A new method and device of aligning patient setup lasers in radiation therapy

作者：Hwang Ui Jung; Jo Kwanghyun; Lim Young Kyung^*; Kwak Jung Won; Choi Sang Hyoun; Jeong Chiyoung; Kim Mi Young; Jeong Jong Hwi; Shin Dongho; Lee Se Byeong; Park Jeong Hoon; Park Sung Yong; Kim Siyong

来源：Journal of Applied Clinical Medical Physics, 2016, 17(1): 49-61.

DOI：10.1120/jacmp.v17i1.5527

• patient setup
• laser alignment
• radiation isocenter
• optical alignment
• star shot

The aim of this study is to develop a new method to align the patient setup lasers in a radiation therapy treatment room and examine its validity and efficiency. The new laser alignment method is realized by a device composed of both a metallic base plate and a few acrylic transparent plates. Except one, every plate has either a crosshair line (CHL) or a single vertical line that is used for alignment. Two holders for radiochromic film insertion are prepared in the device to find a radiation isocenter. The right laser positions can be found optically by matching the shadows of all the CHLs in the gantry head and the device. The reproducibility, accuracy, and efficiency of laser alignment and the dependency on the position error of the light source were evaluated by comparing the means and the standard deviations of the measured laser positions. After the optical alignment of the lasers, the radiation isocenter was found by the gantry and collimator star shots, and then the lasers were translated parallel to the isocenter. In the laser position reproducibility test, the mean and standard deviation on the wall of treatment room were 32.3 +/- 0.93mm for the new method whereas they were 33.4 +/- 1.49 mm for the conventional method. The mean alignment accuracy was 1.4 mm for the new method, and 2.1 mm for the conventional method on the walls. In the test of the dependency on the light source position error, the mean laser position was shifted just by a similar amount of the shift of the light source in the new method, but it was greatly magnified in the conventional method. In this study, a new laser alignment method was devised and evaluated successfully. The new method provided more accurate, more reproducible, and faster alignment of the lasers than the conventional method.

• 出版日期2016