Professional Documents
Culture Documents
1093011R DailyQA3 RG S
1093011R DailyQA3 RG S
(EMP]5%Ʀ 6IJIVIRGI+YMHI
(EMP]5%%GGIPIVEXIH
1SHIPP
=SYV1SWX:EPYEFPI5% (SWMQIXV]8SSPW
Daily QA™ 3 Reference Guide
Page ii
Preface
Intended Use
The Daily QA 3 is intended to measure and analyze the daily radiation output characteristics of an
external treatment machine (linac or Cobalt-60) before the start of daily treatment in a radiation
oncology center, and not for calibration of said machines.
CAUTION: Federal law restricts this product to sale by or on the order of a qualified radiation
therapy professional, such as a medical dosimetrist, medical physicist or radiation
oncologist, for use in radiation oncology QA.
Description
Daily QA 3 captures the beam print of a radiation field by measuring radiation using ionization
chambers and diodes, arranged in a fixed pattern such that a reproducible setup will reveal
changes in beam characteristics. Trend analysis is performed with built-in database software.
Daily QA 3 software stores measurement results in a database that allows trend analysis of
measurements and report generation. The database can be centralized so that any network
computer running the Daily QA 3 client software can access the data.
Daily QA 3 software can also be used with PROFILER 2, TomoDose, and Daily QA Check 2. For a
list of software differences when using other devices, see Other Supported Devices on page 87.
Application
Every morning, the Daily QA 3 is positioned in a standard beam setup for measurement. The
parameters measured are: dose output, beam symmetry, beam flatness, beam energy, and light/
radiation field coincidence. These parameter measurements are compared to a reference value
using trend graph analysis in the Daily QA 3 software. If a measurement exceeds an action level,
an investigation of the cause will take place before treatment resumes for the day.
WARNING: Do not modify a patient’s treatment plan based only on the results from a
single QA device. Investigate the source of the error in the treatment delivery device
(TDD) or treatment planning system (TPS).
Sun Nuclear meets the requirements of FDA 21 CFR 820 and is certified to relevant country
regulations, including ISO 13485:2016. Sun Nuclear places the CE mark upon Class I medical
devices under its sole discretion. Sun Nuclear utilizes the involvement of a Notified Body when
placing the CE mark on medical devices requiring Notified Body involvement.
WARNING: To avoid the risk of electric shock, this equipment must only be connected
to a supply mains with protective earth (ground).
WARNING: Keep the electronics out of the direct beam. Exposing the Daily QA 3
electronics to direct radiation could void the warranty.
• Review the instructions in this guide before using the Daily QA 3 device.
• The device may only be used with the medically approved power supply that is shipped with
the device.
• Inspect the instrument periodically for damage. If errors or damage are suspected, contact
Sun Nuclear Corporation.
• To protect insulation, never pull on a cable to disconnect it. Always grasp the plug or
connector. Do not use any power cord or power supply that is damaged or has broken
insulation.
• Do not route cables under or through the treatment room door in a way that would present a
tripping hazard.
• The instrument is not intended to be used in an oxygen-rich environment.
MR Safety Information
WARNING: The Model 1093 Daily QA 3 is MR unsafe and must not be used in any
strong magnetic fields.
MR Unsafe
Do not use
this
equipment
in the MRI
scan room.
5 1
3
4 2
3
2 1
If using the rf-Daily QA 3, charge the battery overnight before initial use. The battery is fully
charged after about 3 hours. Before using the device, press the power switch to lock it in the ON
position.
Best practice is to keep power on 24 hours a day to maintain temperature equilibrium. If possible,
keep unit connected to charging supply at all times except when performing beam
measurements. For more information about caring for or troubleshooting the rf-Daily QA 3 battery,
see rf-Daily QA 3 Battery Care and Maintenance on page 86.
Power
Supply
Prior to software launch, connect cables. Use the instructions for the type of Daily QA 3 device
you are using, wireless or wired.
rf-Daily QA 3 Wireless Connection
If the base station is missing, if the batteries are discharged, or if the rf connection does not
appear to be working, plug the 25 m power/data cable from the control room directly into the
device as shown for the Daily QA 3 wired connection.
USB Cable
Power Power/Data
Supply Cable
Daily QA 3 software is the primary software for the Daily QA-3 and Daily QA-MR devices, but it can
also be used with PROFILER 2 and TomoDose. Daily QA 3 software version 3.0 and higher also
supports limited functions for Daily QA Check 2 devices. Version 3.0 and higher do not support
acquiring new measurements using a Daily QA Check 2 device, but Reports and Trends can still
be performed using DQA 2 measurements that were acquired with previous versions of Daily QA
software.
For instructions to use Daily QA 3 software with a Daily QA-MR device, see the Daily QA-MR
Reference Guide or the DQA-MR Help file.
For instructions to use Daily QA 3 software with a PROFILER 2, TomoDose, or Daily QA Check 2
device, see Other Supported Devices on page 87.
For Daily QA Check 2 measurement or firmware upgrade instructions, see the revision of the Daily
QA 3 Reference Guide that supports the version of Daily QA 3 software that you are using with
your Daily QA Check 2 device. The Sun Nuclear support website provides download links for
current and previous revisions of the Daily QA 3 Reference Guide.
Install SQL
Daily QA 3 software version 3.1 and higher requires SQL Express or SQL Standard version 2016
or higher. If SQL Standard is already in-use at your facility, you may install an instance of the Daily
QA 3 database on the existing SQL Standard platform.
Configuring the Daily QA 3 Database on SQL Standard
1 Assign a Named instance with the name DailyQA.
2 Ensure that the Startup Type for the SQL Server Browser is Automatic.
3 Ensure that the Database Engine Configuration is set to Mixed Mode (SQL Server
authentication and Windows authentication).
4 Proceed to Configure SQL on page 6.
Installing SQL Server Express
1 Download the SQL Express installer from:
https://www.microsoft.com/en-us/sql-server/sql-server-downloads.
2 Run the installer and select installation type Download Media.
3 Select a location for the download or accept the default location (C:\SQL2019). The Setup files
are extracted to the selected location.
4 In the SQL Server Installation Center dialog box, select New SQL Server stand-alone
installation or add features to an existing installation.
5 In the License terms window select I accept the license terms and then click Next.
6 If the Microsoft Update window appears, select Use Microsoft Update to check for updates
(recommended) checkbox and then click Next.
7 After the Install Rules check completes, click Next. A warning about Windows Firewall might
appear, this is normal as you will need to open ports for the database server later.
8 In the Feature Selection window all features should be selected and the default directory
should be displayed. Click Next to accept all features and the default directory.
9 In the Instance Configuration window select Named instance and type DailyQA. The instance
ID will automatically change to DailyQA. Click Next.
Note: If the Daily QA database and Daily QA 3 client software are installed on the same
computer (standalone install), it is not necessary to perform this procedure.
1 From the Windows menu open the SQL Server Configuration Manager. For SQL Express or
SQL Standard 2019, select Microsoft SQL Server 2019 -> SQL Server 2019 Configuration
Manager.
2 In the tree on the left side, expand SQL Server Network Configuration then select Protocols
for DAILYQA. In the details screen on the right, double click on TCP/IP.
3 In the TCP/IP Properties window change Enabled to Yes, then click OK and OK again in the
Warning window.
4 Click SQL Server Services in the tree on the left side.
5 Right click on SQL Server (DAILYQA) and select Restart from the popup menu.
6 Close the SQL Server Configuration Manager.
7 Proceed to Open Ports in Windows Firewall
Open Ports in Windows Firewall
Note: If the Daily QA database and Daily QA 3 client software are installed on the same
computer (standalone install), it is not necessary to perform this procedure.
1 Right-click the Windows start button, select Run, enter wf.msc in the Open box then click OK.
2 In the left pane, right-click on Inbound Rules and select New Rule… from the popup menu.
3 In the New Inbound Rule Wizard select Program for the Rule Type, then click Next.
4 On Program, select This program path and click the Browse… button.
5 Browse to the file sqlservr.exe in the folder C:\Program Files\Microsoft SQL
Server\MSSQL15.DAILYQA\MSSQL\Binn and then click Open. Click Next.
6 In the Action window select Allow the connection, then click Next.
7 In the Profile window make sure that Domain, Private and Public are selected, then click Next.
Daily QA software v3.1 requires .NET Framework software version 4.6.2 or higher. Perform the
following steps to install .NET Framework.
1 Open an internet browser and navigate to
https://dotnet.microsoft.com/download/dotnet-framework/net48?utm_source=getdotnetfra
mework&utm_medium=referral.
2 Select Download .NET Framework 4.8 Runtime.
3 Run the downloaded executable file. Follow the on-screen instructions to complete the
software installation.
Perform these instructions if you are upgrading Daily QA 3 software to version 3.1. Only data from
version 2.5.4 or later can be migrated to version 3.1. If your version of Daily QA software is prior
to version 2.5.4, please upgrade to version 2.5.4 first.
If this is a new software installation, see Daily QA 3 Software Installation on page 8.
Backup Firebird Database
1 Double-click the SNC DB Admin icon in the system tray. The ‘Daily QA 3 Database
Administration’ window opens.
2 Log in as ADMIN, using the password, photon, lowercase.
3 Click the Tools tab.
Prerequisites
• Verify that the computer meets the system requirements. See Recommended System
Requirements on page 65.
• Verify that SQL software and .NET software have been installed. See Install SQL on page 5
and Install .NET Framework on page 7.
• Ensure that the Windows user has administrative rights. The Daily QA 3 software installation
will fail if the user that is currently logged in does not have write access to
C:\Windows\System32.
Step 1. Download Files from Sun Nuclear Support Website
1 Download the Daily QA 3 v3.1.0 software and database administration utility installation files,
and device license from the Sun Nuclear Support website.
2 Open an internet browser and navigate to www.sunnuclear.com/support.
3 Enter the email address associated with your Sun Nuclear account, enter your password, and
then click Login.
a. Select Products & Devices and then select a Daily QA 3 by serial number.
b. Select Software (Current Version). As of the release date on page ii of this guide, the
database software version is 3.1.0.
c. Select Daily QA 3 Software and Database Bundle and then download the DQA 3 Database
Setup Version 3.1.0 and Daily QA3 Setup Version 3.1.0 files.
d. Click View Software License and then click Download License File.
Step 2. Install the Database Administration Utility
The database administration utility for Daily QA 3 software version 3.1.0 is based on the SQL
relational database engine. If SQL is not already installed, see Install SQL on page 5. For
instructions to use the Daily QA Database Administration utility, see Database Administration on
page 45.
1 Copy the DQA 3 Database Setup Version 3.1.0 file that you downloaded from the Sun Nuclear
Support website to the computer that the database administrator will use to configure and
manage the Daily QA 3 database.
2 Run the DQA 3 Database Setup Version 3.1.0 file.
3 If the User Account Control dialog box prompts you to allow the program to make changes to
the computer, click Yes.
4 Follow the on-screen instructions to complete the installation.
5 Open the Daily QA Database Administration utility. See Accessing the Daily QA Database
Administration Utility on page 45.
1 Double-click the Daily QA 3 desktop icon or go to Start > Programs > SNC Group
> Daily QA 3 > Daily QA 3 to launch Daily QA 3 software.
2 If this is the first time the software has run on this computer, the Program Preferences dialog
box opens and prompts for the database location. Enter the SQL Server Host and Instance
name and then click OK.
Host Name
• If the database is not on the
same computer as Daily QA 3
client software, enter the
computer name or network IP
address and the SQL Server
instance name.
3 The Login screen appears. Select the options appropriate for the login account that was up
in the Daily QA 3 Database Administration utility for the desired role (Physicist or Technician).
a. Select Windows Authentication (recommended) or SQL Authentication.
b. If you selected Windows Authentication, the login field is populated with the identify of
the user who is currently logged in to Windows. If you selected SQL Authentication, enter
the SQL user name.
c. If you selected SQL Authentication, enter the password for the selected user account.
d. Click Login.
Note: If the Daily QA 3 windows are not sized correctly, change the computer’s DPI
setting to ‘Normal Size (96 DPI)’. See Troubleshooting on page 63.
The Daily QA 3 Program Preferences allow you to customize default options, such as temperature
and pressure units, length of the startup background measurement, QA rooms to display on a
computer, and trend chart settings.
Click Setup > Program Preferences to set default options. For more details, see Program
Preferences on page 71.
The Calibration menu contains five items ordered in a logical sequence that should be followed
when using Daily QA 3 software.
• Calibrate Temperature and Pressure—See Calibrate Temperature and Pressure—Daily QA 3
on page 11.
• Calibrate Absolute Dose—See Calibrate Absolute Dose on page 12.
• Calibrate Array—See Calibrate Array on page 14.
• Calibration Management—This function enables import and deletion of qualifying array
calibration files and can be performed as needed. For details, see Calibration Management
on page 20.
• Export DQA 3 Calibration (for Argus)—This function is used to export an array calibration as
a text file for Argus. See Export Daily QA 3 Calibration (for Argus) on page 21.
Calibrate Temperature and Pressure—Daily QA 3
Air density corrections derived from temperature and pressure sensors in the Daily QA 3 device
have a direct influence on output measurements, thereby influencing the Dose Calibration Factor
of the central axis chamber (CAX). When the Daily QA 3 software is upgraded to version 2.5 or
higher, the temperature and pressure sensors for each Daily QA 3 device must be calibrated using
your temperature and pressure standards as a reference. These reference standards should be
the same as those used for dosimetry calibration, thereby enabling a future intercomparison to
your dosimetry standard. Any new or replacement Daily QA 3 devices must also be calibrated for
temperature and pressure prior to calibrating the absolute dose response.
Avoid periodic temperature or pressure calibration unless there is a defined need with evidence
of a difference between your temperature and pressure reference standards. Needless calibration
repeated over time will cause scatter in the absolute output trend chart.
When the device is connected and powered on, the temperature and pressure measured by the
device are shown in the status bar at the bottom of the window. The temperature and pressure
readings are used to calculate the Air Density Correction Factor (ADCF) that is part of the dose
calculation.
