TURKISH JOURNAL OF ONCOLOGY
2024 , Vol 39 , Num Supplementum 1
Guide for Quality Control and Quality Assurance Tests in Cyberknife Robotic Arm Linear Accelerator
1Medicana International Ankara Hastanesi, Radyasyon Onkolojisi Kliniği, Ankara-Türkiye2Anadolu Sağlık Merkezi, Radyasyon Onkolojisi Kliniği, Kocaeli-Türkiye
3Samsun Eğitim ve Araştırma Hastanesi, Radyasyon Onkoloji Kliniği, Samsun-Türkiye
4Bursa Uludağ Üniversitesi Hastanesi, Radyasyon Onkolojisi Anabilim Dalı, Bursa-Türkiye
5Etlik Şehir Hastanesi, Radyasyon Onkolojisi Kliniği, Ankara-Türkiye
6Medipol Mega Üniversite Hastanesi, Radyasyon Onkolojisi Anabilim Dalı, İstanbul-Türkiye DOI : 10.5505/tjo.2024.004 Stereotactic radiosurgery (SRS) and fractionated stereotactic body radiotherapy (SBRT) are effective methods widely used in the treatment of brain, lung, liver, spine, and kidney tumors. The success of these techniques requires high dosimetric and mechanical accuracy. CyberKnife, a robotic radiosurgery system developed at Stanford University, has been designed to meet these needs. CyberKnife works by mounting a linear accelerator with 6 MV energy on an industrial robot arm. The device, which has a real- time X-ray imaging system, tracks patient movements and directs radiation beams to the tumor with high precision. This non-invasive method allows for high accuracy treatment of tumors without the need for surgical intervention. This guide details the quality assurance (QA) procedures to ensure the safe and effective use of CyberKnife. In line with the recommendations of the TG-135 task group of the American Association of Physicists in Medicine and the manufacturer, QA tests classified as daily, monthly and yearly should be applied regularly for CyberKnife systems. The addition of new technologies such as the Iris? and InCise? collimators with the Xchange? collimator table has also necessitated additional quality control procedures. CyberKnife represents a significant advance in cancer treatment. However, the effective and safe operation of the system depends on QA procedures applied regularly in line with TG-135 recommendations. These tests aim to increase patient safety and maximize treatment effectiveness. This guideline, based on the knowledge and experience of our experts working in different clinics in our country, has been prepared in line with international guidelines with daily, monthly and annual QA tests of CyberKnife determined in line with TG-135 recommendations and the manufacturer"s recommendations. Keywords : Cyberknife; quality assurance; quality control