Diversity in Medical Applications: The Linac Example

Similar documents
Intensity Modulated RadioTherapy

Amendment No. 2. Item No. 2 (Rfx/ Event number )

Teaching linear accelerator physics using simulation software. Marco Carlone, BC Cancer Agency Nicole Harnett, Princess Margaret Cancer Centre

Simulating Potential Layouts for a Proton Therapy Treatment Center

Varian Treatment. Streamlined Treatment Delivery Management Application. Specifications

Efficient SIB-IMRT planning of head & neck patients with Pinnacle 3 -DMPO

Indiana University Health Proton Therapy Center. Chee-Wai Cheng, Ph.D.

Dosimeter Setting Device

Intensity Modulated Radiation Therapy: Dosimetric Aspects & Commissioning Strategies

A new geometric and mechanical verification device for medical LINACs

CHAPTER 5. STUDY OF ANGULAR RESPONSE OF asi 1000 EPID AND IMATRIXX 2-D ARRAY SYSTEM FOR IMRT PATIENT SPECIFIC QA

N-550 TROUBLESHOOTING TROUBLE SHOOTING (N-550 PULSE OXIMETER)

Are Transmission Detectors a Necessary Tool for a Safe Patient Radiation Therapy Program?

Lessons learned from accidents in conventional external radiotherapy

Introductory Motor Learning and Development Lab

SNJB College of Engineering Department of Computer Engineering

Frequently Asked Questions

Radiotherapy. Marta Anguiano Millán. Departamento de Física Atómica, Molecular y Nuclear Facultad de Ciencias. Universidad de Granada

ALTERNATIVE DESIGNS FOR MEGA VOLTAGE MACHINES FOR CANCER TREATMENT IN DEVELOPING COUNTRIES

Cerus P-Series General Specifications Section 15172

Digital. hearing instruments have burst on the

Small field diode dosimetry

Quality Assurance in Radiation Therapy

7/10/2015. Acknowledgments. Institution-specific TG-142? AAPM:Task Group-142. Failure-Mode & Effects Analysis

IORT with mobile linacs: the Italian experience

Varian Edge Experience. Jinkoo Kim, Ph.D Henry Ford Health System

RDP/DDP REDUNDANT/DUPLEX DRIVE PACKAGE

-SQA-SCOTTISH QUALIFICATIONS AUTHORITY. Hanover House 24 Douglas Street GLASGOW G2 7NG NATIONAL CERTIFICATE MODULE DESCRIPTOR

DIVISION 15 - MECHANICAL. Section Variable Frequency Drives. Introduction

7/16/2009. Cost-benefit, QALYs and the Value of a Statistical Life

For Electric Personal Dosimete Dose-i

Disclosure. Outline. Machine Overview. I have received honoraria from Accuray in the past. I have had travel expenses paid by Accuray in the past.

The Heidelberg Ion Therapy (HIT) Accelerator Coming Into Operation. Presented at EPAC 2008, Genova D. Ondreka, GSI

Major accidents in radiotherapy

3D-CRT Breast Cancer Planning

IMRT QA: Point Dose Measurements or 2D Array?

Canadian Partnership for Quality Radiotherapy. Technical Quality Control Guidelines for Gamma Knife Radiosurgery. A guidance document on behalf of:

Trane TR150 Variable Frequency Drive Guide Specification Section GENERAL II. PRODUCTS

3100 & 7200 Programming Sheet V2.6

PROGRESS IN HADRONTHERAPY

The Journey of Cyberknife Commissioning

A model for assessing VMAT pre-treatment verification systems and VMAT optimization algorithms

PhenX Measure: Body Composition (#020300) PhenX Protocol: Body Composition - Body Composition by Dual-Energy X-Ray Absorptiometry (#020302)

510Ic Owner s Manual CONSOLE OVERVIEW & GENERAL NOTES CONSOLE KEYPAD FUNTION

Use of Bubble Detectors to Characterize Neutron Dose Distribution in a Radiotherapy Treatment Room used for IMRT treatments

QUICK SETUP GUIDE SECULIFE DFBASE

Development of an Electronic Glove with Voice Output for Finger Posture Recognition

Beam Loss and Collimation in the ESS Linac

Applications of Particle Accelerators

S. Derreumaux (IRSN) Accidents in radiation therapy in France: causes, consequences and lessons learned

Portable Equine Nebuliser System. User Manual

Debate Motion. Theoretical benefits of VMAT: Real Costs of VMAT. "Arc Based Techniques Will Make Conventional IMRT Obsolete

