1175012AB MapCHECK User Guide P
1175012AB MapCHECK User Guide P
®
MapCHECK User Guide
The World Leader in IMRT QA
Model 1175
Page ii
Preface
Intended Use
Description
The MapCHECK device contains 445 SunPoint® Diode Detectors1 arranged in a grid. The device
measures ionizing radiation that strikes the detector array. The proprietary SNC Patient™ software
displays the data as relative or absolute dose and compares it to the imported treatment plan
dose.
The MapCHECK device provides a Quality Assurance test of the linear accelerator's ability, along
with its aRev ABccessories, to successfully deliver a planned QA dose map in a phantom before
the treatment of a patient. The QA dose map is a recalculation, on a phantom, of the dose resulting
from the beam fluence that has been defined by the planning system and which must be delivered
by the accelerator and its accessory parts. The MapCHECK measurement is a Quality Assurance
test much like the daily QA test devices that measure beam output, flatness, and symmetry. If a
daily QA test device indicates a problem, an investigation of the problem is undertaken. The
treatment plan is not modified exclusively with the MapCHECK comparison results. Instead, an
investigation is suggested that will look into planned and delivered parameters that are causing
the discrepancy.
Sun Nuclear meets the requirements of FDA 21 CFR 820 and is certified to relevant country
regulations, including ISO 13485:2016. Sun Nuclear is certified and authorized to affix the CE mark
on products for marketing and distribution in the Member States of the European Union.
Follow these health and safety instructions when using the equipment:
WARNING: To avoid risk of electric shock, this equipment must only be connected to
a supply mains with protective earth.
CAUTION: The MapCHECK may be heavy to some individuals. Use caution when
lifting. For the MapCHECK weight, see MapCHECK Specifications on page 15.
• Use only the medical grade power supply that is provided with the device. Ensure that the
power source matches the power ratings printed on the power supply.
• The device is not intended to be used in an oxygen-rich environment.
• Do not operate the device in any strong magnetic fields, such as MR.
1. Unless stated otherwise, all instances in this guide of the terms “diode detector” or “detector”
as part of the MapCHECK device refer to the SunPoint® Diode Detectors.
Parts
PC provided by
user
WARNING: Use only parts or accessories supplied by Sun Nuclear for use with
MapCHECK. Use of other parts or accessories may result in incorrect measurements.
The following documents provide information about MapCHECK options and accessories:
• EPIDose software: EPIDose Reference Guide, P/N 1214012
• Isocentric Mounting Fixture or Gantry Mounting Fixture: IMF/GMF User Guide, P/N 1122014
• MapPHAN: MapPHAN User Guide, P/N 1083012
• 3DVH software: 3DVH Reference Guide, P/N 1212012
Setup
2 3
7
4
6
5
The MapCHECK should be at the same temperature as the treatment room before use. If
MapCHECK is not stored at treatment room temperature, allow the MapCHECK to reach
temperature equilibrium before acquiring measurements. Temperature will remain stable when
the device is continuously connected to AC power. The device can remain connected to AC power
in the treatment room provided that the electronics area of the device does not receive direct
radiation.
Background Measurement
Array Calibration
Array calibration determines relative sensitivity differences between MapCHECK detectors and
stores them as individual correction factors to be applied to the initial measurements from each
detector, which eliminates sensitivity differences between individual detectors.
1 To use the calibration fixture, unscrew the leveling feet and set the MapCHECK device inside
the fixture.
Note: Leveling feet are not required on the calibration fixture because the calibration
procedure is not sensitive to small changes in device level. The calibration procedure
compensates if the array is not exactly perpendicular to the beam axis. As long as the
beam shape remains consistent, 1-2 degrees of leveling error is not significant.
However, be sure to reattach the leveling feet before performing routine
measurements since a 5 mm discrepancy in distance to the diode detectors will cause
a 1% difference in dose due to inverse square correction, 1/r 2.
2 Slide MapCHECK all the way to the end of the fixture so that there is no gap at the end.
3 Set up the MapCHECK and accelerator as described in the array calibration window and
perform the normal calibration steps. Be sure to adjust the SSD after placing the MapCHECK
in the fixture, since the fixture raises the MapCHECK surface closer to the beam source.
CAUTION: Ensure that MapCHECK is pushed all the way into the array calibration
fixture for correct alignment.
