利用EPID对RapidArc系统进行测试.DOCVIP

利用EPID对RapidArc系统进行测试 [摘要]目的 基于电子射野影像系统(EPID)，测试RapidArc系统的精确性。方法 首先，对机架旋转过程中多叶光栅(MLC)运动位置的精确性进行测试；其次，验证剂量率与机架速度、叶片速度变化控制的精确性；最后，针对6例RapidArc计划，利用EPID进行剂量学验证。结果 对MLC进行的栅栏测试表明，叶片运动位置的误差小于0.05cm；不同剂量率与机架速度组合给出的平均偏差为0.75%；不同叶片速度与剂量率组合的平均偏差为0.29%；在6例RapidArc验证计划中，利用EPID测得的剂量分布都能够很好地符合计划系统计算的剂量分布(γ=1:96.75%, 指标 3%, 3mm)。结论 RapidArc模式下，叶片位置、剂量率、机架速度、叶片速度与输出剂量等都能够精确地进行控制。利用EPID对RapidArc系统进行测试是一可行、便捷的方法。 [关键词] 电子射野影像系统；RapidArc；测试；旋转调强放射治疗 Commissioning RapidArc system using EPID [Abstract] Objective Based on electronic portal imaging device (EPID), the accuracy of RapidArc system is investigated. Methods First, multi leaf collimator (MLC) motion positional accuracy during gantry rotation was tested. Then, the accuracy to control dose rate, gantry speed and MLC leaf speed was examined. Finally, dosimetric verification of 6 RapidArc plans were taken using EPID. Results Picket Fence test showed that the error of MLC motion position was less than 0.05cm. The mean deviation of different dose rate and gantry speed was 0.75%. And that of different leaf speed and dose rate was 0.29%. In 6 RapidArc verification plans, the dose distribution measured by EPID were found to be in good agreement with the calculated dose distribution by planning system(γ=1:96.75%, criteria 3%, 3mm). Conclusions Leaf position, dose rate, gantry speed, leaf speed and output dose could be exactly controlled during RapidArc. It is a feasible and convenient method to use EPID to commission RapidArc system. [Key words] EPID; RapidArc; commission; volumetric modulated arc therapy 随着放射治疗技术的发展，旋转调强放射治疗技术(volumetric modulated arc therapy, VMAT)现已成功地应用于临床治疗。RapidArc是建立在Otto[1]提出的VMAT理论基础上推出的一种旋转调强技术，具有高效、快捷等特点。由于RapidArc比传统调强技术增加了很多可变因素（如剂量率、机架旋转速度等），对质控设备和质控人员的要求更加严格，其质量保证与质量控制也相对困难，本研究基于电子射野影像系统(electronic portal imaging device, EPID)，对RapisArc系统进行测试，并针对6例RapidArc计划进行剂量学验证。 1 材料与方法 1.1 材料 ①美国Varian公司新一代医用直线加速器TrueBeam，其臂架EPID探测面板为非晶硅探测阵列，型号为aS1000，有着1024×768个像素，像素间距为0.392mm，探测面板在等中心处的有效测量面积为40×30cm2。测量前采用美国医学物理师