cover (Page 1)
Contents
1. VG emp ier I RADIONICS SIEMENS medical TomoTherapy VARTAN medical systems It s all about RIT 4 You VS EPID User CR User lon Chamber Array User Film User irae The All In One IMRT QA Solution2. GAWI 18 Se Wel a NE 6 SURE 12 ONDE Se ee a BEA 1a ee a EEE T h kA ia ATi a Toi ie 01a aa E ire GSAT a IHS NEHA ME C5060 14 OT SATB 65018 THES Es BF ai Piraja ARACE 18 TAA Wi RIAR EAN i 4 15 ga Pinal waka Pi 6 800 Y 14 057 viue BEB BA SSO value Siit Leg lite PL i o OOA rege Lire irn Horne o ETE ERTE aoire daol red 13 14 Static and Dynamic MLC Bayouth MLC Analysis RIT113 gives you measurement solutions to the unique set of problems associated with MLC Transmission Analysis TG50 Recommended Memorial Sloan Kettering Test Pattern Static and Dynamic MLC treatments such as leaf leakage leaf position leaf transmis This routine tests the MLC operations as defined in the AAPM TG50 recommendations The transmissions for each leaf is reported The high resolu MLC Transmission Analysis TG50 Recommended sion position accuracy leaf synchronization leaf speed and beam on delay With its tion of the film scanner provides unparalleled accuracy in MLC performance analysis for each leaf 50 Fluence Analysis TG50 Recommended high spatial resolution dose level resolution ability to integrate dose at multiple points Varian DMLC Test Patterns Analysis over time automated analysis routines and quick setup RIT113 can make short work of performing this suite of QA tests that will give you confidence in your MLC treatments These tests can be used during commissioning and on a routine basis because they ar
3. fa ce E 5 at 2 750m a Eclipse 3D AEETI LE a 3 rpertitt te ot 20 Tt ll pA EEHEHE PSR ii eS x My Documents Custom colors pe tia sp2et araib is EA T E TI eS Aa ae BEE EE a ff a SRS ee a a oa My Network File name z Define Custom Colors gt gt H em Places Save as type Adobe Acrobat PDF pdf ad Butzioday pub advfiajuy s anog buiziwiojsn Save copy and print individual plots with a right click Change colors lines fonts in screen display preferences Customizing Your User Interface and Reporting Statistical Trend Analysis Reporting Improved in V5 Now For ALL RIT113 Routines Monitor Calibration With TG18 and SMPTE This reporting routine gives you the power to save all your test results in a database for later viewing and analysis It gives you a Statistical Process Perform monitor QA with the SMPTE or the AAPM TG18 test patterns Select from the full suite of TG18 images for your QA ni p sagi ictri_ AAPM 2005 used with permission Samei E Badano A Chakraborty D Compton K Cornelius C Corrigan K Flynn MJ Hemminger B Hangiandreou N Johnson J Moxley M Pavlicek W Roehrig J Control ru i na with limits designed to sepa tatg random and non ra Prom va NAUDIN your data It also gives you a ie showing the distri Rutz L Shepard J Uzenoff R Wang J Willis C Assessment of Display Performance for Medical Imaging Systems Report of the American Association of Physicists i
4. New in V5 This routine measures the misalignment between the CyberKnife Cone and the laser system The CyberKnife is moved to the desired location and an image of the cone is captured on film The intersection of the lasers is marked on the film with a pin prick The routine measures the difference between these two points Other CyberKnife routines will be added soon Depth Dose Profiles Dmax D10 D20 and Ionization Ratio are computed Extracted profiles can be smoothed and then exported in a variety of formats Cross Sections This routine measures FWHM Flatness Symmetry and Penumbra on a profile of an image User selectable definitions of Flatness Symmetry and Penumbra allow you to choose the method of calculation that is most appropriate Integrated Dose and Dose Under the Curve are reported for Gamma Knife Users Star Shot Analysis This routine measures the mechanical alignment of the gantry the collimators and the table It automatically finds the starshot beam centers and edges to calculate misalignment using a variety of measures and finds the Smallest tangential circle that will touch or cross all beam centers Largest perpendicular distance from the beam center intersection centroid to any beam center Largest perpendicular distance from a user defined point such as the laser intersection to any beam center ANSI Standard N449 1 Gantry misalignment statistics Maximum distance between beam intersections The be
5. a ere Ee me PO ee More Dose Calibration routines on the next page 17 18 UOL D1GL D asog Dose Calibration continued Perpendicular Dose Calibration Develop standard perpendicular dose curves quickly and easily from two or Spare more films Zero dose entry has been simplified to speed up the last part of this a uo A a T ak ea WE Tie RE process Elekta iView Calibration Since the iView panel is very linear you only need three dose points to develop a calibration ASE Nr AEn paine eael curve Use measured doses from three or more images to quickly develop this calibration curve y 0 04 R 10000 pvsiue 0 0000 mo 2 323 4 Mean 116712 50 33459 Dore Dose 16 00 EPO Prr vaefa Dose 43 00 EMD Pha Voe Dota 66 00 EPD Pot Viskan Dose 201 00 DPD Pinel Yate Dose 16 Pixel Ve 116821 2 5 Pixal Value Varian aS Calibration aep erpen e en i UTE UES A We ape EME WL TI Die TR WE dt oak Cate The Varian aS units can be calibrated with a simple wedge using paral tSS 2 BS a lel calibration the MLC step wedge for one shot calibration or several oes oo ee SC a Aa LE Faa ive hu jaam ma perpendicular exposures It s your choice STE CD ae Cie Ped Rat i i 1 a1 Pai hai T Pai Pai Bet Tsi het Pot tm Fos Fa he ws l S MEN PFAD NTE 2 Kodak CR Perpendicular Calibration See Using CR section of this brochure for more information Stereotactic A
