Scribd
Upload
5 views2 pages

6

This document is a guide for performing daily quality assurance (QA) on the Elekta Synergy machine, detailing the steps to level the gantry and collimator, align phantoms, and verify output and safety features. It includes specific measurements and tolerances for various tests, such as aligning the Daily QA 3 phantom, checking beam outputs, and ensuring interlocks are functional. Additionally, it outlines the procedure for using the Winston Lux-Quality Assurance cube for imaging and repositioning checks.

Uploaded by

chinnasamysamy12354
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
5 views2 pages

6

This document is a guide for performing daily quality assurance (QA) on the Elekta Synergy machine, detailing the steps to level the gantry and collimator, align phantoms, and verify output and safety features. It includes specific measurements and tolerances for various tests, such as aligning the Daily QA 3 phantom, checking beam outputs, and ensuring interlocks are functional. Additionally, it outlines the procedure for using the Winston Lux-Quality Assurance cube for imaging and repositioning checks.

Uploaded by

chinnasamysamy12354
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

This will be a guide on how to perform the daily QA for the Elekta Synergy machine, though

some steps may apply for other machines.

Place a bubble level on the gantry, and set the gantry such that the bubble indicates the
appropriate level for 90°. Position another bubble level on the gantry to check for the collimator,
and set the collimator such that the bubble indicates the appropriate level for 0°. Leveling the
collimator may unlevel the gantry, thus, adjust the gantry and collimator in combination to find the
sweet spot where both become appropriately leveled. With the collimator at the mechanical angle
of 0°, rotate the gantry back to its mechanical 0° position as well.

The steps mentioned previously would be the exact procedure to perform before beginning to
test for variables. However, if the gantry and collimator angle indicators typically differ minimally
from the actual, omitting the leveling and using only the indicators may be sufficient. Additionally,
when aligning a phantom to the isocenter, it should be done by using the crosshairs of the light
field and the front pointer. However, if the room lasers typically differ minimally from the
mechanical isocenter, aligning a phantom using only the room lasers may be sufficient.

Place the Daily QA 3 phantom on the table, and align its crosshairs with the crosshairs of the
light field. Set the front pointer to 100 CM SSD, and raise the couch until the surface of the
phantom barely comes into contact with the tip of the front pointer. Check the ODI and the room
lasers that they are both within tolerance (distance indicator (ODI) @ iso for non-IMRT,
IMRT, and SRS/SBRT: 2 mm, 2 mm, and 2 mm); (laser localization for non-IMRT,
IMRT, and SRS/SBRT: 2 mm, 1.5 mm, and 1 mm). Set the field size to 20 x 20 CM, and
check that the light field matches with the etchings of the phantom (collimator size indicator
for non-IMRT, IMRT, SRS/SBRT: 2 mm, 2 mm, and 1 mm).
Perform an output verification for photon energies of 6 MV and 18 MV daily, and electron
energies of 6 MeV, 9 MeV, 12 MeV, 15 MeV, and 20 MeV weekly (x-ray output constancy
(all energies): 3%); (electron output constancy (except for machines with unique e-
monitoring requiring daily): 3%). Check that the beam on indicator and radiation monitor are
functional as the outputs are checked for (beam on indicator: functional); (audiovisual
monitor(s): functional). Additionally, open the vault door while the beam is on to check that
the beam shuts off (door interlock (beam off): functional). As the vault door closes, create a
motion within the range of the door’s proximity and/or pressure sensors to check that the door
reopens (door closing safety: functional). Check that the treatment couch can be seen and
that sounds within the treatment room can be heard from console via the audiovisual
system (audiovisual monitor(s): functional). Though stereotactic interlocks are not checked
for the Elekta Synergy, check to see that interlocks clear such as when the correct stereotactic
applicator is placed correctly in the tray (stereotactic interlocks (lockout): functional).
Remove the Daily QA 3 phantom, and mode up a field with a picket fence MLC pattern. Deliver
this beam to the EPID imager, and visually look for deviations (qualitative test (i.e., matched
segments, aka “picket fence”: visual inspection for discernible deviations such as an
increase in interleaf transmission). Mode up a field with a wedge, and check that there are
no interlocks (morning check-out run for one angle for universal: functional).
Re-enter the room, and gently depress the cover on the EPID, imaging detector, and source
housing to check that machine interlocks are functional (collisional interlocks for
non-SRS/SBRT and SRS/SBRT: functional and functional).
Place the Winston Lux-Quality Assurance (WL-QA) cube on the table, and align the smaller,
offset crosshairs to the isocenter by using the crosshairs of the light field. An alignment by this
method will result in measurements that are independent of the room lasers. Acquire an AP and
a lateral MV image, and perform a 2D/2D match via the imaging software. Check that the couch
shifts are within tolerance compared to the known offsets (positioning/repositioning for non-
SRS/SBRT and SRS/SBRT : ≤ 2 mm and ≤ 1 mm). Allow the imaging software to perform
the couch shifts to reposition the WL-QA cube. If desired, reenter the room to confirm that the
central crosshairs of the WL-QA cube are in alignment with the crosshairs of the light field. Take
another AP MV image, and see that the center of the sphere in the WL-QA cube agrees with the
isocenter defined by the graticule of the imaging software (imaging and treatment
coordinate coincidence (single gantry angle) for non-SRS/SBRT and SRS/SBRT : ≤ 2
mm and ≤ 1 mm). Repeat the following procedure for planar kV and CBCT imaging.

You might also like