Note: For additional information about the MapCHECK array calibration procedure,
see the SNC Patient Software Reference Guide or online Help.
The absolute dose calibration procedure consists of collecting MapCHECK measurements under
the conditions at which dose delivered to the central detector is known and entering the value of
that known dose in the calibration wizard. SNC Patient software correlates the counts collected
by the device during the calibration to the known dose entered by the user, establishing the
absolute dose calibration factor.
To find the dose at a MapCHECK detector location, a flat phantom with density of water may be
set up either in the treatment planning system or measured with an ion chamber such that the
chamber position is the same as the diode detector position on the MapCHECK and has the same
amount of water equivalent buildup.
When setting up the flat phantom to find the known dose at a particular depth, the
source-to-detector distance (SDD) must be the same as that used for the MapCHECK dose
calibration measurement.
1 Select Setup > Calibrate Dose. the Dose Calibration dialog box opens.
The File Manager feature in SNC Patient software is used to store patient data files in a single
location and group them by file type, such as Device Measured, TPS Calculated, DICOM RT Plan,
and Images. Each group of patient data files in File Manager is called a Patient Plan.
When a Patient Plan is selected in the SNC Patient toolbar, commands to load or open a file display
a list of files in the Patient Plan that match the selected file type.
Note: Before collecting MapCHECK measurements that will be exported to PDP and
opened in 3DVH software, it is recommended to review the topic Preparing
MapCHECK Measurements for use in 3DVH Software in the SNC Patient Software
Reference Guide or Online Help.
1 Place the MapCHECK on the treatment couch with the Y axis aligned to the linac’s axis of
rotation and +Y toward the gantry.
2 Optional: Level MapCHECK with the leveling feet.
3 Align the lasers to the MapCHECK X-Y axes.
4 Adjust the couch height until the source-to-detector distance (SDD) is equal to the
source-to-axis-distance (SAD). This can be done by aligning the detector plane mark on the
side of the MapCHECK with the laser that indicates SAD.
Note: You can also increase couch height to fit large fields, as long as you ensure that
the planned dose is calculated at the same distance from the source.
5 Add enough additional buildup to the device’s inherent buildup, 2 cm, to create total buildup
equal to the planned dose depth. For example, if your planned depth is 5 cm, MapCHECK
already has 2 cm of water-equivalent buildup, so you need to add 3 cm of additional
water-equivalent buildup.
Acquire Measurement
CAUTION: Applying the wrong array calibration or absolute dose calibration will
cause erroneous results.
2 Click Load Array Calibration in the SNC Patient software toolbar and navigate to the
location where the array calibration files (.cal) are stored. The default path is C:\SNC\SNC
Patient\factors\<serial number>. Select the desired calibration and click Open.
3 Click the down-arrow next to Dose in the SNC Patient software toolbar and select the
absolute dose calibration that corresponds to the planned energy.
WARNING: Modify the filename to include the treatment plan as well as any other
relevant information.
SNC Patient software supports import of dose plans from DICOM and various treatment planning
systems.
Note: If treatment plans will be consistently inverted in the X or Y direction relative to
the device measurement, set up SNC Patient software to automatically invert
treatment plans upon import. Select Setup > Program Preferences. In the Treatment
Plan Importing area, select the plan type. Select Invert X, Invert Y, or both, and then
click Set.
1 Export dose map from the TPS software. For instructions, see TPS vendor documentation.
2 Copy TPS data to File Manager. See Add Files to a Patient Plan on page 8.
3 Select the Patient Plan from the main toolbar.
4 Right-click in Set 2 and select Open Planned Dose/Image Data from the context menu. In
the Open QA Plan Data dialog box, select the file, select the correct file type, and then click
Open.
Optionally, open DICOM RT DOSE and DICOM RT PLAN files as a set. The software
automatically extracts the isocenter information from the DICOM RT Plan file. Right-click in
Set 2 and select Open DICOM Plan/Dose File Set from the context menu. In the Open
DICOM FileSet Data dialog box, select the RT Dose and RT Plan files, select the Show
Isocenter Coordinates box if you would like to view or edit the isocenter coordinates before
loading, and then click Open.