Normal tissue doses from MV image-guided radiation therapy (IGRT) using orthogonal MV and MV-CBCT

Proton Treatment. Keith Brown, Ph.D., CHP. Associate Director, Radiation Safety University of Pennsylvania

Maintenance and Logistics Experience at Loma Linda Proton Treatment Facility

11/18/13 ECG SIGNAL ACQUISITION HARDWARE DESIGN. Origin of Bioelectric Signals

PGY-1. Resident Review Session Schedule

MCP PMT with high time response and linear output current for neutron time-of-flight detectors

General Treatment Equipment

Voluntary Product Accessibility Template (VPAT)

Completion of Treatment Planning. Eugene Lief, Ph.D. Christ Hospital Jersey City, New Jersey USA

An Electrically Actuated Pin-Puller for Space Application using Nickel- Titanium Memory Alloy

Splitting of the characteristic K-alpha doublet radiation of molybdenum (Item No.: P )

DC-6. Diagnostic Ultrasound System

RISK ASSESSMENT IN RADIATION THERAPY OF PATIENTS USING PROBABILISTIC SAFETY ANALYSIS OF RADIOTHERAPY DEVICES

MLAA Trade Test Outline

No. Error/Event Description Possible causes Possible Solution Classif. Defective RAM memory. Defective RAM memory.

Spatially Fractionated Radiation Therapy: GRID Sponsored by.decimal Friday, August 22, Pamela Myers, Ph.D.

Dental Extraoral X-ray Systems

Level 3 Diploma in Dental Nursing

Dosimeter Setting Device System NRZ

A UNIQUELY SMART RADIATION THERAPY SYSTEM

DEFIBRILLATORS. Prof. Yasser Mostafa Kadah

Deciding to design better user interfaces

Foot Rehabilitation Monitoring Device

Dental Intraoral X-ray Systems

A UNIQUELY SMART RADIATION THERAPY SYSTEM

H. Röcken, M. Abdel-Bary, E. Akcöltekin, P. Budz, T. Stephani, J. Wittschen

ATyS D10 & D20. Notice d utilisation - Operating instructions AFFICHEURS DÉPORTÉS - REMOTE INTERFACES MAKE YOUR BUSINESS SAFE

Quality Assurance of Helical Tomotherapy Machines

A TREATMENT PLANNING STUDY COMPARING VMAT WITH 3D CONFORMAL RADIOTHERAPY FOR PROSTATE CANCER USING PINNACLE PLANNING SYSTEM *

Imaging of Scattered Radiation for Real Time Tracking of Tumor Motion During Lung SBRT

Application(s) of Alanine

Bruker D8 Discover User Manual (Version: July 2017)

Traceability and absorbed dose standards for small fields, IMRT and helical tomotherapy

Work Domain Analysis for Designing a Radiotherapy System Control Interface

A Comparison of IMRT and VMAT Technique for the Treatment of Rectal Cancer

Disclosures. Objectives 8/4/2016. Troubleshooting issues with linear accelerators Steven Sutlief, PhD DABR FAAPM UC San Diego

Graphical User Interface for Windows for MCM Module

STANDARD OPERATING PROCEDURE: RIGAKU RU 300 XRD POWDER SAMPLES

ECG MACHINE KEC- Series

Global Radiation Therapy Market Report

NC DOUBLE OPPOSING HEAD DRILL

Eric E. Klein, Ph.D. Chair of TG-142

Online Care, Online Control, Online Confidence

>Talko. Have your modular speak out the CV, the LPC, 8 bits, vintage way. Page 1

SRS Uncertainty: Linac and CyberKnife Uncertainties

Multifunction device for estimating cardiorespiratory fitness in the Step Tests

Quality assurance and credentialing requirements for sites using inverse planned IMRT Techniques

Transcription:

Diversity in Medical Applications: The Linac Example Brian Bibb 19 January 2005 Outline Describe linac Describe some safety systems Arrive at some conclusions Diversity in Medical Applications: The Linac Example - 2

Treatment on a linac Diversity in Medical Applications: The Linac Example - 3 Layout of Bunker Diversity in Medical Applications: The Linac Example - 4

Linac Diversity in Medical Applications: The Linac Example - 5 Linear accelerator Diversity in Medical Applications: The Linac Example - 6

