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Title

Daily QA™ 3 User’s Guide

Daily QA Accelerated

Model 1093

Title Daily QA™ 3 User’s Guide Daily QA Accelerated Model 1093 You r Most Valuable QA
Title Daily QA™ 3 User’s Guide Daily QA Accelerated Model 1093 You r Most Valuable QA

Your Most Valuable QA & Dosimetry Tools

User’s Guide, Daily QA 3™

Copyright © 2006-2016 by Sun Nuclear Corporation. All rights reserved.

The information contained in this guide and the accompanying software program are copyrighted and all rights are reserved by Sun Nuclear Corporation. Copying, duplicating, selling, or otherwise distributing any part of this product without the prior written consent of Sun Nuclear Corporation is prohibited.

Sun Nuclear Corporation reserves the right to make periodic modifications to this guide without obligation to notify any person or entity of such revision.

This guide is written for:

PC software:

version 2.5.4

Database

version 1.4

Firmware:

version 1.7.0 (compatible with all printed circuit board revisions)

Daily QA™ 3, Daily QA Check 2™, PROFILER™ 2, TomoDose™, IMF™ and GMF™ are trademarks of Sun Nuclear Corporation. Other trademarks or trade names are the property of their respective owners.

The array calibration procedure for the instrument is protected by U.S. Patent No. 6125335.

Document 1093012, Rev L, 3 February 2017

No. 6125335. Document 1093012, Rev L, 3 February 2017 Corporate Headquarters 3275 Suntree Boulevard Melbourne,

Corporate Headquarters 3275 Suntree Boulevard Melbourne, Florida 32940 USAtelephone +1 321-259-6862http://www.sunnuclear.com

3275 Suntree Boulevard Melbourne, Florida 32940 USA  telephone +1 321-259-6862  http://www.sunnuclear.com ii

Preface

Intended Use

The Daily QA 3 is intended to measure and analyze the daily radiation output characteristics of an external treatment machine (linac or Cobalt 60) before the start of daily treatment in a radiation oncology center, and not for calibration of said machines.

CAUTION: Certain federal laws restrict this device to sale by or on the order of

CAUTION: Certain federal laws restrict this device to sale by or on the order of a qualified radiation therapy professional, such as a medical dosimetrist, medical physicist, or radiation oncologist.

Application

Every morning, the Daily QA 3 is positioned in a standard beam setup for measurement. The parameters measured are: dose output, beam symmetry, beam flatness, beam energy, and light/ radiation field coincidence. These parameter measurements are compared to a reference value using trend graph analysis in the Daily QA 3 software. If a measurement exceeds an action level, an investigation of the cause will take place before treatment resumes for the day.

cause will take pl ace before treatment resumes for the day. WARNING: Do not modify a

WARNING: Do not modify a patient’s treatment plan based only on the results from a single QA device; but DO investigate the source of the error in the treatment delivery device (TDD) or treatment planning system (TPS).

Quality and Regulatory Systems

Sun Nuclear meets worldwide standards, including ISO 13485, FDA 21 CFR 820 Quality System Regulations, Health Canada's CMDCAS, and the European Medical Device Directive 93/42/EEC. Sun Nuclear is certified and authorized to affix the CE mark on products for marketing and distribution in the Member States of the European Union.

Sun Nuclear’s quality systems registrar and European Notified Body for Class II medical products is BSI. Sun Nuclear’s Class I medical products are listed in Europe with the Competent Authority of the Netherlands.

Conventions

the Competent Authority of the Netherlands. Conventions Sun Nuclear Corporat ion is an ISO 13485 certified

Sun Nuclear Corporation is an ISO 13485 certified company.

Bold typeface indicates a button name or an entry that the user must type.

Italicized typeface indicates the title of a manual, a cross-referenced subsection within this manual, or introduces a new term or phrase.

Bold italicized typeface indicates a menu option.

• “Text in double quotes” indicates a message that is displayed to the user.

