A quality assurance phantom for electronic portal imaging devices

Electronic portal imaging device (EPID) plays an important role in radiation therapy portal imaging, geometric and dosimetric verification. Consistent image quality and stable radiation response is necessary for proper utilization that requires routine quality assurance (QA). A commercial ‘EPID QC’...

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Vydáno v:	Journal of applied clinical medical physics Ročník 12; číslo 2; s. 391 - 403
Hlavní autoři:	Das, Indra J., Cao, Minsong, Cheng, Chee‐Wai, Misic, Vladimir, Scheuring, Klaus, Schüle, Edmund, Johnstone, Peter A.S.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States John Wiley & Sons, Inc 02.02.2011 John Wiley and Sons Inc
Témata:	Accuracy Algorithms Aluminum Automation Copper Dosimetry EPID Equipment Design Humans imager Localization Materials Testing Models, Statistical MTF Particle Accelerators - instrumentation Phantoms, Imaging Quality Quality Control Radiation Monitoring - methods Radiation therapy Radiometry - instrumentation Radiometry - methods Radiotherapy Dosage Radiotherapy Planning, Computer-Assisted - instrumentation Radiotherapy Planning, Computer-Assisted - methods Reproducibility of Results Sensors Silicon - chemistry Software Technical Notes Germany
ISSN:	1526-9914, 1526-9914
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Abstract	Electronic portal imaging device (EPID) plays an important role in radiation therapy portal imaging, geometric and dosimetric verification. Consistent image quality and stable radiation response is necessary for proper utilization that requires routine quality assurance (QA). A commercial ‘EPID QC’ phantom weighing 3.8 kg with a dimension of 25×25×4.8 cm3 is used for EPID QA. This device has five essential tools to measure the geometric accuracy, signal‐to‐noise ratio (SNR), dose linearity, and the low‐ and the high‐contrast resolutions. It is aligned with beam divergence to measure the imaging and geometric parameters in both X and Y directions, and can be used as a baseline check for routine QA. The low‐contrast tool consists of a series of holes with various diameters and depths in an aluminum slab, very similar to the Las Vegas phantom. The high‐resolution contrast tool provides the modulation transfer function (MTF) in both the x‐ and y‐dimensions to measure the focal spot of linear accelerator that is important for imaging and small field dosimetry. The device is tested in different institutions with various amorphous silicon imagers including Elekta, Siemens and Varian units. Images of the QA phantom were acquired at 95.2 cm source‐skin‐distance (SSD) in the range 1–15 MU for a 26×26 cm2 field and phantom surface is set normal to the beam direction when gantry is at 0° and 90°. The epidSoft is a software program provided with the EPID QA phantom for analysis of the data. The preliminary results using the phantom on the tested EPID showed very good low‐contrast resolution and high resolution, and an MTF (0.5) in the range of 0.3–0.4 lp/mm. All imagers also exhibit satisfactory geometric accuracy, dose linearity and SNR, and are independent of MU and spatial orientations. The epidSoft maintains an image analysis record and provides a graph of the temporal variations in imaging parameters. In conclusion, this device is simple to use and provides testing on basic and advanced imaging parameters for daily QA on any imager used in clinical practices. PACS number: 87.57 C‐, 87.57 N‐
AbstractList	Electronic portal imaging device (EPID) plays an important role in radiation therapy portal imaging, geometric and dosimetric verification. Consistent image quality and stable radiation response is necessary for proper utilization that requires routine quality assurance (QA). A commercial 'EPID QC' phantom weighing 3.8 kg with a dimension of 25 × 25 × 4.8 cm³ is used for EPID QA. This device has five essential tools to measure the geometric accuracy, signal-to-noise ratio (SNR), dose linearity, and the low- and the high-contrast resolutions. It is aligned with beam divergence to measure the imaging and geometric parameters in both X and Y directions, and can be used as a baseline check for routine QA. The low-contrast tool consists of a series of holes with various diameters and depths in an aluminum slab, very similar to the Las Vegas phantom. The high-resolution contrast tool provides the modulation transfer function (MTF) in both the x- and y-dimensions to measure the focal spot of linear accelerator that is important for imaging and small field dosimetry. The device is tested in different institutions with various