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Introduction
Gamma Pass Maximum
Algorithm
A ring design system (RDS) treatment delivery device, the Criteria Rate Gamma
Halcyon™ system is supported in the Eclipse™ treatment
AAA* 2%, 2 mm >90% 100% <2.5
planning system with photon beam models for the
anisotropic analytical algorithm (AAA) and the photon FTDC* 5%, 5 mm >90% 100% <2.5
optimization (PO) algorithm. Embedded within AAA is
support for both portal dose and MV imaging dose. The AAA Portal Dose** 3%, 3 mm >95% 99% < 1.5
imaging dose is calculated during both optimization and Table 1. Internal accuracy requirements for dose calculation
final dose calculations with a newly developed Fourier algorithms with the RDS photon beam model.
transform dose calculation (FTDC) algorithm. Details of the
* Specified accuracy is in water equivalent media.
AAA, AAA for portal dose, and PO algorithms are available ** Specified accuracy of predicted image is within the electronic portal
in the Eclipse Photon and Electron Algorithms Reference imaging device (EPID) media.
Guide. The FTDC component of AAA is described in the
RDS Treatment Planning Instructions for Use document. For AAA, the gamma error histogram in the Eclipse
Beam Configuration can be inspected to evaluate the
correspondence of the measured and calculated profiles
Beam configuration
and PDDs of the beam model. The Eclipse Photon and
The AAA and PO photon beam models for Halcyon are Electron Algorithms Reference Guide and Eclipse Beam
pre-configured and are not customizable by the user. The Configuration Reference Guide provide additional details
beam configuration for each algorithm has been performed for gamma error tolerances for AAA. For the multi-
by the Varian Applied Research team using a combination resolution dose calculation (MRDC) within the photon
of automated and manual optimizations, minimizing the optimization algorithm, the maximum error for dose
gamma error between the measured and calculated profiles estimation was calculated during configuration and is
and percent depth doses (PDDs). The beam data set used shown in the Beam Configuration workspace.
for algorithm configuration was acquired at the factory3
with the hardware and parameters described in Appendix A. Figures 1 through 6 depict the correspondence of the
calculated and measured profiles and PDDs for the RDS
Beam model parameters were optimized such that the device in Eclipse software version 15.1.1 (Distributed
model calculated profiles and PDDs are within our internal calculation framework (DCF) build 15.1.51) for the 2 x 2 cm2,
specified accuracies (i.e., for open 6X flattening filter free 10 x 10 cm2, and 28 x 28 cm2 fields. The 3D dose matrices
(FFF) beams, > 90% of points calculated within water (from which the profiles and PDD are extracted) were
equivalent media are within 2%, 2 mm gamma in both high normalized such that 100% is on the central axis (CAX) at 5
and low dose regions, and maximum gamma < 2.5 mm for cm deep. These figures were calculated from Varian internal
all measured points). Accuracy requirements for the three automated regression tests and will have differences from
dose calculation algorithms are shown in Table 1.4 what is observed in the Eclipse Beam Analysis module.
However, users can utilize the Beam Analysis to calculate
As shown in Table 1, the internally validated calculation
PDD and profiles for all measured field sizes and depths. The
accuracy requirements for the FTDC algorithm, which
Beam Analysis tools can then be used to further assess the
calculates MV-MV and MV-CBCT doses, are within a
agreement between measured and calculated beam profiles
gamma of 5%/5 mm. The relatively high gamma values are
and PDDs in Eclipse. See Analyzing and Approving Beam
intentional so that the coarser calculation grid and known
Data in Chapter 5 of Eclipse Beam Configuration Reference
uncertainties (i.e., positioning) do not negatively influence
Guide for additional information.
the overall planning and delivery qualities.
This document contains confidential, proprietary information of Varian Medical Systems. It may not be copied or reproduced without prior
written permission from Varian Medical Systems.
Figure 1. AAA 15.1.51 2 x 2 cm2 depth doses (measured versus Figure 4. AAA 15.1.51 2 x 2 cm2 crossline profiles (leaf motion direction)
calculated) from the Varian internal comparison framework. at 10 cm depth from the Varian internal comparison framework.
Figure 2. AAA 15.1.51 10 x 10 cm2 depth doses (measured versus Figure 5. AAA 15.1.51 10 x 10 cm2 crossline profiles (leaf motion direction)
calculated) from the Varian internal comparison framework. at 10 cm depth from the Varian internal comparison framework.
Figure 3. AAA 15.1.51 28 x 28 cm2 depth doses (measured versus Figure 6. AAA 15.1.51 28 x 28 cm2 crossline profile (leaf motion direction)
calculated) from the Varian internal comparison framework. at 10 cm depth from the Varian internal comparison framework. Notice
that the water phantom used in calculation is 40 cm wide and therefore
does not extend beyond the [-200,200] mm interval.
This document contains confidential, proprietary information of Varian Medical Systems. It may not be copied or reproduced without prior
written permission from Varian Medical Systems.
2
Technical Perspectives | Eclipse Photon Beam Models for Halcyon
Average Average
SSD [cm] Depth [cm] Prox. A Prox. B Dist. A Dist. B (A,B)-Prox. (A,B)-Dist.
Table 3. Leaf transmission measurements (per layer, per bank) using the PTW Farmer ionization chamber. The proximal leaves (“Prox.”) are
closer to the source, and the distal leaves (“Dist.”) are further away from the source. A and B refer to bank A and bank B leaves.
This document contains confidential, proprietary information of Varian Medical Systems. It may not be copied or reproduced without prior
written permission from Varian Medical Systems.
