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On the dosimetric effect and reduction of inverse consistency and transitivity errors in deformable image registration for dose accumulation

Purpose: Deformable image registration (DIR) is necessary for accurate dose accumulation between multiple radiotherapy image sets. DIR algorithms can suffer from inverse and transitivity inconsistencies. When using deformation vector fields (DVFs) that exhibit inverse-inconsistency and are nontransitive, dose accumulation on a given image set via different image pathways will lead to different accumulated doses. The purpose of this study was to investigate the dosimetric effect of and propose a postprocessing solution to reduce inverse consistency and transitivity errors. Methods: Four MVCT images and four phases of a lung 4DCT, each with an associated calculated dose, were selected for analysis. DVFs between all four images in each data set were created using the Fast Symmetric Demons algorithm. Dose was accumulated on the fourth image in each set using DIR via two different image pathways. The two accumulated doses on the fourth image were compared. The inverse consistency and transitivity errors in the DVFs were then reduced. The dose accumulation was repeated using the processed DVFs, the results of which were compared with the accumulated dose from the original DVFs. To evaluate the influence of the postprocessing technique on DVF accuracy, the original and processed DVF accuracy was evaluated on the lung 4DCT data on which anatomical landmarks had been identified by an expert. Results: Dose accumulation to the same image via different image pathways resulted in two different accumulated dose results. After the inverse consistency errors were reduced, the difference between the accumulated doses diminished. The difference was further reduced after reducing the transitivity errors. The postprocessing technique had minimal effect on the accuracy of the DVF for the lung 4DCT images. Conclusions: This study shows that inverse consistency and transitivity errors in DIR have a significant dosimetric effect in dose accumulation; Depending on the image pathway taken to accumulate the dose, different results may be obtained. A postprocessing technique that reduces inverse consistency and transitivity error is presented, which allows for consistent dose accumulation regardless of the image pathway followed.

61 RADIATION PROTECTION AND DOSIMETRY↗

Benchmarking of a treatment planning system for spot scanning proton therapy: Comparison and analysis of robustness to setup errors of photon IMRT and proton SFUD treatment plans of base of skull meningioma

Purpose: Base of skull meningioma can be treated with both intensity modulated radiation therapy (IMRT) and spot scanned proton therapy (PT). One of the main benefits of PT is better sparing of organs at risk, but due to the physical and dosimetric characteristics of protons, spot scanned PT can be more sensitive to the uncertainties encountered in the treatment process compared with photon treatment. Therefore, robustness analysis should be part of a comprehensive comparison between these two treatment methods in order to quantify and understand the sensitivity of the treatment techniques to uncertainties. The aim of this work was to benchmark a spot scanning treatment planning system for planning of base of skull meningioma and to compare the created plans and analyze their robustness to setup errors against the IMRT technique. Methods: Plans were produced for three base of skull meningioma cases: IMRT planned with a commercial TPS [Monaco (Elekta AB, Sweden)]; single field uniform dose (SFUD) spot scanning PT produced with an in-house TPS (PSI-plan); and SFUD spot scanning PT plan created with a commercial TPS [XiO (Elekta AB, Sweden)]. A tool for evaluating robustness to random setup errors was created and, for each plan, both a dosimetric evaluation and a robustness analysis to setup errors were performed. Results: It was possible to create clinically acceptable treatment plans for spot scanning proton therapy of meningioma with a commercially available TPS. However, since each treatment planning system uses different methods, this comparison showed different dosimetric results as well as different sensitivities to setup uncertainties. The results confirmed the necessity of an analysis tool for assessing plan robustness to provide a fair comparison of photon and proton plans. Conclusions: Robustness analysis is a critical part of plan evaluation when comparing IMRT plans with spot scanned proton therapy plans.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Precise and Fast Computation of the Gravitational Field of a General Finite Body and Its Application to the Gravitational Study of Asteroid Eros

In order to obtain the gravitational field of a general finite body inside its Brillouin sphere, we developed a new method to compute the field accurately. First, the body is assumed to consist of some layers in a certain spherical polar coordinate system and the volume mass density of each layer is expanded as a Maclaurin series of the radial coordinate. Second, the line integral with respect to the radial coordinate is analytically evaluated in a closed form. Third, the resulting surface integrals are numerically integrated by the split quadrature method using the double exponential rule. Finally, the associated gravitational acceleration vector is obtained by numerically differentiating the numerically integrated potential. Numerical experiments confirmed that the new method is capable of computing the gravitational field independently of the location of the evaluation point, namely whether inside, on the surface of, or outside the body. It can also provide sufficiently precise field values, say of 14–15 digits for the potential and of 9–10 digits for the acceleration. Furthermore, its computational efficiency is better than that of the polyhedron approximation. This is because the computational error of the new method decreases much faster than that of the polyhedron models when the number of required transcendental function calls increases. As an application, we obtained the gravitational field of 433 Eros from its shape model expressed as the 24 × 24 spherical harmonic expansion by assuming homogeneity of the object.

