33 Clinical implementation of a quality assurance program in HDR brachytherapy by in vivo dosimetry with diodes

1996 ◽  
Vol 39 ◽  
pp. S9
Author(s):  
R. Alecu ◽  
J.J. Feldmeier ◽  
W.S. Court ◽  
M. Alecu ◽  
C.G. Orton
2014 ◽  
Vol 29 (4) ◽  
pp. 313-320
Author(s):  
Laza Rutonjski ◽  
Borislava Petrovic ◽  
Milutin Baucal ◽  
Milan Teodorovic ◽  
Ozren Cudic ◽  
...  

The study was aimed to check the radiotherapy treatment accuracy and definition of action levels during implementation of in vivo dosimetry as a part of quality assurance program. The calibration and correction factors for in vivo entrance dose measurements for six n-type Isorad semiconductor diodes were determined as recommended by the European Society for Radiotherapy and Oncology Booklet No. 5. The patients for in vivo measurements have been divided in groups, according to the treatment site/techique, in order to investigate and detect the groups where the uncertainty was larger or where a systematic error occurred. The tolerance/action levels for all groups were also defined and checked. In this study, the entrance dose measurements were performed for total of 451 treatment fields, and 338 patients over one year period. The mean value and the standard deviation for different groups were: breast +1.0% ? 2.89%(1 SD), brain, and head and neck - +0.74% ? 2.04%(1 SD), and isocentric pelvis and abdomen - +0.1% ? 2.86%(1 SD). All measurements - +0.72% ? 2.64%(1 SD). In our experience, systematic in vivo dosimetry proved to be a very useful tool for quality assurance of patient's plan and treatment, both in detecting systematic errors and for estimating the accuracy of radiotherapy treatment delivery.


2014 ◽  
Vol 30 ◽  
pp. e75 ◽  
Author(s):  
Laza Rutonjski ◽  
Borislava Petrović ◽  
Milutin Baucal ◽  
Milan Teodorović ◽  
Ozren Čudić ◽  
...  

2007 ◽  
Vol 67 (1) ◽  
pp. 288-295 ◽  
Author(s):  
Hansjoerg Wertz ◽  
Judit Boda-Heggemann ◽  
Cornelia Walter ◽  
Barbara Dobler ◽  
Sabine Mai ◽  
...  

2016 ◽  
Author(s):  
◽  
Jason Stanford

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT REQUEST OF AUTHOR.] Advance treatment techniques, such as IMRT and dynamic conformal arc delivery, are novel radiation treatment procedures at the forefront of accurate and precise radiotherapy. However, the risk of suboptimal treatment resulting in injury is far greater with these techniques due to their complexity. An in vivo quality assurance system is the most appropriate validation of the delivered dose to the patient from these techniques. The intent of this research is to propose an in vivo dosimetry quality assurance procedure using radiochromic film. This research proved that radiochromic in vivo dosimetry is a viable method of detecting spatial patient specific errors in radiotherapy; however, the process is time consuming and not sensitive enough for dosimetric errors associated with weight change. Although time consuming, in vivo radiochromic dosimetry is an attractive alternative for small cancer centers and developing countries without the large startup capital to acquire the electronic portal imaging device necessary for EPID in vivo dosimetry.


2017 ◽  
Vol 44 ◽  
pp. 205-211 ◽  
Author(s):  
Takeshi Kamomae ◽  
Hidetoshi Shimizu ◽  
Takayoshi Nakaya ◽  
Kuniyasu Okudaira ◽  
Takahiro Aoyama ◽  
...  

1999 ◽  
Vol 1 (2) ◽  
pp. 73-82
Author(s):  
Robert Appleyard

A clear rationale exists for routine in vivo dosimetry as part of an overall quality assurance (QA) programme within a radiotherapy department. A survey was undertaken in order to identify the extent of diode dosimetry practice within the UK.Questionnaires were distributed to 57 radiotherapy physics departments in the UK in order to determine the extent of central axis diode dosimetry and the protocols implemented, the range of other in vivo measurements performed using diodes and the type of equipment used. Fifty-four responses were received. Eighteen departments undertook some form of central axis entrance dosimetry. Fifteen departments could be considered to be doing this routinely. Seven departments indicated planned future use. Six centres routinely undertook exit dosimetry with a further 3 indicating planned future use. Varied protocols for use were reported by those centres undertaking central axis dosimetry. Thirty-two respondents used a diode system for other forms of in vivo measurements with critical organ and TBI dosimetry being the most common. The vast majority used Scanditronix equipment.Despite the distinct benefits of central axis diode dosimetry, this continues to be infrequently adopted as part of a departmental QA programme. However, an indication of a number of departments planning to implement such an approach is reassuring.


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