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Updated: Mar 2, 2026

Irradiator Commissioning and Dosimetry for Assessment of LQ α and β Parameters, Radiation Dosing Schema, and in vivo Dose Deposition
Published on: March 11, 2021
SU-E-T-184: LINAC Commissioning Measurements Utilizing the Cylindrical Arc Check Phantom.
M Aristophanous1, P Balter1, M Martel1
1UT MD Anderson Cancer Center, Houston, TX.
This study shows how to use the Arc Check phantom for routine quality assurance (QA) of linear accelerators (LINACs). By leveraging its design, multiple mechanical QA tests can be performed in a single setup, improving efficiency.
Area of Science:
- Medical Physics
- Radiation Oncology
- Quality Assurance
Background:
- New devices for Intensity-Modulated Radiation Therapy (IMRT) and Volumetric Modulated Arc Therapy (VMAT) quality assurance (QA) are available but underutilized for routine mechanical QA.
- The Arc Check phantom offers a unique cylindrical geometry for comprehensive QA measurements.
Purpose of the Study:
- To demonstrate the utility of the Arc Check phantom for routine mechanical QA of linear accelerators (LINACs).
- To develop a method for performing multiple LINAC QA tests using a single setup with the Arc Check phantom.
Main Methods:
- The Arc Check phantom was set up at the LINAC isocenter, leveled, and aligned.
- 100 MUs with a 10x10 field were delivered at various gantry, couch, and collimator angles.
- The radiation center path was reconstructed in 3D to evaluate the coincidence of mechanical and radiation isocenters.
Main Results:
- A procedure and MATLAB routine were developed to reconstruct the 3D radiation central axis and isocenter.
- The coincidence of the mechanical and radiation isocenter was successfully verified.
- The method allows for the evaluation of multiple mechanical LINAC tests in one setup.
Conclusions:
- The Arc Check phantom's geometry can be utilized to perform multiple essential LINAC mechanical QA tests efficiently.
- This approach integrates commissioning and routine QA procedures, enhancing the utilization of available QA devices.
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