6. airnn aain which will correct for spatial non linearity An auto crop feature 2 Sn SS has been added to automatically remove artifacts near the edges of the plate Kodak CR Perpendicular Calibration Easily calibrate your Kodak CR images to dose with at little as three uniform images rns 0178660 B at different dose levels Dave Ten PC ONT 09 FT OF Perpetua C ibni Pa Kodak CR Spatial Calibration Automatically correct for spatial non uniformities in the scan and feed direction Ion Chamber Arrays for QA Import dose maps from your PTW seven29 or Wellhofer MatrixX ion chamber arrays and use any of the RIT analysis routines to compare films or plans to the array The high precision of an ion chamber and the traceability to a national standard mean that your calibrations have very high accuracy You re Going To Love This RIT s patented Plan Base Calibration routine gives you the ability to make quick relative or absolute comparisons between any dose map and your Film EPID CR and lon Chamber Array images See page 18 for more information PTW seven29 Direct Interface New in V5 Fven easier than our film scanner interface RIT113 includes a new direct interface to the PTW seven29 that operates similar to our direct interface to your film scanner It simplifies temperature and pres sure value entry making them very quick and easy Using either timed or untimed measurements you can get 3D plots and 2D plots that let
7. at R100 location of each of the user specified R values in cm calculation of Ep prac tical range Rp measurement of dose due to x rays therapeutic range depth of Rp in cm and nor malized dose gradient Go Quick Flatness and Symmetry SNL One routine to do Horizontal and Vertical Profiles and Isodose Analysis all in one page 22 hys Sjuawainspay wibag asoy fo NIEWTEC Qroupe qualimedis Technical Specifications Software RIT113 Windows based software with interactive real time graphical user interface Required Computer Configuration e Pentium based or Centrino Duo computer desktop or portable must have one standard size 32 bit PCI slot available for Adaptec card or a PCMCIA slot if using a Vidar scanner in SCSI mode e Adaptec SCSI Interface for use with film digitizers Adaptec 2930U for PCI Adaptec 1460D PCMCIA or Adaptec 1480B PCMCIA e USB2 if using the Vidar Dosimetry Pro Advantage w USB2 e Adaptec USB2Connect 4000 full size PCI for desktops e Adaptec USB2Connect AAU420A PCMCIA card for laptops e 1 GB RAM Minumum e Minimum hard disk space for installation 1 1 GB After installation is complete optional files may be removed reducing the required disk space to as little as 500 Mbytes e CD ROM reader e Video graphics card and monitor capable of 1280 x 1024 minimum resolution and displaying 16 bit colors e Windows 2000 Professional w Service Pack 4 or Windows XP Pro
8. compare plans delivered at different dose rates or compare plans from two different types of treatment planning systems Dose differences exceeding 6 are blue Dose differences exceeding 6 are red Reference Dose lt 15 are white 2 4 6 6 10 12 Composite Analysis The plot from this routine combines the subtraction and DIA Pass Fail plots into one display In color coding it shows the areas that pass and or fail the DTA and Dose Difference Tolerances Green Pixels that pass both the current DTA and current Dose Difference tolerances Blue Pixels that pass the current DTA tolerance and fail the current Dose Difference tolerance Yellow Pixels that fail the current DTA tolerance and pass the current Dose Difference tolerance Red Pixels that fail both the current DIA and current Dose Difference tolerances The Composite Analysis is a more stringent test than the Gamma Analysis as the pixels have to pass each tolerance independently Pixels that fail the Gamma Analysis will also fail the Composite Analysis Pixels that fail the Composite Analysis may not fail the Gamma Analysis Jouy LY9I 8 LYWI SISA IMRT amp IGRT Analysis Isodose Curves This routine brings in any two dose images and then performs isodose contouring on either image or the overlay It is often used to deter mine if the execution of the plan matches the plan in the TPS All IMRT routines include a feature to control dose thresholding to exclude pixels below yo
9. 0 9814719 Li E ATE O 451 0 2 0271342 0 3005489 7 2588150 1 3636312 6 2039052 na a i 479 0 11 3266362 0 8075531 14 3611533 2 052026 2 4583218 507 05 7404206 1 3398669 6 9877260 0 412467 55 9225281 Tables in Current Table Type GE Paes 535 02 2336856 2 632047 1 0 4803316 0 4759291 00 0791712 IPAE 563 0 14 5309625 0 8046486 4 4052204 1 1975909 3 2785867 TG50 Delta 591 00 3482667 1 4702075 1 482162 0 5900996 2 131196 TG50 Uniformity 619 04 5639812 1 417045 14 8104954 2 156067 14 8844848 I mage In formation Tool aiii 647 0 2 0078867 2 9465351 6 740125 2 0645960 0 4985444 TEN e aa ESE De Lo This tool provides useful image metrics about the current image including 21 701 0 1 3805911 2 6511920 2 2279855 2 9660540 2 9629026 Raw unfiltered uncropped statistics Trend Charts 22 7290 1 300299 15370586 2 NAPS N 96724A N 780321 Run Chart TG50 Uniformity Leaf Pair 10 Uniformity J2 Data Histogram Cbg 1 6257 o 1 4523 i Current filtered and cropped statistics we ee ee ne DICOM tags for DICOM images September 2005 2777 2786 A WH Gag T amp RIT113 Trend Analysis pea S Tables in RIT Database Current Record z Table Type TGSOMPicket Fence 6 Field TG50 Uniformity Record 1 of 18 gt 16 Jun 2006 15 45 57 Edit Date s N jia aa AME TGS5O
10. COM RT e Binary with or without a header e Matlab e RTOG Binary e K amp S Diamond H AMOND Output Format All plots output appropriate data in ASCII format suitable for import into Exc l Plots and images may be saved as tif bmp png pcx and jpg files RIT plots also output in PDF format for import into R amp V ae systems like IMPAC Patient ae Archiving Systems Contact IMPAC your system manufacturer for jy rretra Comeant their recommended configu ration RIT reference images may be exported in MATLAB format afi The tarhi additional analysis outside A The MathWorks RIT113 software Digital Image Import RIT113 can import images from any system with a DICOM output and these digital systems e Varian aS500 1000 e Elekta iView GT EPID e Kodak CR e Siemens Film RIT113 can be used with many different types of trans parent media The most commonly used films are e Kodak EDR2 e Kodak XOMAT V e Radiochromic Ion Chamber Arrays e Wellhofer I mRT Matrixx e PTW 2D Array with seven29 lon Chambers C 0470 Fax 33 1 43 53 68 25 www view tec com RIT113 V5 interfaces to every commercially available treat ment planning system Contact us to setup an interface with a system that is not listed Tap tine BrainLAB Qcms DOSI soft KIA ADS Nordion Lorne ddeenciog Feat nomos RADIATION ONCOLOGY Nucletron PERMEDICS ff Pinnacle
