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IBA Dosimetry

Patient and Linac QA - present and the future

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Sandra Kos

Service Department – Customer Support Specialist

sandra.kos@iba-group.com

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IBA Dosimetry

Part of IBA Group OUR MISSION

At IBA we dare to develop innovative solutions pushing back the limits of science. We share ideas and know-how with our customers, our partners and leading experts to bring new solutions for the diagnosis and treatment of cancer and for the benefits of patients. We care of the well-being of patients and stakeholders as it is together that we complete our mission to Protect Enhance and Save lives.

1998/1999 IBA enters the field of Dosimetry

Located in Schwarzenbruck, Germany

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Proton Therapy Dosimetry

Radio Pharma Solutions Industrial and Sterilisation Solutions

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Quality assurance in radiotherapy

‘Quality assurance in radiotherapy’

ALL procedures that ensure consistency of the medical prescription, and safe fulfilment of that prescription, as regards the dose to the target volume, together with minimal dose to normal tissue, minimal exposure of personnel and adequate patient monitoring aimed at determining the end result of the treatment.

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TPS CT CBCT

Epid

Symmetry

…………………………………

………….

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Linac QA

The parameters to be tested and the tests to be performed

The specific equipment to be used to perform the tests

The geometry of the tests

The frequency of the tests

The staff group or individual performing the tests, as well as the individual supervising and responsible for the standards of the tests and for actions that may be necessary if problems are identified

The expected results

The tolerance and action levels

The actions required when the tolerance levels are exceeded 4

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Linac QA

Different protocols available on market:

DIN

TG -142

Elekta

Varian

Siemens

IEC-60976

……..

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Linac QA

All-in-One

All Connected

All Secure

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myQA® is a unique platform that

connects QA applications, people, and

know-how through a Central Database

and the Cloud. It offers full support

throughout all of your QA, and enables

you access to the different software

modules and all of your data from one

intuitive interface - anywhere &

anytime.

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Pass-Fail

Numeric

Dosimetry: Energy, Output, Profile, Wedge Constancy

CBCT: Contrast, Geometric Distortion, HU Constancy, Spatial resolution, Uniformity and Noise

MLC: Leaf position accuracy, Moving Window/Segmental IMRT, Picket fence, VMAT/Dynamic MLC

EPID (MV) / Planar (KV): Scaling Test

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Linac QA

Cloud Solution

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Patient QA

Errors in Patient Treatment:

- incorrect manual parameter transfer

- reversal of images in treatment planning

- erroneous calculation for soft wedge

- incorrect Intensity Modulated Radiotherapy (IMRT) planning

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Need for pre-treatment patient plan verification

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Patient QA

Film Dosimetry

TPS Phantom Calculations

EPID Dosimetry

…………………………………

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Patient QA

myQA Patients

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Patient QA

Compass – 2 in 1 Solution Calculation based TPS Check

Measurement based

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Patient and Linac QA - Future

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Patient and Linac QA - Future

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Multifunctional detector for your:

1. Pre-treatment QA

2. Online treatment monitoring per fraction

3. Machine and Morning QA in the future** ► Dolphin is ready anytime for your QA without the typical hardware setup; no cabling required

► Fluence generated from the detector response for high-resolution Monte Carlo dose modeling

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??? Questions ???

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/iba

/company/iba

/ibaworldwide

/ibagroup

Thank you / Hvala

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Sandra Kos

Service Department – Customer Support Specialist

sandra.kos@iba-group.com