Amorphous silicon electronic portal imaging devices (EPIDs) have been investigated and used for dosimetry in radiotherapy for several years. The presence of a phosphor scintillator layer in the structure of these EPIDs has made them sensitive to low-energy scattered and backscattered radiation. In this study, the backscattered radiation from the walls, ceiling, and floor of a linac bunker has b...

PURPOSE With the advent of state-of-the-art treatment technologies, the use of small fields has increased, and dosimetry in small fields is highly challenging. In this study, the potential use of Varian electronic portal imaging device (EPID) for small field measurements was explored for 6 and 15 MV photon beams. MATERIALS AND METHODS The output factors and profiles were measured for a range ...

Patient-specific quality assurance for intensity-modulated radiation therapy (IMRT) dose verification is essential. The aim of this study is to provide a new method based on the relative error distribution by comparing the fluence map from the treatment planning system (TPS) and the incident fluence deconvolved from the electronic portal imaging device (EPID) images. This method is validated fo...

Multileaf collimator (MLC) calibration and quality control is a time-consuming procedure typically involving the processing, scanning and analysis of films to measure leaf and collimator positions. Faster and more reliable calibration procedures are required for these tasks, especially with the introduction of intensity modulated radiotherapy which requires more frequent checking and finer posi...

AIM The aim of the study was to estimate the dose at the reference point applying an aSi-EPID device in the course of patient treatment. MATERIALS AND METHODS The method assumes direct proportionality between EPID signal and dose delivered to the patient reference point during the treatment session. The procedure consists of treatment plan calculation for the actual patient in the arc techniq...

The Electronic Portal Imaging Device (EPID) provides localization quality images and computer-aided analysis, which should in principal, replace portal film imaging. Modern EPIDs deliver superior image quality and an array of analysis tools that improve clinical decision making. It has been demonstrated that the EPID can be a powerful tool in the reduction of treatment setup errors and the qual...

Purpose: Kilovoltage cone-beam computed tomography (CBCT) has been developed to provide accurate soft-tissue and bony setup information. We evaluated clinical CBCT setup data and compared CBCT measurements with electronic portal imaging device (EPID) images. Material and Methods: The setup error for CBCT scans at the treatment unit relative to the planning CT was measured for 62 patients (524 s...

Electronic Portal Imaging Devices (EPID) are used for the assessment of the geometric accuracy 2 during the radiation therapy process. EPID is also used like a major detector to test performances of the linear accelerator used for the treatment. Therefore, the quality control of portal images 4, 5, 6, 7 is essential for this task. Software tools that are capable to perform an automatic quality ...

In this paper the various approaches of EPID-based in vivo IMRT and VMAT dose verification, and their clinical implementation, are described. It will be shown that EPID-based in vivo dosimetry plays an important role in the total chain of verification procedures in a radiotherapy department. EPID-based dosimetry, in combination with in-room imaging, is a fast and accurate tool for 3D in vivo ve...

Increasing use of high dose rate, flattening filter free (FFF), and/or small-sized field beams presents a significant challenge to the medical physics community. In this work, we develop a strategy of using a high spatial resolution and high frame rate amorphous silicon flat panel electronic portal imaging device (EPID) for dosimetric measurements of these challenging cases, as well as for conv...