11. EEC EET CELE Eis I p PEIN FETERE F E JGRMRR EOE SRR SE Teer ee sby AaquiDy UOT 8 4 AIdz wt buisn Using Film EPID CR amp lon Chamber Arrays Importing And Using CR Images for QA RIT113 fully supports digital images from the Kodak 2000RT and other CR equipment DICOM files are easily converted to RIT format giving you the complete palette of RIT113 routines and functionality You get the precision of RIT113 dosimetry and the ease of a filmless system RIT sells the KODAK CR system for Dosimetry Please call RIT for a quote on the Kodak 2000RT for use with your RIT113 Dosimetry Software You re Going To Love This RIT s patented Plan Base Calibration routine gives you the ability to make quick relative or absolute comparisons between any dose map and your Film EPID CR and lon Chamber Array images See page 18 for more information A J Olch Evaluation of a computed radiography system for megavoltage photon beam dosimetry Medical Physics Vol 32 No 9 September 2005 pages 2987 2999 Validation of a Plan based Calibration Method for Relative Dosimetry A J Olch AAPM 2006 Meeting Poster paper SU FF T 499 3D CR Flatness amp Uniformity Correction Corrects for flatness in Scan and feed direction All of the clinically usable dose ranges A 3 dimensional correction matrix is developed as well as a 2 petion A dimensional spatial calibration using the Kodak test pattern aoe roe ee
12. Medical Physics 23 May 1996 pp 635 641 tional dose delivery This method utilizes test patterns for step and shoot and sliding window techniques Position Plot Treen tee Dew Oh ve Pent ancien and Loo Per wit i Position Delta mm METTI FTTR Abantlansa s praean n wis OEE e a ee aoe DS a ee ee E S ee eee ee ee ee Tuna a ve TEREEEESEESEEL ES EES SSE ET lew Per JTW Lubu q pun 313035 Dose Calibration New Daily Output Factor Adjustment Varian aS Calibration MLC Calibration Technique New Calibration Data Point Highlighter iView Calibration Use this RIT patented technique to calibrate to dose in just 2 Plan Based Calibration us Patents 7233688 7024026 Parallel Dose Calibration films RIT113 supplies an MLC file to generate a step wedge MLC Calibration Technique us Patents 6675116 6934653 International Patents Pending Kodak CR Perpendicular Calibration in dose This step wedge has 13 dose steps on a single film 2D Scanner Spatial Calibration Kodak Spatial Calibration This dose step film combined with an unexposed film for Monitor Calibration With TG18 and SMPTE PDD Table Editor zero dose is all you need for a complete calibration curve Perpendicular Dose Calibration You can also generate your own MLC step wedge file with more than 13 steps Alternatively you can use your primary collimators to direct the beam to a narrow band then step your couch to achieve the same steps of dose For even mo
13. Picket Fence 6 Field i ena FF j i Er WS Wa Ws eS Ties Pps ees es FI kg BE BF FS BES zloday pup advfiajzuy sasp anog 6 v bul Lyx 1 6257 Ceia Rirvieage Disney Stale Statistics ec ILE Roger imagea irre Tipe baer ella heme i SUPT 3 7444e 000 i Silay 20e D0 2 MIM_CURRENT Hela Dore Mac 3 Fiki prae 3 RANE CURRENT 3 450400 J Ree 74 4 Format DICOM 4 STO_OFRAENT Loen 4 alari Ei T Fotratyersion 3 E PEAN OURAENT Li 5 Piel Seal Y i0400 6 vrdi foo 6 MED CURRENT s1533 G Fiel Scale N 0 4383 7 Height fa 7 SLM _OURRENT o arie 7n im B Biia r B max Rawi 37a N 2 T6440 9 Coker Type wayne S HN RAV l NG fo 10 Filistarar matamiu 192 IRANGE Rail 5 Ji 003 GY ii Fikia maberiversion 2u 18T Raw Lia LETTU 12 Madistinr ageSOPC lass AD Lana LOS 1 4 1 1 40 7 LIETAM RAN Looe on shoes 13 MedisStorageSOPinssanceu 1 36 14 1 2452 1 12120 SOO a TI MEDIAN FAW 5 n 57H 1 Te pre hartera i edo a r al ta ae FA rae bree b cz _ LCL sx 1 6816 10 11 12 8 Occurrences MR Chart L r 1 2433 LOLwer 0 0000 0 8 2 0 2 4 Subgroup TG50 Uniformity Leaf Pair 10 Uniformity J2 Moving Range 5 S f ASCII Export All measurements can be easily exported to an ASCII file for import to other software including Excel Measurement Tool Interactively perform measurements on any image
14. RIT It s all about V5 y EPID User CR User lon Chamber Array User Film User The All In One IMRT QA Solution What s New in V5 1 New Analysis Pane and Reporting Interface It s All About You 4 New Radiochromic Film Uniformity Correction For more information see the Customizing Your User Interface and Reporting section of this brochure An RIT Mathmagical solution for fibrous dosimetry films Use this routine to correct for fiber scatter and scanner roller issues Viewing Features RIT113 Radiochromic Film Non uniformity Correction View up to 6 analyses simultaneously in our new analysis panes Change colors lines fonts in screen display preferences B ENERE g awe nae Bach pod image CR vDo rages Wiadioe Q ret Right click on any plot to change the appearance of colors lines fonts Add Annotations Isoline Editor Significantly faster updates on all displays BETTY MAT Analysis Hest ees LAN eee ee ee ee S uat im i s E 4 E e J ii Zi m l 12 J X li ii 7 6 i i ik Customized Reporting Features Set preferences for which plots will auto run when you perform any routine wie bop e 5 Improved Statistical and Trend Analysis Reporting It s not just for MLC anymore Now you can import results from any quantifiable beam measurement and track and report all of your test data and trends over time For more information see the Customizing Your User Interface and Reporting section o
