1、容积旋转调强放疗系统的验收调试及质量保证提纲 VMAT技术简介 VMAT及验收调试质保仪器 VMAT系统的验收调试 临床病例测试 VMAT系统的质量保证 临床病例的质量保证 总结VMAT系统验收调试质保仪器SN MapCHECK2SN ArcCHECKSN IMFKodak Omat-VCIRS PhantomSolid waterDose1&FC-65PVMAT系统的验收调试 加速器的验收调试 基本治疗功能、固定角度IMRT功能和IGRT功能 VMAT功能 计划系统的配置 计划系统和加速器的联合测试联合测试有关VMAT的内容 基本测试例 考虑影响剂量分布的各种物理因素，设计14种共36个测试
2、例(中华放射肿瘤学杂志,16:455-，2007)临床测试例 鼻咽癌 肺癌 前列腺癌加速器VMAT功能验收调试厂家厂家CAT手册包括的测试项目手册包括的测试项目Service模式下模式下Stored beam中的中的Fully Dynamic针对机架转动、叶片运动和剂量率变化的针对机架转动、叶片运动和剂量率变化的测试测试旋转过程中旋转过程中MLC位置变化位置变化测试剂量率与机架运动速度的关系测试剂量率与机架运动速度的关系测试剂量率与叶片运动速度的关系测试剂量率与叶片运动速度的关系DR,0,520DR,11.85,520DR,11.85,260DR,17.78,260DR,17.78,130DR
3、,20.74,130DR,20.74,65DR,22.22,65DR,22.22,32DR,22.96,32DR,22.96,65DR,24.44,65DR,24.44,130DR,27.41,130DR,27.41,260DR,33.33,260DR,33.33,520DR,45.19,520DR,45.19,260DR,51.11,260DR,51.11,130DR,54.07,130DR,54.07,65DR,55.55,65DR,55.55,32DR,56.3,32DR,56.3,65DR,57.78,65DR,57.78,130DR,60.74,130DR,60.74,260DR,6
4、6.67,260DR,66.67,520DR,78.52,520DR,78.52,260DR,84.44,260DR,84.44,130DR,87.41,130DR,87.41,65DR,88.89,65DR,88.89,32DR,89.63,32DR,89.63,65DR,91.11,65DR,91.11,130DR,94.07,130DR,94.07,260DR,100,2600100200300400500020406080100GA and CA,0,-179.9GA and CA,11.85,-165GA and CA,17.78,-150GA and CA,20.74,-135GA
5、 and CA,22.22,-120GA and CA,22.96,-105GA and CA,24.44,-90GA and CA,27.41,-75GA and CA,33.33,-60GA and CA,45.19,-45GA and CA,51.11,-30GA and CA,54.07,-15GA and CA,55.55,0GA and CA,56.3,15GA and CA,57.78,30GA and CA,60.74,45GA and CA,66.67,60GA and CA,78.52,75GA and CA,84.44,90GA and CA,87.41,105GA an
6、d CA,88.89,120GA and CA,89.63,135GA and CA,91.11,150GA and CA,94.07,165GA and CA,100,180-180-90090180020406080100Jaws and leaf max,0,0.5Jaws and leaf max,11.85,1.31Jaws and leaf max,17.78,2.13Jaws and leaf max,20.74,2.94Jaws and leaf max,22.22,3.75Jaws and leaf max,22.96,4.56Jaws and leaf max,24.44,
7、5.38Jaws and leaf max,27.41,6.19Jaws and leaf max,33.33,7Jaws and leaf max,45.19,7.81Jaws and leaf max,51.11,8.63Jaws and leaf max,54.07,9.44Jaws and leaf max,55.55,10.25Jaws and leaf max,56.3,11.06Jaws and leaf max,57.78,11.88Jaws and leaf max,60.74,12.69Jaws and leaf max,66.67,13.5Jaws and leaf ma
8、x,78.52,14.31Jaws and leaf max,84.44,15.13Jaws and leaf max,87.41,15.94Jaws and leaf max,88.89,16.75Jaws and leaf max,89.63,17.56Jaws and leaf max,91.11,18.38Jaws and leaf max,94.07,19.19Jaws and leaf max,100,2005101520020406080100Leaf min,0,0.5Leaf min,11.85,0.52Leaf min,17.78,0.54Leaf min,20.74,0.