79 ASTRONOMY AND ASTROPHYSICS↗

Probing intergalactic intergalactic magnetic fields with LOFAR LoTSS DR2 data

We use Faraday rotation measurements from the latest catalog LoTSS DR2 from LOFAR to probe intergalactic magnetic fields. To identify the extragalactic component of the observed rotation measure (RM) we use two different techniques: residual rotation measure (RRM) and close radio pairs. For the RRM approach, we conclude that, despite smaller measurement errors in the LOFAR data, robust and conservative treatment of the systematic uncertainties in the Galactic contribution to RM results in the constraint on a homogeneous volume-filling magnetic field at the level 2.4 nG, slightly weaker than previous constraints from NVSS data, and does not allow to probe the presence of over-magnetized bubbles predicted by the AGN feedback model of the IllustrisTNG. Analyzing close radio pairs we found that in only 0.5% of our mock realizations of observed data, the expected contribution from the over-magnetized bubbles does not exceed LoTSS DR2 data.

79 ASTRONOMY AND ASTROPHYSICS↗

Study of plasma equilibrium in toroidal fusion devices using mesh-free numerical calculation method

Plasma confinement using external magnetic field is one of the successful ways leading to the controlled nuclear fusion. Development and validation of the solution process for plasma equilibrium in the experimental toroidal fusion devices is the main subject of this work. Solution of the nonlinear 2D stationary problem as posed by the Grad-Shafranov equation gives quantitative information about plasma equilibrium inside the vacuum chamber of hot fusion devices. This study suggests solving plasma equilibrium equation which is essential in toroidal nuclear fusion devices, using a mesh-free method in a condition that the plasma boundary is unknown. The Grad-Shafranov equation has been solved numerically by the point interpolation collocation mesh-free method. Important features of this approach include truly mesh free, simple mathematical relationships between points and acceptable precision in comparison with the parametric results. The calculation process has been done by using the regular and irregular nodal distribution and support domains with different points. The relative error between numerical and analytical solution is discussed for several test examples such as small size Damavand tokamak, ITER-like equilibrium, NSTX-like equilibrium, and typical Spheromak.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Magnetic Resonance–Based Automatic Air Segmentation for Generation of Synthetic Computed Tomography Scans in the Head Region

Purpose: To incorporate a novel imaging sequence for robust air and tissue segmentation using ultrashort echo time (UTE) phase images and to implement an innovative synthetic CT (synCT) solution as a first step toward MR-only radiation therapy treatment planning for brain cancer. Methods and Materials: Ten brain cancer patients were scanned with a UTE/Dixon sequence and other clinical sequences on a 1.0 T open magnet with simulation capabilities. Bone-enhanced images were generated from a weighted combination of water/fat maps derived from Dixon images and inverted UTE images. Automated air segmentation was performed using unwrapped UTE phase maps. Segmentation accuracy was assessed by calculating segmentation errors (true-positive rate, false-positive rate, and Dice similarity indices using CT simulation (CT-SIM) as ground truth. The synCTs were generated using a voxel-based, weighted summation method incorporating T2, fluid attenuated inversion recovery (FLAIR), UTE1, and bone-enhanced images. Mean absolute error (MAE) characterized Hounsfield unit (HU) differences between synCT and CT-SIM. A dosimetry study was conducted, and differences were quantified using γ-analysis and dose-volume histogram analysis. Results: On average, true-positive rate and false-positive rate for the CT and MR-derived air masks were 80.8% ± 5.5% and 25.7% ± 6.9%, respectively. Dice similarity indices values were 0.78 ± 0.04 (range, 0.70-0.83). Full field of view MAE between synCT and CT-SIM was 147.5 ± 8.3 HU (range, 138.3-166.2 HU), with the largest errors occurring at bone–air interfaces (MAE 422.5 ± 33.4 HU for bone and 294.53 ± 90.56 HU for air). Gamma analysis revealed pass rates of 99.4% ± 0.04%, with acceptable treatment plan quality for the cohort. Conclusions: A hybrid MRI phase/magnitude UTE image processing technique was introduced that significantly improved bone and air contrast in MRI. Segmented air masks and bone-enhanced images were integrated into our synCT pipeline for brain, and results agreed well with clinical CTs, thereby supporting MR-only radiation therapy treatment planning in the brain.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Designing optimal experiments: an application to proton Compton scattering