amorphous silicon imagers including Elekta, Siemens and Varian units. Images of the QA phantom were acquired at 95.2 cm source-skin-distance (SSD) in the range 1-15MU for a 26 × 26 cm² field and phantom surface is set normal to the beam direction when gantry is at 0° and 90°. The epidSoft is a software program provided with the EPID QA phantom for analysis of the data. The preliminary results using the phantom on the tested EPID showed very good low-contrast resolution and high resolution, and an MTF (0.5) in the range of 0.3-0.4 lp/mm. All imagers also exhibit satisfactory geometric accuracy, dose linearity and SNR, and are independent of MU and spatial orientations. The epidSoft maintains an image analysis record and provides a graph of the temporal variations in imaging parameters. In conclusion, this device is simple to use and provides testing on basic and advanced imaging parameters for daily QA on any imager used in clinical practices.Electronic portal imaging device (EPID) plays an important role in radiation therapy portal imaging, geometric and dosimetric verification. Consistent image quality and stable radiation response is necessary for proper utilization that requires routine quality assurance (QA). A commercial 'EPID QC' phantom weighing 3.8 kg with a dimension of 25 × 25 × 4.8 cm³ is used for EPID QA. This device has five essential tools to measure the geometric accuracy, signal-to-noise ratio (SNR), dose linearity, and the low- and the high-contrast resolutions. It is aligned with beam divergence to measure the imaging and geometric parameters in both X and Y directions, and can be used as a baseline check for routine QA. The low-contrast tool consists of a series of holes with various diameters and depths in an aluminum slab, very similar to the Las Vegas phantom. The high-resolution contrast tool provides the modulation transfer function (MTF) in both the x- and y-dimensions to measure the focal spot of linear accelerator that is important for imaging and small field dosimetry. The device is tested in different institutions with various amorphous silicon imagers including Elekta, Siemens and Varian units. Images of the QA phantom were acquired at 95.2 cm source-skin-distance (SSD) in the range 1-15MU for a 26 × 26 cm² field and phantom surface is set normal to the beam direction when gantry is at 0° and 90°. The epidSoft is a software program provided with the EPID QA phantom for analysis of the data. The preliminary results using the phantom on the tested EPID showed very good low-contrast resolution and high resolution, and an MTF (0.5) in the range of 0.3-0.4 lp/mm. All imagers also exhibit satisfactory geometric accuracy, dose linearity and SNR, and are independent of MU and spatial orientations. The epidSoft maintains an image analysis record and provides a graph of the temporal variations in imaging parameters. In conclusion, this device is simple to use and provides testing on basic and advanced imaging parameters for daily QA on any imager used in clinical practices. Electronic portal imaging device (EPID) plays an important role in radiation therapy portal imaging, geometric and dosimetric verification. Consistent image quality and stable radiation response is necessary for proper utilization that requires routine quality assurance (QA). A commercial ‘EPID QC’ phantom weighing 3.8 kg with a dimension of 25×25×4.8 cm3 is used for EPID QA. This device has five essential tools to measure the geometric accuracy, signal‐to‐noise ratio (SNR), dose linearity, and the low‐ and the high‐contrast resolutions. It is aligned with beam divergence to measure the imaging and geometric parameters in both X and Y directions, and can be used as a baseline check for routine QA. The low‐contrast tool consists of a series of holes with various diameters and depths in an aluminum slab, very similar to the Las Vegas phantom. The high‐resolution contrast tool provides the modulation transfer function (MTF) in both the x‐ and y‐dimensions to measure the focal spot of linear accelerator that is important for imaging and small field dosimetry. The device is tested in different institutions with various amorphous silicon imagers including Elekta, Siemens and Varian units. Images of the QA phantom were acquired at 95.2 cm source‐skin‐distance (SSD) in the range 1–15 MU for a 26×26 cm2 field and phantom surface is set normal to the beam direction when gantry is at 0° and 90°. The epidSoft is a software program provided with the EPID QA phantom for analysis of the data. The preliminary results using the phantom on the tested EPID showed very good low‐contrast resolution and high resolution, and an MTF (0.5) in the range of 0.3–0.4 lp/mm. All imagers also exhibit satisfactory geometric accuracy, dose linearity and SNR, and are independent of MU and spatial orientations. The epidSoft maintains an image analysis record and provides a graph of the temporal variations in imaging parameters. In conclusion, this device is simple to use and provides testing on basic and advanced imaging parameters for daily QA on any imager used in clinical practices. PACS number: 87.57 C‐, 87.57 N‐ Electronic portal imaging device (EPID) plays an important role in radiation therapy portal imaging, geometric and dosimetric verification. Consistent image quality and stable radiation response is necessary for proper utilization that requires routine quality assurance (QA). A commercial ‘EPID QC’ phantom weighing 3.8 kg with a dimension of is used for EPID QA. This device has five essential tools to measure the geometric accuracy, signal‐to‐noise ratio (SNR), dose linearity, and the low‐ and the high‐contrast resolutions. It is aligned with beam divergence to measure the imaging and geometric parameters in both X and Y directions, and can be used as a baseline check for routine QA. The low‐contrast tool consists of a series of holes with various diameters and depths in an aluminum slab, very similar to the Las Vegas phantom. The high‐resolution contrast tool provides the modulation transfer function (MTF) in both the x‐ and y‐dimensions to measure the focal spot of linear accelerator that is important for imaging and small field dosimetry. The device is tested in different institutions with various amorphous silicon imagers including Elekta, Siemens and Varian units. Images of the QA phantom were acquired at 95.2 cm source‐skin‐distance (SSD) in the range 1–15 MU for a field and phantom surface is set normal to the beam direction when gantry is at 0° and 90°. The epidSoft is a software program provided with the EPID QA phantom for analysis of the data. The preliminary results using the phantom on the tested EPID showed very good low‐contrast resolution and high resolution, and an MTF (0.5) in the range of 0.3–0.4 lp/mm. All imagers also exhibit satisfactory geometric accuracy, dose linearity and SNR, and are independent of MU and spatial orientations. The epidSoft maintains an image analysis record and provides a graph of the temporal variations in imaging parameters. In conclusion, this device is simple to use and provides testing on basic and advanced imaging parameters for daily QA on any imager used in clinical practices. PACS number: 87.57 C‐, 87.57 N‐ Electronic portal imaging device (EPID) plays an important role in radiation therapy portal imaging, geometric and dosimetric verification. Consistent image quality and stable radiation response is necessary for proper utilization that requires routine quality assurance (QA). A commercial ‘EPID QC’ phantom weighing 3.8 kg with a dimension of 25×25×4.8 cm3 is used for EPID QA. This device has five essential tools to measure the geometric accuracy, signal‐to‐noise ratio (SNR), dose linearity, and the low‐ and the high‐contrast resolutions. It is aligned with beam divergence to measure the imaging and geometric parameters in both X and Y directions, and can be used as a baseline check for routine QA. The low‐contrast tool consists of a series of holes with various diameters and depths in an aluminum slab, very similar to the Las Vegas phantom. The high‐resolution contrast tool provides the modulation transfer function (MTF) in both the x‐ and y‐dimensions to measure the focal spot of linear accelerator that is important for imaging and small field dosimetry. The device is tested in different institutions with various amorphous silicon imagers including Elekta, Siemens and Varian units. Images of the QA phantom were acquired at 95.2 cm source‐skin‐distance (SSD) in the range 1–15 MU for a 26×26 cm2 field and phantom surface is set normal to the beam direction when gantry is at 0° and 90°. The epidSoft is a software program provided with the EPID QA phantom for analysis of the data. The preliminary results using the phantom on the tested EPID showed very good low‐contrast resolution and high resolution, and an MTF (0.5) in the range of 0.3–0.4 lp/mm. All imagers also exhibit satisfactory geometric accuracy, dose linearity and SNR, and are independent of MU and spatial orientations. The epidSoft maintains an image analysis record and provides a graph of the temporal variations in imaging parameters. In conclusion, this device is simple to use and provides testing on basic and advanced imaging parameters for daily QA on any imager used in clinical practices. PACS number: 