Without a user calibration, the displayed values’ accuracy traceability is derived from the nominal
transducer sensitivity as stated by the manufacturer. The calibration application in the Daily QA 3
software enables the user to calibrate the displayed values of temperature and pressure to the
accuracy of the user’s standards.
Note: The sensors are very stable. If reference standards are not available, adjust the
‘Actual’ values to the displayed ‘Device’ values and select Apply.
2 In the Calibrate Temperature and Pressure dialog box (Figure 2-4), enter the actual ambient
temperature, to tenths of a degree, obtained from a calibrated thermometer in treatment
room.
3 Enter the actual pressure, to tenths of a unit, obtained from a calibrated pressure gauge in
treatment room and then click Apply.
Note: The template dose correction provides the ability to keep the same baseline data.
See Baseline QA Template on page 29 for more information.
CAUTION: Annual dose calibration is recommended, but not required. Test your dose
calibration quarterly, or more frequently if the device is heavily used.
Note: Water equivalency from the top of the Daily QA 3 device to point of measurement
is ~0.84 cm. The physical distance from the top of the Daily QA 3 device to the point
of measurement is 0.74 cm.
2 From the menu, select Calibration > Calibrate Absolute Dose. In the Available Devices
panel on the left side of the dialog box, the highlighted serial number is the device connected.
The device image on the right shows the correct orientation for the measurement (Figure 2-5).
Note: The Calibrate Absolute Dose function is only performed for a single energy per
device. The resultant Dose Factor is automatically applied to all other energies for that
device.
8 After the beam turns off, enter the dose delivered and click Apply.
9 The Daily QA software performs the calculation, including air density correction, and displays
the Current Dose Factor value (Figure 2-5).
Nominal Dose Factor Values for a 6 MV beam will be approximately 0.05, with implied units
of cGy/Net CAX value. If the indicated Dose Factor value is not between 0.04 0.06, repeat
the calibration. If still not acceptable, but it is repeatable, verify the calibration setup with a
known standard. If still not acceptable, contact Sun Nuclear Support for instructions.
10 In the Measurement Notes text box on the bottom right of the screen, specify details such as
phantom, ion chamber, electrometer, laboratory calibration factors, for example. The
measurement notes provide important reference documentation for calibration stability.
11 Click Accept Dose Factor to return to the Daily QA 3 main screen.
Note: Annual array calibration is recommended but not required. Test array calibrations
annually or more frequently if the device is heavily used.
1 For photons, adjust collimator jaws to 25 x 25; for electrons, install 25 X 25 cm cone.
2 From the menu, select Calibration > Calibrate Array…” The Calibrate Array dialog box
displays the Daily QA 3 as it should be oriented for the first array calibration measurement
and prompts for the energy and beam type.
3 Click on the magnifying glass in the top right to zoom in and change perspective (Figure 2-7).
4 Enter energy and beam type (MV for photons, MeV for electrons) for the calibration and click
Begin. The Daily QA 3 image rotates to the initial position and the ‘Initial Setup’ dialog box
displays (Figure 2-8).
CAUTION: Never expose the electronics section of the device to direct beam. This can
damage the device and void the warranty.
Step A
6 For Step A, deliver 200 MU of radiation to device. Acquiring Beam flashes in the status bar on
the Daily QA 3 software.
7 When the beam turns off, the status indicates Waiting for Beam even though the
measurement is complete. Click Next. Instructions for Step B appear.
Note: An array calibration step can be repeated at any time before clicking Finish. Click
Back to return to a previous step and repeat the delivery. Click ReDo to repeat the
current step. Click Next to continue to the next step or skip a previously performed step.
Step C
11 Shift the Daily QA 3 on treatment table so cross hairs are centered over eTR detector. Blue
dotted lines aid in aligning cross hairs.
Step D
14 Shift Daily QA 3 on treatment table so that longitudinal cross hair is aligned with “CAL STEP”
line just to the right of CAX. Center transverse cross hair on L-R axis.
Step E
17 Shift Daily QA 3 on treatment table so that detector R2 is centered on cross hairs.
Note: Any completed and saved calibrations may be selected from a drop-down menu
in the Template setup dialog box. See Set Up the Scheme Tree, Physicist Role on
page 23.
Table 2-1. Example, 6 MV Array Calibration Factors, Non-RoHS and RoHS Detectors
PN 1093300 or 1093300: Non-RoHS Detectors, 6 MV PN 1093300Z or 1093300Z: RoHS Detectors, 6 MV
Chamber Value Diode Value Chamber Value Diode Value
CAX 1.1124 T1 0.4297 CAX 1.0555 T1 0.4433
T 1.0381 T2 0.4181 T 1.0500 T2 0.4476
R 1.0360 T3 0.4028 R 1.0550 T3 0.4921
B 1.0415 R1 0.4097 B 1.0492 R1 0.4478
L 1.0407 R2 0.3881 L 1.0256 R2 0.4573
X_TL 1.0209 R3 0.3731 X_TL 0.9841 R3 0.4677
X_TR 1.0250 B1 0.3948 X_TR 0.9804 B1 0.4642
X_BR 0.9983 B2 0.4060 X_BR 0.9942 B2 0.4446
X_BL 1.0000 B3 0.3948 X_BL 1.0000 B3 0.4498
E_TL 0.6153 L1 0.4131 E_TL 0.5760 L1 0.4524
E_TR 0.6862 L2 0.4014 E_TR 0.6016 L2 0.4776
E_BR 0.6204 L3 0.3859 E_BR 0.6341 L3 0.4406
E_BL 0.5786 E_BL 0.5429
3 In the ‘Calibration Management’ dialog box (Figure 2-15), scroll up or down the list to find the
device and serial number. Calibration numbers are shown beneath each model number and
serial number. Model and serial numbers without any files listed below have no calibration
files stored in the database.
4 To add a new file for Daily QA 3, perform an array calibration for the device.
5 To add a new file for PROFILER 2 or TomoDose, click the Import button on the ‘Calibration
Management’ dialog box. The ‘Import Array Calibration’ dialog box (Figure 2-16) opens.
Note: Daily QA 3 software v3.0 and higher allow import of version 7 array calibration
files from the current release of PROFILER Software (v3.4.3) and import of version 5
array calibration files from earlier releases of PROFILER software.
7 In the selection dialog box, navigate to the desired array calibration file and then click OK. The
file name and path appears in the ‘Import Array Calibration’ dialog box.
8 Enter a descriptive calibration name for easy identification.
9 Select the device type.
10 Click Import to save calibration file to the database and make it available for QA template use.
Note: Daily QA 3 contains an embedded “Factory Calibration” that may be used in most
beam measurements. The calibration was performed at 6 MV on a Varian 2100C.
Overview
Note: Screens in this section show Daily QA 3 only; other device screens have a slightly
different appearance.
The QA test plan is a Scheme Tree that contains all the test and schedule details. As viewed in QA
Mode, the Scheme Tree lists the sites, rooms, machines, and tests. It is linked to a calendar so
that recurring tests appear on the days scheduled. Once the device is connected and setup for
the test in the Scheme Tree, then as each test is completed, measurement data is stored in the
database and the software advances to the next test. Test results are reviewed in the Trend Mode.
QA Mode View
Switch between:
QA Mode—create and execute a test plan
Scheme Calendar Trend Mode—display trends over time in test plan data
tree
Room
Machine Device
Template Setup
name
Machine
Setup
Data Panel
Decision
Keys
Results
• Scheme tree—The Scheme Tree is an indented list of rooms, machines, and templates (tests)
scheduled for the selected date. Selecting any day on the calendar displays the scheme for
that day. Template tests are indented under each machine. To expand or collapse the list, click
the plus or minus boxes.
• Calendar—When the application is started, the calendar displays the current date. Select
another day or month using the single arrows, and double arrows for year. Scheduled tests
are color-coded: red = daily, blue =monthly, and green = annually.
• Setup—The panels describes the Machine and Device setup for the selected test.
• Results—The Results panel shows a summary of test results for the measurement
parameters, their baseline values, the difference, and the limit.
• Decision—After a test, decision buttons allow the operator to Record, Re-do, or Cancel a test
measurement, as described in Measurement Result Options on page 77.
• Data—The data panel shows the measurements of the ion chambers. After pressing Start,
the boxes show the accumulated dose for each detector.
Note: Daily QA 3 software uses a relational database for recording data and its related
site, machine, device, template, and user information. Once in the database, data
cannot be deleted. However, obsolete information on site, machine, device, template,
and user can be hidden from view when labeled Inactive. See Active and Inactive on
page 74.
Set up a Site
1 Open the Test Setup dialog box by clicking Setup > Scheme Tree… (Figure 2-18).
2 Click New, enter all relevant information for the site. The Setup Overview panel is empty until
the information is saved.
3 Click Save. The site appears on the Scheme Tree. Rooms can now be set up for the site. See
Add Room on page 23.
Site
Add Room
1 To add a room select Setup > Scheme Tree… from the menu.
The name appears in the list below the room box and also on the Scheme Tree. Rooms are
saved to the database when the +Add button is pressed.
2 Select the site in the Setup Overview list.
3 In the Institution Information panel on the right, enter a name for the room in the Room Name
text box. When entering text, +Add turns green.
Note: The Scheme Tree in the QA Mode does not contain the institution name. If there
are multiple institutions in the database, add an abbreviation of the institution in the
Room name in order to visually verify to the tester that the correct institution is selected.
Example: Room name is 2100C; Institution is Sun3. You might name the room
2100C_S3.
To edit the “Tree Label” in the Room Information, select the Room in the tree, then select Edit
in the box on the right.
Add Machine
This brief procedure automatically sets up test templates for machine QA measurements. Linac
machine types are selected from a drop-down list, along with a selection of available
measurement devices and the beam energies that will be tested. Following automatic template
definition, they can be customized to suit user needs.
1 To add a machine, select Setup > Scheme Tree… from the Daily QA 3 menu.
2 In the Setup Overview column, select the room to which the machine will be added. The
Room Information panel displays, with drop-down lists for Machine Type, Machine Model,
QA Device, and Device Calibration.
3 In the ‘Room Information’ panel, select the machine type and model from the drop-down lists.
This will cause all the available energies for that model machine to show in the box below.
If the manufacturer and model is not listed, type the name of the manufacturer and model
directly into the text boxes and enter the energies directly.
4 Using the drop-down list, select the serial number of the device that will be used for machine
QA. If no device has ever been connected, no devices will be available in the list.
Note about device serial number and array calibration: In reference to a new device in the
database, the database must have device information in order to be available in the
drop-down list. This is automatically read when the device is first connected to the Daily QA 3
software and then stored in the database. The device also carries an internal array calibration
(Factory) which is also saved in the database. If you have performed an array calibration on a
device, that calibration is saved in the database and made available in the drop-down list.
5 Select the array calibration file to use with the device. For Daily QA 3 devices manufactured
or serviced after June 2007, the factory calibration file may be used to obtain reasonable
results. Only one array calibration can be selected. Later, in the QA Mode, the test templates
selected in the next step may be edited to apply different array calibrations as needed.
6 Select energies to be tested. A test template is produced for each selected energy.
Note: For accurate determination of change in electron energy, templates for all
electron energies must be created prior to data collection. All electron energies do not
need to be scheduled in the calendar, but must have templates created.
Add Templates
1 In the ‘Scheme Tree Setup’ dialog box, select the machine to which the template will be
added.
2 In the Machine Information panel, enter the energy value in the Add Template to Machine
group box, and select the energy type. For example: 6 MeV, where 6 is the energy and MeV
is the energy type.
3 Select a QA device and calibration file from the drop-down lists, then click +Add to add it to
the Scheme Tree.
4 In the Setup Overview, select the added template. The Template Information panel opens;
click Edit to edit the Template Name and other information.
Delete Templates
Templates can only be deleted prior to use.
Templates that have measurement records in the database cannot be deleted; however, they can
be hidden by setting the status to inactive. See Active and Inactive on page 74.
1 To delete a template, select Setup > Scheme Tree… from the Daily QA 3 menu.
2 Right-click a template in the Scheme Tree and select Delete from the context menu.
3 When prompted to confirm deletion, click Yes.
Note: For a description of the fields in the test template, see Template Field Descriptions
on page 27.
3 To create a new test template, click New. To change the template configuration, click Edit.
4 Enter or select all relevant information for the measurement, including the calibration file. For
more information about template fields, see Template Field Descriptions on page 27.
Note: If a wedge is defined in the template settings, Failure and Warning levels for
X-Energy, flatness, field size and field shift analysis are not configurable.
Item Description
Template name The name of the template displayed in the template list and Scheme Tree.
Device Select device type, which populates Calibration drop-down field for that device type.
Calibration Select an array calibration file that is appropriate for beam type and energy from the
drop-down list. Selections vary depending upon selected device.
This cal file can be edited at a later date if the device array requires re-calibration.
For PROFILER 2 and TomoDose, existing calibration files must be imported. See
Create a QA Test Plan, Site, Room, Machine, Template on page 22.
Active In the top, left corner of the Template Information panel, select the check box to
enable measurement with this template. Clear the check box disable and hide this
template. See Active and Inactive on page 74.
Buildup cm Enter the thickness of buildup material if required.
The QA measurements should always use the same buildup in order to achieve
reproducible results. If desired, label buildup with a number and letter to identify
thickness and piece. For example, label a 1 cm sheet as 1a and enter 1a as a
thickness. No buildup should be used with electrons.
Excessive buildup coupled with high energy exposures may produce scattered
radiation that will damage the electronic circuits in the end of the device. This could
void the warranty.
Buildup type Select type of buildup material from the drop-down list: None, Acrylic, Polystyrene,
or Water (acrylic is also called PMMA, Perspex, Lucite, or Polymethyl Methacrylate).
If using a water-equivalent plastic, select water as the type.
B,C,T along Specify orientation of a line extending through bottom (B), center (C) and top (T) as
related to linac axes. Choices are Axial (BCT parallel to axis of gantry rotation) and
Transverse (BCT perpendicular to axis of gantry rotation).
If the device is mounted in the tray, then a collimator rotation will affect this
reference. The device program will use the specified axis to report results.
