Abstract

3D Gamma index is one of the metrics which have been widely used for clinical routine patient specific quality assurance for IMRT, Tomotherapy and VMAT. The algorithms for calculating the 3D Gamma index using global and local methods implemented in two software tools: PTW- VeriSoft® as a part of OCTIVIUS 4D dosimeter systems and 3DVHTM from Sun Nuclear were assessed. The Gamma index calculated by the two systems was compared with manual calculated for one data set. The Gamma pass rate calculated by the two systems was compared using 3%/3mm, 2%/2mm, 3%/2mm and 2%/3mm for two additional data sets. The Gamma indexes calculated by the two systems were accurate, but Gamma pass rates calculated by the two software tools for same data set with the same dose threshold were different due to the different interpolation of raw dose data by the two systems and different implementation of Gamma index calculation and other modules in the two software tools. The mean difference was -1.3%±3.38 (1SD) with a maximum difference of 11.7%.

Highlights

  • With increasing complexity of radiotherapy delivery from 3D-CRT to IMRT, VMAT and Tomotherapy, patient-specific quality assurance (QA) for patient plans is gradually moving away from verifying the planar dose and the dose at one point to verifying the dose distribution in three dimensional (3D) space [1]

  • Evaluation of 3D Gamma index calculation implemented in two commercial dosimetry systems

  • The algorithms for calculating the 3D Gamma index using global and local methods implemented in two software tools: PTW- VeriSoft® as a part of OCTIVIUS 4D dosimeter systems and 3DVHTM from Sun Nuclear were assessed

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Summary

Introduction

With increasing complexity of radiotherapy delivery from 3D-CRT to IMRT, VMAT and Tomotherapy, patient-specific quality assurance (QA) for patient plans is gradually moving away from verifying the planar dose and the dose at one point to verifying the dose distribution in three dimensional (3D) space [1]. The algorithm to calculate the 3D Gamma index was implemented in two software tools: VeriSoft® from PWT as an integrated component of the OCTIVIUS 4D dosimeter system [3] and 3DVHTM software from Sun Nuclear Corporation, Melbourne, and FL. The purpose of this paper is to evaluate the accuracy of the 3D Gamma index calculation engine implemented independently in these systems by two different vendors

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