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IGRT QA/QC Working group report 放射線治療かたろう会 Supplement - Imaging Dose -

IGRT QA/QC Working group report - m3.com

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Page 1: IGRT QA/QC Working group report - m3.com

IGRT QA/QC Working group report

放射線治療かたろう会

1

Supplement - Imaging Dose -

2

Page 2: IGRT QA/QC Working group report - m3.com

IGRT QA/QC Working group report Supplement - Imaging Dose -

2016

IGRT QA/QC WG Supplement - Imaging Dose –

NTT

1 2 kV Imaging Dose 3 2D 4 3D CTDI 5 3D I’mRT 6. D GB

image guided radiation therapy - quality assurance (IGRT-QA)�����������2012 4 IGRT-QA/QC WG report

1 IGRT cone beam computed tomography (CBCT)������������������������ ����� Imaging dose

2)

2) ±

Imaging dose3 ) ) CBCT± ) . IGRT as low as reasonably

achievable ALARA .

Page 3: IGRT QA/QC Working group report - m3.com

kV Imaging IGRTImaging dose × .

4 5 2362 1C gB

X 100 kVp2D . 3D

. X ±

±

2D 3D4

ok

± )

!! = ! ∙ !! ∙! ! ∙ !!" ! !"#$% ,!"# ∙ !"# Dw (Gy) M (nC) N0 (C/kg/nC) W / e W (J/C) (�en /�)water,air ± BSF

gs

ge

± Al ±

X ) 3 6 mlFig. 1 2 .

w g

10± X μ 20 50 keV

± 4) ± (20 50 keV )CBCT 55 keV .

Fig. 1 ;:- (3 ml) Fig. 2 �`;:- ]6 ml),> �`���!�

Page 4: IGRT QA/QC Working group report - m3.com

g

± ±

Al HVL: half value layer Al ±

99.8% Al Fig. 3 .XAl 50 cm ) , IGRT

.

Fig. 3 X 4

± Al ±

Table 1)

Al (mm) = Ln(1/2) ( (cm2/g) (g/cm3)) × 10

Al 2.699 g/cm3

X ±

Al

Varian OBI (Varian OBI) Elekta XVI (Elekta XVI) 2D

Al Table 2 2D Bowtie filter

O

AAPM TG-61 AAPM protocol for 40 - 300 kV x-ray beam dosimetry in radiotherapy and radiobiology 6 Al ±

Table 3

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Table 1 Al ± Table 2 2D���DAl���

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Page 5: IGRT QA/QC Working group report - m3.com

Al AAPM TG-61 ±

6 Al 3 6 mm ± 1.021 1.034 ) s

) Al

Grosswendt 7 Klevenhagen 8 ���

�� 20 cm����������������� ) IGRT

40 cm

. SSD 80cm ) .Fig. 4 Al

)

9 Al 3 6 mm) 40 cm

40 cm 1.401.55 Fig.4 BSF

) . g

V T B I i 3 6 '

100 cmSSD 85 cm

2 . BSFSSD 80cm

.Table 4 Varian OBI ±

±

diagnostic reference levels 2015 :DRLs201510

First HVLmm AL��� ����

��� �����

��� �����

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Table 3 Al ±

Fig. 4 8

Anatomy kV

Head-AP 100Head-Lat 70Thorax-AP 75Thorax-Lat 95Abdomen-AP 80Abdomen-Lat 85Pelvis-AP 75Pelvis-Lat 105

mAs

805050

400320400100800

�� ��

1.5 3.0 ���

0.5 2.0 ���

0.5 3.0 ���

6.8 6.0 ���

3.9 3.0 �

5.5 4.0 ���

1.1 4.0 ���

16.5 11.0 ���

mGy mGy

DRLs 2015

Table 4 Varian OBIDRTKYS��CFH�1</8

Page 6: IGRT QA/QC Working group report - m3.com

0

5

10

15

20

0 100 200 300

μGy/msec

msec

Varian1Varian2

100kV

120kV

100kV80mA

120kV80mA

Varian1

Fig. 7 *�9&�D�0

Varian 2 Elekta 1 3 2D X ACCU-GOLD+ Radcalc AGMS-D+

Fig. 2 ±

. 80,100,120,125 kV Elekta XVI 120 kV 80 mAVarian OBI 40 mA Elekta XVI 10,20,32,80,250 msec Varian OBI 10,20,32,40 msecElekta XVI . Bowtie Filter ) Gy/msec

100 kV 120 kV Fig. 5 Varian OBI Fig. 6 Elekta XVI Varian OBI.

Varian OBI 1 X

) Fig. 780 msec

)

)

φ CBCT)

)

Elekta XVI (Fig. 6)Elekta XVI 5 )

) - R B I B 3 6 '

Varian OBI , X 85 cmTable 5

) 100 cm100 cm 3.2% .

