Investigation of Radiation Isocenter Accuracy of Linear Accelerator – New Approach of Comprehensive Evaluation of Gantry, Couch, and Collimator Isocenters

Objective: For stereotactic machines, recommendations demand stringent localization and precise delivery, as reflected by isocenter verification. Determining and analyzing the radiation isocenter for all clinical combinations of gantry, collimator, and couch are crucial for the quality of radiation...

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Main Authors: Avinash Kuppa Rao, Manikandan Palanisamy, G. V. Subrahmanyam, S. P. Swathi, Tamilarasan Mani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of Medical Physics
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Online Access:https://journals.lww.com/10.4103/jmp.jmp_131_24
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author Avinash Kuppa Rao
Manikandan Palanisamy
G. V. Subrahmanyam
S. P. Swathi
Tamilarasan Mani
author_facet Avinash Kuppa Rao
Manikandan Palanisamy
G. V. Subrahmanyam
S. P. Swathi
Tamilarasan Mani
author_sort Avinash Kuppa Rao
collection DOAJ
description Objective: For stereotactic machines, recommendations demand stringent localization and precise delivery, as reflected by isocenter verification. Determining and analyzing the radiation isocenter for all clinical combinations of gantry, collimator, and couch are crucial for the quality of radiation therapy delivered. Although several radiation isocenter verification devices exist, there is no time-efficient system available for verifying the combined radiation isocenter. This paper presents a newly patented approach for the combined accuracy verification of the gantry, collimator, and couch radiation isocenter. Methods: The novel combined radiation isocenter verification tool is used to expose a star test pattern on the dosimetric film at various angular combinations of the gantry, collimator, and couch. The exposed dosimetric film was evaluated using Radiochromic.com’s standard third-party film analysis software. Results: According to the results, the combined radiation isocenter for unit 1 is 0.74 mm dia (0.37 mm radius), and for unit 2, it is 0.62 mm dia (0.31 mm radius). These results are in good agreement with the requirements for three-dimensional conformal radiotherapy, intensity-modulated radiation therapy, volumetric-modulated arc therapy, stereotactic radiosurgery, and stereotactic body radiotherapy techniques. Conclusion: This combined radiation isocenter verification tool aids in comprehensive evaluation of gantry, couch and collimator isocenters using radiographic film. It is easier to implement and faster to analyse compared to existing techniques, using a PC-based program that minimizes human error and increases measurement accuracy. This new approach can be used for routine quality assurance checks.
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spelling doaj-art-c93e5bcebf574bfa9a4e03218a4c40bd2025-08-20T03:09:12ZengWolters Kluwer Medknow PublicationsJournal of Medical Physics0971-62031998-39132025-01-0150116016310.4103/jmp.jmp_131_24Investigation of Radiation Isocenter Accuracy of Linear Accelerator – New Approach of Comprehensive Evaluation of Gantry, Couch, and Collimator IsocentersAvinash Kuppa RaoManikandan PalanisamyG. V. SubrahmanyamS. P. SwathiTamilarasan ManiObjective: For stereotactic machines, recommendations demand stringent localization and precise delivery, as reflected by isocenter verification. Determining and analyzing the radiation isocenter for all clinical combinations of gantry, collimator, and couch are crucial for the quality of radiation therapy delivered. Although several radiation isocenter verification devices exist, there is no time-efficient system available for verifying the combined radiation isocenter. This paper presents a newly patented approach for the combined accuracy verification of the gantry, collimator, and couch radiation isocenter. Methods: The novel combined radiation isocenter verification tool is used to expose a star test pattern on the dosimetric film at various angular combinations of the gantry, collimator, and couch. The exposed dosimetric film was evaluated using Radiochromic.com’s standard third-party film analysis software. Results: According to the results, the combined radiation isocenter for unit 1 is 0.74 mm dia (0.37 mm radius), and for unit 2, it is 0.62 mm dia (0.31 mm radius). These results are in good agreement with the requirements for three-dimensional conformal radiotherapy, intensity-modulated radiation therapy, volumetric-modulated arc therapy, stereotactic radiosurgery, and stereotactic body radiotherapy techniques. Conclusion: This combined radiation isocenter verification tool aids in comprehensive evaluation of gantry, couch and collimator isocenters using radiographic film. It is easier to implement and faster to analyse compared to existing techniques, using a PC-based program that minimizes human error and increases measurement accuracy. This new approach can be used for routine quality assurance checks.https://journals.lww.com/10.4103/jmp.jmp_131_24combined radiation isocentermedical linear acceleratorquality assuranceradiotherapystereotactic
spellingShingle Avinash Kuppa Rao
Manikandan Palanisamy
G. V. Subrahmanyam
S. P. Swathi
Tamilarasan Mani
Investigation of Radiation Isocenter Accuracy of Linear Accelerator – New Approach of Comprehensive Evaluation of Gantry, Couch, and Collimator Isocenters
Journal of Medical Physics
combined radiation isocenter
medical linear accelerator
quality assurance
radiotherapy
stereotactic
title Investigation of Radiation Isocenter Accuracy of Linear Accelerator – New Approach of Comprehensive Evaluation of Gantry, Couch, and Collimator Isocenters
title_full Investigation of Radiation Isocenter Accuracy of Linear Accelerator – New Approach of Comprehensive Evaluation of Gantry, Couch, and Collimator Isocenters
title_fullStr Investigation of Radiation Isocenter Accuracy of Linear Accelerator – New Approach of Comprehensive Evaluation of Gantry, Couch, and Collimator Isocenters
title_full_unstemmed Investigation of Radiation Isocenter Accuracy of Linear Accelerator – New Approach of Comprehensive Evaluation of Gantry, Couch, and Collimator Isocenters
title_short Investigation of Radiation Isocenter Accuracy of Linear Accelerator – New Approach of Comprehensive Evaluation of Gantry, Couch, and Collimator Isocenters
title_sort investigation of radiation isocenter accuracy of linear accelerator new approach of comprehensive evaluation of gantry couch and collimator isocenters
topic combined radiation isocenter
medical linear accelerator
quality assurance
radiotherapy
stereotactic
url https://journals.lww.com/10.4103/jmp.jmp_131_24
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