Report of AAPM TG 135: quality assurance for robotic radiosurgery.

The task group (TG) for quality assurance for robotic radiosurgery was formed by the American Association of Physicists in Medicine's Science Council under the direction of the Radiation Therapy Committee and the Quality Assurance (QA) Subcommittee. The task group (TG-135) had three main charges: (1) To make recommendations on a code of practice for Robotic Radiosurgery QA; (2) To make recommendations on quality assurance and dosimetric verification techniques, especially in regard to real-time respiratory motion tracking software; (3) To make recommendations on issues which require further research and development. This report provides a general functional overview of the only clinically implemented robotic radiosurgery device, the CyberKnife. This report includes sections on device components and their individual component QA recommendations, followed by a section on the QA requirements for integrated systems. Examples of checklists for daily, monthly, annual, and upgrade QA are given as guidance for medical physicists. Areas in which QA procedures are still under development are discussed.

[1]  Raymond P. Rossi,et al.  Performance Specifications and Acceptance Testing for X-Ray Generators and Automatic Exposure Control Devices , 1985 .

[2]  K. Winston,et al.  A system for stereotactic radiosurgery with a linear accelerator. , 1986, International journal of radiation oncology, biology, physics.

[3]  P. O'Brien,et al.  Absorbed dose perturbation caused by diodes for small field photon dosimetry. , 1994, Medical physics.

[4]  P J Biggs,et al.  AAPM code of practice for radiotherapy accelerators: report of AAPM Radiation Therapy Task Group No. 45. , 1994, Medical physics.

[5]  J. Palta,et al.  Comprehensive QA for Radiation Oncology , 1994 .

[6]  J. Palta,et al.  Comprehensive QA for radiation oncology: report of AAPM Radiation Therapy Committee Task Group 40. , 1994, Medical physics.

[7]  J. Tj.  Megavoltage X-ray beams: 2-50 MV. , 1996 .

[8]  T. Jordan.  Megavoltage X-ray beams: 2-50 MV. , 1996, BJR supplement.

[9]  M J Murphy,et al.  The Cyberknife: a frameless robotic system for radiosurgery. , 1997, Stereotactic and functional neurosurgery.

[10]  D. Low,et al.  A technique for the quantitative evaluation of dose distributions. , 1998, Medical physics.

[11]  G. Starkschall,et al.  American Association of Physicists in Medicine Radiation Therapy Committee Task Group 53: quality assurance for clinical radiotherapy treatment planning. , 1998, Medical physics.

[12]  D. Rogers,et al.  AAPM's TG-51 protocol for clinical reference dosimetry of high-energy photon and electron beams. , 1999, Medical physics.

[13]  B. Lippitz,et al.  Lesion topography and outcome after thermocapsulotomy or gamma knife capsulotomy for obsessive-compulsive disorder: relevance of the right hemisphere. , 1999, Neurosurgery.

[14]  Ravinder Nath,et al.  AAPM Code of Practice for Radiotherapy Accelerators , 2000 .

[15]  Jay B. West,et al.  Fiducial Point Placement and the Accuracy of Point-based, Rigid Body Registration , 2001, Neurosurgery.

[16]  Martin J Murphy,et al.  Fiducial-based targeting accuracy for external-beam radiotherapy. , 2002, Medical physics.

[17]  A. Quinn.  CyberKnife: a robotic radiosurgery system. , 2002, Clinical journal of oncology nursing.

[18]  Zbigniew Petrovich,et al.  The CyberKnife stereotactic radiosurgery system: description, installation, and an initial evaluation of use and functionality. , 2003, Neurosurgery.

[19]  Cynthia H McCollough,et al.  Quality assurance for computed-tomography simulators and the computed-tomography-simulation process: report of the AAPM Radiation Therapy Committee Task Group No. 66. , 2003, Medical physics.

[20]  B. Thomadsen,et al.  The Solo Practice of Medical Physics in Radiation Oncology , 2003 .

[21]  Achim Schweikard,et al.  Respiration tracking in radiosurgery. , 2004, Medical physics.

[22]  Martin J Murphy,et al.  Tracking moving organs in real time. , 2004, Seminars in radiation oncology.

[23]  J. Adler,et al.  An Anthropomorphic Phantom Study of the Accuracy of CyberKnife Spinal Radiosurgery , 2004, Neurosurgery.

[24]  A. Boyer,et al.  Tissue Inhomogeneity Corrections for Megavoltage Photon Beams , 2004 .

[25]  Shinichi Shimizu,et al.  Intrafractional tumor motion: lung and liver. , 2004, Seminars in radiation oncology.

[26]  Toward an expanded view of radiosurgery. , 2004, Neurosurgery.

[27]  John Wong,et al.  Accuracy of a wireless localization system for radiotherapy. , 2005, International journal of radiation oncology, biology, physics.

[28]  J. Smathers,et al.  Book Review , 2006, Journal of Applied Clinical Medical Physics.

[29]  D. Larson,et al.  Toward an Expanded View of Radiosurgery. , 2006, Neurosurgery.

[30]  Fujio Araki,et al.  Monte Carlo study of a Cyberknife stereotactic radiosurgery system. , 2006, Medical physics.

[31]  Maximilian Reiser,et al.  Technical description, phantom accuracy, and clinical feasibility for fiducial-free frameless real-time image-guided spinal radiosurgery. , 2006, Journal of neurosurgery. Spine.

