The purpose of this study was to evaluate a methodology to reduce scatter and leakage radiations to patients' surface and shallow depths during conventional and advanced external beam radiotherapy. Superflab boluses of different thicknesses were placed on top of a stack of solid water phantoms, and the bolus effect on surface and shallow depth doses for both open and intensity-modulated radioth...

Intensity modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT) are state-of-the-art irradiation techniques for the delivery of highly conformal radiation fields to the target volume. These techniques require complex treatment planning system (TPS) algorithms as well as sophisticated irradiation methods. As a result, the use of quality assurance tools for the verificati...

INTRODUCTION The primary aim of this study is to compare intensity modulated radiation therapy (IMRT) to volumetric modulated arc therapy (VMAT) for the radical treatment of prostate cancer using version 10.0 (v10.0) of Varian Medical Systems, RapidArc radiation oncology system. Particular focus was placed on plan quality and the implications on departmental resources. The secondary objective w...

Although many methods exist for intensity modulated radiotherapy (IMRT) fluence map optimization for crisp data, based on clinical practice, some of the involved parameters are fuzzy. In this paper, the best fluence maps for an IMRT procedure were identifed as a solution of an optimization problem with a quadratic objective function, where the prescribed target dose vector was fuzzy. First, a d...

Background: Commissioning tests are recommended before implementing Intensity Modulated Radiation Therapy. This study evaluated five different plans of IMRT mocks for different modulation indices. Materials and Methods: IMRT tests were done in slab phantom for both 6MV and 15 MV photon energies using a 2D array ion chamber dosimeter. Results: The acceptance criteria were based on 3% /3mm. All t...

Integrated treatment planning for cancer patients has high importance in intensity modulated radiation therapy (IMRT). Direct aperture optimization (DAO) is one of the prominent approaches used in recent years to attain this goal. Considering a set of beam directions, DAO is an integrated approach to optimize the intensity and leaf position of apertures in each direction. In this paper, first, ...

AIM To evaluate the new Octavius 4D system for patient specific quality assurance and to study the correlation between plan complexity and gamma index analysis in patient specific quality assurance of VMAT using the Octavius 4D system. BACKGROUND McNiven (2010) proposed a study to evaluate the utility of a complexity metric, the Modulation Complexity Score, to evaluate the relationship of the...

Radiation therapy is a non-invasive treatment modality for cancer patients. Radiation therapy treatment planning for cancer patients provides many challenging optimization problems. Various variables of a treatment plan need to be optimized so that the resulting plan can kill all cancerous cells while minimizing damage on the patient’s normal tissues. Intensity modulated proton therapy (IMPT) h...

BACKGROUND AND PURPOSE Solid-state detectors such as diodes and diamonds are useful radiation detectors, particularly for small field measurements, such as in stereotactic dosimetry or in the small sub-field measurements required for intensity modulated radiotherapy (IMRT) . In all small field measurements, positioning of the detector is critical. Generally it is assumed that the center of the ...