4D in Motion - Radiation Protection Solutions · PTW-Asia Pacific Ltd. Unit 2203, 22/F The...

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Turnkey Solution for 4D IMRT QA IMRT QA 4D in Motion

Transcript of 4D in Motion - Radiation Protection Solutions · PTW-Asia Pacific Ltd. Unit 2203, 22/F The...

Page 1: 4D in Motion - Radiation Protection Solutions · PTW-Asia Pacific Ltd. Unit 2203, 22/F The Metropolis Tower 10 Metropolis Drive Hung Hom, Kowloon · Hong Kong Phone +852 2369 9234

Turnkey Solution for 4D IMRT QA

i M r t Q a

4D in Motion

Page 2: 4D in Motion - Radiation Protection Solutions · PTW-Asia Pacific Ltd. Unit 2203, 22/F The Metropolis Tower 10 Metropolis Drive Hung Hom, Kowloon · Hong Kong Phone +852 2369 9234

OCTAVIUS® 4D Highlights

}Thousands of measurement points over the entire volume The OCTAVIUS detector rotates synchronously with the gantry,

measuring a dose plane for each gantry angle. Unlike other

systems, OCTAVIUS 4D makes it possible to verify the dose inside

the entire phantom volume, including the clinically relevant

target volume around the isocenter (Fig. 1).

}Isotropic geometry The unique rotating OCTAVIUS 4D phantom always aligns the

detector perpendicular to the beam, thus eliminating any angular

dependence of the detector response (Fig. 2).

}True independence OCTAVIUS 4D is the only 4D dosimetry system that verifies the

dose based on truly independent measurements. It does not

need a connection to the LINAC or TPS, but uses ion chamber

measurements and PDD curves as a basis for 3D dose calculation.

}Cutting-edge detector technology OCTAVIUS 4D uses Gold Standard ionization chambers which

are not subject to radiation damage and achieve a significantly

higher field coverage than diodes.

}3D volume analysis and CT overlay VeriSoft is the most comprehensive software for IMRT patient

plan verification, offering advanced tools for visual and quanti-

tative dose comparison, including 3D volume analysis and

patient CT overlay.

}Suitable for other PTW arrays OCTAVIUS 4D supports other PTW detector arrays, including

the widely used 2D-ARRAY seven29 and the new OCTAVIUS

Detector 1000SRS * for SRS/SBRT patient plan QA, which can

be conveniently upgraded to 4D dosimetry.

* upgrade available mid-2012

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Following the rotation of the gantry, OCTAVIUS® 4D acquires thousands

of measurement points over the entire phantom volume, including the

clinically relevant target volume around the isocenter.

When form follows function in IMRT treatment plan verification.

OCTAVIUS 4D is a new 4D dosimetry system designed to support

you in precisely verifying IMRT and IMAT treatment plans based on

truly independent measurements.

Dose measurements are performed with a high-resolution OCTAVIUS

ionization chamber array, which is inserted into a motorized cylin-

drical phantom. The unique OCTAVIUS 4D phantom is controlled

by an inclinometer attached to the gantry. Reading the inclinometer’s

output, it rotates the OCTAVIUS detector synchronously with the

gantry, allowing you to collect thousands of measurements points,

thus covering the entire phantom volume.

As the OCTAVIUS detector is always aligned perpendicular to the

beam, OCTAVIUS 4D requires no angular corrections or detector-to-

detector dose calibrations, making it your perfect choice for rota-

tional IMRT delivery techniques and easy-to-use in clinical routine.

The intuitive, workflow-oriented VeriSoft software helps you to

compare your measurements efficiently against TPS calculations in

transverse, coronal and sagittal planes, to analyze the entire volume

and evaluate the results superimposed on the patient’s CT scan.

With OCTAVIUS® 4D, IMRT treatment plan verification is moving into a new dimension.

Fig. 1: Measurements inside the entire phantom volumeSimplified illustration showing measurement positions (blue) obtained with OCTAVIUS 4D

(right) compared to other dosimetry systems which measure either outside the target

volume in the low dose area (left) or far fewer measurement planes (center).

Fig. 2: Detector always perpendicular to the beamUnlike other dosimetry systems where inclined beam vectors result in a varying

angular response of the diodes (left, center), the OCTAVIUS detector always remains

perpendicular to the beam, providing truly isotropic, angle-independent dose

measurements.

OCTAVIUS® 4D: Thousands

of measurement points as

a basis for independent 4D

patient plan verification

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Four simple steps is all it takes.

See how it works.Watch the OCTAVIUS® 4D video on YouTube.

