Use of truebeam developer mode for imaging QA

Gilmer Valdes, Olivier Morin, Yanisley Valenciaga, Niel Kirby, Jean Pouliot, Cynthia Chuang

Research output: Contribution to journalArticlepeer-review

32 Scopus citations


The purpose of this study was to automate regular Imaging QA procedures to become more efficient and accurate. Daily and monthly imaging QA for SRS and SBRT protocols were fully automated on a Varian linac. A three-step paradigm where the data are automatically acquired, processed, and analyzed was defined. XML scripts were written and used in developer mode in a TrueBeam linac to automatically acquire data. MATLAB R013B was used to develop an interface that could allow the data to be processed and analyzed. Hardware was developed that allowed the localization of several phantoms simultaneously on the couch. 14KV CBCTs from the Emma phantom were obtained using a TrueBeam onboard imager as example of data acquisition and analysis. The images were acquired during two months. Artifacts were artificially introduced in the images during the reconstruction process using iTool reconstructor. Support vector machine algorithms to automatically identify each artifact were written using the Machine Learning MATLAB R2011 Toolbox. A daily imaging QA test could be performed by an experienced medical physicist in 14.3 ± 2.4 min. The same test, if automated using our paradigm, could be performed in 4.2 ± 0.7 min. In the same manner, a monthly imaging QA could be performed by a physicist in 70.7 ± 8.0 min and, if fully automated, in 21.8 ± 0.6 min. Additionally, quantitative data analysis could be automatically performed by Machine Learning Algorithms that could remove the subjectivity of data interpretation in the QA process. For instance, support vector machine algorithms could correctly identify beam hardening, rings and scatter artifacts. Traditional metrics, as well as metrics that describe texture, are needed for the classification. Modern linear accelerators are equipped with advanced 2D and 3D imaging capabilities that are used for patient alignment, substantially improving IGRT treatment accuracy. However, this extra complexity exponentially increases the number of QA tests needed. Using the new paradigm described above, not only the bare minimum - but also best practice - QA programs could be implemented with the same manpower.

Original languageEnglish (US)
Pages (from-to)322-333
Number of pages12
JournalJournal of Applied Clinical Medical Physics
Issue number4
StatePublished - 2015
Externally publishedYes


  • Automated QA
  • Image-guidance radiation therapy
  • Support vector machine
  • Truebeam developer mode
  • XML scripts

ASJC Scopus subject areas

  • Instrumentation
  • Radiation
  • Radiology Nuclear Medicine and imaging


Dive into the research topics of 'Use of truebeam developer mode for imaging QA'. Together they form a unique fingerprint.

Cite this