PMID- 23089835 OWN - NLM STAT- MEDLINE DCOM- 20130723 LR - 20190911 IS - 0369-4305 (Print) IS - 0369-4305 (Linking) VI - 68 IP - 10 DP - 2012 TI - [Quality assurance procedure for assessing mechanical accuracy of a radiation field center in stereotactic radiotherapy]. PG - 1333-9 AB - Stereotactic radiotherapy requires a quality assurance (QA) program that ensures the mechanical accuracy of a radiation field center. We have proposed a QA method for achieving the above requirement by conducting the Winston Lutz test using an electronic portal image device (EPID). An action limit was defined as three times the standard deviation. Then, the action limits for mean deviations of the radiation field center during collimator rotation, gantry rotation, and couch rotation in clockwise and counterclockwise resulted in 0.11 mm, 0.52 mm, 0.37 mm, and 0.41 mm respectively. Two years after the QA program was launched, the mean deviation of the radiation field center during gantry rotation exceeded the above action limit. Consequently, a mechanical adjustment for the gantry was performed, thereby restoring the accuracy of the radiation field center. A field center shift of 0.5 mm was also observed after a micro multi-leaf collimator was unmounted. FAU - Tatsumi, Daisaku AU - Tatsumi D AD - Department of Radiology, Osaka City University Hospital. FAU - Ienaga, Akinori AU - Ienaga A FAU - Nakada, Ryosei AU - Nakada R FAU - Yomoda, Akane AU - Yomoda A FAU - Inoue, Makoto AU - Inoue M FAU - Ichida, Takao AU - Ichida T FAU - Hosono, Masako AU - Hosono M LA - jpn PT - English Abstract PT - Journal Article PL - Japan TA - Nihon Hoshasen Gijutsu Gakkai Zasshi JT - Nihon Hoshasen Gijutsu Gakkai zasshi JID - 7505722 SB - IM MH - Quality Assurance, Health Care/*methods MH - Radiosurgery/methods/*standards EDAT- 2012/10/24 06:00 MHDA- 2013/07/24 06:00 CRDT- 2012/10/24 06:00 PHST- 2012/10/24 06:00 [entrez] PHST- 2012/10/24 06:00 [pubmed] PHST- 2013/07/24 06:00 [medline] AID - DN/JST.JSTAGE/jjrt/2012_JSRT_68.10.1333 [pii] AID - 10.6009/jjrt.2012_jsrt_68.10.1333 [doi] PST - ppublish SO - Nihon Hoshasen Gijutsu Gakkai Zasshi. 2012;68(10):1333-9. doi: 10.6009/jjrt.2012_jsrt_68.10.1333.