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Calculated DICOM RT dose cube from TPS is imported into VeriSoft.

Sets of transverse, sagittal and coronal planes are extracted for direct comparison to the calculated TPS dose planes in VeriSoft. Measurement results can be superimposed on the patient’s CT image for an improved estimate of the dose delivered to critical structures and organs at risk.

EvaluationQA Device Setup Measurement Calculation

Measurement is started in VeriSoft.

Reading the inclinometer’s output, the motorized OCTAVIUS 4D phantom rotates synchronously with the gantry. The OCTAVIUS detector, which remains aligned perpendicular to the incident beam, measures a dose plane for each gantry angle.

OCTAVIUS 4D system is set up and aligned on patient couch.Inclinometer is attached to vertical part of gantry.

The measured dose plane for each gantry angle is used to determine the dose values along the source-detector rays. To calculate these values, OCTAVIUS 4D applies a proprietary algorithm developed by the DKFZ Heidelberg which is based on PDD curves measured for four different field sizes for the accelerator and energy in use. All dose points measured are then added up, finally obtaining a 3D dose volume with a user-selectable resolution of typically 2 mm.

measured dose plane calculated values along the source-detector rays

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Does it agree or not?Discover the powerful dose comparison tools of VeriSoft®.

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Composite or Control Point Analysis

Load the complete measurement for dose comparison or

select gantry angle segments (“control points”) to analyze details.

Slice-by-Slice Analysis

Scroll through the slices to compare the dose at relevant phantom

depths in all three planes (transverse, coronal or sagittal).

NEW

CT Overlay

Failed points, measured isodoses, contours of the CTV, PTV and

organs at risk can be overlaid onto the patient’s CT image to

support you in your evaluation of the accuracy of dose delivery.

3D Volume Analysis

Gain more confidence in the accuracy of your results. The new

3D volume analysis compares the dose measured inside the entire

volume, using multiple parameters and automatically calculating

all slices of the dose cube.

3D Gamma Index Analysis

Using all three spatial dimensions for data comparison, a 3D Gamma

Index analysis may reduce the number of failed points in high dose

gradients. If this method is applied in combination with the local

dose chosen as reference value, it allows you to detect overdosage

in low dose regions which may be overseen when using the maxi-

mum dose level as reference value.

Standard and Advanced Dose Comparison Tools

Select from a wide range of tools – from basic visual comparison

to detailed quantitative evaluation:

}Profile and dose distribution overlays

}Dose-difference distributions

}“Traffic light” display

}Results summary

}Gamma histograms

}Distance-to-agreement calculations

}2D and 3D Gamma index analysis with multiple options

}3D volume analysis

NEW NEW

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Advanced Options

Points selected. Plan verified. Closing the Gap in IMRT QA. When small things matter. 4D in Motion.

Secondary check softwarefor independent dose or MU verification

Key Features

} Clinically established solution for independent verification of

point dose or MU calculations

} Dose comparisons at one or multiple points (field-by-field,

composite)

} Advanced calculation capabilities, e.g., wedge support, correc-

tions of “flash” in breast treatments, fluence/dose mapping

} No LINAC time required for verification

} Multiple treatment techniques supported, including IMRT,

RapidArc®, VMAT

DIAMOND™ DAVID®

In vivo verification of dose delivery during patient treatment

Key Features

}Independent verification and documentation of dose delivery

and MLC accuracy during each patient treatment

}Immediate detection of errors or malfunctions

(e.g., lost MLC positions)

}In vivo measurements not limited to single points

}Wireless operation and data transfer

}Supports conformal, dynamic and rotational IMRT delivery

techniques (RapidArc®, VMAT, IMAT)

Filmless SRS/SBRT patient plan verification

Key Features

}Precise 2D dose verification of small stereotactic fields

up to 10 cm x 10 cm

}Unique flat-panel detector array based on new microLion

detector technology

}977 liquid-filled ionization chambers on a 10 cm x 10 cm field

}Very small detector size (2.3 mm x 2.3 mm x 0.5 mm) with

high spatial resolution (2.5 mm)

}Upgrade to OCTAVIUS 4D (optional)*

OCTAVIUS® 1000 SRS OCTAVIUS® 4D Upgrade

The easiest way to 4D IMRT dosimetry

Key Features

} Budget-friendly solution for users of PTW flat-panel detector

arrays who wish to upgrade to 4D dosimetry

} Package includes: OCTAVIUS 4D phantom, inclinometer,

electronics, VeriSoft upgrade with MEPHYSTO Navigator

} Supported detector arrays: 2D-ARRAY seven29,

OCTAVIUS® Detector 729, OCTAVIUS® Detector 1000SRS *

*available mid-2012

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NEW

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OCTAVIUS® Detector 729Detector type: Vented ionization chambers