• 'Text in single quotes' indicates the name of a window or dialog box.

• The “Z” suffix in a part number indicates a RoHS2 compliant part.

Health and Safety Instructions

WARNING: To avoid the risk of electric shock, this equipment must only be connected to a supply mains with protective earth (ground).Health and Safety Instructions CAUTION: Keep the electronics out of the direct beam. Exposing the Daily

CAUTION: Keep the electronics out of the direct beam. Exposing the Daily QA 3 electronics to direct radiation could void the warranty.connected to a supply mains with protective earth (ground). • The device may only be used

• The device may only be used with the medically approved power supply that is shipped with the device.

• Inspect the instrument periodically for damage. If errors or damage are suspected, contact Sun Nuclear Corporation.

• To protect insulation, never pull on a cable to disconnect it. Always grasp the plug or connector. Do not use any power cord or power supply that is damaged or has broken insulation.

• Do not route cables under or through the treatment room door in a way that would present a tripping hazard.

• The instrument is not intended to be used in an oxygen-rich environment.

• Do not operate the instrument in any strong magnetic fields (i.e., MRI).

Preface

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iii

Intended

Use.

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. Quality and Regulatory .

Application

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. Health and Safety Instructions

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iv

Introduction

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1

. Parts and Options

Description

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. rf-Daily QA 3, P/N

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Daily QA 3, P/N 1093000-0Z

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2

Gantry Mount

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Setup.

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3

Upgrade Installation

. Backup Before Upgrade

. Upgrading Client Software

. Conversion of Database Tables for Daily

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3

3

3

QA 3 Software Version 2.5

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Step 1 – Install Database Software

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3

New Software

3

Prerequisites

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3

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Step 2 – Install Client Software

 

4

Hardware Setup

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5

Charge rf-Daily QA 3 Battery

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5

Cable Connections.

. rf-Daily QA 3 Wireless Connection

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5

5

Daily QA 3 Wired Connection

 

6

Software Setup

7

Add Users to the

7

Launch Software and Connect to Database

 

7

Set Up Program Preferences

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Calibration

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8

Calibrate Temperature and Pressure – Daily

 

QA 2 and Daily QA 3

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Calibrate Absolute Dose

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Absolute Dose Calibration Procedure

 

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Calibrate Array

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. Create a QA Test Plan, Site, Room, Machine,

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Template

Overview

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9

QA Mode View

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10

Set Up the Scheme Tree, Physicist Role

 

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Set Up Template for Beam Tracking

 

11

Baseline Options

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11

Baseline QA

11

Contents

QA Measurement

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13

Preparing for Measurement

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13

13

Printing Reports

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14

Exporting Data

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14

Support and

15

Maintaining Hardware

15

Repair

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15

Cleaning

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15

. Disposing and Recycling

Storage.

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15

Minimizing Radiation

 

15

Troubleshooting Daily QA 3

 

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Database Connection Troubleshooting

 

17

Daily QA 3 End Panel

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rf-Daily QA 3 End Panel

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PDI Troubleshooting

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18

Contacting Sun Nuclear

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Support Website

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19

Warranty

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19

Specifications

20

Recommended System Requirements

 

20

Daily QA 3 Specifications

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20

rf-Daily QA 3 Specifications

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Software Reference

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Daily QA 3 Client Software

23

QA View

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Scheme Tree

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24

Results

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24

Trend View

. Graph Controls .

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25

25

Symbols

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25

Appendix A: Regulatory Supplement

 

27

Sun Nuclear Corporation Symbols

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27

Operator Responsibility

 

27

Modifications to the Equipment

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28

Environmental Requirements

 

28

Operating

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28

Storage.

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28

Radio Interference

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28

Reporting Health or Safety Related Issues or

 

Concerns

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Connection to External Computer Equipment

 

29

EMC Precautions

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29

This page is intentionally left blank.

