title: Thermoluminescent dosimeters (TLD) quality assurance network in the Czech Republic.
abstract: BACKGROUND
  The Czech thermoluminescent dosimeters (TLD) quality assurance network was established in 1997. Its aim is to pursue a regular independent quality audit in Czech radiotherapy centres and to support state supervision.
  
  
  METHODS
  The audit is realised via mailed TL dosimetry. The TLD system consists of encapsulated LiF:Mg,Ti powder (type MT-N) read with Harshaw manual reader model 4000. Basic mode of the TLD audit covers measurements under reference conditions, specifically beam calibration checks for all clinically used photon and electron beams. Advanced mode consists of measurements under both reference and non-reference conditions using a solid multipurpose phantom ('Leuven phantom') for photon beams. The radiotherapy centres are instructed to deliver to the TLD on central beam axis absorbed dose of 2 Gy calculated with their treatment planning system for a particular treatment set-up. The TLD measured doses are compared with the calculated ones. Deviations of +/-3% are considered acceptable for both basic and advanced mode of the audit.
  
  
  RESULTS
  There are 34 radiotherapy centres in the Czech Republic. They undergo the basic mode of the TLD audit regularly every 2 years. If a centre shows a deviation outside the acceptance level, it is audited more often. Presently, most of the checked beams comply with the acceptance level. The advanced TLD audit has been implemented as a pilot study for the present. The results were mostly within the acceptance limit for the measurements on-axis, whereas for off-axis points they fell beyond the limit more frequently, especially for set-ups with inhomogeneities, oblique incidence and wedges.
  
  
  CONCLUSIONS
  The results prove the importance of the national TLD quality assurance network. It has contributed to the improvement of clinical dosimetry in the Czech Republic. In addition, it helps the regulatory authority to monitor effectively and regularly radiotherapy centres.
authors.affiliation: Department of Oncology, Charles University - First Faculty of Medicine, U nemocnice 2, CZ-128 02, Prague 2, Czech Republic.
authors.forename: Daniela
authors.initials: D
authors.lastname: Kroutilķková
authors.forename: Josef
authors.initials: J
authors.lastname: Novotný
authors.forename: Libor
authors.initials: L
authors.lastname: Judas
mesh_terms: D018153:Czech Republic; D006801:Humans; D008485:Medical Audit; D009369:Neoplasms / Q000532:radiotherapy; D019047:Phantoms, Imaging; D011785:Quality Assurance, Health Care; D011880:Radiotherapy Planning, Computer-Assisted / Q000592:standards*; D013819:Thermoluminescent Dosimetry / Q000295:instrumentation / Q000592:standards*