3D gamma analysis between treatment plans for nominally beam‐matched medical linear accelerators using PyMedPhys

Abstract Beam‐matched linear accelerators (linacs) enable flexible patient scheduling and efficient treatment delivery in the event of unexpected machine downtime. The purpose of this study was to test the feasibility of 3D gamma index as an additional metric beyond standard measurement‐based compar...

Full description

Saved in:
Bibliographic Details
Main Authors: Fada Guan, William Donahue, Simon Biggs, Matthew Jennings, Emily Draeger, Huixiao Chen, Yuenan Wang, Ngoc Nguyen, David J. Carlson, Zhe Chen, Dae Yup Han
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Precision Radiation Oncology
Subjects:
Online Access:https://doi.org/10.1002/pro6.1247
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850099007896944640
author Fada Guan
William Donahue
Simon Biggs
Matthew Jennings
Emily Draeger
Huixiao Chen
Yuenan Wang
Ngoc Nguyen
David J. Carlson
Zhe Chen
Dae Yup Han
author_facet Fada Guan
William Donahue
Simon Biggs
Matthew Jennings
Emily Draeger
Huixiao Chen
Yuenan Wang
Ngoc Nguyen
David J. Carlson
Zhe Chen
Dae Yup Han
author_sort Fada Guan
collection DOAJ
description Abstract Beam‐matched linear accelerators (linacs) enable flexible patient scheduling and efficient treatment delivery in the event of unexpected machine downtime. The purpose of this study was to test the feasibility of 3D gamma index as an additional metric beyond standard measurement‐based comparisons for more efficient evaluation of treatment plans between linacs with nominally matched beam models to ensure safe patient transfer. Seventeen 3D conformal radiotherapy (3DCRT) plans and thirty‐six volumetric‐modulated radiation therapy (VMAT) plans for different disease sites were selected from the original linac. An in‐house script was used to automatically create new plans for the target linac and calculate dose using parameters of the original plans. 3D gamma analysis was performed to compare plan dose distributions between the target and original linacs using PyMedPhys. The 2%/2 mm gamma pass (γ≤1) rate was >99.99% for all 3DCRT plans. The median 1%/1 mm pass rate was 99.86% but two cases failed (< 90%). For VMAT plans, the median and minimum 2%/2 mm gamma pass rates were 99.43% and 93.81%. For 1%/1 mm, the median pass rate was 92.02% but ten cases failed. The results indicated using 3D gamma index can enhance the confidence and add an extra layer for safe patient transfer.
format Article
id doaj-art-da2fc88a288c4163aaef9a18bbbfa1d4
institution DOAJ
issn 2398-7324
language English
publishDate 2024-12-01
publisher Wiley
record_format Article
series Precision Radiation Oncology
spelling doaj-art-da2fc88a288c4163aaef9a18bbbfa1d42025-08-20T02:40:35ZengWileyPrecision Radiation Oncology2398-73242024-12-018419119910.1002/pro6.12473D gamma analysis between treatment plans for nominally beam‐matched medical linear accelerators using PyMedPhysFada Guan0William Donahue1Simon Biggs2Matthew Jennings3Emily Draeger4Huixiao Chen5Yuenan Wang6Ngoc Nguyen7David J. Carlson8Zhe Chen9Dae Yup Han10Department of Therapeutic Radiology Yale School of Medicine New Haven Connecticut USADepartment of Medical Physics Memorial Sloan Kettering Cancer Center New York New York USAAnthropic PBC San Francisco California USADepartment of Medical Physics ICON Cancer Centres, Cordelia St South Brisbane Queensland AustraliaDepartment of Therapeutic Radiology Yale School of Medicine New Haven Connecticut USADepartment of Therapeutic Radiology Yale School of Medicine New Haven Connecticut USADepartment of Therapeutic Radiology Yale School of Medicine New Haven Connecticut USADepartment of Therapeutic Radiology Yale School of Medicine New Haven Connecticut USADepartment of Therapeutic Radiology Yale School of Medicine New Haven Connecticut USADepartment of Therapeutic Radiology Yale School of Medicine New Haven