9、56Leaf min,22.22,0.58Leaf min,22.96,0.6Leaf min,24.44,0.63Leaf min,27.41,0.65Leaf min,33.33,0.67Leaf min,45.19,0.69Leaf min,51.11,0.71Leaf min,54.07,0.73Leaf min,55.55,0.75Leaf min,56.3,0.77Leaf min,57.78,0.79Leaf min,60.74,0.81Leaf min,66.67,0.83Leaf min,78.52,0.85Leaf min,84.44,0.88Leaf min,87.41,
10、0.9Leaf min,88.89,0.92Leaf min,89.63,0.94Leaf min,91.11,0.96Leaf min,94.07,0.98Leaf min,100,100.20.40.60.81020406080100机架和准直器角度()MU(%)铅门和运动范围最大的MLC的运动范围(cm)MU(%)运动范围最小的MLC的运动范围(cm)MU(%)MU(%)剂量率(cGy/min)如何设计加速器VMAT功能测试例 采用文献报道的测试例采用文献报道的测试例Ling et al.I J R O B P 72:575-,2008Bedford et al.I J R O B P
11、73:537-,2009采用两种方法编辑测试例的治疗控制文件采用两种方法编辑测试例的治疗控制文件利用加速器配置的利用加速器配置的iCom软件软件编写修改编写修改Pinnacle计划的计划的Script程序程序IMF的稳定性G0,-0.9968,0G0,-0.979,0G0,-0.9612,0G0,-0.9434,0G0,-0.9256,0G0,-0.9078,0G0,-0.89,0G0,-0.8722,0G0,-0.8544,0G0,-0.8366,0G0,-0.8188,0G0,-0.801,0G0,-0.7832,0G0,-0.7654,0G0,-0.7476,0G0,-0.7298,0G
12、0,-0.712,0.0100825G0,-0.6942,0.062635G0,-0.6764,0.1350445G0,-0.6586,0.263365G0,-0.6408,0.3871G0,-0.623,0.537425G0,-0.6052,0.576835G0,-0.5874,0.62114G0,-0.5696,0.872585G0,-0.5518,1.2945G0,-0.534,1.5307G0,-0.5162,1.7302G0,-0.4984,1.8796G0,-0.4806,2.2502G0,-0.4628,3.1014G0,-0.445,3.4616G0,-0.4272,3.673
13、95G0,-0.4094,3.7467G0,-0.3916,4.02505G0,-0.3738,4.46835G0,-0.356,4.94495G0,-0.3382,5.3727G0,-0.3204,5.8655G0,-0.3026,6.3675G0,-0.2848,6.91955G0,-0.267,7.4154G0,-0.2492,7.91315G0,-0.2314,8.2856G0,-0.2136,8.71305G0,-0.1958,9.0528G0,-0.178,9.38455G0,-0.1602,9.691G0,-0.1424,9.9406G0,-0.1246,10.1832G0,-0
14、.1068,10.3357G0,-0.089,10.4904G0,-0.0712,10.74765G0,-0.0534,10.94425G0,-0.0356,11.10995G0,-0.0178,11.15825G0,0,11.2275G0,0.0178,11.1559G0,0.0356,11.00735G0,0.0534,10.74895G0,0.0712,10.48095G0,0.089,10.4172G0,0.1068,10.2518G0,0.1246,9.93385G0,0.1424,9.5266G0,0.1602,9.23515G0,0.178,8.82575G0,0.1958,8.
