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Quality assurance of intensity-modulated radiotherapy treatment planning: a dosimetric comparison

Published online by Cambridge University Press:  23 July 2018

Saima Altaf ,
Khalid Iqbal ,
Muhammad Akram  and
Saeed A. Buzdar
Saima Altaf
Affiliation:
Department of Physics, The Islamia University, Bahawalpur, Pakistan Department of Physics, The Women University, Multan, Pakistan
Khalid Iqbal*
Affiliation:
Department of Physics, The Islamia University, Bahawalpur, Pakistan Department of Clinical & Radiation Oncology, Shaukat Khanum Cancer Hospital & Research Center Lahore, Pakistan
Muhammad Akram
Affiliation:
Department of Physics, The Islamia University, Bahawalpur, Pakistan
Saeed A. Buzdar
Affiliation:
Department of Physics, The Islamia University, Bahawalpur, Pakistan
*
Author for correspondence: Khalid Iqbal, Department of Clinical & Radiation Oncology, Shaukat Khanum Cancer Hospital & Research Center, Lahore, Pakistan. Tel: +92 42359 05000. Fax: +92 42359 45206. E-mail: khalid_phy@yahoo.com
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Abstract

Aim

The purpose of this study was to analyse the comparison of intensity-modulated radiation therapy quality assurance (IMRT QA) using Gafchromic® EBT3 film, Electronic portal imaging device (EPID) and MapCHECK®2.

Background

Pretreatment authentication is the main apprehension in advanced radiation therapy treatment plans such as IMRT.

Materials and methods

A total of 20 patients were planned on Eclipse treatment planning system using 6 and 15 MV separately.

Results

Gamma index of EBT3 film results shows the following average passing rates: 97% for 6 MV and 96·6% for 15 MV using criteria of ±5% of 3 mm, ±3% of 3 mm and ±3% of 2 mm for brain. However, by using ±5% of 3 mm and ±3% of 3 mm criteria, the average passing rates were 95·4% on 6 MV and 95·2% on 15 MV for prostate. For EPID, the results show the average passing rates as 97·8% for 6 MV and 97·2% for 15 MV in for brain. In cases in which ±5% of 3 mm and ±3% of 3 mm were used, the average passing rates were 96·6% for 6 MVand 96·1% for 15 MV for prostate. MapCHECK®2 results show average passing rates of 96·4% for 6 and 96·2% for 15 MV, respectively, for brain using criteria of ±5% of 3 mm, ±3% of 3 mm and ±3% of 2 mm, whereas for ±5% of 3 mm and ±3% of 3 mm the average rates are 95·2% for 6 and 94·7% for 15 MV in prostate.

Conclusions

The EPID results are better than the other methods, and hence EPID can be used effectively for IMRT pretreatment verifications.

Keywords

dosimetry and MapCHECK®2EPIDGafchromic EBT3 filmpatient-specific IMRT QA
Type
Original Article
Information
Journal of Radiotherapy in Practice , Volume 17 , Issue 4 , December 2018 , pp. 396 - 402
Copyright
© Cambridge University Press 2018 

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