Ensuring Clinical Readiness: Commissioning, Acceptance and Performance Testing of Closed Bore Linear Accelerator Compatible Surface Guided Radiotherapy System
Introduction: Surface Guided Radiation Therapy (SGRT) enhances radiation therapy by providing real-time support without additional X-ray exposure. It ensures precise patient positioning, continuous monitoring, and motion management. However, closed-bore LINACs face optical line-of-sight challenges w...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Journal of Medical Physics |
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| Online Access: | https://journals.lww.com/10.4103/jmp.jmp_118_24 |
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| author | Anand Jadhav Ajinkya Gupte Prasad Raj Dandekar Sachin Rasal Omkar Awate Mayank Dhoundiyal |
| author_facet | Anand Jadhav Ajinkya Gupte Prasad Raj Dandekar Sachin Rasal Omkar Awate Mayank Dhoundiyal |
| author_sort | Anand Jadhav |
| collection | DOAJ |
| description | Introduction:
Surface Guided Radiation Therapy (SGRT) enhances radiation therapy by providing real-time support without additional X-ray exposure. It ensures precise patient positioning, continuous monitoring, and motion management. However, closed-bore LINACs face optical line-of-sight challenges with ceiling-mounted SGRT systems.
Objective:
This study commissions the AlignRT InBore™ SGRT system on the Ethos™ LINAC at a Mumbai tertiary care center, evaluating accuracy, precision, reproducibility, and temporal stability.
Methods:
System Commissioning: 1) Acceptance tests per Vision RT’s Form 412: Camera calibration, setup validation, thermal stability, relative shift accuracy. Phantom measurements for performance assessment. 3) Deliberate rotational motion errors to test detection capability.
Results:
Comparison with Existing Systems: 1) Consistent with SGRT performance on Halcyon™ LINAC (Nguyen et al.). 2) Reliable mechanical and imaging test results. Patient-Specific QA: 1) 51 adaptive treatment sessions. 2) High gamma pass rates confirmed clinical efficacy. 3) Essential for Ethos™ LINAC, which lacks 6D couch correction.
Conclusion:
This study demonstrates successful SGRT integration with Ethos™, improving treatment accuracy, patient comfort, and efficiency in closed-bore LINACs, advancing radiation oncology in India. |
| format | Article |
| id | doaj-art-3e7aa6687cb24cfdb1d5fe0dfd038abd |
| institution | DOAJ |
| issn | 0971-6203 1998-3913 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Physics |
| spelling | doaj-art-3e7aa6687cb24cfdb1d5fe0dfd038abd2025-08-20T03:09:12ZengWolters Kluwer Medknow PublicationsJournal of Medical Physics0971-62031998-39132025-01-0150114815410.4103/jmp.jmp_118_24Ensuring Clinical Readiness: Commissioning, Acceptance and Performance Testing of Closed Bore Linear Accelerator Compatible Surface Guided Radiotherapy SystemAnand JadhavAjinkya GuptePrasad Raj DandekarSachin RasalOmkar AwateMayank DhoundiyalIntroduction: Surface Guided Radiation Therapy (SGRT) enhances radiation therapy by providing real-time support without additional X-ray exposure. It ensures precise patient positioning, continuous monitoring, and motion management. However, closed-bore LINACs face optical line-of-sight challenges with ceiling-mounted SGRT systems. Objective: This study commissions the AlignRT InBore™ SGRT system on the Ethos™ LINAC at a Mumbai tertiary care center, evaluating accuracy, precision, reproducibility, and temporal stability. Methods: System Commissioning: 1) Acceptance tests per Vision RT’s Form 412: Camera calibration, setup validation, thermal stability, relative shift accuracy. Phantom measurements for performance assessment. 3) Deliberate rotational motion errors to test detection capability. Results: Comparison with Existing Systems: 1) Consistent with SGRT performance on Halcyon™ LINAC (Nguyen et al.). 2) Reliable mechanical and imaging test results. Patient-Specific QA: 1) 51 adaptive treatment sessions. 2) High gamma pass rates confirmed clinical efficacy. 3) Essential for Ethos™ LINAC, which lacks 6D couch correction. Conclusion: This study demonstrates successful SGRT integration with Ethos™, improving treatment accuracy, patient comfort, and efficiency in closed-bore LINACs, advancing radiation oncology in India.https://journals.lww.com/10.4103/jmp.jmp_118_24closed-bore linaccommissioningsurface guided radiotherapy |
| spellingShingle | Anand Jadhav Ajinkya Gupte Prasad Raj Dandekar Sachin Rasal Omkar Awate Mayank Dhoundiyal Ensuring Clinical Readiness: Commissioning, Acceptance and Performance Testing of Closed Bore Linear Accelerator Compatible Surface Guided Radiotherapy System Journal of Medical Physics closed-bore linac commissioning surface guided radiotherapy |
| title | Ensuring Clinical Readiness: Commissioning, Acceptance and Performance Testing of Closed Bore Linear Accelerator Compatible Surface Guided Radiotherapy System |
| title_full | Ensuring Clinical Readiness: Commissioning, Acceptance and Performance Testing of Closed Bore Linear Accelerator Compatible Surface Guided Radiotherapy System |
| title_fullStr | Ensuring Clinical Readiness: Commissioning, Acceptance and Performance Testing of Closed Bore Linear Accelerator Compatible Surface Guided Radiotherapy System |
| title_full_unstemmed | Ensuring Clinical Readiness: Commissioning, Acceptance and Performance Testing of Closed Bore Linear Accelerator Compatible Surface Guided Radiotherapy System |
| title_short | Ensuring Clinical Readiness: Commissioning, Acceptance and Performance Testing of Closed Bore Linear Accelerator Compatible Surface Guided Radiotherapy System |
| title_sort | ensuring clinical readiness commissioning acceptance and performance testing of closed bore linear accelerator compatible surface guided radiotherapy system |
| topic | closed-bore linac commissioning surface guided radiotherapy |
| url | https://journals.lww.com/10.4103/jmp.jmp_118_24 |
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