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批量生产和投入使用的医用直线加速器的运行一致性。

Operational consistency of medical linear accelerators manufactured and commissioned in series.

作者信息

Nguyen Callistus M, Baydush Alan H, Ververs James D, Isom Scott, Able Charles M, Munley Michael T

机构信息

Biomedical Engineering, Virginia Tech - Wake Forest School of Biomedical Engineering and Sciences, 575 N. Patterson Ave, Winston-Salem, NC 27101, United States.

Radiation Oncology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, United States.

出版信息

Tech Innov Patient Support Radiat Oncol. 2018 May 29;7:6-10. doi: 10.1016/j.tipsro.2018.05.001. eCollection 2018 Sep.

DOI:10.1016/j.tipsro.2018.05.001
PMID:32095575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7033762/
Abstract

The purpose of this study was to determine if medical linear accelerators (linac) produced by the same manufacturer exhibit operational consistency within their subsystems and components. Two linacs that were commissioned together and installed at the same facility were monitored. Each machine delivered a daily robust quality assurance (QA) irradiation. Linacs and their components operate consistently, but have different operational parameter levels even when produced by the same manufacturer and commissioned in series. These findings have implications on the feasibility of true clinical beam matching.

摘要

本研究的目的是确定同一制造商生产的医用直线加速器(直线加速器)在其子系统和组件内是否表现出操作一致性。对两台一起调试并安装在同一设施中的直线加速器进行了监测。每台机器每天都进行一次严格的质量保证(QA)照射。直线加速器及其组件运行一致,但即使由同一制造商生产并串联调试,其操作参数水平也不同。这些发现对真正的临床射束匹配的可行性具有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb66/7033762/3eaa527d29be/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb66/7033762/7ca60cf72226/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb66/7033762/3eaa527d29be/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb66/7033762/7ca60cf72226/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb66/7033762/3eaa527d29be/gr2.jpg

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本文引用的文献

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SU-E-T-205: MLC Predictive Maintenance Using Statistical Process Control Analysis.SU-E-T-205:使用统计过程控制分析的多叶准直器预测性维护
Med Phys. 2012 Jun;39(6Part13):3750. doi: 10.1118/1.4735265.
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Feasibility study of using statistical process control to customized quality assurance in proton therapy.使用统计过程控制实现质子治疗定制质量保证的可行性研究。
Med Phys. 2014 Sep;41(9):092105. doi: 10.1118/1.4893916.
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Initial investigation using statistical process control for quality control of accelerator beam steering.利用统计过程控制初步研究对加速器束流转向的质量控制。
Radiat Oncol. 2011 Dec 28;6:180. doi: 10.1186/1748-717X-6-180.
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Implementing RapidArc into clinical routine: a comprehensive program from machine QA to TPS validation and patient QA.将 RapidArc 纳入临床常规:从机器质量保证到 TPS 验证再到患者质量保证的综合性计划。
Med Phys. 2011 Sep;38(9):5146-66. doi: 10.1118/1.3622672.
8
Task Group 142 report: quality assurance of medical accelerators.第142任务组报告:医用加速器的质量保证
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Med Phys. 2009 Apr;36(4):1275-85. doi: 10.1118/1.3089793.
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