Interpreting measurements requires a physical theory, but the theory’s accuracy may vary across the experimental domain. To optimize experimental design, and so to ensure that the substantial resources necessary for modern experiments are focused on acquiring the most valuable data, both the theory uncertainty and the expected pattern of experimental errors must be considered. We develop a Bayesian approach to this problem, and apply it to the example of proton Compton scattering. Chiral Effective Field Theory (χEFT) predicts the functional form of the scattering amplitude for this reaction, so that the electromagnetic polarizabilities of the nucleon can be inferred from data. With increasing photon energy, both experimental rates and sensitivities to polarizabilities increase, but the accuracy of χEFT decreases. Our physics-based model of χEFT truncation errors is combined with present knowledge of the polarizabilities and reasonable assumptions about experimental capabilities at HI γ S and MAMI to assess the information gain from measuring specific observables at specific kinematics, i.e. to determine the relative amount by which new data are apt to shrink uncertainties. The strongest gains would likely come from new data on the spin observables Σ 2x and Σ 2x' at ω≃140 to 200 MeV and 40° to 120°. These would tightly constrain γ E1E1 –γ E1M2 . New data on the differential cross section between 100 and 200 MeV and over a wide angle range will substantially improve constraints on α E1 –β M1 , γ π and γ M1M1 –γ M1E2 . Good signals also exist around 160 MeV for Σ 3 and Σ 2z' . As a result, such data will be pivotal in the continuing quest to pin down the scalar polarizabilities and refine understanding of the spin polarizabilities.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

New Possibilities of Probe Detection of Anisotropic Charged-Particle Distribution Functions in an Arbitrary-Symmetry Plasma

We have analyzed the precision and systematic errors of the familiar method of a plane single-ended probe for measuring the anisotropic distribution functions for electrons and ions in plasma. Analytic relations that connect the plasma parameters and the required number of terms in a series are obtained under the conditions when anisotropy is due to the presence of an electric field in the plasma. It has been shown that ten terms of the series are usually sufficient to adequately describe the ion distribution function, except for the case of strong fields. For strongly anisotropic charged particle distribution functions, the spline interpolation technique for experimental data is proposed and tested, which substantially reduces the systematic error for a preset number of terms in the series. It has been shown for abundant actual plasma objects with the mirror symmetry that the number of required orientations of a plane probe for the experimental distribution function can be reduced by half compared to the most general case of the absence of any symmetry for a fixed number of terms in the Legendre series, while for the same number of orientations, the number of terms in the series, which are determined from these measurements, doubled accordingly.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

LTAU-FF: Loss Trajectory Analysis for Uncertainty in atomistic Force Fields

LTAU (Loss Trajectory Analysis for Uncertainty) is a technique for estimating the uncertainty in a model's predictions for any regression task by approximating the cumulative distribution function (CDF) of the model's errors over the course of training. The approximated CDF, combined with a similarity search algorithm in the model's descriptor space, can then be used to estimate the likelihood that the model's predictions on any given test point will fall below a chosen threshold. LTAU-FF (LTAU in atomistic Force Fields) is the application of LTAU specifically for use with atomistic force fields.

Vita, JoshuaA↗

Muon capture on deuteron using local chiral potentials

The muon capture reaction μ – + d → n + n + ν μ in the doublet hyperfine state is studied using nuclear potentials and consistent currents derived in the chiral effective field theory, which are local and expressed in coordinate space (the so-called Norfolk models). Only the largest contribution due to the 1 S 0 nn scattering state is considered. Particular attention is given to the estimate of theoretical uncertainty, for which four sources have been identified: 1) the model dependence, 2) the chiral-order convergence for the weak nuclear current, 3) the uncertainty in the single-nucleon axial form factor, and 4) the numerical technique adopted to solve the bound and scattering A = 2 systems. This last source of uncertainty has turned out to be essentially negligible. For the 1 S 0 doublet muon capture rate Γ D ( 1 S 0 ), we obtain Γ D ( 1 S 0 ) = 255.8(0.6) (4.4)(2.9) s –1 , where the three errors come from the first three sources of uncertainty. The value for Γ D ( 1 S 0 ) obtained within this local chiral framework is compared with previous calculations and found in very good agreement.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Towards high-resolution ptychographic x-ray diffraction microscopy