Varian OBI)

0

5

10

15

20

0 100 200 300

μGy/msec

msec

Varian1 Varian2

100kV

120kV

Varian1 Varian2

100kV80mA

120kV80mA

Filter(-)

Fig. 5 2D���D/8]Varian ̂

0

5

10

15

20

0 100 200 300

μGy/msec

msec

Varian1 Varian2

120kV40mA

Elekta

100kV40mA

Filter(-)

Fig. 6 2D���D/8]Elekta ̂

Page 7: IGRT QA/QC Working group report - m3.com

Table 5 Varian OBINPQUC1+AIH/8

OBI Ver 1.680 mA 80 mSec (mGy)

������ ��������

100cm 100 cm 85 cm

80 0.374 0.362 0.501100 0.574 0.564 0.780120 0.807 0.791 1.095125 0.868 0.853 1.180

��

kV�����

2D DRLs201510 OBI ±

DRLs2015 ) Table 4 2D IGRT) ± DRLs2015 .

IGRT

ok

CBCT Imaging Dose CT dose index (CTDI) CTDICT

CTDI IBA I’mRTCTDI 2D 4

gs

ge

± 16 cm ,32 cm ± 10 cmFig. 8,9 c 1 cm 4 p CTDI100

weighted CTDI(CTDIw) Fig. 10 IGRT ±

Volume CTDI (CTDIvol)

g

× Varian OBI 2 cm

Fig. 9 CT Chamber PTW 30009`radius 3.5 mm_length 100 mm Fig. 8 CTDI Acryl phantom =7( 16 cmφ×15 cm

Page 8: IGRT QA/QC Working group report - m3.com

11

) Bowtie filter ± Head Full Fan Bowtie filter Pelvis Half Fan Bowtie filter

CTDI Table 6

O

CBCT Bowtie filter 2D Table 7 Varian OBI80 120 kV Al 5 6 mmAl ± 42 46 keV Elekta XVI

6 8 mmAl 46 55 keV )

N T

!"#$%&& =1)" # * +*

,&

-,& 1

!"#$% =13!"#$)**,, +

23!"#$)**,/ 1

Fig. 10 > CTDIwD%�TJ[SUBOLVSX

CTDI100,c

CTDI100,p

Table 6> Varian OBIDCTDI����

1

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Table 7� CBCT� Al��� Table 7> CBCTDAl���

Fig. 11 CTDIw (16 cm) Fig. 12 CTDIw (32 cm)

0

10

20

30

40

0 20 40 60 80 100 120

CTD

Iw (m

Gy)

mA

16cm CTDI Half Trajectory

100kV 125kV

0

10

20

30

40

0 20 40 60 80 100 120

CTD

Iw (m

Gy)

mA

32cm CTDI Full Trajectory

100kV 125kV

Page 9: IGRT QA/QC Working group report - m3.com

g

3 6 ' C

Varian OBI CTDIw Fig. 11,12 DRLs2015 CTDIvol Table 8

V T B I

Varian Customer Technical Bulletin12 Varian OBI CTDIw 3Table 9 10% ) Standard Dose Head

Pelvis Fig. 13

CTDI CT )

Varian Clinac iX TrueBeam STx

) CTDI CT DRLs2015 DRLs2015 CTDIvol )

CTDIvol = CTDIw / PitchPitch = 1 CTDIw

CTDIvol DRLs2015)

) CBCT) DRLs2015 CTDIvol 15 mGy 5.5 mGy

CBCT ± )

)

ok V 5- V T aC

gs

Table 9> Varian OBIDCTDIwV\M4�> > �'12)FG

Fig. 13> Varian OBIDCTDIw�39"5

0

5

10

15

20

StandarddoseHead Pelvis

CTDI

(mGy

) A B C

Table> 8 ��@FE��CTDDRL

Page 10: IGRT QA/QC Working group report - m3.com

ge

IBA Dosimetry I’mRT2D )

I’mRT RW3

!! = !!!!"# ∙ !! ∙ !"!"#$%# ,!! ∙! ! ∙ !!" ! !"#$% ,!"# Dw (Gy) Mphant (nC) N0 (C/kg/nC) CFFarmer,N0 W / e W (J/C) (�en /�)water,air ±

g

I’mRT 9 Fig. 14 CBCT

C w

type 30013 PTW 3 ml DC300 Scanditronix Wellhofer Table 10 0.2 )

Fig. 14 I’mRT

7cm

Table 10

�!�� �� ��" �" ����� ���� �!�� �� ��" �" ����� ����

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�� � &� &� �� � &� &�

�� #�� �� #��

���� ����� �������� ���%�#

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Page 11: IGRT QA/QC Working group report - m3.com