Therefore, saved limit results for symmetry will be a function of this parameter.
Figure 2-23. Template Information Dialog Box, Edit Mode
Baseline Options
Consider the following when selecting the baseline options for a template.
• Absolute mode evaluates results for axial symmetry, transverse symmetry, field size and field
shift against a field with perfect symmetry and size.
• Relative mode evaluates results against the measured baseline. If you are only interested in
deviations from the baseline, use relative mode.
Example:
During baseline measurement, if a beam has an axial symmetry of -0.6%, and a daily QA
measurement a week later has an axial symmetry of -0.5%, then in absolute mode, it will
show an axsym of -0.5%, but in relative mode it will show an axsym of +0.1%.
Baseline QA Template
Before using a QA test template, it must be baselined with a QA measurement. Normally, this will
be done after setting up all Scheme Tree templates. The baseline is established from the
measurement of an accepted set of beam parameters that result from the QA field measurement.
All trend parameters are compared with the baseline data set until a new baseline is established.
Each time the QA template is baselined, subsequent data is compared to the new baseline data,
while all previous data is compared to the previous baseline.
Note: Repeated baselines in a trend chart tend to compromise the purpose of trending.
The concept of Absolute Dose Calibration and Template Dose Correction provides the
ability to keep the same baseline data until the end of life of the linac or significant
change in the linac. Without linac changes, keeping the same baseline provides a
historical perspective of performance that is easy to review.
4 When the beam turns off, enter baseline dose and delivered dose.
The baseline dose corresponds to the value that will represent your desired output baseline.
For example, after an output measurement the Daily QA 3 software will subtract the baseline
dose from the output measurement to calculate the percent difference. Suppose your output
measurement is 102 and you entered 100 for your baseline dose; your percent difference for
that output measurement would be 2%.
Icons for
baselined
templates have a
green check
mark
Results
Enter baseline panel
dose and
delivered dose
The medical physicist sets up a test plan to ensure all linacs are operating within standard
parameters. The test plan is displayed as a ‘Scheme Tree’ that contains all the information about
machines to be tested as well as the testing schedule.
In daily use, a technician follows the test template setup guide. Following each beam delivery, the
software calculates QA parameters, displays them on screen, and stores results in the database
for future retrieval. As the technician continues testing other beams, the software automatically
steps through all the required tests in the Scheme Tree. For each measurement, the data is
automatically collected and stored in the database. If a test result exceeds a limit, the user is
notified and can re-test or save before continuing.
Following data collection, each test can be reviewed at any time using trend chart tabular data with
point selection, and printed reports from any computer on the network that has the Daily QA 3
client software installed (Figure 3-1).
2 Enter the number of seconds for the background reading. Minimum is 30 seconds.
3 Click Start to begin the background measurement. The Status box displays ‘Background %’
(Figure 3-2).
CAUTION: Ensure that the Background status on the toolbar displays “Yes” before acquiring
a measurement.
QA Measurement
Screen illustrations, orientation illustrations, and detector layouts in this section show Daily QA 3
only. When connected to other devices, screens have a slightly different appearance.
1 Select the template from the appropriate machine (linac icon) to begin testing.
a. Position device as described in Daily QA 3 software under Daily QA 3 Setup. Examples
of items to adjust: location (table or tray), SSD, detector axis, for example. (Figure 3-3).
Note: If leveling uncertainty over the 20 cm array at 100 cm SDD is greater than 2.5 mm,
more than 0.5% dose discrepancies may occur at array edge due to beam divergence
(1/r2 correction). This can be corrected by attaching the leveling feet to the device and
properly leveling before measurement.
b. Observe any special instructions displayed in Template Notes in the Daily QA 3 Setup
instructions. To see the details of the Daily QA 3 Setup, click the drop-down handle at the
top of the illustration.
c. Ensure the Background text box on toolbar displays Yes. If not, manually measure
background. See Manual Background on page 32.
2 For an rf-Daily QA 3, ensure:
• Power switch is ON.
CAUTION: Never place the base station in the direct beam. Direct radiation will damage the
base station and void the factory warranty.
3 Configure delivery parameters on treatment machine to match values under ‘Machine Setup’
on the right side of the screen below the illustration.
Click to show or
hide Daily QA 3
Setup information
Linac icon
Machine Setup
information
4 On the Daily QA 3 software toolbar, click Start and deliver the prescribed dose.
When the beam turns off, the results display in the ‘Results’ panel at the bottom of the screen.
Results are color-coded:
• Any value which exceeds the Fail limit defined in the template is highlighted in red.
• Any value that falls between the defined warning level and the failure level is highlighted
in yellow.
• If all values pass, the Results heading is highlighted in green.
• If there is no template within 4 MeV inclusive of the template being delivered, the
Information icon to the left of the e-Energy heading will be colored red. Click the icon for
detailed information about d-Energy measurements.
• Comments about the test may be entered by typing them directly into the ‘Measurement
Notes’ text box in the bottom right corner of the Results panel.
5 Review results. If a dose warning or failure occurs, one of the following will likely be the
cause:
• Setup error—Check setup, field size, MU set, beam type, for example and re-test.
• Linac drift—Check linac calibration with another dose measurement device.
Note: If the device is connected, and Daily QA 3 client software is left on for greater
than 1 hour between measurements, Sun Nuclear recommends that a manual
background reading be taken before collecting a measurement. An automatic
background reading is only taken when the software is launched. To take a manual
background reading, click the Background box on the toolbar, enter the number of
seconds for the background reading, and then click Start. When complete, click the
background box to close it.
6 To adjust the output value, if, for example you accidentally entered the incorrect dose when
baselining a QA template, click Template Dose Correction to apply a correction factor to the
measurement. The ‘Template Dose Correction’ dialog box opens. Enter the desired dose in
the Target Dose text box and click Apply.
The default Template Dose Correction is based on baseline results and is specific to the
template to which it is applied. When a Template Dose Correction is entered and applied, the
value is entered into the template record and multiplied by the CAX dose immediately. Hence
the CAX dose will now reflect the new Template Dose Correction factor. This value will be
used on all future measurements in the specific template until a new Template Dose
Correction factor is entered.
The table below lists expected ranges for template dose correction factors assuming
consistent setup conditions and MU delivery. These are presented as a guideline only; the
physicist must ensure the correction factor is appropriate.
7 Click Record, Re-Do, or Cancel for the measurement. See also Measurement Result Options
on page 77.
On occasion, it may be necessary to remove a device from daily measurements and replace it with
another device, or to share a device with another linac until service is complete. In order to
maintain trend continuity and not re-baseline, you can edit the device serial number in the test
template.
Switching a device is only allowed for the same device type, for example, Daily QA 3 for a different
Daily QA 3; PROFILER 2 for a different PROFILER 2. Switching a Daily QA 3 for a PROFILER 2, for
example, is not supported.
To change the serial number of the device without a new baseline for the template:
1 Connect the device to the computer running the Daily QA 3 application and launch the
application. If the device is new to the database, a ‘No Dose’ message box appears with
instructions to ‘Calibrate Absolute Dose.’
2 For best trend continuity, perform array calibration on the Daily QA 3 or import a calibration
file for PROFILER 2 or TomoDose. This is only required if an array calibration is not available.
See Calibrate Array on page 14.
3 Click Setup > Scheme Tree, select the template to edit and click Edit to open the ‘Template
Information’ panel.
4 In the Device drop-down list, select the serial number of the device to use.
5 In the Calibration drop-down box, select the array calibration data set for the new device
serial number.
6 Save the template. The template is now ready for measurements. Theoretically, the second
device’s data can be included in the original database because calibration makes the results
invariant to an device. For example, the array calibration makes the measured profiles
invariant to the device and the dose correction. A comment can be added to the
measurement ‘Notes’ field to record the change in the database and record when it occurred.
7 Perform a measurement on the edited template with the new device. Perform the steps in
QA Measurement on page 32, starting with Step 4, but Do Not Record yet.
8 Compare the Results column data with the Baseline column data. All the parameters should
be within limits except perhaps the Dose value. Review the trend chart for the template.
Zoom in to the most recent few measurements to see recent trend comparison.
If array calibrations are valid for the devices that are switched, the parameter charts should
be nearly contiguous (± 0.5% to ±1%) with the possible exception of the Dose chart which
will be corrected in the sub-steps below.
a. If no adjustment is needed, click Record. The test template is ready for use with the
substituted device.
b. If the Dose needs adjustment, select Template Dose Correction. The ‘Template Dose
Correction’ dialog box opens. Enter the new Target Dose in the text box and click Apply.
The Dose Results update on the Measurements panel.
c. Document the device exchange and the date in the Measurement Notes text box.
• To assure optimum measurement stability, the QA device should stay connected to power at
all times and stored in a location that is not exposed to primary beam during clinical
The trend graph displays results of a series of measurements for a given machine and template.
For a detailed description of the Trend view, see Trend View on page 78.
1 On the Daily QA 3 toolbar, click Trend and then select a machine and template from the
Scheme Tree.
2 Click any data point to select a measurement. A vertical graph cursor (Figure 4-1) appears
through the selected point on the graph and the parameter values for that data point appear
in the ‘Results’ panel below the graph.
• If multiple measurements are taken on the same day, use the arrow keys on the keyboard
to easily navigate to the next or previous measurement in the trend chart.
• To filter inactive items from the trend chart, select the array above the scheme tree and
then select the Filter Inactive Items checkbox. For information on marking items as active
or inactive, see Active and Inactive on page 74.
• Vertical lines in the trend chart provide a visual indicator of pending measurement
results: a red line indicates one or more of the parameters fall outside the established
warning limit. A yellow line indicates one or more of the parameters exceed the defined
warning level but none exceed the failure level. A green line indicates that the results
passed. A blue line indicates when a baseline measurement was taken.
• In the ‘Results’ panel, values that fall outside the established warning limit will be
highlighted in red. Values that fall between the defined warning level and the failure level
will be highlighted in yellow. Results that pass are not highlighted in the table of values,
although the Results title is highlighted in green.
Trend
button
Graph cursor—use
keyboard arrow
keys to navigate to
the next or previous
measurement
Data
point
value
Enlarged
area
3 Repeat the zoom as necessary to further resolve points. To restore to normal size, click and
drag cursor to upper or lower left.
Trend Options
By default, trend options are not displayed. To view, click the drop-down handle just above the
chart.
Show or hide
trend options
Display Parameters
For the selected test, specific parameters can be displayed. Changes are retained when the
software is closed, for the selected test only.
A change in the Show Limit parameter is not retained when the software is closed.
Date Range
The default date range is the last 60 calendar days, not measurement days. A change to All,
Selected calendar month, or Custom range is retained between templates. The range is not
retained when the software is closed.
Show Rejected or Unrecorded Options
Select or deselect check boxes o customize the data displayed. Settings are retained when
another template is selected, but are not retained when the software is closed. If both boxes are
unchecked, all measurements are shown.
• Show Rejected—display measurements that were reviewed and rejected by the physicist.
• Show Unrecorded—shows measurements canceled or rejected by the therapist. Program
Preferences must be configured to “Save Unrecorded Measurements” for this option. See
Program Preferences, General Tab on page 71.
Trend Mode
Select the Trend Mode to display:
• As Measured—default mode; trend data will be a representation of baseline data as it was
taken. The data can be a mix of relative and absolute measurements on the same template.
For example, if the user took measurements with a relative baseline and then switched the
template to absolute baseline, data that was taken in relative mode will still be displayed as
relative and data that was taken as absolute will display as absolute. The Accept / Reject
options is only available in this mode. The mode, Relative or Absolute, displays below the
Baseline heading in the Results panel.
• Absolute—All relevant data for the selected template will be displayed in absolute mode, that
is, with percent differences calculated versus the absolute baseline.
• Relative—All relevant data for the selected template will be displayed in relative mode, that
is, with percent differences calculated versus the relative baseline.
Select option
Printing Reports
Select
tests
3 To select individual templates, click the check box beside the template. To select all
templates for a machine, click the check box by the machine.
4 Select a date or date range by highlighting the date or dates in the calendars. The date range
is retained until the software is closed.
Tip: Use the arrow keys at the top of the calendars to scroll to another month and year. Click
the year and use the adjacent up and down buttons.
5 Select records to include in report: Active records, All records, or Inactive Only.
6 Click Print. Values shown in boxes are outside the limit set for the parameter. The report
opens in the Print Preview screen (Figure 4-9).
Select
calibration
Exporting Data
Selected raw data can be exported to a text (.txt) file and then opened using a spreadsheet
application such as Microsoft Excel to analyze the data.
Starting with Daily QA 3 software v3.1, the machine associated with the template must have a
valid ‘unencryption’ license. Templates that are not associated with a machine that has a valid
‘unencryption’ license will have a black icon next to them in the Export Data dialog box. For more
information about licensing, see Adding a Device License on page 49.
Dark icon
indicates
template not
associated
with machine Highlighted
that is rows are
licensed for selected for
unencrypted export
data
Linac icon
Selected
Orange icon template
indicates
template
associated
with machine
that is
licensed for
unencrypted
data
Figure 4-12. Export Data Dialog Box, with Data Selected for Export
2 In the ‘Export Data’ dialog box, select the template for export from the Select Templates list.
3 Select a Begin Date and End Date using calendars.
4 Click Get Data. The data appears in the table below the calendars.
5 Highlight the data to export by dragging the cursor down the list (Figure 4-12).
6 Click Save To File.
7 In the ‘Save As’ dialog box, enter a name and select a location for the file, then click OK.
Tip: To copy selected records to Windows clipboard, right-click on records and select Copy.
Copied records can then be pasted into a spreadsheet program or a text editing program.
8 Open the saved file in a spreadsheet or text editor (Figure 4-13).
Note: For additional information and field definitions, see Database Export Values on
page 110.
Daily QA 3 software has two components: a database and application software (client). Both
components can be installed on the same computer, or if desired, the database can be installed
on a separate computer or server within the same network. For instructions to connect to a
database, see Accessing the Daily QA Database Administration Utility.
Starting with Daily QA 3 software version 3.1, the Daily QA database is stored in an SQL database.