Connecticut USADepartment of Therapeutic Radiology Yale School of Medicine New Haven Connecticut USAAbstract Beam‐matched linear accelerators (linacs) enable flexible patient scheduling and efficient treatment delivery in the event of unexpected machine downtime. The purpose of this study was to test the feasibility of 3D gamma index as an additional metric beyond standard measurement‐based comparisons for more efficient evaluation of treatment plans between linacs with nominally matched beam models to ensure safe patient transfer. Seventeen 3D conformal radiotherapy (3DCRT) plans and thirty‐six volumetric‐modulated radiation therapy (VMAT) plans for different disease sites were selected from the original linac. An in‐house script was used to automatically create new plans for the target linac and calculate dose using parameters of the original plans. 3D gamma analysis was performed to compare plan dose distributions between the target and original linacs using PyMedPhys. The 2%/2 mm gamma pass (γ≤1) rate was >99.99% for all 3DCRT plans. The median 1%/1 mm pass rate was 99.86% but two cases failed (< 90%). For VMAT plans, the median and minimum 2%/2 mm gamma pass rates were 99.43% and 93.81%. For 1%/1 mm, the median pass rate was 92.02% but ten cases failed. The results indicated using 3D gamma index can enhance the confidence and add an extra layer for safe patient transfer.https://doi.org/10.1002/pro6.12473D gamma analysisbeam matchingtreatment plans
spellingShingle Fada Guan
William Donahue
Simon Biggs
Matthew Jennings
Emily Draeger
Huixiao Chen
Yuenan Wang
Ngoc Nguyen
David J. Carlson
Zhe Chen
Dae Yup Han
3D gamma analysis between treatment plans for nominally beam‐matched medical linear accelerators using PyMedPhys
Precision Radiation Oncology
3D gamma analysis
beam matching
treatment plans
title 3D gamma analysis between treatment plans for nominally beam‐matched medical linear accelerators using PyMedPhys
title_full 3D gamma analysis between treatment plans for nominally beam‐matched medical linear accelerators using PyMedPhys
title_fullStr 3D gamma analysis between treatment plans for nominally beam‐matched medical linear accelerators using PyMedPhys
title_full_unstemmed 3D gamma analysis between treatment plans for nominally beam‐matched medical linear accelerators using PyMedPhys
title_short 3D gamma analysis between treatment plans for nominally beam‐matched medical linear accelerators using PyMedPhys
title_sort 3d gamma analysis between treatment plans for nominally beam matched medical linear accelerators using pymedphys
topic 3D gamma analysis
beam matching
treatment plans
url https://doi.org/10.1002/pro6.1247
work_keys_str_mv AT fadaguan 3dgammaanalysisbetweentreatmentplansfornominallybeammatchedmedicallinearacceleratorsusingpymedphys
AT williamdonahue 3dgammaanalysisbetweentreatmentplansfornominallybeammatchedmedicallinearacceleratorsusingpymedphys
AT simonbiggs 3dgammaanalysisbetweentreatmentplansfornominallybeammatchedmedicallinearacceleratorsusingpymedphys
AT matthewjennings 3dgammaanalysisbetweentreatmentplansfornominallybeammatchedmedicallinearacceleratorsusingpymedphys
AT emilydraeger 3dgammaanalysisbetweentreatmentplansfornominallybeammatchedmedicallinearacceleratorsusingpymedphys
AT huixiaochen 3dgammaanalysisbetweentreatmentplansfornominallybeammatchedmedicallinearacceleratorsusingpymedphys
AT yuenanwang 3dgammaanalysisbetweentreatmentplansfornominallybeammatchedmedicallinearacceleratorsusingpymedphys
AT ngocnguyen 3dgammaanalysisbetweentreatmentplansfornominallybeammatchedmedicallinearacceleratorsusingpymedphys
AT davidjcarlson 3dgammaanalysisbetweentreatmentplansfornominallybeammatchedmedicallinearacceleratorsusingpymedphys
AT zhechen 3dgammaanalysisbetweentreatmentplansfornominallybeammatchedmedicallinearacceleratorsusingpymedphys
AT daeyuphan 3dgammaanalysisbetweentreatmentplansfornominallybeammatchedmedicallinearacceleratorsusingpymedphys