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Looking around

Copenhagen

– QC showed 5% deviation in output - was adjusted

immedeatly

o

Linac OK but incorrect calibration factor for ion chamber – detected

after several weeks even if in-vivo dosimetry was in placed (however,

lack of comprehensive analysis)

o

No second physicist checked QC

Ottawa

– Recommissioning of unit after move – missed back scatter

factors

o

No second physicist

o

Detected when annual QC was done

Touluse/Ohio

– Commissioning of SRT with unsuitable ion chamber

o

No second physicist

o

Detected by company

37

2016-10-05

T Knöös

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