首页|医用直线加速器非标准束流状态下对剂量学输出影响的研究

医用直线加速器非标准束流状态下对剂量学输出影响的研究

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目的 探讨非标准束流状态对医用直线加速器剂量学参数的影响.方法 以Elekta Precise医用直线加速器为研究对象,通过在维修模式调整6 MV束流的伺服参数,模拟常规参数的变化特性,获得 4 种非标准束流状态(以上参数不稳定致使设备报对应联锁,但复位后设备可继续出束),包括剂量率、2R Err(y方向的均整度与对称性报错值)、2T Err(x方向的均整度与对称性报错值)、Hump Err(峰值报错值)联锁.采用UNIDOS剂量仪、MatriXX二维矩阵及ArcCheck三维剂量验证设备分别测量不同非标准束流状态下的绝对剂量、能量辐射品质、均整度与对称性、调强剂量验证γ通过率等剂量学参数,并与标准束流状态的剂量学参数进行比较.结果 非标准束流状态下,除 2R Err联锁的剂量学参数与标准束流状态保持一致外,其他非标准束流状态的剂量学参数均与标准束流状态有明显差异.结论 医用直线加速器偶尔报 2R Err联锁不影响设备的剂量学参数及临床应用,但剂量率不稳、2T Err及Hump Err联锁会影响设备的剂量学参数,需及时进行质量控制.
A Study on the Influence of Medical Linear Accelerator on Dosimetric Output in Non-Standard Beam State
Objective To explore the influence of non-standard beam states on the dosimetric parameters of medical linear accelerators.Methods With the Elekta Precision medical linear accelerator as the research object,the servo parameters of the 6MV beam were adjusted through maintenance mode,and the variation characteristics of conventional parameters were simulated to obtain four non-standard beam states(the unstable parameters above caused the equipment to report corresponding interlocks,but the equipment can continue to output the beam after resetting),including dose rate,2R Err(flatness and symmetry error value in y direction),2T Err(flatness and symmetry error value in x direction),and Hump Err(peak error value)interlocks.Dosimetric parameters such as absolute dose,energy radiation quality,uniform-integration and symmetry,and γ pass rate of intensity modulated dose verification under different non-standard beam states were measured by using UNIDOS dosimeter,MatriXX two-dimensional matrix and ArcCheck three-dimensional dose verification equipment.In addition,the dosimetry parameters were compared with those of the standard beam state.Results In the non-standard beam state,the dosimetric parameters of the non-standard beam state were significantly different from those of the standard beam state,except that the 2R Err interlock was consistent with the standard beam state.Conclusion The occasional 2R Err interlock of medical linear accelerator does not affect the dosimetry parameters of the device and does not affect the clinical application.However,unstable dose rates and interlocking of 2T Err and Hump Err can affect the dosimetric parameters of the equipment,requiring timely quality control.

Medical linear acceleratorNon-standardBeam stateDosimetry

梁文杰、罗庭军

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广西医科大学附属肿瘤医院 (广西南宁 530021)

医用直线加速器 非标准 束流状态 剂量学

广西卫生健康委自筹经费科研课题广西卫生计生委自筹经费科研课题

Z20200216Z20180634

2024

医疗装备
国家食品药品监督管理局北京医疗器械质量监督检验中心 北京市医疗器械检验所

医疗装备

影响因子:0.339
ISSN:1002-2376
年,卷(期):2024.37(9)
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