MSSQL Express or MSSQL Standard (version 2016 or higher) is required. Sun Nuclear
recommends installing Microsoft® SQL Server Express 2016 or higher using the instructions in
Install SQL on page 5. If the facility already has SQL Standard installed on the network, an instance
of SQL Standard can be used for the Daily QA 3 database. If the user has an Enterprise cluster of
SQL Servers, an instance can be created on the selected SQL Server within the cluster.
2 Select the server name, authentication type, user name, and password.
• Server name—Name of SQL Server and instance selected during installation of the Daily
QA database administration utility.The default server name is.\DailyQA.
• Authentication—Options are SQL Authentication or Windows Authentication.
• Login—If you selected Windows Authentication, the login field is populated with the
identify of the use who is currently logged in to Windows and a password is not required.
If you selected SQL Authentication, enter the SQL user name (typically ‘SA’).
Note: The SQL user should be an SQL database administrator. The user who was logged
in to SQL when installing SQL Express is a database administrator by default.
Note: Only data from Daily QA version 2.5.4 or later can be migrated to version 3.1.
1 Log in to the Daily QA Database Administration utility. See Accessing the Daily QA Database
Administration Utility on page 45.
2 In the Database tab, select the database where the Firebird data will be migrated. If you
prefer, you can create a new database for this purpose. See Creating a New Database on
page 53.
Note: Select a new, empty database and ensure that the database schema is up-to-date.
A database that contains data cannot be used to import Firebird data.
3 If the Firebird instance is on the local machine, select localhost as the Firebird Host Name.
Otherwise, select the IP address or machine name of the computer where the Firebird
instance is located.
4 Ensure that the Firebird Database is SNCData.
5 Click Migrate Data from Firebird.
6 The message ‘Migrate data from Firebird database ‘SNCdata’? appears. Click Yes.
7 The migration status is displayed in the Status and Progress % fields. When complete, the
message ‘Firebird database migrated.’ appears. Click OK.
Before using the Daily QA 3 software, users must be added to the Daily QA 3 database. By
defining a unique user name for each person using Daily QA 3 software, it is possible to identify
users who perform calibrations, measurements, review or accept data, for example. When a user
takes some action, the software records the user name in the database.
Users using SQL authentication are required to enter a password. User using Windows
authentication are not required to enter a password as the identity of the currently logged in
Windows user is used to log in.
Note: It is not necessary to add the user who is currently logged in to the Daily QA 3
Database Administration utility. As a prerequisite, the logged in user must be an SQL
database administrator and SQL database administrators already have full access to the
Daily QA 3 software as a Physicist.
Perform this procedure on the computer where the Daily QA 3 database software is installed.
1 Log in to the Daily QA Database Administration utility. See Accessing the Daily QA Database
Administration Utility on page 45.
2 Select the Users tab.
1 Log in to the Daily QA Database Administration utility. See Accessing the Daily QA Database
Administration Utility on page 45.
2 Select the Users tab.
3 Click Edit. The Add/Edit User dialog box is displayed.
1 Log in to the Daily QA Database Administration utility. See Accessing the Daily QA Database
Administration Utility on page 45.
2 Select the Devices tab.
.
4 Click Open Website to open a browser and view the Sun Nuclear Support website.
5 Log in to the Sun Nuclear Support website using the email address associated with your Sun
Nuclear account and the password.
6 On the left side of the page, select Products & Devices.
7 Select the Daily QA 3 product by serial number.
8 Click View Software License.
9 Click Download License File.
10 Save the license file to the location shown in the Download License dialog box.
If the Program Data folder is not visible, click the View tab on File Explorer’s ribbon and click
the Hidden items checkbox in the Show/hide section.
11 Close the Download License dialog box.
3 In the Backup Database dialog box, ensure that the database backup location is correct.
• If the Daily QA Database Administration utility is located on the same computer as the
SQL database, the Backup To path will be a path on the local hard drive. Otherwise, the
Backup To path will be a path on the computer where the SQL database resides.
• To select a different path for the database backup files, click Browse then navigate to the
desired location.
4 Click the right side of the Backup To path and type a name for this database backup. In the
example below, the name of the backup file is Test999.bak.
5 Click Start Backup and then click Yes to confirm the backup. The message ‘Database backup
complete’ appears and the Status field displays ‘Finished’.
6 Click Cancel to close the Backup Database dialog box.
7 If the message “The backup configuration has changed. Would you like to save it now?”,
appears, click Yes.
Automatic Backup
Daily QA 3 performs the following types of automatic backup.
• Daily backup—Occurs daily, Monday through Saturday, at the selected time. The daily backup
is overwritten after one week. For example, the daily backup on Monday is overwritten with
the daily backup that occurs on the following Monday.
• Weekly backup—Occurs every Sunday. The weekly backup is overwritten after one month.
For example, a weekly backup on the first Sunday of the month is overwritten with the weekly
backup that occurs on the first Sunday of the next month.
• Monthly backup—Occurs on the first day of each month. The monthly backup is overwritten
after one year. For example, a monthly backup that occurs on January 1, 2020 is overwritten
with the monthly backup that occurs on January 1, 2021.
Backup
Task
options
Database
options
1 Log in to the Daily QA Database Administration utility. See Accessing the Daily QA Database
Administration Utility on page 45.
2 In the Database tab, select Restore. The Restore Database dialog box opens.
.
3 Click Browse and then select the database backup that you want to restore.
4 Click Start Restore.
5 When prompted to confirm that you want to restore the current database from the backup,
click Yes.
If you recently upgraded Daily QA 3 software, the database schema may have changed. If so, a
message displays when you log in to Daily QA 3 software or when you log in to the Daily QA
Database Administration utility.
1 Log in to the Daily QA Database Administration utility. See Accessing the Daily QA Database
Administration Utility on page 45.
2 If the schema for the database selected in the Daily QA Database Administration dialog box
is out of date, the following warning appears.
3 Click OK to return to the DailyQA Database Administration dialog box and then click Update
Database Schema.
4 The message ‘Update schema in database ‘<selected database>’ appears. Click Yes to
continue the upgrade or click No or Cancel to exit.
The Status and Progress % fields show the status of the database schema update.
1 Log in to the Daily QA Database Administration utility. See Accessing the Daily QA Database
Administration Utility on page 45.
2 In the Database tab, click the down arrow next to Database and then select New Database.
4 Enter the name of the new database and then click OK.
Tab Description
Server name The server that hosts the Daily QA 3 database. The default is .\DailyQA.
Database Select the Daily QA database. This list shows all databases within the selected SQL Express
or SQL Standard installation.
Logon Log in to the selected database
Schema version Schema version of selected database. See Updating the Database Schema on page 53.
Restore Restore a database from backup. The default location is C:\ProgramData\Sun
Nuclear\SNCDosimetry. See Restoring the Database from a Backup on page 52.
Create Create a new, empty database. See Creating a New Database on page 53.
Database
button
Update Update the schema of the selected database. See Updating the Database Schema on
Database page 53.
Schema button
Migrate Data: Host name for Firebird database. If the Firebird database is installed on the same computer
Firebird Host as the DailyQA Database Administration utility, enter localhost. Otherwise, enter the IP
Name address or the name of the computer that hosts the Firebird database.
Migrate Data: Name of the Firebird database. See Migrating Data From Firebird to SQL on page 46.
Firebird
Database
Migrate Data Click to migrate data from the designated Firebird database to the selected new, empty SQL
from Firebird database. See Migrating Data From Firebird to SQL on page 46.
button
Status Status of the create database, update database schema, or restore database process.
Progress % Progress of the create database, update database schema, or restore database process.
Stop button Stop the create database, update database schema, or restore database process.
Backup Opens a window to select the name of the backup database and the location where it will
be saved. See Backing Up the Database on page 50.
Figure 5-17. Daily QA 3 Database Configuration Dialog Box
Devices Tab
A valid license is required for each device used with Daily QA software. The license is required to
acquire measurements using a connected device. The Devices tab lists all devices that have ever
been connected to the Daily QA database and show the status of each device license. ‘Valid’
indicates a current, valid license. Unlicensed devices cannot be used to collect measurements or
perform array calibration.
Tab Description
ID License identification.
Model Model of connected device.
Serial Serial number of connected device.
License Status of device license.
Expire License expiration date.
Version The minimum software version associated with the device license.
Unencrypted The date when the Unencrypted Data license expires.
Data
Figure 5-18. Example of Devices Tab
Database Services
The Daily QA database instance runs three services: SQL Server (Daily QA), SQL Server Agent
(Daily QA), and SQL Server CEIP Service (Daily QA). To verify that these services are running,
open the ‘Services’ window. Depending on the setup of the computer, this window may be
displayed by clicking Windows Start > All Programs > Administrative Tools > Services or
Note: For solutions to some common database connection problems, see Database
Connection Troubleshooting on page 64.
CAUTION: This device contains optichromic radiation dosimeters in the electronics area. To
maintain warranty, direct irradiation of the electronics must be avoided. The dosimeters will
be read if this device is returned for service. An indication of direct irradiation to the
electronics will VOID the warranty.
The standard maintenance period for Daily QA 3 software is one year from date of purchase. The
maintenance covers standard fixes as well as software upgrades available during the maintenance
period. At the end of the standard maintenance period, an Extended Maintenance may be
purchased. Contact a sales representative for additional details.
The latest software version can be downloaded from the Sun Nuclear Support website. Check the
website for upgrades that become available to add features, improve operation, or correct issues.
Upgrading to the Latest Software
The latest software can be downloaded from the Sun Nuclear Support website. For instructions
to access the support website, see Support Website on page 64.
If upgrading an existing Daily QA 3 installation, this procedure will upgrade the database and the
client software. Perform this procedure on the computer where the database is installed as well
as all computers where the Daily QA 3 client software is installed.
1 Back up the database prior to upgrading.
2 Download latest version of Daily QA 3 client software from Downloads page on Sun Nuclear
Support web page. See Support Website on page 64.
3 When prompted to run or save the file, select Save. Make a note of the file name and location
to which you saved the file.
4 When download is complete, navigate to location of saved file and double-click the .exe file
to proceed.
5 Follow onscreen instructions to complete the upgrade.
Removing the Software
Data tables are not removed when the Daily QA Database Administration application is removed.
If needed, database tables can be removed manually using Microsoft SQL Server Management
Studio.
If a newer version of the Daily QA database requires a newer schema, the Daily QA Database
Administration program can be used to update the schema. See Updating the Database Schema
on page 53.
Remove the Daily QA Database Administration tool using these instructions. Note that the steps
may vary depending upon the Windows Operating System used.
1 Select Start > Control Panel and then select Programs and Features.
2 In the list of installed programs, right-click Daily QA 3 Database and select
Uninstall/Change.
3 Follow the onscreen instructions to uninstall the database.
Firmware files are installed in the Daily QA 3 program directory (C:\SNC\DailyQA3\Firmware) when
the software is installed. If the Daily QA 3 software detects a Daily QA 3 device, it checks the
device firmware against the firmware files installed in the program directory. If the device firmware
is older, you will be prompted to update the firmware.
Firmware upgrades can also be downloaded from the Sun Nuclear Support web site. For
instructions, see Support Website on page 64.
1 Verify that the firmware version to be installed is more recent than the firmware installed in
the device. See Verifying Software Version on page 60.
2 Connect device to be upgraded to a client computer on which the Daily QA 3 software is
installed.
3 In the Daily QA 3 software, select Setup > Program Preferences and then click the Devices
tab.
4 Click Update Firmware. The firmware installer opens. Instructions on the screen are specific
to the connected device, for example, Daily QA 3 or TomoDose.
CAUTION: Failure to follow the instructions exactly can result in an unusable device.
Multiple Installations
Troubleshooting
Daily QA 3 Troubleshooting
User cannot log in to database Incorrect password. Delete user and add another user
with same user name and correct
password. See Adding a Database
User on page 46.
User name not set up in database. Add user to database. See Adding
a Database User on page 46.
User does not have permission to Request that the server’s System
write data to server. Administrator add permissions in
Windows to allow users to read
and write to database.
No password required for user No password set up. Add a password to user. See
Adding a Database User on
page 46.
Cannot edit Daily QA templates User logged in as a technician. Change user role to a physicist.
Only physicists are permitted to
change templates. See Editing a
Database User on page 48.
Support Website
1 Open an internet browser and navigate to www.sunnuclear.com/support.
2 Enter your email address and password and then click Login.
• To download product information, click Products and Devices, select the product, and
then select the download type.
• To open a Support request, click Open New Case, complete the form, and then click
Create Case.
Warranty
To access the product warranty, select the Sun Nuclear Product Warranty link on the Sun Nuclear
Support website.
Daily QA 3 Specifications
rf-Daily QA 3 Specifications
The Daily QA 3 client software interface is designed to be as intuitive as possible. The Windows
interface contains the usual elements such as a menu bar, toolbar, and a central viewing area.
Parts of the Screen
When launched, the Daily QA 3 client software opens in the main view (Figure 8-1). The main view
shows all the important information in a single screen.
6
1
2
4
8
Select the room or rooms to be shown on this PC. This setting is used to show only the room that
is applicable to the control room computer.
Toolbar
The toolbar provides buttons for direct control of data acquisition and display, as well as other
indicators and controls (Figure 8-7).
1 2 3 4 5 6 7
Views
The Daily QA 3 client software provides two main views: QA and Trend.
• QA view shows the tests to be performed, the dates that they are scheduled, the machine to
be tested, the device setup, and the test results.
• The Trend view displays a graph of all measurements in the database for the test selected on
the Scheme Tree, which gives a visual indication of how a specific test is trending over time.
To change views, click the buttons in the toolbar.
Show/hide the
machine setup
details
Scheme Tree
The Scheme Tree is an indented list of rooms, machines, and templates (tests) scheduled for the
selected date. Select a day on the calendar to display the tests for that day. Templates are indented
under each machine. Items that appear in the Scheme Tree are set up using the Scheme Tree
Setup forms. To set up or change the tree, log in as a physicist, then select Setup > Scheme Tree
from the menu.
