4D Integrated Treatment Console™, Acuity™, ARIA™, Eclipse™, FastPlan™,
Millennium™ MLC, PortalVision™, Real-Time Position Management™ and SmartBeam™ are trademarks of
Varian Medical Systems, Inc.
All other trademarks or registered trademarks are the property of their respective owners.
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Customer
Technical Bulletin
CTB Information
Title Installation and Verification of the Portal Dosimetry Pre-configuration Package 1.0
Tools and Download S/W Portal Dosimetry Pre-Configuration package 1.0.02 from
Equip https://my.varian.com
Reference Eclipse Algorithms Reference Guide
Documents
Modification PDIP in Beam Configuration
Overview Dosimetric Calibration of the Portal Imager
Verification of Portal Dosimetry using provided plans
Order Kit Information
A Oct 15, 2012 N/A Christof Baltes Initial Release uopn MRD_1203_PDPC CTB-PV-887-A.docx
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no representation to the qualifications of any service technicians other than its own employees. Improper or
uninformed maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including but not limited to one or more of the following: mechanical collision, electrical shock, and radiation.
Any of these hazards could cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
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100058491
DWG NO. REVISION
GENERAL INFORMATION
PERFORMANCE CHECK
Complete a thorough performance verification before disassembling and modifying any system. Make a
note of any operational discrepancies.
SAFETY PROCEDURES
Become familiar with Customer Support Service’s safety policies before working on Oncology Systems
Products. Ensure compliance with CSS’s safety practices and procedures while performing this
modification. Refer to the Product Users’ Manual for safety instructions.
CONTACT INFORMATION
If there are any questions, issues, or concerns contact Varian at 1.888.VARIAN.5 (1.888.827.4265) or go
to https://my.varian.com and click on Contact Us.
9 9
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 2 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
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Table of Contents
1. INTRODUCTION ........................................................................................................... 4
2. PREREQUISITES.......................................................................................................... 5
3. ORGANIZATION OF THIS DOCUMENT ...................................................................... 5
4. EXPECTED EXPENDITURE OF TIME ......................................................................... 6
5. BACKUP OF EXISTING PORTAL DOSIMETRY CONFIGURATION ........................... 7
5.1. Backup of existing PDIP Beam Data on Eclipse workstation ........................................................ 7
5.2. Configuration of new PDIP Calculation Model on Eclipse workstation ......................................... 8
5.3. Backup of existing Dosimetry Calibration on 4DITC workstation .................................................. 8
6. INSTALLATION ............................................................................................................ 9
6.1. Beam Configuration on Eclipse workstation: PDIP beam data ..................................................... 9
6.2. Dosimetric Calibration of the Portal Imager on 4DITC workstation ............................................. 13
6.2.1. Dark field and flood field correction .............................................................................. 13
6.2.2. Dosimetry Calibration ................................................................................................... 16
7. VERIFICATION ........................................................................................................... 20
7.1. Intention of verification plans ....................................................................................................... 20
7.2. Creation of verification plans on Eclipse workstation .................................................................. 20
7.2.1. Configure import filter ................................................................................................... 20
7.2.2. Import of verification plans ........................................................................................... 22
7.2.3. Dose calculation for treatment plans ............................................................................ 22
7.2.4. Create verification plans ............................................................................................... 24
7.2.5. Schedule acquisition of Portal images ......................................................................... 26
7.2.6. Book Machine Time using Time Planner ..................................................................... 27
7.3. Irradiation of verification plans on treatment console .................................................................. 27
7.4. Evaluation of verification plans on Eclipse workstation ............................................................... 28
7.4.1. Verification of MLC parameter settings ........................................................................ 28
7.4.2. Output factors ............................................................................................................... 32
7.4.3. Beam profile correction ................................................................................................ 33
7.4.4. Backscatter correction .................................................................................................. 35
7.4.5. Exemplary patient IMRT and RapidArc plans .............................................................. 37
7.5. Acceptance of Portal Dosimetry Configuration ............................................................................ 38
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 3 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 485 Rev. 1.2
Customer Technical Bulletin
1. INTRODUCTION
The optimal performance of the current Portal Dosimetry (PD) solution used for pre-treatment
verification of intensity-modulated radiation therapy (IMRT) plans and volumetric modulated arc
therapy (VMAT or RapidArc©) plans is hampered by three aspects: (a) the cumbersome calibration
procedure, (b) the backscatter effect of the portal imager support arm and (c) less than optimal
beam profile correction for dosimetric images. Based on the long lasting experience of the 7sigma1
company (a qA-team in radiotherapy physics) with quality assurance using the Portal Dosimetry
solution, a joint effort resulted in the creation of the Portal Dosimetry Pre-Configuration (PDPC)
package. The intention of this package is to provide a pre-configured set of files allowing for a
customer-friendly configuration of the Portal Dosimetry solution. The configuration procedure is
simplified to an easy import of Eclipse beam data and the absolute calibration of the MV detector
on the console. In addition, the PDPC package incorporates an improved backscatter and beam
profile correction to enhance the performance of Portal Dosimetry.
