Abstract
American Association of Physicists in Medicine (AAPM) Published Task Group 40 report which includes recommendations for comprehensive quality assurance (QA) for medical linear accelerator in 1994 and TG-142 report for recommendation for QA which includes procedures such as intensity-modulated radiotherapy (IMRT), stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT) in 2010. Recently, Nuclear Safety and Security Commission (NSSC) published NSSC notification no. 2015–005 which is “Technological standards for radiation safety of medical field”. This notification regulate to establish guidelines for quality assurance which includes organization and job, devices, methods/frequency/tolerances and action levels for QA, and to implement quality assurance in each medical institution. For this reason, all of these facilities using medical machine for patient treatment should establish items, frequencies and tolerances for proper QA for medical treatment machine that use the techniques such as non-IMRT, IMRT and SRS/SBRT, and perform quality assurance. For domestic, however, there are lack of guidelines and reports of Korean Society of Medical Physicists (KSMP) for reference to establish systematic QA report in medical institutes. This report, therefore, suggested comprehensive quality assurance system such as the scheme of quality assurance system, which is considered for domestic conditions, based the notification of NSSC and AAPM TG-142 reports. We think that the quality assurance system suggested for medical linear accelerator also help establishing QA system for another high-precision radiation treatment machines.
References
1. Suzanne LW, William CC, David GP, et al. Intensity-modulated radiation therapy (IMRT) for nasopharynx cancer: Update of the Memorial Sloan-Kettering experience. Int. Radiat Oncol Biol Phys. 64(1):57–62. 2006.
2. Ross IB, Fred H, Chris Z, et al. A novel method for estimating SBRT delivered dose with beam's-eye-view images. Med Phys. 35:3225–3231. 2008.
3. Thongphiew D, Wu QA, Lee WR, et al. Comparison of online IGRT techniques for prostate IMRT treatment: adaptive vs repositioning correction. Med Phys. 36(5):1651–1662. 2009.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
4. Park HJ, Griffin RJ, Hui S, et al. Radiation-induced vascular damage in tumors: implications of vascular damage in ablative hypofractionated radiotherapy (SBRT and SRS). Radiat Res. 177(3):311–27. 2012.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
5. ICRP Publication 86: Prevention of Accidents to Patients Undergoing Radiation Therapy. International Commission on Radiological Protection, England (. 2000.
6. ICRU Report 24: Determinati of absorbed dose in a patient irradiated by beams of X or gamma rays in radiotherapy procedures. International Commission in Radiation Units and Measurements, Maryland (. 1976.
7. Herring DF, Compton DHJ. The degree of precision in the radiation dose delivered in cancer radiotherapy. Computers in Radiotherapy. Br J Radiol Special Report. 5:51–58. 1971.
8. AAPM Task Group No. 24: Physical Aspects of Quality Assurance in Radiation Therapy. American Association of Physicists in Medicine (. 1984.
9. ICRP Publication 86: Prevention of Accidents to Patients Undergoing Radiation Therapy. International Commission on Radiological Protection, England (. 2000.
10. ICRP Publication 112: A report of preventing accidental exposures from new external beam radiation therapy technologies. International Commission on Radiological Protection, England (. 2009.
11. IAEA: Accidental overexposure of radiotherapy patients in San José, Costa Rica. International Atomic Energy Agency, Vienna (. 1998.
12. IAEA: SRS 17: Lessons learned form accidental exposures in radiotherapy. International Atomic Energy Agency, Vienna (. 2000.
13. Kutcher GJ, Coia L, Gilin M, et al. Comprehensive QA for radiation oncology. AAPM Task Group 40 report: Med Phys. 21(4):581–618. 1994.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
14. Klein EE, Hanley J, Bayouth J, et al. Task Group 142 report: Quality assurance of medical accelerators. Med Phys. 36(9):4197–4212. 2009.
15. Langen KM, Papanikolaou N, Balog J, et al. QA for helical tomotherapy: Report of the AAPM Task Group 148: Med Phys. 37(9):4817–4853. 2010.
16. Dieterich S, Cavedon C, Chuang CF, et al. Report of AAPM TG 135: Quality assurance for robotic radiosurgery. Med Phys. 38(6):2914–2936. 2011.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
17. Jeong S, Yoon M, Lee H. The Results of the Survey about Present Situation of Quality Assurance for Radiotherapy Machine of Korea. Prog Med Phys. 26(3):185–191. 2015.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
18. Dunscombe P, Johnson H, Arsenault C, et al. Development of quality control standards for radiation therapy equipment in Canada. J Appl Clin Med Phys. 8(1):108–118. 2007.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
19. Mayles WPM, Lake R, McKenzie A, et al. Physics aspects of quality control in radiotherapy. Report no. 81. York, UK (. 1999.
20. EUROPEAN SOCIETY FOR THERAPEUTIC RADIOLOGY AND ONCOLOGY, Quality assurance in radiotherapy. Radiother Oncol. 35:61–73. 1995.
21. WORLD HEALTH ORGANIZATION, Quality Assurance in Radiotherapy, WHO, Geneva. 1988.
22. Journal of JASTRO. Guideline for Quality Assurance(QA) System in External Radiation Therapy. Vol. 11 Supplement 2, J Jpn Soc Ther Radiol Oncol (. 2000.
23. International Atomic Energy Agency. Setting Up a Radiotherapy Programme: Clinical, Medical Physics, Radiation Protection and Safety Aspects. Vienna: IAEA (. 2008.
24. Nath R, Biggs PJ, Bova FJ, et al. AAPM code of practice for radiotherapy accelerators. Report of AAPM Radiation Therapy Task Group No. 45. Med Phys. 21:1093–1121. 1994.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
25. lnternational Electrotechnical Commission: Medical electron accelerators-functional performance characteristics. Geneva: IEC Publication;; (. 1983.
26. lnternational Electrotechnical Commission: Medical electron accelerators in the range 1 MeV-50 MeV一guidelines for functional performance characteristics. Geneva: IEC Publication;1983.
27. Das IJ, Cheng CW, Watts RJ, et al. Accelerator beam data commissioning equipment and procedures. Report of the TG-106 of the Therapy Physics Committee of the AAPM: Med Phys. 35(9):4186–4215. 2008.
28. Bell S. A beginner's guide to uncertainty of measurement-Good measurement practice. guide No. 11 (. 1999. ) ISSN 1368–6550.
29. NIST. Guidelines for evaluating and expressing the uncertainty of NIST Measurement Results (. 1994.
30. IAEA-TECDOC-1585. Measurement Uncertainty (. 2008.
31. Pawlicki T, Whitaler M, Boyer AL, et al. Statistical process control for radiotherapy quality assurance. Med Phys. 32:2777–86. 2005.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
32. Kwang-Ho Cheong: Use of Statistical Process Control for Quality Assurance in Radiation Therapy. Prog Med Phys. 26(2):59–71. 2015.
33. Cunningham J, Coffey M, Knöös T, et al. Radiation Oncology Safety Information System (ROSIS)-Profiles of participants and the first 1074 incident reports. Radiother Oncol. 97:601–7. 2010.
34. ROSIS, Radiation Oncology Safety Information System://www. rosis. .info/(accessed 2012–5–1).