Detector design: cubic

Number of detectors: 729

Detector size: 0.5 cm x 0.5 cm x 0.5 cm (0.125 cm³)

Detector spacing: 10 mm center-to-center, 5 mm edge-to-edge

Max. field size: 27 cm x 27 cm

Reproducibility: ≤± 0.5%

Dead time: zero

Repetition rate: 200 ms

Measured quantities: absorbed dose to water (Gy), absorbed dose rate to water (Gy/min)

Resolution: 1 mGy or 1 mGy/min

Measurement range: (0.5 ... 45) Gy/min

Reference point: 7.5 mm below the surface of the array

Housing material: GPR

Dimensions: 30 cm x 42 cm x 2.2 cm (W x D x H)

Weight: 5.7 kg

Power supply: (90 ... 265) VAC; (50 ... 60) Hz

PC connection: RS232, Ethernet

Extent of supply: OCTAVIUS® Detector 729, detector interface

OCTAVIUS® 4D Phantom Design: Motorized, cylindrical phantom

Dimensions: diameter 320 mm, length 343 mm

Weight: 29 kg

Angle range: ± 360°

Rotation reproducibility: ± 1°

Material: Polystyrene

Density: 1.05 g/cm³

Extent of supply: Rotation unit with inclinometer, control unit

Technical Specifications

VeriSoft® 5.0 or higherOperating system: Microsoft® Windows® (XP Professional, Vista® Business x32/x64, Windows 7 Professional x32/x64)

Processor: Multi-core processor

Memory (RAM): 2 GB (4 GB recommended)

Hard disk: min. 500 MB of free space for application software and min. 600 MB of free space for .NET Framework 4.0+

Screen resolution: 1280 x 1024 or greater

Interfaces: Network interface

Other: Windows® Internet Explorer® 8.0 or higher, Adobe® Reader® 7.0 or higher

Extent of supply: VeriSoft® software, MEPHYSTO Navigator

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Description 4D dosimetry system for IMRT and IMAT QA

How it works Rotates with the gantry and measures the dose in the entire phantom volume as a function of time or gantry angle

Use Verification of static and dynamic IMRT and IMAT treatment plans

Supported Detectors 2D-ARRAY seven29; OCTAVIUS® Detector 729; OCTAVIUS® Detector 1000SRS 2

Supported ApplicationsPre-treatment – field-by-field nPre-treatment – composite plan nIn vivo

Supported IMRT TechniquesConformal 2D/3D nStep & Shoot nSliding Window nArc IMRT/IMAT (RapidArc®, VMAT) nHelical TomoTherapy® – 1

CyberKnife® – 1

Options DIAMOND™ Secondary Check Software S070020 DAVID® Dose Delivery QA System L981390 OCTAVIUS® Detector 1000SRS L981381 2

OCTAVIUS® 4D Upgrade Package L981324

AccessoriesOCTAVIUS® 4D Trolley T40057 Phantom Chamber Plate Semiflex 0.125 cm³ T40056.1.002 3

Phantom Chamber Plate Farmer T40056.1.003 3

Order No. L981387

n supported optional – currently not supported1 recommended system OCTAVIUS II 2 upgrade available mid-2012 3 Insert plate for cross calibration of detector array against single ionization chamber

Quick Overview

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H e a lt H p H ys i c s n u c l e a r m e d i c i n e d i a g n o s t i c r a d i o l o g y r a d i at i o n t h e r a p y

Dosimetry Pioneers since 1922.

It all started with a brilliant invention – the revolutionary Hammer dosemeter in 1922. Ingenuity coupled with German engineering

know-how shaped the company’s history, leading to innovative dosimetry products that later became an industry standard. Over the

years, PTW has maintained its pioneering spirit, growing into a global market leader of dosimetry applications well known for its

product excellence and innovative strength. Today, PTW dosimetry is one of the first choices for healthcare professionals in radiation

therapy, diagnostic radiology, nuclear medicine and health physics.

For more information on OCTAVIUS IMRT QA Systems and other PTW products, visit www.ptw.de

or contact your local PTW representative:

©PTW. All Rights Reserved. Due to continuous innovation, product specifications are subject to change without prior notice. Printing errors and omissions excepted. OCTAVIUS, DAVID, DIAMOND, and VeriSoft are either registered trademarks or trademarks of PTW or an affiliated company of PTW. All other trademarks mentioned in this document are the property of their respective owners. D 913.139.01/00 2012-03