Abstract: |
Purpose: To develop a quality assurance (QA) procedure to assess the intensity profile and dosimetry for intensity-modulated (IM) treatment fields using electronic portal imaging devices (EPIDs).Methods and Materials: A series of rapidly acquired (~1/sec) portal images are summed and converted to dose. For relative intensity QA, the intended profile is subtracted point-by-point from the measured profile forming a series of error values. The standard deviation, σ, of the errors, a measure of the goodness of the match, is minimized by applying a normalization and uniform scatter subtraction from the measured profile. For dose verification (dose to isocenter), an empirically determined phantom-correction factor is added to incorporate the effect of patient presence on EPID readings. Seventy prostate treatment fields were used in a phantom study to verify these approaches. Sensitivity was studied by creating artificial mismatches.Results: The average σ for relative profile verification is 3.3% (percentage of average intended intensity) whereas artificial mismatches resulted in σ values from 5% to 27%. The average isocentric dose calculated from EPID readings is 1.001 relative to the planned dose with a standard deviation of 0.018.Conclusions: An EPID can be used for profile verification and absolute isocentric dose measurement for IM fields. Copyright (C) 2000 Elsevier Science Inc. |