The PDPC package consists of two parts: (a) Pre-configured Portal Dosimetry Image Prediction
(PDIP) beam data and (b) the 2D beam profile correction. The pre-configured PDIP algorithm can
be easily imported into Beam Configuration. In doing so it is assumed that the scatter behavior of
different EPIDs of the same type (e.g. IDU20) can be modeled by identical scatter kernels.
The 2D beam profile correction is imported on the treatment console during Dosimetry Calibration.
This correction accounts for two aspects introduced during flood field calibration of the MV imager
for dosimetric images.
The flood field is acquired using a 40x30cm2 field and inherently contains beam profile as well
as support arm backscatter. Thus, the flood field correction removes the beam profile in EPID
images.
A diagonal profile of a 40x40 cm2 field is used to recover the beam profile. As consequence the
penumbra region in the acquired PD image is overestimated resulting in discrepancies between
acquired and predicted PD image.
In the PDPC package a 2D beam profile correction file is introduced taking the field size of the
flood field correctly into account. Furthermore, as the backscatter is dependent on field size, the
flood field overcorrects the backscatter effect for small field sizes. As a compromise, the 2D beam
profile correction contains a compensation for this overcorrection at small field sizes. Effectively,
9 the PDPC package corrects the support arm backscatter for small - clinically relevant - field sizes,
9
while it under-corrects for large field sizes.
The intended use of the PDPC package is to allow for a fast and simple configuration of the Portal
Dosimetry solution by providing pre-configured PDIP beam data and 2D beam profile correction
files.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 4 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 486 Rev. 1.2
Customer Technical Bulletin
2. PREREQUISITES
The Portal Dosimetry pre-configuration package was developed to support the following software
and hardware configurations:
Eclipse Version 10 including the Portal Dosimetry package and higher
IAS3 with IDU20 on E-arm, thus aS500II and aS1000.
Machine types: All High-Energy Clinacs (C-series) and Unique
o Note: TrueBeam is not supported with this version.
Multi Leaf Collimator: 52 / 80 / 120 leaf Millennium MLC or Mark MLC
o Note: High Definition (HD) MLC is not supported with this version.
The PDPC calibration files (2D beam profile correction) are intended for calibrating Portal
Dosimetry for pre-treatment verification at source-imager distances (SID) of 100cm or 105cm (E-
arm).
The uninstallation procedure describes in detail how to uninstall the PDPC package and, if Portal
Dosimetry was configured before, how to recover the original Portal Dosimetry configuration.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 5 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 487 Rev. 1.2
Customer Technical Bulletin
9 9
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 6 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 488 Rev. 1.2
Customer Technical Bulletin
Unapprove Data
9
Figure 1: Unapprove beam data of PDIP algorithm
5. Write down the beam model folder number (e.g. here 004) for unambiguous identification of the
original PDIP beam data.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 7 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 489 Rev. 1.2
Customer Technical Bulletin
Note Clearing the beam data will remove the assignment to this treatment
machine, but not delete the beam data. Thus, these beam data can be
reassigned to this treatment machine again at a later point in time. The
backup of the beam data inherently exists on the Eclipse server.