Ptychographic x-ray diffraction microscopy is a lensless imaging technique with a large field of view and high spatial resolution, which is also useful for characterizing the wavefront of an x-ray probe. The performance of this technique is degraded by positioning errors due to the drift between the sample and illumination optics. We propose an experimental approach for correcting the positioning errors and demonstrate success by two-dimensionally reconstructing both the wavefront of the focused x-ray beam and the complex transmissivity of the weakly scattering objects at the pixel resolution of better than 10 nm in the field of view larger than 5 {mu}m. This method is applicable to not only the observation of organelles inside cells or nano-mesoscale structures buried within bulk materials but also the characterization of probe for single-shot imaging with x-ray free electron lasers.

75 CONDENSED MATTER PHYSICS, SUPERCONDUCTIVITY AND↗

Materials for Ultra‐Coherent, Mobile, Electron‐Spin Qubits

This research project has had the goal of gaining a better understanding of the physics of electrons bound to the surface of superfluid helium from both experimental and theoretical perspectives. It has particularly been aimed at two areas which had not been well studied: the relaxation and decoherence of the spin of the electrons on the helium surface and how the properties of underlying metallic layers affect the behavior of the electrons when the helium covering the metal is thin. This work is motivated in part by interest in using the spin of these electrons as a quantum bit, or qubit. Low levels of decoherence are advantageous for qubits, and moving the electrons, as one might do in a quantum processor, will be easiest if thin helium films can be employed. It had been suggested that spin decoherence should be very weak for electrons bound to superfluid He, but before this work there have been no quantitative studies of spin relaxation and decoherence. It is especially important to know how moving the electrons across the helium surface would affect their spin coherence. Calculations performed as part of this project show that the Rashba effective magnetic field, the mechanism which limits the spin coherence of mobile electrons in silicon-based devices (an actively pursued qubit technology), is exceptionally weak for electrons bound to helium. This project has identified other decoherence mechanisms which are stronger, but still weak compared to analogous silicon-based structures. Calculated spin coherence times for mobile electrons approach one day, as compared to microseconds in silicon. With coherence times of this magnitude, the spin qubit errors on helium will be completely dominated by errors in the quantum gates. In related work, the possibility of using an artificial spin-orbit interaction (a gradient magnetic field) for quantum operations on the electrons spins was considered. The calculations show that a moderate gradient field, small enough to be generated by a narrow superconducting wire, will enable high-fidelity quantum operations on electrons held in lithographically-defined quantum dots by driving them with a microwave electric field. The spin and motional coherence of the electrons is sufficient to allow high-fidelity 2-qubit quantum operations between electrons in neighboring quantum dots. As an outgrowth of experiments aiming to measure electron spin coherence it was discovered that very high densities of electrons can be stably supported on thin helium films coating ultra-smooth amorphous metallic layers. The measured densities are high enough that the electron system has almost certainly transitioned from an ordered array of electrons, known as a Wigner crystal (ordered by the electrons’ mutual repulsion), to a quantum fluid known as a Fermi liquid. This transition has been a subject of intense interest for over 40 years, since the electron Wigner crystal was first observed with electrons bound to superfluid helium, but it has never been unambiguously observed. Experiments are still underway in these new structures to definitively determine whether true quantum melting of the Wigner crystal has been demonstrated. This work has also catalyzed the development of a new approach for measuring the transport of electrons across very thin helium films, as will be needed for some of the quantum computing applications. The high electron density experiments as well as experiments with electrons bound in quantum dots have led to new techniques which may enable spin coherence measurements.

