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Geometric Calibration and Verification of a GammaPod Breast SBRT System

C Yu

C Yu1,2*, Y Niu2 , Y Mutaf1 , P Maton2 , P Hoban2 , (1) Univ Maryland School of Medicine, Baltimore, MD, (2) Xcision Medical Systems, Columbia, MD


SU-E-T-442 (Sunday, July 12, 2015) 3:00 PM - 6:00 PM Room: Exhibit Hall

Purpose: The first GammaPod™ unit for prone stereotactic treatment of early stage breast cancer has recently been installed and calibrated. Thirty-six rotating circular Co-60 beams focus dose at an isocenter that traverses throughout a breast target via continuous motion of the treatment table. The breast is immobilized and localized using a vacuum-assisted stereotactic cup system that is fixed to the table during treatment. Here we report on system calibration and on verification of geometric and dosimetric accuracy.

Methods: Spatial calibration involves setting the origin of each table translational axis within the treatment control system such that the relationship between beam isocenter and table geometry is consistent with that assumed by the treatment planning system. A polyethylene QA breast phantom inserted into an aperture in the patient couch is used for calibration and verification. The comparison is performed via fiducial-based registration of measured single-isocenter dose profiles (radiochromic film) with kernel dose profiles. With the table calibrations applied, measured relative dose distributions were compared with TPS calculations for single-isocenter and dynamic (many-isocenter) treatment plans. Further, table motion accuracy and linearity was tested via comparison of planned control points with independent encoder readouts.

Results: After table calibration, comparison of measured and calculated single-isocenter dose profiles show agreement to within 0.5 mm for each axis. Gamma analysis of measured vs calculated profiles with 3%/2mm criteria yields a passing rate of >99% and >98% for single-isocenter and dynamic plans respectively. This also validates the relative dose distributions produced by the TPS. Measured table motion accuracy was within 0.05 mm for all translational axes.

Conclusion: GammaPod table coordinate calibration is a straightforward process that yields very good agreement between planned and measured relative dose distributions. The dynamic table motions used for dose painting are consistent with planned control points.

Funding Support, Disclosures, and Conflict of Interest: CY, YN, PM, PH are employees of Xcision Medical Systems

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