15. See page 18 for more information Radiochromic Film Uniformity Correction New in V5 A Mathmagical Solution for fibrous dosimetry film RIT has developed a complex set of image processing algorithms to correct for the non uniformities in each piece of film Use this routine to correct for fiber scatter and scanner roller issues Automated 21 Point Film Processor Correction US patent 6528803 EU Patent 1252550 Changes in the film processor can result in large differences in calibration curves This routine compensates for the causes of deal variation Temperature changes Replenishment rate of chemicals Changes in chemicals Type of developer Oxidation of some of the chemicals Type of film EDR2 is more sensitive to processor variations then XV Number of films run per day Within reasonable operational limitations Uses SensiX model sensitometer a 3 a g a ri n Ka 7 Sensitometry The Sensitometry routine uses the PIW SensiX sensitometer to automat ically analyze the sensitometry strip according to FDA specifications and plots a characteristic and gamma curve 2D Scanner Spatial Calibration A two dimensional correction using 4 marks on the film that automat ically calculates the correct pixel sizes in the scan and feed direction then develops the correction This must be done for each scanning resolution p Importing amp Calibrating EPID Images for QA Use your Elekta Varian or Siem
16. Y ree OPP tiiti eerie tier eeres PET TU TE ET rere reese aun UNOAATRAGAGHRGATECGEEEE Leaf Pair i i i erent es TETEE Bubetabesscm Shoe dene oy BRR etteoee el Pe E f i l Transmission Dev Tolerance 20 0 123456 78910123458 78222722202296 BA38560990 4449448 A961 SS DE Leaf Pair Fe oe dae ee a cy ee Vey a Position Delta mm Tolerance 1 mm Memorial Sloan Kettering Test Pattern This simple test pattern is great for routine QA checks on your MLC to help comply with TG53 s recommendations for treatment planning and deliv ery This one test pattern measures stability of leaf speed effect of lateral disequilibrium on dose profiles between adjacent leaves significance of acceleration and deceleration in leaf motion effect of positional accuracy and leaf shape effects Performing these tests at different gantry angles Varian DMLC QA Test Patterns Analysis ensures that mechanical performance is within tolerance throughout the entire delivery Leaf errors as small of 0 2mm are easily resolved RIT113 automatically analyzes the 9 Varian DMLC test patterns to determine proper MLC operation Quantitative results as well as Pass Fail results are reported These tests evaluate positional accuracy of the leaves kinetic properties Including leaf speed stability leaf acceleration and frac Choi Spiridon Spirou LoSasso Testing of dynamic multileaf collimation Memorial Sloan Kettering Cancer Center
17. absolute comparisons between any dose map and your Film EPID CR and lon Chamber Array images See page 18 for more information Gamma Function This routine combines the dose difference measurement with the distance to agreement DTA to provide one metric for each pixel Gamma values greater than one indicate failure of both criteria The calculation of gamma throughout the measured dose distribu tion provides a presentation that quantitatively indicates the delivery accuracy relative to the acceptance tolerances The Gamma Function can be calculated for one or two dimensional dose distributions You can also look at Gamma Pass Fail plots and Gamma Histograms This routine is based on a technique by Lowe Harms Mutic and Purdy of Mallinckrodt Institute Low Harms Mutic Purcy A Technique for the quantitative evaluation of dose distributions Medical Physics Vol 25 May 1998 656 661 Low Dempsey Mutic Evaluation of the gamma dose distribution comparison method Medical Physics Vol 30 9 September 2003 2455 2464 Gamma Index exceeding 0 6 is red 2 4 6 868 10 12 14 2 4 6 6 10 12 14 Distance To Agreement DTA is the distance between a measured dose value and the nearest point in the calculated dose distribution that contains the same dose In this routine you set the tolerance and the maximum search area in cm and the calculations are performed This important tool is critical to analyzin
18. alibration Dose 94 80 Scann Datapoint Dose 116 00 Scar Highlighter Dose 123 80 Scan Dose 145 00 Scar Dose 181 20 Scan Plan Based Calibration us patents 7233688 7024026 You re Going To Love This RIT s patented Plan Base Calibration routine gives you the ability to make quick relative or absolute comparisons between any dose map and your Film EPID CR and lon Chamber Array images Using any dose map images no special patterns needed another image can be calibrat ed Overlaying this calibration with an existing absolute calbration can give you an idea of the overall accuracy Ipi Parallel Dose Calibration E ARET Aek el This graphical calibration editor lets you easily select RS h SE Slals MS As E Uie m E ima une D zz Lot dose points on a parallel image and assign dose values wa te Sy een Sam You may also import a PDD table with these values fa bn Ties phe ajg Ty rf COTTE Panes Catinae Pra ITET This technique can be used to eliminate field size depend encies in film EPID and CR images It can also be used with an ion chamber array to produce fast absolute dose calibration at a multitude of points This routine was developed in cooperation with Dr Arthur Olch PhD Chief of Physics Children s Hospital Los Angles CA Validation of a Plan based Calibration Method for Relative Dosimetry A Olch AAPM 2006 Meeting Poster paper SU FF T 499 Tre CAL hie Dirt een appi