Treatment head Diversity in Medical Applications: The Linac Example - 7 Radiation profiles Diversity in Medical Applications: The Linac Example - 8

Risks Accidents Incorrect dose Incorrect volume Collision Cause Equipment error Use error Risk Control is often diversity Diversity in Medical Applications: The Linac Example - 9 Control room equipment 1Control cabinet 2 Keyboard 3 Keypad 4 Mouse 5 Monitor Diversity in Medical Applications: The Linac Example - 10

GUI Diversity in Medical Applications: The Linac Example - 11 Diverse Elements Prescribed and Backup MU Set and Actual Diaphragm numerical and visual display Gantry and head angle - mechanical and GUI display Segment timer Diversity in Medical Applications: The Linac Example - 12

Turn off radiation Emergency OFF Supplies Hardware and software control HT PRF Magnetron Linear accelerator Diversity in Medical Applications: The Linac Example - 13 Diverse elements No HT no radiation No PRF no radiation No mains power no radiation Diversity in Medical Applications: The Linac Example - 14

Start and Terminate Key START Button Hardware interlock Software TERMINATE Button Hardware interlock Software Diversity in Medical Applications: The Linac Example - 15 Diverse elements Hardwired START button Regulatory requirement Software control of START Hardwired TERMINATE button Software can always TERMINATE A reset key-switch must be operated in the event of an abnormal termination Diversity in Medical Applications: The Linac Example - 16

System level checks Tolerance checking Drive circuits Supplies Set value Actual value Supplies Monitor circuits Diversity in Medical Applications: The Linac Example - 17 Diverse elements Separate Demand and Monitor circuits Separate display of SET and ACTUAL values Visual and Automatic comparison of SET and actual values Separate supplies for Demand and Monitor circuits Diversity in Medical Applications: The Linac Example - 18

Course and fine pots +V Course -V +V -V Fine Position is also on mechanical scale Diversity in Medical Applications: The Linac Example - 19 Diverse elements Mechanical and electronic scales Consistent offset for the 2 wipers on Fine pot Defined relationship for Fine pot wipers and Course pot wiper Diversity in Medical Applications: The Linac Example - 20

Position A or B detection Position A Transition Position B The switches are: -part of drive and decode circuits -decoded in both hardware and software Indicates a fault Diversity in Medical Applications: The Linac Example - 21 Diverse elements Set position separate from monitor Software checks movement time FPLA and SW Monitors position: both check consistency with linac state Diversity in Medical Applications: The Linac Example - 22

Beam monitoring Radiation beam Ion chamber 1 Ion chamber 2 Diversity in Medical Applications: The Linac Example - 23 Hardware counter Ch1 Software: Counts Ch 1 Compares counters Checks dose rate Times beam Hardware counter Ch2 Terminate beam Terminate beam Display on VDU Display on LCD Terminate beam Display on VDU Diverse elements Ion chambers have different gains HW counters have different scaling factors Hardware and Software Counters Timer check regulatory requirement Dose rate check Separate display on VDU and LCD Diversity in Medical Applications: The Linac Example - 24

Dose Integration 1MU Accumulated dose Σ = 1MU -1MU Duplicated for 1MU and 1/64 MU Diversity in Medical Applications: The Linac Example - 25 Discharge time Ideal Actual Missed dose Capacitor discharge time Diversity in Medical Applications: The Linac Example - 26

Self test Self test signals Ion chamber signals Digital to Analogue Analogue to Digital Signal processing Diversity in Medical Applications: The Linac Example - 27 Single pulse check Typical pulse Detect if a single pulse is too large Abnormal pulse Diversity in Medical Applications: The Linac Example - 28

Overflow check Ion chamber signal Analogue to digital Signal processing 1MU Reset Overflow Pulse detected Count Counter Diversity in Medical Applications: The Linac Example - 29 Other checks Watchdog on particular events PSU monitoring Diversity in Medical Applications: The Linac Example - 30

Free checks Free means no extra hardware required Is the gain correct? Do the interlocks work? Is the noise level (base level) reasonable? Is the noise level consistent? Diagnostic checks Diversity in Medical Applications: The Linac Example - 31 Some conclusions More complex increased potential for design errors More complex, better functionality e.g. less analogue distortions Safety is a system property System level checks can still be used Potential for additional free checks It is worth looking for non complex checks Diversity in Medical Applications: The Linac Example - 32