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Varian eclipse stereotactic 5 mm cone data commissioning.

Dominika Firth1, Penny Fogg2, Peter Christiansen2

  • 1GenesisCare, Buderim, QLD, Australia. Dominika.firth@genesiscare.com.

Physical and Engineering Sciences in Medicine
|August 23, 2022
PubMed
Summary

Commissioning stereotactic radiosurgery fields requires accurate data. This study successfully commissioned a Varian 5 mm cone, validating measurements against established data and ensuring precise dose calculations for advanced cancer treatments.

Keywords:
Conical collimatorGamma analysisMicrodiamondSRS diodeStereotactic radiosurgeryVarian TrueBeam

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Area of Science:

  • Medical Physics
  • Radiation Oncology
  • Radiosurgery

Background:

  • Accurate characterization of small stereotactic radiation fields is crucial but challenging.
  • Conical collimators are used for field shaping in stereotactic radiosurgery.
  • Limited commissioning data exists for small stereotactic fields.

Purpose of the Study:

  • To commission the cone dose calculation algorithm in a Varian Eclipse treatment planning system for a 5 mm cone.
  • To validate measurements against the Varian Golden Beam Data (GBD) and independent audit data.
  • To ensure accurate dose calculations for small stereotactic fields.

Main Methods:

  • Measurements of tissue maximum ratios (TMRs) and off-axis ratios (OARs) using microDiamond and SRS Diode detectors.
  • Output factor (OF) measurements using microDiamond and EBT-XD film.
  • Comparison of measured data with GBD, independent audit data, and IAEA TRS-483.
  • Film dosimetry for evaluating Eclipse dose calculations in phantoms.
  • Gamma analysis for comparing measured and calculated data.

Main Results:

  • Measured TMRs and OARs showed good agreement with GBD and passed gamma analysis.
  • Output factors measured with microDiamond and film were within measurement uncertainty.
  • Differences in OAR measurements were attributed to detector volume averaging.
  • Eclipse dose calculations were validated using film dosimetry in solid water and anthropomorphic head phantoms.

Conclusions:

  • The Varian 5 mm cone dose calculation algorithm was successfully commissioned in Eclipse.
  • The chosen configuration using microDiamond measured OF and SRS Diode measured TMR/OAR data was validated.
  • Accurate commissioning data is essential for reliable stereotactic radiosurgery treatment planning.