Verification of patient position and delivery of IMRT by electronic portal imaging

Fielding, Andrew L., Evans, Philip M., & Clark, Catharine H. (2004) Verification of patient position and delivery of IMRT by electronic portal imaging. Radiotherapy and Oncology, 73(3), pp. 339-347.

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Background and purpose: The purpose of the work presented in this paper was to determine whether patient positioning and delivery errors could be detected using electronic portal images of intensity modulated radiotherapy (IMRT).

Patients and methods: We carried out a series of controlled experiments delivering an IMRT beam to a humanoid phantom using both the dynamic and multiple static field method of delivery. The beams were imaged, the images calibrated to remove the IMRT fluence variation and then compared with calibrated images of the reference beams without any delivery or position errors. The first set of experiments involved translating the position of the phantom both laterally and in a superior/inferior direction a distance of 1, 2, 5 and 10 mm. The phantom was also rotated 1 and 28. For the second set of measurements the phantom position was kept fixed and delivery errors were introduced to the beam. The delivery errors took the form of leaf position and segment intensity errors.

Results: The method was able to detect shifts in the phantom position of 1 mm, leaf position errors of 2 mm, and dosimetry errors of 10% on a single segment of a 15 segment IMRT step and shoot delivery (significantly less than 1% of the total dose).

Conclusions: The results of this work have shown that the method of imaging the IMRT beam and calibrating the images to remove the intensity modulations could be a useful tool in verifying both the patient position and the delivery of the beam.

Impact and interest:

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13 citations in Web of Science®

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ID Code: 61039
Item Type: Journal Article
Refereed: Yes
Keywords: Electronic portal imaging, Intensity modulated radiotherapy, Set-up errors, Verification
DOI: 10.1016/j.radonc.2004.09.003
ISSN: 0167-8140
Divisions: Current > Schools > School of Chemistry, Physics & Mechanical Engineering
Current > Institutes > Institute of Health and Biomedical Innovation
Current > QUT Faculties and Divisions > Science & Engineering Faculty
Copyright Owner: Copyright 2004 Elsevier Ireland Ltd. All rights reserved.
Deposited On: 02 Jul 2013 01:28
Last Modified: 11 Jul 2013 06:03

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