PURPOSE VMAT involves multi-parameter modulations, thus presenting multi-dimensional challenges. Here, we present a viable approach to VMAT patient specific QA using EPID-based dosimetry for spine VMAT SRS casesMethods: Our spine VMAT SRS plans consisted of two full arcs and were optimized with 6 MV photons for a Varian Trilogy LINAC. The QA plans were computed by resetting all control points t...

Amorphous silicon electronic portal imaging devices (EPIDs) have been investigated and used for dosimetry in radiotherapy for several years. The presence of a phosphor scintillator layer in the structure of these EPIDs has made them sensitive to low-energy scattered and backscattered radiation. In this study, the backscattered radiation from the walls, ceiling, and floor of a linac bunker has b...

abstract background: for treatment verification in radiation therapy. several physical characteristics of scanningliquid filled ionization chamber epid (slic-epid) including: extra build-up layer,reproducibility and uniformity, and noise level were investigated.electronic portal imaging devices (epids) have found an outstanding positionmaterials and methods: equilibrium, 1-30 mm white water mat...

An electronic portal image device (EPID) has become a method of patient-specific IMRT dose verification for radiotherapy. Research studies have focused on pre and post-treatment verification, however, there are currently no interventional procedures using EPID dosimetry that measure the dose in real time as a mechanism to ensure that overdoses do not occur and underdoses are detected as soon as...

Introduction: Electronic portal imaging devices (EPIDs) could potentially be useful for intensity-modulated radiation therapy (IMRT) and VMAT QA. The data density, high resolution, large active area, and efficiency of the MV EPID make it an attractive option. However, EPIDs were designed as imaging devices, not dosimeters, and as a result they do not inherently measure dose in ...

An electronic portal imaging device (EPID) is an effective detector for in vivo transit dosimetry. In fact, it supplies two-dimensional information, does not require special efforts to be used during patient treatment, and can supply data in real time. In the present paper, a new procedure has been proposed to improve the EPID in vivo dosimetry accuracy by taking into account the patient setup ...

The problem of determining the in vivo dosimetry for patients undergoing radiation treatment has been an area of interest since the development of the field. More recent methods of measurement employ Electronic Portal Image Devices (EPID), or dosimeter arrays, for entrance or exit fluence determination. The more recent methods of in vivo dosimetry make use of detector arrays and reconstruction ...

PURPOSE To quantify the ability of electronic portal imaging device (EPID) dosimetry used during treatment (in vivo) in detecting variations that can occur in the course of patient treatment. METHODS Images of transmitted radiation from in vivo EPID measurements were converted to a 2D planar dose at isocenter and compared to the treatment planning dose using a prototype software system. Using...

The aim in this study is to develop a generalized strategy for 3D dose verification of IMRT and VMAT planes using EPID transit images in combination with Monte Carlo (MC) simulations. An EPID-based dosimetric verification procedure was developed to convert EPID-measured transit images into 2D exit photon fluence by de-convoluting with the MC-simulated EPID response kernels. The present scatter ...

Portal dosimetry (PD) was performed for 181 fields from 14 IMRT plans of various clinical sites at gantry zero and source-to-detector distance (SDD) of 100 cm. PD was realized using aSi1000 electronic portal imaging device (EPID) and portal dose prediction (PDP) algorithm implemented in Eclipse treatment planning system (TPS). Agreement of PDP predicted and EPID measured photon fluence/dose dis...