Report of AAPM Task Group 219 on independent calculation‐based dose/MU verification for IMRT

Independent verification of the dose per monitor unit (MU) to deliver the prescribed dose to a patient has been a mainstay of radiation oncology quality assurance (QA). We discuss the role of secondary dose/MU calculation programs as part of a comprehensive QA program. This report provides guideline...

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Veröffentlicht in:Medical physics (Lancaster) 2021-10, Vol.48 (10), p.e808-e829
Hauptverfasser: Zhu, Timothy C., Stathakis, Sotiris, Clark, Jennifer R., Feng, Wenzheng, Georg, Dietmar, Holmes, Shannon M., Kry, Stephen F., Ma, Chang‐Ming Charlie, Miften, Moyed, Mihailidis, Dimitris, Moran, Jean M., Papanikolaou, Niko, Poppe, Bjorn, Xiao, Ying
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container_issue 10
container_start_page e808
container_title Medical physics (Lancaster)
container_volume 48
creator Zhu, Timothy C.
Stathakis, Sotiris
Clark, Jennifer R.
Feng, Wenzheng
Georg, Dietmar
Holmes, Shannon M.
Kry, Stephen F.
Ma, Chang‐Ming Charlie
Miften, Moyed
Mihailidis, Dimitris
Moran, Jean M.
Papanikolaou, Niko
Poppe, Bjorn
Xiao, Ying
description Independent verification of the dose per monitor unit (MU) to deliver the prescribed dose to a patient has been a mainstay of radiation oncology quality assurance (QA). We discuss the role of secondary dose/MU calculation programs as part of a comprehensive QA program. This report provides guidelines on calculation‐based dose/MU verification for intensity modulated radiation therapy (IMRT) or volumetric modulated arc therapy (VMAT) provided by various modalities. We provide a review of various algorithms for “independent/second check” of monitor unit calculations for IMRT/VMAT. The report makes recommendations on the clinical implementation of secondary dose/MU calculation programs; on commissioning and acceptance of various commercially available secondary dose/MU calculation programs; on benchmark QA and periodic QA; and on clinically reasonable action levels for agreement of secondary dose/MU calculation programs.
doi_str_mv 10.1002/mp.15069
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title Report of AAPM Task Group 219 on independent calculation‐based dose/MU verification for IMRT
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