15、21865G0,0.2136,7.74725G0,0.2314,7.3195G0,0.2492,6.86825G0,0.267,6.2859G0,0.2848,5.7705G0,0.3026,5.47685G0,0.3204,4.90985G0,0.3382,4.3388G0,0.356,3.73385G0,0.3738,3.2896G0,0.3916,2.92605G0,0.4094,2.51055G0,0.4272,2.14845G0,0.445,1.84995G0,0.4628,1.58629G0,0.4806,1.3529G0,0.4984,1.21724G0,0.5162,0.970
16、975G0,0.534,0.77908G0,0.5518,0.64527G0,0.5696,0.56156G0,0.5874,0.386185G0,0.6052,0.31958G0,0.623,0.20409G0,0.6408,0.14421G0,0.6586,0.118545G0,0.6764,0.116405G0,0.6942,0.095935G0,0.712,0.0345245G0,0.7298,0G0,0.7476,0G0,0.7654,0G0,0.7832,0G0,0.801,0G0,0.8188,0G0,0.8366,0G0,0.8544,0G0,0.8722,0G0,0.89,0
17、G0,0.9078,0G0,0.9256,0G0,0.9434,0G0,0.9612,0G0,0.979,0G0,0.9968,0G90,-0.9968,0.34769G90,-0.979,0.357165G90,-0.9612,0.38863G90,-0.9434,0.43629G90,-0.9256,0.4589G90,-0.9078,0.51695G90,-0.89,0.646495G90,-0.8722,0.703015G90,-0.8544,0.722265G90,-0.8366,0.701795G90,-0.8188,0.714625G90,-0.801,0.76657G90,-0
18、.7832,0.853945G90,-0.7654,0.948675G90,-0.7476,1.072705G90,-0.7298,1.17871G90,-0.712,1.38035G90,-0.6942,1.63185G90,-0.6764,1.8338G90,-0.6586,1.9908G90,-0.6408,2.18605G90,-0.623,2.3495G90,-0.6052,2.41425G90,-0.5874,2.4757G90,-0.5696,2.8674G90,-0.5518,3.29905G90,-0.534,3.67395G90,-0.5162,3.8967G90,-0.4
19、984,4.14235G90,-0.4806,4.55875G90,-0.4628,5.0461G90,-0.445,5.47385G90,-0.4272,5.85025G90,-0.4094,6.12825G90,-0.3916,6.64705G90,-0.3738,7.2697G90,-0.356,7.9727G90,-0.3382,8.6061G90,-0.3204,9.26605G90,-0.3026,9.8997G90,-0.2848,10.62385G90,-0.267,11.56635G90,-0.2492,12.89145G90,-0.2314,14.1078G90,-0.21
20、36,15.1597G90,-0.1958,16.1464G90,-0.178,17.137G90,-0.1602,17.95475G90,-0.1424,18.607G90,-0.1246,19.24945G90,-0.1068,20.31475G90,-0.089,20.9908G90,-0.0712,21.40985G90,-0.0534,21.74345G90,-0.0356,22.0271G90,-0.0178,22.26645G90,0,22.4292G90,0.0178,22.4389G90,0.0356,22.1947G90,0.0534,21.7064G90,0.0712,2
21、1.1528G90,0.089,20.6783G90,0.1068,20.44395G90,0.1246,20.06465G90,0.1424,19.4115G90,0.1602,18.65655G90,0.178,17.74205G90,0.1958,16.78245G90,0.2136,15.72105G90,0.2314,14.5281G90,0.2492,13.42935G90,0.267,12.23305G90,0.2848,11.12965G90,0.3026,10.2116G90,0.3204,9.42185G90,0.3382,8.7726G90,0.356,8.1105G90
22、,0.3738,7.47045G90,0.3916,6.9599G90,0.4094,6.44475G90,0.4272,5.97945G90,0.445,5.5487G90,0.4628,5.03085G90,0.4806,4.64275G90,0.4984,4.2236G90,0.5162,3.76685G90,0.534,3.362G90,0.5518,3.1714G90,0.5696,2.9367G90,0.5874,2.6868G90,0.6052,2.4531G90,0.623,2.21965G90,0.6408,2.08915G90,0.6586,1.9789G90,0.6764
23、,1.82675G90,0.6942,1.5582G90,0.712,1.47235G90,0.7298,1.3306G90,0.7476,1.25725G90,0.7654,1.1604G90,0.7832,1.08795G90,0.801,1.0513G90,0.8188,0.985315G90,0.8366,0.88267G90,0.8544,0.8402G90,0.8722,0.785205G90,0.89,0.65169G90,0.9078,0.59425G90,0.9256,0.567665G90,0.9434,0.51481G90,0.9612,0.497705G90,0.979
