Portal Dosimetry application

Graphical User Interface (GUI) overview

VARIAN
ONCOLOGY
SYSTEMS Physics Instructor EMEA
1 | VARIAN ONCOLOGY SYSTEMS
Objective

• Identify Portal Dosimetry GUI components

• Review Image evaluation options
• Identify Image alignment options

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 Portal Dosimetry Screen Layout
Title Bar
Assistant
Menu Bar
Tool Bar

Navigation
Panel

Image View Panels

Patient Alert & Image

Approval
Visibility
Configuration

Task Panel
Display Image
Mode Navigation

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Navigation Panel

• Course & Plan selection

dropdowns
• Field tab
• Session tab
• Hide/Show Navigation panel
Hide

Show

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Tools – Mask Patient

Show / Hide Task Panel

• Show / Hide
Task Panel
• Mask Patient

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Image View - Customization

• View Layout

• Visibility Configuration
• Display Mode

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Visibility Configurations

• Color wash • Graticule

• Isodose Lines • Field Outline

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Display Modes

• Predicted and Portal Dose Image

• Portal Dose only
• Predicted Dose only
• Dose Difference
• Gamma Evaluation

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Task Panel

• Divided into three tabs

• Evaluation
• Alignment
• Normalization

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Evaluation Options - ROI

• ROI settings None

• None – full image matrix User Defined
• User defined – within
rectangle
• Field + margin
• MLC CIAO + margin
• Threshold of max. fluence

Treshold fluence
MLC CIAO +
mrg.

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Evaluation Options

• Gamma Evaluation
• Area gamma < 1.0
• Maximum Gamma
• Average Gamma
• LCA Gamma > 1.0
• Area Gamma > gamma < ROI fraction
• Dose Difference
• Maximum Dose Diff.
• Average Dose Diff.
• Area Dose Diff. > diff. < ROI fraction

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Gamma Evaluation*
D
• Available in absolute and relative modes
• Quantitative evaluation of dose images r
• Factors both spatial and dose differences
DTA
γ
Dmax

dose
• User-defined pass/fail parameters
• Dose Difference (D)
2
• Distance-to-Agreement (DTA)
• Gamma index
• 0<<1 → within acceptance
Reference Image
• >1 → beyond acceptance 3
Evaluated Image

●<1 ●> position

1
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Improved Gamma Algorithm

• Original algorithm implementation searches for the best

gamma value only at integer pixel positions around the
given source pixel
• Results in gamma overestimation

2

impr.

0
1

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Gamma Evaluation Tests
• Area gamma < 1
• Maximum gamma
• Average gamma

• Largest Connected area of pixels with gamma value >1

• Area Gamma > X as % of evaluated area
• Area Gamma > Y % of evaluated area

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Histogram Cut-Off / Near Max. Dose
Histogram cut-off
• Image matrix processed first 25

• Pixel values sorted into dose bins 20

• Histogram Cut-Off value [%] 15 Reference dose

removes outliers
10
• Determines Reference dose for
• Global Gamma - ∆D [%] 5

• ROI Threshold [%] 0

100% 99% 98% 97% 96% 95% 94% 93% 92%

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Evaluation Options

• Point Dose • Profiles

Right-mouse-click
Right-mouse-click

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 Evaluation Options
• Leaf Motion Overlay • Show Field outline

Field Outline

RMC menu

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Evaluation Options

• Create Composite Image

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Evaluation Options

• Compare to

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Evaluation Options
• Set as Constancy Check Baseline
• Perform Constancy Check

Baseline Image constancy

check

RMC menu

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Evaluation Options

• Gamma/Dose difference
Height Field

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Alignment Options

• Auto alignment
• Manual alignment
• Alignment to
• Reference Dose
• Reference Image
• Copy correction to selected
fields
• Same gantry angle

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Normalization Options

• Absolute Mode • Relative Mode

• Max. of Predicted Dose
• Max of each dose
• Selected Dose in point
• Dose at Isocenter
• Minimize Difference
• Factor Modification

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Tools – Output Factors

• Easy acquisition of
Output Factor
measurements for
PDIP configuration.

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 Thank you for your interest
and attention

• Questions?

VARIAN
ONCOLOGY
SYSTEMS Physics Instructor EMEA
25 | VARIAN ONCOLOGY SYSTEMS
Disclaimer
Notice

• This information is an educational aid only and is intended solely as a

supplemental document. This 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
information 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.
• This information 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 may be reproduced, translated, or
transmitted without the express written permission of Varian Medical Systems,
Inc.

26 | VARIAN ONCOLOGY SYSTEMS