Literature DB >> 14605746

[Quality assurance in stereotactic space. Determination of the accuracy of aim and dose in single dose radiosurgery].

Andreas Mack1, Günther Mack, Dirk Weltz, Andreas Hönes, Anja Jess, Berndt Wowra, Heinz Czempiel, Bernd Heck, Hans-Jürg Kreiner, Volker Seifert, Heinz Böttcher.   

Abstract

BACKGROUND: Single dose irradiation techniques require methods of quality assurance of high precision. The complete operational sequence of a treatment from imaging over irradiation planning up to the patient irradiation has to be controlled and verified in a phantom (Figure 2). These demands receive special topicality by the E-DIN 6875-1 [38], which will appear soon.
MATERIAL AND METHODS: A quality assurance package was developed to meet the requirements of the E-DIN 6875-1 [38]. It consists of versatile usable precision phantom (Figure 1), a dose measuring system for the tissue equivalent radiochromic film GAFCHROMIC trade mark type MD 55 II using a high-quality scanner, and a software for standardized test routines (Figures 2 to 4). Correction routines for film fog, darkening, temperature effect as well as for film inhomogeneities (double exposure technology) are implemented.
RESULTS: The measuring system permits routine dosimetry with inaccuracies typically < 5%, for the double exposure procedure typically < 3% with local dissolutions of approx. 1/100 mm in film plane, perpendicularly to it the film stack density and the film thickness (0.3 mm) are determining. The measuring system is designed to simulate the complete three-dimensional treatment of a patient (Figure 4).
CONCLUSIONS: The procedure achieves a high quality standard for all steps in radiosurgery. The simple handling permits the employment for the daily routine (according to E-DIN 6875-1 [38]), in addition, for the modelling of complicated 3-d of scattering conditions, e. g. close to risk structures.

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Year:  2003        PMID: 14605746     DOI: 10.1007/s00066-003-1068-2

Source DB:  PubMed          Journal:  Strahlenther Onkol        ISSN: 0179-7158            Impact factor:   3.621


  3 in total

1.  RapidArc combined with the active breathing coordinator provides an effective and accurate approach for the radiotherapy of hepatocellular carcinoma.

Authors:  G Z Gong; Y Yin; L G Xing; Y J Guo; T Liu; J Chen; J Lu; C Ma; T Sun; T Bai; G Zhang; R Wang
Journal:  Strahlenther Onkol       Date:  2012-02-08       Impact factor: 3.621

2.  On the accuracy of isocenter verification with kV imaging in stereotactic radiosurgery.

Authors:  Rolf Wiehle; Hans-Jürgen Koth; Norbert Nanko; Anca-Ligia Grosu; Norbert Hodapp
Journal:  Strahlenther Onkol       Date:  2009-05-15       Impact factor: 3.621

3.  Adjacent level fracture incidence in single fraction high dose spinal radiosurgery.

Authors:  Dennis T Lockney; Benjamin Hopkins; Natalie A Lockney; Christian Z Coleman; Elena Rubin; Eric Lis; Yoshiya Yamada; Adam Schmitt; Daniel Higginson; Mark H Bilsky; Ilya Laufer
Journal:  Ann Transl Med       Date:  2019-05
  3 in total

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