The quality management of radiotherapy machines ensures the safe and accurate operation of the equipment. These crucial procedures are essential for the reliability and efficiency of diagnostic and therapeutic interventions for patients, thereby ensuring quality care in the field of radiotherapy.
The multileaf collimators (STATIC, IMRT, VMAT)
To address the quality control of multileaf collimators, we offer the MLC QA Pack.
For this pack, we follow these recommendations:
The French decision of July 27, 2007, which establishes the internal quality control procedures for external radiotherapy installations.
The French decision of February 28, 2023, fixing the modalities of quality control for external radiotherapy and radiosurgery installations.
Ling et al., Commissioning and Quality Assurance of RapidArc Radiotherapy Delivery System, Int J. Radiation Oncology Biol. Phys., Vol. 712, No. 2, pp. 575-581, 2008.
Main measured parameters
Static field
Centering
Collimator Centering Jaw with respect to the isocenter
Collimator Centering MLC with respect to the isocenter
Orthogonality and Symmetry
Jaws
MLC (Multileaf Collimator)
Accuracy and repeatability of blade positioning
Transmission and interleaf leakage
Light field - Irradiated field
Field size
Bench Alignment
IMRT / VMAT Field
dMLC Dosimetry
Picket Fence
IMRT Picket
Fence VMAT
Picket Fence RapidArc
Picket Fence RapidArc with errors
Dose rate / Arm speed
MLC speed