Description

1 Introduction

Daily QA 3 captures the “beam print” of a radiation field by measuring radiation using ionization chambers and diodes, arranged in a fixed pattern such that a reproducible setup will reveal changes in beam characteristics. Trend analysis is performed with built-in database software.

Daily QA 3 software stores measurement results in a database that allows trend analysis of measurements and report generation. The database can be centralized so that any network computer running the Daily QA 3 client software can access the data.

Daily QA 3 software can also be used with PROFILER 2, TomoDose, and Daily QA Check 2. For a list of software differences when using other instruments, see the Daily QA 3 Reference Guide or the software Help Index.

Parts and Options

rf-Daily QA 3, P/N 1093000-1Z

After unpacking, identify the parts.

6 7 5 1 3 4 2
6
7
5
1
3
4
2

No.

Part Number

Qty

Description

1 1093500Z or

1

rf-Daily QA 3 instrument

1093500

2 1093400Z

1

rf Base Station *

3 801073Z

1

Blue Power/data cable, 25 m *

4 0224502Z

2

Power supply, switching, filtered, 110-240 VAC, 50-60 Hz to 18 VDC *

5 801008Z

2

Power cord, detachable, IEC plug to USA style plug *

6 801041Z

1

USB cable, 2 m *

7 0224500Z

1

Power Data Interface (PDI) 3.0 *

– 1093012

1

User’s Guide (not shown)

– 1093061

1

Bulletin, rf-Daily QA 3 Battery Recharging

* These items are available in an optional vault pack (part number 1093000-3Z. The vault pack supplies a spare set of cables and hardware so that one can be installed in each room, allowing the user to move only the Daily QA 3 from room-to-room.

Figure 1-1. Parts Furnished with the rf-Daily QA 3

Daily QA 3, P/N 1093000-0Z

After unpacking, identify the parts included in package.

6 5 4 3 2 1
6
5
4
3
2
1

No.

Part Number

Qty

Description

1 1093300Z or

1

Daily QA 3 instrument

1093300

2 801073Z

1

Blue Power/data cable, 25 m

3 0224502Z

1

Power supply, switching

4 801008Z

1

Power cord, detachable, IEC plug to USA style plug

5 0224500Z

1

Power Data Interface (PDI) 3.0

6 801041Z

1

USB cable, 2 m

– 1093012

1

User’s Guide (not shown)

Figure 1-2. Parts Furnished with the Daily QA 3

Gantry Mount Accessory

See the IMF™ – GMF™ User’s Guide, P/N 1122014, for installation instructions.The user’s guide ships with the gantry mount accessory and is also available on the Sun Nuclear Support page. For instructions to access the Support website, see Support Website on page 19.

Linac

P/N

Color

Weight

Dimensions

Elekta

1177000-E

green

7.9 kg (17.5 lb.)

39.4 x 28.7 x 48.8 cm (15.5 x 11.3 x 19.2 in.)

Siemens

1177000-S

red

8.1 kg (17.75 lb.)

39.4 x 31.5 x 48.0 cm (15.5 x 12.4 x 18.9 in.)

Varian

1177000-V

blue

7.4 kg (16.25 lb.)

39.4 x 31.5 x 39.1 cm (15.5 x 12.4 x 15.4 in.)

Upgrade Installation

2 Setup

Backup Before Upgrade

Do not install the database software when performing an upgrade to the latest version of Daily QA 3 Software; the database is already installed. Perform a manual backup of the database before beginning the upgrade.

Upgrading Client Software

After downloading the client software upgrade, install the upgrade using the instructions in Step 2 – Install Client Software on page 4.

Conversion of Database Tables for Daily QA 3 Software Version 2.5

In the past, Sun Nuclear Support personnel were required to assist in the database conversion, but this is no longer necessary. When the software is first launched following installation of software Version 2.5, there is an automatic database conversion. A dialog box prompts you to confirm the update.

