Image processing for IMRT QA dosimetry

Image processing for IMRT QA dosimetry

We have automated the determination of the placement location of the dosimetry ion chamber within intensity-modulated radiotherapy (IMRT) fields, as part of streamlining the entire IMRT quality assurance process. This paper describes the mathematical image-processing techniques to arrive at the appropriate measurement locations within the planar dose maps of the IMRT fields. A specific spot wit...

Realisation of radiographic film dosimetry for IMRT QA at the Nepean Cancer Care Centre

QA networks for radiotherapy dosimetry

Several national and international organizations have developed various types and levels of external audits for radiotherapy dosimetry, either based on on-site review visits or using mailed dosimetry systems. Three major TLD (thermoluminescent dosimetry) networks make available postal dose audits to a large number of radiotherapy centres on a regular basis. These are the IAEA/WHO TLD postal dos...

Image guided IMRT dosimetry using anatomy specific MOSFET configurations

We have investigated the feasibility of using a set of multiple MOSFETs in conjunction with the mobile MOSFET wireless dosimetry system, to perform a comprehensive and efficient quality assurance (QA) of IMRT plans. Anatomy specific MOSFET configurations incorporating 5 MOSFETs have been developed for a specially designed IMRT dosimetry phantom. Kilovoltage cone beam computed tomography (kV CBC...

Breaking bad IMRT QA practice

Agreement between planned and delivered dose distributions for patient-specific quality assurance in routine clinical practice is predominantly assessed utilizing the gamma index method. Several reports, however, fundamentally question current IMRT QA practice due to poor sensitivity and specificity of the standard gamma index implementation. An alternative is to employ dose volume histogram (D...