WARNING: SNC Patient software interpolates planned dose data to 1 mm for DTA and
Gamma analysis. For best results in high dose gradient regions, initial grid spacing
should be ≤3 mm. If planned dose grid spacing is > 4 mm, import is prohibited.
• If prompted for MU or scaling factor, enter the information needed to convert the proper
values to dose delivered.
• If the file already contains absolute dose values for a single fraction, enter a value of 1.
Perform the following steps to compare a MapCHECK measurement against planned dose and
then analyze the results. Comparison is only supported when device measured data is loaded in
Set 1 and planned dose data is loaded in Set 2, not vice-versa.
1 Collect a new measurement or load an existing measurement in Set 1. See Acquire
Measurement on page 8.
2 Load planned dose data in Set 2. See Import Planned Dose on page 9.
3 In the Analysis toolbar, select the analysis type and criteria and then click Compare.
The comparison graph shows the detectors that failed the selected comparison criteria.
• Red indicates failing points where Set 1 dose values are greater than Set 2 dose values.
• Blue indicates failing points where Set 1 dose values are less than Set 2 dose values.
WARNING: Do not modify a patient’s treatment plan based only on the results from a
single QA device. Investigate the source of the error in the treatment delivery device
(TDD) or treatment planning system (TPS).
MapCHECK
Phantom
area
Connector Electronics
Panel area
Detector Array
The SunPoint® diode detector locations are indicated by small gray squares or circles. Field size
and light field markings for cross hair and collimator alignment are indicated by line markings.
Letters are for array calibration. The 445 diode detectors are arranged in a 22 cm octagonal grid.
The precision template indicates the location of each diode detector, provides an alignment grid
for the cross hairs or collimator light field, and provides alignment marks for calibration. The
phantom area of the device has the following features:
• Inner array—The inner array has 221 diode detectors on and within the 10 x10 cm field locator
and indicated by small black squares on the X and Y axes and small gray squares off axis.
These diode detectors are spaced on a 10 mm grid. Each row is offset such that the diagonal
spacing between detectors is 0.5 * 10, or approximately 7.07 mm.
• Outer array—The outer array has 224 diode detectors outside of the 10 x 10 cm field and
indicated by small squares. These detectors are spaced on a 20 mm grid. Each row is offset
such that the diagonal spacing is 2 * 10, or approximately 14.14 mm.
• Light field squares—The black field lines are for aligning the MapCHECK with the linac light
field. Field size locators are provided for 5 x 5, 10 x 10, 15 x 15, and 20 x 20 cm.
• Scales—Two scales along the left and bottom edges of the grid identify diode detector
coordinates.
• The outer scale is a standard, 1 cm, X-Y coordinate grid with (0,0) at the center, positive
values up and to the right, negative values down and to the left.
• The inner scale represents detector locations as ordered pairs from (1,1) in the lower left
to (45,45) in the upper right. The scale is 0.5 cm per unit to allow each detector location
to be represented as an ordered pair of integers.
• Principal Axes—Diode detector locations along the principal X and Y axes are marked with
small black squares. The +X and +Y directions are marked at the top and right of the grid.
Outer
Array
Inner
Array
10x10
Detector for identified
Calibration Step
aligned to CAX during +X-axis
array calibration marking
Outer
scale:1.0 cm
X-Y
Alignment coordinate
Holes grid
Electronics Area
The electronics area of the device is located adjacent to the connector panel. Do not allow direct
radiation in the electronics area of the device. Keep the beam above the line marked “KEEP
DIRECT BEAM ABOVE THIS LINE”. Excessive radiation of electronic components could void the
warranty. See Minimizing Radiation Damage on page 17.
Characteristic Details
Operating System Windows 10 (Professional), Windows 8.1, or Windows 7, 32 or 64-bit
Regional Settings U.S. or International
Computer Minimum
• Pentium 4 Dual Core
• CPU Speed = 2.4 GHz
• Total RAM = 4 GB
• Free hard disk space = 5 GB
• USB port = one v2.0
• Video RAM = 32 MB
• Display resolution = 1280 x 1024
• Color depth = 32-bit
• OpenGL hardware accelerated video card
MapCHECK Specifications
The electronic circuits are located in the large end of the device. To minimize damage to the
electronics:
• Do not expose the device electronics to the direct beam.
• Do not leave the MapCHECK on the couch during delivery system warm up.
