Prog Med Phys.  2015 Dec;26(4):193-200. 10.14316/pmp.2015.26.4.193.

Commissioning Experience of Tri-Cobalt-60 MRI-guided Radiation Therapy System

Affiliations
  • 1Department of Radiation Oncology, Seoul National University Hospital, Seoul, Korea. madangin@gmail.com
  • 2Biomedical Research Institute, Seoul National University Hospital, Seoul, Korea.
  • 3Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Korea.
  • 4Center for Convergence Research on Robotics, Advanced Institutes of Convergence Technology, Suwon, Korea.
  • 5Interdisciplinary Program in Radiation Applied Life Science, Seoul National University College of Medicine, Seoul, Korea.
  • 6Department of Radiation Oncology, Seoul National University College of Medicine, Seoul, Korea.

Abstract

The aim of this study is to present commissioning results of the ViewRay system. We verified safety functions of the ViewRay system. For imaging system, we acquired signal to noise ratio (SNR) and image uniformity. In addition, we checked spatial integrity of the image. Couch movement accuracy and coincidence of isocenters (radiation therapy system, imaging system and virtual isocneter) was verified. Accuracy of MLC positioing was checked. We performed reference dosimetry according to American Association of Physicists in Medicine (AAPM) Task Group 51 (TG-51) in water phantom for head 1 and 3. The deviations between measurements and calculation of percent depth dose (PDD) and output factor were evaluated. Finally, we performed gamma evaluations with a total of 8 IMRT plans as an end-to-end (E2E) test of the system. Every safety system of ViewRay operated properly. The values of SNR and Uniformity met the tolerance level. Every point within 10 cm and 17.5 cm radii about the isocenter showed deviations less than 1 mm and 2 mm, respectively. The average couch movement errors in transverse (x), longitudinal (y) and vertical (z) directions were 0.2 mm, 0.1 mm and 0.2 mm, respectively. The deviations between radiation isocenter and virtual isocenter in x, y and z directions were 0 mm, 0 mm and 0.3 mm, respectively. Those between virtual isocenter and imaging isocenter were 0.6 mm, 0.5 mm and 0.2 mm, respectively. The average MLC positioning errors were less than 0.6 mm. The deviations of output, PDDs between mesured vs. BJR supplement 25, PDDs between measured and calculated and output factors of each head were less than 0.5%, 1%, 1% and 2%, respectively. For E2E test, average gamma passing rate with 3%/3 mm criterion was 99.9%+/-0.1%.

Keyword

MRI-guided radiation therapy system; Commissioning; Co-60; Intensity modulated radiation therapy

MeSH Terms

Head
Signal-To-Noise Ratio
Water
Water

Figure

  • Fig. 1. A brief description of the ViewRay system.


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