%0 Journal Article
%T Automated Linac QA Using Scripting and Varian Developer Mode
%A Keith Pearman
%A Nicholas Koch
%A David Wiant
%A Han Liu
%A Benjamin Sintay
%J International Journal of Medical Physics,Clinical Engineering and Radiation Oncology
%P 149-168
%@ 2168-5444
%D 2021
%I Scientific Research Publishing
%R 10.4236/ijmpcero.2021.104013
%X Purpose: Linac quality assurance (QA)
can be time consuming involving set up, execution, analysis and subject to user
variability. The purpose of this study is to develop qualitative
automation tools for mechanical and imaging QA to improve efficiency,
consistency, and accuracy. Methods and Materials: Traditionally QA has been performed with graph
paper, film, and multiple phantoms. Analysis consists of ruler and vendor
provided software. We have developed a single four-phantom method for QA
procedures including light-radiation coincidence, imaging quality, table motion
and Isocentricity and separately cone beam computed tomography. XML
scripts were developed to execute a series of tasks using Varian¡¯s Truebeam
Developer Mode. Non-phantom QA procedures have also been developed including
field size, dose rate, MLC position, MLC and gantry speed, star shot,
Winston-Lutz and Half Beam Block. All analysis is performed using inhouse
MATLAB codes. Results: Overall time savings were 2.2 hours per Linac per
month. Consistency improvements (standard deviation, STD) were observed for
some tests. For example: field size improved from 0.11 mm to 0.04 mm and table motion improved
from 0.17 mm to 0.12 mm. CBCT STD improved from 0.99 mm to 0.61