Brachyvision Version 17.X: Installation Product Acceptance
Brachyvision Version 17.X: Installation Product Acceptance
x
Installation Product Acceptance
1.3 References
• B503361R01: Treatment Planning for Brachytherapy, BrachyVision Reference Guide
• B503362R01: Treatment Planning for Brachytherapy, BrachyVision Instructions for Use
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2 Introduction
2.1 Scope
This Installation Product Acceptance (IPA) procedure provides testing procedures and data recording tables to
enable Varian to demonstrate that the Brachytherapy Standalone and Network Aria 17.x has been successfully
installed and meets required manufacturer specifications.
NOTICE Access to the system can only be by a domain user with valid credentials
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3 Preliminary System Configuration
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9. Double click on the machine name in the table and select the Brachy Unit tab. Ensure that the Export
Directory is set to point to the correct location. Select OK and select File > Save All.
• For Bravos machine Only. Change the Source Center Dist. From Tip from 0.35 to 0.25
• Select OK to close window.
10. Check the tick box Parameters have been reviewed and are correct. Select Save Changes
The customer will need to commission and approve the appropriate source
NOTICE before they are able to treat.
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5. On the Approval tab, change the status to Commissioning. Select OK.
6. Enter password and select Save.
7. Repeat for other sources if needed.
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3.3 Install a Source in the Brachy Unit
1. Select Quicklinks > Administration > RT Administration
2. Select Workspace > Radiation & Imaging Devices
3. Highlight the correct Brachy device (if none exists, see above: Create a Brachy Unit) and select the
Radioactive Source tab. If an active source exists, skip to Install the Imaging Geometry. If not, select New
Source.
4. Enter the information for the source certificate if you have one; if not, use the table below to enter a new
source.
MACHINE TYPE
VARISOURCE BRAVOS GAMMAMED HDR GAMMAMED PDR
ID <Any ID> <Any ID> <Any ID> <Any ID>
Source Model VS Ir-192 (2012) GMPIr HDR (2012) GMPIr HDR (2012) GMPIr lr-192 PDR
Source Serial <source serial <source serial <source serial <source serial
Number Number> Number> Number> Number>
5. Enter the source wire serial number in the Serial Number field. Select OK, then select No for the source
report. If you do not have a source serial number and need to generate one, please see Appendix B.
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6. Select OK and Yes select File > Save All
7. Confirm changes.
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10. Select OK and select File > Save All
11. Confirm changes.
3.5 Configuring the Software for Use with a Flat Bed Scanner
(ScanMaker)
NOTICE This section is required if the system has a Flat Bed Scanner.
If a Standalone and network BrachyVision system was ordered with a flatbed scanner this software should
have already been installed, and therefore there should be no need to follow this procedure. In this case go to
the next section on installing the TIFF filter.
Install the Image Capture software supplied with the scanner following default instructions.
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3.5.1 Installing the Tiff Filter for Use with the Flat Bed Scanner
NOTICE This section is required if the system has a Flat Bed Scanner.
3.6.1 Configuring the DICOM Media File Import and Export Filter
1. Select Quicklinks > Administration >RT Administration
2. Select Tools > Import / Export Configuration
3. If the DICOM Media File Import Filter is not listed under Import, select Add
4. Select the DICOM Media File Import Filter from the list and select OK
5. Press the Browse button and select working directory where the Images will be located. This is usually
D:\Images.
6. Check to Backup Imported Files and press the Browse button and select backup directory. This is usually
D:\Varian\Data\Dicom\todelete.
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8. If the DICOM Media File Export Filter is not listed under Export, select Add
9. Select the DICOM Media File Export Filter from the list and select OK
10. Select the Browse button and select working directory where the DICOM files (such as treatment plans)
will be exported and select OK to close the dialog.
11. Select OK to close the Manage Filters Dialog. Select File > Save All
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4 System Verification
4.1 Test Procedures
This chapter describes the steps required to complete the System Verification test. It consists of 5 different
test procedures (TP). Some of the tests are only required if the system configuration includes the relevant
hardware.
• A basic understanding of the treatment planning functions is necessary to conduct the test. Please refer to
the ‘Brachytherapy Planning Instructions for Use’ for further instructions.
