0% found this document useful (0 votes)
839 views13 pages

QA Telecobalt (AERB) Protocol

Uploaded by

vanisha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
839 views13 pages

QA Telecobalt (AERB) Protocol

Uploaded by

vanisha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 13

Telegamma/QA/2006

Acceptance/Quality Assurance Tests for


Telegamma Therapy Unit

1 Identification :

1.1 Name of the Institution :


1.2 Address with Pin code
1.3 Telephone/Fax Number :
1.4 Head of the Institution :
1.5 Name and qualification of the
:
Radiotherapist(s)
1.6 Name and qualification of the
:
Physicist(s)
1.7 Teletherapy Unit Installed by :
Date :
1.8 Unit model & number :
1.9 Head number
1.10 Couch number :
1.11 Source drawer number :
1.12 Radioactive source type :
1.13 Maximum capacity of the Source
:
head
1.14 Source Strength ______ RMM (______TBq) on ________
1.15 Name of AERB/RPAD :
Representative(s)
1.16 Source loaded/ replaced by :
1.17 Date of approval of layout plan :
2 Electrical Tests

2.1 Interlocks :
2.1.1 Treatment room door
Provided? : Yes / No
Working? : Yes / No

2.1.2 Head lock :


Provided? :
Working? :

2.1.3 Off shield


Provided? :
Working? :

2.1.4 Hand control


Provided? : Yes / No
Working? : Yes / No

2.1.5 Treatment mode : FIXED / ARC / SKIP / ROTATION


Provided? : Yes / No
Working? : Yes / No

2.1.6 Treatment angle :


Provided? : Yes / No
Working? : Yes / No

2.1.7 Source drawer or shutter


Provided? : Yes / No
Working? : Yes / No

2.1.8 Emergency stop buttons to .


interrupt the irradiation
Provided? : Yes / No
Working? : Yes / No

2.1.9 Head collision switch


Provided? : Yes / No
Working? : Yes / No

2.2 Source Head Displays


2.2.1 Beam OFF indicator
Provided? : Yes / No
Working? : Yes / No
2.2.2 Beam ON indicator
Provided? : Yes / No
Working? : Yes / No

2.2.3 Head lock indicator


Provided? :
Working? :

2.2.4 Collimator rotation indicator :


Provided? : Yes / No
Working? : Yes / No

2.2.5 Off shield indicator


Provided? :
Working? :

2.2.6 Light field displays :


Provided? : Yes / No
Working? : Yes / No

2.3 Control Console Displays


2.3.1 Beam OFF indicator
Provided? : Yes / No
Working? : Yes / No

2.3.2 Beam ON indicator


Provided? : Yes / No
Working? : Yes / No

2.3.3 Head lock indicator :


Provided? :
Working? :

2.3.4 Off shield rotation indicator :


Provided? :
Working? :

2.3.5 Arm position indicator :


Provided? : Yes / No
Working? : Yes / No

2.3.6 Door position indicator


Provided? : Yes / No
Working? : Yes / No

2.4 Control Console Functions


2.4.1 Power Switch :
Provided? : Yes / No
Working? : Yes / No

2.4.2 Reset Switch


Provided? : Yes / No
Working? : Yes / No

2.4.3 Beam ON Switch


Provided? : Yes / No
Working? : Yes / No

2.4.4 Beam OFF Switch


Provided? : Yes / No
Working? : Yes / No

2.4.5 Emergency Switch


Provided? : Yes / No
Working? : Yes / No

2.4.6 Timer switch with treatment &


elapsed time displays
Provided? : Yes / No
Working? : Yes / No

2.4.7 Treatment mode selection switch :


– Fixed / Arc / Skip / Rotation
Provided? :
Working? :

2.4.8 Selection switch for clockwise & :


anti-clockwise rotation
Provided? :
Working? :
3 Mechanical Tests

3.1 Physical Characteristics

3.1.1 Couch
3.1.1.1 Minimum couch level above floor : cm
3.1.1.2 Horizontal Motion : from cm to cm
3.1.1.3 Vertical Motion : from cm to cm
3.1.1.4 Lateral motion : From to cm
3.1.1.5 Rotational motion : from deg to deg
3.1.1.6 Couch locks :
Provided? : Yes / No
Working? : Yes / No
3.1.1.7 Shift in optical field due to vertical : (Tolerance: 2 mm)
motion from min. to max. position