19. am geometry data can be exported for further calculations Radiation Light Field Coincidence Improved in V5 ee ad This routine can use the MEDTEC Iso align or the Mick Nuclear IBCII phantom ya to accurately measure how well the radiation and light field match up Analysis includes Field Symmetry Field Flatness Radiation Light Field Width and Height Light Localizer Cross Hair Radiation Field Centricity Penumbra Width and Field Edge Orthogonality in vertical and horizontal directions for conform ing to TG40 recommendations This flexible routine can also be used with phantoms developed by users V5 adds the capability to analyze non symmet ric light fields Ail Isodose Contours Full image analysis in just seconds at resolutions you have only dreamed about Our user interface gives you the power to adjust the line width color style and palette for graphical outputs Images statistics may also be viewed in the image report Asymmetric Field Match Line This routine which is critical for head and neck treatments plots and measures the overlap or under shoot associated with independent collimators and calculates the width of the matchline region 3D Dose Profiles This routine can be used to aid in visualization of a complex treatment area The data is plotted with dose as the third dimension Electron Energy Analysis 1G25 This TG25 routine gives you percent depth dose calculations for normalized surface dose depth of R100 dose
20. e fast accurate and easy to use and you will be meeting the recommendations in Guidance document on delivery treatment planning and clinical implementation of IMRT Report of the IMRT subcommittee of the AAPM radiation therapy committee which specifies that IMRT QA protocol should include use of an MLC test pattern analy sis that can be done at any gantry and collimator angle s crete or r mar mrna m ara ana TER LEHU V5 now allows you to view multiple analyses simultaneously with the new user interface See the Customize Your User Interface Section of this brochure for more information Bayouth MLC Analysis This routine measures leaf position field junctions FWHM and spatial difference histograms MLC quality assurance techniques for IMRT applications J E Bayouth et al Med Phys 30 5 May 2003 pp 743 750 50 Fluence Analysis TG50 Recommended ee ee e e re This routine measures the MLC operation as defined in the AAPM TG50 recommendations Position transmission and FWHM are computed auto matically for each leaf at each position Transmission Dev vs Field Junction and Leaf Pair i i i POPUP PtP tt Pe eee et ere T i I I i Position Delta vs Field Junction and Leaf Pair BERR ECE Bo i ee a MOE e dee hte oy wads Suis oc fris oe aee EE oem H y Th Heres a eae ee Lar ta TELELKEEIES PUTT ee eee ETIT DELTLLILILTTTTTETTEEE TE
21. ens EPID for QA dose images with a seamless interface that do not require additional manu facturer hardware and software New in V5 you can now automatically read in all types of Varian aS images Quickly and easily convert single and groups of EPID images into RIT format Add together any number of EPID images for a composite image You re Going To Love This RIT s patented Plan Base Calibration routine gives you the ability to make quick relative or absolute comparisons between any dose map and your Film EPID CR and lon Chamber Array images See page 18 for more information Cl Generate Varianja gt Composite Usa Eribacicied Cadinatisn if Pradend C Uea Siskecteed Calibration Fike For All Files CL inEveretCnl eal FEF lpi crt linge Fine Picels Rak DATH SELECT CATA ERGASH rd Sie SELECT CARTS OEBE Sie BMGT Casts Arare Sine Eletka iView Calibration Since the iView panel is very linear you only need three dose points to develop a calibration curve Use measured doses from three or more images to quickly develop this calibration A curve a o aac i 0m w wo RATT 1S vire Pespandecular Cabbration Pist Varian aS Calibration ie Net Caren emis AO Do a e O The Varian aS units can be calibrated with as vasa et ich a simple wedge using parallel calibra tion the MLC step wedge for one shot calibration or several perpendicular exposures It s your choice HTH Siniri i a Tiiri CEPPEPOEER
22. erate Point 5 Klem a template file using the Register Template routines the ae registration points for the dose map will be automati port 2 X710 000 V 12 00 cally moved to the specified point locations in your Point 4 X 10 000 Y 10 000 plan This means that you will only have to specify the location of the fiducial markers pin pricks for the tem plate in the film image This technique can dramatical gi ly increase accuracy and save quite a bit of time For ai adat Pt Bit Pt Delete Pt Pt your convenience RIT has included several sample tem m Jn J _ poe 5 i files that correspond to commercially available SETI phantoms IMRT Automatic Fine Tune Registration This routine is an automated correction for small errors in the image registration that result from situations such as large TPS pixels positions of QA equipment selection of registration points or other causes You pick an initial set of points that are close to the optimal registration points and the Automatic Fine Tune routine will optimize the point locations for a best fit between the images i ey pH it He u Hi Pi ij ij 3D QA Phantom Your TPS executes a preset plan onto a film contained in the CIRS IMRT Phantom Gammex 496 IMRT and Gammex 473 Phantom Target QA Blue Box phantom Standard Imaging IMRT phantom Quasar Verification and Multi Purpose Body Phantoms CIRS Cube phantom MedTec IMRT Phantom and the Standard Imaging Lucy 3D Univer
23. f this brochure m meni O eee am 1m f kel 6 New CyberKnife Alignment routine For more information see the More Beam Measurements section of this brochure Set up your reports in your preferred format and RIT113 will remember that format until it is changed Changing a parameter or tolerance in your images will automatically update all of the images in your report 7 Improved Light Field Coincidence routine For more information see the More Beam Measurements section of this brochure Report options can be changed for each analysis pane to display annotations for various calculations Save and send your customized reports in multiple formats including pdf to your record and verify system to be included in the patient electronic chart 8 New Matlab Import Bring in your own images from any source including customized treatment planning systems For more 2 Daily Output Factor Adjustments information on import and export options see the Technical Specifications on the back cover of this brochure Adjust your calibration files based upon your daily output factor For more information see the Dose Calibration The MathWorks section of this brochure 3 New PTW seven29 Ion Chamber Array Direct Interface It s even easier to use than your Vidar film scanner interface For more information see the Using Film CR EPID amp lon Chamber 9 Automatically read in all formats of Varian aS images Arrays section of this broc
