1Department of Radiotherapy Oncorad Garonne, 330 Avenue Marcel UNAL 82000 Montauban France2Department of Medical Physics Institut de Cancérologie de l'Ouest Centre René Gauducheau 44805 Saint-Herblain France3Department of Medical Physics Centre Eugène Marquis 35000 Rennes France4INSERM UMR 1232 IRS UN 8 quai Moncousu 44007 Nantes France
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Purpose:Full integration of EPID-based dosimetry in a global quality control workflow is still complicated. All the actual solutions are based on a relation between image gray-level signal and total linac-delivered dose. In this study, we propose a simple algorithm relying pixel gray-level of EPID image with average linac delivered dose per acquisition frame.Methods:Calibration models are constructed for Varian and Elekta linacs including scattering conditions and EPID-arm backscatter-specific corrections. Only simple homogeneous fields are required to establish the EPID dose conversion model for each x-ray beam. Then, the model was evaluated by comparing calculated and converted dose distributions for homogeneous and modulated beams using gamma maps.Results:To fit average dose per frame (Dfnorm) vs pixel gray value (Ngnorm) of each EPID image, a logarithmic curve Symbol, has been chosen where A, B and C are constants depending on beam energy. Gamma comparison (2%, 2 mm, threshold 15%) between converted images and calculated dose distributions for linac control and pretreatment patient fields led to a gamma pass rate higher than 97% for all the analyzed fields.Conclusions:Without a prior irradiation settings knowledge except the incident energy beam, we use EPID as a reliable dose to water detector for both homogeneous and modulated beams.