Evidence map›Paper›PMID 42635949›Full record

ArticlePhysical and engineering sciences in medicine2026

An end-to-end quality assurance procedure for pelvic VMAT using optically stimulated luminescence dosimeters and an anthropomorphic phantom.

Ahlam Azalmad, Mohamed Abour, Mehdi El Ouartiti, Mohamed Hilal

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Article in Physical and engineering sciences in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 authors.

Ahlam AzalmadLaboratory of Sciences and Engineering of Biomedicals Biophysics and Health, Higher Institute of Health Sciences, University Hassan Fisrt, Settat, Morocco. a.azalmad@uhp.ac.ma.ORCID http://orcid.org/0009-0002-6572-1063
Mohamed AbourLSIB laboratory, Faculty of Sciences and Technologies Mohammedia, Hassan II University of Casablanca, Mohammedia, Morocco.
Mehdi El OuartitiRadiotherapy Department, International Oncology Center of Agadir, AKDITAL, Casablanca , Morocco.
Mohamed HilalLaboratory of Sciences and Engineering of Biomedicals Biophysics and Health, Higher Institute of Health Sciences, University Hassan Fisrt, Settat, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVolumetric modulated arc therapy (VMAT) enables highly conformal pelvic dose delivery, but its clinical benefit depends on agreement between the Treatment Planning System (TPS) calculation and the dose actually delivered in anatomically realistic conditions. PURPOSE: To experimentally validate VMAT dosimetric accuracy for cervical cancer using optically stimulated luminescence dosimeters (OSLDs) placed in an anthropomorphic female pelvic phantom. MATERIALS AND

methodsA female pelvic phantom was CT-scanned. A dual-arc VMAT plan was created in Eclipse (v18) using the Acuros XB algorithm with heterogeneity correction. Fifty-three OSLDs were positioned across seven pelvic slices (28-34) spanning in-field, edge, peripheral, and out-of-field regions. Measured doses were compared to TPS values using a TG-119-style percent difference metric.

resultsOverall agreement was clinically acceptable. The mean %Diff (OSL vs. TPS) was + 3.56% (range - 2.13% to + 6.93%). In-field doses showed the closest agreement (≤ 3%). Larger deviations occurred at the field edge (≈ 3.17%-6.93%), consistent with steep dose gradients. Peripheral and out-of-field locations generally remained within ~ 5%-7%, where scatter and low-dose modeling uncertainty dominate. Reproducibility was strong: SD_OSL values were < 5.2%, with mean SD of 2.63% (in-field), 4.34% (edge), 4.44% (peripheral), and 4.96% (out-of-field).

conclusionOSLD measurements in an anatomically realistic female pelvic phantom confirm that cervical cancer VMAT delivery is accurate and reproducible. These results support the reliability of Eclipse (v18) using the Acuros XB algorithm across high-dose, gradient, and low-dose regions.

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Acuros XBAnthropomorphic phantomCervical cancerDosimetric verificationQuality assurance

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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.