TECHNICAL NOTE
Year : 2014 | Volume
: 39 | Issue : 2 | Page : 116--120
Implementation of a program for quality assurance on leaf positioning accuracy using Gafchromic ® RTQA2 films
Andrea Girardi1, Silvia Anglesio1, Gianluca Amadore2, Edoardo Trevisiol1, Maria Grazia Ruo Redda3
1 School of Specialization in Medical Physics, University of Turin, Turin, Italy
2 Departments of Radiation Oncology, Radiology, University of Turin, S. Luigi Gonzaga Hospital, Orbassano, Italy
3 Departments of Radiation Oncology, Radiation Oncology Unit, University of Turin, S. Luigi Gonzaga Hospital, Orbassano, Italy
Correspondence Address:
Andrea Girardi
Department of Radiation Oncology, Regione Gonzole 10, Orbassano, Turin
Italy
In radiotherapy treatments the correct dose delivery to the target volume and the consequent conservation of healthy tissues is affected by multileaf collimator (MLC) leaf positioning accuracy and reproducibility, mostly in intensity-modulated radiation therapy (IMRT): For this reason a quality assurance (QA) program is necessary to ensure the best treatment possible to each patient. The aim of this study is the implementation of a method using Gafchromic ® RTQA 2 films to perform routine QA on the MLC, both for qualitative and quantitative analysis. A flatbed document scanner (Epson 10000XL) was used in conjunction with radiochromic detector; a scanning protocol was firstly defined to improve readout accuracy. RTQA2 films were irradiated with 6 MV X-rays at different dose levels to obtain calibration curve. To evaluate the leaf positioning accuracy in different conditions, a rhomboidal shape and a field consisting in three rectangular segments were selected. The images quantitative analysis was handled with a program developed in MATLAB to evaluate the differences between expected and measured leaves positions. The reproducibility and global uncertainty of the method were estimated to be equal to 0.5% and 0.6 mm, respectively. Moreover, a qualitative test was performed: A garden picket fence field, consisting in multiple segments 2 × 22 cm 2 , was realized setting known leaves shifts to test the method sensitivity. The picket fence test shows that the method is able to detect displacements equal to 1 mm. The results suggest that Gafchromic ® RTQA2 films represent a reliable tool to perform MLC routine QA.
How to cite this article:
Girardi A, Anglesio S, Amadore G, Trevisiol E, Redda MR. Implementation of a program for quality assurance on leaf positioning accuracy using Gafchromic ® RTQA2 films.J Med Phys 2014;39:116-120
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How to cite this URL:
Girardi A, Anglesio S, Amadore G, Trevisiol E, Redda MR. Implementation of a program for quality assurance on leaf positioning accuracy using Gafchromic ® RTQA2 films. J Med Phys [serial online] 2014 [cited 2023 Mar 30 ];39:116-120
Available from: https://www.jmp.org.in/article.asp?issn=0971-6203;year=2014;volume=39;issue=2;spage=116;epage=120;aulast=Girardi;type=0 |
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