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Program Information

Vernier Picket Fence Test: A Non-Imaging Method to Localize the Radiation Isocenter with Submillimeter Accuracy

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J Wong

J Wong*1,2, K Gallagher1,2, J Zhang1, (1) Oregon Health & Science University, Portland, OR, (2) Oregon State University, Corvallis, OR

Presentations

TU-G-CAMPUS-T-7 (Tuesday, July 14, 2015) 5:00 PM - 5:30 PM Room: Exhibit Hall


Purpose: The purpose of this study is to propose a new non-imaging method to localize the radiation isocenter with submillimeter accuracy.

Methods: The Vernier picket fence (VPF) is a multileaf collimator (MLC) picket fence sequence in which the fence spacing is 1/N smaller than the detector spacing of the QA phantom, where N is the magnification factor, typically set to 10 or 20. Similar to reading a Vernier caliper, the user can easily achieve the resolution of 1/N of the detector spacing by visually inspecting the maximum signal. To achieve higher accuracy, a Gaussian model was used to interpolate the peak position, which can fall between adjacent detectors. In two separate tests, precise MLC offsets and imprecise couch offsets were applied to a 2D detector array (MapCheck, Sun Nuclear Corp., Melbourne, Florida) to introduce setup errors. Two vertical VPF fields were delivered with collimator angles at 0° and 90° to detect the lateral and longitudinal setup errors, respectively. For a rotational QA phantom, an additional lateral VPF field is needed to detect the vertical setup error for three-dimensional capabilities.

Results: With N set to 20 and a detector spacing of 5 mm for MapCheck, the resolution of the VPF’s visual analysis is 0.25 mm. With the Gaussian interpretation, the VPF can achieve an accuracy of 0.02 mm, as shown by the MLC offset test. The couch offset test measured the couch hysteresis and demonstrated that the setup error detected by the VPF differed from the ExacTrac™ (Brainlab AG, Feldkirchen, Germany) optical tracking by 0.055 mm in the lateral direction and 0.041 mm in the longitudinal direction on average. The VPF was also shown to be feasible in the vertical direction as well.

Conclusion: This study verified the VPF as a non-imaging method to localize the radiation isocenter with submillimeter accuracy.

Funding Support, Disclosures, and Conflict of Interest: Funding is in part by the Portland Chapter of the Achievement Rewards for College Scientists. The content is solely the responsibility of the authors, and does not necessarily represent the official views of the sponsors. The authors declare no conflict of interest.


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