Accuracy and precision of leaf positioning in multileaf collimators (MLCs) are significant factors for the accuracy of IMRT treatments. This study aimed to inves-tigate the accuracy and repeatability of the MLC leaf positioning via the DAVID invivo dosimetric system for dynamic and static MLC systems. The DAVID system was designed as multiwire transmission ionization chamber which is placed in ...

Although portal dosimetry is used to provide quality assurance (QA) for intensity-modulated radiation therapy (IMRT) treatment plans, trends in agreement between the portal dose prediction (PDP) and the measured dose have not been clarified. In this work, we evaluated three scalar parameters of agreement for 152 treatment plans (1152 treatment fields): maximum gamma (gamma max), average gamma (...

Abstract Seizures are a frequent symptom in patients with glioblastoma and bear relevant impact on quality of life. Likewise, anti-epileptic treatment may affect patients’ well-being due to side effects. Here, we assessed whether owing relieve from edema intracranial pressure, bevacizumab for recurrent might contribute seizure control.We retrospectively analyzed clinical data adult who were tre...

Many studies have reported dosimetric characteristics of amorphous silicon electronic portal imaging devices (EPIDs). Some studies ascribed a non-linear signal to gain ghosting and image lag. Other reports, however, state the effect is negligible. This study compares the signal-to-monitor unit (MU) ratio for three different brands of EPID systems. The signal was measured for a wide range of mon...

Successful delivery of conformal fields requires stringent immobilization and treatment verification, as well as knowledge of the setup reproducibility. [1] Before coming OBI, electronic portal imaging detector was used to detect the setup errors. EPID images are not clear vision to identify correctly and immediately because they were produced by megavoltage X-ray during treatment setup. In OBI...

Innovation/Impact: Robust real-time aperture adaptation for lung tumors during radiation therapy promises better local control while more healthy tissue can be spared. In this context we present the first implementation of a real-time adaptive therapy system using soft tissue localization (STiL) on continuously throughout the treatment acquired cine EPID images to maintain a dynamic treatment a...

Mandatory in several countries, in vivo dosimetry has been recognized as one of the next milestones in radiation oncology. Our department has implemented clinically an EPID based in vivo dosimetry system, EPIgray, by DOSISOFT S.A., since 2006. An analysis of the measurements per linac and energy over a two-year period was performed, which included a more detailed examination per technique and t...