{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T14:01:53Z","timestamp":1789740113511,"version":"4.0.1"},"reference-count":48,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aapm.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Applied Clin Med Phys"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The CyberKnife\u2122 system requires extensive beam data acquisition across multiple collimation systems. The CyberComm\u2122 framework integrates a linac output tuning procedure with a hybrid Golden Beam Data (GBD) model to accelerate and standardize CyberKnife commissioning while maintaining dosimetric accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>In this study, CyberComm was employed for the commissioning of a CyberKnife model S7 system and evaluated with regard to its efficiency and dosimetric accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following the CyberComm framework, commissioning was separated into two stages. First, the linac beam was tuned by acquiring percentage depth dose (PDD) and off\u2010center ratio (OCR) measurements for the 60\u00a0mm fixed collimator (Cone\u201060) and the primary (uncollimated) beam. These measurements were compared with corresponding reference datasets using one\u2010dimensional gamma index (GI) acceptance criteria of 1% (local)\/1\u00a0mm for PDD, and 0.7% (global)\/1\u00a0mm for OCR profiles. The process was repeated until GI passing rates exceeding 95% for all measurements. In the second stage, full beam commissioning measurements were performed for the smaller field sizes, while for the larger ones, the corresponding GBD values were validated through spot\u2010checks. Dosimetry measurements were conducted using a PTW\u201060019 microdiamond detector. Dosimetric accuracy of the commissioned beam models was further evaluated using single beam and patient\u2010specific quality assurance (PSQA) measurements with the SRS MapCHECK\u2122 detector.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Using vendor\u2010provided linac pre\u2010sets, the initial Cone\u201060 PDD yielded a GI passing rate of 61%, while OCR profiles achieved 100%. After tuning the PFN\u2010HVPS voltage and steering coil currents, Cone\u201060 PDD GI passing rate improved to 98%, with both primary beam and collimated OCR profiles achieving 100%. Spot\u2010check validation demonstrated excellent agreement between measured beam data and the GBD model, with 100% GI passing rates for TPR and OCR profiles across all evaluated field sizes. Output factors agreed within 0.4% with vendor reference data for the majority of fields, with larger deviations observed only for the smallest apertures. Single beam and PSQA irradiations showed increased dosimetric accuracy, with GI passing rates of 100% and \u2265 97%, respectively, using 2%\/1\u00a0mm GI acceptance criteria. Complete commissioning of all collimation systems was achieved within 10 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CyberComm\u2010assisted commissioning demonstrated accurate beam model generation for the CyberKnife system with a reduction in commissioning time relative to conventional protocols. Although these results are based on a single\u2010center installation, they support the clinical feasibility of this workflow for CyberKnife commissioning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acm2.70705","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T03:00:29Z","timestamp":1785121229000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Accelerated and standardized commissioning of a robotic RadioSurgery system using a hybrid golden beam data model"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0565-5407","authenticated-orcid":false,"given":"E.","family":"Pantelis","sequence":"first","affiliation":[{"name":"Radiotherapy Department Iatropolis Clinic  Athens Greece"},{"name":"Medical Physics Laboratory, School of Medicine National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9005-674X","authenticated-orcid":false,"given":"A.","family":"Moutsatsos","sequence":"additional","affiliation":[{"name":"Radiotherapy Department Iatropolis Clinic  Athens Greece"},{"name":"Medical Physics Laboratory, School of Medicine National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Sideri","sequence":"additional","affiliation":[{"name":"Radiotherapy Department Iatropolis Clinic  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Archontakis","sequence":"additional","affiliation":[{"name":"Radiotherapy Department Iatropolis Clinic  Athens Greece"},{"name":"Medical Physics Laboratory, School of Medicine National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1819-7011","authenticated-orcid":false,"given":"A.","family":"Stergioula","sequence":"additional","affiliation":[{"name":"Radiotherapy Department Iatropolis Clinic  Athens Greece"},{"name":"Medical Physics Laboratory, School of Medicine National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,26]]},"reference":[{"issue":"2","key":"e_1_2_12_2_1","first-page":"1","article-title":"Prescribing, recording, and reporting of stereotactic treatments with small photon beams","volume":"14","author":"ICRU Report 91","year":"2014","journal-title":"J ICRU"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2025.111107"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00066\u2010020\u201001583\u20102"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1118\/1.2815356"},{"key":"e_1_2_12_6_1","unstructured":"AspradakisMM ByrneJP PalmansH et\u00a0al.IPEM report 103: Small field MV photon dosimetry(2010)."},{"key":"e_1_2_12_7_1","unstructured":"IAEA TRS 483.Dosimetry of small static fields used in external beam radiotherapy: An IAEA\u2010AAPM International Code of Practice for reference and relative dose determination. 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