Improving precision and safety in the use of beam modifying devices in radiation therapy

Med Phys. 1990 Sep-Oct;17(5):929-30. doi: 10.1118/1.596450.

Abstract

Reliable and safe implementation of beam modifying devices such as wedges and block trays requires careful design and construction. Inappropriate design may pose problems ranging from user-hostile operation to hard-to-track, but significant variations in actual position in a beam. This may cause variation in actual wedge output factors, or variation in the position of a block tray. In case of simple mechanical failure or personnel mistake, design related mechanical conditions may result in injury to either a patient or a staff member. This paper is based on experience with linear accelerators from one manufacturer, but similar conditions are likely to exist with other radiation machines. A simple technical modification is offered which improves both accuracy and reproducibility in the placement of wedge-type filters. For our machines the solution also provides improved safety in the use of both wedge trays and block trays.

MeSH terms

  • Equipment Design
  • Humans
  • Particle Accelerators
  • Radiotherapy / instrumentation*
  • Safety
  • Technology, Radiologic