Dosisoft sa, french software leader specialized in radiotherapy and medical imaging, is pleased to announce that epigray, epid based transit dosimetry solution, has received a medical device licence from health canada, on the 2nd of february, 2016 and is now available for sale on the canadian market. Those images are then converted back to an inair fluence map from which the dose is calculated in 3d back on the patient ct. A quantification of the effectiveness of epid dosimetry and. Pdf software tool for portal dosimetry research researchgate. Software is required to analyze the results of epid measurements and produce predicted results to allow comparison.
The investment in getting epid dosimetry into clinical use for ivd cannot be neglected in terms of either developing or purchasing software to facilitate ivd using the epid output. Epid in vivo dosimetry in rapidarc technique sciencedirect. Develop and implement an invivo dosimetry program for a busy department. The epid to dose conversion method has also not to date been developed or benchmarked for small field dosimetry auditing. Dosimetric verification is done using the ion chambers, diodes and thermoluminescence detectors. Dosisoft sa, french software leader specialized in radiotherapy and medical imaging, is pleased to announce that epigray, epidbased transit dosimetry solution, has received a medical device licence from health canada, on the 2nd of february, 2016 and is now available for sale on the canadian market. Epiqa is a commercial software which we use for the independent verification of imrt treatments with the varian epid electronic portal imaging device.
Webbased qa data management software trackit qa data management highlights integrated platform to automate and streamline data management in radiotherapy qa oneclick export of analyzed qa data from ptw devices. Planned and in vivomeasured dose distributions were within 2% at the dose. For the presented model, a time dependent correction is needed that will also take the. The versatile phantom provides a wide range of test elements to check all relevant quality parameters of mv imagers with a single beam in one image.
All evaluations on this page were performed with version 2. This software provided useful tools for epid dosimetry research, and it is. Establishing action levels for epidbased qa for imrt. Dosimetric verification of imat delivery with a conventional. After the initial commissioning process, clinical experiments on phantom treatments were evaluated to assess the level of accuracy of the electronic portal imaging device epid based invivo dose verification. Key words amorphous silicon, epid, portal dosimetry. Learn more because this system is fully automated so that no physicist time is required for data acquisition and evaluation, daily patient treatment qa is feasible.
Epigray was commissioned based on the companys instructions. A quantification of the effectiveness of epid dosimetry and software. Electronic portal imaging devicebased in vivo dosimetry with a commercial product was performed for 10 prostate cancer patients treated with an airfilled endorectal balloon. We propose a novel dosimetric audit method for clinical trials using epid measurements at each center and a standardized epid to dose conversion algorithm. For more information on ptw dosimetry and qa solutions, visit. Sign up rite dos radiotherapy in vivo twodimensional epid dosimetry is matlab software package that does just that, provides in vivo dosimetry data using epid data from a linac. Optimization of the angular resolution of the vmat dose calculation for the delta4dvh anatomy software. Dosimetry check dc is a commercial software that allows reconstruction of 3d dose distributions using transit and throughair epid images. The terms portal dose prediction pdp and portal dose image calculation pdic are also used. Cureus commissioning and evaluation of an electronic portal.
Several invivo epid software solutions have been commercially available recently. Published data on clinical epid dosimetry implementations to date have focused on detecting major errors. Although epid for pretreatment verification has been investigated extensively and is common practice in many clinics, its use for in vivo dosimetry ivd is still growing. Characterization of a commercial epid 3d software for in vivo.
A quantification of the effectiveness of epid dosimetry and softwarebased plan verification systems in detecting incidents in radiotherapy. Every year our team along with selected guests explain how to use our software as well as teach the fundamentals of dosimetry to an industry audience. To apply the epid for in vivo dosimetry we need to test the dependence of epid signal on thickness of the absorbing material. In literature there are many reports on different type of portal dosimetry systems such as. Conclusion a new epid based remote dosimetric tpsplanned auditing method vespa has been successfully applied to 30 audits of imrt and vmat for 21 centers across australia and new zealand.
