02 - Customer Acceptance Tests (CAT)

Elekta Compact™ Linear Accelerator
Customer Acceptance Tests
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Document ID: 1028100 02

Publication date: 2014–03
Language: English
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Referenced documents
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Elekta reserves the right to make the decision on which of the documents we supply with the
equipment.
Contact information:
WORLDWIDE PRODUCT MANUFACTURING CENTER

Elekta Beijing Medical Systems Co., Ltd.
No. 21, Chuang Xin Road
Science and Technology Park
Changping District
Beijing 102200
P.R. China
Tel: +86 10 8012 5400
Fax: +86 10 8012 5401
E-mail: ebms.support@elekta.com
European Authorized Representative

ELEKTA LIMITED
Linac House
Fleming Way, Crawley
West Sussex RH10 9RR
United Kingdom
Tel +44 1293 544 422
Fax +44 1293 654 118
TECHNICAL HELP
Contact your local Elekta representative for technical help
Document ID: 1028100 02 Elekta Compact™ Linear Accelerator

Page 2 Copyright ©2014 Elekta AB (publ). All rights reserved.
Certificate of Acceptance
Serial No. of Elekta Compact™:
Serial No. of Precise Treatment Table™:
Serial No. of BLD:
Serial No. of iViewC™:

The installation and commissioning of the Elekta Compact™ Linear Accelerator for operation with:
Asymmetric diaphragms
MLCi2™
were completed. The tests in the Customer Acceptance Test schedule were completed in compliance with the
specification. A user manual (Instruction for Use) was supplied.
Hospital:
Address:
Country:
Signed: Name:
(Hospital Representative)
Date:
Signed: Name:
(Responsible Installation
Engineer/Contractor)
Date:
Elekta Compact™ Linear Accelerator Document ID: 1028100 02

Copyright ©2014 Elekta AB (publ). All rights reserved. Page 3
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Table of contents
Table of contents
Section Description Page
1 Prerequisites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2 Test schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Appendix A iCom Customer Acceptance Test program (MLCi2™ only) . . . . . . . . . . . . . . 25

Table of contents
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Prerequisites
1 Prerequisites
1.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1.2 Customer acceptance tests of the linear accelerator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1.3 Equipment registration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1.4 Tools and test equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
1.5 Standard test conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
1.5.1 Environment of operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
1.5.2 Angle settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
1.5.3 Properties and positioning of the phantom. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
1.5.4 Positioning of measuring points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.5.5 Standard depths of measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.5.6 Radiation detectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.5.7 Testing with X-ray films . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.5.8 Adjustments during test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.5.9 Precise Treatment Table™. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1.6 Conventions of scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Prerequisites
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Prerequisites
Introduction
1.1 Introduction
This document is the Customer Acceptance Test (CAT) schedule for Elekta Compact™ Linear
Accelerator with asymmetric diaphragms or MLCi2™ beam limiting device.
The Customer Acceptance Tests for the Precise Treatment Table™ are available in the Precise
Treatment Table™ Customer Acceptance Test manual.
1.2 Customer acceptance tests of the linear accelerator

The tests in this document are the standard tests that Elekta do after the installation is completed.
The tests show that the Elekta Compact™ Linear Accelerator:
• Is installed correctly.
• Operates satisfactorily.
• Operates to the specifications agreed in the Contract of Sale.
Note: If Elekta has to do other tests that are not agreed as part of the Contract of Sale, there are added costs.
After each test, record the result in this document in the space after the test procedure. If you make
a plot during a test, attach a copy of the results to this document.
If Elekta does the IEC 60976 / 60977 Additional Performance Tests as an agreed part of the Contract
of Sale, attach a copy of the test results to this document. Refer to the document Additional
Performance Tests.
1.3 Equipment registration

When the Customer Acceptance Tests are complete, an authorized representative of the customer,
the local Elekta engineer and the engineer from EBMS (if applicable), must make sure that:
• Three copies of the document have:
– The results sheets completed correctly.
– All approval signatures and the date on the Certificate of Acceptance.
• A copy is given to:
– The customer.
– The local Elekta Business Unit.
– EBMS for equipment registration.
The local Elekta Business Unit must get a scanned image of the signed and dated Certificate of
Acceptance, and link the scanned image to the correct equipment in the configuration database
(Sibex).
Warranty starts on the date of signature of the CAT. Until the Elekta Compact™ linear accelerator is
registered at Elekta, warranty claims cannot be honored.