1 Click Yes to continue. The database conversion begins. The update and retrend progress displays on the login screen. Note that the amount of time required for the database update and retrend will depend upon the size of the database.

2 Click No if you do not wish to proceed. For example, if you have not backed up the database, select this option, then perform the backup before continuing.

New Software Installation

Prerequisites

• Verify the Daily QA 3 software and Firebird database are not already installed on this computer. If you are currently using a version of the Firebird SQL Database Server for other applications, contact Sun Nuclear Support.

• Verify the computer meets the system requirements. See Recommended System Requirements on page 20.

• Administrative rights are required to install the software.

Daily QA 3 software stores data in a database. The database is installed on the computer hosting the client software or a client/server installation. Consult with your network administrator to plan a server installation.

Step 1 – Install Database Software

These instructions apply to new installations only! Do not install the database if you are upgrading the Daily QA 3 software. For more details about the database installation, see the Daily QA 3 Reference Guide or the software Help Index.

1 Download the Daily QA 3 Database installation file from the Sun Nuclear Support website and save it to a location that can be accessed from the computer that will host the database. On the ‘Daily QA 3 Product Downloads’ page, click the Software (Current Version) link on the left side of the page to access the current installation file. As of the release of this document, the database version is 1.4.0.

2 Navigate to the location of the downloaded DQA3 Database*.exe file and double-click to begin the installation (where * = the software version).

3 If the ‘User Account Control’ dialog box prompts you to allow the program to make changes to the computer, click Yes.

4 Follow the on-screen instructions to complete the installation.

If a ‘Windows Security Alert’ message prompts to keep blocking or unblock the Firebird SQL Server program, select Unblock. For more information about firewalls, see the Daily QA 3 Reference Guide or the software Help Index.

5 When installation completes, read the information about automatic database backups, click OK and then click Finish to exit.

6 Verify that the database software icon, DQA3 DB Admin , appears in the system tray. If the default options were selected when installing the database, the file path for the DBAdmin executable is C:\SNC\QADatabase\DB Admin.

If the firewall does not present the firewall message to unblock the required port, allow the program to communicate through the Windows Firewall as follows (note that the instructions may differ depending upon the version of Windows Operating System):

1 Open the Windows Control Panel.

2 Select Windows Firewall.

3 On the left side of the screen, click Allow a program or feature through Windows Firewall.

4 On the ‘Allowed Programs’ window:

Windows Firewall . 4 On the ‘Allowed Programs’ window: • Windows 7: Click Allow another program

• Windows 7: Click Allow another program. In the ‘Add a Program’ dialog box, select DB Admin, and then click Add.

• Windows 10: Click Allow another app. In the ‘Add an app’ dialog box, select DB Admin, and then click Add.

Step 2 – Install Client Software

Perform the client software installation on the computer(s) which will access the Daily QA 3 Database.

When installing the Daily QA 3 client software, the person logged on to the computer must have administrative privileges. The installation fails if the person logged in does not have write access to C:\Windows\System32.

1 Download the Daily QA 3 Database installation file from the Sun Nuclear Support website and save it to a location that can be accessed from the computer on which the client software will be installed. On the ‘Daily QA 3 Product Downloads’ page, click the Software (Current Version) link on the left side of the page to access the current installation file. As of the release of this document, the Daily QA 3 client version is 2.5.4.

2 Navigate to the location of the downloaded DailyQA3Setup_v*.exe file and double-click to begin the installation (where * = the software version).

3 If the ‘User Account Control’ dialog box prompts you to allow the program to make changes to the computer, click Yes.

4 Follow the on-screen instructions to complete the installation.

5 When installation completes, click Finish to exit.

After installing the Daily QA 3 client software, ensure that all users on the computer have read and write permissions to the directory where the client software is installed. If the default options were selected when installing the client software, the directory for the DailyQA3 executable is C:\SNC\DailyQA3. A shortcut to the Daily QA 3 executable is placed on the computer’s desktop.

