Professional Documents
Culture Documents
02 - Customer Acceptance Tests (CAT)
02 - Customer Acceptance Tests (CAT)
Referenced documents
Elekta does not supply all the documents that we refer to in this document with the equipment.
Elekta reserves the right to make the decision on which of the documents we supply with the
equipment.
Contact information:
TECHNICAL HELP
Contact your local Elekta representative for technical help
Certificate of Acceptance
Hospital:
Address:
Country:
Signed: Name:
(Hospital Representative)
Date:
Signed: Name:
(Responsible Installation
Engineer/Contractor)
Date:
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Table of contents
1 Prerequisites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2 Test schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
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1 Prerequisites
Section Description Page
1.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1.2 Customer acceptance tests of the linear accelerator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1.3 Equipment registration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1.4 Tools and test equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
1.5 Standard test conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
1.5.1 Environment of operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
1.5.2 Angle settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
1.5.3 Properties and positioning of the phantom. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
1.5.4 Positioning of measuring points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.5.5 Standard depths of measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.5.6 Radiation detectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.5.7 Testing with X-ray films . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.5.8 Adjustments during test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.5.9 Precise Treatment Table™. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.6 Conventions of scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
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1.1 Introduction
This document is the Customer Acceptance Test (CAT) schedule for Elekta Compact™ Linear
Accelerator with asymmetric diaphragms or MLCi2™ beam limiting device.
The Customer Acceptance Tests for the Precise Treatment Table™ are available in the Precise
Treatment Table™ Customer Acceptance Test manual.
Note: If Elekta has to do other tests that are not agreed as part of the Contract of Sale, there are added costs.
After each test, record the result in this document in the space after the test procedure. If you make
a plot during a test, attach a copy of the results to this document.
If Elekta does the IEC 60976 / 60977 Additional Performance Tests as an agreed part of the Contract
of Sale, attach a copy of the test results to this document. Refer to the document Additional
Performance Tests.
An example of the alternative scale convention, IEC 60601-2-1, see Figure 1.2.
Make sure that all the applicable equipment of the system is configured to the same scale
convention.
2 Test schedule
Section Description Page
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2.1.1.1 Specification
With full rotation of the beam limiting device (BLD), the position of the crosswires must be
contained in a circle with a diameter of:
• 1 mm at 100 cm SSD.
• 2 mm at the level of the floor.
1 Use a spirit level and adjust the gantry angle accurately to 0°.
2 Set up the treatment table with the surface of the table top at 100 cm SSD.
3 Attach a sheet of graph paper to the surface of the table top.
4 Rotate the BLD 360° and make a plot on a sheet of graph paper of the position of the crosswire
image.
5 Rotate the treatment table to get a projection of the crosswire image on to the floor.
6 Attach a sheet of graph paper on the floor.
7 Rotate the beam limiting device 360° and make a plot on the sheet of graph paper of the
position of the crosswire image.
8 Record the results in Table 2.1.
Results
Accepted by........................................
2.1.2.1 Specification
At all gantry angles the intersection of the crosswires at 100 cm SSD must not be more than 2 mm
from each other.
1 Set up an external fixed pointer at 100 cm SSD and align with the crosswire image.
2 Rotate the gantry 360°.
3 Make a note of the deviation of the crosswire image in relation to the fixed pointer in the A-B
and G-T axis, at:
• 180°.
• 90°.
• 0°.
• 270°.
4 Record the results in Table 2.2.
Results
Accepted by........................................
2.2.1 Specification
The X-ray field edges must align with the displayed diaphragm or leaf position to:
• ±1 mm for field sizes of maximum 20 cm × 20 cm.
• ±1% for larger fields.
The light field edges must align with the X-ray field edge to:
• ±1.0 mm for field sizes from 5 cm × 5 cm to 20 cm × 20 cm.
• ±1% for larger fields.
For film, the X-ray field edges are measured from the 50% density point, to the image of the
crosswires at the isocenter.
Table 2.4 X-ray field size and optical field size results
Accepted by........................................
Test procedure
1 Set up a water phantom with the surface at 100 cm SSD.
2 Set the field size to 10 cm ×10 cm.
3 Use a travelling ionization chamber, or a semiconductor detector, and measure the percentage
dose on the radiation beam axis.
4 Record the results in Table 2.5.
Accepted by........................................
Matching requirements
For two or more production machines ordered at the same time:
a The center of the radiation beam axis depth dose ratio of Dmax to D10 is nominal energy,
(±1%), to which the group of machines are matched.
b The average value over 1 cm anywhere in the flattened area, at D10 is within a 2% window
for photons.
Accepted by........................................
2.4.1 Specification
Flatness of X-ray fields
This is the ratio of the maximum absorbed dose, at two selected points in the radiation field, to the
minimum absorbed dose in the flattened area.
The standard depth of measurement is 10 cm for the 6 MV energy.
At the standard depth of measurement and the calculated average of the two points for an area not
greater than 1 cm2, the ratio must not be more than:
• 106% for field sizes between 10 cm × 10 cm and 30 cm × 30 cm.
• 110% for field sizes greater than 30 cm × 30 cm.
Dmax
Where the flatness ratio =
Dmin
× 100%
Machine matching
For machine matching specifications, see Section 2.3.2 and Section 2.3.3.
D
Where symmetry ratio = Dmax × 100%
min
3 1 4 2
Note: The maximum size of a square field is 35 cm × 35 cm. Larger fields have round corners. This is caused
by the opening of the primary collimator, which makes the primary beam in the shape of a cone with a
maximum diameter of 50 cm at 100 cm SSD.
Results
Accepted by........................................
Accepted by........................................
Results
Diaphragms Penumbra
X1
X2
Y1
Y2
Accepted by........................................
A.1.1 Specification
Refer to the iCom Interface Information manual for information on how to use the iCom Customer
Acceptance Test program.
A.2 Results
Make sure that:
• The prescription transfers from the device that runs the iCom Customer Acceptance Test
program, to the Received External Prescription program on the treatment control
system.
• The delivery of the prescription is successful.
Accepted by........................................
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