A convolution-based calibration procedure has been developed to use an amorphous silicon flat-panel electronic portal imaging device (EPID) for accurate dosimetric verification of intensity-modulated radiotherapy (IMRT) treatments. Raw EPID images were deconvolved to accurate, high-resolution 2-D distributions of primary fluence using a scatter kernel composed of two elements: a Monte Carlo gen...

The electronic portal imaging device (EPID) has the potential to be used for in vivo dosimetry during radiation therapy as an additional dose delivery check. In this study we have extended a method developed by A. Piermattei and colleagues in 2006 that made use of EPID transit images (acquired during treatment) to calculate dose in the isocenter point. The extension allows calculation of two-di...

Patient-specific quality assurance for intensity-modulated radiation therapy (IMRT) dose verification is essential. The aim of this study is to provide a new method based on the relative error distribution by comparing the fluence map from the treatment planning system (TPS) and the incident fluence deconvolved from the electronic portal imaging device (EPID) images. This method is validated fo...

A commercially available amorphous Silicon Electronic Portal imaging device (aSi-EPID) installed onto Siemens Oncor Linear accelerator was evaluated with the objective to be implemented for IMRT quality assurance. EPID properties were investigated; these include reproducibility, dependences between the relative EPID responses and field size, dose rate were studied for both photon beams. To dete...

Abstract Introduction: In vivo dosimetry verification is currently a necessity in radiotherapy centres Europe countries as one of the tools for patient-specific QA, and now its demand rising developed countries, such Malaysia. The aim this study to characterize commercial EPID-based implementation treatment Materials Methods: work, sensitivity performance commercially available system, EPIgray®...

PURPOSE With the advent of state-of-the-art treatment technologies, the use of small fields has increased, and dosimetry in small fields is highly challenging. In this study, the potential use of Varian electronic portal imaging device (EPID) for small field measurements was explored for 6 and 15 MV photon beams. MATERIALS AND METHODS The output factors and profiles were measured for a range ...

background: during radiotherapy treatment, critical organs are shielded using lead and cerrobend blocks. the objective of this study is to compare the effects of lead and cerrobend shielding blocks on incident photon beam. methods: collimator scatter factors were measured for open square fields (3 x 3 cm to 40 x 40 cm) defined by collimator jaws and for fields blocked down to smaller asymmetric...

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 ...

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...

PURPOSE A software program (MU-EPID) has been developed to perform patient specific IMRT pre-treatment QA verification using an electronic portal imaging device. METHODS The software converts measured images of intensity modulated beams delivered to an EPID, into fluence maps that can be imported in the treatment planning system. The dose can then be calculated in the patient anatomy and comp...