MO‐PIS‐Exhibit Hall‐01: Tools for TG‐142 Linac Imaging QA I

Abstract

Partners in Solutions is an exciting new program in which AAPM partners with our vendors to present practical “hands‐on” information about the equipment and software systems that we use in our clinics. The therapy topic this year is solutions for TG‐142 recommendations for linear accelerator imaging QA. Note that the sessions are being held in a special purpose room built on the Exhibit Hall Floor, to encourage further interaction with the vendors.Automated Imaging QA for TG‐142 with RITPresentation Time: 2:45 – 3:15 PMThis presentation will discuss software tools for automated imaging QA and phantom analysis for TG‐142. All modalities used in radiation oncology will be discussed, including CBCT, planar kV imaging, planar MV imaging, and imaging and treatment coordinate coincidence. Vendor supplied phantoms as well as a variety of third‐party phantoms will be shown, along with appropriate analyses, proper phantom setup procedures and scanning settings, and a discussion of image quality metrics. Tools for process automation will be discussed which include: RIT Cognition (machine learning for phantom image identification), RIT Cerberus (automated file system monitoring and searching), and RunQueueC (batch processing of multiple images). In addition to phantom analysis, tools for statistical tracking, trending, and reporting will be discussed. This discussion will include an introduction to statistical process control, a valuable tool in analyzing data and determining appropriate tolerances.An Introduction to TG‐142 Imaging QA Using Standard Imaging ProductsPresentation Time: 3:15 – 3:45 PMMedical Physicists want to understand the logic behind TG‐142 Imaging QA. What is often missing is a firm understanding of the connections between the EPID and OBI phantom imaging, the software “algorithms” that calculate the QA metrics, the establishment of baselines, and the analysis and interpretation of the results. The goal of our brief presentation will be to establish and solidify these connections.Our talk will be motivated by the Standard Imaging, Inc. phantom and software solutions. We will present and explain each of the image quality metrics in TG‐142 in terms of the theory, mathematics, and algorithms used to implement them in the Standard Imaging PIPSpro software. In the process, we will identify the regions of phantom images that are analyzed by each algorithm. We then will discuss the process of the creation of baselines and typical ranges of acceptable values for each imaging quality metric.