Prerequisites
Tools and test equipment
1.4 Tools and test equipment

The tools and test equipment necessary to complete the Customer Acceptance Tests are:
• A spirit level (≤0.30 mm/1m).
• A dosimeter (ion chambers).
• A water phantom (printer optional).
• X-ray film (for example, Kodak XOMAT V).
• A film processor and densitometer.
• A 40 cm ruler.
• Graph paper.
• Buildup material to simulate tissue density. Minimum size: 35 cm × 40 cm, with a
thickness of 2 cm.
1.5 Standard test conditions

This section gives the standard conditions and procedures for the tests. The conditions and
procedures are applicable to all tests, unless a test tells you differently.
1.5.1 Environment of operation

The operation environment must be in compliance with the specification for the system
configuration. If the environment of operation is not correct, Elekta does not accept the
responsibility, if the equipment performance is less than the specifications agreed in the Contract of
Sale.
1.5.2 Angle settings

The standard angle of rotation of the gantry and beam limiting device is 0°.
If a test tells you to use a gantry or beam limiting device angle of 90° to make the measurements, you
can equally use an angle of 270° (-90°).
1.5.3 Properties and positioning of the water phantom

A water phantom is the standard tool for the tests. The surface of the phantom is normal to the
radiation beam axis.
The dimensions of the phantom area must be minimum 5 cm larger than the size of the radiation
field.
The depth of the phantom must be a minimum of 10 cm more than the depth of the point of
measurement.

Prerequisites
Standard test conditions
1.5.4 Positioning of measuring points

The measurements are done, (unless the test tells differently):
• On the radiation beam axis.
or
• In a plane normal to the radiation beam axis at standard measurement points in a
phantom.
For profile measurements in the X-ray beam, the plane contains the isocenter .
For uniformity measurements in the X-ray beam, the surface of the phantom is at 90 cm SSD.
For depth-dose measurements, the surface of the phantom is at 100 cm SSD.
1.5.5 Standard depths of measurement

The standard depth of measurement for a X-ray beam profile in compliance with IEC is 10 cm.
1.5.6 Radiation detectors

The measurements are done with a radiation detector:
• With a scale where the results, when the corrections for the spatial changes of the
radiation spectrum are made, gives the relative absorbed dose.
• That have sufficient spatial resolution in regions of high dose gradients, for example, at the
edges of the radiation field.
1.5.7 Testing with X-ray films

For the tests in this document, use a type of film that have a flat response across a range of energies
used, (for example Kodak XOMAT V). The films are exposed with an approximate buildup equal to
the depth of Dmax. Use a dose of between 40 and 70 MU to give an optical density of approximately
1.0.
1.5.8 Adjustments during test

The only adjustments to the linear accelerator that are permitted, are those the operator can make
with the controls available during the usual clinical operation. If other adjustments are made, these
can cause a change to the results of earlier tests. Therefore, it is necessary to do the earlier tests again.
1.5.9 Precise Treatment Table™

Refer to Precise Treatment Table™ Customer Acceptance Test manual.

Prerequisites
Conventions of scale
1.6 Conventions of scale

The scale convention used for the tests in this document is IEC 61217, see Figure 1.1.
Figure 1.1 IEC 61217 convention (projected at isocenter)
An example of the alternative scale convention, IEC 60601-2-1, see Figure 1.2.
Figure 1.2 IEC 60601-2-1 convention (projected at isocenter)
Make sure that all the applicable equipment of the system is configured to the same scale
convention.

