SU-F-T-464: Development of a Secondary Check Procedure to Evaluated Flatness and Symmetry Discrepancies Detected During Daily Morning QA

2016 ◽  
Vol 43 (6Part20) ◽  
pp. 3569-3570
Author(s):  
M Wagar ◽  
S Friesen ◽  
Y Lyatskaya ◽  
D O'Farrell ◽  
M Bhagwat
Keyword(s):  
2002 ◽  
Vol 49 (5) ◽  
pp. 2074-2078 ◽  
Author(s):  
C. Knoess ◽  
T. Gremillion ◽  
M. Schmand ◽  
M.E. Casey ◽  
L. Eriksson ◽  
...  

2018 ◽  
Vol 129 (Suppl1) ◽  
pp. 140-146
Author(s):  
Joshua Chiu ◽  
Steve Braunstein ◽  
Jean Nakamura ◽  
Philip Theodosopoulos ◽  
Penny Sneed ◽  
...  

OBJECTIVEInterfractional residual patient shifts are often observed during the delivery of hypofractionated brain radiosurgery. In this study, the authors developed a robustness treatment planning check procedure to assess the dosimetric effects of residual target shifts on hypofractionated Gamma Knife radiosurgery (GKRS).METHODSThe residual patient shifts were determined during the simulation process immediately after patient immobilization. To mimic incorporation of residual target shifts during treatment delivery, a quality assurance procedure was developed to sample and shift individual shots according to the residual uncertainties in the prescribed treatment plan. This procedure was tested and demonstrated for 10 hypofractionated GKRS cases.RESULTSThe maximum residual target shifts were less than 1 mm for the studied cases. When incorporating such shifts, the target coverage varied by 1.9% ± 2.2% (range 0.0%–7.1%) and selectivity varied by 3.6% ± 2.5% (range 1.1%–9.3%). Furthermore, when incorporating extra random shifts on the order of 0.5 mm, the target coverage decreased by as much as 7%, and nonisocentric variation in the dose distributions was noted for the studied cases.CONCLUSIONSA pretreatment robustness check procedure was developed and demonstrated for hypofractionated GKRS. Further studies are underway to implement this procedure to assess maximum tolerance levels for individual patient cases.


1980 ◽  
Vol 11 (4) ◽  
pp. 218-222 ◽  
Author(s):  
Sharon Ciani

A hearing aid test prograrn was developed, using portable electroacoustic equipment, to assess and improve the condition of hearing aids worn by Cincinnati public school children. Hearing aid checks were performed semi-annually for both school auditory training equipment and personal hearing aids. The program's results have shown the need for an additional mid-year check and subsequent maintenance for school auditory training equipment. A bonus of the program has been the visibility it has afforded the hearing aid check procedure.


2004 ◽  
Vol 57 (3) ◽  
pp. 745-772 ◽  
Author(s):  
Paul J. Taylor ◽  
Karl Pajo ◽  
Gordon W. Cheung ◽  
Paul Stringfield
Keyword(s):  

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