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Argus IMRT Time-saving, automated QA for IMRT - Behestan Darman

Argus IMRT Time-saving, automated QA for IMRT - Behestan Darman

Argus IMRT Time-saving, automated QA for IMRT - Behestan Darman

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<strong>Argus</strong> <strong>IMRT</strong> <strong>Time</strong>-<strong>saving</strong>, <strong>automated</strong> <strong>QA</strong> <strong>for</strong> <strong>IMRT</strong><strong>Argus</strong> <strong>IMRT</strong> introduces two key technologies that make<strong>IMRT</strong> <strong>QA</strong> far more efficient. The first, DynaLog Analysis,provides immediate analysis of MLC leaf positions. Thesecond, DICOM RT transfer, allows the import of fluencemaps from inverse treatment planning systems, facilitatingfaster <strong>IMRT</strong> plan validation. When used as a regular part ofa comprehensive <strong>QA</strong> program, <strong>Argus</strong> <strong>IMRT</strong> can dramaticallyshorten the time needed to per<strong>for</strong>m pre-treatment <strong>QA</strong>,greatly reduce dependence on film-based dosimetry, and helporganize records <strong>for</strong> regulatory compliance.<strong>Argus</strong> <strong>IMRT</strong> is one of the comprehensive line of <strong>Argus</strong>quality control in<strong>for</strong>mation management products. Itintegrates seamlessly with <strong>Argus</strong> LINAC to provide acomplete <strong>QA</strong> system <strong>for</strong> your <strong>IMRT</strong> program. Combininga broad base of MLC tests with sophisticated DMLCanalytical tools, <strong>Argus</strong> <strong>IMRT</strong> validates linac and MLCmechanical operations with tests of mechanical andradiation isocenter accuracy, leaf positioning, and leafmotion. It can then be used to create trend graphs of thesevalues to spot problems be<strong>for</strong>e they cause downtime. <strong>Argus</strong><strong>IMRT</strong> also records DMLC test results and documents allsafety checks <strong>for</strong> a comprehensive record. The net resultsare time <strong>saving</strong>s, enhanced per<strong>for</strong>mance, managed liabilityrisk, and improved patient care.DynaLog Analysis<strong>Argus</strong> <strong>IMRT</strong> analyzes the DynaLog files produced by allVarian MLCs during dynamic treatments to provideimmediate analysis of leaf positions and gaps between leavesover the course of an entire treatment. Use this analysis to:• Compare the actual and expected leaf motions usingtolerances you define.All Varian MLCs generate special files, known as DynaLogfiles, during the course of each dynamic treatment. TheDynaLog file records the actual and expected position ofeach leaf in the MLC as well as the cumulative dosefraction delivered every 50 milliseconds. 1DICOM RT Transfer<strong>Argus</strong> <strong>IMRT</strong> can import fluence maps from inversetreatment planning systems via DICOM RT file transfer. 2For example:• View fluence maps calculated from the DynaLogfiles and compare them to fluence maps imported from theEclipse Integrated Treatment Planning system to validatetreatments planned with Helios <strong>IMRT</strong> Planning.• Per<strong>for</strong>m statistical analysis using histograms, RMScalculations, and trending to help detect weakeningmotors be<strong>for</strong>e they fail.• See leaf motion simulations and in-depth graphical analysisof any individual leaf or gap.


<strong>Argus</strong> <strong>IMRT</strong> <strong>Time</strong>-<strong>saving</strong>, <strong>automated</strong> <strong>QA</strong> <strong>for</strong> <strong>IMRT</strong>Electrometer Interfacing<strong>Argus</strong> <strong>IMRT</strong> interfaces with the following electrometers:• Keithley 35040• Standard Imaging Max-4000• CNMC DataBridge Technical RequirementsDynaLog Analysis Beam’s Eye View shows the per<strong>for</strong>mance ofeach leaf and gap over the course of the entire treatment.Other Varian MLCs<strong>Argus</strong> can import all versions of the DynaLog file. Thisallows the user to per<strong>for</strong>m DynaLog analysis on all VarianMLCs that generate DynaLog files, including Varian Mark-Series MLCs and BrainLAB m3 ® micro-MLCs. For theseMLCs, the user must use the manual method of DynaLogfile acquisition described in the MLC documentation.Eclipse Treatment PlanningEclipse 7.1.35 users with Helios <strong>IMRT</strong> Planning can exportfluence maps via DICOM RT, and then import thosefluence maps into <strong>Argus</strong> <strong>IMRT</strong> <strong>for</strong> comparison to othertreatment planning fluence maps or to fluence mapsgenerated from DynaLog files.<strong>Argus</strong> <strong>IMRT</strong> can export DynaLog files into MLC Shaper(rev. G) files. These files may then be re-imported by Eclipseand used <strong>for</strong> the purposes of analysis and comparison to theoriginal plan.Windows (Minimum Requirements)• Pentium ® processor or higher• Windows 95 or higher; Windows 98 or higher <strong>for</strong>DICOM RT import• Windows-supported monitor, 1024x768 resolution,256 colors (True Color recommended)• Windows-supported keyboard, mouse, and printer(color printer recommended)• 1 GB hard drive with 100 MB available space• 64 MB RAM (128 MB or greater recommended)1 This description of the DynaLog file pertains to slidingwindow and step-and-shoot fields. For con<strong>for</strong>mal arc fields,the DynaLog file records the actual and expected position ofeach leaf along with the cumulative arc fraction.2 There is currently no defined DICOM RT standard <strong>for</strong> TPSfluence objects. There<strong>for</strong>e, input to <strong>Argus</strong> <strong>IMRT</strong> must be inthe <strong>for</strong>m generated by the Eclipse TPS.3 VARiS 6.5 or later requires Treatment 6.5 or later.Millennium MLC software 6.6 or later required <strong>for</strong> automaticDynaLog acquisition.3 VARiS 6.1/6.2 requires Varian Generation 6 software.Millennium MLC software 6.4 or later required <strong>for</strong> automaticDynaLog acquisition.USA Headquarters, Cali<strong>for</strong>niaVarian Medical SystemsPalo Alto, CATel: 650.424.5700800.544.4636Fax: 650.493.5637www.varian.comHeadquarters Europe, Eastern Europe, Africa,Middle & Near EastVarian Medical Systems International AGZug, SwitzerlandTel: 41.41.749.8844Fax: 41.41.740.3340info.europe@varian.comRAD 9003A © 2004 Varian Medical Systems, Inc. Printed in USA 7/04 (4K)

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