PROCEDURE FOR HARDWARE & SOFTWARE IN SETTING MP3M-TBA

Step 1: First bring the TBA system under Linac head in a position like that the A bar will be always
towards target. Before aligning the phantom, make sure that Gantry and Collimator angles should be at zero
degree.
2
Step 2: Open 40x40 cm field size in Linac. Match the collimator cross hair with TBA cross hair.Y cross hair should
match with the TBA Single detector Cross Hair. If there is any tilt while matching the cross hair, adjust it by 3
cross hair adjustable locks. Refer to the below pictures…

Note: In the TBA Water Tank two cross hair marks is printed. One is Single cross hair and second is Linear Array
cross hair. Don’t match Y cross hair of the Linac with Linear Array Cross hair. It is for Linear array Detector.

Step 3: Now Check the Leveling of 3sides of the TBA by spirit Leveler. If there is any tilt adjust by 3 black colored
wheels. After that again check the cross hairs. If little bit mismatch adjust it.
Step 4: Connect the Scan lift power cable to power supply. Connect the TBA control unit Hand pendant to the
Scanlift.Fill the water till the black line (calibrated line) which is printed on the half of the TBA water tank. Wait
for at least 5 minutes. Watch water is staying at the level or not.

Step 5: Connect the Control Unit and Tandem by signal cable.Then connect one end of K1 and K2 cable to the
control unit and another end to the junction box to their corresponding position. Connect the one end of RS-232
cable to the control unit and one end to the PC or Laptop. Please refer to the below pictures.

Junction Box

Control Unit

Note: please insert the cables very carefully.

Step 6: Connect the 6meter extension cable of the chambers to the Tandem.
Note: please insert the cables very carefully.

IMPORTANT: if the Markus chamber is Field Chamber, before connecting it, Pls Ensure that
the chamber is encapsulated by the plastic protective cap so as to the Markus Chamber act as
a water proof chamber.
Step 7: Put the field chamber into True-fix holder and reference chamber into reference chamber holder in their
position. Fix other end of the extension cable in the chamber holder accordingly.

Step 8: Connect the field and reference chamber with their respective extension cable & holder.

Note: please insert the chamber very carefully.

Step 9: Fill the water up to the desired level. Again check the leveling of the phantom by spirit leveler & adjust
accordingly.

Step 10: Before connecting the control unit with the power supply, ensure that input power supply
from the socket is coming without any power fluctuation and switch on the control unit.

Note: In the Tandem there is voltage adjustment button and corresponding LED which indicates the voltage. For
0.125 cc. & 0.015 cc chamber both the reference chamber voltage should be at +400 V. For Markus chamber the
voltage of the Field chamber should be at +300 V and for any diode, the voltage should be at 0 V.

Step 11: Now connect the Control Unit Hand Pendant to the junction Box.

Control Pendant.

Step 12: Press LIMIT button on the TBA control Pendant. Please refer to the below picture.
After that one new window will be shown on the TBA control pendant display. Please refer to the picture.

Next step is you have to set all the –ve side of the bars. Like –A,-B,-C likewise.

For setting –A you have to click –A on the TBA control pendant and go the desired position where you want to
set your –A side. Please refer to the below picture.
If your limit already set and you want to increase your limit then press STOPCTRL button hold it and press the –
ve or +ve side of the bar. Example I want to increase the range of –A side. I will press STOPCTRL key and hold it
and then I will press –A button on the TBA control pendant. Please refer to the below picture.

Next step is after moving the –A bar to the desired position Press F2 of the TBA control pendant to set the
position of-A as a limit point of –A. Please refer to the below pictures.

If we want to move the bars slowly we have to press FAST and SLOW button on the TBA control pendant. Please
refer to the below picture.
Note: Please be careful while setting limit point chamber and bar should not hit anywhere.

Next step is please repeating the same thing which mentioned for –A limit for –B and –C.

Next step is we have to set the +A,+B,+C. Press F1 on the TBA control pendant. Please refer to the below
pictures.

It will move the red colored arrow on the LIMIT window screen to opposite side means +ve side. Please refer to
the below picture.
Next step we have to set limit point for +A,+B,+C. For doing this we have to repeat the steps which we did for –A
set up. Please while setting the limit point for +A,+B,+C we have to use only +A,+B,+C button of the TBA control
pendant. Please refer to the below picture.

