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开发一个基于模块的幻影,用于单同中心多目标立体射线手术的质量保证
Sangutid Thongsawad1, Warisara Montreemanorom Montreemanorom2, Chirasak Khamfongkhruea3
1Radiation Oncology, Chulabhorn Royal Academy, Kampangpech 6, Thailand, Bangkok, 10210, THAILAND.
Physics in medicine and biology
|September 4, 2025
概括
一个新的模块化幻影有效地执行单同中心多重目标 (SIMT) 立体射线手术 (SRS) 的质量保证. 它准确地验证了离轴目标的几何和剂量准确性.
科学领域:
- 医学物理
- 辐射瘤学
- 医学成像
背景情况:
- 单同中心多重点治疗 (SIMT) 需要强大的质量保证 (QA) 才能准确的输送辐射.
- 目前的质量保证方法通常需要单独的幻影来进行剂量和几何评估,从而导致效率低下.
- 需要一个统一的幻影解决方案来简化SIMT程序的质量保证.
研究的目的:
- 开发和验证模块化幻影用于SIMT立体射线手术 (SRS) 的综合质量控制.
- 评估幻影的几何和剂量准确性验证能力.
- 为了评估幻影的性能与轴以外的目标.
主要方法:
- 使用聚甲酸 (PMMA) 制造一个模块化幻影.
- 通过离轴温斯顿-卢茨测试进行几何质量保证评估.
- 使用点剂量测量和薄膜剂量测量进行剂量计量质量评估.
主要成果:
- 除轴外的温斯顿-卢茨测试实现了小于毫米的几何精度 (<1毫米).
- 与治疗计划系统 (TPS) 的计算相比,点剂量测量显示的差异不到5%.
- 薄膜剂量测试实现了高的马通道率 (例如,3%/3毫米标准的97.09±3.74%).
结论:
- 开发的模块化幻影对SIMT SRS中的几何和剂量检测都有效.
- 幻影提供可靠的点剂量验证,马分析和温斯顿-卢茨测试.
- 它的模块化设计允许灵活配置多个目标,在离轴位置准确度低于毫米.
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