Evidence map›Paper›PMID 32277745›Full record

ArticleJournal of applied clinical medical physics2020

Quality assurance of VMAT on flattened and flattening filter-free accelerators using a high spatial resolution detector.

F S Matar, D Wilkinson, J Davis, G Biasi, T Causer, I Fuduli, O Brace, N Stansook, M Carolan, A B Rosenfeld and 1 more

Abstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

F S MatarCentre for Medical Radiation Physics, University of Wollongong, Wollongong, Australia.
D WilkinsonCentre for Medical Radiation Physics, University of Wollongong, Wollongong, Australia.
J DavisCentre for Medical Radiation Physics, University of Wollongong, Wollongong, Australia.
G BiasiCentre for Medical Radiation Physics, University of Wollongong, Wollongong, Australia.
T CauserCentre for Medical Radiation Physics, University of Wollongong, Wollongong, Australia.
I FuduliCentre for Medical Radiation Physics, University of Wollongong, Wollongong, Australia.
O BraceCentre for Medical Radiation Physics, University of Wollongong, Wollongong, Australia.
N StansookDepartment of Radiology, Faculty of Medicine, Mahidol University, Bangkok, Thailand.
M CarolanCentre for Medical Radiation Physics, University of Wollongong, Wollongong, Australia.
A B RosenfeldCentre for Medical Radiation Physics, University of Wollongong, Wollongong, Australia.
Marco PetaseccaCentre for Medical Radiation Physics, University of Wollongong, Wollongong, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study investigated the use of high spatial resolution solid-state detectors (DUO and Octa) combined with an inclinometer for machine-based quality assurance (QA) of Volumetric Modulated Arc Therapy (VMAT) with flattened and flattening filter-free beams.

methodThe proposed system was inserted in the accessory tray of the gantry head of a Varian 21iX Clinac and a Truebeam linear accelerator. Mutual dependence of the dose rate (DR) and gantry speed (GS) was assessed using the standard Varian customer acceptance plan (CAP). The multi-leaf collimator (MLC) leaf speed was evaluated under static gantry conditions in directions parallel and orthogonal to gravity as well as under dynamic gantry conditions. Measurements were compared to machine log files.

resultsDR and GS as a function of gantry angle were reconstructed using the DUO/inclinometer and in agreement to within 1% with the machine log files in the sectors of constant DR and GS. The MLC leaf speeds agreed with the nominal speeds and those extracted from the machine log files to within 0.03 cm s

conclusionsThe investigation on the use of solid-state detectors in combination with an inclinometer has demonstrated the capability to provide efficient and independent verification of DR, GS, and MLC leaf speed during dynamic VMAT delivery. Good agreement with machine log files suggests the detector/inclinometer system is a useful tool for machine-specific VMAT QA.

Indexed as

Radiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedHumansParticle AcceleratorsRadiotherapy DosageFFFFFMLCQAsolid-state detectorsVMAT

Identifiers

PMID32277745
PMCPMC7324694

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.