Test schedule
2 Test schedule
2.1 Position of isocenter crosswires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

2.1.1 Beam limiting device rotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
2.1.1.1 Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
2.1.1.2 Test procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
2.1.2 Gantry rotation (mechanical isocenter) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
2.1.2.1 Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
2.1.2.2 Test procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
2.2 X-ray field size and field size display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
2.2.1 Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
2.2.2 Test procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
2.3 X-ray depth-dose characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
2.3.1 Specifications for penetrative quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
2.3.2 Non-matched specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
2.3.3 Standard match specification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
2.4 Uniformity of X-ray fields . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
2.4.1 Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
2.4.2 Test conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
2.4.3 Test procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
2.5 Penumbra (asymmetric diaphragms only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
2.5.1 Test procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Test schedule
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Test schedule
Position of isocenter crosswires
2.1 Position of isocenter crosswires
2.1.1 Beam limiting device rotation
2.1.1.1 Specification
With full rotation of the beam limiting device (BLD), the position of the crosswires must be
contained in a circle with a diameter of:
• 1 mm at 100 cm SSD.
• 2 mm at the level of the floor.
2.1.1.2 Test procedure
1 Use a spirit level and adjust the gantry angle accurately to 0°.
2 Set up the treatment table with the surface of the table top at 100 cm SSD.
3 Attach a sheet of graph paper to the surface of the table top.
4 Rotate the BLD 360° and make a plot on a sheet of graph paper of the position of the crosswire
image.
5 Rotate the treatment table to get a projection of the crosswire image on to the floor.
6 Attach a sheet of graph paper on the floor.
7 Rotate the beam limiting device 360° and make a plot on the sheet of graph paper of the
position of the crosswire image.
8 Record the results in Table 2.1.
Results
Table 2.1 Crosswire position during beam limiting device rotation
Crosswire position Limit Measured

Position of crosswire at 100 cm SSD 1 mm diameter circle
Position of crosswire at floor level 2 mm diameter circle
Accepted by........................................

Test schedule
Position of isocenter crosswires
2.1.2 Gantry rotation (mechanical isocenter)
2.1.2.1 Specification
At all gantry angles the intersection of the crosswires at 100 cm SSD must not be more than 2 mm
from each other.
2.1.2.2 Test procedure
1 Set up an external fixed pointer at 100 cm SSD and align with the crosswire image.
2 Rotate the gantry 360°.
3 Make a note of the deviation of the crosswire image in relation to the fixed pointer in the A-B
and G-T axis, at:
• 180°.
• 90°.
• 0°.
• 270°.
Results
Table 2.2 Croswswire deviation during gantry rotation
Deviation at Limit Deviation A-B Deviation G-T

180° <2 mm
diameter
90°
sphere
0°
270°
Accepted by........................................

Test schedule
X-ray field size and field size display
2.2 X-ray field size and field size display
2.2.1 Specification
The X-ray field edges must align with the displayed diaphragm or leaf position to:
• ±1 mm for field sizes of maximum 20 cm × 20 cm.
• ±1% for larger fields.
The light field edges must align with the X-ray field edge to:
• ±1.0 mm for field sizes from 5 cm × 5 cm to 20 cm × 20 cm.
• ±1% for larger fields.
For film, the X-ray field edges are measured from the 50% density point, to the image of the
crosswires at the isocenter.
2.2.2 Test procedure

1 Set up the prescriptions with field sizes shown in Table 2.3.
2 Record the values of the displayed fields in Table 2.4.
3 Set up the films in position at the isocenter.
4 Expose the films as shown in Table 2.3.
5 Make sure that there is a mark on the films to show:
• The crosswires.
• The light-field edges.
• The A-B and G-T axis.
6 Develop the films and check:
• The X-ray field size.
• Field size display.
• To make sure that the light fields align.
7 In Table 2.4, record the differences between:
• X-ray to displayed field.
• X-ray to light field.

