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Effective Analysis of VMAT QA Generated Trajectory Log Files for Medical Accelerator Predictive Maintenance

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A Baydush

CM Able1 , AH Baydush1*, C Nguyen1 , J Gersh2 , A Ndlovu3 , I Rebo3 , J Booth4 , M Perez4 , B Sintay5 ,MT Munley1 , (1) Wake Forest School of Medicine, Department of Radiation Oncology, Winston Salem, NC, (2) Gibbs Cancer Center and Research Institute, Spartenburg Regional Medical Ce, Spartenburg, SC, (3) John Theuer Cancer Center, Hackensack University Medical Center, Hackensack, NJ, (4) North Sydney Cancer Center, Royal North Shore Hospital, Sydney, St Leonards, (5) Cone Health Cancer Center, Greensboro, NC


SU-E-T-144 Sunday 3:00PM - 6:00PM Room: Exhibit Hall

To determine the effectiveness of SPC analysis for a model predictive maintenance process that uses accelerator generated parameter and performance data contained in trajectory log files.
Each trajectory file is decoded and a total of 131 axes positions are recorded (collimator jaw position, gantry angle, each MLC, etc.). This raw data is processed and either axis positions are extracted at critical points during the delivery or positional change over time is used to determine axis velocity. The focus of our analysis is the accuracy, reproducibility and fidelity of each axis. A reference positional trace of the gantry and each MLC is used as a motion baseline for cross correlation (CC) analysis. A total of 494 parameters (482 MLC related) were analyzed using Individual and Moving Range (I/MR) charts. The chart limits were calculated using a hybrid technique that included the use of the standard 3σ limits and parameter/system specifications. Synthetic errors/changes were introduced to determine the initial effectiveness of I/MR charts in detecting relevant changes in operating parameters. The magnitude of the synthetic errors/changes was based on: TG-142 and published analysis of VMAT delivery accuracy.

All errors introduced were detected. Synthetic positional errors of 2mm for collimator jaw and MLC carriage exceeded the chart limits. Gantry speed and each MLC speed are analyzed at two different points in the delivery. Simulated Gantry speed error (0.2 deg/sec) and MLC speed error (0.1 cm/sec) exceeded the speed chart limits. Gantry position error of 0.2 deg was detected by the CC maximum value charts. The MLC position error of 0.1 cm was detected by the CC maximum value location charts for every MLC.

SPC I/MR evaluation of trajectory log file parameters may be effective in providing an early warning of performance degradation or component failure for medical accelerator systems.

Funding Support, Disclosures, and Conflict of Interest: Research is Supported by Varian Medical Systems, Inc

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