Prog Med Phys.  2022 Dec;33(4):150-157. 10.14316/pmp.2022.33.4.150.

Monte Carlo Algorithm-Based Dosimetric Comparison between Commissioning Beam Data across Two Elekta Linear Accelerators with Agility TM MLC System

Affiliations
  • 1Department of Radiation Oncology, Seoul National University Hospital, Seoul, Korea
  • 2Biomedical Research Institute, Seoul National University Hospital, Seoul, Korea
  • 3Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Korea
  • 4Interdisciplinary Program in Bioengineering, Seoul National University, Seoul, Korea
  • 5Department of Veterinary Medical Imaging, College of Veterinary Medicine, Seoul National University, Seoul, Korea
  • 6Department of Veterinary Medical Imaging, Veterinary Medical Teaching Hospital, Seoul National University, Seoul, Korea
  • 7Department of Radiation Oncology, Chung-Ang University Gwang Myeong Hospital, Gwangmyeong, Korea

Abstract

Purpose
Elekta synergy ® was commissioned in the Seoul National University Veterinary Medical Teaching Hospital. Recently, Chung-Ang University Gwang Myeong Hospital commissioned Elekta Versa HD TM . The beam characteristics of both machines are similar because of the same Agility TM MLC Model. We compared measured beam data calculated using the Elekta treatment planning system, Monaco ® , for each institute.
Methods
Beam of the commissioning Elekta linear accelerator were measured in two independent institutes. After installing the beam model based on the measured beam data into the Monaco ® , Monte Carlo (MC) simulation data were generated, mimicking the beam data in a virtual water phantom. Measured beam data were compared with the calculated data, and their similarity was quantitatively evaluated by the gamma analysis.
Results
We compared the percent depth dose (PDD) and off-axis profiles of 6 MV photon and 6 MeV electron beams with MC calculation. With a 3%/3 mm gamma criterion, the photon PDD and profiles showed 100% gamma passing rates except for one inplane profile at 10 cm depth from VMTH. Gamma analysis of the measured photon beam off-axis profiles between the two institutes showed 100% agreement. The electron beams also indicated 100% agreement in PDD distributions. However, the gamma passing rates of the off-axis profiles were 91%–100% with a 3%/3 mm gamma criterion.
Conclusions
The beam and their comparison with MC calculation for each institute showed good performance. Although the measuring tools were orthogonal, no significant difference was found.

Keyword

Agility multi-leaf collimator; Commissioning beam data; Profile measurement; Percent depth dose measurement; Monaco Monte Carlo algorithm
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