1. The dosimetry calibration is stored on the console in the directory (Figure 2):
C:\Program Files\Varian\Oncology\Treatment\AM\config\AM\IAS3\do
Figure 2: The complete dosimetry calibration is stored in the folder do on the console
2. Navigate to this directory using MS Windows Explorer and create a copy of the entire folder in
the parent directory and rename it to do_backup.
9 3. Navigate into the folder do and delete all files in this folder. 9
Note Please do not delete the folder ‘do’ itself, as the SW will not create a
missing directory in the subsequent dosimetry calibration procedure. It is
sufficient to delete the content of the folder ‘do’ to undo a dosimetry
calibration.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 8 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 490 Rev. 1.2
Customer Technical Bulletin
6. INSTALLATION
The installation of the Portal Dosimetry pre-configuration package is split into two separate parts:
- The configuration of the Portal Dosimetry Image Prediction (PDIP) algorithm (6.1).
- The configuration of the image acquisition software (IAS3) on the 4DITC treatment console
(6.2).
treatment machine
PDIP algorithm
New beam data
5. Enter Therapy Unit Name and select Start with empty data (Figure 4).
Note The therapy unit name will be overwritten by the imported beam data.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 9 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 491 Rev. 1.2
Customer Technical Bulletin
6. In the focus window, right-mouse-click on the treatment unit and select Import Eclipse Beam
Data.
treatment unit
7. Browse to the directory with the appropriate pre-configured PDIP beam data
Note Select the folder containing the ‘mapfile.txt’. For this purpose select ‘All
Files [*.*]’ as ‘Files of type’ to be displayed in the dialog box (Figure 6). Do
not select the subdirectory itself.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 10 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 492 Rev. 1.2
Customer Technical Bulletin
8. Select from the PDPC package the corresponding machine type and energy and press OK
(Figure 7).
9. Set In Use checkmark for OPENFIELD and press Close (Figure 8).
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 11 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 493 Rev. 1.2
Customer Technical Bulletin
10. Rename the therapy unit name on the General Parameters tab as desired (Figure 9).
9 9
Figure 9: Adapt therapy unit name
11. Right-mouse-click on the folder Beam Data and approve the beam data (Figure 10).
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 12 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 494 Rev. 1.2
Customer Technical Bulletin
Beam Data
Approve Data
Note The dosimetric calibration of the portal imager shall be performed when you
are confident of your machine output, as any deviations will be inherently
included in the calibration of the portal imager.
Preparations:
For dosimetry calibration of the imager, start up the Linac in Service mode, without ARIA and
with the MLC in standby mode.
Copy the appropriate 2D beam profile correction file (e.g. SID100_x06_40x32_aS1000.cdp)
from the PDPC directory (e.g. PDPC_package\packages\EPID calibration\x06\aS1000) to a
temporary folder on the 4DITC treatment console.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 13 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 495 Rev. 1.2
Customer Technical Bulletin
3. Move the Portal Imager to the position at which Portal Dosimetry measurements will be
performed. This is most often the isocentric position (Vertical [cm]: 0, Lateral [cm]: 0,
Longitudinal [cm]: 0).
On the tab Support Arm (Figure 12), enter for Preset Position at Source-Imager Distance
(SID)
SID = 100 cm: Vertical [cm]: 0
Longitudinal [cm]: 0
Lateral [cm]: 0
9 9
4. Set the field size according to the used SID (Table 1):
Note For flood field acquisition Y field sizes slightly larger than the EPID
size are adjusted aiming for largely homogeneous irradiation.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 14 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 496 Rev. 1.2
Customer Technical Bulletin
Table 1: Appropriate field sizes for flood field calibration according to the SID
5. On the tab Mode: Select Integrated Image as Acquisition Technique (Figure 13).
Mode
Acquisition Technique
Integrated Image
Dark Field
Flood Field
6. On the Clinac, set energy and dose rate. Adjust a sufficient (maximum) amount of MUs
to allow the acquisition of all frames for the flood field calibration.
