ABSTRACT
The most promising method of accurately verifying VMAT treatments is by direct dose measurement over the three dimensions of irradiated volume. ArcCHECK device (Sun Nuclear, Melbourne, FL) have the potential to detect delivery errors on the treatment machine due to mechanical problems resulting from gantry and MLC motion. The estimation of the dosimetric leaf gap (DLG) parameter for Varian MLC (Varian Medical Systems, Palo Alto, CA) was attempted using ArcCHECK. Finding the optimal DLG value for use in TPS requires a measuring device like ArcCHECK to be employed especially in highly intensity modulated fields. In addition, ArcCHECK was used to assess the effect of positional error of MLC leaf in a given VMAT plan. Patient-specific QA tests were performed using the ArcCHECK device. QA results of patient plans that failed considering portal dosimetry technique were reassessed with ArcCHECK measurements for IMRT plans. The preliminary test results and performance of the ArcCHECK device were very encouraging. VMAT plans for head and neck cases were generated and their delivery was evaluated using ArcCHECK. Results have shown a success rate greater than 90% in the quality assurance of individual plans. Optimal DLG value was detected using ArcCHECK. Also, the device showed enough sensitivity to identify failed QA plans. Moreover, MLC central leaf pair position offset in a VMAT plan of the order of 1mm was fairly distinguished by ArcCHECK measurements.