Test schedule
X-ray field size and field size display
Table 2.3 Check film results
Exposure Type of radiation head Field Energy Diaphragm Buildup

No Size(cm) Rotation material
1 MLCi2™ and asymmetric diaphragms 10 × 10 6MV 0° 2 cm
Table 2.4 X-ray field size and optical field size results
Displayed Measured Measured Exposure Diaphragm X-ray to display X-ray to light

field size X-ray field light field no. field difference field difference
1 X1
X2
Y1
Y2
Accepted by........................................

Test schedule
X-ray depth-dose characteristics
2.3 X-ray depth-dose characteristics
2.3.1 Specifications for penetrative quality

For X-rays, the penetrative quality is the percentage dose at a depth of 10 cm (D10), measured in
relation to the maximum absorbed dose on the radiation beam axis.
2.3.2 Non-matched specification

Is the test applicable to this machine? Yes No
Test procedure
1 Set up a water phantom with the surface at 100 cm SSD.
2 Set the field size to 10 cm ×10 cm.
3 Use a travelling ionization chamber, or a semiconductor detector, and measure the percentage
dose on the radiation beam axis.
Table 2.5 Depth dose measurements results
Energy Penetrative quality Difference

Declared Measured
6MV %
Note: The declared value of 6 MV is 67% (±2.0%) at a depth of 10 cm (D10).
Accepted by........................................

Test schedule
X-ray depth-dose characteristics
2.3.3 Standard match specification

Is the test applicable to this machine? Yes No
Machine matching description

The linear accelerator can be set up to have the same specification and mode of operation as one or
more other Elekta linear accelerators. These can be new or current machines.
To set up a new machine to operate with the customers current machines, Elekta uses the archived
factory data from the customers installed machine or machines.
To set up a new machine, or group of new machines, Elekta uses the current factory data.
Serial numbers of machines to be matched
Note: It is only possible to match with Elekta Compact™ linear accelerator.
Record the serial numbers of the machines to be matched in this table:
Machine No. Serial No.

1
2
3
4
5
Table 2.6 Depth dose measurement results - Factory Data Match
Energy Penetrative quality (D10) Difference

Factory data of machines to be matched (Machine No.) Measured data
of new machine
1 2 3 4 5
6MV %
Matching requirements
For two or more production machines ordered at the same time:
a The center of the radiation beam axis depth dose ratio of Dmax to D10 is nominal energy,
(±1%), to which the group of machines are matched.
b The average value over 1 cm anywhere in the flattened area, at D10 is within a 2% window
for photons.
Accepted by........................................

Test schedule
Uniformity of X-ray fields
2.4 Uniformity of X-ray fields
2.4.1 Specification
Flatness of X-ray fields
This is the ratio of the maximum absorbed dose, at two selected points in the radiation field, to the
minimum absorbed dose in the flattened area.
The standard depth of measurement is 10 cm for the 6 MV energy.
At the standard depth of measurement and the calculated average of the two points for an area not
greater than 1 cm2, the ratio must not be more than:
• 106% for field sizes between 10 cm × 10 cm and 30 cm × 30 cm.
• 110% for field sizes greater than 30 cm × 30 cm.
Dmax
Where the flatness ratio =
Dmin
× 100%
Machine matching
For machine matching specifications, see Section 2.3.2 and Section 2.3.3.
Symmetry of X-ray fields

This is the ratio of the absorbed dose at two selected points in a symmetrical position in relation to
the beam axis in the flattened area. At the standard depth of measurement and the calculated
average for an area not greater than 1 cm2, the ratio must not be more than 103%.
D
Where symmetry ratio = Dmax × 100%
min
Flattened area definitions

