Journal List > Prog Med Phys > v.26(4) > 1098481

Park, Park, Wu, and Kim: Commissioning Experience of Tri-Cobalt-60 MRI-guided Radiation Therapy System

Abstract

The aim of this study is to present commissioning results of the ViewRay system. We verified safety functions of the ViewRay system. For imaging system, we acquired signal to noise ratio (SNR) and image uniformity. In addition, we checked spatial integrity of the image. Couch movement accuracy and coincidence of isocenters (radiation therapy system, imaging system and virtual isocneter) was verified. Accuracy of MLC positioing was checked. We performed reference dosimetry according to American Association of Physicists in Medicine (AAPM) Task Group 51 (TG-51) in water phantom for head 1 and 3. The deviations between measurements and calculation of percent depth dose (PDD) and output factor were evaluated. Finally, we performed gamma evaluations with a total of 8 IMRT plans as an end-to-end (E2E) test of the system. Every safety system of ViewRay operated properly. The values of SNR and Uniformity met the tolerance level. Every point within 10 cm and 17.5 cm radii about the isocenter showed deviations less than 1 mm and 2 mm, respectively. The average couch movement errors in transverse (x), longitudinal (y) and vertical (z) directions were 0.2 mm, 0.1 mm and 0.2 mm, respectively. The deviations between radiation isocenter and virtual isocenter in x, y and z directions were 0 mm, 0 mm and 0.3 mm, respectively. Those between virtual isocenter and imaging isocenter were 0.6 mm, 0.5 mm and 0.2 mm, respectively. The average MLC positioning errors were less than 0.6 mm. The deviations of output, PDDs between mesured vs. BJR supplement 25, PDDs between measured and calculated and output factors of each head were less than 0.5%, 1%, 1% and 2%, respectively. For E2E test, average gamma passing rate with 3%/3 mm criterion was 99.9%±0.1%.

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Fig. 1.
A brief description of the ViewRay system.
pmp-26-193f1.tif
Table 1.
The values of signal to noise ratio (SNR) and image uniformity.
  Axial Sagittal Coronal
  Body coil  
SNR Uniformity (%) 15.38 15.36 71.58 74.17 15.41 72.83
  Torso coil  
SNR 52.14 48.65 43.43
Uniformity (%) 74.46 76.01 82.54
  Head and neck coil  
SNR 46.07 46.56 41.16
Uniformity (%) 77.36 75.98 81.35
Table 2.
Multi-leaf collimator (MLC) positioning accuracy
MLC Gantry angle (o) Deviation (cm)
Head 1 0 0.02±0.01
Head 3 0 −0.04±0.02
Head 1 90 −0.01±0.02
Head 2 90 0.03±0.01
Head 3 90 −0.05±0.02
Head 2 270 −0.03±0.01
Head 3 270 −0.02±0.02
Table 3.
Differences (%) in percent depth doses (PDDs) between measured values and the values provided by BJR supplement 25.
Depth 4.2 cm× 6.3 cm× 10.5 cm× 12.6 cm×
(cm) 4.2 cm 6.3 cm 10.5 cm 12.6 cm
0.5 0.0 0.0 0.0 0.0
1 0.2 0.7 0.6 0.5
5 −0.2 0.2 0.3 −0.1
10 −0.6 0.2 0.0 −0.2
         
Table 4.
Differences (%) in percent depth doses (PDDs) between measured values and calculated values in the treatment planning system (TPS) for head 1 and 3.
Depth 4.2 cm× 10.5 cm× 21 cm× 27.3 cm×
(cm) 4.2 cm 10.5 cm 21 cm 27.3 cm
Head 1
0.5 0.00 0.00 0.00 0.00
1 0.50 −0.37 −0.11 −0.09
5 0.25 −0.11 −0.19 0.55
10 0.48 0.19 0.45 0.99
Head 3
0.5 0.00 0.00 0.00 0.00
1 0.42 −0.53 −0.30 −0.19
5 0.31 −0.09 −0.30 0.52
10 0.37 0.05 0.37 0.90
Table 5.
Deviations in output factors (%) between measured values and calculated values in the treatment planning system (TPS).
Field size Head 1 (%) Head 2 (%) Head 3 (%)
2.1 cm×2.1 cm −0.211 −2.230 −3.379
4.2 cm×4.2 cm −1.269 −1.452 −1.341
6.3 cm×6.3 cm −0.710 −0.770 −0.775
8.4 cm×8.4 cm −0.002 0.012 0.007
10.5 cm×10.5 cm 0.000 0.000 0.000
12.6 cm×12.6 cm −0.062 −0.201 −0.026
14.7 cm×14.7 cm 0.301 0.021 0.334
16.8 cm×16.8 cm 0.680 0.170 0.674
21 cm×21 cm 0.618 −0.366 0.487
27.3 cm×27.3 cm 1.373 −0.331 1.361
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