PurposeTo present the first-year experience of treating patients using intensity-modulated radiation therapy (IMRT) and stereotactic body (SBRT) with biology-guided (BgRT) machine, X1 system, installed in a clinical setting.MethodsA total 78 were treated on system IMRT SBRT from May 2021 to 2022. Clinical technical data including treatment sites, number pre-treatment kilovoltage computed tomogr...

This chapter describes the basic principles of intensity-modulated radiation therapy (IMRT), providing the necessary background for subsequent clinical chapters. We start by describing the IMRT treatment planning and delivery process, introducing the wide range of different approaches and technologies currently in clinical use. Then, other topics important in the implementation of IMRT are disc...

BACKGROUND AND PURPOSE The QA of intensity modulated radiotherapy (IMRT) dosimetry is a laborious task. The goal of this work is to evaluate the dosimetric characteristics of a new 2D diode array (MapCheck from Sun Nuclear Corporation, Melbourne, Florida) and assess the role it can play in routine IMRT QA. MATERIAL AND METHODS Fundamental properties of the MapCheck such as reproducibility, li...

PURPOSE Technological advances in radiation therapy (RT) delivery have the potential to reduce errors via increased automation and built-in quality assurance (QA) safeguards, yet may also introduce new types of errors. Intensity-modulated RT (IMRT) is an increasingly used technology that is more technically complex than three-dimensional (3D)-conformal RT and conventional RT. We determined the ...

background: we have validated the monitor unit calculations from a commercially available treatment planning system (tps) for three intensity modulated radiotherapy (imrt) planning techniques for tangential breast irradiation by using ionization chamber measurements. materials and methods: treatment plans were generated for forty-two breast patients by a forward planned field in field technique...

The objective of this paper is to present our experience in the commissioning and quality assurance (QA) for intensity modulated radiotherapy (IMRT) using dynamic multileaf collimator (dMLC), sliding window technique. Using Varian equipment solution, the connectivity and operation between all IMRT chain components was checked. Then the following test were done: stability of leaf positioning and...

Intensity modulated radiation therapy (IMRT) poses a number of challenges for properly measuring commissioning data and quality assurance (QA) radiation dose distributions. This report provides a comprehensive overview of how dosimeters, phantoms, and dose distribution analysis techniques should be used to support the commissioning and quality assurance requirements of an IMRT program. The prop...

In the present study, we describe a method based on the analysis of the dynamic MLC log files (DynaLog) generated by the controller of a Varian linear accelerator in order to perform patient-specific IMRT QA. The DynaLog files of a Varian Millennium MLC, recorded during an IMRT treatment, can be processed using a MATLAB-based code in order to generate the actual fluence for each beam and so rec...