24、,0.457375G90,0.9968,0.42407G270,-0.9968,1.0718G270,-0.979,1.1546G270,-0.9612,1.23895G270,-0.9434,1.25905G270,-0.9256,1.3086G270,-0.9078,1.3501G270,-0.89,1.4305G270,-0.8722,1.49985G270,-0.8544,1.5441G270,-0.8366,1.5588G270,-0.8188,1.57655G270,-0.801,1.6022G270,-0.7832,1.74945G270,-0.7654,1.879G270,-0
25、.7476,1.98715G270,-0.7298,2.10235G270,-0.712,2.43655G270,-0.6942,2.62875G270,-0.6764,2.82825G270,-0.6586,3.069G270,-0.6408,3.29205G270,-0.623,3.50715G270,-0.6052,3.62905G270,-0.5874,3.7928G270,-0.5696,4.1793G270,-0.5518,4.64005G270,-0.534,5.069G270,-0.5162,5.37085G270,-0.4984,5.7286G270,-0.4806,6.19
26、18G270,-0.4628,6.73475G270,-0.445,7.25015G270,-0.4272,7.70845G270,-0.4094,8.20795G270,-0.3916,8.80315G270,-0.3738,9.44785G270,-0.356,10.21685G270,-0.3382,11.2213G270,-0.3204,12.67625G270,-0.3026,14.0721G270,-0.2848,15.4981G270,-0.267,16.81145G270,-0.2492,17.94975G270,-0.2314,19.17965G270,-0.2136,20.
27、64915G270,-0.1958,22.0819G270,-0.178,23.2906G270,-0.1602,24.2834G270,-0.1424,25.06425G270,-0.1246,25.75965G270,-0.1068,26.4696G270,-0.089,26.9351G270,-0.0712,27.2613G270,-0.0534,27.68095G270,-0.0356,28.0685G270,-0.0178,28.1112G270,0,28.00085G270,0.0178,27.7437G270,0.0356,27.57245G270,0.0534,27.25475
28、G270,0.0712,26.7784G270,0.089,26.53G270,0.1068,26.22135G270,0.1246,25.6331G270,0.1424,24.70725G270,0.1602,23.7556G270,0.178,22.57985G270,0.1958,21.23095G270,0.2136,19.9098G270,0.2314,18.6205G270,0.2492,17.2379G270,0.267,15.9803G270,0.2848,14.6491G270,0.3026,13.45555G270,0.3204,12.19905G270,0.3382,11
29、.00405G270,0.356,10.09765G270,0.3738,9.413G270,0.3916,8.78635G270,0.4094,8.10655G270,0.4272,7.4439G270,0.445,6.87465G270,0.4628,6.23975G270,0.4806,5.714G270,0.4984,5.31835G270,0.5162,4.9132G270,0.534,4.43015G270,0.5518,4.16555G270,0.5696,3.86185G270,0.5874,3.487G270,0.6052,3.2218G270,0.623,2.9804G27
30、0,0.6408,2.86495G270,0.6586,2.7418G270,0.6764,2.6226G270,0.6942,2.4473G270,0.712,2.2441G270,0.7298,2.1078G270,0.7476,2.04855G270,0.7654,1.97185G270,0.7832,1.87625G270,0.801,1.7968G270,0.8188,1.68405G270,0.8366,1.5805G270,0.8544,1.5133G270,0.8722,1.45185G270,0.89,1.3859G270,0.9078,1.32875G270,0.9256,
31、1.27405G270,0.9434,1.2322G270,0.9612,1.2032G270,0.979,1.19245G270,0.9968,1.18270510152025-1-0.500.51G0G90G270中心误差小于0.2mm(cm)CC 32 X Axis Profile,-140,106.7062091CC 32 X Axis Profile,-130,107.5157945CC 32 X Axis Profile,-120,107.3094947CC 32 X Axis Profile,-110,107.2688983CC 32 X Axis Profile,-100,10
32、6.6439483CC 32 X Axis Profile,-90,106.7009394CC 32 X Axis Profile,-80,105.6585103CC 32 X Axis Profile,-70,104.87137CC 32 X Axis Profile,-60,103.1432915CC 32 X Axis Profile,-50,103.3148503CC 32 X Axis Profile,-40,103.6304481CC 32 X Axis Profile,-30,102.5595235CC 32 X Axis Profile,-20,101.6531313CC 32
33、 X Axis Profile,-10,100.0989537CC 32 X Axis Profile,0,100CC 32 X Axis Profile,10,99.16309009CC 32 X Axis Profile,20,100.1803416CC 32 X Axis Profile,30,101.5896995CC 32 X Axis Profile,40,101.9259858CC 32 X Axis Profile,50,101.7608678CC 32 X Axis Profile,60,102.1096453CC 32 X Axis Profile,70,102.81364