Tests can be set up on a daily, weekly, monthly, or annual basis. However, tests scheduled for a
given day are only visible when that day is selected on the calendar.
The Scheme Tree can be altered to only show tests for a single room by configuring Program
Preferences (Setup > Program Preferences > Scheme Tree tab). See Program Preferences on
page 71.
About Auto-Advance
When running tests in the QA view, the program automatically advances to the next exposure
when the previous exposure is recorded.
• After selecting a machine on the Scheme Tree, click Start to fully expand the tree below the
selected machine and move to the first template. As the results of a test are recorded, the
program automatically places a green check next to completed test and advances to the next
scheduled test.
• The process stops when the data for the last template for the machine is recorded or when
Stop is clicked.
Note: If the process is manually stopped before data acquisition for a template is
automatically completed, the Results pane at the bottom of the screen displays the
results. The Record, Re-Do, and Cancel buttons are activated. Click Record to save the
results and continue to the next template, Cancel to discard the results, or Re-Do to
restart the measurement.
• After selecting a single template on the Scheme Tree, click Start to begin testing at that
template. When the test is completed and recorded, the program automatically places a
green check next to completed tests and advances to the next scheduled test. To make only
a single exposure, press Stop. Then another template can be selected for exposure. This
allows templates to be individually tested, skipped, or repeated.
Calendar
The calendar displays tests scheduled for a selected date. When the Daily QA 3 client application
opens, the current date is selected but another date can be selected. To scroll by month, click the
single arrows at the top of the calendar. Use the double arrows to scroll by year. Scheduled tests
are color-coded: red = daily, blue =monthly, and green = annual.
Setup
The setup panel describes how to set up the selected test and displays a graphic of the connected
device. Setup information is entered in the measurement template when the test is created. Setup
conditions for the test must match the QA calibration exposure in order to have comparable test
results.
Graphic of
connected
device
Machine Setup
To display additional setup details, click the down arrow at the top center of the graphic. The
additional setup details include:
• Template Notes—additional instructions to the therapist created when the template was
calibrated.
• Location—location of the measuring device
• Detector Axis—orientation of the detector axis
• Orientation of T toward—orientation of the top (T) of the device with respect to the linac’s
gun and target.
• Surface at—distance from the source to the surface of the device (SSD)
• Buildup—the thickness and type of buildup material added to the device.
• Array Calibration—the array calibration file used for this measurement.
The SSD and buildup used for the measurement are always displayed at the upper left of the
graphic so the therapist can see them even if the additional setup details are hidden.
Machine Setup
The Machine Setup displays the following information
• Beam Type—type of beam, photon or electron.
• Energy—energy of beam, MV for photons; MeV for electrons.
• Collimator X and Y—settings of collimator jaws to produce a field at isocenter.
• Wedge—type of wedge, if a wedge measurement.
• Degrees—wedge angle, if used.
• Rate—rate of exposure delivery in monitor units/minute
• Dose—total dose to be administered
• Gantry angle—angle of gantry if gantry is rotated
• Collimator Angle—angle of the linac’s collimator
• Results—displays the results of the last measurement, QA template calibration, or the results
of a selected test in the trend graph.
• Baseline, Relative/Absolute—depending upon the baseline mode selected for the template,
shows the relative or absolute results obtained with the initial baseline measurement, QA
template calibration, made for this test on this machine.
• Diff—shows the difference between the current results and the baseline.
• Warn—displays the warning threshold defined for the template.
• Fail—displays the maximum difference defined for the template.
• Temperature and Pressure—shows the comparison between the measured results and the
baseline, QA template calibration, measurement.
• Measurement Notes—used to enter notes specific to this measurement.
• Record or Record FAIL—If data is acceptable, click Record to save results to the database.
When Record is selected, the software automatically initiates the next measurement in the
Scheme Tree.
• Re-Do—If data is not acceptable and it is necessary to start again, click Re-Do. Data may be
saved to the database, depending on the configuration in Program Preferences.
If the Save Unrecorded Measurements checkbox in Program Preferences is selected, all
measurements are saved to the database, even re-do and canceled. If the checkbox is
cleared, only recorded measurements are saved. The physicist can view the measurements
that were re-done or canceled by selecting Show Unrecorded in the Trend view options, and
choose to either accept or reject each measurement.
• Print—Prints a copy of measurement details.
• Cancel—Cancels a measurement.
• Template Dose Correction—Opens the ‘User Correction Factor’ dialog box. This dialog box
can be used to apply a correction factor to a measurement. For more information about
Template Dose Correction, see QA Measurement on page 32.
• To see the values for the energy detectors and the light-field detectors on Daily QA 3, hover
the mouse pointer over the detector. A pop-up will display the values for each detector.
• The data panel is not active during calibration. Values are only visible during regular
measurements or when measurement is selected in Trend view.
• During a measurement the detectors show the current accumulated dose.
• After clicking Start but before turning on the beam, the boxes show background.
Trend View
The Trend view displays a summary of data that was collected for a selected template. It can also
display all of the measurements made for that template since the template was created. To access
the Trend view from the main QA view, click the Trend button on the toolbar.
Drop down (filter
inactive items) Template List Trend Graph Trend button Graph
Controls
Drop
down
Selected
Point
Symbols
Failure
limit
line
Graph Controls
Controls above the graph affect the appearance of the data in the graph. If graph controls are not
visible, click the arrow at the top, center of the graph; click again to roll them up.
• Display Parameters—selects the parameters to display in the graph.
• Date Range—selects date range of measurements to display.
• Show Rejected—shows measurements rejected by the therapist (re-do) or physicist
(pending).
• Show Unrecorded—shows measurements that were not recorded (canceled). For this
option, Program Preferences must be configured to ‘Save Unrecorded Measurements’. See
Program Preferences, General Tab on page 71.
Symbols
The symbols displayed in the Results panel match the symbols in the graph.
Limit Lines
Red horizontal lines show upper and lower limits of each parameter. The physicist can adjust these
limits.
Light-field Coincidence
Light-field coincidence is a measure of how closely the beam and the light field match. The light
is aligned with the 20 x 20 cm box on the Daily QA 3 when setting up. During exposure, the
Review Results
Click a point on the graph to display:
• Results for selected test. Measurements that are outside the limits are highlighted in red.
• Date measurement was made.
• Login name of the user who collected the data.
• Login name of the physicist who reviewed and accepted or rejected the measurement.
• Physicist review buttons—the physicist can accept the selected measurement, accept all
pending measurements, reject the selected measurement, print a report of the current
measurement, or add additional notes to a measurement. When a test is accepted, a date
and time stamp is saved with the test results and will appear in reports for the test.
See also Results on page 77.
Data Panel
During irradiation, the data panel shows the real-time accumulated dose for the primary detectors.
The data panel appears in both QA view and Trend view.
Review and Accept
The technician and the physicist can review and accept measurements independently.
• Record—If the data is acceptable, click Record to save the results in the database. A check
mark appears next to the template description and the software automatically initiates the
next measurement.
• Re-Do—If the data is not acceptable and it is necessary to restart the measurement, click
Re-Do. The measurement data may be saved to the database, depending on the program
preferences. See Show Measurements Rejected by Technician on page 81 for more
information.
• Print—Prints a copy of the measurement details.
• Cancel—Cancels the measurement. The auto advance function stops. Any measurements
saved with Record prior to pressing Stop will be saved. Re-entry into auto QA measurement
with Start will start at the beginning. It is possible to manually select where measurements
will begin. See About Auto-Advance on page 75.
The physicist can then leave measurements as rejected or accept them. Optionally, comments
can be added in the ‘Additional Comments’ box.
To change from Reject to Accept, highlight the measurement, then click Accept.
KEEP DIRECT BEAM ABOVE THIS LINE. EXPOSURE MAY VOID WARRANTY.
The Daily QA 3 device contains optichromic radiation dosimeters in the electronics area. Direct irradiation to
electronics must be avoided. If a device is returned for service, any indication of direct irradiation to the electronics
voids warranty.
CAUTION: Keep the electronics (raised area) out of the direct beam. Allowing direct beam
to fall outside of the detector area can damage the device and could void the warranty!
PWR/DATA LEDs A, B, C, D
Connector
The last item, 'Device Faults', shows the pattern if the firmware detects a fault in the device. If a
'Device Fault' is indicated, contact Sun Nuclear Corporation Support. See Contacting Sun Nuclear
Support on page 64. A device fault may be caused by:
1 Pressure reading beyond warning limits: <70 kPA or >115 kPA
2 High voltage reading beyond limits: < -400 V or > -300 V
3 ADC rails, upper or lower limits were hit.
If the measurement circuit, including ADC, is intact and LED B comes on after the device is
powered up, the cause could be either item 1 or 2. If LED B is lit after starting a measurement,
item 3 is the likely cause.
1 2 3 4 5 6 7 8 9 10
12 11
No Description Function
1 RECEIVE Green LED flashes when rf unit is receiving.
2 TRANSMIT Green LED flashes when rf unit is transmitting.
3 CHARGE STATUS Ready—Green LED is lit when all battery charging parameters are within
limits.
4 CHARGE STATUS Charge—Yellow LED is lit when batteries are charging.
5 CHARGE STATUS Fault—Red LED is lit when a charging fault is detected.
6 LOW BAT Red LED turns on when approximately one hour of battery power remains.
The four battery LEDs on the end panel can be used to diagnose battery charging issues. The
LEDs are controlled by an intelligent charger.
• When charging cord is connected, the green charge status, ‘Ready’ LED, will turn on followed
by the yellow ‘Charge’ LED. The red ‘Fault’ LED should remain off.
• If the red ‘LOW BAT’ LED turns on briefly at the beginning of a charge cycle, disregard it. The
LED should turn off in a few minutes as the batteries charge.
• At termination of a full charge, only the green ‘Ready’ LED should be on. The unit may remain
in this state indefinitely; no need to turn anything off or disconnect anything.
• If the red ‘Fault’ LED turns on and the green ‘Ready’ LED remains on, some of the charging
parameters are not within preferred limits. Do not take any action. The charger will attempt
to resolve the issue.
• If the red ‘Fault’ LED turns on and the green ‘Ready’ LED turns off, the unit has encountered
an unrecoverable fault and charging has been terminated. If this occurs, disconnect cord,
wait 15 minutes, and replace charging cord. If the failure occurs again, disconnect cord, place
‘BAT PWR’ switch in off position and contact Sun Nuclear. See Contacting Sun Nuclear
Support on page 64.
A base station is included with each rf-Daily QA 3. The following table describes connectors and
indicators on the base station end panels.
1 2
3
1 4 5
No Description Function
1 TRANSMIT Green LED flashes when base station is transmitting.
2 RECEIVE Green LED flashes when base station is receiving.
3 Power/Data connector Power/Data connector connects to PDI via power/data cable.
4 PWR Green LED is ON when power is connected to base station via PDI and
power/data cable.
5 +18 VDC Output power jack supplies rf battery charging power via charging cable.
Figure 9-4. Wireless Base StationWireless Base Station End Panel Indicators and Connectors
The rf-Daily QA 3, P/N 1093000-1(Z), contains a rechargeable NiMHi battery pack that powers the
device when it is disconnected from AC power. The battery pack slowly self-discharges when not
connected to AC power, even when the battery power switch is set to OFF. If the rf-Daily QA 3 is
not recharged for an extended period of time (2-3 months), the battery pack may discharge to a
level that will not allow recharging. If this occurs, engage the manual charge switch. See rf-Daily
QA 3 Connector Panel on page 84.
If the LOW BAT LED lights, rf-Daily QA 3 has approximately one hour of battery power remaining.
When battery power is critically low, the rf-Daily QA 3 turns OFF automatically. If this occurs,
recharge batteries as soon as possible to ensure the charger will continue working properly. For
Instructions to charge the battery, see Charge rf-Daily QA 3 Battery on page 2.
Follow these guidelines for charging the rf-Daily QA 3 battery:
• Charge battery overnight before using for the first time.
• If used more than one hour per day, charge the battery each night.
• If used less than one hour per day, recharge when the LOW BAT LED is lit.
• The power supply for the rf-Daily QA 3 can remain connected to AC power continuously.
Turn the device on before use and off after use each day to conserve the charge.
CAUTION: To ensure the battery pack does not discharge excessively, we recommend fully
charging the rf-Daily QA 3 at least once per week, and if possible, to leave the device
connected to AC power while in storage so that it maintains a full charge.
For troubleshooting tips using the battery status indicators on the rf-Daily QA 3 end panel, see
rf-Daily QA 3 Connector Panel on page 84.
The PDI routes power to the device and translates communications between the device and a
personal computer. An external power converter automatically adapts to any power source within
the range of 100-240 VAC, 1 phase, 47-63 Hz.
The Isocentric Mounting Fixture (IMF™) is an accessory for Daily QA 3, MapCHECK, MapCHECK
2, PROFILER 2 and SRS PROFILER, when used with adapter plate. For part numbers, see Gantry
Mount Accessory on page 2.
The IMF attaches an device to the gantry tray at isocenter, 100 cm SDD (source-to-detector
distance), and allows gantry rotation while acquiring measurements. See the IMF™—GMF™ User
Guide, P/N 1122014, for specifications and installation instructions. The user guide ships with the
gantry mount accessory and is also available on the Sun Nuclear Support page. For instructions to
access the Support web page, see Support Website on page 64.
Daily QA 3 software is the primary software for Daily QA 3 and Daily QA-MR devices, but it can
also be used with PROFILER 2 and TomoDose. Limited functions are also available for Daily QA
Check 2 devices, as described in Daily QA Check 2 on page 91.
For Daily QA-MR instructions, see the Daily QA-MR Reference Guide or the Daily QA-MR Help file.
PROFILER 2
Daily QA 3 is a secondary application for use with PROFILER 2. The user can run the PROFILER 2
application to collect profile data or the Daily QA 3 application to collect QA measurements.
When connected to PROFILER 2, Daily QA 3 shows a graphic of PROFILER 2 as well as the
specific PROFILER 2 detectors used for QA.
