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With FractionCHECK, answer these questions:

- Did my machine have any large delivery errors?

- Is my beam turning off when it should?

- Are my MLC leaves moving within acceptable tolerances?

Applications
  • Perform daily audits of all treatments in less than 1 minute
  • Detect single fraction delivery errors
  • Compare planned and actual fluence
  • Analyze many aspects of Linac and MLC performance
  • Save raw log file data to a single file 1% the size of log files
Benefits
  • Patient QA
    - Per fraction patient QA improves patient safety
    - Verify accuracy of every treatment fraction for each patient
    - Tolerances include pass / warn / fail criteria
    -  Analyze thousands of treatment logs at once, and draw meaningful conclusions
    -  Fluences use a Gaussian kernel to better simulate in vivo conditions

  • Machine QA
    - Analyze many aspects of Linac and MLC performance
    - Identify MLC motors in need of replacement
    - View machine performance over time
FractionCHECK Presentation:


Use your Varian® linac's log files for patient QA:

  • Detect treatment delivery errors for any fraction
  • View delivery accuracy for a single patient over the treatment course
  • Have therapists perform daily and/or weekly treatment QA
  • Determine beam off lag time when something is wrong
  • Generates planned and delivered fluences and calculates gamma
  • Applies a Gaussian kernel to fluences to better represent dose
Planned fluence vs. actual delivered fluence


Use your Varian® linac's log files for machine QA:
  • View machine performance over time
  • Evaluate effect of increasing dose rate relative to beam off
  • Evaluate whether the dose rate should be lowered for more accurate treatments
  • Determine if any MLC leaves or motors require repair
  • Determine if MLC performs well at all gantry angles
  • Determine how much time is spent during beam off
  • Compare delivery accuracy of different techniques (step and shoot, dynamic, VMAT)


Set automatic analysis tolerances based on:
  • MLC RMS error – applied to each leaf and A and B carriages
  • Carriage RMS error – applied to the carriage’s position
  • Percent pixels passing gamma
  • Beam off lag


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