34、12CC 32 X Axis Profile,80,104.1172142CC 32 X Axis Profile,90,104.9521724CC 32 X Axis Profile,100,105.5123243CC 32 X Axis Profile,110,105.5189603CC 32 X Axis Profile,120,105.7123786CC 32 X Axis Profile,130,105.3893641CC 32 X Axis Profile,140,105.8115274CC 65 X Axis Profile,-140,106.6481563CC 65 X Axi
35、s Profile,-130,107.9750597CC 65 X Axis Profile,-120,107.7129914CC 65 X Axis Profile,-110,107.3340153CC 65 X Axis Profile,-100,107.219056CC 65 X Axis Profile,-90,106.7543475CC 65 X Axis Profile,-80,105.8658483CC 65 X Axis Profile,-70,104.9383799CC 65 X Axis Profile,-60,103.6173218CC 65 X Axis Profile
36、,-50,103.4487798CC 65 X Axis Profile,-40,103.6270642CC 65 X Axis Profile,-30,102.7171319CC 65 X Axis Profile,-20,101.6932145CC 65 X Axis Profile,-10,100.4023576CC 65 X Axis Profile,0,100CC 65 X Axis Profile,10,99.60933314CC 65 X Axis Profile,20,100.3935896CC 65 X Axis Profile,30,101.6250183CC 65 X A
37、xis Profile,40,101.9893809CC 65 X Axis Profile,50,102.0283501CC 65 X Axis Profile,60,102.2407326CC 65 X Axis Profile,70,102.9558186CC 65 X Axis Profile,80,104.1960154CC 65 X Axis Profile,90,105.3358663CC 65 X Axis Profile,100,105.7391982CC 65 X Axis Profile,110,105.9028691CC 65 X Axis Profile,120,10
38、5.9759365CC 65 X Axis Profile,130,105.6719762CC 65 X Axis Profile,140,105.9028691CC 130 X Axis Profile,-140,106.3515009CC 130 X Axis Profile,-130,108.019408CC 130 X Axis Profile,-120,107.7126391CC 130 X Axis Profile,-110,107.2632202CC 130 X Axis Profile,-100,107.4034847CC 130 X Axis Profile,-90,106.
39、547585CC 130 X Axis Profile,-80,105.6234614CC 130 X Axis Profile,-70,104.7766264CC 130 X Axis Profile,-60,103.5686342CC 130 X Axis Profile,-50,103.3057575CC 130 X Axis Profile,-40,103.4770329CC 130 X Axis Profile,-30,102.6650255CC 130 X Axis Profile,-20,101.5014026CC 130 X Axis Profile,-10,100.29245
40、63CC 130 X Axis Profile,0,100CC 130 X Axis Profile,10,99.96469533CC 130 X Axis Profile,20,100.4370146CC 130 X Axis Profile,30,101.645961CC 130 X Axis Profile,40,102.0414687CC 130 X Axis Profile,50,102.2194233CC 130 X Axis Profile,60,102.371138CC 130 X Axis Profile,70,103.0767543CC 130 X Axis Profile
41、,80,104.1664281CC 130 X Axis Profile,90,105.4259461CC 130 X Axis Profile,100,105.8181142CC 130 X Axis Profile,110,106.0246942CC 130 X Axis Profile,120,106.0189691CC 130 X Axis Profile,130,105.81716CC 130 X Axis Profile,140,105.8844297CC 260 X Axis Profile,-140,106.2036923CC 260 X Axis Profile,-130,1
42、07.8365307CC 260 X Axis Profile,-120,107.6631887CC 260 X Axis Profile,-110,107.18525CC 260 X Axis Profile,-100,107.4558442CC 260 X Axis Profile,-90,106.2840621CC 260 X Axis Profile,-80,105.4304302CC 260 X Axis Profile,-70,104.6331523CC 260 X Axis Profile,-60,103.4889527CC 260 X Axis Profile,-50,103.
