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A Novel Iris Quality Assurance Phantom for the CyberKnife Radiosurgery System

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M Descovich

M Descovich1*, D Pinnaduwage1 , A Sudhyadhom1 , B Nelson2 , (1) University of California San Francisco, San Francisco, CA, (2) Logos Systems Int'l, Scotts Valley, CA


TU-G-CAMPUS-T-8 (Tuesday, July 14, 2015) 5:00 PM - 5:30 PM Room: Exhibit Hall

Purpose: A novel CCD camera and conical scintillator based phantom that is capable of measuring the targeting and field size accuracy of a robotic radiosurgery system has been developed. This work investigates its application in measuring the field sizes and beam divergence of the CyberKnife variable aperture collimator (Iris).

Methods: The phantom was placed on the treatment couch and the robot position was adjusted to obtain an anterior-posterior beam perpendicular to the cone’s central axis. The FWHM of the 12 Iris apertures (5, 7.5, 10, 12.5, 15, 20, 25, 30, 35, 40, 50, and 60 mm) were measured from the beam flux map on the conical scintillator surface as seen by the CCD camera. For each measurement 30 MU were delivered to the phantom at a dose rate of 1000 MU/min. The measurements were repeated at 4 SAD distances between 75 and 85 cm. These readings were used to project the aperture size as if the flux map on the scintillator were located 80 cm from the source (SSD). These projected FWHM beam diameters were then compared to the commissioning data.

Results: A series of 12 beam divergence equations were obtained from the 4 sets of data using linear trend lines on Excel scatter plots. These equations were then used to project the FWHM measurements at 80 cm SSD. The average aperture accuracy for beams from 5 through 40 mm was 0.08 mm. The accuracy for the 50 and 60 mm beams were 0.33 and 0.58 mm when compared to film commissioning data.

Conclusion: The experimental results for 10 apertures agree with the stated Iris accuracy of ±0.2 mm at 80 cm SAD. The results for the 50 and 60 mm aperture were repeatable and can serve as a reliable trend indicator of any deviations away from the commissioning values.

Funding Support, Disclosures, and Conflict of Interest: Brett Nelson is President/CTO of Logos Systems

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