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      Validating k Q=1.0 assumption in TG51 with PTW 30013 farmer chamber for Varian TrueBeam's 2.5 MV imaging beam

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          Abstract

          AAPM Report 142 recommends and the State of Ohio requires that the imaging dose be quantified in radiotherapy applications. Using the TG51 dose calibration protocol for MV Imaging dose measurement requires knowledge of the k Q parameter for the beam quality and the ionization chamber type under investigation. The %dd(10) x of the Varian TrueBeam 2.5 MV imaging beam falls outside the range of the available data for the calculation of the k Q value. Due to the similarities of the 2.5 MV imaging beam and the 60Co beam, we and others made the assumption that k Q = 1.0 in TG51 calculations. In this study, we used the TG21 and TG51 calibration protocols in conjunction to validate that k Q = 1.0 for the 2.5 MV imaging beam using a PTW 30013 farmer chamber. Standard measurements for TG51 absolute dosimetry QA were performed at 100 cm SSD, 10 cm depth, 10 × 10 field size, delivering 100 Monitor Units to a waterproof Farmer Chamber (PTW TN30013) for both 2.5 and 6 MV. Both the TG21 and TG51 formalisms were used to calculate the dose to water per MU at d max (D w/MU) for the 6 MV beam. The calculated outputs were 1.0005 and 1.0004 cGy/MU respectively. The TG21 formalism was then used to calculate (D w/MU) for the 2.5 MV imaging beam. This value was then used in the TG51 formalism to find k Q for the 2.5 MV imaging beam. A k Q value of 1.00 ± 0.01 was calculated for 2.5 MV using this method.

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          Task Group 142 report: quality assurance of medical accelerators.

          The task group (TG) for quality assurance of medical accelerators was constituted by the American Association of Physicists in Medicine's Science Council under the direction of the Radiation Therapy Committee and the Quality Assurance and Outcome Improvement Subcommittee. The task group (TG-142) had two main charges. First to update, as needed, recommendations of Table II of the AAPM TG-40 report on quality assurance and second, to add recommendations for asymmetric jaws, multileaf collimation (MLC), and dynamic/virtual wedges. The TG accomplished the update to TG-40, specifying new test and tolerances, and has added recommendations for not only the new ancillary delivery technologies but also for imaging devices that are part of the linear accelerator. The imaging devices include x-ray imaging, photon portal imaging, and cone-beam CT. The TG report was designed to account for the types of treatments delivered with the particular machine. For example, machines that are used for radiosurgery treatments or intensity-modulated radiotherapy (IMRT) require different tests and/or tolerances. There are specific recommendations for MLC quality assurance for machines performing IMRT. The report also gives recommendations as to action levels for the physicists to implement particular actions, whether they are inspection, scheduled action, or immediate and corrective action. The report is geared to be flexible for the physicist to customize the QA program depending on clinical utility. There are specific tables according to daily, monthly, and annual reviews, along with unique tables for wedge systems, MLC, and imaging checks. The report also gives specific recommendations regarding setup of a QA program by the physicist in regards to building a QA team, establishing procedures, training of personnel, documentation, and end-to-end system checks. The tabulated items of this report have been considerably expanded as compared with the original TG-40 report and the recommended tolerances accommodate differences in the intended use of the machine functionality (non-IMRT, IMRT, and stereotactic delivery).
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            Addendum to the AAPMˈs TG-51 protocol for clinical reference dosimetry of high-energy photon beams

            An addendum to the AAPM's TG-51 protocol for the determination of absorbed dose to water in megavoltage photon beams is presented. This addendum continues the procedure laid out in TG-51 but new k Q data for photon beams, based on Monte Carlo simulations, are presented and recommendations are given to improve the accuracy and consistency of the protocol's implementation. The components of the uncertainty budget in determining absorbed dose to water at the reference point are introduced and the magnitude of each component discussed. Finally, the consistency of experimental determination of N D,w coefficients is discussed. It is expected that the implementation of this addendum will be straightforward, assuming that the user is already familiar with TG-51. The changes introduced by this report are generally minor, although new recommendations could result in procedural changes for individual users. It is expected that the effort on the medical physicist's part to implement this addendum will not be significant and could be done as part of the annual linac calibration.
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              A protocol for the determination of absorbed dose from high-energy photon and electron beams.

              (2015)
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                Author and article information

                Contributors
                Ahmet.Ayan@osumc.edu
                Journal
                J Appl Clin Med Phys
                J Appl Clin Med Phys
                10.1002/(ISSN)1526-9914
                ACM2
                Journal of Applied Clinical Medical Physics
                John Wiley and Sons Inc. (Hoboken )
                1526-9914
                01 March 2018
                May 2018
                : 19
                : 3 ( doiID: 10.1002/acm2.2018.19.issue-3 )
                : 351-354
                Affiliations
                [ 1 ] Department of Radiation Oncology Ohio State University Columbus OH USA
                [ 2 ] Advocate Christ Medical Center Oak Lawn IL USA
                Author notes
                [*] [* ] Author to whom correspondence should be addressed. Ahmet S. Ayan

                E‐mail: Ahmet.Ayan@ 123456osumc.edu ; Telephone: (614) 366‐1773

                Article
                ACM212290
                10.1002/acm2.12290
                5978706
                29493079
                fb07ac31-4ecc-4782-b778-c928ca2d4d53
                © 2018 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. on behalf of American Association of Physicists in Medicine.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 14 November 2017
                : 10 January 2018
                : 24 January 2018
                Page count
                Figures: 1, Tables: 3, Pages: 4, Words: 2646
                Categories
                87.53Bn
                87.53-Jw
                Radiation Measurements
                Radiation Measurements
                Custom metadata
                2.0
                acm212290
                May 2018
                Converter:WILEY_ML3GV2_TO_NLMPMC version:version=5.4.0 mode:remove_FC converted:31.05.2018

                2.5 mv imaging dose,dose calibration
                2.5 mv imaging dose, dose calibration

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