Comparative Study of the Performance of Two Treatment Planning Systems Using Tests from the MPPG 5b Guidelines, TECDOC 1583 and Venselaar's Confidence Limits

Authors

  • Lic. Carlos Vega D'Espaux Universidad Nacional De Costa Rica
  • Federico Lorenzo Departamento de Radioterapia, Hospital de Clínicas
  • Franco La Paz Mastandrea Centro Hospitalario Pereira Rossell https://orcid.org/0009-0009-3760-3976
  • Lic. Nicolás Larragueta Universidad Nacional De Entre Ríos

DOI:

https://doi.org/10.15392/2319-0612.2025.2815

Keywords:

Radiotherapy , Treatment Planning System Validation , Eclipse, MIRS

Abstract

This work presents a comprehensive comparative study of the performance of two Treatment Planning Systems (TPS) in radiotherapy: the Eclipse™ TPS by Varian Medical Systems, which utilizes the Analytical Anisotropic Algorithm (AAA), and the MIRS TPS by Nuclemed, which uses the Convolution and Superposition (CS) Algorithm. The evaluation of both systems was conducted following different methods, including point measurements, dose profiles, and measurements on phantoms with heterogeneities. The methodologies recommended by Venselaar, the MPPG 5b protocol by the American Association of Physicists in Medicine (AAPM), and the guidelines of the IAEA TECDOC 1583 for heterogeneity assessment were adopted for this purpose.The results indicated that the Eclipse™ system showed better overall performance in water measurements, with lower variability and greater compliance with gamma criteria (average above 95% in 3%, 2 mm profile tests). For the heterogeneity tests, Eclipse showed weakness in lung measurements, while MIRS encountered difficulty in bone calculations for our beam model and under the evaluation conditions of TECDOC 1583.

Downloads

Download data is not yet available.

Author Biography

  • Lic. Nicolás Larragueta, Universidad Nacional De Entre Ríos

    Profesor titular Radioterapia y radiodiagnóstico en Universidad Nacional de Entre Ríos, Argentina.

    Físico Médico en Centro Hospitalario Pereira Rossell, Montevideo, Uruguay. 

References

[1] Van Dyk, J., Rosenwald, J.-C., Fraass, B., Cramb, J., Ionescu-Farca, F., & Sharpe, M. IAEA Technical Reports Series No. 430: Commissioning And Quality Assurance Of Computerized Planning Systems For Radiation Treatment Of Cancer. Medical Physics - MED PHYS, v. 33, p. 561-561, 2006. DOI: https://doi.org/10.1118/1.2167371

[2] Geurts, M. W., Jacqmin, D. J., Mihailidis, D. N., Ohrt, J. D., Wingreen, N. E., Jones, L. E., & Smilowitz, J. B. AAPM Medical Physics Practice Guideline 5.b: Commissioning and QA of treatment planning dose calculations, Megavoltage photon and electron beams. Journalof Applied Clinical Medical Physics, v. 23,p. e13641, 2022. DOI: https://doi.org/10.1002/acm2.13641

[3] International Atomic Energy Agency. Commissioning of Radiotherapy Treatment Planning Systems: Testing for Typical External Beam Treatment Techniques. Vienna: IAEA, 2008. ISBN 978-92-0-100508-3.

[4] Venselaar, J., &Welleweerd, H. Application of a test package in an intercomparison of the photon dose calculation performance of treatment planning systems used in a clinical setting. RadiotherapyandOncology, v. 60, n. 2, p. 203-213, 2001. DOI: https://doi.org/10.1016/S0167-8140(01)00304-8

[5] Duong, T. T., Omer, H., Le, C. Q., Nguyen, X. H., Truong, V. M., Abdelmoneim, S., Essam, M., Hind, T., Tamam, N., & Bradley, D. A. An open-source software for calculating 1D gamma index in radiation therapy. Journalof King Saud University - Science, v. 35, p. 102937, 2023. DOI: https://doi.org/10.1016/j.jksus.2023.102937

[6] Miften, M., Mihailidis, D., Kry, S. F., Reft, C. S., Esquivel, C., Farr, J. B., Followill, D. S., Hurkmans, C., Liu, A., Gayou, O., Gossman, M. S., Mahesh, M., Popple, R. A., Prisciandaro, J. I., & Wilkinson, J. D. Management of radiotherapy patients with implanted cardiac pacemakers and defibrillators: A report of the AAPM TG-203. Medical Physics, v. 46, n. 12, p. e757-e788, 2019. DOI: https://doi.org/10.1002/mp.13838

[7] Kry, S. F., Feygelman, V., Balter, P., Knöös, T., Ma, C.-M. C., Snyder, M., Tonner, B., & Vassiliev, O. N. AAPM Task Group 329: Reference dose specification for dose calculations: Dose-to-water or dose-to-muscle? MD Anderson Cancer Center, Houston, TX, USA; Moffitt Cancer Center, Tampa, FL, USA; Skåne University Hospital and Lund University, Malmo, Sweden; Fox Chase Cancer Center, Philadelphia, PA, USA; Wayne State University, Detroit, MI, USA; Ackerman Cancer Center, Jacksonville, FL, USA, 2019.

Downloads

Published

2025-04-11

Issue

Section

Articles

How to Cite

Comparative Study of the Performance of Two Treatment Planning Systems Using Tests from the MPPG 5b Guidelines, TECDOC 1583 and Venselaar’s Confidence Limits. Brazilian Journal of Radiation Sciences, Rio de Janeiro, Brazil, v. 13, n. 2, p. e2815, 2025. DOI: 10.15392/2319-0612.2025.2815. Disponível em: https://www.bjrs.org.br/revista/index.php/REVISTA/article/view/2815. Acesso em: 30 apr. 2025.