7. Press Dark Field and wait until the acquisition is completed.
8. Press Flood Field.
9. Turn the beam on.
10. Turn the beam off after the acquisition has completed.
11. Typical flood field images look as shown in Figure 14.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 15 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 497 Rev. 1.2
Customer Technical Bulletin
9 Note Once a dosimetric calibration has been performed, test images are 9
corrected for the beam profile and are no longer displayed in grayscale.
1. The dosimetric calibration should be performed at the same SID used for the dark field
and flood field calibration.
2. On the treatment machine, set:
Field size: X = 10 cm, Y = 10 cm
Monitor Units = 100
3. Open the application AM Maintenance on the 4DITC treatment console.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 16 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 498 Rev. 1.2
Customer Technical Bulletin
Note The verification plans delivered together with the PDPC package are
initially prepared for dose rates of 400MU/min and 600MU/min, but
should be adapted to the dose rates used for IMRT and RapidArc
treatment.
Dose Normalization
9
Figure 16: Select desired dosimetry calibration steps and set the vertical IDU
calibration position
8. Press OK.
9. Select the path to the appropriate 2D beam profile correction file (Figure 17). For each
energy a separate file is needed (Figure 18).
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 17 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 499 Rev. 1.2
Customer Technical Bulletin
Figure 17: Browse to the folder containing the 2D beam profile correction file
Figure 18: 2D beam profile correction file for 6MV including correction of the
backscatter from the support arm at SID = 105 cm
Note The 2D beam profile correction file (Figure 18) contains an image
correcting the beam profile as well as the support arm backscatter
9 effect during flood field calibration. 9
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 18 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 500 Rev. 1.2
Customer Technical Bulletin
Note The following steps are required to make the 2D beam profile
correction file accessible on the 4DITC workstation with Varian
shell installed:
1. Copy the 2D correction file onto the Image server share for
Data Transfer (typically ‘D:\Varian\Transfer’ on Image server).
2. On 4DITC workstation, login to ‘Advanced Mode’.
3. Select File Manager and copy 2D correction files from Transfer
to Work directory (The Transfer share is setup by default
during the installation of Varian Shell).
4. Navigate to ‘D:\work’ when selecting the correction files from
AM Maintenance.
10. Set the required beam energy and dose rate at the machine.
11. Turn the beam on and irradiate 100MU.
12. After the beam has switched off, enter the corresponding value in the pop-up window
(Figure 19) e.g. at SID=100 cm enter 1 CU as Measured Dose.
Note When using the imager at an alternative SID for Portal Dosimetry,
enter the calibrated unit scaled according to the inverse square law
(Table 2). Please notice that 1CU is scaled to 100MU (at
SID=100cm) in order to match the PDIP configuration.
9
SID [cm] Measured Dose [CU]
100 1.000
105 0.907
13. Repeat steps 7-13 for all energy - dose rate combinations to be calibrated.
14. After finishing all required measurements press OK.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 19 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 501 Rev. 1.2
Customer Technical Bulletin
7. VERIFICATION
Beside the verification plans provided with the PDPC package the customer should create
their own verification plans as well as clinical plans to evaluate the performance of the
configured Portal Dosimetry solution on the specific system.
9 9
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 20 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 502 Rev. 1.2
Customer Technical Bulletin
4. Select import filter DICOM Patient Import Filter and enable external ID conversion by
selecting the checkbox Use external Id conversion (Figure 21).
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 21 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 503 Rev. 1.2
Customer Technical Bulletin
1. Select each treatment plan individually and Drop to view using the right-mouse-button
menu.