PROFILER 2
graphic
Note: Connect the PROFILER 2 before launching the Daily QA 3 software so that the
PROFILER 2 is registered in the Daily QA 3 database.
5 Click Select File, navigate to the array calibration file to be used, and then click OK.
6 Enter a calibration name. This name will be displayed in the software.
7 Select device type, either PROFILER 2 or TomoDose, and click Import to store the calibration
file.
Test Plan
See Create a QA Test Plan, Site, Room, Machine, Template on page 22.
Measuring
See QA Measurement on page 31.
Results
See Trending and Reporting on page 37. All Results items are calculated except for the following:
• e-Energy—there are no e-Energy detectors in PROFILER 2.
• X-Energy—PROFILER 2 does not measure photon energy via flatness.
TomoDose
Daily QA 3 is a secondary application for use with TomoDose. The TomoDose application can be
used to collect profile data or the Daily QA 3 application can be used to collect daily QA
measurements.
When connected to TomoDose, Daily QA 3 software shows a graphic of TomoDose as well as the
specific TomoDose detectors used for QA.
TomoDose
graphic
TomoDose
detectors Some parameters
not supported
Figure 10-4. TomoDose Operating with Daily QA 3 Software
Note: Connect the TomoDose device before launching the Daily QA 3 software so that
TomoDose can be registered in the database.
Import an array
calibration
4 If the calibration file is already listed, click Close and set up the test plan. See Create a QA
Test Plan, Site, Room, Machine, Template on page 22.
5 To import a file, click Import. The ‘Import Array Calibration’ dialog box opens.
6 Click Select File, navigate to the array calibration file to be used, and then click OK.
7 Enter a descriptive name for the calibration.
8 Select the device type.
9 Click Import to store the calibration file in the database.
Using TomoDose
Test Plan
See Create a QA Test Plan, Site, Room, Machine, Template on page 22.
Measuring
See QA Measurement on page 31.
Results
See Trending and Reporting on page 37. All Results items are calculated except e-Energy, which
is blank because there are no e-Energy detectors on TomoDose.
Daily QA 3 software version 3.0 does not support the acquisition of new measurements using a
Daily QA Check 2 device. Reports and Trends can still be performed with measurements acquired
with previous versions of Daily QA 2 or Daily QA 3 software.
For Daily QA Check 2 measurement or firmware upgrade instructions, see the revision of the Daily
QA 3 Reference Guide that supports the version of Daily QA 3 software that you are using with
your Daily QA Check 2 device. Current and previous revisions of the Daily QA 3 Reference Guide
are available on the Sun Nuclear Support website.
Using Daily QA Check 2
See Trending and Reporting on page 37. All Results items are calculated except the field sizes and
shift, which are blank because there are no penumbra detectors in Daily QA Check 2.
Overview
Array calibration refers to the establishment of the relative sensitivity of the ion chambers and
diodes in the device. This is required before defining measurement templates. For the array
calibration procedure, see Calibrate Array on page 14.
The patented array calibration procedure uses a wide radiation field for measurement and takes
only a few minutes to complete. The same array calibration can be used for several different
energies if the relative detector sensitivity does not vary much for the given energies. However,
for best results, all beam energies should be calibrated, particularly for lower energy electron
beams.
Theory of Calibration Using Wide Fields
The following theory was developed for the Sun Nuclear Model 1170 PROFILER. Although the
PROFILER has 50 detectors, the theory and benefit are just as real for other Sun Nuclear devices.
Calibration values consist of sensitivity values for each detector which can be applied to the
measured output of a detector in such a way that the corrected measurement of dose distribution
is independent of the detector sensitivity. Historical methods of calibration use a narrow field and
a device to move the detector array in steps such that each detector occupies the central axis
position while its response is measured. If the array detector’s response is energy and directional
dependent, then the calibration value is valid only at the beam energy and beam orientation used
during calibration. The severity of this limitation depends upon the magnitude of the energy
response. These problems are eliminated in the wide field calibration technique described below.
The detectors are positioned in the radiation field such that the field overlaps the edge detectors.
For clarity, steps B and C of the calibration process will be discussed first. Radiation is delivered
to the array and the measurement of the detectors are saved in a data array labeled as [B]. The
array is then moved diagonally along the array axis such that the detectors now occupy positions
in the fields formerly occupied by the adjacent detectors. Another dose is delivered and the
measurement is saved in a data array [C].
In the simplest form, if the dose delivered is precisely the same for both [B] and [C], and if the
measurements have a very high precision, then the relative sensitivity of neighboring detectors
can be calculated because they both occupied the same location in the field.
For example, the array was shifted for [C] and #2 (center detector) occupies #1’s (eBL) former
position during [B]. Then the sensitivity ratio of #2 to #1 is ‘C2’ / ‘B1.’ Likewise the sensitivity ratio
of #3 (eTR) to #2 is ‘C3’ / ‘B2,’ and the sensitivity ratio of #3 to #1 is (‘C3’ / ‘B2’) * (‘C2’ / ‘B1’).
However, such a simple calibration is not practical without further measurements. With the
calculation described above in steps B and C, any error in measurement precision, dose delivery,
or minor sensitivity change in the array will propagate through the ratios, and the end could have
a significant error which could have significant effects on symmetry calculations.
The error bias between data sets [B] and [C] can be corrected by rotating the array 90 degrees and
making a third measurement, saving it as data array [A]. With data set [A], the relative sensitivity
between the end detectors can now be calculated because each detector of equal radii moves
into a spot formerly occupied by its 90-degree neighbor, providing a relative sensitivity relationship
for all detectors of equal radii including the aforementioned end detectors. In fact, the relative
sensitivity calculation on rotational substitution data results in absolute factors, not dependent on
dose differences between data sets. These absolute factors can then be used to determine a
correction to the error bias with a precision limited only by the measurement precision between
a detector pair.
1 1 C 1 A 1 C 1 C 2
ln D dc S dc = --- --- ln ------- ------- – ln ------- – ln ------- (8.1)
3 2 2 3 3
C A 2
D D 3
The subscript ‘3’ refers to the calculation between mirror detectors 1 and 3. The calibration factors
of 1 (B), 2 (C), and 3 (T) are calculated from the following:
cf 1 = 1.000
C 1 ln DS 3
cf 2 = ------- e
D2
(8.2)
C 1 C 2 2 ln DS 3
cf 3 = ------- ------- e
D2 D3
The calibration factors for the off axis detectors 4 (L) and 5 (R) are calculated from: [(4)=(1,90),
which means that detector 1 occupies detector 4’s position after a 90 degree rotation, (5)=(3,90)].
1 A3 B1 B3 C1
cf 4 = cf 1, 90 = --- c f 1 cf 3 ------- ------- + ------- -------
2 A4 B4 B4 C4
(8.3)
1 A1 B3 B1 C3
cf 5 = cf 3, 90 = --- cf 3 cf 1 ------- ------- + ------- -------
2 A5 B5 B5 C5
In Daily QA 3 version 2.5, an additional ring calibration factor has been introduced which improves
the accuracy of low energy electron array calibrations. A ring of detectors are those detectors with
equal radial and angular spacing. There are six qualifying rings in the Daily QA 3. The T, B, L and R
detectors make up one such ring.
For detectors T, B, L and R, the correction term DSAB is found from:
1
---
A1 A2 A3 A4 4
DS AB = ------- ------- ------- -------
B1 B2 B3 B4
A1
cfp 4 = cfp 1 ------- DS AB
B4
A4
cfp 3 = cfp 4 ------- DS AB
B3
A3
cfp 5 = cfp 3 ------- DS AB
B5
Final correction factors are then calculated as (where cf1 is the correction factor found above, for
example.):
cff 1 = cfp 1 cf 1
cff 4 = cfp 4 cf 4
cff 3 = cfp 3 cf 3
cff 5 = cfp 5 cf 5
Similar calculations apply to the e-Energy and X-Energy detectors as well as the penumbra diode
detectors. Since the Daily QA 3 array consists of both diodes and ion chambers, raw readings from
the ion chambers are corrected by the ADCF; see Equation (8.5). This ensures that relative factors
between diodes and ion chambers are consistent across atmospheric conditions.
The baseline measurement is the standard for trend graph analysis of all QA measurements for
each template. The trend graph plots the difference between the daily measurements and the
baseline measurement. The parameters plotted include central axis dose output, symmetry,
flatness, energy, field size, and field shift.
Prior to starting this procedure, the central axis dose defined in the Template setups should be
measured using an ionization chamber and electrometer which have NIST traceable calibration
factors. The CAX ion chamber has the water-equivalent of 1 cm buildup above it and sits 0.775 cm
below the surface of Daily QA 3. For equal calibration conditions, apply the same dose to the CAX
ion chamber as was delivered to the standard.
Annual checks of dose calibration should be done. If the template is recalibrated, a new standard
is applied to subsequent exposures. However the original calibration standard remains with the
previous exposures.
Absolute Dose Calibration
The uncorrected dose value, UDi, from any detector i, is:
UD i = SR i cf i
DoseEntered
DoseCF = --------------------------------------------- (8.4)
NET CAX ADCF
Where:
DoseEntered is the dose entered by the user, after the dose is delivered,
NETCAX is SR2, corrected for background and array calibration factor. See Equation (8.27) for
more information.
ADCF is the Air Density Correction Factor:
where:
T5Cal is the calibrated temperature in Celsius for the sensor at the CAX chamber location.
PCal is the calibrated pressure in kPa for the onboard pressure sensor (1 Atm = 101.33 kPa
= 760 mmHg). Standard conditions are 22°C, 1 atmosphere.
The temperature and pressure is measured once per minute unless the beam is on, during which
their measurements are halted. The last temperature and pressure measurement prior to beam
on is used to make the air density correction.
After the above absolute dose calibration is completed, the baseline measurements for each
dosimetry template must be performed. If the absolute dose calibration is not done, a message
“Dose calibration for the device not found. Please perform Dose calibration for the selected device
SN: <device serial number>” will appear and no measurements can be taken.
Baseline QA Template
During the baseline measurement, the standard values for each test parameter is set along with
calculating the template dose correction factors. The factor is calculated for both the baseline
dose and the delivered dose.
The UserDoseCFbaseline value is calculated and saved with the baseline measurement to correct
the baseline measurement output to match the user’s BaselineEntered value.
The UserDoseCFdelivered value is calculated and saved with the template record. This factor will
be used to correct any future measurements for the template to the user’s DeliveredEntered
value.
BaselineEntered
UserDoseCF baseline = ------------------------------------------------------------------------- (8.6)
NET CAX DoseCF A DCF
DeliveredEntered
UserDoseCF delivered = ------------------------------------------------------------------------- (8.7)
NET CAX DoseCF A DCF
where:
BaselineEntered = the central axis dose in which to set the template standard. This term is
entered by the user as desired baseline dose. See Baseline QA Template on page 29 for more
information regarding the baseline dose parameter.
DeliveredEntered = the central axis dose that was delivered for the baseline measurement.
This term is entered by the user as the actual delivered dose, which may be different from the
baseline dose due to variations such as linac output change. See Baseline QA Template on
page 29 for more information regarding the delivered dose parameter.
NetCAX = the net counts for the central chamber, corrected for background and the array
calibration factors.
Temperature Analysis
The Daily QA 3 has one temperature sensor located near the electronics (Temp 1 in figure below)
and five thermistors located near certain ion chambers (Temp 2 through Temp 6 in figure below).
The temperature sensor (Temp 1) can be damaged by radiation and tends to drift due to its
proximity to the heat output from the power supply. The thermistors are radiation insensitive.
Starting with software version 2.3.0, temperature corrections are performed using the thermistor
labeled ‘Temp 5’ within the detector array instead of the temperature sensor near the electronics.
where MeasuredValue is the value reported by the Temp 5 thermistor, and TrueValue is the value
entered by the user. The Offset value is stored in software.
Correction Factors
The Daily QA 3 internal thermistors and pressure sensors monitor ambient temperature and
pressure when the unit is in operation. The temperature and pressure values are displayed at the
bottom of the screen, next to the date, when the device is in operation.
There are no internal adjustments to change the values of the temperature and pressure sensors.
However, a correction factor can be applied to the measured values using the Calibrate
Temperature and Pressure option under the Calibrate menu. A calibration dialog box is
displayed, and the user enters the temperature and pressure values obtained from the calibrated
laboratory instruments. The software compares the calibrated values with the values obtained
from the device’s on-board thermistors and pressure sensors and calculates correction factors.
The correction factors are stored in the database and applied to the readings of the on-board
temperature and pressure sensors.
The correction factors remain in the database to be applied to subsequent measurements.
Note: The Daily QA 3 is used for routine measurements of output, flatness, symmetry,
energy, and radiation light-field coincidence. The only parameter which is affected by
air density is the output measurement, and this is compared to prior measurements
which makes it a relative measurement. In this case, accuracy of air density is not
important; however, measurement resolution, or precision, is important. From the
Temperature and Pressure specifications, the air density correction combines the
uncertainties, resulting in a precision of 0.04% and an absolute accuracy of 2.6% (see
Daily QA 3 Specifications on page 65). If the Daily QA 3 temperature and pressure
measurements are to be used for absolute air density, the user should have an accurate
standard for comparison in order to calibrate the Temperature and Pressure.
Introduction
This section provides the analytical expressions used to calculate values displayed in the Results
box after each exposure, as well as those expressions which result in the saved Trend Data Table
and the Trend plots.
Variable Subscripts
In the following discussion, the variable subscript SET specifies a standard setup for a
measurement made under the same measurement template specified in the Scheme Tree for one
machine. To obtain a trend line, all the measurements made under the same setup will be saved
as separate records in the database and will have the same SET value, regardless of which day of
the week it falls on. The SET ID is a date code, assigned by the computer during template creation.
The template name given by the physicist will appear in the Scheme Tree. The name need not be
unique, for example, 6 MV may appear under several Machine IDs. However, the SET ID is unique
and is used as the subscript.
The dose trend parameter, DOSE, which is actually a percent difference in dose measurements,
is calculated from:
CD SET – CD SET,1
DOSE SET = ---------------------------------------------------- 100 (8.8)
CD SET,1
The first central axis dose measurement for this test data set, CDSET,1, is the standard against
which all other measurements are compared. The variable CDSET represents the current
measurement.
