SU‐E‐T‐637: Proton Aperture Quality Assurance Using Computed Tomography

Abstract

Purpose: To develop an automated algorithm for aperture quality assurance for double scattering proton radiotherapy. Methods: Anterior‐Posterior scout images were acquired on a CT scanner for five brass apertures (2 large, 3 small) with 120 kVp and 10mA. A semi‐automated algorithm was developed for the QA process. The input includes a user selecting the scout image and the associated patient plan, field and aperture size. The program automatically thresholds the scout image. Next, a connectivity algorithm is used to determine the points associated with the central shape to obtain the contour. To compare with the plan contour, the program converts the detected and plan contours into polar coordinates, interpolates the data to a 1 degree spaced grid, and determines the differences in radial distance at each grid point. Results: The mean and maximum difference and the percentage of points with distance differences less than 1.25 mm (due to the divergent cut of the aperture) between the detected and plan field aperture contours were obtained. A repeatability coefficient was derived based on repeated scanning and processing of three of the apertures. The mean difference for five apertures was 0.44 +/−0.08 mm. The maximum difference in distance was 1.2 +/−0.23 mm for all apertures. The Repeatability Coefficient was +/−0.038 mm, indicating the technique is highly repeatable. The mean percent of points with distance less than 1.25 mm was 97.41 +/−0.35%. Conclusion: Automated CT scout image based proton aperture QA is feasible, saves time, and provides a quantitative metric for proton patient specific aperture QA.