3.1.1.8 Shift in optical field due to rotational : (Tolerance: 2 mm)


motion from -90 deg to 90 deg
3.1.1.9 Couch material :

3.1.2 Collimator
3.1.2.1 Rotational angle : from deg to deg
3.1.2.2 Field sizes available
Lower jaw : from cm to cm
Upper jaw : from cm to cm
3.1.2.3 Distance from isocentre : cm
3.1.2.4 Optical beam & collimator axis : mm.
Coincidence (Tolerance : < 1 mm)
3.1.2.5 Parallelism of the jaws
Lower jaw : deg
Upper jaw : (Tolerance: 1.0 deg)
3.1.2.6 Orthogonality of the adjacent jaws
3.1.2.7 Symmetry of jaws : (Tolerance : < 1mm)
3.1.2.8 Optical field overlap
0 and 180 : mm
90 and 270 : mm (Tolerance: 1.0 mm)

3.1.3 Gantry
3.1.3.1 RPM (.1 to 1) tests : (Tolerance : 1%)
3.1.3.2 Angular scale test : (Tolerance : 0.5 deg)

3.1.4 Isocentre : dia (Tolerance : < 4.0 mm dia.


sphere)

3.1.5 Head Swivel :


3.1.6 Read – out Accuracy
3.1.6.1 SSD or SAD verification : Stated (cm) Measured (cm)
3.1.6.1.1 Mechanical front pointer :
Optical distance indicator :
Laser beam indicator :
(Tolerance: < + 1.5 mm.)

3.1.6.2 Field size (Fs) definition

Set optical Measured optical field size (cmXcm) at Gantry Position Tolerance
Field size(cmXcm) 00 900 1800 2700
5x5 For F≤ 10x10,
10x10 ≤ 1.0mm
15x15
20x20
25x25 For F> 10x10,
30x30 ≤ 2.0mm
35x35
40x40

3.1.6.3 Optical distance indicator scale verification

Couch Optical Distance Indicator Reading (cm) Tolerance


Position
0 cm
NTD+ 20
To
NTD - 20 + 1.5 mm
(In steps of
1.0 cm)

Please note that 0 cm corresponds to normal treatment distance (NTD).


4. Radiation Checks:

4.1 Congruence Between Optical and Radiation Fields:

Place a paper packed therapy verification film with proper build-up thickness at treatment
distance. Set 10cmx10cm optical field on the film surface. Place angled lead wires at the
corners of the optical field and also on the lines defining the cross- wires (but outside the
field). Expose the film so as to get an optical density of nearly1. Develop and fix the
exposed film and measure the densities using a 1 mm hole densitometer. Plot left to right
and gantry to front density profiles. Read out 50% density widths from both plots to define
radiation field. Compare set optical and measured radiation fields for congruence.

Film used :
Exposure : R
Set Field : cm x cm
Radiation Field : (measured 50 % width in two orthogonal directions).
L to R : cm.
G to F : cm.
Tolerance: < 2 mm.

4.2 Output Calibration:

4.2.1 Shutter timer error

Shutter timer error can be evaluated by double exposure technique. Place the center of the
thimble chamber (with build-up cap) of the Secondary Standard Dosimeter (SSD) at the
normal treatment distance. Select a time t such that the meter of the SSD reads more than
2/3 of full scale. Give 5 exposures, each of time t, and calculate the average reading R1.
Next, give two consecutive exposures of (t/2) min. each and take the reading at the end of
time t(t/2 + t/2). Calculate average of five such readings. Let this be R2. Compute the
shutter timer error, Δt using the equation:

Δt =

S.No. 1 2 3 4 5 Ave. Δt
Sec.
R1
R2
4.2.2 Output calibration and determination of output factor (OF)

Output measurement shall be carried out in a liquid water phantom using an absorbed dose
to water calibrated secondary standard dosimeter. The phantom dimension should be
sufficient to provide at least 5 cm margin beyond all four sides for the largest field size
employed at the depth of measurement. The formalism and methodology of IAEA TRS 398
should be applied during the measurement and calculation.