C:\SNC\DailyQA3 . A shortcut to the Daily QA 3 executable is placed on the computer’s desktop

Hardware Setup

Charge rf-Daily QA 3 Battery

If using the rf-Daily QA 3, charge the battery overnight before initial use. The battery is fully charged after about 4.5 hours. Before using the device, press the power switch to lock it in the ON position. For more information about charging the battery, see the Daily QA 3 Reference Guide or the software Help Index.

The rf-Daily QA 3 can remain connected to AC power continuously.

QA 3 can remain connected to AC power continuously. Power Supply Figure 2-1. Charging th e

Power

Supply

Figure 2-1. Charging the rf-Daily QA 3 Battery

Cable Connections

Prior to software launch, connect cables. Use the instructions for the type of Daily QA 3 instrument you are using (wireless or wired).

rf-Daily QA 3 Wireless Connection

If the base station is missing, if the batteries are discharged, or if the rf connection does not appear to be working, plug the 25 m power/data cable from the control room directly into the instrument as shown for the Daily QA 3 wired connection.

Only connect to a power source that matches the ratings on the power supply label
Only connect to a power source that matches
the ratings on the power supply label
Power Supply (for charging
rf-Daily QA battery)
USB Cable
Wireless Base Station
(in treatment room)
Wireless Base Station Notes:
• Place base station on a
table or shelf out of the
direct beam
Power
Supply
Power/Data Cable
(Blue)
• Point the non-connector
end of the base station
toward the Daily QA 3
instrument when it is
under the beam.

Figure 2-2. Typical Connection for Wireless Daily QA 3 (rf-Daily QA 3)

Daily QA 3 Wired Connection

Only connect to a power source that matches the ratings on the power supply label
Only connect to a power source that matches
the ratings on the power supply label
USB Cable
Power
Power/Data
Supply
Cable

Figure 2-3. Typical Connection for Wired Daily QA 3

Add Users to the Database

3

Software Setup

Before using the Daily QA 3 software, users must be added to the Daily QA 3 database. Adding users populates the User Name drop-down list on the Daily QA 3 ‘Login’ screen.

Each user name must be unique but passwords are optional. A user role must be assigned:

Physicist or Technician. Physicists have full access to the software; technicians cannot access the setup or calibration menus. At least one physicist role is required to set up a test plan.

Perform this procedure on the computer where the Daily QA 3 database software is installed.

1

Double-click the SNC DB Admin icon in the system tray. If the symbol is hidden, click the ‘Show hidden icons’ button in the system tray.

the ‘Show hidden icons’ button in the system tray. Figure 3-1. Show Hidden Icons 2 In

Figure 3-1. Show Hidden Icons

button in the system tray. Figure 3-1. Show Hidden Icons 2 In the ‘Daily QA 3

2 In the ‘Daily QA 3 Database Administrator’ window, click the User box in the upper right corner.

window, click the User box in the upper right corner. Click to open the login data
window, click the User box in the upper right corner. Click to open the login data

Click to open the login data fields

Figure 3-2. Database Administrator Login

3 The user name, ADMIN, is populated by default. Enter the password, photon (all lower case) and press Enter or click Login.

4 Click New and enter the user information.

5 Click Save.

Launch Software and Connect to Database

5 Click Save . Launch Software and Connect to Database 1 Double-click the Daily QA 3

1 Double-click the Daily QA 3 desktop icon or go to Start > Programs > SNC Group >

Daily QA 3 > Daily QA 3 to launch the Daily QA 3 software.

2 If this is the first time the software has run on this computer, the ‘Program Preferences’ dialog box opens and prompts for the database location. Enter host name and click OK.

3 Close Program Preferences, exit and restart software. If the software finds the database, the Login screen appears.

4 If a device is connected, a background measurement begins. If the device is connected and not found when the software is launched, continue to the next step and then see the Daily QA 3 Reference Guide or the software Help Index.

