Relative profile and dose verification of intensity-modulated radiation therapy Journal Article


Authors: Chang, J.; Mageras, G. S.; Chui, C. S.; Ling, C. C.; Lutz, W.
Article Title: Relative profile and dose verification of intensity-modulated radiation therapy
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.
Keywords: radiation dose; sensitivity and specificity; quality control; linear models; reproducibility of results; radiotherapy dosage; radiotherapy; algorithms; prostatic neoplasms; imrt; device; ionization chamber; phantoms, imaging; physics; dose verification; epid; radiotherapy, computer-assisted; humans; male; priority journal; article; treatment field verification; treatment qa; electronics, medical
Journal Title: International Journal of Radiation Oncology, Biology, Physics
Volume: 47
Issue: 1
ISSN: 0360-3016
Publisher: Elsevier Inc.  
Date Published: 2000-04-01
Start Page: 231
End Page: 240
Language: English
DOI: 10.1016/s0360-3016(99)00555-6
PUBMED: 10758329
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 18 November 2015 -- Source: Scopus
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MSK Authors
  1. Jenghwa Chang
    63 Chang
  2. Gikas S Mageras
    277 Mageras
  3. C Clifton Ling
    331 Ling
  4. Chen Chui
    144 Chui
  5. Wendell R Lutz
    15 Lutz