A comprehensive costbenefit analysis demonstrated that the epidbased system was considerably more cost effective that using diodes. New elekta iviewdose software designed to provide an. These resources can now be put toward efforts to explore new clinical applications of epid dosimetry such as monitor. The in aqua vivo method, originally developed for lung cancer treatments, proved to be a. Epidbased quality assurance for dosimetric credentialing, author miri, n and lehmann, j and vial, p and greer, p and university of newcastle, newcastle, nsw, abstractnote purpose. Epid qc phantom epidsoft software ptw freiburg gmbh. With the food and drug administration approval of commercial epid dosimetry software solutions, the technology has become more widely available for clinical implementation because it requires less staff time to develop, commission, and maintain the software. Iba dosimetry is the global market leader for independent integrated quality assurance solutions and services that maximize efficiency and minimize errors in radiation therapy, medical imaging, and calibration procedures. Succinct metrics and graphs communicate analysis and warnings, and user editable tolerances direct attention only when needed.
A comprehensive costbenefit analysis demonstrated that the epid based system was considerably more cost effective that using diodes. It is possible to utilize epiqa for a verification of static as well as intensity modulated fields, including rapidarc fields. The dose response measured under different acquisition settings and different linacepid combinations matched closely. In vivo epid dosimetry for prostate cancer treatments with an endorectal balloon. In static, integrated epid dosimetry, this effect yields a 46% difference in signalmu response between a 5 mu and mu irradiation and is adequately corrected using a simple epidresponsemu calibration mcdermott et al 2006, winkler et al 2005. Epid based in vivo dosimetry provides clinically more useful information and is less time consuming than patientspecific pretreatment dose verification. The 3d epid dosimetry method was tested for imrt fractions of a prostate, a rectum, and a headandneck cancer patient. Dosimetry check operating manual, page 11 of 43 for further details on readdicomcheck, see the dicom rt download section of the dosimetry check reference manual. Layers of the phantom plates were placed on the therapeutic table perpendicularly to the beam axis. With the conventional in vivo method the verification results were outside of our clinical acceptance criteria for all patients. Pretreatment dosimetry by means of 2dimensional 2d dosimeters or directly by the electronic portal imaging devices epids 1,2 is commonly used to assess the accuracy of computed treatment planning system tps and dose distributions of intensitymodulated radiotherapy imrt beams, but the method is time consuming and the dose differences. Every pixel in the epid image is referred to by its indices i and j. This module is part of the eclipse treatment planning system. Dosimetry check uses the electronic portal imaging device epid or detector array to capture images measuring the xray intensity applied to the patient.
We also measured the epid signals dependence on the thickness of absorbent located between the source and the detectors matrix. See the epidos website for details and current releases. The accuracy was assessed using phantom measurements, and a comparison was made with the dose calculations performed by the treatment planning system. Dosimetry check had no impact on treatment times and the treatment staff preferred the measurement process to that involving diodes. This study compares the epid dosimetry algorithms of two commercial systems for pretreatment qa, and analyzes dosimetric measurements made with each. Invivo epid dosimetry for imrt and vmat based on throughair. Radiation therapy innovative, industryleading dosimetry solutions for safer cancer patient treatments. In this part of the experiment we tested the linear relation between treatment time, dose at the reference point and epid signal. The epid dosimetry system developed in this work provides an accurate and reliable tool for routine output measurement and dosimetric verification of electron beam therapy. In addition to accurate 3d dose verification, in vivo epid based dosimetry will also detect major errors in the dose received by individual patients. Implementation and validation of a commercial portal dosimetry.
Suncheck patient streamlines data transfer and timeconsuming tasks, enabling. Epid dosimetry configuration and pretreatment imrt. Radiological imaging technology provides medical physicists with an allencompassing range of industryleading qa software solutions, specifically engineered to ensure proper compliance with established protocols within the fields of therapeutic and diagnostic physics. Time dependent pretreatment epid dosimetry for standard and.