[32]  Dongshan Fu,et al.  Enhancing skeletal features in digitally reconstructed radiographs , 2006, SPIE Medical Imaging.

[33]  John T. Wei,et al.  Target localization and real-time tracking using the Calypso 4D localization system in patients with localized prostate cancer. , 2006, International journal of radiation oncology, biology, physics.

[34]  R. Ohinigeorge.  AUDIO-VISUAL BIOFEEDBACK FOR RESPIRATORY-GATED RADIOTHERAPY: IMPACT OF AUDIO INSTRUCTION AND AUDIO-VISUAL BIOFEEDBACK ON RESPIRATORY-GATED RADIOTHERAPY , 2006 .

[35]  Steve B. Jiang,et al.  The management of respiratory motion in radiation oncology report of AAPM Task Group 76. , 2006, Medical physics.

[36]  F. d'Errico.  NCRP Report 151 Structural shielding design and evaluation for megavoltage x-and gamma-ray radiotherapy facilities , 2006 .

[37]  Subhash C. Sharma,et al.  Commissioning and acceptance testing of a CyberKnife linear accelerator , 2007, Journal of applied clinical medical physics.

[38]  K Cleary,et al.  Quantitative Measurement of CyberKnife Robotic Arm Steering , 2007, Technology in cancer research & treatment.

[39]  Steven D Chang,et al.  A STUDY OF THE ACCURACY OF CYBERKNIFE SPINAL RADIOSURGERY USING SKELETAL STRUCTURE TRACKING , 2007, Neurosurgery.

[40]  Steve B. Jiang,et al.  The management of imaging dose during image-guided radiotherapy: report of the AAPM Task Group 75. , 2007, Medical physics.

[41]  Helen H Liu,et al.  Report of the AAPM Task Group No. 105: Issues associated with clinical implementation of Monte Carlo-based photon and electron external beam treatment planning. , 2007, Medical physics.

[42]  E. Wilcox,et al.  Evaluation of GAFCHROMIC EBT film for Cyberknife dosimetry. , 2007, Medical physics.

[43]  A. Schlaefer,et al.  Stepwise multi-criteria optimization for robotic radiosurgery. , 2008, Medical physics.

[44]  Kazuo Hatano,et al.  Reference dosimetry condition and beam quality correction factor for CyberKnife beam. , 2008, Medical physics.

[45]  Dongshan Fu,et al.  A Probabilistic Framework Based on Hidden Markov Model for Fiducial Identification in Image-Guided Radiation Treatments , 2008, IEEE Transactions on Medical Imaging.

[46]  Paul J Keall,et al.  Development and preliminary evaluation of a prototype audiovisual biofeedback device incorporating a patient-specific guiding waveform , 2008, Physics in medicine and biology.

[47]  Christos Antypas,et al.  Performance evaluation of a CyberKnife® G4 image-guided robotic stereotactic radiosurgery system , 2008, Physics in medicine and biology.

[48]  J. Seuntjens,et al.  A new formalism for reference dosimetry of small and nonstandard fields. , 2008, Medical physics.

[49]  Carlo Cavedon,et al.  Total scatter factors of small beams: a multidetector and Monte Carlo study. , 2008, Medical physics.

[50]  M. Hoogeman,et al.  Reducing monitor units for robotic radiosurgery by optimized use of multiple collimators. , 2008, Medical physics.

[51]  Zbigniew Petrovich,et al.  THE CYBERKNIFE STEREOTACTIC RADIOSURGERY SYSTEM: DESCRIPTION, INSTALLATION, AND AN INITIAL EVALUATION OF USE AND FUNCTIONALITY , 2008, Neurosurgery.

[52]  G. Kuduvalli,et al.  A fast, accurate, and automatic 2D-3D image registration for image-guided cranial radiosurgery. , 2008, Medical physics.

[53]  V. Smith,et al.  Peripheral dose measurement for CyberKnife radiosurgery with upgraded linac shielding. , 2008, Medical physics.

[54]  S. Senan,et al.  Impact of audio-coaching on the position of lung tumors. , 2008, International journal of radiation oncology, biology, physics.

[55]  E. Wilcox,et al.  Accuracy of dose measurements and calculations within and beyond heterogeneous tissues for 6 MV photon fields smaller than 4 cm produced by Cyberknife. , 2008, Medical physics.

[56]  M-C Kim,et al.  Stereotactic lesioning for mental illness. , 2008, Acta neurochirurgica. Supplement.

[57]  Fang-Fang Yin,et al.  Task Group 142 report: quality assurance of medical accelerators. , 2009, Medical physics.

[58]  E. Wilcox,et al.  Comparison of planned dose distributions calculated by Monte Carlo and Ray-Trace algorithms for the treatment of lung tumors with cyberknife: a preliminary study in 33 patients. , 2010, International journal of radiation oncology, biology, physics.

[59]  Danny Dickow,et al.  Clinical implications of adopting Monte Carlo treatment planning for CyberKnife , 2010, Journal of applied clinical medical physics.

[60]  S. Broggi,et al.  Evaluation of the peripheral dose in stereotactic radiotherapy and radiosurgery treatments. , 2010, Medical physics.

[61]  T. Zhu,et al.  Accelerator beam data commissioning equipment and procedures: Report of the TG-106 of the Therapy Physics Committee of the AAPM. , 2008, Medical physics.