TURKISH JOURNAL OF ONCOLOGY 2024 , Vol 39 , Num Supplementum 1
Guide For Quality Control and Quality Assurance Tests in Tomotherapy/Radixact Systems
Evren Ozan GÖKSEL1,Songül BARLAZ US3,Yücel AKDENIZ4,Recep BOZCA5,Yelda ELÇIM6,Zerrin GANI7,Gülay GÜRAY8,Nazan DEDE KARAKOÇ9,Nilgül NALBANT10,Turgay TOKSOY11,Abdullah YEŞIL12
1Acıbadem Mehmet Ali Aydınlar Üniversitesi, SHMYO, Radyoterapi Programı, İstanbul-Türkiye
2Acıbadem Altunizade Hastanesi, Radyasyon Onkolojisi Kliniği, İstanbul-Türkiye
3Mersin Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, Mersin-Türkiye
4Acıbadem Adana Hastanesi, Radyasyon Onkolojisi Kliniği, Adana-Türkiye
5Başkent Üniversitesi, Adana Dr. Turgut Noyan Araştırma ve Uygulama Merkezi, Radyasyon Onkolojisi Anabilim Dalı, Adana-Türkiye
6Gülhane Eğitim ve Araştırma Hastanesi, Radyasyon Onkolojisi Kliniği, İstanbul-Türkiye
7Ankara Bilkent Şehir Hastanesi, Radyasyon Onkoloji Kliniği, Ankara-Türkiye
8Medikal Park Bahçelievler Hastanesi, Radyasyon Onkolojisi Kliniği, İstanbul-Türkiye
9Kartal Dr. Lütfi Kırdar Şehir Hastanesi, Radyasyon Onkolojisi Kliniği, İstanbul-Türkiye
10Acıbadem Atakent Hastanesi, Radyasyon Onkolojisi Kliniği, İstanbul-Türkiye
11Ali Osman Sönmez Onkoloji Hastanesi, Radyasyon Onkolojisi Kliniği, Bursa-Türkiye
12Medicana Bursa Hastanesi, Radyasyon Onkolojisi Kliniği, Bursa-Türkiye
DOI : 10.5505/tjo.2024.003 The MFD-GG003 task group has prepared a quality control and assurance report for Tomotherapy/ Radixact devices. This published report summarizes the main test contents and application methods of the primary report. The purpose of this report is to standardize the quality control tests and methods recommended by manufacturers and international guidelines for Tomotherapy/Radixact devices and to provide recommendations for medical physicists in radiation oncology clinics to establish safe and effective quality assurance programs. The quality control tests are categorized under headings such as mechanical tests, water phantom tests, film tests, solid phantom tests, imaging component tests, and treatment planning system tests. For each test, the purpose, procedure, recommended frequency, and tolerance range are specified. Additionally, the recommended tests, along with their tolerance values, are listed in tables for daily, monthly, and annual intervals. The suggested test frequencies and tolerance values were determined based on international references, manufacturer recommendations, and the clinical experience of the MFD-GG003 task group members. However, when establishing a quality assurance program for a clinic, medical physicists must make appropriate decisions for their own clinics by considering device characteristics and the treatment techniques applied, especially when modifying or determining tolerance values and test frequencies. Keywords : Quality assurance; radixact; tomotherapy