2. Go to the tab Calculation Models and select the calculation models at least for Volume
Dose (select the dose calculation model used in clinical routine) as well as for Portal
Dose (PDIP algorithm commissioned in section 6.1).
3. Verify that for all fields the desired machine and your tolerance table for quality
assurance measurements are selected.
4. Verify that all fields are using only dose rates calibrated for IMRT (6.2.2).
Note When using the EPID at SID = 105 cm the square field size
2
of 30x30 cm in the qOpen plan needs to be reduced to
2
28x28 cm to avoid irradiation of the EPID electronics.
5. Perform dose calculation by selecting Planning → Calculate Volume with Preset Values
or pressing SHIFT+F5.
6. Enter the corresponding MUs per field as listed in Table 3 and Table 4, respectively.
9 9
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 22 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 504 Rev. 1.2
Customer Technical Bulletin
qMLC qOpen
Field Name MU Field Name MU
DynChair 200 3x3 100
FlatFluence 100 5x5 100
AIDA 200 10x10 100
15x15 100
20x20 100
30x30 100
(28x28 @ SID=105cm)
30x20 100
3 fields 7 fields
Table 3: Preset MU values for artificial MLC verification (qMLC) and open field
(qOpen) plans
iIMRT_1 iIMRT_2
Field Name MU Field Name MU
RPO_P1_0 75 LPO1_P2_1 112
RPO_ P1_1 59 LPO1_ P2_0 80
RAO_ P1_0 78 LPO_ P2 142
RAO_ P1_1 52 LAO_ P2_1 44
AP_ P1_0 49 LAO_ P2_0 117
AP_ P1_1 79 AP_ P2_1 82
LAO_ P1_0 71 AP_ P2_0 106
LAO_ P1_1 45 RAO_ P2_1 83
LAO1_ P1 91 RAO_ P2_0 61
LPO_ P1_0 63 RPO1_ P2 99
LPO_ P1_1 116 RPO_ P2_0 94
LPO1_ P1_0 89 RPO_ P2_1 84
LPO1_ P1_1 60
13 fields 12 fields
Table 4: Preset MU values for two patient IMRT (iIMRT) plans
iRA_1 iRA_2 9
Field Name MU Field Name MU
RA1 269 RA2 237
RA2 286 RA1 240
2 fields 2 fields
Table 5: Preset MU values for two patient RapidArc (iRA) plans
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 23 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 505 Rev. 1.2
Customer Technical Bulletin
1. Select each treatment plan individually and Drop to view using the right-mouse-button
menu.
2. Create verification plan by selecting Planning → Create Verification Plan… to open the
corresponding wizard (Figure 22).
3. Create new course with ID C1_Verification and click Next.
4. Select Portal Dose Prediction at the desired calibration distance of the Portal imager and
click Next.
9 9
Figure 22: Selection of verification method and Portal imager distance
5. Select the checkbox Reset gantry to and enter the value 0.0 degree, if applicable (Figure
23).
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 24 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 506 Rev. 1.2
Customer Technical Bulletin
Note The RapidArc test plan iRA_2 contains large fields in in-
plane direction. For this reason it is strongly recommended
to reset the collimator to 0 deg to avoid irradiation of the
EPID electronics.
7. Select the checkbox Use tolerance table, select your tolerance table for quality
assurance measurements from the drop-down menu and then click Next.
Reset gantry to
Reset collimator to
Reset couch to
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 25 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 507 Rev. 1.2
Customer Technical Bulletin
Note In case the option Large Field IMRT is not available on the system,
one can irradiate split fields and create a composite PD image
during analysis in the Portal Dosimetry application.
