Moliner, G., Sorro, L., Verstraet, R., Daviau, P.A., Casas, M., Piron, B., Dubois, K., Debrigode, C., Barrau, C., Bons, F. and Greefier, J. (2018) Assessment of Combined Use of ArcCheck® Detector and Portal Dosimetry for Delivery Quality Assurance of Head and Neck and Prostate Volumetric-Modulated Arc Therapy. Journal of Applied Clinical Medical Physics, 19, 1-7.
https://doi.org/10.1002/acm2.12460

has been cited by the following article:

• TITLE: Winston-Lutz-Gao Test on the True Beam STx Linear Accelerator

  AUTHORS: Junfang Gao, Xiaoqian Liu

  KEYWORDS: Winston-Lutz-Gao Test, off-Iso Winston-Lutz Test, Single Iso-Multiple Mets’ Treatment

  JOURNAL NAME: International Journal of Medical Physics, Clinical Engineering and Radiation Oncology, Vol.8 No.1, January 21, 2019

  ABSTRACT: In the linear accelerator-based stereotactic radio surgery (SRS) and stereotactic body radiotherapy (SBRT) programs, single isocenter-multiple metastases’ treatment has become more and more popular due to their high efficiency in treatment time. However, the absence of a comprehensive quality assurance program is still the challenge for medical physicists. The Winston-Lutz-Gao test, which we developed two years ago, was performed for the first time on a True Beam STx (Varian Medical System) linear accelerator in this study. Beams were designed by Eclipse with gantry, collimator, and couch full rotations, and a 200-pound weight was placed on the couch to mimic real treatment. The “frameless SRS QA target pointer” from the Brainlab company, with a 3.5-mm metallic ball embedded in the center, was used as a phantom. Images were acquired by the portal imager built-in linear accelerator and analyzed directly by the Image browser in ARIA. We found that the farther the metastases were from the linac isocenter, the worse the congruence was between the beam mechanical and the radiation center. The farthest metastases should be within 6 cm from the linac isocenter per the AAPM TG-142 and American Society for Radiation Oncology (ASTRO) white paper criteria. To the best of our knowledge, this is the first off-isocenter Winston-Lutz test performed on a True Beam STx linear accelerator.