24. fessional w Service Pack 2 Printer Color or black and whitest facilities prefer color since many of the RIT113 outputs are in color Floppy Drive or thumb USB diwy used if a license transfer is necessary Supported Film Digitizers e Vidar VXR16 Dosimetry Pro with Firmware Version 13 0 e Vidar Dosimetry Pro Advantage Vidar part number 16321 004 or 005 with Firmware Version 46 3 and pass code suffix BVVVNN e Vidar Dosimetry Pro Advantage Vidar part number 16321 007 LED with Firmware Version 49 6 pass code suffix BVVVNN serial number 341000 or greater Classroom Training The purchase of RIT113 Software includes tuition for one participant to attend our class RIT113 Training Class With IMRT held at the RIT Training Center in Colorado Springs Colorado This hands on class gives you the skills to easily integrate RIT113 into your IMRT program Service and Support e Comprehensive user s manual e Integrated Help System e Complimentary telephone and Internet tech support e Internet Web Site knowledge base e 1 year complimentary support and software update package extended plans available e Classroom Training e Integrated Quick Start Guide RIT 2 rue Louis Pergaud 94700 Maison Alfort France Tel 33 1 43 53 68 20 Mail contact qualimedis fr Analysis Types e Planar e Composite e 3 Dimensional Dose Map Formats RIT113 can import dose map files in the following generic formats e DI
25. g IMRT deliveries in the high gradient regions You can also view DIA Pass Fail Histogram and 3D Surface Images OPA arpretag 7 timm ane red 1 4 a i 5 6 T 9 Ls 8 y A A amp i he Profiles After you bring in any two images and register them this routine will plot a profile through both images at the same spatial location Both profiles may be plotted with a Difference and or 1D Gamma plot Histograms are also provided to illustrate the difference between profiles Profiles Vertical Report gona Pit opeens Feference Image Tangot image Dosa Diference Proti Poite TIIM Em P ii A Wiii Diii sa Aea as l ih 1 Pe Mia a T a BA teen Diference 0 00072 e Profile Meda Fd te baat staan ar SY ra pi no Subtraction Use this routine to see the exact dose differences on a pixel by pixel basis between two images The output of this routine provides a difference image and a difference histogram You can set an acceptable threshold e g 3 and the software will tabulate the number and percent of pixels exceeding your tolerance in red and cold pixels exceeding your tolerance in blue Then change your threshold and watch as the analysis is recalculated in an instant You can also view a Subtraction Histogram and or Subtraction 3D Surface Plots This routine gives you the ability to compare step and shoot to sliding window techniques compare treatment with different numbers of beams
26. hure You no longer have to correctly select the proper Varian image format RIT113 automatically identifies and opens it in the correct manner For more information see using Film CR EPID amp lon Chambers section of this brochure FIN 20 ARRAY SA UL M N 5 404M Us Using Film EPID CR amp lon Chamber Arrays p Film Dosimetry for QA Precision is the entire point of IMRT and IGRT For 16 years film dosimetry has been the gold standard pas tool for the high resolution images that are the cornerstone of QA testing Speed and efficiency are critical to a busy treatment center but obtaining the most accurate dose analysis possible is the real responsibility RIT only supports FDA Cleared film scanners at 12 or 16 bits resolution because the FDA has man dated since 1993 that 8 bit scanning is insufficient for dosimetry and will not provide clearance for systems that use 8 bits Scanners that are not FDA Cleared and QA software that allows 8 bit scanning do not provide the repeatability that is essential to perform reliable dose analysis The product that you use to perform QA must be as regulated and reliable as the product you use to deliver dose Precision treatment requires precision QA You re Going To Love This RIT s patented Plan Base Calibration routine gives you the ability to make quick relative or absolute comparisons between any dose map and your Film EPID CR and lon Chamber Array images
27. n Medicine AAPM Task Group bution statistics of the data For researchers using Matlab the database is archived in a file readable by Matlab versions 7 18 Medical Physics Publishing Madison WI AAPM On Line Report No 03 April 2005 For more information on the use of Statistical Process Control and run charts see Pawlicki Whitaker Boyer Statistical Process control for radiotherapy quality assurance Medical Physics Vol 32 Syncronized Segmented Stripes vertical Po ji J3 J4 J5 Non Syncronized Segmented Stripes 47 0 6 8753966 3 7065835 4 7643568 3 8801460 3 5038636 A X Wedge Single 103 0 2 3509979 33 4150374 1 6444790 3 4198884 4 5661014 air seie 159 0 4 0196784 3 6952431 0 987566 3 6257963 0 7751276 Wedge Composite 215 0 6 1158593 3 9717347 5 7721665 4 5484809 7 0170299 Y Wedge Composite 256 0 1 3605194 3 5221589 2 5064612 3 0490380 2 7070417 Eoee 284 0 2 5241224 2 3179725 3 4295803 0 0571510 4 7827062 Complex Pattern B 312 0 1 583121 2 2285280 2 6224157 1 6662304 1 8982629 MSKiContinuous Stripes 340 0 2 2118660 0 7836425 17 2444816 2 5516504 3 0116267 Eiht cla des fen 367 0 3 0252354 3 9639994 1 9529313 2 7395940 2 9676419 RIT113 Starshot Analysis 394 04 7191770 5 1722134 1 704456 6 489457 RIT113 Assure Film Analysis 423 0 4 2442016 3 0084485 0 6324844 1 9139471
