Professional Documents
Culture Documents
Item Name
Base
Units
Tolerance
Water Pressure
Water Temperature
SF6 Pressure
Walk Through
LINAC Movements
Treatment Couch Brakes
Switches Pendant
Switches Table
Test Imager
Door Interlock
Bean ON/OFF light
Beam Interrupt
Monitor / Intercom
XVI kV Imager Tube Warm-Up
kV Imaging Test
PentaGuide Table Correction Lat.
Value
PentaGuide Table Correction Long.
Value
PentaGuide Table Correction Vert.
Value
PentaGuide Laser Alignment after
Table Correction
PentaGuide ODI reading
PentaGuide Light Field Size and
Coincidence
Daily Monitor Test
11.5
29.5
0.8
lbs
C
Bar
2.5
2.5
0.2
%/
Absolute
Absolute
Absolute
Absolute
Functional
Functional
Functional
Functional
Functional
Functional
Functional
Functional
Functional
-1
cm
0.1
Absolute
1.4
cm
0.1
Absolute
-1.2
cm
0.1
Absolute
cm
0.1
Absolute
cm
cm
0.2
0.2
Absolute
Absolute
Low
Warning
3
High
Warning
5
Tolerance
Notes
1o
1 mm
@cardinal
angles
Gantry,
collimator,
and couch
2 mm or 1% on a side
2 mm or 1% on a side
2 mm / 1o
1 mm
2 mm
2 mm at 50 cm
1 mm
2%
2%
2%
1%
1%
1%
Tolerance
Dosimetry
X-ray flatness change from baseline
X-ray symmetry change from baseline
1%
1%
1% absolute
1% from baseline
1% from baseline
TMR constancy
Mechanical
1 mm from baseline
1 mm from baseline
1 mm from baseline
2% from baseline
1% from baseline
1mm
2%
5%(2-4MU); 2%>=5MU
2%>=5MU
2% from baseline
1% from baseline
1% from baseline
1 mm from baseline
1 mm from baseline
Functional
2 mm from baseline
1
2 mm
CT-based IGRT QA
Daily
Tolerance
Safety
Collision and other interlocks
Warning lights
System operation and accuracy
Laser/imager/treatment isocenter
coincidence
Phantom localization and repositioning with
couch shift
Monthly or upon upgrade
Geometric
Geometric calibration maps
kV/MV/laser alignment
Couch shifts: accuracy of motions
Image quality
Scale, distance, and orientation accuracy
Uniformity, noise
High contrast spatial resolution
Low contrast detectability
If used for calculation / Annual
Image quality: CT number accuracy and
stability
Imaging system performance: X-ray
generator performance (kV systems only):
tube potential, mA, ms accuracy, and
linearity
Geometric: Anteroposterior, mediolateral,
and craniocaudal orientations are
maintained (upon upgrade from CT to IGRT
system)
System operation: Long and short term
planning of resources (disk space,
manpower, etc.)
Functional
Functional
2mm
2mm
Tolerance
Replace/refresh
1mm
1mm
Baseline
Baseline
2mm or 5 lp/cm
Baseline
Tolerance
Baseline
Baseline
Accurate
Comments/Details
Error log
Change log
Weekly
Digitizer
Hardcopy output
Computer files
Monthly
Comments/Details
Problem review
Annual
Dose calculations
Variable
Beam parameterization
Comments/Details
Checks and/or recommissioning may
be required due to machine changes
or problems.
QA of Simulater
Daily
Tolerance
Localizing lasers
2 mm
2 mm
Tolerance
2 mm
1 deg
2 mm diameter
2 mm
Baseline
Functional
2 mm or 1%
Baseline
Tolerance
Mechanical Checks
Collimator rotation isocenter
Gantry rotation isocenter
Couch rotation isocenter
Coincidence of collimator, gantry, couch
axes and isocenter
Table top sag
Vertical travel of couch
Radiographic Checks
Exposure rate
Table top exposure with fluoroscopy
Kvp and mAs calibration
High and low contrast resolution
2 mm diameter
2 mm diameter
2 mm diameter
2 mm diameter
2 mm
2 mm
Baseline
Baseline
Baseline
Baseline
Tolerance
Monthly
Setting vs radiation field for two patterns
(non-IMRT)
Backup diaphragm settings (Elekta only)
Travel speed (IMRT)
Leaf position accuracy (IMRT)
Annual
MLC transmission (average of leaf and
interleaf transmission), all energies
Leaf position repeatability
MLC spoke shot
Coincidence of light field and x-ray field
(all energies)
Segmental IMRT (step and shoot) test
2 mm
2 mm
Loss of leaf speed _0.5 cm/ s
1 mm for leaf positions of an IMRT
field for four cardinal gantry angles.
(Picket fence test may be used,
test depends on clinical planningsegment size)
Tolerance
0.5% from baseline
1.0 mm
1.0 mm radius
2.0 mm
Tolerance
Documented
Documented
Documented
1 mm
3%
5%, Documented
Documented
Documented
Tolerance
Visual check of source color code or
measurement in a calibrator.
3%
5%
Visual check, autoradiograph, or
ionometric check
Tolerance
Functional
autoradiograph
Tolerance
1mm
Functional
Free of kinks and firmly attached
Tolerance
3%
1%
1 mm
Functional
Tolerance
3%, 1 mm
Reference
1. Klein E, Hanley J, Bayouth J, et al. AAPM TG-142 Report: QA of Medical
Accelerators. Med Phys. September 2009;36(9):4197-4212.
2. Bissonnette J, Balter PA, Dong L, et al. Quality assurance for image-guided
radiation therapy utilizing CT-based technologies: A report of the AAPM TG179. Med Phys. April 2012;39(4):1946-1963.
3. Frass B, Doppke K, Hunt M, et al. American aAssociation of Phusiciest in
Medicine Radiation Therapy Committee Task Group 53: Quality Assurance for
clinical radiotherapy treatment planning. Meical Physics, 1998;Vol.25:10.
4. Kutcher GJ, Goia L, Gillin M, et al. Comprehensive QA for radiation oncology:
Report of AAPM Radiation Therapy Committee Task Group 40. Med Phys.
1994;21(4):595. http://dx.doi.org/10.1118/1.597316