ABSTRACT

A major hurdle to do this successfully is that the vendor has to ensure that their compensators are being made accurately and precisely. To this end, the vendor had their own internal quality assurance steps to ensure that the optimized plan arrives correctly from the institution and the compensators are made correctly. en, the nal check on the correctness of the compensators is done by the physicist at the institution as part of their routine patient-specic IMRT QA program. Originally, it was thought that this process would be sucient to ensure

Introduction ........................................................................................................................................ 209 Background ......................................................................................................................................... 209 Vendor Collaboration with the Customer .......................................................................................210 Does Plan Equal Actual? ....................................................................................................................210 Assess Mechanicals  •  Assess Basics of the TPS Dose Algorithm/Beam Model  •  End-to-End Testing Key Performance Metrics ...................................................................................................................213 Summary ..............................................................................................................................................214 References .............................................................................................................................................215