Volumetric-modulated arc therapy (VMAT) has been shown to be able to deliver plans equivalent to intensity-modulated radiation therapy (IMRT) in a fraction of the treatment time. This improvement is important for patient immobilization/localization compliance due to comfort and treatment duration, as well as patient throughput. Previous authors have suggested commissioning methods for this moda...

Background: Stereotactic radiosurgery is an important clinical tool for the treatment of small lesions in the brain, including benign conditions, malignant and localized metastatic tumors. A dosimetry study was performed for Elekta ‘Synergy S ’ as a dedicated Stereotactic radiosurgery unit, capable of generating circular radiation fields with diameters of 1-5 cm at isocentre using the BEAM/EGS4...

The Technical Report Series 398 (TRS-398), Electron Dosimetry Working Party (EWDP), and Task Group 51 (TG 51) are the most important protocols for reference dosimetry. In case of electron beam dosimetry, these recommend using parallel-plate ionization chambers beams with R50 values below specific thresholds. However, recent papers suggested cylindrical dosimetry all energies. Here we compared d...

  Introduction:    Multileaf collimators (MLCs) are computer-controlled devices which are Useful and cost-effective tools for conformal therapy and intensity modulation radiotherapy (IMRT). Nowadays MLCs are important and standard configuration of the new medical linear accelerators which are substitute of conventional Blocks and has eliminated the ...

Objective: Using Megavoltage photons generated by medical linear accelerator is a common modality for the treatment of malignant. The crucial problem for using photon beams >8MV is the photoneutron yields that increase the risk of secondary cancer that treated with high-energy photon beams. The contaminated neutrons produced in different components of the accelerator head and rely on many param...

Objective: Using Megavoltage photons generated by medical linear accelerator is a common modality for the treatment of malignant. The crucial problem for using photon beams >8MV is the photoneutron yields that increase the risk of secondary cancer that treated with high-energy photon beams. The contaminated neutrons produced in different components of the accelerator head and rely on many param...

The main purpose of this work is to demonstrate a practical means of determining the leaf transmission and scatter characteristics of a multileaf collimator (MLC) pertinent to the commissioning of dynamic intensity modulated radiotherapy, especially for the sweeping window technique. The data are necessary for the conversion of intensity distributions produced by intensity-modulated radiotherap...

Introduction: Nowadays new radiochromic films have an essential role in radiotherapy dosimetry. Properties such as high sensitivity, good reproducibility, high spatial resolution, easy readout and portability have made them attractive for dosimetry, especially in high-dose-gradient regions. Material and Methods: In this study, electron-beam dose distributions in homogenous and heterogeneous pha...

PURPOSE Failure modes and effects analysis (FMEA) as defined in TG-100 has become a popular concept throughout the radiotherapy community. This risk mitigation technique involves detailed process mapping, analysis, and ranking of potential errors by means of a subjective, ordinal scoring system. This study aims to reduce the subjectivity of FMEA severity scoring for IMRT delivery by providing q...

A dataset range of isocenter congruency verification tests have been examined from a statistical perspective for the purpose of establishing tolerance levels that are meaningful, based on the fundamental limitation of linear accelerator isocentricity and the demands of a high-precision stereotactic radiosurgery program. Using a laser-defined isocenter, a total of 149 individual isocenter congru...