28. nalysis Stereotactic Cone Profiles Stereotactic Alignment The RIT113 Stereotactic routines utilize advanced image processing techniques to automatically locate the center of stereotactic fields and analyze objects within these fields These techniques ensure that the measurements are made with very high spatial precision The high level of dose resolution available with the RIT113 provides unprecedented measurements in the penumbra regions These tools provide the accuracy needed for performing quality assurance on stereotactic fields V5 now allows you to view multiple analyses simultaneously with the new User s Choice Interface See the Customize Your User Interface Tab Section of this brochure for more information Stereotactic Alignment This routine automatically measures the relative positions of multiple stereotactic cones and radio opaque balls to check for proper alignment Non circular cone shapes such as those generated by MLC leaves are supported RIT113 determines the exact centroid of the ball and reports the exact centroid of the cone This give you significantly higher levels of repeatability and it s dra matically faster than hand measurements Ball Centroid Row 142 50 Column 163 04 Cone Centroid Row 155 21 Column 157 19 Distance 13 99 pixels 1 24 mm 19 m Pai Dete X S05 piera 05 ove Cete Y 12 70 paris 1 D oe Del Croat Poe 16 6 C 1 D Core Contret Pow 155 5 s rem En Acte
29. ofile Vertical Diff Histogram ri H Profile Horizontal Diff Histogram i Hi 4 Subtraction Difference Plot E x Subtraction Tolerance Plot Subtraction Difference Histogram Subtraction 3D Dose Difference is lsodose Reference Image f pb 8 lsodose Target Image lsodose Overlay DTA DTA Image DTA DTA Pass Fail DTA Histogram DTA gt 3D DTA gt 1 5 cm Add Annotations Annotation Text OIX Enter Annotation Text Type your annotation here 1 Obey Isodose Editor BAA Isoline Editor Currently Selected Table Current IMRT Reference Overlay Isodose Lines Current Table No Delete Cie GM oo 30 Pees conor a os g SS SS SS EE E EEE EERREEE SEE Reference C RIT113 V4 Demo Imag Eclipse demo dem Subtraction PAT ha Report Options Profile gt verti x Report Options Plot Options Subtraction Histogram Target Reference Tae meee Vertical Profile Reference Image Target Image Dose Difference Toleranc 3 2000 Maximum Difference x PR Se aoge ee Minimum Difference 26 7049 Mean Differenre N NAIRA Measurement Tool P1 4 06 9 31 Value 59 54 P2 12 06 9 31 Value 44 52 Distance 8 00 Angle from Horizontal 0 00 60 POvVEe rio e l ee nt ee Save in E Eclipse x
30. or plot including graphical and statistical analysis with direct viewing of original data values By right clicking on the measurement tool a profile can be generated through any image or image type plot isodose subtraction gamma DTA at any angle Histograms of the data can be plotted and the ASCII data can be exported Current Plot IMRT Analysis Subtraction Histogram Target Reference Tolerance 3 Faia ReGrence knaqe Maximum Difference 21 3176 a El W i E daar Minimum Difference 64 6084 Sa sete ar eee Mean Difference 0 68068 sae FITI 1a eurenean Tod Froli Total Pixels 292800 Number of Pixels exceeding 3 23398 7 9911 Number of Pixels exceeding 3 38273 13 0714 Total Pixels exceeding 3 61671 21 0625 Bin Start Bin End Number of Pixels 65 5 64 5 4 64 5 63 5 88 63 5 62 5 82 62 5 61 5 39 61 5 60 5 35 60 5 59 5 36 59 5 58 5 34 58 5 57 5 32 57 5 56 5 31 Egien i HeT e ee E e t a Lit 56 5 55 5 46 55 5 54 5 218 54 5 53 5 95 53 5 52 5 65 2 5 51 5 50 51 5 50 5 39 50 5 49 5 39 49 5 48 5 33 48 5 47 5 33 47 5 46 5 30 46 5 45 5 29 45 5 44 5 29 44 5 43 5 31 43 5 42 5 24 42 5 41 5 28 41 5 40 5 30 40 5 39 5 32 39 5 38 5 64 38 5 37 5 87 i 37 5 36 5 72 aa I i H iii af Fi a i F 5 E83 S 8 Pinel alow g afi Ga eS eh ASCH Date a Pret a oped an AT Std io TAa A oe HEI Hb GT H
31. re accurate dose conversion multiple MLC step calibration films at different dose levels may be combined using the Calibration Merge Utility into one super calibration film For those using compensators decimal now makes a com pensator step wedge for our patented calibration routine that may be purchased from RIT In addition this can be used aris Perpendcuer catete Viw 0 optional with the Automated 21 point Film Processor Correction rou Dose Rotomensionstom Wa a H i tine to reduce the number of calibrations needed E Daily Output lire TEA 5 et jo RTTA Perpendicuter Calibration Plot i Daily ae ROI Detail pee Daily Output Factor Adjustment and Calibration Data Point Highlighter New in V5 Adjust your calibration files based upon your daily output factor Inspecting calibration points is even easier with the new Calibration Datapoint Highlighter Just click on any point in the calibration table and the associated value on the curve will be highlighted TEETE PDD Table Editor Moan 17569 3 cinder i Import your PDD table for use in any parallel calibration routine This editor makes it easy to change add ose E R TEET i Bonenmn aa or remove values Many PDD tables can be saved and recalled for calibration Pixel Value 1756 3 BTD Seann i Ai O Doman Sear Drai 115 A Siira Domitia Seer Dom taS 00 Sceni Doret 20 Scare Dba ta Al Gerd Dose 94 0 Pixel Value z 175569 3 Dose 61 30 Scan C
32. s Oot Deere oh Mim 0 Stereotactic Cone Profiles This routine automatically measures the radial and transverse profiles from a calculated centroid to check for proper alignment By automatically finding the cen ter of the cone and taking profiles this routine removes the guess work and greatly enhances the repeatability of this measurement FWHM Flatness Symmetry Penumbras and basic statistics are measured for each profile In the V5 analysis panes you can view the Transverse Profile the Radial Profile the Mean Radial Profile and the Difference of the Profiles simultaneous or indi vidually BT Varies JU Bena iiA i Jea eager al re T pe eaa oe H E O e e le He e E SEI PSL NETE RIT113 Stereo Cone Analysis Transverse Profile Flatness 4 9919 TG45 1 Symmetry 0 945 TG45 Dose at Image Centroid 119 2674 Left Penumbra Width 0 2275cm Right Penumbra idth 0 2275cm Dose at Centroid 20 JOUY 313901001215 SISA More Beam Measurements Cyberknife Alignment New in V5 Cross Sections V5 now allows you to view multiple analyses simulta Star Shot Analysis 3D Dose Profiles neously with the new User s Choice Interface See the Radiation Light Field Coincidence Improved In V5 Electron Energy Customize Your User Interface Tab Section of this Asymmetric Field Matchline Quick Flatness amp Symmetry brochure for more information Depth Dose sodose Contours CyberKnife Alignment
