title: IMRT commissioning: multiple institution planning and dosimetry comparisons, a report from AAPM Task Group 119.
abstract: AAPM Task Group 119 has produced quantitative confidence limits as baseline expectation values for IMRT commissioning. A set of test cases was developed to assess the overall accuracy of planning and delivery of IMRT treatments. Each test uses contours of targets and avoidance structures drawn within rectangular phantoms. These tests were planned, delivered, measured, and analyzed by nine facilities using a variety of IMRT planning and delivery systems. Each facility had passed the Radiological Physics Center credentialing tests for IMRT. The agreement between the planned and measured doses was determined using ion chamber dosimetry in high and low dose regions, film dosimetry on coronal planes in the phantom with all fields delivered, and planar dosimetry for each field measured perpendicular to the central axis. The planar dose distributions were assessed using gamma criteria of 3%/3 mm. The mean values and standard deviations were used to develop confidence limits for the test results using the concept confidence limit = /mean/ + 1.96sigma. Other facilities can use the test protocol and results as a basis for comparison to this group. Locally derived confidence limits that substantially exceed these baseline values may indicate the need for improved IMRT commissioning.
authors.affiliation: Department of Radiation Oncology, Mayo Clinic Scottsdale, 5777 East Mayo Boulevard, MCSB Concourse, Phoenix, Arizona 89054, USA.
authors.forename: Gary A
authors.initials: GA
authors.lastname: Ezzell
authors.forename: Jay W
authors.initials: JW
authors.lastname: Burmeister
authors.forename: Nesrin
authors.initials: N
authors.lastname: Dogan
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: LoSasso
authors.forename: James G
authors.initials: JG
authors.lastname: Mechalakos
authors.forename: Dimitris
authors.initials: D
authors.lastname: Mihailidis
authors.forename: Andrea
authors.initials: A
authors.lastname: Molineu
authors.forename: Jatinder R
authors.initials: JR
authors.lastname: Palta
authors.forename: Chester R
authors.initials: CR
authors.lastname: Ramsey
authors.forename: Bill J
authors.initials: BJ
authors.lastname: Salter
authors.forename: Jie
authors.initials: J
authors.lastname: Shi
authors.forename: Ping
authors.initials: P
authors.lastname: Xia
authors.forename: Ning J
authors.initials: NJ
authors.lastname: Yue
authors.forename: Ying
authors.initials: Y
authors.lastname: Xiao
mesh_terms: D005373:Film Dosimetry; D006258:Head and Neck Neoplasms / Q000532:radiotherapy; D006801:Humans; D008297:Male; D019047:Phantoms, Imaging; D011471:Prostatic Neoplasms / Q000532:radiotherapy; D011785:Quality Assurance, Health Care; D011874:Radiometry; D011880:Radiotherapy Planning, Computer-Assisted; D050397:Radiotherapy, Intensity-Modulated / Q000592:standards*