The flattened area is made from straight lines that connect at points on the major axes and diagonals
of square fields. See Table 2.7 and Figure 2.1.
Table 2.7 Flattened area definitions
Field size F (cm) Dimensions defining the flattened area

Dm (major axis) Dd (diagonal axis)
5 to 10 1 cm 2 cm
10 to 30 0.1 × F 0.2 × F
30 to 35 3 cm 6 cm

Test schedule
3 1 4 2
Figure 2.1 Diagram shows field uniformity measurements
(1) Major axis (4) Flattened area

(2) Contour of 50% absorbed dose on the (5) Field dimension (F see Table 2.7)
radiation beam axis
(3) Radiation beam axis (6) Nominal edge of the radiation field
2.4.2 Test conditions
Table 2.8 Flatness and symmetry test conditions
Type of beam Angular rotation Radiation field Absorbed Radiation Nominal

limiting device (cm × cm) dose rate type energy
Gantry BLD
MLCi2™ and 0° 0° 10 × 10 200 or 350 X–rays 6MV
asymmetric 30 × 30
diaphragms
Note: The maximum size of a square field is 35 cm × 35 cm. Larger fields have round corners. This is caused
by the opening of the primary collimator, which makes the primary beam in the shape of a cone with a
maximum diameter of 50 cm at 100 cm SSD.

Test schedule

1 Rotate the gantry to 0°.
2 Rotate the beam limiting device to 0° (±0.1°).
3 Set up a water phantom with the surface at 90 cm SSD.
4 Set up a field probe ion chamber to a depth of 10 cm (±0.5 mm).
5 Use an ionization chamber, and do a scan or step measurement along the major axis of the
field.
6 From the dose profiles, calculate the flatness and the symmetry for each test condition.
7 Record the flatness and symmetry results in Table 2.9 or Table 2.10.
Results
Table 2.9 Flatness and symmetry results for MLCi2™
Plot type Flatness% Symmetry%

(cm × cm)
10 × 10 G-T
10 × 10 A-B
30 × 30 G-T
30 × 30 A-B
Accepted by........................................
Table 2.10 Flatness and symmetry results for asymmetric diaphragms
Plot type Flatness% Symmetry%

(cm × cm)
10 × 10 G-T
10 × 10 A-B
10 × 10 T-A/G-B
10 × 10 G-A/T-B
30 × 30 G-T
30 × 30 A-B
30 × 30 T-A/G-B
30 × 30 G-A/T-B
Accepted by........................................

Test schedule
Penumbra (asymmetric diaphragms only)
2.5 Penumbra (asymmetric diaphragms only)

This is the distance between the 20% and the 80% density points measured at the plane of the
isocenter.
The distance must not be more than:
• 7 mm for field sizes between 5 cm × 5 cm and 15 cm × 15 cm.
• 8 mm for field sizes greater than 15 cm × 15 cm.

1 Set up the films in position at the isocenter.
2 Set the fields size to 10 cm × 10 cm with the buildup of 2 cm.
3 Expose the films.
4 Make sure that there is a mark on the films to show:
• The crosswires.
• The A-B and G-T axis.
5 Develop the films and check the X-ray field size.
Results
Table 2.11 Penumbra Results
Diaphragms Penumbra
X1
X2
Y1
Y2
Accepted by........................................

iCom Customer Acceptance Test program (MLCi2™ only)
iCom Customer Acceptance Tests
Appendix A iCom Customer Acceptance Test program

(MLCi2™ only)
A.1 iCom Customer Acceptance Tests
A.1.1 Specification
Refer to the iCom Interface Information manual for information on how to use the iCom Customer
Acceptance Test program.
Note: Do not use this procedure for the treatment of patients.
A.1.2 Test procedure