DC300 ND,W

ND,W Varian OBI .

g

± Table 11 Varian OBI 6 Elekta XVI 2 Fig. 15

Couch Varian Couch 6 Brainlab Couch

Varian OBI,Elekta XVI Elekta XVI ) Elekta XVI) Varian OBI Standard Dose Head

0.7% 2SD Pelvis 3.4% 2SD ) Varian Couch Brainlab Couch Brainlab Couch 10%

Fig. 16

��� ��� ��� ���

StandardDose Head Pelvis

kV 100 125 100 120mA 20 80 20 40

msec 20 13 20 40projections 360 655 183 660

Exposure(mAs) 145 680 73 528Filter Full Half F0 F1

Scan mode Full Half - -

OBI XVI

Table 11 CBCT ±

0

1

2

3

4

5

6

7

8

0 1 2 3 4 5 6 7 8 9 10

Absorbed

Dose(mGy

)

Measurementpoints

●VarianCouch○ BrainLABCouch

0

5

10

15

20

25

30

35

40

45

0 1 2 3 4 5 6 7 8 9 10

Absorbed

Dose(mGy

)

Measurementpoints

●VarianCouch○ BrainLABCouch

Fig. 16> #)��D6?CFH �/8D�] Head Pelvis ̂

0

0

1

2

3

4

5

6

7

8

0 1 2 3 4 5 6 7 8 9 10

Absorbed

Dose(mGy

)

Measurementpoints

HeadOBI

XVI

05101520253035404550

0 1 2 3 4 5 6 7 8 9 10

Absorbed

Dose(mGy

)

Measurementpoints

PelvisOBI XVI

Fig. 15 I’mRT Head Pelvis

0

Page 12: IGRT QA/QC Working group report - m3.com

I’mRT CTDIIGRT

)

) Varian OB Elekta XVI , ) . Imaging dose

) , IGRT φ

. φ Imaging dose ) .

4 O C n m B I g

I’mRT60Co kV ± 13

!"#$ = &',")*+,∙ ./0123 ∙ 4/0125 ∙ 4 )*+,

#$ 1

!"#$ 1 (Gy)

!",$%&'(

1 (C/kg/C) Mphant (C) k phant

! "#$%&' 1 (kQ)

! "#$%&' 1 k phant ± ×

Table 12

Table 13 Varian OBI ±

en/ρ ND,w,kQ ) Standard Dose Head -3.34%Pelvis -1.38% ) DC300 5% k=2

±

)

)

)

G

IGRT Imaging Dose IGRT IGRT ) kV

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Table 12 W[QMYZ$CFHkQ,kphant Table 13 2,. D"5 Standard Dose Head Pelvis100kV 20mA 20msec 120kV 80mA 13msec

µ en�ρ 4.33 mGy 28.41 mGy

ND,W��Q 4.19 mGy 28.03 mGy

difference -3.23 % -1.34 %

Page 13: IGRT QA/QC Working group report - m3.com

) IGRTIGRT ) DRLs

) IGRT ±

IGRT IGRT )

) 5 )

r

1�� IGRT-QA/QC Working group report,2012 2�� QA/QC . ( :IGRT

). 2010; 30: 49-53. 3�� Palm A, Nilsson E and Herrnsdorf Lars Herrnsdorf , Absorbed dose and dose rate using the Varian OBI 1.3

and 1.4 CBCT system. Journal of Applied Clinical Medical Physics, 11, 229-40,2010 4�� , (25)������ ,2006 5�� http://physics.nist.gov/PhysRefData/XrayMassCoef/ElemTab/z13.html 2017 3 25 6�� C.M. Ma, C. W. Coffey, L. A. DeWerd, C. Liu, R. Nath, S. M. Seltzer, J. P. Seuntjens, “AAPM protocol for

40-300 kV x-ray beam dosimetry in radiotherapy and radiobiology”, Med. Phys. 28, 868-893 ,2001. 7�� Grosswendt, B., Dependence of the photon backscatter factor for water on source-to-phantom distance and

irradiation field size. Phys. Med. Biol. 35, 1233-1245,1990 8�� Klevenhagen, S.C., Experimentally determined backscatter factors for X-rays generated at voltages between

16 and 140 kV. Phys. Med. Biol. 34, 1871-1882.,1989. 9�� , X 57(12),1503-1510,2001 10�� ����� (J-RIME)/ ± ,2015.6.7 11�� Varian medical systems, Dose in CBCT – OBI Advanced Imaging. On-Board Imager® (OBI) kV imaging

system v1.4 and v1.5. Revision 1.3. Jun , 2012. 12�� Varian Customer Technical Bulletin OB-885 Rev A 13�� , (33)

,2015