• Do not store the MapCHECK in the treatment room.
CAUTION: The MapCHECK contains radiation dosimeters in the electronics area. The
dosimeters are read during MapCHECK service. An indication of direct irradiation to
the electronics will VOID the warranty.
Inspection
Periodically inspect the MapCHECK housing, casing, cables, connectors, and all ancillary parts for
damage. If any mechanical or electrical degradation is suspected, or if the MapCHECK housing or
casing is damaged such as to compromise device integrity, discontinue use and contact Sun
Nuclear Support. See Contacting Sun Nuclear Support on page 19.
Repair
There are no user-serviceable parts. If there is a problem with the MapCHECK, ancillary parts, or
accessories, contact Sun Nuclear Support. See Contacting Sun Nuclear Support on page 19.
Cleaning
Clean MapCHECK by vacuuming or wiping with a clean, dry cloth. If necessary, clean external
surfaces with a cloth moistened with mild cleaning solution. Do not use any solvents or abrasive
cleaners.
Do not immerse MapCHECK in any fluid. Do not allow liquid to flow on any surface or into any
cavity.
Storage
The MapCHECK contains electrical components. In some countries the disposal of electrical
components is subject to special requirements. When the components are no longer functional
or are otherwise ready to be discarded, recycle or dispose of them according to local waste
management or recycling regulations.
CAUTION: Annual array calibration is recommended but not required. Test array
calibrations annually and more frequently if the device is heavily used.
Troubleshooting
MapCHECK LEDs
The LED indicators on the end panel indicate the operational status of the MapCHECK. Normally,
when the system is idle, LEDs B and F blink slowly, and during measurement, LEDs B and F blink
fast. All other LEDs are off.
If an internal problem is detected, the other LEDS will blink. Make a note of the status of all LEDs
and report this information to Sun Nuclear Support.
Table 5-1. MapCHECK LED Functions with PDI and Power Supply
PDI Troubleshooting
See Bulletin 2-09, Power Data Interface that is provided with each PDI.
Support Website
1 Open an internet browser and navigate to www.sunnuclear.com/support.
2 Enter your email address and password and then click Log in.
• To download product information, click Products and Devices, select the product, and
then select the download type.
• To open a Support request, click Open New Case, complete the form, and then click
Create Case.
Warranty
To access the product warranty, select the Sun Nuclear Product Warranty link on the Sun Nuclear
Support website.
The following symbols are used in this guide and in Sun Nuclear Corporation’s product labels.
WARNING: This symbol indicates a risk of electric shock. (EN ISO 7010, W012)
WARNING: This symbol indicates a hazard that could result in major injury or
equipment damage. (EN ISO 7010, W001)
CAUTION: This symbol indicates a potential hazard that could result in minor injury or
equipment damage. (EN ISO 15223-1, 5.4.4)
CAUTION: This symbol indicates a pinch or crush hazard. (EN ISO 7010, W024)
This symbol indicates a general mandatory action. (EN ISO 7010, M001)
Consult instructions for use. This equipment must be used in accordance with the
instructions in this manual. Read all instructions and safety labels before use. (EN ISO
15223-1, 5.4.3)
This manual is intended for an operator who has a working knowledge in radiation physics and
dosimetry and who has experience working with treatment machines and accessories. The
operator of the device bears the full responsibility for validating measurement results.
The device and its accessories must not be used for any other purpose than described in this
manual. See Intended Use on page iii. Violation will result in loss of warranty.
Modifications to Equipment
Any changes or modifications to the device that are not expressly approved by Sun Nuclear
Corporation could void the user’s authority to operate the equipment.
EMC Precautions
The MapCHECK, Model 1175, is intended for use in the electromagnetic environment specified in
the tables below. The operator should ensure that it is used in such an environment.
Table A-3. Manufacturer Declaration—Electromagnetic Immunity for Systems that Are Not Life
Supporting
7
d = ------ P 800 MHz to 2.5 GHz
E1
where P is the maximum output power
rating of the transmitter in watts (W)
according to the transmitter manufacturer
and d is the recommended separation
distance in meters (m)
Field strength from fixed RF transmitters,
as determined by an electromagnetic site
survey,a should be less than the
compliance level in each frequency range
b
.
Interference may occur in the vicinity of the
equipment marked with the following
symbol: