基于MPPG 5.a的国产TAICHI加速器TPS模型验收与调试OA
Acceptance and Debugging of the TPS Model of the Domestic TAICHI Accelerator Based on MPPG 5.a
目的 验证国产TAICHI设备在RayStation放疗计划系统中建立的束流模型剂量计算的准确度,使设备可以更好地服务于临床患者治疗.方法 以美国医学物理协会发布的MPPG 5.a和TG119报告为依据,对TAICHI设备的模型剂量计算模型进行验证,包括PDD曲线、Profile 曲线、TG119、临床病案验证等.结果 不同源皮距基础野2 mm/2%伽玛通过率在浅深度(0~20 cm)结果基本都接近100%,深深度(水下25 cm)结果相比于浅深度较差,但均值仍在93%以上,所有点剂量偏差结果均小于2%(小野修正后),因此模型中束流跟设备实际输出基本一致;针对TG119测试病例,调强放疗(Intensity Modulated Radiation Therapy,IMRT)和容积旋转调强放疗(Volumetric Modulated Arc Therapy,VMAT)点剂量及面剂量伽玛通过率结果均满足且远优于TG119报告要求的标准;IMRT和VMAT临床患者计划点剂量验证偏差结果平均值分别为0.48%和0.47%,面剂量测试2 mm/2%及3 mm/3%伽玛通过率分别为95.58%、99.46%和96.75%、99.30%,结果均满足临床需求;IMRT和VMAT肺部端到端测试结果通过,其点剂量偏差分别为-0.495%和-2.602%.结论 国产TAICHI经过MPPG 5.a和TG119系统验证后,结果满足并远优于报告要求标准,符合临床要求,可用于优化临床患者治疗计划,对于深深度拟合不好的情况,后续建模过程中需多关注.
Objective To verify the accuracy of dose calculation of the beam model established by the domestic TAICHI equipment in the RayStation treatment planning system,so that the equipment can better serve the treatment of clinical patients.Methods Based on the reports of MPPG 5.a and TG119 released by the American Association of Medical Physics,the model dose calculation model of the TAICHI equipment was verified,including PDD curves,Profile curves,TG119,and clinical case verification,etc.Results The gamma pass rates of 2 mm/2%from the basal field of different source skins at shallow depths(0-20 cm)were basically close to 100%.The results at deep depths(25 cm underwater)were worse than those at shallow depths,but the mean value was still above 93%.The dose deviation results at all points were less than 2%(after small field correction).Therefore,the beam current in the model was basically consistent with the actual output of the equipment.The results of gamma pass rates at both point doses and area doses of intensity modulated radiation therapy(IMRT)and volumetric modulated arc therapy(VMAT)for TG119 test cases were much better than the standards required by the TG119 report.The average deviation results of planned point dose verification for clinical patients in IMRT and VMAT were 0.48%and 0.47%respectively,and the gamma pass rates of 2 mm/2%and 3 mm/3%in surface dose tests were 95.58%,99.46%and 96.75%,99.30%respectively.All the results met the clinical needs.The end-to-end lung tests of IMRT and VMAT passed,and the point dose deviations were-0.495%and-2.602%respectively.Conclusion After being verified by the MPPG 5.a and TG119 systems,the results of domestic TAICHI meet and far exceed the reporting requirements and standards,conform to clinical requirements,and can be used to optimize the treatment plans of clinical patients.For cases with poor deep fitting,more attention is needed in the subsequent modeling process.
汪之群;雷琪琪;王涛;庞廷田;祝鹤龄;邱杰;杨波
中国医学科学院北京协和医院 放疗科,北京 100032西安大医集团股份有限公司,陕西 西安 710018西安大医集团股份有限公司,陕西 西安 710018中国医学科学院北京协和医院 放疗科,北京 100032中国医学科学院北京协和医院 放疗科,北京 100032中国医学科学院北京协和医院 放疗科,北京 100032中国医学科学院北京协和医院 放疗科,北京 100032
医药卫生
TAICHI加速器TPS模型调试MPPG 5.aTG119国产加速器调强放疗(IMRT)容积旋转调强放疗(VMAT)
TAICHI acceleratorTPS model debuggingMPPG 5.aTG119domestic acceleratorintensity modulated radiation therapyvolumetric modulated arc therapy
《中国医疗设备》 2025 (7)
40-48,9
中央高水平医院临床科研业务费资助(2022-PUMCH-B-116).
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