PURPOSE Exit 2D detectors are widely used in clinics as a tool for pre- treatment field verification. It is desired to have accurate modeling of the detector dose for each IMRT plan with patient geometry for in-vivo delivery verification. We propose a novel hybrid of model and measurement based methods to estimate the detector dose using the information from TPS and plan/verification CT. METH...

PURPOSE Well-known defect of TG-43 based algorithms used in brachytherapy is a lack of information about interaction cross-sections, which are determined not only by electron density but also by atomic number. TG-186 recommendations with using of MBDCA (model-based dose calculation algorithm), accurate tissues segmentation, and the structure's elemental composition continue to create difficulti...

Background Fast and easily repeatable methods for commissioning procedures for brachytherapy (BT) treatment planning systems (TPS) are needed. Radiochromic film dosimetry with gamma analysis is widely used in external beam quality assurance (QA) procedures and planar film dosimetry is also increasingly used for verification of the dose distribution in BT applications. Using the gamma analysis m...

PURPOSE Consistency verification between the data from treatment planning system (TPS), record and verification system (R&V), and delivered recorder with visual inspection is time consuming and subject to human error. The purpose of this work is to develop a software tool to automatically perform such verifications. METHODS Using Microsoft visual C++, a quality assurance (QA) tool was develop...

Background: The purpose of this study is to fabricate inexpensive in-house low cost homogeneous and heterogeneous human equivalent thorax phantom and assess the dose accuracy of the Treatment Planning Systems (TPS) calculated values for different lung treatment dosimetery. It is compared with Thermoluminescent Dosimeter (TLD) measurement. Materials and Methods: Homogeneous and heterogeneous tho...

Patient-specific verification of intensity-modulated radiation therapy (IMRT) plans can be done by dosimetric measurements or by independent dose or monitor unit calculations. The aim of this study was the clinical evaluation of IMRT verification based on a fast Monte Carlo (MC) program with regard to possible benefits compared to commonly used film dosimetry. 25 head-and-neck IMRT plans were r...

Introduction: The present study aimed to generate intensity-modulated beams with Aluminium compensating filters for a conventional telecobalt machine based on the outputs of a treatment planning system (TPS) performing forward planning and cannot simulate directly the compensating filter. Materials and Methods: In order to achieve the beam intensity modulation during treatment planning with th...

A comparison of the monitor unit calculations of a commercial 3D computerized treatment planning system (TPS) with "hand" calculations from lookup tables was made for a large number of clinical cases (greater than 13 500 treatment fields). Differences were analyzed by treatment site for prostate, rectum, cranium, and breast. The 3D TPS monitor unit calculation was systematically higher than the...

The purpose of this study was to compare the performance of different commercial quality assurance (QA) systems for the pretreatment verification plan of stereotactic body radiotherapy (SBRT) with volumetric arc therapy (VMAT) technique using a flattening-filter-free beam. The verification for 20 pretreatment cancer patients (seven lung, six spine, and seven prostate cancers) were tested using ...

background: the purpose of this study is to fabricate inexpensive in-house low cost homogeneous and heterogeneous human equivalent thorax phantom and assess the dose accuracy of the treatment planning systems (tps) calculated values for different lung treatment dosimetery. it is compared with thermoluminescent dosimeter (tld) measurement. materials and methods: homogeneous and heterogeneous tho...