5 Select a user name from the list, type the password (if required), and click Login.

The software is ready to use when the database connection is established and the instrument is connected.

Set Up Program Preferences

The Daily QA 3 Program Preferences allow you to customize default options, such as temperature and pressure units, length of the startup background measurement, QA rooms to display on a computer, and trend chart settings.

Click Setup > Program Preferences to set default options. For more details, see the Daily QA 3 Reference Guide or the software Help Index.

Calibration

The Calibration menu contains five items ordered in a logical sequence that should be followed when using Daily QA 3 software.

Calibrate Temperature and Pressure – See Calibrate Temperature and Pressure – Daily QA 2 and Daily QA 3 on page 8.

Calibrate Absolute Dose – See Calibrate Absolute Dose on page 8.

Calibrate Array – See Calibrate Array on page 9.

Calibration Management – This function enables import and deletion of qualifying array calibration files and can be performed as needed.See the Daily QA 3 Reference Guide or the software Help Index for details.

Export DQA 3 Calibration (for Argus) – This function is used to export an array calibration as a text file for Argus. For information about exporting a Daily QA 3 calibration for Argus, see the Daily QA 3 Reference Guide or the software Help Index.

Calibrate Temperature and Pressure – Daily QA 2 and Daily QA 3

Air density corrections derived from temperature and pressure sensors in the Daily QA device have a direct influence on output measurements, thereby influencing the Dose Calibration Factor of the central axis chamber (CAX). When the Daily QA 3 software is upgraded to version 2.5, the temperature and pressure sensors for each Daily QA 3 device must be calibrated using your temperature and pressure standards as a reference. These reference standards should be the same as those used for dosimetry calibration, thereby enabling a future intercomparison to your dosimetry standard. Any new or replacement Daily QA 3 instruments must also be calibrated for temperature and pressure prior to calibrating the absolute dose response.

For more information, see the Daily QA 3 Reference Guide or the software Help Index.

1 From the menu, select Calibration > Calibrate Temperature and Pressure.

2 In the ‘Calibrate Temperature and Pressure’ dialog box, enter actual ambient temperature, to tenths of a degree, obtained from a calibrated thermometer in treatment room.

3 Enter actual pressure, to tenths of a unit, obtained from a calibrated pressure gauge in treatment room and click Apply.

Calibrate Absolute Dose

This function converts the CAX ion chamber data from device response to dose. The air density corrections are part of this calibration, therefore the calibration of Temperature and Pressure will influence the CAX dose reference value.

The Absolute Dose Calibration results in an Absolute Dose Calibration Factor, or Dose Factor, for short. The Dose Factor, a new database field in version 2.5 labeled as ‘AB_DOSE_CF’, is applied globally to all template measurements for a given device, hence the user will only perform the 'Calibrate Absolute Dose' function for a single energy per machine. For information about calibrating absolute dose, see the Daily QA 3 Reference Guide or the software Help Index.

Absolute Dose Calibration Procedure

1 Set up the Daily QA 3 using a known absolute dose value for a given MU, field size, depth, and SSD.

dose value for a given MU, field size, depth, and SSD. Note: Water equivalency from the

Note: Water equivalency from the top of the Daily QA 3 instrument to point of measurement is 1.0 cm. The physical distance from the top of the Daily QA 3 instrument to the point of measurement is 0.74 cm.

2 Select Calibration > Calibrate Absolute Dose. In the Available Devices panel the highlighted serial number is the device connected. The instrument image on the right shows the correct orientation for the measurement.

Note: The Calibrate Absolute Dose function is only performed for a single energy per Note: The Calibrate Absolute Dose device. The resultant Dose Factor is automatically applied to all other device. The resultant Dose Factor is automatically applied to all other energies for that device.

3 Click Start and deliver the MU for the known dose. Follow the instructions on the screen to complete the dose calibration. For additional details, see the Daily QA 3 Reference Guide or the software Help Index.

