EP-1709 Dosimetric response of aSi1000 EPID continuous imaging of FFF beams for in vivo 3D SBRT verification

Barbeiro, A.R.; Parent, L.; Younes, T.; Vieillevigne, L.; Chatrie, Frédéric; Younan, F.; Franceries, X.

doi:10.1016/s0167-8140(19)32129-2

Cited by 1 publication

(2 citation statements)

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“…Most studies have demonstrated that modern a-Si EPID designs are very robust and stable. 72 Nonlinear response effects including image lag and ghosting have been observed and corrected, mainly for low monitor unit (MU). 38,70 More recently, some of these effects have been attributed to incomplete frame collection.…”

Section: Limitations Applications and Challenges In Clinical Implemen...mentioning

confidence: 99%

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AAPM Task Group Report 307: Use of EPIDs for Patient‐Specific IMRT and VMAT QA

et al. 2023

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PurposeElectronic portal imaging devices (EPIDs) have been widely utilized for patient‐specific quality assurance (PSQA) and their use for transit dosimetry applications is emerging. Yet there are no specific guidelines on the potential uses, limitations, and correct utilization of EPIDs for these purposes. The American Association of Physicists in Medicine (AAPM) Task Group 307 (TG‐307) provides a comprehensive review of the physics, modeling, algorithms and clinical experience with EPID‐based pre‐treatment and transit dosimetry techniques. This review also includes the limitations and challenges in the clinical implementation of EPIDs, including recommendations for commissioning, calibration and validation, routine QA, tolerance levels for gamma analysis and risk‐based analysis.MethodsCharacteristics of the currently available EPID systems and EPID‐based PSQA techniques are reviewed. The details of the physics, modeling, and algorithms for both pre‐treatment and transit dosimetry methods are discussed, including clinical experience with different EPID dosimetry systems. Commissioning, calibration, and validation, tolerance levels and recommended tests, are reviewed, and analyzed. Risk‐based analysis for EPID dosimetry is also addressed.ResultsClinical experience, commissioning methods and tolerances for EPID‐based PSQA system are described for pre‐treatment and transit dosimetry applications. The sensitivity, specificity, and clinical results for EPID dosimetry techniques are presented as well as examples of patient‐related and machine‐related error detection by these dosimetry solutions. Limitations and challenges in clinical implementation of EPIDs for dosimetric purposes are discussed and acceptance and rejection criteria are outlined. Potential causes of and evaluations of pre‐treatment and transit dosimetry failures are discussed. Guidelines and recommendations developed in this report are based on the extensive published data on EPID QA along with the clinical experience of the TG‐307 members.ConclusionTG‐307 focused on the commercially available EPID‐based dosimetric tools and provides guidance for medical physicists in the clinical implementation of EPID‐based patient‐specific pre‐treatment and transit dosimetry QA solutions including intensity modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT) treatments.

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Section: Limitations Applications and Challenges In Clinical Implemen...mentioning

confidence: 99%

“…These can be off‐axis dependent and require monitoring and correction. Most studies have demonstrated that modern a‐Si EPID designs are very robust and stable 72 . Nonlinear response effects including image lag and ghosting have been observed and corrected, mainly for low monitor unit (MU) 38,70 .…”

Section: Physics Modeling and Algorithmsmentioning

confidence: 99%