{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T19:13:37Z","timestamp":1791314017626,"version":"4.3.1"},"reference-count":22,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,5,9]],"date-time":"2023-05-09T00:00:00Z","timestamp":1683590400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aapm.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Applied Clin Med Phys"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Stereotactic radiotherapy (SRT) methods have become common for the treatment of small tumors in various parts of the body. Small field dosimetry has a unique set of challenges when it comes to the pre\u2010treatment validation of a radiotherapy plan that involves film dosimetry or high\u2010resolution detectors. Comparison of commercial quality assurance (QA) devices to the film dosimetry method for pre\u2010treatment evaluation of stereotactic radiosurgery (SRS), fractionated SRT, and stereotactic body radiation therapy treatment plans have been evaluated in this study. Forty stereotactic QA plans were measured using EBT\u2010XD film, IBA Matrixx Resolution, SNC ArcCHECK, Varian aS1200 EPID, SNC SRS MapCHECK, and IBA myQA SRS. The results of the commercial devices are compared to the EBT\u2010XD film dosimetry results for each gamma criteria. Treatment plan characteristics such as modulation factor and target volume were investigated for correlation with the passing rates. It was found that all detectors have greater than 95% passing rates at 3%\/3\u00a0mm. Passing rates decrease rapidly for ArcCHECK and the Matrixx as criteria became more strict. In contrast, EBT\u2010XD film, SNC SRS MapCHECK, and IBA myQA SRS passing rates do not decline as rapidly when compared to Matrix Resolution, ArcCHECK, and the EPID. EBT\u2010XD film, SNC SRS MapCHECK, and IBA myQA SRS maintain greater than 90% passing rate at 2%\/1\u00a0mm and greater than 80% at 1%\/1\u00a0mm. Additionally, the ability of these devices to detect changes in dose distribution due to MLC positioning errors was investigated. Ten VMAT SBRT\/SRS treatment plans were created with 6\u00a0MV FFF or 10\u00a0MV FFF beam energies using Eclipse 15.6. A MATLAB script was used to create two MLC positioning error scenarios from the original treatment plan. It was found that errors in MLC positioning were most reliably detected at 2%\/1\u00a0mm for high\u2010resolution detectors and that lower\u2010resolution detectors did not consistently detect MLC positioning errors.<\/jats:p>","DOI":"10.1002\/acm2.14009","type":"journal-article","created":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T15:06:03Z","timestamp":1683731163000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Evaluation of commercial devices for patient specific QA of stereotactic radiotherapy plans"],"prefix":"10.1002","volume":"24","author":[{"given":"Shands","family":"James","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology Medical College of Georgia, Augusta University  Augusta Georgia USA"},{"name":"Nuclear\/Radiological Engineering\/Medical Physics Department Georgia Institute of Technology  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Al\u2010Basheer","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Medical College of Georgia, Augusta University  Augusta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Elder","sequence":"additional","affiliation":[{"name":"Nuclear\/Radiological Engineering\/Medical Physics Department Georgia Institute of Technology  Atlanta Georgia USA"},{"name":"Department of Radiation Oncology Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chulhaeng","family":"Huh","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Medical College of Georgia, Augusta University  Augusta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Ackerman","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Medical College of Georgia, Augusta University  Augusta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Barrett","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Medical College of Georgia, Augusta University  Augusta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Arizona  Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farshad","family":"Mostafaei","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Medical College of Georgia, Augusta University  Augusta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.46.9.797"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11060\u2010020\u201003392\u20100"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/COC.0b013e3180ca7cb1"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123\u2010198502000\u201000005"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000101117"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123\u2010198803000\u201000002"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123\u2010199502000\u201000010"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/362761"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/acm2.12146"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/jmss.JMSS\u20103\u201018"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1118\/1.4939226"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1118\/1.598407"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/mp.14497"},{"key":"e_1_2_9_15_1","unstructured":"IBA Dosimetry.myQA User's Guide.2020;1."},{"key":"e_1_2_9_16_1","unstructured":"Your Most Valuable QA & Dosimetry Tools ArcCHECK \u00ae User Guide.2009.www.sunnuclear.com"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1088\/1361\u20106560\/aad647"},{"key":"e_1_2_9_18_1","unstructured":"Varian Medical Systems. 43\u00d743\u00a0cm 2 MV DETECTOR Spec Sheet. Published online2016:0\u20103."},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/acm2.12696"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.18869\/acadpub.ijrr.19.2.281"},{"key":"e_1_2_9_21_1","unstructured":"Your Most Valuable QA & Dosimetry Tools SRS MapCHECKTMUser Guide SRS Patient QA No Film.2021.www.sunnuclear.com"},{"key":"e_1_2_9_22_1","first-page":"135","article-title":"Physics investigation Application of TG\u2010218 action limits to SRS and SBRT pre\u2010treatment patient specific QA","volume":"7","author":"Xia Y","year":"2020","journal-title":"J Radiosurgery SBRT"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1118\/1.2370505"}],"container-title":["Journal of Applied Clinical Medical Physics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acm2.14009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T16:45:21Z","timestamp":1692722721000},"score":1,"resource":{"primary":{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/10.1002\/acm2.14009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,9]]},"references-count":22,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1002\/acm2.14009"],"URL":"https:\/\/doi.org\/10.1002\/acm2.14009","archive":["Portico"],"relation":{},"ISSN":["1526-9914","1526-9914"],"issn-type":[{"value":"1526-9914","type":"print"},{"value":"1526-9914","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,9]]},"assertion":[{"value":"2022-10-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14009"}}