3
Figure 9 shows representative measurement data for the sweeping gap test indicated that proximal and distal
interleaf leakage. Calculations from the Eclipse AAA are leaves have very similar DLGs in the 100 to 200 micron
shown compared to measurements in Figure 10. range. Figure 11 presents the DLG measurements for the
distal leaves.
The dosimetric leaf gap (DLG) value in Table 2 corresponds
to a single layer scenario. Experimental measurements using
Figure 9. Screen shot from OmniPro-Accept 7.5 of water scans for interleaf leakage test for the distal leaves. Different scans correspond to
different plans: distal A interleaf, distal B interleaf and full interdigitation interleaf leakage. For reference, the maximum open field profile is
shown, scaled to the average leaf transmission level (~0.5%).
This document contains confidential, proprietary information of Varian Medical Systems. It may not be copied or reproduced without prior
written permission from Varian Medical Systems.
4
Technical Perspectives | Eclipse Photon Beam Models for Halcyon
Figure 12. Water scans for the distal leaves corresponding to superposition of various 1 cm leaf patterns (i.e., even leaves extended,
followed by odd leaves extended from the same bank or from the opposite bank, while proximal leaves were fully retracted). Different
scans correspond to 1) distal leaves, bank A; 2) distal leaves, bank B; and distal leaves interdigitation.
Figure 13. Comparison of calculated and measured profile in the Figure 14. Comparison of calculated and measured profiles as
case corresponding to Figure 12. Calculation resolution is 1 mm. in Figure 13, but with distal leaves fully retracted, while proximal
Notice that the water phantom used in calculation ends roughly ones are closed in even/odd pattern. Calculation resolution is 1 mm.
outside [-150, 150] mm interval. Notice that the water phantom used in calculation ends roughly
outside [-150, 150] mm interval.
This document contains confidential, proprietary information of Varian Medical Systems. It may not be copied or reproduced without prior
written permission from Varian Medical Systems.
5
APPENDIX A: RDS BEAM DATA ACQUISITION
HARDWARE AND PARAMETERS
Treatment delivery device parameters for PDDs, an absolute penumbra margin of 70 mm for fields
Beam scans were done in Service Mode, with all servos larger than 10 cm and 50 mm for the rest of the fields, and a
turned on and using the highest dose rate of 800 MU/minute stabilization period of 2 seconds.
based on the machine calibration depth of Dmax.
Measurements
Data acquisition hardware and settings
Measurement Crossline Output
Water phantom: PPD Diagonal
Type Profiles Factor
IBA Dosimetry Blue Phantom2
Field Size 2*, 4*, 6, 8, 2, 4, 28 1, 2, 4,
Software: [cm] 10, 20, 28 6, 8, 6, 8, 10,
OmniPro-Accept 7.5 * diode 10, 14, 20,
measurement 20, 24, 28
Scanning detector (offset): 28
IBA Dosimetry CC13 (-1.8 mm) and Sun Nuclear Corporation Fixed Depth 1.3, 5, 10, 20, N/A 1.3, 5, 10, 5
EDGE Detector (+0.3 mm) [cm] 30 20, 30
Results
Output factor table
1 2 4 6 8 10 14 20 24 28
1 0.766 0.792 0.804 0.808 0.810 0.811 0.813 0.814 0.814 0.814
2 0.816 0.855 0.884 0.892 0.897 0.899 0.902 0.904 0.905 0.905
4 0.829 0.885 0.922 0.939 0.947 0.953 0.958 0.962 0.964 0.964
6 0.834 0.893 0.939 0.958 0.971 0.977 0.985 0.991 0.994 0.994
Field Size Y [cm]
8 0.836 0.898 0.949 0.972 0.982 0.992 1.002 1.010 1.013 1.013
10 0.837 0.899 0.952 0.977 0.991 1.000 1.012 1.021 1.024 1.024
14 0.839 0.902 0.957 0.984 1.001 1.012 1.027 1.038 1.043 1.043
20 0.840 0.904 0.961 0.990 1.008 1.020 1.038 1.051 1.057 1.058
24 0.840 0.905 0.962 0.992 1.011 1.024 1.042 1.057 1.062 1.064
28 0.841 0.905 0.963 0.992 1.011 1.024 1.042 1.058 1.064 1.067
Table 2. Output factors versus field size for 95 cm SSD and 5 cm depth. Fields of 1xY and Xx1 cm2 have been measured using the Sun
Nuclear Corporation EDGE Detector diode. The remaining fields have been measured using the CC13 ionization chamber.
This document contains confidential, proprietary information of Varian Medical Systems. It may not be copied or reproduced without prior
written permission from Varian Medical Systems.
6
Technical Perspectives | Eclipse Photon Beam Models for Halcyon
Crossline profiles
Figure 2. Crossline profiles at 10 cm depth (90 cm SSD) for square field sizes from 2 to 28 cm.
Diagonal profiles
This document contains confidential, proprietary information of Varian Medical Systems. It may not be copied or reproduced without prior
written permission from Varian Medical Systems.
1Varian Medical Systems, Palo Alto, California, USA
2Varian Medical Systems, Applied Research, Helsinki, Finland
3Document D29493, Halcyon™ 1.0 Representative Beam Data, Varian Medical Systems
4Document D22358, TPS-AAA-Acuros® XB System Requirement Specifications, Varian Medical Systems
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This document contains confidential, proprietary information of Varian Medical Systems. It may not be copied or reproduced without prior
written permission from Varian Medical Systems.