75 CONDENSED MATTER PHYSICS, SUPERCONDUCTIVITY AND↗

Determination of volume fractions in two-phase flows from sound speed measurement

Accurate measurement of the composition of oil-water emulsions within the process environment is a challenging problem in the oil industry. Ultrasonic techniques are promising because they are non-invasive and can penetrate optically opaque mixtures. This paper presents a method of determining the volume fractions of two immiscible fluids in a homogenized two-phase flow by measuring the speed of sound through the composite fluid along with the instantaneous temperature. Two separate algorithms are developed by representing the composite density as (i) a linear combination of the two densities, and (ii) a non-linear fractional formulation. Both methods lead to a quadratic equation with temperature dependent coefficients, the root of which yields the volume fraction. The densities and sound speeds are calibrated at various temperatures for each fluid component, and the fitted polynomial is used in the final algorithm. We present results when the new algorithm is applied to mixtures of crude oil and process water from two different oil fields, and a comparison of our results with a Coriolis meter; the difference between mean values is less than 1%. Analytical and numerical studies of sensitivity of the calculated volume fraction to temperature changes and calibration errors are also presented.

02 PETROLEUM↗

Convergent Concordant Mode Approach for Molecular Vibrations: CMA-2

The concordant mode approach (CMA) is a promising new scheme for dramatically increasing the system size and level of theory achievable in quantum chemical computations of molecular vibrational frequencies. Here, we achieve advances in the CMA hierarchy by computations targeting CCSD(T)/cc-pVTZ (coupled cluster singles and doubles with perturbative triples using a correlation-consistent polarized-valence triple-ζ basis set) benchmarks within the G2 molecular test set, executing a statistical analysis for 1501 frequencies from 111 compounds and then separately solving the refractory case of pyridine. First, MP2/cc-pVTZ (second-order Møller–Plesset perturbation theory with the same basis set) proves to be an excellent and preferred choice for generating the underlying (Level B) normal modes of the CMA scheme. Utilizing this Level B within the CMA-0A method reproduces the 1501 benchmark frequencies with a mean absolute error (MAE) of only 0.11 cm –1 and an attendant standard deviation of 0.49 cm –1 . Second, a convergent CMA-2 method is constituted that allows efficient computation of higher level (Level A) frequencies to any reasonable accuracy threshold by using only Hartree–Fock (HF) and MP2 or density functional theory (DFT) data to generate ξ parameters, which select the sparse off-diagonal force field elements for explicit evaluation at Level A. When Level B = MP2/cc-pVTZ, a cutoff of ξ = 0.02 provides an average maximum absolute error per molecule of only 0.17 cm –1 by incurring merely a 33% increase in average cost over CMA-0A. This CMA-2 method also eradicates the 4 problematic CMA-0A outliers of pyridine with even less effort (ξ = 0.04, 22% increase). Finally, the newly developed CMA procedures are shown to be highly successful when applied to 1-(1H-pyrrol-3-yl)ethanol, a new test molecule with diverse types of vibration.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

X-RAY OBSERVATIONS OF THE NEW UNUSUAL MAGNETAR SWIFT J1834.9-0846

We present X-ray observations of the new transient magnetar Swift J1834.9-0846, discovered with the Swift Burst Alert Telescope on 2011 August 7. The data were obtained with Swift, Rossi X-ray Timing Explorer (RXTE), CXO, and XMM-Newton both before and after the outburst. Timing analysis reveals single peak pulsations with a period of 2.4823 s and an unusually high pulsed fraction, 85% {+-} 10%. Using the RXTE and CXO data, we estimated the period derivative, P-dot =8 Multiplication-Sign 10{sup -12} s s{sup -1}, and confirmed the high magnetic field of the source, B = 1.4 Multiplication-Sign 10{sup 14} G. The decay of the persistent X-ray flux, spanning 48 days, is consistent with a power law, F{proportional_to}t{sup -0.5}. In the CXO/Advanced CCD Imaging Spectrometer image, we find that the highly absorbed point source is surrounded by extended emission, which most likely is a dust scattering halo. Swift J1834.9-0846 is located near the center of the radio supernova remnant W41 and TeV source HESS J1834-087. An association with W41 would imply a source distance of about 4 kpc; however, any relation to the HESS source remains unclear, given the presence of several other candidate counterparts for the latter source in the field. Our search for an IR counterpart of Swift J1834.9-0846 revealed no source down to K{sub s} {approx} 19.5 within the 0.''6 CXO error circle.