43、1584379CC 260 X Axis Profile,-40,103.3060995CC 260 X Axis Profile,-30,102.5273685CC 260 X Axis Profile,-20,101.47947CC 260 X Axis Profile,-10,100.4679519CC 260 X Axis Profile,0,100CC 260 X Axis Profile,10,100.3164858CC 260 X Axis Profile,20,100.7846755CC 260 X Axis Profile,30,101.8725211CC 260 X Axi
44、s Profile,40,102.4360608CC 260 X Axis Profile,50,102.6648056CC 260 X Axis Profile,60,102.7399443CC 260 X Axis Profile,70,103.337011CC 260 X Axis Profile,80,104.4774061CC 260 X Axis Profile,90,105.7673651CC 260 X Axis Profile,100,106.0120412CC 260 X Axis Profile,110,106.4005745CC 260 X Axis Profile,1
45、20,106.3278137CC 260 X Axis Profile,130,106.1675496CC 260 X Axis Profile,140,106.1347359CC 520 X Axis Profile,-140,105.6979018CC 520 X Axis Profile,-130,107.2419468CC 520 X Axis Profile,-120,107.1040477CC 520 X Axis Profile,-110,106.6029828CC 520 X Axis Profile,-100,106.9477306CC 520 X Axis Profile,
46、-90,105.663545CC 520 X Axis Profile,-80,104.7778266CC 520 X Axis Profile,-70,104.000255CC 520 X Axis Profile,-60,102.9895064CC 520 X Axis Profile,-50,102.6788792CC 520 X Axis Profile,-40,102.8065068CC 520 X Axis Profile,-30,102.0576248CC 520 X Axis Profile,-20,101.1230277CC 520 X Axis Profile,-10,10
47、0.1129875CC 520 X Axis Profile,0,100CC 520 X Axis Profile,10,100.5264488CC 520 X Axis Profile,20,101.1094503CC 520 X Axis Profile,30,102.1040241CC 520 X Axis Profile,40,102.7439327CC 520 X Axis Profile,50,103.0751031CC 520 X Axis Profile,60,103.1139462CC 520 X Axis Profile,70,103.74134CC 520 X Axis
48、Profile,80,104.8125375CC 520 X Axis Profile,90,106.1889312CC 520 X Axis Profile,100,106.3502071CC 520 X Axis Profile,110,106.6968439CC 520 X Axis Profile,120,106.6375756CC 520 X Axis Profile,130,106.5021559CC 520 X Axis Profile,140,106.2826743CW 32 X Axis Profile,-140,106.8526311CW 32 X Axis Profile
49、,-130,106.6177717CW 32 X Axis Profile,-120,106.8879087CW 32 X Axis Profile,-110,107.3285868CW 32 X Axis Profile,-100,106.353287CW 32 X Axis Profile,-90,106.6166023CW 32 X Axis Profile,-80,105.620058CW 32 X Axis Profile,-70,105.0641916CW 32 X Axis Profile,-60,103.2989458CW 32 X Axis Profile,-50,103.0
50、126317CW 32 X Axis Profile,-40,103.9103597CW 32 X Axis Profile,-30,102.085863CW 32 X Axis Profile,-20,101.6787085CW 32 X Axis Profile,-10,100.2175129CW 32 X Axis Profile,0,100CW 32 X Axis Profile,10,99.24903474CW 32 X Axis Profile,20,100.1752187CW 32 X Axis Profile,30,101.4489166CW 32 X Axis Profile
