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MO-D-BRB-09: Treatment Delivery QA for Online Adaptive Radiation Therapy Based on Dynamic Machine Information (DMI): A Feasibility Study.

Publication ,  Journal Article
Li, T; Yuan, L; Wu, Q; Yin, F; Wu, QJ
Published in: Med Phys
June 2012

PURPOSE: To implement a quality assurance (QA) system for the treatment delivery of online adaptive radiation therapy utilizing Dynamic Machine Information (DMI). MATERIALS AND METHODS: DMI provides the expected/actual MLC leaf-positions, delivered MU, and beam-on status every 50ms during delivery. In this study a stream of DMI inputs is simulated by playing back Dynalog information recorded while delivering a test fluence map (FM). Based on these DMI inputs, the QA system performs three levels of monitoring/verification on the plan delivery process: (1) Following each input, actual and expected FMs delivered up to the current MLC position is dynamically updated using corresponding MLC positions in the DMI. The magnitude and frequency of pixel-by-pixel fluence differences between these two FMs are calculated and visualized in histograms.(2) At each control point, actual MLC positions are verified against the treatment plan for potential errors in data transfer between the treatment planning system (TPS) and the MLC controller.(3) Both (1) and (2) can signal beam-hold with a user-specified error tolerance.(4) After treatment, delivered dose is reconstructed in TPS based on DMI data during delivery, and compared to planned dose. RESULTS: (1) Efficiency: Average latency from DMI input to the completion of fluence difference calculation is <1ms.(2) Efficacy: For test FM, transient error in leaf positions is (-0.07±0.28)mm; cumulative errors in delivered fluence is (0.003±0.183)% of the maximal fluence. The system can also identify data transfer errors between TPS and MLC controller. Off-line dose reconstruction and evaluation show <0.5% dosimetric discrepancy from planned dose distribution for the test FM. CONCLUSION: This QA system is capable of identifying MLC position/fluence errors in near real-time, and assessing dosimetric impact of the treatment delivery process. It is thus a valuable tool for clinical implementation of online adaptive radiation therapy. (Research partially supported by Varian) Research partially supported by Varian Medical Systems.

Duke Scholars

Published In

Med Phys

DOI

EISSN

2473-4209

Publication Date

June 2012

Volume

39

Issue

6Part21

Start / End Page

3867 / 3868

Location

United States

Related Subject Headings

  • Nuclear Medicine & Medical Imaging
  • 5105 Medical and biological physics
  • 4003 Biomedical engineering
  • 1112 Oncology and Carcinogenesis
  • 0903 Biomedical Engineering
  • 0299 Other Physical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Li, T., Yuan, L., Wu, Q., Yin, F., & Wu, Q. J. (2012). MO-D-BRB-09: Treatment Delivery QA for Online Adaptive Radiation Therapy Based on Dynamic Machine Information (DMI): A Feasibility Study. Med Phys, 39(6Part21), 3867–3868. https://doi.org/10.1118/1.4735790
Li, T., L. Yuan, Q. Wu, F. Yin, and Q. J. Wu. “MO-D-BRB-09: Treatment Delivery QA for Online Adaptive Radiation Therapy Based on Dynamic Machine Information (DMI): A Feasibility Study.Med Phys 39, no. 6Part21 (June 2012): 3867–68. https://doi.org/10.1118/1.4735790.
Li, T., et al. “MO-D-BRB-09: Treatment Delivery QA for Online Adaptive Radiation Therapy Based on Dynamic Machine Information (DMI): A Feasibility Study.Med Phys, vol. 39, no. 6Part21, June 2012, pp. 3867–68. Pubmed, doi:10.1118/1.4735790.

Published In

Med Phys

DOI

EISSN

2473-4209

Publication Date

June 2012

Volume

39

Issue

6Part21

Start / End Page

3867 / 3868

Location

United States

Related Subject Headings

  • Nuclear Medicine & Medical Imaging
  • 5105 Medical and biological physics
  • 4003 Biomedical engineering
  • 1112 Oncology and Carcinogenesis
  • 0903 Biomedical Engineering
  • 0299 Other Physical Sciences