79 ASTRONOMY AND ASTROPHYSICS↗

Measuring output factors of small fields formed by collimator jaws and multileaf collimator using plastic scintillation detectors

Purpose: As the practice of using high-energy photon beams to create therapeutic radiation fields of subcentimeter dimensions (as in intensity-modulated radiotherapy or stereotactic radiosurgery) grows, so too does the need for accurate verification of beam output at these small fields in which standard practices of dose verification break down. This study investigates small-field output factors measured using a small plastic scintillation detector (PSD), as well as a 0.01 cm{sup 3} ionization chamber. Specifically, output factors were measured with both detectors using small fields that were defined by either the X-Y collimator jaws or the multileaf collimator (MLC). Methods: A PSD of 0.5 mm diameter and 2 mm length was irradiated with 6 and 18 MV linac beams. The PSD was positioned vertically at a source-to-axis distance of 100 cm, at 10 cm depth in a water phantom, and irradiated with fields ranging in size from 0.5x0.5 to 10x10 cm{sup 2}. The field sizes were defined either by the collimator jaws alone or by a MLC alone. The MLC fields were constructed in two ways: with the closed leaves (i.e., those leaves that were not opened to define the square field) meeting at either the field center line or at a 4 cm offset from the center line. Scintillation light was recorded using a CCD camera and an estimation of error in the median-filtered signals was made using the bootstrapping technique. Measurements were made using a CC01 ionization chamber under conditions identical to those used for the PSD. Results: Output factors measured by the PSD showed close agreement with those measured using the ionization chamber for field sizes of 2.0x2.0 cm{sup 2} and above. At smaller field sizes, the PSD obtained output factors as much as 15% higher than those found using the ionization chamber by 0.6x0.6 cm{sup 2} jaw-defined fields. Output factors measured with no offset of the closed MLC leaves were as much as 20% higher than those measured using a 4 cm leaf offset. Conclusions: The authors' results suggest that PSDs provide a useful and possibly superior alternative to existing dosimetry systems for small fields, as they are inherently less susceptible to volume-averaging and perturbation effects than larger, air-filled ionization chambers. Therefore, PSDs may provide more accurate small-field output factor determination, regardless of the collimation mechanism.

61 RADIATION PROTECTION AND DOSIMETRY↗

Validation of a pretreatment delivery quality assurance method for the CyberKnife Synchrony system

Purpose: To evaluate the geometric and dosimetric accuracies of the CyberKnife Synchrony respiratory tracking system (RTS) and to validate a method for pretreatment patient-specific delivery quality assurance (DQA). Methods: An EasyCube phantom was mounted on the ExacTrac gating phantom, which can move along the superior–inferior (SI) axis of a patient to simulate a moving target. The authors compared dynamic and static measurements. For each case, a Gafchromic EBT3 film was positioned between two slabs of the EasyCube, while a PinPoint ionization chamber was placed in the appropriate space. There were three steps to their evaluation: (1) the field size, the penumbra, and the symmetry of six secondary collimators were measured along the two main orthogonal axes. Dynamic measurements with deliberately simulated errors were also taken. (2) The delivered dose distributions (from step 1) were compared with the planned ones, using the gamma analysis method. The local gamma passing rates were evaluated using three acceptance criteria: 3% local dose difference (LDD)/3 mm, 2%LDD/2 mm, and 3%LDD/1 mm. (3) The DQA plans for six clinical patients were irradiated in different dynamic conditions, to give a total of 19 cases. The measured and planned dose distributions were evaluated with the same gamma-index criteria used in step 2 and the measured chamber doses were compared with the planned mean doses in the sensitive volume of the chamber. Results: (1) A very slight enlargement of the field size and of the penumbra was observed in the SI direction (on average <1 mm), in line with the overall average CyberKnife system error for tracking treatments. (2) Comparison between the planned and the correctly delivered dose distributions confirmed the dosimetric accuracy of the RTS for simple plans. The multicriteria gamma analysis was able to detect the simulated errors, proving the robustness of their method of analysis. (3) All of the DQA clinical plans passed the tests, both in static and dynamic conditions. No statistically significant differences were found between static and dynamic cases, confirming the high degree of accuracy of the Synchrony RTS. Conclusions: The presented methods and measurements verified the mechanical and dosimetric accuracy of the Synchrony RTS. Their method confirms the fact that the RTS, if used properly, is able to treat a moving target with great precision. By combining PinPoint ion chamber, EBT3 films, and gamma evaluation of dose distributions, their DQA method robustly validated the effectiveness of CyberKnife and Synchrony system.

60 APPLIED LIFE SCIENCES↗