87.57 C‐, 87.57 N‐ Electronic portal imaging device (EPID) plays an important role in radiation therapy portal imaging, geometric and dosimetric verification. Consistent image quality and stable radiation response is necessary for proper utilization that requires routine quality assurance (QA). A commercial 'EPID QC' phantom weighing 3.8 kg with a dimension of 25 × 25 × 4.8 cm³ is used for EPID QA. This device has five essential tools to measure the geometric accuracy, signal-to-noise ratio (SNR), dose linearity, and the low- and the high-contrast resolutions. It is aligned with beam divergence to measure the imaging and geometric parameters in both X and Y directions, and can be used as a baseline check for routine QA. The low-contrast tool consists of a series of holes with various diameters and depths in an aluminum slab, very similar to the Las Vegas phantom. The high-resolution contrast tool provides the modulation transfer function (MTF) in both the x- and y-dimensions to measure the focal spot of linear accelerator that is important for imaging and small field dosimetry. The device is tested in different institutions with various amorphous silicon imagers including Elekta, Siemens and Varian units. Images of the QA phantom were acquired at 95.2 cm source-skin-distance (SSD) in the range 1-15MU for a 26 × 26 cm² field and phantom surface is set normal to the beam direction when gantry is at 0° and 90°. The epidSoft is a software program provided with the EPID QA phantom for analysis of the data. The preliminary results using the phantom on the tested EPID showed very good low-contrast resolution and high resolution, and an MTF (0.5) in the range of 0.3-0.4 lp/mm. All imagers also exhibit satisfactory geometric accuracy, dose linearity and SNR, and are independent of MU and spatial orientations. The epidSoft maintains an image analysis record and provides a graph of the temporal variations in imaging parameters. In conclusion, this device is simple to use and provides testing on basic and advanced imaging parameters for daily QA on any imager used in clinical practices.
Author	Das, Indra J. Johnstone, Peter A.S. Cheng, Chee‐Wai Cao, Minsong Schüle, Edmund Misic, Vladimir Scheuring, Klaus
AuthorAffiliation	4 PTW‐Freiburg Freiburg Germany 1 Department of Radiation Oncology Indiana University School of Medicine Indianapolis IN USA 3 Department of Radiation Oncology University of Pittsburgh Medical Center Natrona Heights PA USA 2 Indiana University Health Proton Therapy Center Bloomington IN USA
AuthorAffiliation_xml	– name: 3 Department of Radiation Oncology University of Pittsburgh Medical Center Natrona Heights PA USA – name: 1 Department of Radiation Oncology Indiana University School of Medicine Indianapolis IN USA – name: 2 Indiana University Health Proton Therapy Center Bloomington IN USA – name: 4 PTW‐Freiburg Freiburg Germany
Author_xml	– sequence: 1 givenname: Indra J. surname: Das fullname: Das, Indra J. email: idas@iupui.edu organization: Indiana University Health Proton Therapy Center – sequence: 2 givenname: Minsong surname: Cao fullname: Cao, Minsong organization: Indiana University School of Medicine – sequence: 3 givenname: Chee‐Wai surname: Cheng fullname: Cheng, Chee‐Wai organization: Indiana University Health Proton Therapy Center – sequence: 4 givenname: Vladimir surname: Misic fullname: Misic, Vladimir organization: University of Pittsburgh Medical Center – sequence: 5 givenname: Klaus surname: Scheuring fullname: Scheuring, Klaus organization: PTW‐Freiburg – sequence: 6 givenname: Edmund surname: Schüle fullname: Schüle, Edmund organization: PTW‐Freiburg – sequence: 7 givenname: Peter A.S. surname: Johnstone fullname: Johnstone, Peter A.S. organization: Indiana University Health Proton Therapy Center
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/21587179$$D View this record in MEDLINE/PubMed
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SubjectTerms	Accuracy Algorithms Aluminum Automation Copper Dosimetry EPID Equipment Design Humans imager Localization Materials Testing Models, Statistical MTF Particle Accelerators - instrumentation Phantoms, Imaging Quality Quality Control Radiation Monitoring - methods Radiation therapy Radiometry - instrumentation Radiometry - methods Radiotherapy Dosage Radiotherapy Planning, Computer-Assisted - instrumentation Radiotherapy Planning, Computer-Assisted - methods Reproducibility of Results Sensors Silicon - chemistry Software Technical Notes
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Title	A quality assurance phantom for electronic portal imaging devices
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