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Session: MR- and CT-Guided Adaptive Radiotherapy [Return to Session]

Web-Based Fully Automatic 2nd Check for Online Adaptive Radiotherapy: Beam Modeling and Auto-Commissioning

M Chen1, Y Lai2, J Lin1, M Lin1, R Reynolds1, J Park1, X Jia1, W Lu1*, (1) UT Southwestern Medical Center, Dallas, TX, (2) University of Texas at Arlington, Arlington, TX


TH-B-206-6 (Thursday, 7/14/2022) 8:30 AM - 9:30 AM [Eastern Time (GMT-4)]

Room 206

Purpose: Online adaptive radiotherapy (OART) has been feasible over decades of technology development and is now available in the clinical routine through dedicated platforms with on-board CT/MR imaging and integrated treatment planning system (TPS). The quality assurance (QA) of online plans has become a bottleneck in the clinical workflow, including lengthy wait for 2nd dose verification. We implemented a web-based fully automatic 2nd check for OART to address such a bottleneck. In this work, we present our beam modeling and auto-commissioning for the 2nd check platform and demonstrate it for the Ethos system.

Methods: We developed a general-purpose dose calculation server powered by the in-house GPU-based Monte Carlo particle transport engine. An auto-commissioner was also developed to facilitate beam modeling based on water tank measurements. The Ethos beam model consisted of three tuned components: 1) in-air open-field fluence, 2) energy spectrum, and 3) fluence convolution kernel such that calculated dose matched the commissioning beam data, including the open field profiles at d_DMax, PDD of 10cm×10cm, and output factors of square fields (1, 2, 4, 28cm) with SSD=90cm setup, and was calibrated to the reference point dose at d_DMax of 10cm×10cm and SSD=100cm.

Results: The auto-commissioner took ~30min to tune the beam model, which was verified extensively by the entire Ethos beam-book, including lateral profiles, depth doses, and output factors, measured for various square/rectangle fields at various depths (1.3, 5, 10, 20, 30cm) to within 1% difference. The beam model has been implemented clinically to perform 2nd dose for every Ethos plan on the whole patient volume with grid resolution 2mm×2mm×2mm finishing in 26±5sec, and the Gamma (2%/2mm) passing was >99% for >95% of plans.

Conclusion: We developed measurement-based beam modeling and auto-commissioning, which serves the purpose of fully independent verification, and have utilized it for efficient OART QA.


Not Applicable / None Entered.


TH- External Beam- Photons: General (most aspects)

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