Saxsons Group

Medical Physicist's Notes · QA BeamChecker™ Plus

What the 8-chamber array covers in TG-142 daily — and what stays on other tools.

The QA BeamChecker Plus is purpose-built for the dosimetric portion of an AAPM TG-142 / TG-198 daily-QA programme — output and profile constancy across every photon and electron energy in a single setup. The mechanical, safety and imaging daily tests stay on the tools designed for them. This page sets the scope explicitly, with the standards and the manufacturer brochure cited inline.

TG-142 daily list — split by who covers it

The four daily-QA categories defined in TG-142 (Klein 2009) and reprinted in TG-198 (Hanley 2021). Only one of them needs a multi-chamber array — that is where the BeamChecker Plus lives.

Dosimetric daily BeamChecker Plus

Output + profile constancy

Output constancy per energy; flatness and symmetry (radial and transverse). The portion of the TG-142 daily list that needs a multi-chamber array detector.

BeamChecker Plus — 8-chamber array

Mechanical daily

Lasers, ODI, collimator size

±2 mm laser localisation, optical distance indicator at isocentre, collimator size indicator. These are geometric checks against an external reference.

Stays on a separate mechanical-QA tool

Safety daily

Door interlock, audiovisual monitors

Functional safety interlocks — pass / fail tests, not measurements. Driven by RTT workflow at the start of the day.

Stays on RTT-driven safety checklist

Imaging daily

Imaging interlocks, position / repos.

Collision interlocks, positioning / repositioning, imaging-vs-treatment coordinate coincidence for kV, MV and CBCT — required when the linac has imaging.

Stays on a separate imaging-QA tool

Inside the dosimetric portion — what the 8 chambers actually measure

One centre chamber + four quadrant chambers at 7.5 cm from centre + three energy-ID chambers, per the Manufacturer brochure. Each row below maps a TG-142 daily test to the chamber set and the tolerance band it answers.

01

X-ray output constancy

TG-142 daily action threshold ±3% from baseline; no-treat threshold ±5% (Klein 2009). The centre chamber measures output per energy; automatic energy detection lets every photon energy on the machine run in any order without a manual reset.

Source: Klein EE et al., AAPM TG-142, Med Phys 36(9):4197–4212 (2009).

02

Electron output constancy

Same ±3% / ±5% bands; the same 8-chamber setup covers 6–25 MeV electrons. No second device or energy-by-energy chamber swap.

Source: Klein EE et al., AAPM TG-142 (2009); Manufacturer brochure 1239-26.

03

Beam-profile constancy

Four quadrant chambers at 7.5 cm from centre give radial and transverse profile constancy on every beam — the basis for the flatness and symmetry trends in routine daily logs (e.g. Chan et al., 5-year Trilogy data).

Source: Chan MF et al., Int J Med Phys Clin Eng Radiat Oncol 4(4):290–299 (2015), PMID 27547595.

04

Beam-energy constancy

Three energy-ID chambers let the device recognise and verify the delivered energy automatically — the same hardware path used for the energy-constancy daily check.

Source: Manufacturer brochure 1239-26 (chamber layout).

Scope of this page

The page treats BeamChecker Plus as the dosimetric-array piece of a TG-142 / TG-198 daily-QA programme — not a single-tool replacement for the full daily-QA list. The mechanical, safety and imaging daily tests have dedicated tools (collimator-rule, level, room-laser jig, imaging QA phantom, RTT safety checklist). The eight-chamber array does the morning constancy work that needs a multi-point dose measurement.

Sources cited on this page

  • Klein EE, Hanley J, Bayouth J, et al. Task Group 142 report: Quality assurance of medical accelerators. Med Phys 36(9):4197–4212 (2009). DOI 10.1118/1.3190392. AAPM ↗
  • Hanley J, Dresser S, Simon W, et al. AAPM Task Group 198: Implementation guide for TG-142. Med Phys 48(10):e830–e885 (2021). DOI 10.1002/mp.14992. AAPM ↗
  • Chan MF, Li Q, Tang X, et al. Visual analysis of the daily QA results of photon and electron beams of a Trilogy linac over a five-year period. Int J Med Phys Clin Eng Radiat Oncol 4(4):290–299 (2015). PMID 27547595. PubMed ↗
  • the manufacturer. QA BeamChecker Plus — the manufacturer brochure (1239-26). Brochure PDF ↗