QA measurements of VMAT plans were performed for three anatomical sites with detectors array PTW Octavius1500 (46 Head&Neck, 35 Lung, 32 Breast) and with detectors array PTW Octavius729 (87 Head&Neck, 61 Lung, 26 Breast) inserted in the same PTW Octavius4D phantom. 50 of the total sample of patients were validated with both detector arrays. Measurements were compared with TPS Elekta Monaco 5.1 computed doses via 3D absolute dose γ-analysis by using PTW VeriSoft software 6.1. γ passing rate and γ-mean were calculated under several criteria (3%/3mm, 3%/2mm, 2%/2mm). Both global (90% of maximum dose) and local normalizations were adopted. According to the AAPM Report TG-218, the procedure to set locally based AL (eq. 1, 2) and CL (eq. 4) has been implemented by using the Statistical Process Control (SPC) analysis.
In eq. 1-4, β=6.0 (suggested value), x-mean and σ² are the process mean and variance respectively (i.e., the results of QA on an initial set of measurements), T is the process target (typically 100% in γ passing rate analysis; T is set equal to x-mean when a target is not defined), mR is the moving range (i.e., the absolute difference between two consecutive QA verifications in time sequence, eq. 4), n is the total number of measurements on which SPC analysis is computed. SPC analysis is represented in an i-chart, showing CL and AL, as well as Central line (i.e., x-mean).
CL and AL of Octavius1500 and Octavius729 were assessed on an initial set of measurements (n=20) for the three sites separately and compared. Performance were compared and statistically significance (p<.05) was assessed with paired t-Test.