Patient-Specific Quality Control For Intensity-Modulated Radiation Therapy And Volumetric-Modulated Arc Therapy Using Electronic Portal Imaging Device And Two-Dimensional Ion Chamber Array

AimThe purpose of this study was to develop the patient-specific quality control (QC) process by most commonly used dosimeters in Bangladesh and recommend a suitable passing rate for QC, irrespective of the dosimetric tools used.Materials and methodsIntensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT) plans of five head-and-neck (HN) and five prostate patients were selected for the patient-specific QC. These plans were generated using the Eclipse TPS v110 (Varian Medical Systems, Inc., Palo Alto, CA, USA) 6 MV X-ray from a Varian TrueBeam linear accelerator (Varian Medical Systems, Inc.) for each case. Each IMRT and VMAT plans were measured by two-dimensional (2D) ion chamber arrays (I'matriXX) and electronic portal imaging devices (EPID), respectively. The passing rates of the dosimetric tools were calculated using criteria of 3%/3 mm.ResultsThe average passing rates (SD) of I'matriXX for prostate and HN were 979 +/- 076 and 9888 +/- 024, respectively. For VMAT verification, the average passing rates of EPID for prostate for arc1 and arc2 were 9615 +/- 049 and 978 +/- 070, respectively; similarly, for HN the rates were 9785 +/- 063 and 972 +/- 056, respectively.ConclusionThe results showed that both the dosimeters can be used in patient-specific QC, although the EPID-based IMRT and VMAT QC is more advantageous in terms of time-saving and ease of use. Hence, for patient-specific QC, one can use the ion chamber arrays (I'matriXX) or EPID in hospital, but the systems need to be cross-checked.