Next step is after setting all the points like –A,-B,-C,+A,+B,+C we have to press F3 on the TBA control Pendant.
Then we will be directed to MAIN WINDOW. Please refer to the below pictures.

MAIN WINDOW.

Note: Do it very carefully.

Step 13: Click REF on the TBA control Pendant. A new window will be shown on the display of the TBA control
Pendent. Please refer to the below pictures.

Match Negative side of each slide of each arm should match with the black line mark on each Bar by pressing
keys on the TBA control Pendant. Please refer to the below picture.

Next after matching all the negative side of the bars with the black mark on the bars Press F2 for saving
reference points. Please refer to the below Picture.

Next press F3 and you will be directed to the MAIN WINDOW.

Step 14: Make sure that SSD should be either 100 cm or desire SSD by the TBA control unit lift control button
before going to start the measurement.

Step 15:Note: Below steps are for setting Null Point by new TBA control Pendant.
Press ZERO on the TBA control Pendant and you will be redirected to ZERO window. Please refer to the below
pictures.

Next step is put the acrylic buildup cap for the field chamber and match with the collimator cross hair by A,B,C
of the TBA control Pendant. Please refer to the below picture.

Next press F2. Then press +B and give 1.6mm effective point of measurement for semi flex chamber or if you are
using markus chamber then press –B and give 1.1mm effective point of measurement for it. Next press F2 and
then press F3.

IMPORTANT: Field and Reference Chamber Position.

 Make sure that should be on the according to the picture. Don’t keep the reference chamber middle of the side.
It might break the filed chamber during measurement.

Before removing the applicator or doing UP and DOWN of Lift please ensure the reference chamber is removed
from the applicator. Otherwise chamber will be broken.

Note:
As per protocol, EPOM for Cylindrical ionization chamber is 0.6*radius of the chamber for photon beams (here
EPOM for semi-flex chamber is 1.6mm) whereas for Electron beam is 0.5*radius of the chamber (here EPOM for
Semi-flex chamber is 1.4mm). If the field chamber is parallel chamber, the EPOM is inner surface of the Entrance
Window. EPOM
Final for Markus
checks withbefore
to be done protective capfrom
leaving is 1.1mm.
the Linac room:

1. Check SSD is at desire level

2. Check the tip (1cm length) of the reference chamber is at the corner of the field
3. Take TBA control pendant and Hand Control Pendant for Lifting the tank & filling Water out
from the set up area and keep them away.
4. Check the appropriate Voltage set in Tandem for appropriate connected chamber.
5. Check the Control Unit is ON or not.
6. Check RS-232 cable is connected between the control Unit and the PC or Laptop.

SOFTWARE SET-UP:

Step 16: Turn on your computer and go to PTW software.

Note: Click MC2 and then Click on center Check.For the customer those who are having Mephysto Navigator
installed in their computer click Mephysto navigator, then click Relative Dosimetry and then click Check of the
beam Center. Please refer to the below pictures.

CENTRE CHECK

Step 17: After entering into the center-check software, start ZEROING first.
After finishing ZEROING . Then start the measurement to find the radiation isocenter. While setting the NULL
point in the RFA, how much SSD is kept the same should be set here. Nominal set up conditions are:

SSD is whatever we set in the TBA usually either 100 cm or 90 cm.

Field Size: 10x10 cm2 & depths: Dmax & 300mm.
For Electron :10x10 App. At 1cm & 2 cm Depth till 10Mev & 1cm &
3Cm Depth till 18 Mev.

Please refer to the below picture.

Then Click on START. Please refer to the below picture.

This software will show CAX deviation in mm and Angle deviation in Degree. The acceptable criteria are +2mm &
1o. Once the measurement results are within acceptable criteria, click on the set NP then click on OK. (only one
click). Please refer to the below picture.

Then close the window.

For Photon You will have to do center check for every energy & For Electron 4 MeV, 12 MeV & 18MeV

TBA SCAN

Step 18: After that click on TBA Scan and for Mephysto Navigator user click on Water Tank Scans. Please refer to
the below picture.
Step 19: In that window two Tabs is there. In LINAC TAB there will be a Linac Orientation Graphics. You have to
select the orientation according to your TBA set up by scrolling it. Other parameters you have to set accordingly
your measurements. Please refer to the below pictures.

