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Impact of software changes: Transit dose and source position accuracy of the Eckert & Ziegler BEBIG GmbH MultiSource® high dose rate (HDR) brachytherapy treatment unit

Published online by Cambridge University Press:  02 August 2012

A. Palmer*
Affiliation:
Radiotherapy Physics, Medical Physics Department, Portsmouth Hospitals NHS Trust, United Kingdom Department of Physics, Faculty of Engineering and Physical Science, University of Surrey, United Kingdom
*
Correspondence to: Antony Palmer, Head of Radiotherapy Physics, Medical Physics Department (Radiotherapy), F-Level, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Portsmouth, United Kingdom. E-mail: antony.palmer@porthosp.nhs.uk

Abstract

Purpose: Medical device performance checks are essential following changes to control system software. This work investigates the effects of new software on the performance of a high dose rate (HDR) brachytherapy treatment unit.

Methods and Materials: A performance assessment was undertaken of the Eckert & Ziegler BEBIG GmbH MultiSource® HDR treatment unit following software upgrade. Video recordings of source transits were used to calculate transit doses, and autoradiography used to measure source dwell positions. Results were compared to a previous study.1

Results: All results showed improved performance with the new compared to old control software. Optimal source movement profiles were observed with maximum transit speeds of 63 (+/−4) mm s−1 between dwells of 5.0 mm separation. The maximum error in transit dose correction with the new software was 2.5 % at 10.0 mm perpendicular from the source axis, compared to 5.6 % previously. The new software eliminated a causal relationship between curvature of the source transfer tubes and dwell position uncertainty.

Conclusions: This work demonstrates the need for comprehensive medical device system checks following software changes. Technical improvements in HDR device performance have been achieved with the new software; reducing transit doses, improving transit dose correction, and improving source positioning accuracy.

Type
Technical Note
Copyright
Copyright © Cambridge University Press 2013

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References

Palmer, A, Mzenda, B. Performance assessment of the BEBIG Multisource® high dose rate brachytherapy treatment unit. Phys Med Biol 2009; 54:74177434.CrossRefGoogle ScholarPubMed
Menon, GV, Carlone, MC, Sloboda, RS. Transit dose contributions to intracavitary and interstitial PDR brachytherapy treatments. Phys Med Biol 2008; 53:34473462.CrossRefGoogle ScholarPubMed
Minamisawa, RA, Rubo, RA, Seraide, RM, Rocha, JRO and Almeida, A. Direct measurement of instantaneous source speed for a HDR brachytherapy unit using an optical fiber based detector. Med Phys 2010; 37:54075411.CrossRefGoogle ScholarPubMed
Yewondwossen, M. Measurement of transit dose of an Ir-192 HDR brachytherapy stepping source using a 2D-array of ion chambers. Med Phys 2011; 38:3573.CrossRefGoogle Scholar
Rickey, DW, Sasaki, D, Bews, J. A quality assurance tool for high-dose-rate brachytherapy. Med Phys 2010; 37:25252532.CrossRefGoogle ScholarPubMed
Pawlicki, T, Dunscombe, PB, Mundt, AJ, Scalliet, P. Quality and safety in radiotherapy. Boca Raton, Taylor & Francis 2011. ISBN: 978-1-4398-0436-0.Google Scholar
McDermott, PN, Somnay, AR, Alecu, R. Acceptance testing and commissioning of a new model HDR afterloader. Radiother Oncol 1996; 39:S25.CrossRefGoogle Scholar
Wallace, AB. Acceptance testing, commissioning and quality assurance for a 370GBq Ir-192 HDR brachytherapy afterloader. Australas Phys Eng Sci Med 1997; 20:112116.Google Scholar
McGarry, C, O’Toole, M, Cosgrove, V. Characterising intensity-modulated radiation therapy (IMRT) software following upgrades in a commercial treatment planning system. Journal of Radiotherapy in Practice 2010; 9:209221.CrossRefGoogle Scholar
Granero, D, Perez-Calatayud, J. Study of a new Co-60 source used in brachytherapy. Med Phys 2007; 34:34853488.CrossRefGoogle ScholarPubMed
Spiller, A; on behalf of Eckert & Ziegler GmbH. Personal communication with the author via email, July 2011.Google Scholar