Atom Indonesia Journal
VOL 49, NO 1 (2023): APRIL 2023

Dose Evaluation of Head and Neck Cancer IMRT Treatment Planning Based on Gamma Index Analysis of Varian Halcyon 2.0 Linac

W. Purwati (Department of Physics, Faculty of Mathematics and Natural Sciences, Universitas Indonesia)
F. Suhaimi (Department of Radiation Oncology, Cipto Mangunkusumo General Hospital)
W. E. Wibowo (Department of Radiation Oncology, Cipto Mangunkusumo General Hospital)
S. A. Pawiro (Department of Physics, Faculty of Mathematics and Natural Sciences, Universitas Indonesia)



Article Info

Publish Date
29 Mar 2023

Abstract

Varian Halcyon 2.0 linear accelerator was launched and became available for clinical use in 2018. Therefore, it is necessary to evaluate the accuracy of exit fluence of the Halcyon 2.0 for quality assurance (QA) of head and neck cancer treatment planning, pretreatment, and treatment. The accuracy of the exit fluence for twenty treatment plannings has been evaluated by conducting gamma analysis for QA pretreatment and treatment in each field and composite field by using criteria for gamma index 3 %/3 mm and 2 %/2 mm. The QA pretreatment results are in the average value for each criterion for each field and composite fields on actual gantry angle and null gantry angle with gamma passing rate (GPR) of over 99 % (range 99.78 %-99.95 %) The total treatments consisted of 2717 fractions. The analysis results of GPR for fields were 99.32 % and 97.74 % for gamma indexes of 3 %/3 mm and 2 %/2 mm, respectively. In addition, the analysis results of GPR for composites were 95.46 % and 81.38 % for gamma indexes of 3 %/3 mm and 2 %/2 mm, respectively. Based on this result, the average GPRs of QA pretreatment are ≈ 99 % of the total pixels. This means the prediction dose of Varian Halcyon 2.0 is accurate. The average GPRs of treatment is nearly  90 %, showing that Varian Halcyon 2.0 is effective for creating treatment plans for complex cases.

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Journal Info

Abbrev

aij

Publisher

Subject

Materials Science & Nanotechnology

Description

Exist for publishing the results of research and development in nuclear science and technology Starting for 2010 Atom Indonesia published three times a year in April, August, and December The scope of this journal covers experimental and analytical research in all areas of nuclear science and ...