Commissioning and validation of a single photon beam model in RayStation for multiple matched Elekta Linacs

J Appl Clin Med Phys. 2024 Oct;25(10):e14485. doi: 10.1002/acm2.14485. Epub 2024 Aug 27.

Abstract

Purpose: A single treatment planning system (TPS) model for matched linacs provides flexible clinical workflows from patient treatment to intensity-modulated radiation therapy (IMRT) quality assurance (QA) measurement. Since general guidelines for building a single TPS model and its validation for matched linacs are not well established, we present our RayStation photon TPS modeling strategy for matched Elekta VersaHD linacs.

Method: The four linacs installed from 2013 to 2020 were matched in terms of Percent Depth Dose (PDD), profile, output factor and wedge factors for 6-MV, 10-MV, 15-MV, and 6-MV-FFF, and maintained following TG-142 recommendations until RayStation commissioning. The RayStation single model was built to represent all four linacs within the tolerance limits recommended by MPPG-5.a. The comprehensive validation tests were performed for one linac following MPPG-5.a and TG-119 guidelines, and spot checks for the other three. Our TPS modeling/validation method was evaluated by re-analyzing the previous 103 patient-specific IMRT/volumetric modulated arc therapy (VMAT) QA measurements with the calculated planar doses by the single model in comparison with the analysis results using four individual Pinnacle TPS models.

Results: For all energies, our single model PDDs were within 1% agreement of the four-linac commissioning measurements. The MPPG-5.a validation tests from 5.1 through 7.5 and all TG-119 measurements passed within the recommended tolerance limits. The IMRT QA results (mean ± standard deviation) for RayStation single model versus Pinnacle individual models were 98.9% ± 1.3% and 98.0% ± 1.4% for 6-MV, 99.9% ± 0.1% and 99.1% ± 1.9% for 10-MV, and 98.2% ± 1.3% and 97.9% ± 1.8% for 6-MV-FFF, respectively.

Conclusion: We successfully built and validated a single photon beam model in RayStation for four Elekta Linacs. The proposed new validation methods were proven to be both efficient and effective.

Keywords: RayStation; TPS modeling and validation; matched linacs; single beam model.

Publication types

  • Validation Study

MeSH terms

  • Humans
  • Neoplasms / radiotherapy
  • Particle Accelerators* / instrumentation
  • Phantoms, Imaging
  • Photons* / therapeutic use
  • Quality Assurance, Health Care* / standards
  • Radiotherapy Dosage*
  • Radiotherapy Planning, Computer-Assisted* / methods
  • Radiotherapy, Intensity-Modulated* / methods