10. Repeat steps 1 – 9 for each plan.
2.0
9 9
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 26 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 508 Rev. 1.2
Customer Technical Bulletin
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 27 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 509 Rev. 1.2
Customer Technical Bulletin
Evaluating these fields is solely intended for assessing the MLC parameter settings,
as they indirectly influence the performance of Portal Dosimetry. Nevertheless,
passing the Gamma analysis is not mandatory for verifying the successful
installation of the PDPC package, but might indicate to consider a fine-tuning of the
MLC parameter settings (see Note above).
Gamma analysis of these fields shall be performed using the settings:
Dose tolerance: 3%
Distance-to-Agreement: 3mm
9 Gamma analysis: global
9
(Use Local Gamma Evaluation not selected)
ROI selection: Threshold of 5%
Area Gamma < 1.0: 97.0 %
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 28 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 510 Rev. 1.2
Customer Technical Bulletin
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 29 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 511 Rev. 1.2
Customer Technical Bulletin
(b)
(c)
(d)
(a)
(b) (c)
(d)
Figure 26: Evaluation of DynChair field: (a) Predicted PD image, gamma map and
acquired PD image. Crossline profiles (blue: acquired PD image; red:
9 predicted PD image) at different levels in the chair pattern allow for 9
determining Transmission Factor (b), absolute dose values in
comparison to an ion chamber measurement (c) and combination of
Transmission Factor and Dosimetric Leaf Gap (d)
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 30 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 512 Rev. 1.2
Customer Technical Bulletin
(a)
(b) (c)
Figure 27: Evaluation of FlatFluence field: (a) Predicted PD image, gamma map
and acquired PD image. Inline profiles (blue: acquired PD image; red:
predicted PD image) show small (b) and large (c) dips (arrows) at the
overlap of the subfields which are in this case in an acceptable range
for well-adjusted MLC parameters
9
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 31 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 513 Rev. 1.2
Customer Technical Bulletin
Figure 28: Gamma analysis of AIDA pattern verifying proper commissioning of the
PDIP algorithm
1. Log into the Portal Dosimetry application and select the patient PDPC_VV_plans.
2. Select the plan qOpen using the navigation panel on the left.
9 9
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 32 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 514 Rev. 1.2
Customer Technical Bulletin
Figure 29: Selection of the plan qOpen and evaluation of the central axis value
of acquired and predicted PD images
3. Use the Point Dose tool to extract the central axis (CAX) value for all square field
sizes both of the acquired as well as the predicted PD images.
4. Calculating the relative difference between the corresponding values for field sizes
2
ranging from 5 x 5 cm to the maximum square field size in the plan qOpen should
be less than ±1.0% (using output factor values from predicted PD images as
reference).
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 33 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 515 Rev. 1.2
Customer Technical Bulletin
(a) (b)
(c)
Figure 30: The accuracy of the PDPC beam profile correction is displayed for
crossline profiles of square field sizes of 10x10 cm2 (a), 15x15 cm2 (b) as
well as 30x30 cm2 (c)
When verifying the installation of the PDPC package, central crossline profiles of the
square fields in the plan qOpen shall be evaluated by:
Automatically aligning predicted and acquired PD image.
Relative normalization based on the isocenter dose (To isolate potential
deviations due to output factor differences from deviations in beam profile).
Calculation of the mean relative difference between predicted and acquired
crossline profiles within the flat field region (defined as 80% area within the
50% field limit):
o Select the display mode Dose Difference.
o Turn on the graticule (View→Digital Graticule).
9 o Use the Profile tool (Measure→Profile) to select a crossline profile
9
covering the central flat field region (Figure 31).
o Display Statistics using the right-mouse-button menu in the dialog
window Profile Dose Difference Image.
o The mean relative difference is given by the Mean value in the Profile
Statistics.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 34 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 516 Rev. 1.2
Customer Technical Bulletin
Figure 31: Dose difference normalized relative to the dose at the isocenter. Use the
Profile tool to select a crossline profile covering the central flat field
region. The mean relative difference is given by the Mean value in the
Profile Statistics
Resulting mean relative differences shall be within ± 1% for field sizes ranging from
5 x 5 cm2 to the maximum square field size in the plan qOpen.