Calibrate Array

This procedure is for Daily QA 3 only. For PROFILER 2 and TomoDose, use the separate instrument software to perform array calibration then import the resulting array calibration files into Daily QA 3 software. For details, see the Daily QA 3 Reference Guide or the software Help Index.

If calibrating an array with an Elekta Beam Modulator™ linac limited to 16x21 cm field SAD, see the Daily QA 3 Reference Guide or the software Help Index for additional information.

1 For photons, adjust collimator jaws to 25 x 25; for electrons, install 25 X 25 cm cone.

2 From the menu, select Calibration > Calibrate Array” The ‘Calibrate Array’ dialog box displays the Daily QA 3 as it should be oriented for the first array calibration measurement and prompts for the energy and beam type.

To zoom in and change perspective, click the magnifying glass at the top right of the screen.

3 Enter energy and beam type (MV for photons, MeV for electrons) for the calibration and click Begin. The Daily QA 3 image rotates to the initial position and the ‘Initial Setup’ dialog box displays.

4 Follow the setup instructions and click Next. For additional calibration details, see the Daily QA 3 Reference Guide or the software Help Index.

5 When Step E of the Calibrate Array procedure is complete, click Finish. The calibration factors display. Click Print to print the results or save as a PDF, Accept to save the results to the database, or Close to close the screen without saving the results.

Create a QA Test Plan, Site, Room, Machine, Template

Overview

a QA Test Plan, Site, Room, Machine, Template Overview Note: Screens in this section show Daily

Note: Screens in this section show Daily QA 3 only; other device screens have a slightly different appearance.

The QA test plan is a Scheme Tree that contains all the test and schedule details. As viewed in QA Mode, the Scheme Tree lists the sites, rooms, machines, and tests; it is linked to a calendar so that recurring tests appear on the days scheduled. Once the device is connected and setup for the test in the Scheme Tree, then as each test is completed, measurement data is stored in the database and the software advances to the next test. Test results are reviewed in the Trend Mode.

QA Mode View

Switch between:QA Mode – create and execute a test planTrend Mode – display trends over time in test plan data

Trend Mode – display trends over time in test plan data Scheme tree Calendar Site +

Scheme

tree

Calendar

trends over time in test plan data Scheme tree Calendar Site + Room Machine Template ID,
trends over time in test plan data Scheme tree Calendar Site + Room Machine Template ID,

Site + Room Machine

Template ID,

(i.e., test

names)

Calendar Site + Room Machine Template ID, (i.e., test names) Device Setup Machine Setup Decision Keys
Device Setup Machine Setup
Device
Setup
Machine
Setup
ID, (i.e., test names) Device Setup Machine Setup Decision Keys Figure 3-3. QA View Set Up

Decision

Keys

Figure 3-3. QA View

Set Up the Scheme Tree, Physicist Role

The user setting up the Scheme Tree, adding machines, rooms, and templates must be assigned the Physicist role in the SNC Daily QA 3 database. See Add Users to the Database on page 7.

Note: Daily QA 3 uses a relational database for recording data and its related site, Note: Daily QA 3 uses a relational database machine, device, template, and user information. Once in machine, device, template, and user information. Once in the database, data cannot be deleted. However, obsolete information on site, machine, device, template, and user can be hidden from view when labeled Inactive.

1 Open the ‘Test Setup’ dialog box by clicking Setup > Scheme Tree….

2 Click New, enter all relevant information for the site. The Setup Overview panel is empty until the information is saved.

3 Click Save. The site appears on the Scheme Tree. Rooms can now be set up for the site.

4 In the Scheme Tree, click to select the Site, enter a room name, and then click +Add. Machines can now be added to the room.

5 In the Scheme Tree, select the room to which a machine will be added and then select the manufacturer and model of the machine from the drop-down lists. The manufacturer and model can be entered manually, if needed.

6 Using the drop-down list, select the serial number of the device that will be used for machine QA. If no device has ever been connected, no devices will be available in the list.