• The test procedure will outline the necessary BrachyVision commands shown in bold
• Ensure that all of the necessary items have been configured. See Chapter 6.
This image should be checked to ensure that it is to scale prior to using it for
NOTICE testing, printing and photocopying can rescale the images. (It should also
only be printed on A4 otherwise the image will be rescaled).
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13. Drag the images into the main windows. Select View > Measure > Distance to measure the distance of
the upper vertical line and the horizontal line of both test images. The distances should be 11.4 cm and
12.0 cm, respectively. Enlarge the images if necessary by selecting View > Zoom / Zoom In
14. The test passes if the images are successfully scanned and loaded, and the measurements on the screen
of each image are within 1.5 mm.
15. Close this patient by highlighting the patient in the top Left Focus window and select
File > Close
Results
The instructions for creating a test plan can be found in Appendix A Creating
NOTICE a Test Plan. If creating a plan, rather than importing a plan, skip to step 9 after
creating the plan.
There is a separate test plan for each treatment unit, i.e. GMPHDR. In case there is a test plan that already
exists on the system, remove the dwell time and re-enter it to force recalculation. If plan was manually created,
skip to step 9.
1. Select Quicklinks > Treatment Planning > Brachytherapy Planning
2. Import the test plan by selecting File > Import > DICOM Media Import File Filter
3. Browse to the location of the test plan.
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4. Select blue right-hand blue arrow to import the selected objects.
5. Select New Patient select OK
6. You may get some warnings if your machine is named differently to that in the file. Ensure that the machine
selected matches your machine. Other Information message may also be given. Select OK
7. Select the right arrow once to connect the objects to the patient and then the return arrow to close the
import window. If you get a warning about not having any isodose levels defined select Yes to use the
defaults ones.
8. The imported plan will be approved. Right click on the Plan icon and select Copy Plan and then right click
on the course and select Paste plan to create a copy that can be modified. Select OK to close the plan
properties dialog.
9. Right Click on the Applicator in the focus window and select Properties. Reselect the applicator from the
drop-down box (even if it is correctly set). Ensure that the Source parameters are set up as below and
select OK
For Bravos machines the first source position and last source position figures
NOTICE are different, see Appendix A for details.
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10. The system will ask if you want to scale the dwell times; select No. Select OK to the next 2 messages.
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4. For Nominal Sources (GammaMed or Bravos), the required dwell time:
• HDR is 100 seconds
• PDR is 1000 seconds
5. Select Planning > Modify Dose / Set all dwell times and enter the dwell time determined in step 9 and
press Set
6. Select Planning > Calculate the 3D dose. Select Window > Brief report window. Print the Brief report
by selecting File > Print / View
7. Compare the printed values with those listed in Table below. The results can be accepted if they are within
2% of the correct values.
8. Accepted results verify that the correct dose calculation parameters were set in the source configuration.
This test checks the dose calculation on BrachyVision using Varian supplied
WARNING sources, however if custom sources have been entered it is the user’s
responsibility to perform a manual dose check.
Results
*Applicable to Bravos
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5. Select Planning > Calculate Inhomogeneity corrected dose
6. Select the Calculation Medium and Reporting Medium as water and select Start Calculation
7. Once the calculation has completed, close the dialogue and Select Window > Brief report window. Print
the Brief report by Selecting File > Print / View
8. Compare the printed values with those listed in the table below. The results can be accepted if they are
within 2% of the correct values.
Results
*Applicable to Bravos
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3. Highlight Applicator 1, Channel 1 object in the lower left-hand focus window
4. Select Window > Dwell Control Window and enter 75 sec for the dwell time. The system may inform you
that the change invalidated the dose, select OK to continue.
The activity must be configured correctly for HDR in Data Admin or import will
NOTICE not be possible.
Selecting Brachytherapy from the Activity Category will allow for quick selection of the proper
Activity. If the activity is empty, follow HDR Integration Workbook to create activity in Data
Admin.
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16. Import Plan on the HDR iX console.
17. Deliver HDR test plan. Treatment results should automatically be returned to ARIA.
18. Check RT Summary for treatment results.
19. Appointment in Appointment Scheduling should now be marked Completed.
Steps 20-22 are backup options for when Aria integration is not working or not used.
