Practical issues in treating heavy patients on a LINAC treatment couch

Safe delivery of external beam radiation therapy to patients whose weight approaches the tolerance of a treatment couch presents some challenges, particularly if the couch has been in use for several years and has seen significant wear and tear. An analysis of treatment couch design can identify locations that become stressed and could potentially fail when supporting a heavy patient, leading to serious injury. Some practical methods to decrease the likelihood of couch failure are presented in this work. The design and implementation of a lifting apparatus to support the treatment couch is also described.