The central axis dose output of the machine for a given measurement SET is calculated using the
center detector Dcax under the test conditions specified.
Factor n
D n = Net n DoseCF ADCF UserDoseCF -------------------------------- (8.9)
Factor CAX
Where:
Dn = the Dose value for any detector "n" in the array
Netn = the net count value from the "n" detector, following background and array corrections
to the raw data; see Equation (8.10)
DoseCF = device absolute dose correction factor for the CAX detector
ADCF = air density correction factor as defined above. All array detectors are assumed to be
the same temperature at n = CAX.
UserDoseCF = a correction factor to dose, unique to the template in which it is defined
Factorn = array calibration factors, all relative to one detector in order to correct for relative
sensitivity differences defined by device serial number.
Net n = C RAW – C OFF – BKG SESSION Time TOTAL – Time OFF CF ARRAY (8.10)
where:
CRAW = Total number of central axis counts for the measurement.
COFF = Central axis offset count value for the measurement
BKGSESSION = Background subtraction value for central axis. SESSION indicates that
background value is valid for all measurements until a new background measurement is
acquired.
TimeTOTAL = Total time in ms the device was integrating for the measurement.
TimeOFF = Time in ms the offset update was taken.
CFARRAY = Array calibration factor for the central axis.
The ADCF is computed from:
T t + 273.2 101.33
ADCF = --------------------------- ------------------ (8.11)
295.2 Pt
where:
Tt = T0 + Bt and Pt = Mp P0 + Bp (8.12)
For temperature:
Bt = Ti – Tj
where:
Ti = True temperature entered during calibration
Tj = Temperature value read by device during calibration
T0 = Temperature value read by device during measurement
(Default value of Bt = 0.)
4 Pt
4 3
dB p = --- P t – P 0 and M p = --- + --- ------- (8.13)
7 7 7 P0
where:
PT = Pressure value entered during calibration.
P0 = Raw pressure value from the embedded code.
Mp = Pressure slope from the user calibration.
Bp = Pressure offset from the user calibration.
AxSym Parameter
The axial symmetry trend parameter, AxSym, which is expressed as a percent, is calculated from:
T–B R–L
AxSym = – 1 1 – OR ------------- AX + – 1 OR ------------- 1 – AX 100% (8.14)
C C
where
T = Uncorrected dose for the top (T) detector
C = Uncorrected dose for the center (C) detector.
R = Uncorrected dose for the right (R) detector.
L = Uncorrected dose for the left (L) detector.
AX = Axial value for the SET, defined in SET template “Detector Axis.” “Axial” = 1,
“Transverse” = 0.
OR = Orientation value for the SET, defined in the SET template, “Orient T.” “Target” and
“Right” = 1; “Gun” and “Left” = 0.
100 converts to a percent value.
The baseline axial symmetry measurement for this template data set, AxSym1, is the standard
against which all other measurements are compared. AxSymDiff is actually not saved in a table;
it is calculated from each stored axial symmetry value, AxSym, for a data SET when the QA Graph
tab is selected.
AxSymDiff = AxSym – AxSym 1 (8.15)
TrSym Parameter
The transverse symmetry trend parameter, TrSym, which is expressed as a percent, is calculated
as shown in (8.17).
The calculation only differs from the AxSym calculationent by the use of the AX parameter for
selection of transverse results, as shown below:
T–B R–L
TrSym = – 1 1 – OR ------------- 1 – AX + – 1 1 – OR ------------- AX 100% (8.16)
C C
where
T = Uncorrected dose for the top (T) detector
C = Uncorrected dose for the center (C) detector.
R = Uncorrected dose for the right (R) detector.
L = Uncorrected dose for the left (L) detector.
AX = Axial value for the SET, defined in SET template “Detector Axis.” “Axial” = 1,
“Transverse” = 0.
QAFlat Parameter
The QA flatness trend parameter, QAFlat, is a difference in percent flatness values and is
calculated from:
QAFlat SET = QAF SET – QAF SET,1 (8.18)
where: from the 5 primary QA detectors C, T, B, L, R; find the maximum value, QMAX, and the
minimum value, QMIN, and calculate:
QMAX Exp – QMIN Exp
QAF = ---------------------------------------------------------------- 100% (8.19)
QMAX Exp + QMIN Exp
SET
e-Energy Parameter
The Daily QA 3 is manufactured with five ionization chambers to be used for electron energy
checks of the measured beam. Five different points on a dose depth curve can be measured with
a single exposure.
The five chambers include the center detector at CAX and the four energy (e) chambers at the top
left (eTL) top right (eTR), bottom left (eBL) and bottom right (eBR). Each of these ion chambers has
a different buildup (Table 11-1) which results in a different dose depth.
The Daily QA 3 measures energies within 1.0% accuracy between 6 and 20 MeV and within 2%
between 4 and 6 MeV. One chamber (CAX) is in the center of the array, while the other electron
energy chambers are on the 45-degree diagonals. In order to avoid asymmetry effects on these
diagonal chambers, the asymmetry found in the corner chambers is used to correct the dose
measured at the e-chambers. To ensure that variations in dose do not affect e-Energy readings,
the ratio of each of the e-chambers with respect to the CAX chamber is what is used to measure
changes in energy. In the symmetry adjusted ratio “r” the net counts calculated for each detector
use the array calibration factor found during the array calibration process for all detectors, with the
exception of the electron energy detectors which use a value of one for their array calibration
factors. See Equation 8.10 for more information. For each symmetry adjusted ratio ri, the energy
Ei is found by the equation below where r1, r2, E1 and E2 are the symmetry adjusted ratios and
energies from the calibration records that are closest in energy (MeV) to the daily measurement
of a particular template.
r i – r1 i
E i = E2 – E1 -------------------- + E1 (8.20)
r2 i – r1i
4
1
E i ------------------
2
i=1 Ei (8.22)
E wavg = -------------------------------------------------
4
1
-----------------2-
i = 1 Ei
Notes:
• This method has only been tested when the spacing between electron energies for
which calibration files exist is no more than 3 MeV.
• This method only allows for interpolation between points that are included in the e-
energy calibration setup. Outside this range the energy of the beam is unknown.
BSC Parameter
BSC indicates beam profile constancy with respect to baseline, where the measurement points
are 8.0-cm off-axis.
According to TG-142, beam profile constancy, referred here as beam shape constancy, BSC can
be estimated as shown below.
4
M B
1 S i S CAX
BSC = ---
4 - -------------- – 1 100%
-------------
M
S CAX S i
B
(8.23)
i=1
Where:
= Background-subtracted calibrated counts of ion chambers, with i placed equidistant
from the central detector CAX extracted from the QA measurement, M and baseline, B
respectively.
M B M B M B M B
1 SL - S CAX S R S CAX
- – 1 + -------------
S B S CAX
- -------------- – 1 + -------------
S T S CAX
- -------------- – 1 + -------------
- -------------- – 1 100% (8.24)
BSC = --- -------------
M
-------------
B M B M B M B
4 S
CAX S L S CAX S R S CAX S B S CAX S T
Note: The BSC calculation will fail if CAX values are zero, indicating damaged detectors.
The Daily QA 3 measures changes in energy not absolute energy. If a change in flatness is
observed from one measurement to the next, a corresponding change of energy has occurred.
The Daily QA 3 software reports the difference between the daily measurement and the “Gold
standard.”
Measuring photon energy changes by monitoring changes to the flatness of profiles is more
sensitive than measuring points on a depth-dose curve. In order to have a flat beam at a particular
depth, linac vendors have designed flattening filters with a conical shape. The greater material
density at the center of the flattening filter produces a harder beam along the CAX. When the
photon energy varies from the nominal energy for which the flattening filter was designed, the
flatness of the beam changes.
Below is a graph of the changes in symmetry adjusted flatness measured by Daily QA 3 as a
function of change in bending magnet current. Assuming no change is made to the shape of the
energy spectrum, a 1% change in the bending magnet current is equivalent to a 1% change in
photon energy spectrum. This measurement was performed at 100 SSD with only inherent QA III
buildup (1 g/cm2), for both 6MV and 15MV using a Varian Clinac 1800. A 0.27% change in flatness
with 1% change in bending magnet current was found.
Siemens and Elekta machines have not been tested, but the physics is generically the same.
Change in energy will be reflected by a change in flatness.
The X-energy parameter for an FFF beam indicates the change (in percentage) in beam quality (or
the ratio of the dose at 20-cm depth to that at 10-cm depth for a field size of 10 cm × 10 cm) with
respect to the baseline. The change in X-energy is estimated based on the change in off-axis ratio
(OAR) at 11.3 cm, which was shown to depend linearly on beam quality by Gao S.1 et al. (2016)
JACMP. The formalism was tested using Varian TrueBeam, but the Physics should remain the
same for other Linacs.
The field size of the beam is measured to determine coincidence of the radiation field of the beam
to the projected light pattern used for alignment. When the device is set up on the couch for a
measurement, the user aligns the 20 cm light field from the linac precisely along the 20 cm field
marks on the overlay at 100 cm SSD. Then, when an exposure is made, detectors measure the
beam strength at various points along each axis. The software calculates the difference between
the light field and the beam field in mm and displays the shift and direction in mm.
On Daily QA 3, each axis has nine detectors available to measure beam strength, six diodes and
three chambers. For example, the X-axis detectors from left to right are diodes L3, L2, L1;
chambers L, CAX, and R; and diodes R1, R2, R3. The three diode detectors that straddle the 20
cm field marks at 5 cm spacing are the primary penumbra detectors. If the penumbra falls inside
of L or R, the user is warned that the beam edge could not be calculated due to the penumbra
being out of range.
Note: Both PROFILER 2 and TomoDose have similar detectors that can be used for
penumbra detection. Daily QA 2 does not have suitable detectors; consequently these
parameters are omitted.
Using the CAX detector as primary value, beam width is calculated using the summation of arc
tangent functions for all detectors. Then the points are fitted to a curve using the sum of least
squares to produce a virtual detector. From the resulting curve, a virtual detector position is
selected on each side that represents 50% of the CAX value. Field size is the difference in
centimeters between the 50% virtual detector positions. Note that SSD is at 100 cm, and that the
depth of the detectors is taken into account by the software.
The software reports four quantities in mm: the shift in the ± X direction, the shift in ± Y direction,
the width of the field along the X axis, and the width of the field along the Y axis.
The field size and shift of the beam is measured to determine coincidence of the radiation field to
the projected light pattern used for alignment. During the QA measurement, the user sets up the
Daily QA 3 device on the couch at 100 cm SSD and aligns the 20 cm light field from the linac
precisely along the 20 cm field marks on the overlay. If no light field or beam crosshair is available,
the alignment is performed in a similar manner using external alignment lasers. When an exposure
is made, detectors inside the device measure the beam intensity at various points along each axis.
If the penumbra does not fall within the range of the diode detectors, the user is warned that the
beam edge could not be calculated due to the penumbra being out of range. If the penumbra is
within the range of diode detectors, field sizes and shifts are measured as follows: the detector
responses are corrected for background and normalized using array calibration factors.
1. Gao, S., Balter, P.A., Rose, M. and Simon, W.E. (2016) A Comparison of Methods for Monitoring
Photon Beam Energy Constancy. Journal of Applied Clinical Medical Physics, 17, 242-253.
The Baseline Mode configured in the Template Setup determines which baseline values will be
used during measurements.
Absolute—with this option, the AxSym and TrSym baselines are 0%, the Field Shift baselines are
0, and Field Size baseline values are those defined in the template.
Relative, default template mode—with this option, AxSym, TrSym, Field Size, and Field Shift are
the measured baseline values.
Flatness and Symmetry
Flatness and symmetry of the linac beam are in units of percent. A nominal beam has ~3%
flatness and 0% symmetry errors. The software application calculates the flatness and symmetry
trend values by subtracting the standard from the current measurement. The trend will then show
the net change in the parameter since the standard was taken. It is assumed that the beam is
“perfect” at the time of the standard measurement.
Perfect does not mean the flatness and symmetry parameters are ideal. It means that the data in
the treatment planning computer is in perfect agreement with the machine output. However,
many planning systems do not take symmetry into account and assume 0% symmetry error. This
redefines the standard to 0% and requires the trend to display absolute symmetry in order to
detect significant changes with respect to the treatment plan.
A nominal limit on symmetry error has been ±3%. There are 2 ways to interpret the impact of this
error. If the treatment planning data uses the actual beam data with inherent symmetry errors,
then a change in symmetry of ±3% relative should be used. For example, if a symmetry error of
+2% exists in the standard, then a change of ±3% relative would allow symmetry errors between
-1% and +5%. In the same numerical example, if the treatment planning software models the
beam with 0% on the symmetry value, then measured beam symmetry should stay within ±3%
absolute, that is, allowed to drift up from +2% to a +3% symmetry, a net drift of only 1%; or drift
down to a -3% symmetry, a net drift of -5%. In the second case, the absolute value, not the
change, should be tested for acceptability.
Flatness criteria should be considered separately from symmetry, that is, if symmetry is setup as
an absolute trend parameter, flatness may need to be kept as a relative trend parameter. A change
in flatness can be caused by a change in beam steering which also precipitates a change in
symmetry, or flatness can be caused by a change in beam energy without an accompanying
change in symmetry.
The following discussion derives the central axis dose calculation and Trend analysis for the Daily
QA 3 device. It also includes example situations where calibration of the linac, dose measurement
standard, or Daily QA 3 is required and what the effects are on the database trend analysis
produced by these calibrations.
Introduction
The Daily QA 3 is an ion chamber device that is used to test the daily radiation output, flatness,
symmetry, energy, and radiation light-field coincidence of the clinical linear accelerator. The ion
chambers are vented to the atmosphere, and their outputs are corrected for changes in air density
with an electronic pressure and temperature measurement. Each chamber is connected to a
dedicated charge measurement electrometer that automatically stops when the radiation turns
off. Measurement data is transferred to a PC for storage and trend analysis.
