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Summary: the use of plastic phantoms for TPS QA & PSQA

•Representation of solid plastics in CT datasets is influenced on whether the material is water-equivalent in the kV energy range.

•Systematic discrepancies in the verification of calculated dose in solid plastics can occur if these are not properly represented in

the TPS.

•We have been working on the assumption that homogeneous solid phantoms which are shown to be water-equivalent for

reference dosimetry and relevant dosimetry using an ionization chamber are also water-equivalent under a multiple beam

arrangements (for the verification of treatment plans).

•The interpretation of measurements from complex phantoms with embedded detector systems might not be straightforward if

there is limited understanding on how these phantoms are represented in the TPS and how the phantom software processes the

measured signal by the detectors.

Does what I

see agree

with

calculations?

Are we

comparing

the same

thing?

TPS (often referred to as ‘black box’)

The detector in plastic phantom

(by Nuria Jornet)