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Definitions
Definition 1
Definition 2
Need for QA
Need for QA 1
Quality assurance reduces uncertainties
and errors in dosimetry, treatment
planning, equipment performance, treatment
delivery, etc., thereby improving dosimetric
and geometric accuracy and the precision of
dose delivery.
Need for QA 2
Quality assurance allows a reliable inter-
comparison of results among different
radiotherapy centers, ensuring a more
uniform and accurate dosimetry and
treatment delivery. This is necessary for
clinical trials and also for sharing clinical
radiotherapy experience and transferring it
between centers.
Whose
responsibility is
it?
Whose responsibility is it?
Radiation Oncologists
Consultation
Prescription
On-Tx evaluation
Follow-up, etc.
Radiotherapy
technologists Documentation of
(radiation therapists) treatment and
observing patient
Clinical operation progress and any
of simulators, CT, signs of
Linacs complication
Accurate patient
data acquisition Documentation of
treatment plan and
Radiotherapy dose calculation
treatment planning
Patient
Dose calculation measurements
Record and
Verification Entry
Whose responsibility is it?
Everyone!
Quality Control
QC Program should include:
Responsibility for quality assurance and
the quality system: quality management
representatives.
Document control.
Procedures to ensure that the quality
system is followed.
Ensuring that the status of all parts of the
service is clear.
Reporting all non-conforming parts and
taking corrective action.
Recording all quality activities.
Establishing regular review and audits of
both the implementation of the quality
system (quality system audit) and its
effectiveness (quality audit).
QA & QC of RT
Equipment
Elements of Equipment
QA & QC
Equipment specification
Acceptance
Commissioning
periodic Quality control
Test method
Test equipment
Parameters to test
Frequency of measurement
Responsibilities of different group of
staff
Reference values
Tolerances
Actions to be taken
Rules for documentation
QA / QC of Linacs
Test Categories
Patient - Specific
Daily
Basic (weekly to monthly)
Extended (6 months to 2 years)
QA instruments
Daily
Daily Test Dosimeter
consistency checker
Daily test phantom
QA instruments
Daily
Daily Test Dosimeter
consistency checker
Daily test phantom
9
QA instruments
Detectors A complete range of
detectors from in-house manufacturing
Basic (weekly - monthly) can be used with the Blue Phantom
including ionization chambers,
Ion chamber semiconductor detectors and a linear
Electrometer diode array.