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ESTRO SBRT course Sept 2015

21

Recently… New identical Linac…

Why did QART fail?

Full tests from CT scanning to irradiation of phantoms have been

performed. The measurements were performed on the right linac. The

calculations were performed using the existing Linac model in the TPS.

Routinely EPID patient dosimetry QA is performed at this institution. This

is a relative measurement (scaled to coincide with calculations in

normalisation point). Occasionally Matrix-measurements are performed at

a linac, e.g., if beams do not fit on the EPID. However, on the new linac

only small fields were used. (HD 2.5 mm MLC)

Also weekly Matrix measurements are performed. However, a different

algoritm is used for this.

MU-check accepts 10% deviations. In general, for the existing HD MLC with

2.5 mm leaves the deviations were already a bit bigger than for other

linacs with other MLCs.