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A Novel Daily QA Device for Proton Therapy


X Ding

X Ding1*, Y Zheng1, A Mascia1, W Hsi1, Y Kang1, E Ramirez1, O Zeidan1, R Foster1, M Gao1, S Laub1, M Pankuch1, N Schreuder1, B Harris1, (1) ProCure Treatment Centers, Oklahoma City, OK

SU-E-T-301 Sunday 3:00:00 PM - 6:00:00 PM Room: Exhibit Hall

Purpose:
We describe the design and use of a daily QA device for proton therapy. The device is designed for therapists to check the readiness of the IBA Proton Therapy System (IBA, Louvain-la-Neuve, Belgium) during morning QA. The checks include connectivity, positioning, mechanical, imaging and dosimetric parameters of the proton therapy system.

Methods:
The device consists of a commercial QA device, (rf-DailyQA3 -Sun Nuclear Corporation, Melbourne, FL), in conjunction with a home-made acrylic phantom and mechanical indexing jig. The indexing jig indexes the rf-DailyQA3 to treatment couch. Fiducial markers embedded in the phantom are used for checking the x-ray image and alignment accuracy of the imaging system (VeriSuite, MedCom, Darmstadt- Germany). The rf-DailyQA3 is used to check the proton beam output, range and symmetry, which are acquired during one single beam delivery of 100 monitor units. We developed in-house software to calculate the variation of beam range and symmetry, based on readings from the various ion chambers inside the rf-DailyQA3.

Results:
The device has been employed to perform daily QA since June 2010 at two operational proton treatment centers and will soon be implemented at ProCure's New Jersey center. All QA tests are performed by radiation therapists and reviewed by the medical physicist on duty. Due to the simplicity of the device and the associated processing software, the QA time is less than 20 minutes per room. The measurement data collected by the device during daily QA are recorded in the OIS. The integrity of the data is validated by comparing against other independent measurements.

Conclusions:
The daily QA device has been proven to be robust, reliable and user-friendly. The performance of this system has been proven to be stable and accurate using trend analyses.

Key words:
proton therapy, daily QA, output, range, symmetry

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