The PC application includes functions that calibrate the ion chamber array for relative sensitivity,
calibrate the temperature and pressure sensors, and baseline the measurement “Templates” that
are used for daily constancy measurements. The Templates define various beam conditions that
are setup by the physicist during installation, including the order in which they appear on the
Scheme Tree for the therapist. Baseline QA Template sets the reference against which all
subsequent measurements are compared in a difference trend graph. The physicist makes this
baseline measurement and is required to enter the desired and delivered dose values at the
central axis. This is used by the software to calibrate the center detector for each template’s dose
measurement. The Baseline QA Template also establishes the reference values for flatness,
symmetry, and energy. The trend graphs then plot the percent change in flatness and symmetry
and energy.
There are situations that may occur which require re-calibration of a Template. These include:
• Linac not being properly warmed up prior to the first calibration measurement,
• Drift in the linac output over time
• Change in the Daily QA 3 ion chamber response due to improper calibration of temperature
or pressure,
• An initial error in the linac output calibration.
In order to re-calibrate and restore the trend graph to the proper reference, an understanding of
the dose calculation and trend analysis is required. This is the subject of the following discussion.
Dose Measurement Calculation
The central axis dose, D, from the nth exposure in the test database [similar to Equation (8.9)] is
calculated from
D n = ADCF n Net n DoseCF UserDoseCF (8.25)
where:
DoseCF = device absolute dose correction factor for the CAX detector
ADCFn = Air density calibration factor at the time of the nth test exposure
Netn = SR2n . cf2j
SR2n = Sum of raw ion chamber counts for the center detector, #2, minus the leakage
contribution
cf2j = Relative array correction factor for center detector, #2, determined during the jth array
calibration
UserDoseCF = a correction factor to dose, unique to the template in which it is defined
The terms in Equation (8.25) are by subscripts that are logically associated in the database. The
subscript n refers to the nth exposure in the test database, defined as a number or counter for that
test. The subscript nc refers to the test calibration, where the test was calibrated on the nth
exposure. This subscript is not used in the database but is included here for clarity. The first
exposure is performed at the same time as the first calibration hence n=1, m=1 and nc=1. The
next calibration, where m=2 may not occur until n is a much higher number. At that point, nc=n.
The subscript j refers to the array calibration and has nothing to do with n. An array calibration is
where:
DEm = Dose entered by the physicist during a test calibration.
Note that ADCF and SR2 were subscripted with nc to denote the calibration reference to n, where
these values occur in the database, and c, which identifies it as a calibration.
We can define the raw ion chamber count in terms of the chamber sensitivity and radiation output
of the linac.
Sn On
SR2 n = -------------------- (8.27)
ADCF n
where:
Sn = Chamber sensitivity at standard temperature and pressure conditions (STP) during the
nth exposure
On = Linac output for the MU setting for the test
Combining terms in Equations (8.25), (8.26), and (8.27) yields the following equation:
Sn On
D n = DE m --------------------------- (8.28)
S nc O nc
Sn On
DE m --------------------------- – DE 1 (8.29)
S nc O nc
E n = --------------------------------------------------------------- 100 Value on trend graph
DE 1
The term DE1 results from the n=nc=1. From Equation (8.29), we can now determine the effects
of dose entry error, sensitivity changes, output drift, and how to properly compensate for them.
On –e
E n = --------------------- – 1 100 = ------------- 100 (8.30)
1 + e On 1+e
If the linac was running -3% during the first calibration (that is, e = -0.03), then subsequent
measurements of true output after that calibration would indicate a +3% error, per Equation
(8.30). At the time of the first calibration, the dose entry DE1 was actually incorrect because the
machine was cold.
In order to correct the trend graph, the Calibrate QA Field for this test should be run again. The
correct dose should be entered when requested. If the machine is properly warmed up, then the
second calibration, m=2, will result in the entry of DE2 which will be equal to DE1. Then, for
subsequent measurements where n > nc, the output will be equal to the 2nd calibration output.
Re-stating conditions: Onc = On; Snc = Sn; DE2 = DE1
Substitution of these conditions into Equation (8.29) reduces to En = 0%.
In summary, for n>nc, that is, measurements after recalibration, the trend graph will be restored
to 0%.
For n<nc, that is, measurements prior to recalibration, En will still indicate the error on the trend
graph because of the reference to O1 when n<nc.
Example 2. Linac drift causes error in output/MU
This is the error that we are actually looking for. The daily measurement is looking for a machine
drift in output, with respect to the monitor units.
Re-stating conditions: On = (1+e)*O1; S1 = Sn; nc = 1, m=1 so DEm = DE1.
As above, e represents the fractional error in the output, but in this case, it is due to drift.
Substitution of these conditions into Equation (8.29) reduces to the following:
1 + e Þ O1
E n = --------------------------------- – 1 100 = e 100 (8.31)
O1
Thus, the trend graph will demonstrate the error as e*100%. This situation will call for a
recalibration of the linac, using the traceable calibration standard ion chamber. After recalibration
occurs and daily checks resume, then On = O1. After substitution into Equation (8.29), En = 0%.
In summary, for NNE', that is, measurements after recalibration, the trend graph will be restored
to 0%.
For n > n', that is, measurements prior to recalibration, En will still indicate the error on the trend
graph because of the actual machine calibration error On when n > n'. (n' represents Daily QA
measurements prior to machine recalibration.) Note that there was no need for recalibration of the
Daily QA device.
1 + e S1
E n = ------------------------------ – 1 100 = e 100 (8.32)
S1
In order to correct the trend graph, the Calibrate QA Field for this test should be run again. In this
situation, dose entry will not change, so the entry of DE2 which will be equal to DE1. Then, for
subsequent measurements where n > nc, the device sensitivity will be equal to the 2nd calibration
sensitivity.
Re-stating conditions, Onc = On; Snc = Sn; DE2 = DE1
Substitution of these conditions into Equation (8.29) reduces to En = 0%
In summary, for n>nc, that is, measurements after recalibration, the trend graph will be restored
to 0%.
For n<nc, that is, measurements prior to recalibration and after the sensitivity change, En will still
indicate the error on the trend graph because of the reference to S1 when n<nc.
Example 4. Dose entry (DE) is in monitor units, not dose
Some physicists may choose to enter the MU setting for the dose entry value during the test
calibration. Although this does not have absolute dose as a reference in Equation (8.29), the
relationship “r” to dose is known by machine calibration records.
Output
r = ------------------- (8.33)
MU
Then, for Equation (8.29), DEn = MU = Dosen/rn. MU is not subscripted because it is fixed in the
Test conditions. Therefore, DE will always be the same value in Equation (8.29).
Note that “Output” in Equation (8.33) is the same as “O” in Equation (8.29).
• If Dose is not correct on exposure 1, due to improper warmup, then O1 = (1+e)*On. This is
identical to Example 1 illustrated above. The analysis and correction would be the same.
• If the machine calibration drifts over time, then rn = (1+e)*r1. Since MU is constant and Sn =
S1, substitution into Equation (8.29) results in the following:
From Equation (8.33), since On = rn*MU, and rn = (1+e)r1, En reduces to the same expression in
Example 2. The analysis and correction would be the same.
If the Daily QA device changes, it is identical to Example 3 and again, the analysis and correction
would be the same.
Example 5. Linac is mis-calibrated at time of first test calibration
This differs from the first example in that the actual dose entry is incorrect for the machine under
normal use. This may occur if the primary ion chamber used to originally calibrate the machine
output was recalibrated which resulted in a significant absolute calibration change, or calibration
reference conditions changed such as a switch to the recommendations of AAPM’s Task Group
51 (TG-51).
After the machine is recalibrated, the output per monitor unit will now be different.
Re-stating conditions: O1 = (1+e) On; S1 = Sn; DE1 = DE1
In other words, the output per monitor unit was in error on the first test calibration, the sensitivity
of the Daily QA has not changed, and there has not been a recalibration of the Daily QA, that is,
DE1 is still the reference.
DE m – DE 1
E n = ----------------------------- 100 = e 100 (8.34)
DE 1
This equation leads to the special case where it is important for the physicist to be able to edit the
trend reference. The edit will result in En = (DEm – DEm) = 0, which will restore the trend graph
to zero error.
If a test is recalibrated, the new calibration is applied to subsequent exposures but the original
calibration is still applied to the previous exposures.
Example 6. Linac repair changes machine output, but profile shape is restored
This is the same situation as if there was a drift in the linac output, identical to Example 2.
Example 7. Linac repair changes machine output and causes new profile shapes
This will cause a new reference to the flatness and symmetry values. A new test could be started;
however, trending absolute symmetry and editing the output will trend independently of the
original machine conditions.
The Daily QA 3 database stores primary measured values for each measurement and recalculates
derived data whenever a record is accessed.
As an example of the use of the database exported values, consider the following calculation for
dose:
Dosechamber = [ ( ( N_COUNTS – N_OFFSET) – N_BKG (SESSION_TIME – OFFSET_TIME) )
N_FACTOR * AB_DOSE_CF * TEMPLATE_DOSE_CF] * ADCF
where ADCF (air density correction factor) = ((TEMP + 273.2) / 295.2)) * (101.33 / PRESS) and the
database fields are as follows:
N_COUNTS—measured analog to digital counts for detector N
N_OFFSET—measured offset counts for detector N
N_BKG—measured background counts for detector N
SESSION_TIME—the number of milliseconds that the beam is on
OFFSET_TIME—number of milliseconds before the beam turns on
N_FACTOR—the array calibration factor for detector N
AB_DOSE_CF—device absolute dose correction factor for the CAX detector
TEMPLATE_DOSE_CF—the template dose correction which converts central axis dose from
relative to absolute
TEMP—temperature of the device from an internal sensor
PRESS—pressure of the device from an internal sensor
See Dose Measurement Calculation on page 106 for a theoretical discussion.
The following symbols are used in this document and in Sun Nuclear Corporation’s product labels.
WARNING: This symbol indicates a risk of electric shock. (EN ISO 7010)
WARNING: This symbol indicates a hazard that could result in major injury or
equipment damage. (EN ISO 7010)
CAUTION: This symbol indicates a potential hazard that could result in minor injury or
equipment damage. (EN ISO 15223-1)
WARNING: This symbol indicates MR Unsafe. Do not use the indicated equipment in
any strong magnetic fields. (ASTM F2503)Rev R
MR Unsafe
Do not use
this
equipment
in the MRI
scan room.
Operating Information
Calibration
• This instrument is not to be used as a standard during calibration of a radiation source.
However, the instrument can be calibrated to read absolute dose using data from a known
source.
• If the instrument cannot be calibrated to match the readings of a known standard, contact
Sun Nuclear Corporation. The instrument may have reached the end of life when it can no
longer be calibrated.
Operator Responsibility
This manual is intended for an operator who has a working knowledge in radiation physics and
dosimetry and who has experience working with treatment machines and accessories. The
operator of the device bears the full responsibility for validating measurement results.
The device and its accessories must not be used for any other purpose than described in this
manual (see Intended Use on page iii). Violation may result in loss of warranty.
• This equipment must be used in accordance with the instructions in this manual. Read all
instructions and safety labels before use.
• Do not use with any power source that does not match the power ratings listed on the power
supply.
• When connecting the power supply to AC power, ensure that the plug is not obstructed and
can be easily disconnected.
• Do not permit any short circuit of AC power that may be hazardous to users.
• Do not permit any liquids to spill onto the instrument or any associated parts or accessories.
WARNING: When using the Isocentric Mounting Fixture (IMF), stay clear of the IMF
and the instrument while rotating the gantry to prevent injury.
For instructions to report health or safety related concerns, see Reporting Health or Safety Related
Issues or Concerns below.
Any changes or modifications to the device that are not expressly approved by Sun Nuclear
Corporation could void your warranty.
Environmental Requirements
Operating
The device must be operated within normal laboratory conditions maintained for human comfort:
Temperature: 18 to 30° C (64 to 86° F); Relative Humidity: 20 to 80%.
Storage
The device should be stored in a climate-controlled environment.
Radio Interference
The rf-Daily QA 3 complies with Part 15 of the FCC Rules. Operation is subject to the following two
conditions: (1) this device may not cause harmful interference and (2) this device must accept any
interference received, including interference that may cause undesired operation.
Should the need arise to report any safety or health related issues or concerns regarding the use
of Sun Nuclear products, contact Sun Nuclear directly.
European customers, contact Sun Nuclear’s Authorized European Representative:
Sun Nuclear GmbH
Gutenbergring 67A
22848 Norderstedt
Germany
To maintain compliance with IEC 60950-1, Safety of Information Technology Equipment, the PDI
USB port must be connected to external computer equipment that is compliant with IEC 60950-1.
The instrument complies with IEC 60601-1-2, Electromagnetic Performance standards, and the
operator should ensure that it is used in such an environment.
Immunity Test IEC 60601 Test Compliance Level Electromagnetic Environment - Guidance
Level
Portable and mobile RF communications
equipment should be used no closer to
any part of the device including cables,
than the recommended separation
distance calculated from the equation
applicable to the frequency of the
transmitter.
Conducted RF 3 Vrms 3 Vrms Recommended separation distance
IEC 61000-4-6 150 kHz to 80 3.5
MHz d = ------- P
V1
Radiated RF 3 V/m 3 V/m Recommended separation distance
IEC 61000-4-3 80 MHz to 2.5 3.5
GHz d = ------- P =80 MHz to 800 MHz
V1
7
d = ------ P =800 MHz to 2.5 GHz
E1
where:
• P is the maximum output power rating
of the transmitter in watts (W) accord-
ing to the transmitter manufacturer,
and
• d is the recommended separation dis-
tance in meters (m).
aField strengths from fixed RF transmit-
ters, as determined by an
electromagnetic site survey, should be
less than the compliance level in each
frequency range.
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorp-
tion and reflection from structures, objects and people.
a. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and
land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which
the device is used exceeds the applicable RF compliance level above, the device should be observed to
verify normal operation. If abnormal performance is observed, additional measures may be necessary, such
as re-orienting or relocating the device.
b. Over the frequency range of 150 kHz to 80 MHz, field strengths should be less than 3 V/m.