Introduction: Radiation therapy is one of the methods of cancer treatment. In this method, it is necessary to avoid harming the healthy tissues of the patient which is in the vicinity of the target, as much as possible. Treatment verification is one of the most important steps of radiation therapy which has two usual methods, using Port film and EPID. The accuracy and precision of treatment in ...

Introduction: The accuracy of patient positioning plays an important role for radiotherapy tasks. Short and automated Quality Assurance (QA) programs are becoming one of the challenging tasks in Radiotherapy. The current study, investigates the accuracy of treatment couch positioning with four degrees of freedom (4DoF) using a fast and accurate method based on an image acquired...

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...

Multileaf collimator (MLC) calibration and quality control is a time-consuming procedure typically involving the processing, scanning and analysis of films to measure leaf and collimator positions. Faster and more reliable calibration procedures are required for these tasks, especially with the introduction of intensity modulated radiotherapy which requires more frequent checking and finer posi...

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...

The aim of this study was to demonstrate how dosimetry with an amorphous silicon electronic portal imaging device (a-Si EPID) replaced film and ionization chamber measurements for routine pre-treatment dosimetry in our clinic. Furthermore, we described how EPID dosimetry was used to solve a clinical problem. IMRT prostate plans were delivered to a homogeneous slab phantom. EPID transit images w...

Introduction: Electronic portal imaging devices (EPIDs) are fundamentally used for instantaneous verification of the patient set‐up, block shape, and leaf positions during radiation therapy. In radiotherapy, situations arise in which an inclined PTV must be treated mutually with adjacent nodal regions. This methodology is most widely used for matching tangential/lateral breas...

The use of electronic portal imaging devices (EPIDs) is a promising method for the dosimetric verification of external beam, megavoltage radiation therapy-both pretreatment and in vivo. In this study, a previously developed EPID back-projection algorithm was modified for IMRT techniques and applied to an amorphous silicon EPID. By using this back-projection algorithm, two-dimensional dose distr...

Accurate alignment of linear accelerator table rotational axis with radiation isocenter is critical for noncoplanar radiotherapy applications. The purpose of the present study is to develop a method to align the table rotation axis and the MV isocenter to submillimeter accuracy. We developed a computerized method using electronic portal imaging device (EPID) and measured alignment stability ove...

Electronic portal imaging devices (EPIDs) have been the preferred tools for verification of patient positioning for radiotherapy in recent decades. Since EPID images contain dose information, many groups have investigated their use for radiotherapy dose measurement. With the introduction of the amorphous-silicon EPIDs, the interest in EPID dosimetry has been accelerated because of the favourabl...