33. sal QA Phantom The RIT113 aligns the films with a 2D dose map from your TPS and then compares the plan to the irradiated film All of the RIT113 Analysis routines can be used with these phantoms or with solid water These tools dramatically increase both the accuracy and the speed of the required measurements IGRT Alignment The IGRT Alignment routine is used to measure the spatial a ae To im ai ha j misalignment between the IGRT imaging system and the pte ate eee treatment beam z Output Energy and Imaging to Treatment Alignment for a Helical Tomotherapy 7 a System S L Mahan DJ Chase and C R Ramsey AAPM 44th Annual Meeting panam aiar E E Soe Med Phys 31 6 2005 ap DUY 149I 8 LYWI SISA Cu tomizing Your User Interface and Reporting Customized Reporting Features Set up reports in your preferred format for each individual routine that will be remembered and run in that format until it is changed Changing a parameter or tolerance will automatically update all of your plots New User Analysis Pane and Reporting User Interface Improved Statistical Trend Analysis Monitor Calibration Image Information Tool Viewing Features View up to 6 analyses simultaneously in our new Analysis Panes Change colors lines fonts in screen display preferences On the fly right click on any plot to change appearance of colors lines fonts Measuremen
34. t Tool Report options can be changed for each analysis pane to display annotations for various calculations Add Annotations Save and send your customized reports in multiple formats including pdf and jpg to your record and verify Isoline Editor system to be included in the patient electronic chart Significantly faster updates on all displays Save and copy individual plots with a right click Changing a parameter or View up to 6 analyses tolerance will automatically simultaneously in our new Palette Selection Normalization Tolerance update all of your plots Analysis Panes CLIJ IMRT Global Parameters A Image Normalization hp AHS ee Tolerances DTA amp Analysis Pararneters Palette Target Normalization Difference Tol High Grad Thresh cm Display Units 79 9864 89 9864 99 9864 on x CI Fine Tune Registration iai j Fine Tu ne E ENN AA Ref Normalization 64 0991 Registration Sease SOFE Gale DTA Search Radius 4 Sem ly wipes Ch eck Box AaS EE EAIN 1 000 DTA Precision i m m 2 22 z So mes Noi m Target CARITI13V4iDemo Imag eclipse demot ryg DTA gt DTA Im Report Options Distance to Agreement Image i Subtraction T Report Options sUnassigned Profile gt Vertical Profile Horizontal Profile gt Vertical DTA 27 1102 Profile gt Horizontal DTA 25 Profile Vertical Gamma 9 EDR Profile Horizontal Gamma Ea a ia i 2 Pr
35. ur specified level as well as an improved isodose editor with store and recall for multiple configurations Addition This routine helps you analyze multiple complex treatments which much be administered separately in order to avoid a critical organ boost the dose to a portion of the tumor etc It allows you to add the dose of two images and view an image that is the sum or an Isodose image of the sum of those images 199 9273 Analysis Bring in a plan from a TPS and a film irradiated to that plan and compare them using Van Dyk s criteria the most critical of the tests for an IMRT system because it verifies the patient exposure on a pixel by pixel basis You can view histograms or pixel images for any of the gradiant dose combinations Van Dyk J Barnett R Cygler J and Shragge P Commissioning and Quality Assurance of Treatment Planning Computers Int Journal Radiation Oncology Biol Phys 26 pp 261 273 1003 Reference Image c viti13v4idemo images brainlab demot ryg Target Image GARITI13 y 4iDe iab demot slice 2flu eeo Tolerance 3 Maximum Difference 4 5423 Minimum Difference 3 3229 Mean Differerice 0 14082 Std Deviation 1 096 Total LGLD Pixels 284 Number of Pixels exce Number of Pixels exce Total Pixels exceeding D Dose Difference Register Template This routine interfaces with your TPS template or a phantom to be used as a template When you gen
36. you examine individ ual chambers and Fast Central Axis Plotting The data collected from your seven29 can then be analyzed using the full palettes of RIT113 routines 3D Gels and Solids for QA Take advantage of a full 3D data set by using 3D Gels and Solids with the RIT113 software Whether you use your own octopus tomogaphic laser scanner or send your gel to MGS research to be scanned you can import those files into RIT113 for dose analysis MGS claims resolutions up to 0 3mm per slice SADUYy Jaquipy UOT 9 YD dIdI wily buisp in We y A IMRT amp IGRT Analysis As the originator of IMRT QA RIT gives you 34 of the most powerful flexible fast and precise IMRT routines available to medical physicists They use 2D and 3D dose maps from your TPS giving you Gamma Function Distance To Agreement Profiles unparalleled precision measurements and interactive visualization and reporting of image compar Analysis isons Commissioning and performing day to day IMRT will be fast precise and powerful Subtraction New In V5 You now also have RIT113 s User Analysis Pane and Reporting User Interface Learn more about it in the Customizing Your User Interface Tab Section of this brochure Composite Analysis lsodose Curves Addition IGRT Alignment Register Template IMRT Fine Tune 3D QA Phantom You re Going To Love This RIT s patented Plan Base Calibration routine gives you the ability to make quick relative or
Download Pdf Manuals
Related Search