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SRS Detector Array Validates Dosimetric Treatment Plans

By MedImaging International staff writers
Posted on 25 Oct 2018

Image: The SRS MapCHECK inserted in the SNC StereoPHAN phantom (Photo courtesy of SNC).

An innovative diode-based device addresses the growing need for quality assurance (QA) during stereotactic radiosurgery (SRS), replacing traditional film-based and standalone measurement methods.

The Sun Nuclear (SNC; Melbourne, FL, USA) SRS MapCHECK device is based on a high density diode array designed to replace film and single point dosimeters for patient specific and end-to-end QA. The 2.47mm detector grid provides a 0.5mm resolution using 1,013 SunPoint 2 diodes set in a 2D array, providing both absolute and relative dose in a single measurement. MapCHECK inserts into the rotatable StereoPHAN phantom, with angular dependence, field size, and pulse rate accounted for any angle. SRS MapCHECK works with static, rotational, non-coplanar, flattening filter free (FFF), and cone and multileaf collimator (MLC) fields of 1 - 6 and 10MV.

The accompanying SNC Patient software allows rapid analysis of QA measurements against the SRS treatment planning system (TPS), comparing radiotherapy (RT) dose distribution of the TPS file to the actual measured values. Users can query various points from the dose distribution, including absolute dose, absolute and relative dose difference between measured and planned dose data, and location relative to isocenter. Measurements use standard RT dose comparison metrics: gamma analysis, dose difference analysis, and sub-millimeter distance criterion.

“The SRS MapCHECK is an effective tool for patient-specific and end-to-end stereotactic QA. It shows good agreement with film dosimetry for field sizes ranging from seven centimeters to half a centimeter,” said Brett Miller, MSc, DABR, of the University of Tennessee Medical Center (Knoxville, USA). “It proves to be an effective, time-saving substitute for film and point dose measurements.”

SRS is used to treat functional abnormalities and small tumors of the brain, delivering precisely targeted RT in fewer high-dose treatments than traditional RT, which can help preserve healthy tissue. When SRS is used to treat body tumors, it is called stereotactic body radiotherapy (SBRT). Both SRS and SBRT are image-guided RT, relying on three-dimensional (3D) imaging and localization techniques, immobilization systems for precise patient position during therapy, and highly focused gamma-ray or x-ray beams that converge on the tumor.

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62 (776.05247497559): SELECT fid FROM jos_deeppockets WHERE id=294775440 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294775440 AND published='1' LIMIT 1

63 (457.0484161377): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

64 (!!!!! 2187.0136260986): select jos_twitters.link from jos_twitters where cat=10

65 (66.041946411133): select jos_facebook.link from jos_facebook where cat=10

66 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

67 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

68 (36.001205444336): SELECT fid FROM jos_deeppockets WHERE id=294775440 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294775440 AND published='1' LIMIT 1

69 (37.193298339844): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

70 (388.14544677734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775440 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (284.91020202637): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775440 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (42.200088500977): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (87.976455688477): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (451.08795166016): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (832.08084106445): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (78.916549682617): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775440 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (44.107437133789): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775440 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (276.08871459961): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (!!!!! 2065.896987915): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 2920.8660125732): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

105 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

106 (92.983245849609): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294775440 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (567.91305541992): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294775440 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2506.0176849365): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

109 (116.10984802246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

110 (61.03515625): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294775440 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (520.94459533691): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294775440 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (805.85479736328): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (!!!!! 2005.1002502441): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (166.89300537109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

115 (!!!!! 1194.953918457): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

116 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

117 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

118 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

119 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

120 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

121 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

122 (931.97822570801): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775440 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775440 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 23286.104202271): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

124 (62.942504882812): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

125 (518.798828125): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

126 (391.00646972656): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

127 (528.09715270996): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

128 (40.054321289062): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

129 (313.99726867676): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

130 (42.915344238281): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

131 (636.81602478027): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

132 (54.121017456055): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

133 (!!!!! 1473.1884002686): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (!!!!! 1595.9739685059): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (357.86628723145): SELECT name FROM jos_deeppockets WHERE id=213

136 (71.048736572266): SELECT name FROM jos_deeppockets WHERE id=213

137 (!!!!! 1396.8944549561): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (772.95303344727): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (400.06637573242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

140 (689.02969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

141 (!!!!! 1600.980758667): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (406.02684020996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

144 (615.83518981934): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

145 (!!!!! 4386.9018554688): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

146 (434.16023254395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

147 (!!!!! 2034.1873168945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

148 (520.94459533691): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775440 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775440 AND type='deeppockets_item' AND published='1' LIMIT 1

149 (314.95094299316): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

150 (226.02081298828): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

151 (755.07164001465): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

152 (830.88874816895): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

153 (607.01370239258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775440 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775440 AND published='1' LIMIT 1

154 (57.220458984375): select jos_twitters.link from jos_twitters where cat=10

155 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

156 (149.96528625488): select jos_google_plus.link from jos_google_plus where cat=10

157 (168.0850982666): select jos_linkedin.link from jos_linkedin where cat=10

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