In intensity modulated radiation therapy imrt the dosimetry is sophisticated and time consuming task. In addition to accurate 3d dose verification, in vivo epidbased dosimetry will also detect major errors in the dose received by individual patients. International dosimetry symposium the doctors software are currently a main sponsor as well as participate in the planning group for the worlds largest international dosimetry symposium. Epigray, epidbased transit dosimetry software receives a. Leon berard center has selected epibeam, the epidbased pretreatment patientspecific quality assurance software solution. The epid signal depends on the monitor unit and is also correlated with the radiation absorption in the patients body. Portal dosimetry is a system for the verification of imrt plans. Dose calibration of epids for segmented imrt dosimetry. Several invivo epid software solutions have been commercially available. It can be used for pre treatment qa verification and for. In this article, we have described a new model that is able to perform 3d in vivo dosimetry based on inroom mv conebeam ct imaging and a dose measurement during treatment using an epid. Epid qc phantom and epidsoft software epid qc phantom has been designed to check and monitor the image quality of epids used in highenergy photon beams.
Epid dosimetry for pretreatment quality assurance with two. This reconstructed dose is then compared to the intended dose from the planning system. A remote epidbased dosimetric tpsplanned audit of centers. Epid qa turnkey solution for mv imaging qa acquire all image parameters with a single beam, in one image. In vivo dosimetry in uk external beam radiotherapy. Finally, we compared the epid response with the pdp using the analysis software included in the portal dosimetry system. Dosimetry check dc operating manual math resolutions. Epid in vivo dosimetry in rapidarc technique request pdf. Cbct has high ability to provide submillimeter resolution in terms of images. Pdf electronic portal imaging device dosimetry for imrt. This is good for you to develop this become 3d reconstruction dose mahdiramadhanritedos. Multiple research groups demonstrated that the epid portal dosimetry is also a valid qa tool for the verification of vmat fields. Download dosimetry check tomo utilities for tomotherapy, you must in addition download utility programs for supporting tomotherapy installtomoutilities.
Sign up rite dos radiotherapy in vivo twodimensional epid dosimetry is matlab software package that does just that, provides in vivo dosimetry data using epid data from a. Either route will require substantial commissioning. In vivo dosimetry with an electronic portal imaging device. Coupled with its portability and ease of use, the proposed system promises to replace the current filmbased approach for fast and reliable assessment of small and irregular. Results are analyzed in 3d using epid andor log file data, or in 2d through the transit dosimetry feature, with no additional time or effort required. The measured epid response was automatically converted to cu by reference to the calibration table for the specific linac, dose rate, and energy used in the treatment. Use with the epid to uncover errors due to patient setup and beam delivery. Epidbased in vivo dosimetry provides clinically more useful information and is less time consuming than patientspecific pretreatment dose verification. Independent verification of the dose delivered by complex radiotherapy can be performed by electronic portal imaging device epid dosimetry. The software recently received 510k clearance from the u. Adaptivo displays relevant information without overloading the user.
High density data points and direct to digital data capture makes it easier to evaluate complex imrt fields. After making your selections click the save data button. Can a commercially available epid dosimetry system detect. Patientspecific qa using 3d epid dosimetry can replace existing pretreatment verification methods offering a high verification accuracy and minimizing workload 3d epid dosimetry makes it possible to apply dose guided radiation therapy during clinical routine and allows for documentation, adaptation and individualization of patient. Epid qc phantom has been designed to check and monitor the image quality of epids used in highenergy photon.
The main limitation with any epid dosimetry system is the inability to measure. Conclusion a new epidbased remote dosimetric tpsplanned auditing method vespa has been successfully applied to 30 audits of imrt and vmat for 21 centers across australia and new zealand. Clinical imrt epid dosimetry implemented with the different pixeltodose calibration methods indicated that calibration at 20 mu provides equivalent results to implementing a ghosting. Adaptivo drastically reduces the amount of time required for pretreatment qa when compared to using a phantom. Aug 19, 2015 a quantification of the effectiveness of epid dosimetry and software. Epiqatm is a program that allows to convert a dosimetric image acquired by an epid into a dose map. Development of an accurate epidbased output measurement and. Portal dosimetry using epid for imrt plans can be performed in less time compared to other existing tools. The electronic portal imaging device epid is a system for checking the patient setup. This study reports on our experience with the invivo dose verification software, epigray dosisoft, cachan, france. The presented approach provides fast and accurate invivo epid dosimetry for. A simple method for 2d in vivo dosimetry by portal imaging. Radiationhelper radiationhelper is a data analysis tool for.
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