Acceptance testing and quality assurance of Simulix Evolution radiotherapy simulator

Abstract

The success of radiotherapy depends on precise treatment simulation and proper patient positioning. The simulator is a conventional radiographic and fluoroscopic system which emulates the geometrical positions of radiotherapy treatment unit. Hence, the acceptance tests and quality assurance (QA) of the simulator are important prior to its commissioning for the safe and precise clinical use. The verification of mechanical and optical readouts, field size, isocenter, optical and radiation field congruence were performed. The X-ray beam parameters were tested for kVp , mAs and consistency of radiation output. The flat panel detector performance was checked with respect to resolution, low contrast sensitivity (LCS), automatic dose rate control (ADRC), and gray image resolution (GIR). Gantry, table, and imaging system collision possibility was checked. Radiation survey around the room was also performed. The field size test for digital readout and on graph paper, the results of isocenter checkup for rotation of gantry, collimator, and couch, and the deviations observed in auto stop for various movements were found within the tolerance limits. Optical field and radiation field was found congruent. All the lasers were found aligned with the established isocenter. Maximum deviation for set and measured kV was found to be 3% in fluoro mode. The maximum deviation observed in mAs was 1.5% in 3-point as well as in 2-point film exposed mode. The X-ray output was found consistent. The results of tests for resolution, LCS, ADRC, and GIR of the flat panel detector were within tolerance limits. All the six safety interlocks were found working. Radiation level around the room was found within the acceptable limits. All the tests carried out were found within the tolerance limits. The data which has been taken in this study will provide basic support to the routine QA of the simulator.