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5 Reproducibility
5.1 Tests
1. The following table indicates some events for which Varian recommends the system be re-tested.
REPRODUCIBILITY TESTS
EVENT TESTS TO RUN
Film scanner repair or replacement TP1
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APPENDIX A TEST PLAN
A.1 Creating a Test Plan
1. Go to Quicklinks > Treatment Planning > Brachytherapy 2D Entry then select File > New Patient
2. Enter a Last Name and ID
3. Press OK
4. Select Insert > New Radiograph Set. The system will automatically create a plan. Enter the following and
select OK:
a. Technique = Interstitial
b. Dose per Fraction = 6 Gy (or 600 cGy)
5. The system will ask if you want to continue to work without images. Confirm it.
6. Select OK
7. Select Insert > New Applicator and enter the following:
8. Applicator length, GMP = 130 cm VariSource and Bravos = As needed per selected
applicator and TGT choice
9. Step size (cm) = 0.5
10. First source position = 0
11. Last source position (cm) = 0
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12. Select the Geometry button and enter two points for the catheter.
13. Once the catheter is entered in Applicator Properties enter the following and select OK:
14. First source position (cm) = 0 cm (If a Bravos Machine 0.1 cm)
15. Last source position (cm) = 0.5 cm (If a Bravos Machine 0.6 cm)
16. Select Quicklinks > Treatment Planning > Brachytherapy Planning and Save to continue.
17. Right-Click on Reference Points and choose New reference Point and Location
18. Click in the Transverse view then enter an ID. Select the Location tab to enter this coordinate from the
keyboard: (0.0, 2.0, and 0.0). Select OK
19. Repeat step 9 starting at Insert > New Reference Point and Location until you have 3 points with the
following coordinates.
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REFERENCE POINTS
X Y Z
0 2 0
0 4 0
-4 0. 0
20. There should be a total of four reference points together, with the primary reference point.
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APPENDIX B SOURCE SERIAL NUMBER
CALIBRATION CALIBRATION
WIRE TYPE COUNTRY WIRE SUPPLIER CHECK SUM
DATE ACTIVITY
02 01 3280 001 042303 11583 26
02
Types
02 - VS2000
24 - GM Plus (HDR)
25 - GM Plus (PDR)
27 – Bravos (HDR)
01
Countries
01 - USA
03 - Germany
05 - Netherlands
07 - Belgium
3280
Wire
Wire = 3280th
001
Suppliers
001 - AOS
002 - Bebig
003 - Mallinckrodt
004 - MDS
042303
Calibration Date
MM/DD/YY
11583
Calibration Activity
11.583 Ci
26
Check Sum
Last two digits from
total of paired
numbers
(i.e.,
02+01+32+80+00+10
+42+30+31+15+83 =
3 26)
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6 Publication Information
REVISION INFORMATION
REV DATE DESCRIPTION OF CHANGE AUTHOR NAME
Template Transfer TMP-GE-IPA_SW-D
C 27 Jan 2025 Updated the values in section 4.6 table Acuros BV Dose Steve Carey
calculation due to IR-2024-00513
6.1 Conventions
A stop describes actions or conditions that must be verified or satisfied before continuing.
A note describes actions or conditions that help the user obtain optimum performance from the
equipment or software.
A tip describes actions or conditions that simplify, improve, or assist the end user with the
required steps.
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Place
An icon box shows the user an image of the icon, button, app quick start, or other object to be
image
used and describes the objective or instructs how it should be used. This is a new table type.
here
TRADEMARK Varian products referenced herein are either registered trademarks or trademarks of
INFORMATION Varian, a Siemens Healthineers Company, in the U.S. and/or other countries. The
names of other companies and products mentioned herein may be the trademarks of
their respective owners. Any rights not expressly granted herein are reserved.
CONTACT Support services are available without charge during the initial warranty period. If you
INFORMATION seek information not included in this publication, contact Varian.
You may use MyVarian for all means of contacting Varian. Click Contact Us. No
registration is required but is recommended.
If you are unable to access MyVarian, use the following email address for support:
[email protected]
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Print all information clearly.
BrachyVision PCSN
Institution:
Address:
Varian Representative:
Printed Name
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