Evidence map›Paper›PMID 41373064›Full record

ArticleJournal of applied clinical medical physics2025

Detection of the Linac Jaw face angle misalignment using high energy electron beam symmetry.

Song Gao, Andres Cibrian, Jared Ohrt, Peter Balter

Abstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Song GaoDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Andres CibrianDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Jared OhrtDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Peter BalterDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo demonstrate the usage of a high energy electron beam symmetry measured at different collimator angles to detect jaws face angle misalignments on Varian TrueBeam linear accelerators (linac) during acceptance and commissioning processes.

methodsDuring the linac acceptance, all beams were steered to a symmetric shape with the gantry and collimator at 0°. We noted that the symmetries of higher energies electrons (e.g., 16 MeV, 20 MeV) changed over 2% when measured with the collimator at 90° and/or 270° for two linacs commissioned within 5-months of each other. Misaligned applicators were ruled out as the cause of this issue. Eventually, this was traced to the X-jaw face angle not matching beam divergence. After the problem was identified and the jaws were realigned by manufacture's engineers and all beams were re-steered to a symmetric shape at collimator 0° and verified at collimator 90° and 270°.

resultsPrior to the manufacturer adjusting the jaw face angles, the maximum observed electron beam symmetry changes with 90° collimator rotation were 2.0% and 2.6% for linac 1 and linac 2, respectively. After realigning, the jaw face angles the maximum observed electron beam symmetry changes with 90° collimator rotation were within 1.0% for all beams on both linacs.

conclusionWe have demonstrated that changes in symmetry of high energy electron beam with 90° collimator rotation can signal that the jaw face angle is not properly aligned with beam divergence.

Indexed as

ElectronsParticle AcceleratorsPhantoms, ImagingRadiotherapy Planning, Computer-AssistedRadiotherapy Setup ErrorsHumansRadiotherapy DosageRadiotherapy, Intensity-Modulatedacceptance and commissioningbeam symmetryjaw face anglelinear accelerator

Identifiers

PMID41373064
PMCPMC12695474

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.