Dosimetry for IMRT

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Measurements Would Benchmark Source Model Model the source distribution Calculate a delivery to a large area using a superposition of small beams Measure the dose in the center of the field Repeat for another set of small ll beams b until til a range of f beam sizes are done. no Enough? no yes Agreement between calculation and measurement? yes Done
IMRT Is Far from Reference Conditions 0.05 0.30 0.55 0.80 0.10 0.35 0.60 0.15 0.40 0.65 0.20 0.45 0.70 0.95 0.25 0.50 0.75 1.00 From Art Boyer, Stanford 0.85 0.90
Page 1: Dosimetry for IMRT Thomas Rockwell
Page 4 and 5: Outline • Dosimetry Issues Releva
Page 6 and 7: Non-Uniform Intensity Changes the E
Page 8 and 9: Signal (fC) 12000 10000 8000 6000 4
Page 10 and 11: Outpuut Factorr 0.9 0.8 00.7 0.6 05
Page 12 and 13: High Uncertainty in Output Factors
Page 14 and 15: Problems with Conventional Output F
Page 16 and 17: Animation of Scanning Path From the
Page 18 and 19: Animation of Scanning Path From the
Page 20 and 21: Dose D Ratio Dosse Impact of Source
Page 22 and 23: No Difference Between Water and Sol
Page 24 and 25: Small Vs. Farmer Chambers A1SL: 0.0
Page 26 and 27: The Same Technique Could Be Applied
Page 30 and 31: Audit for TRS 398 Reference Dosimet
Page 32 and 33: IMRT Is About Using Small Fields In
Page 34 and 35: Meeting for the Dosimetry Code of P
Page 38 and 39: Examples of Small and Novel Fields
Page 40 and 41: Calculate Using MC Using method of
Page 42 and 43: Dose Calibration Correction Factor
Page 44 and 45: “Effective kQ” for Tomo 1. Dete
Page 46 and 47: ICRU Committee on IMRT Sponsors •
Page 48 and 49: QA for IMRT • Appropriate QQA of
Page 50 and 51: 1 mm Bands Leaf Positioning Errors
Page 52 and 53: Radiation Field Edge Offset 0.7mm o
Page 54 and 55: Dynamic Multileaf Collimator MLC (D
Page 56 and 57: TomoTherapy py Leaf Latencyy • To
Page 58 and 59: End-to-End QA
Page 60 and 61: Dose (GGy) On and Off-Axis Results
Page 62 and 63: Delivery QA Panel
Page 64 and 65: NNote t th the High Gradients Compa
Page 66 and 67: Independent Calculation
Page 68 and 69: Gamma Function � ( r , r ) �{[
Page 70 and 71: Molineu et al IJROBP 2005 Ibott et
Page 72 and 73: Dm/Dc 1.2 1.15 1.1 1.05 1 0.95 0.9
Page 74 and 75: Frequency Inter-Institution Dose Ac
Page 76 and 77: QA Accuracy y for IMRT • Previous
Page 78 and 79:
Monitor Units Calculations for MMod
Page 80 and 81:
Monitor Backscatter for Square On O
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Dosimetry for IMRT

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