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 35 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 517 Rev. 1.2
Customer Technical Bulletin
(a) (b)
(c)
Figure 32: The valid range of the PDPC backscatter correction can be observed in
central half inline profiles of square field sizes of 10x10 cm2 (a) as well as
15x15 cm2 (b). A reduced performance of the backscatter correction can
be observed for large – clinically less relevant – field sizes e.g. 30x30 cm2
(c)
When verifying the installation of the PDPC package, central half (covering the area
above the support arm) inline profiles of the square fields in the plan qOpen shall be
evaluated by:
Automatically aligning predicted and acquired PD image.
Relative normalization based on the isocenter dose (To isolate potential
deviations due to output factor differences from backscatter effects).
Calculation of the signed maximum difference between predicted and
acquired central half inline profiles within in the flat field region (defined as
80% area within the 50% field limit):
o Select the display mode Dose Difference.
o Turn on the graticule (View→Digital Graticule).
o Use the Profile tool (Measure→Profile) to select a half inline profile
covering the central flat field region (Figure 33).
o Display Statistics using the right-mouse-button menu in the dialog
window Profile Dose Difference Image.
o The signed maximum relative difference is given by the Min or Max
9 value in the Profile Statistics, respectively. 9
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 36 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 518 Rev. 1.2
Customer Technical Bulletin
Figure 33: Dose difference normalized relative to the dose at the isocenter. Use the
Profile tool to select a half inline profile covering the central flat field
region. The signed maximum relative difference is given by the Min or Max
value in the Profile Statistics, respectively
Resulting signed maximum relative differences shall be within ± 1.5% for field sizes
ranging from 5 x 5 cm2 up to 15 x 15 cm2
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 37 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 519 Rev. 1.2
Customer Technical Bulletin
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 38 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 520 Rev. 1.2
Customer Technical Bulletin
1. The dosimetry calibration is stored on the console in the directory (Figure 2):
C:\Program Files\Varian\Oncology\Treatment\AM\config\AM\IAS3\do
2. Navigate to this directory using MS Windows Explorer and:
Create a copy of the entire folder in the parent directory and rename it to do_pdpc, in case
you would like to backup the PDPC dosimetry calibration.
Delete the entire content of this directory if you would like to permanently remove the PDPC
dosimetry calibration.
3. In case a previous dosimetry calibration was backed up, copy the entire content of the backup
directory (e.g. do_backup) to the actual do folder.
9. CUSTOMER DOCUMENTATION
Customer release notes (PDPC1000RN) are available via MyVarian.com.
10. REFERENCES 9
1
7sigma – qA-team in radiotherapy physics (website: http://www.7sigma.be/)
2
van Esch A. et al., Acceptance tests and quality control (QC) procedures for the clinical
implementation of intensity modulated radiotherapy (IMRT) using inverse planning and the
sliding window technique: experience from five radiotherapy departments, Radiother Oncol.
2001; 65(1): 53-70
3
van Esch A. et al., The use of an aSi-based EPID for routine absolute dosimetric pre-
treatment verification of dynamic IMRT fields, Radiother Oncol. 2004; 71(2): 223-34
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 39 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 521 Rev. 1.2
Customer Technical Bulletin
Bill Of Materials
9 9
ATTENTION: This information is provided for use by qualified service technicians. Varian Medical Systems, Inc. makes no SHEET
representation to the qualifications of any service technicians other than its own employees. Improper or uninformed 100058491
maintenance or repair of the Product may expose a maintenance technician, operator and/ or patient to safety hazards including PV-887 Rev 40 of 40
but not limited to one or more of the following: mechanical collision, electrical shock, and radiation. Any of these hazards could
DWG NO.
cause serious injury and even death. Copyright © 2012, Varian Medical Systems, Inc. All rights reserved.
© Varian Medical Systems Portal Dosimetry 11
For education purposes only pg 522 Rev. 1.2
Notes i