PMID- 30127675 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220318 IS - 1507-1367 (Print) IS - 2083-4640 (Electronic) IS - 1507-1367 (Linking) VI - 23 IP - 5 DP - 2018 Sep-Oct TI - Trajectory log file sensitivity: A critical analysis using DVH and EPID. PG - 346-359 LID - 10.1016/j.rpor.2018.07.006 [doi] AB - AIM: The aim of this study was to investigate the sensitivity of the trajectory log file based quality assurance to detect potential errors such as MLC positioning and gantry positioning by comparing it with EPID measurement using the most commonly used criteria of 3%/3 mm. MATERIALS AND METHODS: An in-house program was used to modified plans using information from log files, which can then be used to recalculate a new dose distribution. The recalculated dose volume histograms (DVH) were compared with the originals to assess differences in target and critical organ dose. The dose according to the differences in DVH was also compared with dosimetry from an electronic portal imaging device. RESULTS: In all organs at risk (OARs) and planning target volumes (PTVs), there was a strong positive linear relationship between MLC positioning and dose error, in both IMRT and VMAT plans. However, gantry positioning errors exhibited little impact in VMAT delivery. For the ten clinical cases, no significant correlations were found between gamma passing rates under the criteria of 3%/3 mm for the composite dose and the mean dose error in DVH (r < 0.3, P > 0.05); however, a significant positive correlation was found between the gamma passing rate of 3%/3 mm (%) averaged over all fields and the mean dose error in the DVH of the VMAT plans (r = 0.59, P < 0.001). CONCLUSIONS: This study has successfully shown the sensitivity of the trajectory log file to detect the impact of systematic MLC errors and random errors in dose delivery and analyzed the correlation of gamma passing rates with DVH. FAU - Woon, Wui Ann AU - Woon WA AD - Department of Radiation Oncology, The Brunei Cancer Center, Bandar Seri Begawan BG3122, Brunei Darussalam. AD - Faculty of Science, Universiti Brunei Darussalam, Bandar Seri Begawan BE1410, Brunei Darussalam. FAU - Ravindran, Paul B AU - Ravindran PB AD - Faculty of Science, Universiti Brunei Darussalam, Bandar Seri Begawan BE1410, Brunei Darussalam. AD - Department of Radiation Oncology, Christian Medical College & Hospital, Vellore 632004, India. FAU - Ekayanake, Piyasiri AU - Ekayanake P AD - Faculty of Science, Universiti Brunei Darussalam, Bandar Seri Begawan BE1410, Brunei Darussalam. FAU - Vikraman, Subramani AU - Vikraman S AD - Department of Radiation Oncology, The Brunei Cancer Center, Bandar Seri Begawan BG3122, Brunei Darussalam. FAU - Amirah, Siti AU - Amirah S AD - Department of Radiation Oncology, The Brunei Cancer Center, Bandar Seri Begawan BG3122, Brunei Darussalam. FAU - Lim, Yivonne Y F AU - Lim YYF AD - Department of Radiation Oncology, The Brunei Cancer Center, Bandar Seri Begawan BG3122, Brunei Darussalam. FAU - Vun, Christopher H S AU - Vun CHS AD - Department of Radiation Oncology, The Brunei Cancer Center, Bandar Seri Begawan BG3122, Brunei Darussalam. FAU - Khalid, Jamsari AU - Khalid J AD - Department of Radiation Oncology, The Brunei Cancer Center, Bandar Seri Begawan BG3122, Brunei Darussalam. LA - eng PT - Journal Article DEP - 20180813 PL - Poland TA - Rep Pract Oncol Radiother JT - Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology JID - 100885761 PMC - PMC6097403 OTO - NOTNLM OT - Dose error OT - Intensity-modulated radiation therapy OT - Multileaf collimator OT - Trajectory log files OT - Volumetric arc therapy EDAT- 2018/08/22 06:00 MHDA- 2018/08/22 06:01 PMCR- 2019/09/01 CRDT- 2018/08/22 06:00 PHST- 2017/06/17 00:00 [received] PHST- 2018/01/27 00:00 [revised] PHST- 2018/07/23 00:00 [accepted] PHST- 2018/08/22 06:00 [entrez] PHST- 2018/08/22 06:00 [pubmed] PHST- 2018/08/22 06:01 [medline] PHST- 2019/09/01 00:00 [pmc-release] AID - S1507-1367(18)30082-8 [pii] AID - 10.1016/j.rpor.2018.07.006 [doi] PST - ppublish SO - Rep Pract Oncol Radiother. 2018 Sep-Oct;23(5):346-359. doi: 10.1016/j.rpor.2018.07.006. Epub 2018 Aug 13.