7 Select the array calibration file to use with the instrument. For Daily QA 3 instruments manufactured or serviced after June 2007, the factory calibration file may be used to obtain reasonable results.

8 Select energies to be tested. A test template is produced for each selected energy.

A test templa te is produced for each selected energy. Note: For accurate determination of change

Note: For accurate determination of change in electron energy, templates for all electron energies must be created prior to data collection. All electron energies do not need to be scheduled in the calendar, but must have templates created.

9 Click +Add to save changes in database.

Set Up Template for Beam Tracking

Test templates are added after a machine is created. Each test requires a specific measurement template defining test setup.

1 From the Daily QA 3 menu, select Setup > Scheme Tree.

2 In the Template Information panel, click New to create a test template,

a. Enter or select relevant information for the measurement, including the calibration file.

b. Define the schedule for the test and then click Save. See the Daily QA 3 Reference Guide or the software Help Index for template field descriptions.

3 To edit an existing template, select the template in the Setup Overview panel, and then click Edit in the Template Information panel.

Baseline Options

Consider the following when selecting the baseline options for a template.

• Absolute mode evaluates results for axial symmetry, transverse symmetry, field size and field shift against a field with perfect symmetry and size.

• Relative mode evaluates results against the measured baseline. If you are only interested in deviations from the baseline, use relative mode.

Example:

During baseline measurement, if a beam has an axial symmetry of -0.6%, and a daily QA measurement a week later has an axial symmetry of -0.5%, then in absolute mode, it will show an axsym of -0.5%, but in relative mode it will show an axsym of +0.1%.

Baseline QA Template

Before using a QA test template, it must be baselined with a QA measurement. All trend parameters are compared with the baseline data set until a new baseline is established. Each time the QA template is baselined, subsequent data is compared to the new baseline data, while all previous data is compared to the previous baseline.

1 From the Daily QA 3 software menu, select Setup > Baseline QA Template.

2 The QA Template Baseline Instructions form appears. Follow the onscreen instructions to complete the baseline procedure. See the Daily QA 3 Reference Guide or software Help Index for more detailed information.

The baseline dose corresponds to the value that will represent your desired output baseline. For example, after an output measurement the Daily QA 3 software will subtract the baseline dose from the output measurement to calculate the percent difference. Suppose your output measurement is 102 and you entered 100 for your baseline dose; your percent difference for that output measurement would be 2%.

The delivered dose on the other hand allows you to compensate for situations when you know the output of your machine is different from your desired baseline dose. For instance, if you want your baseline dose to be 100 (1.00 cGy/MU), but you know the current output of your machine is 2% hot (1.02 cGy/MU), enter 102 as your delivered dose. These two factors

allow you to separate the value used as a baseline from the actual process of taking a baseline

measurement.

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Preparing for Measurements

4

QA Measurement

To maintain a stable temperature, the instrument should remain powered on at all times, connected to power via the PDI 24 hours per day. Store the instrument in the treatment room, but not in a location where a primary beam may occur.

If the Daily QA 3 is powered off, power it on and allow it to warm up for 10 minutes before using.

it on an d allow it to warm up fo r 10 minutes before using. CAUTION:

CAUTION: After charging an rf-Daily QA 3, allow electronics to cool down at least 15 minutes before making measurements.

For more information about preparing for measurements, see the Daily QA 3 Reference Guide or the software Help Index.

Measurement

Screen illustrations, orientation illustrations, and detector layouts in this section show Daily QA 3 only. When connected to other instruments, screens have a slightly different appearance.

See the Daily QA 3 Reference Guide or the software Help Index for more information about QA measurements.

1 In the Scheme Tree, select the machine or template (A).

G D A B C F E
G
D
A
B
C
F
E

Figure 4-1. Steps to Make an Exposure

2 Click the drop-down handle (B) above the image of the instrument to display Daily QA 3 setup details. Position instrument as described.

3