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Dosimetry audit of the CyberKnife accelerator with the SHANE phantom

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Introduction: The aim of this study was to propose a dosimetric audit of the CyberKnife system. Dosimetry audit is an important part of the quality assurance process in radiotherapy. Most of the proposed dosimetric audits are dedicated to classical medical accelerators. Currently, there is no commonly implemented scheme for conducting a dosimetric audit of the CyberKnife accelerator. Material and methods: To verify the dosimetric and geometric parameters of the entire radiotherapy process, as is required in E2E test procedure, the CIRS SHANE anthropomorphic phantom was used. A tomography with a resolution of 1.5 mm was prepared, five PTVs (Planning Target Volume) of different volumes were drawn; approximately: 88 cm3, 44 cm3, 15 cm3, 7 cm3, 1.5 cm3. Five treatment plans were made using the 6D Skull tracking method, FIXED collimators, RayTracing algorithm. Each treatment plan was verified in a slab Phantom, with a PinPoint chamber. The dose was measured by an ionization chamber type TM31010 Semiflex, placed in the center area of the target. Results: The result of the QA verification in slab phantom was up to 5,0%. The percentage difference for the measurement in the SHANE phantom was: 4.29%, -1.42%, -0.70%, 1.37%, -1.88% respectively for the targets: 88 cm3, 44 cm3, 15 cm3, 7 cm3, 1.5 cm3. Conclusions: By analyzing various approaches to small-field dosimetry audits in the literature, it can be assumed that the proposed CyberKnife dosimetric audit using the SHANE phantom is an appropriate method of verification of the radiotherapy process. Particular attention should be paid to the target volume, adjusting it to the system capabilities.
Słowa kluczowe
Rocznik
Strony
207--212
Opis fizyczny
Bibliogr. 19 poz., rys., tab.
Twórcy
  • Masovian Oncology Hospital, Wieliszew, Poland
  • Masovian Oncology Hospital, Wieliszew, Poland
  • Masovian Oncology Hospital, Wieliszew, Poland
  • Maria Skłodowska-Curie National Research Instiute of Oncology, Warsaw, Poland
  • Maria Skłodowska-Curie National Research Instiute of Oncology, Warsaw, Poland
Bibliografia
  • 1. Konstanty E. International Atomic Energy Agency clinical audits – the way to safe and effective radiotherapy. Zeszyty Naukowe WCO, Letters in Oncology Science. 2018;15(3):83-87.
  • 2. International Atomic Energy Agency, Quality Assurance Team for Radiation Oncology, eds. Comprehensive Audits of Radiotherapy Practices: A Tool for Quality Improvement. International Atomic Energy Agency; 2007.
  • 3. Dosimetry audit networks (Dan) database. Accessed March 22, 2021. https://dosimetry-auditnetworks.iaea.org/home/postaldoseauditservice
  • 4. Obwieszczenie Marszałka Sejmu Rzeczypospolitej Polskiej z dnia 11 września 2019 r. w sprawie ogłoszenia jednolitego tekstu ustawy - Prawo atomowe. Accessed March 22, 2021. http://isap.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=WDU20190001792
  • 5. Obwieszczenie Ministra Zdrowia z dnia 3 kwietnia 2017 r. w sprawie ogłoszenia jednolitego tekstu rozporządzenia Ministra Zdrowia w sprawie warunków bezpiecznego stosowania promieniowania jonizującego dla wszystkich rodzajów ekspozycji medycznej. Accessed May 19, 2021. https://isap.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=WDU20170000884
  • 6. Obwieszczenie Ministra Zdrowia z dnia 22 grudnia 2014 r. w sprawie ogłoszenia wykazu wzorcowych procedur radiologicznych z zakresu radioterapii onkologicznej. Accessed March 22, 2021. http://dziennikmz.mz.gov.pl/legalact/2014/81
  • 7. Clark C, Gershkevitsh E, Lechner W, et al. IAEA Supported National “End-to-End” Audit Programme for Dose Delivery Using Intensity-Modulated Radiation Therapy through On-Site Visits to Radiation Therapy Institutions. Published online 2019. https://dosimetry-audit-networks.iaea.org/Content/end-to-end%20CIRS%20SHANE/National%20end-to-end%20IMRTVMAT%20audit%20methodology.pdf
  • 8. Malicki J, Ślosarek K. Planowanie Leczenia i Dozymetria w Radioterapii (Tom 2). Via Medica; 2018.
  • 9. Inoue HK, Seto K, Nozaki A, et al. Three-fraction CyberKnife radiotherapy for brain metastases in critical areas: referring to the risk evaluating radiation necrosis and the surrounding brain volumes circumscribed with a single dose equivalence of 14 Gy (V14). Journal of Radiation Research. 2013;54(4):727-735. https://doi.org/10.1093/jrr/rrt006
  • 10. Wocial P. CyberKnife S7-Radioterapia najwyższej precyzji. Inżynier i Fizyk Medyczny. 1/2021:10-11.
  • 11. Ding C, Saw CB, Timmerman RD. Cyberknife stereotactic radiosurgery and radiation therapy treatment planning system. Medical Dosimetry. 2018;43(2):129-140. https://doi.org/10.1016/j.meddos.2018.02.006
  • 12. Phantom Patient for VMAT & IMRT: Data Sheet - CIRS. http://www.cirsinc.com/wp-content/uploads/2020/08/1365-DS-081420.pdf
  • 13. International Atomic Energy Agency, ed. Absorbed Dose Determination in External Beam Radiotherapy: An International Code of Practice for Dosimetry Based on Standards of Absorbed Dose to Water. International Atomic Energy Agency; 2001.
  • 14. Accuray Incorporated. Equipment Specifications. Accessed March 22, 2021. http://www.cyberknifelatin.com/pdf/brochure-tecnico.pdf
  • 15. Grimm J, LaCouture T, Croce R, et al. Dose tolerance limits and dose volume histogram evaluation for stereotactic body radiotherapy. Journal of Applied Clinical Medical Physics. 2011;12(2):267-292. https://doi.org/10.1120/jacmp.v12i2.3368
  • 16. Benedict SH, Yenice KM, Followill D, et al. Stereotactic body radiation therapy: The report of AAPM Task Group 101: Stereotactic body radiation therapy: The report of TG101. Med Phys. 2010;37(8):4078-4101. https://doi.org/10.1118/1.3438081
  • 17. Dosimetry of Small Static Fields Used in External Beam Radiotherapy. INTERNATIONAL ATOMIC ENERGY AGENCY; 2017. https://www.iaea.org/publications/11075/dosimetry-of-small-static-fields-used-in-external-beam-radiotherapy
  • 18. Koksal C, Akbas U, Donmez Kesen N, et al. Patient-specific quality assurance for intracranial cases in robotic radiosurgery system. J BUON. 2018;23(1):179-184.
  • 19. Pasler M, Hernandez V, Jornet N, Clark C. H., Novel Methodologies for Dosimetry Audits: Adapting to Advanced Radiotherapy Techniques. Physics and Imaging in Radiation Oncology. 2018;5:76-84. https://doi.org/10.1016/j.phro.2018.03.002
Uwagi
Opracowanie rekordu ze środków MNiSW, umowa Nr 461252 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2021).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-a62d3131-9719-46ca-a43f-2e98aaf39e94
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