Step 20: Next go to MEASUREMENTS TAB. There is a sub tab Mean Time(S).For Photon you can to put 0.50 & for
Electron it is 1.0.

Step 21: Check the box of With Reference.

Step 22: In this tab there is a graphics of Chamber. Click upon it.There you have to select the chambers which
you have marked as a Field and Reference chamber.

Note: To set the chamber as a Field and Reference you need to go to Detector Library. Steps are given Below.

Open Mephysto Navigator.

At the bottom scroll down CONFIGURATION then you will be able to see DETECTOR LIBRARY. Please refer to the
below picture.
Then Click Detector Library. Please refer to the below picture.

After that you have to select the demo Chamber you have and click COPY and change the Parameters like TYPE,
S/N, NDW, PURPOSE OF USE(IT SHOULD BE RELATIVE) etc.

After doing it for all the chambers you got uncheck the VISIBILITY of others which you no need. Only checked the
chambers which you entered. After that click on OK.

Step 23: Medium should be at Water and rest of the selection you have to set according to your measurement.
Please refer to the below picture.
Note: For PDD chamber should always be coming from down to up. For doing this in the PDD sub menu the
Green arrow always should be down to up. Please refer to the above picture.

If you want to take only PDD then only check the PDD box. If you want to take only Y profile only check the Y
profile box if you want to take X profile only you have to check only X profile box. If you want to take PDD,Y
profile & X profile together for you have to check all the three boxes. Please refer to the below picture.
If you want to take Diagonal Profile you have change the Y & X profile Angle to Diagonal. Please refer to the
below picture.

If you want to take profile at only single depth enter the depth value in the DEPTHS window. If you want to take
multiple depth profile write the depth value in that window press ENTER the press SPACE then again write the
second depth value press ENTER then press SPACE likewise you can enter multiple depth value.

Note: Please mind the depth values you have to enter in mm.

Step 24: To set your own radiation device you need to click on TOOL---Radiation Device. Please refer to the
below picture.
Set the values according to your machine configuration.

First click on copy and rename the linac. Please refer to the below picture.

For inserting any new parameter please click you according to the below picture and press INSERT from your key
board. To deletion same step need to be followed.
NOTE don’t change anything in the Axes window and few parameters in the General window .please refer to the
below picture.

After setting everything click on OK then one Pop up will come again click on OK.

Step 25: To set your own steps and speeds of your measurements you need to click on TOOLS-- Steps &
Speeds. Please refer to the below picture.
For setting up PDD step you have to click on the PDD steps.

You can set steps Along steps or Equidistant. In Along steps option you can customize your steps according to
you region of interest and for Equidistant option steps will be same throughout the PDD measurement. You can
enter your step in the STEP window. Please refer to the below picture.

For profile you have to click on the Profile steps. In the window same Fanlines(Equivalent to Along Steps) &
Equidistant option is there. You can enter your step and. If you want more tail portion or you are measuring
bigger field you have to change the length of the profile by dragging the profile graphics. Please refer to the
below picture.

For speed you have to click on the SPEEDS and you can enter your desired speed. Please refer to the below
picture.

Then Click on OK.

Step 26: After setting all the parameters, turn on the beam and after few seconds click on Start.

Step 27: After your measurement over click on the particular measurement you need to analyze or CTRA+A to
select all or Right click and click on Select All. Please refer to the below picture.

Then click on Analyze.

Step 28: If you want to change your protocol, just below the PROTOCOL there is a drop down menu bar. Scroll it.
Please refer to the below picture.

Step 29: If you want to change the criteria of your protocol Click on edit after got into the analyze window and
change your criteria’s.
After setting all the criteria click OK.

Note: For Old software version After Click on edit you have to click on Modify.

Most Important: After setting TBA daily first press the Goto Reference. It is in correct postion check all the
coordinates’ limit points. If something goes wrong you may need to do reference point and limit point set.

After using Semiflex chamber if you are using parallel plate chamber please set the limit point for A- side.

** After finish your measurement please drain the whole water from the phantom.

If any further queries kindly contact us

Mr.Sujit Debnath, Mr. K.Kanakavel,

08754424483, 09003229976,
[email protected] [email protected]

Thank You verY much for using PTW sYsTem