AbstractID: 8105 Title: IMRT treatment at Trois-Rivières using Varian products

AbstractID: 8105 Title: IMRT treatment at Trois-Rivières using Varian products
Treatment of cancer has radically changed with the spread of Intensity Modulated Radiation Therapy (IMRT). Higher tumour doses could be
given, over conventional radiation therapy, while substantially decreasing doses to normal tissues. The technologies available commercially
together with the increased demand of treatment have made the number of clinics using this technology larger in the last few years. Our clinic is
one of the two clinics in Quebec, Canada, which has started an IMRT treatment program this year.
The first three patients treated were for nasopharynx, meningioma and oropharynx tumors. IMRT has spared substantial brain volume and parotid
salivary glands. Patients have been CT-scanned with 3 mm slices (PQ 5000 CT-Sim, Marconi Medical Systems). Planning has been performed
with the inverse planning module Helios of CadPlan 6.2.7 along with SomaVision 6.1 (Varian Medical Systems). Helios uses a sliding window
technique. Dose modulation has been performed with the 80 leafs Millenium MLC incorporated to the head of the linear accelerator (Clinac 2100,
Varian Medical Systems). A Mark II portal imager was used for patient positioning.
Patient base QC is performed in order to verify the dose distributions and the MU calculations. Dose distributions of each independent field are
measured with films and compared with the treatment planning software calculation, using RIT 113 film dosimetry system, version 3.13. MU
calculations are verified by relative dose measurements performed with a pin-point ionisation chamber. Thermoluminescent dosimetry had also
been used to validate the technique.
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