PubMed · 16248454
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Glen L Wolfe. Preventive maintenance redefined.. https://doi.org/10.2345/0899-8205(2005)39%5B408%3Apmr%5D2.0.co%3B2
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In the present work, dose-to-water values derived from Fricke (operated by the Italian Primary Standard Dosimetry Laboratory) and alanine (operated by the Istituto Superiore di Sanità, Italy) measurements in IORT electron beams characterised by a high dose per pulse were compared to show the extent of equivalence of the two dosimetry systems. This study demonstrates agreement (within 2%) of the two dosimetry systems for plane-base IORT applicators, but in the case of small diameter (40 mm) and bevelled (22.5 degrees ) applicators, Fricke dosemeters underestimated doses by 2.4%. For base bevelled IORT applicators (22.5 degrees or more) with small diameter ( approximately 40 mm or less) reduced dimensions of the dosemeter are needed. Under these measurement conditions, the alanine dosemeter gives better accuracy in beam output determination compared with the Fricke dosemeter used.
A new set of gamma-ray emitting test sources was designed by the National Institute of Standards and Technology (NIST) for testing of radiation portal monitors for homeland security applications. This paper provides a description of the construction and characterization of these new sources that were designed and built to meet the American National Standard Institute (ANSI) N42.35-2004 and N42.38 standards' requirements.
Dynamic wedges have been used in clinical practice for many years. Obvious superiority of dynamic over physical wedges is accompanied by the increased overhead involved in verifying the accuracy and reliability of their use. Contrary to very limited QA required to ensure proper functioning of the physical wedges, dynamic wedges, like any other dynamic treatment, require a robust QA program. This work expands upon previous suggestions and describes a comprehensive QA program for Varian enhanced dynamic wedges (EDWs) and presents the results of an 18-month evaluation of these wedges. The QA program includes daily, monthly, and yearly tests and individual treatment QA at the onset of use of the EDWs. The results of the 18-month evaluation show reproducibility in the wedge factors of better than 1% and in dose profiles of better than 2% on a monthly basis. Daily output measurements are generally within 2% of expected values.