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KMID : 0357520120350030255
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Journal of Radiological Science and Technology
2012 Volume.35 No. 3 p.255 ~ p.263
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The Patient Specific QA of IMRT and VMAT Through the AAPM Task Group Report 119
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Kang Dong-Jin
Jung Jae-Yong
Kim Jong-Ha
Park Seung
Lee Keun-Sub
Sohn Seung-Chang
Shin Young-Joo
Kim Yon-Lae
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Abstract
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The aim of this study was to evaluate the patient specific quality assurance (QA) results of intensity modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT) through the AAPM Task Group Report 119. Using the treatment planning system, both IMRT and VMAT treatment plans were established. The absolute dose and relative dose for the target and OAR were measured by using an ion chamber and the bi-planar diode array, respectively. The plan evaluation was used by the Dose volume histogram (DVH) and the dose verification was implemented by compare the measured value with the calculated value. For the evaluation of plan, in case of prostate, both IMRT and VMAT were closed the goal of target and OARs. In case of H&N and Multi-target, IMRT was not reached the goal of target, but VMAT was reached the goal of target and OARs. In case of C-shape(easy), both were reached the goal of target and OARs. In case of C-shape(hard), both were reached the goal of target but not reached the goal of OARs. For the evaluation of absolute dose, in case of IMRT, the mean of relative error (%) between measured and calculated value was and for target and OAR, respectively. The confidence limits were 3.65% and 4.39% for target and OAR, respectively. In case of VMAT the mean of relative error was and for target and OAR, respectively. The confidence limits were 4.09% and 3.04% for target and OAR, respectively. For the evaluation of relative dose, in case of IMRT, the average percentage of passing gamma criteria (3mm/3%) were and the confidence limits were 3.78%. In case of VMAT, the average percentage were and the confidence limits were 3.95%. We performed IMRT and VMAT patient specific QA using TG-119 based procedure, all analyzed results were satisfied with acceptance criteria based on TG-119. So, the IMRT and VMAT of our institution was confirmed the accuracy.
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KEYWORD
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Intensity Modulated Radiation Therapy(IMRT), Volumetric Modulated Arc Therapy(VMAT), Quality Assurance(QA)
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