Make, model and serial no. of dosimeter:

Absorbed dose to water calibration factor ND,w = Gy/C or Gy/meter


reading

Date of calibration of dosimeter (attach a copy of calibration certificate):

Calibration factor for electrometer if calibrated separately:

Calibration factor for the ionization chamber if calibrated separately:

Reference conditions for calibration: Po: _______ kPa To: ________ °C

Average environmental conditions during measurement: P: ______ kPa T: ________ °C

KT, P = [(273.2 + T)/(273.2 + To)][Po/P] =

Source to water surface distance: 80/ 100 cm Depth of measurement, d = 5 / 10 cm

Irradiation time, t = minutes

Multiplying factor, MF = KT, P * ND, W * 1/(t + t) =

Field Meter reading for time t min. Output at d, PDD Output at OF =


size 1 2 3 Average Dd = Mavg*MF /100 dmax, Ddm Ddm(r)/
cm2 Mavg Gy/min =f = Dd/f Ddm(r0)
3x3
5x5
10x10
15x15
20x20
25X25
30X30
35X35
r = given field size r0 = 10 x 10 cm2
4.2 Wedge Factor:

Place the chamber with appropriate build-up cap at SSD+dm. Cm. Set the collimator jaws
to correspond to wedge field being used. Take five readings for this field and average
them. Let this be R1. Insert the wedge filter in its holder and take 5 readings under
identical conditions of irradiation. Let the average of these readings be R2. Then the
wedge factor is defined as :

WF =

Sr.No. Wedge Filter Wedge Factor


Angle Field Size Measured Specified by
(cm x cm) Manufacturer

4.4 Couch Transmission Factor:

5. Radiation Protection Survey:

5.1 Head Leakage

5.1.1 Source ‘OFF’ condition


Measured exposure Measurement positions
rate (mR/h) at 1 2 3 4 5 6 7 8
5cm from the surface
of the source head
1m from the surface
of the source head

Tolerance : < 20 mR/h when unit is loaded with maximum capacity source at 5 cm
Tolerance < 2 mR/h when unit is loaded with maximum capacity source at 1m
5.1.2. Source ‘ON’ condition
Measured exposure rate at 1m from the source with collimator jaws completely
blocked with appropriate lead thickness
Maximum :
Minimum :
Tolerance : < 0.1 % of RMM of the loaded source.
5.1.3 Collimator transmission
The collimator transmission is measured over a range of field sizes at a distance of 1
meter from the source. The collimator transmission measurement points must be chosen
outside of useful beam openings but not beyond the maximum definable field size.

Tolerance : < 2 % of RMM of the loaded source.

5.1.4. Instruments used :

5.2 Radiation Survey


Draw a neat diagram (on page 11) of the radiation installation and indicate clearly
areas occupied by radiation, non-radiation workers and members of public. Mark these
locations as A, B,C,D,………….., etc. Measure exposure rates (mR/h) at cardinal
gantry positions 00, 900, 1800 & 2700. Determine the safety integrity of the
installation.

5.2.1 Measured radiation exposure rates for telegamma therapy unit

Gantry Measured exposure Rate (mR/h)


Angle At positions (A…..I)
A B C D E F G H I
00

900
1800
2700

A,D&E- Primary Wall B &C- Secondary Wall


F- Public/ Radiation worker G- Door
H- Console I- Ceiling
Diagram of the Radiation Installation

CONSOLE
CENTER LINE OF THE UNIT
B
H

THE BEAM
CENTER LINE OF
G
DOOR

C
F

E D

5.2.2. Primary barrier adequacy

Direct the primary beam with fully opened apertures towards primary walls, ceiling
and floor – if basement exists – and measure the shielding adequacy of the primary
barriers. Records your observations in the table below.

Positions 1 2 3 4 5 6 Ave
Primary
barrier 1

Primary
barrier 2

Above
ceiling

Below floor
5.3 Other observations

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

5.4 Comments / recommendations

6.Accessories

6.1 Trimmers
Provided ? : Yes / No
Working ? : Yes / No
6.2 Breast cone
Provided ? : Yes / No
Working ? : Yes / No
6.3 Beam Shaping Tray
Provided ? : Yes / No
Working ? : Yes / No

6.4 Beam Shaping Blocks


Provided ? : Yes / No
Working ? : Yes / No

6.5 Isodose Charts


Provided ? : Yes / No
Working ? : Yes / No

Measurements carried out by

Signature :

Name :
Designation:
Date :

You might also like