ESTRO 2021 Abstract Book
Results 133 institutes participated in the survey, of which 45 used IVD with EPID. 17 centres submitted statistics of patient IVD data. The software were: Perfraction (SunNuclear) (9), Epigray (DOSISsoft) (8), Softdiso (Best Medical) (7), Dosimetry Check (LAP) (6), Portal Dosimetry (Varian) (6), homemade software (6), and IviewDose (Elekta) (3). These in vivo solutions involve different degrees of automation as well as different metrics for dose comparison. An average of 2657 patients (range 50-8000) and 10021 fractions (range 200-24000) were annually analyzed with fully automatic software, compared to 855 patients (range 100-2500) and 2791 fractions (range 1000-6575) with the partially automatic and 266 patients (range 20-1200) and 378 fractions (range 30-3500) with the software without automation. The percentage of all measurements with results out of institutional tolerance limits, was, on average, 14% with 10% standard deviation. The causes of out of tolerance results were: patient anatomical variations 5.2%, setup errors 3.7%, incorrect use of immobilization devices 2%, beam delivery discrepancies 1.3% and incorrect plan computation 0.3%. Failure of the IVD algorithm or erroneous EPID acquisitions occurred in 4.5% of fractions. In 2.2% of fractions, the cause was not unidentified. Sporadic network data transfer errors were reported by one centre. The actions taken after out of tolerance detection, were, on average: repetition of the IVD test 8.5%, instruction of the technician for improving the patient setup 3.8%, informing the radiation oncologist 0.9%, and replanning 1.6%.
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