1 Log on to the iCom Customer Acceptance Test program.
2 Select a standard prescription file.
3 If necessary, change the text in the prescription file.
4 Click Send Field.
5 If it is necessary, set up the linear accelerator in the Receive External Prescription mode.
6 When the linear accelerator is setup, click Confirm Settings.
(The linear accelerator moves to the Ready to Start state).
7 Press the Start button on the console.
8 Make sure that the treatment continues on the Vx display.
9 At the end of the treatment, click Clear Field to remove the treatment settings from the linear
accelerator.
A.2 Results
Make sure that:
• The prescription transfers from the device that runs the iCom Customer Acceptance Test
program, to the Received External Prescription program on the treatment control
system.
• The delivery of the prescription is successful.
Accepted by........................................

iCom Customer Acceptance Test program (MLCi2™ only)
Results
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02 - Customer Acceptance Tests (CAT)

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02 - Customer Acceptance Tests (CAT)

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Elekta Compact™ Linear Accelerator

Customer Acceptance Tests

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Document ID: 1028100 02

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WORLDWIDE PRODUCT MANUFACTURING CENTER

European Authorized Representative

Document ID: 1028100 02 Elekta Compact™ Linear Accelerator

Serial No. of Elekta Compact™:

Serial No. of Precise Treatment Table™:

Serial No. of BLD:

Serial No. of iViewC™:

Elekta Compact™ Linear Accelerator Document ID: 1028100 02

Document ID: 1028100 02 Elekta Compact™ Linear Accelerator

Section Description Page

Appendix A iCom Customer Acceptance Test program (MLCi2™ only) . . . . . . . . . . . . . . 25

Elekta Compact™ Linear Accelerator Document ID: 1028100 02

Document ID: 1028100 02 Elekta Compact™ Linear Accelerator

Elekta Compact™ Linear Accelerator Document ID: 1028100 02

Document ID: 1028100 02 Elekta Compact™ Linear Accelerator

1.2 Customer acceptance tests of the linear accelerator

1.3 Equipment registration

Elekta Compact™ Linear Accelerator Document ID: 1028100 02

1.4 Tools and test equipment

1.5 Standard test conditions

1.5.1 Environment of operation

1.5.2 Angle settings

1.5.3 Properties and positioning of the water phantom

Document ID: 1028100 02 Elekta Compact™ Linear Accelerator

1.5.4 Positioning of measuring points

1.5.5 Standard depths of measurement

1.5.6 Radiation detectors

1.5.7 Testing with X-ray films

1.5.8 Adjustments during test

1.5.9 Precise Treatment Table™

Elekta Compact™ Linear Accelerator Document ID: 1028100 02

1.6 Conventions of scale

Figure 1.1 IEC 61217 convention (projected at isocenter)

Figure 1.2 IEC 60601-2-1 convention (projected at isocenter)

Document ID: 1028100 02 Elekta Compact™ Linear Accelerator

2.1 Position of isocenter crosswires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Elekta Compact™ Linear Accelerator Document ID: 1028100 02

Document ID: 1028100 02 Elekta Compact™ Linear Accelerator

2.1 Position of isocenter crosswires

2.1.1 Beam limiting device rotation

2.1.1.2 Test procedure

Table 2.1 Crosswire position during beam limiting device rotation

Crosswire position Limit Measured

Elekta Compact™ Linear Accelerator Document ID: 1028100 02

2.1.2 Gantry rotation (mechanical isocenter)

2.1.2.2 Test procedure

Table 2.2 Croswswire deviation during gantry rotation

Deviation at Limit Deviation A-B Deviation G-T

Document ID: 1028100 02 Elekta Compact™ Linear Accelerator

2.2 X-ray field size and field size display

2.2.2 Test procedure

Elekta Compact™ Linear Accelerator Document ID: 1028100 02

Table 2.3 Check film results

Exposure Type of radiation head Field Energy Diaphragm Buildup

Displayed Measured Measured Exposure Diaphragm X-ray to display X-ray to light

Document ID: 1028100 02 Elekta Compact™ Linear Accelerator

2.3 X-ray depth-dose characteristics