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QA & dosimetryPeer-ReviewedPubMedRadiological physics and technology · 2026

Association of planned-recorded sinogram difference metrics with treatment planning parameters and gamma pass rates in helical tomotherapy.

Kaido R, Shimada M, Sato K, Yamamoto M et al.

In helical tomotherapy (HT), the beam intensity is modulated by controlling the leaf open time (LOT) of a binary multileaf collimator (MLC), represented as sinograms. Comparing planned and recorded si…

QA & dosimetryPeer-ReviewedPubMedRadiological physics and technology · 2026

End to end dosimetric and geometric verification of single isocenter multitarget stereotactic radiosurgery using an anthropomorphic phantom: external audit validation.

Balasubramanian S, Anbalagan D, Thanasekar P, Agrawal R.

Our study aimed to perform a comprehensive end-to-end (E2E) dosimetric and geometric evaluation of the newly commissioned Varian Edge linear accelerator (LINAC) with the HyperArc™ VMAT system for mult…

QA & dosimetryPeer-ReviewedPubMedPractical radiation oncology · 2026

Medical Physicist-Patient Consultation Enhances the Reproducibility of Treatment Delivery in Radiation Therapy for Breast Cancer: An EPID-Based In Vivo Transit Dosimetry Study.

Marino C, Bonanno E, Borzì GR, Cavalli N et al.

PurposePrevious studies have suggested that direct interaction between medical physicists and patients may improve patient understanding of radiation therapy and reduce treatment-related anxiety. Howe…

QA & dosimetryPeer-ReviewedPubMedJournal of applied clinical medical physics · 2026

General versus site specific quantile random forest models for virtual patient-specific quality assurance of VMAT plans.

Rahman N, Kaliel G, D'Souza M, Yamabe Breitkreutz D.

BackgroundModern radiotherapy techniques like volumetric-modulated arc therapy (VMAT) require labor-intensive patient-specific quality assurance (PSQA) measurements, which for busy clinics pose a subs…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedJournal of applied clinical medical physics · 2026

Assessing the role of plan complexity and target geometry through multi-institutional gel based end-to-end QA in multi-focal single isocenter stereotactic radiosurgery.

Stasinou D, Platoni K, Margaroni V, Zourari K et al.

BackgroundSingle-isocenter stereotactic radiosurgery enables efficient treatment of multiple brain metastases (SI-MBM SRS), but demands high geometric accuracy. Plan complexity metrics are increasingl…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedJournal of applied clinical medical physics · 2026

MPLA case: A proposal for purchasing SRS/SBRT QA equipment.

St-Aubin J, Gutierrez A, Kinsey E, Stambaugh C et al.

This work of fiction is part of a case study series developed by the medical physics leadership academy (MPLA). It is designed to generate discussion of the managerial and leadership challenges medica…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedMedical dosimetry : official journal of the American Association of Medical Dosimetrists · 2026

Effects of grid size and statistical uncertainty parameters on dose calculations using the Monte Carlo algorithm in the Monaco treatment planning system for liver stereotactic body radiotherapy.

Bayram Y, Saynak M, Aksoy Y, Güre M et al.

Stereotactic body radiotherapy (SBRT) for liver metastases requires accurate dose calculation. The Monte Carlo (MC) algorithm in the Monaco treatment planning system (TPS) provides high dose-calculati…

TherapeuticQA & dosimetry📖 Free full textPeer-ReviewedPubMedAdvances in radiation oncology · 2026

STAR in a Second: Ultra-High-Dose-Rate Spread-Out Bragg Peak Proton Therapy for Breath-Hold Stereotactic Arrhythmia Radioablation.

Ramesh P, Schwarz M, Colbert C, Chen XC et al.

PurposeStereotactic arrhythmia radioablation (STAR) is a noninvasive treatment option for managing ventricular tachycardia (VT). Combined respiratory and cardiac motion requires management with large …

QA & dosimetry📖 Free full textPeer-ReviewedPubMedPhysica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2026

How robust are secondary dose algorithms for Patient-Specific quality assurance in modulated stereotactic Radiosurgery?

Mastella E, Szilagyi KE, Perrine JS, Ferioli M et al.

Accurate dose verification is essential in stereotactic radiosurgery (SRS), where small fields and steep dose gradients may amplify uncertainties, especially with complex techniques like multitarget s…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedPhysics and imaging in radiation oncology · 2026

Dose accuracy evaluation of multi-leaf collimator modeling in single-isocenter multi-target stereotactic radiosurgery.

Rahim Li F, Cardan RA, Pogue JA, Viscariello NN et al.

Accurate modeling of multi-leaf collimators is critical for dose calculation in stereotactic radiosurgery (SRS), where steep dose gradients and small target volumes amplify modeling uncertainties. Thi…

QA & dosimetry📖 Free full textPeer-ReviewedOpenAlexPhysics in Medicine and Biology · 2026

Cherenkov-excited fluorescence imaging for small-field dosimetry and SRS plan verification: a feasibility study

Mehmet Fazil Enkavi, Hasan Uysal, Kaan Oysul, Sait Şirin et al.

OBJECTIVE: To develop a high-spatial-resolution Cherenkov-excited fluorescence dosimetry system (CEFD) with rapid optical readout using quinine sulfate solution and evaluate its feasibility for small-…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedRadiological physics and technology · 2026

Site-specific performance and complexity-dependent risk assessment of patient-specific quality assurance using a 2D array detector in CyberKnife radiosurgery.

Singh S, Sen S, Dipesh, Singh AK et al.

To evaluate site-specific performance and complexity-dependent risk in patient-specific quality assurance for robotic radiosurgery using a two-dimensional array detector. A retrospective analysis was …

QA & dosimetry📖 Free full textPeer-ReviewedPubMedJournal of applied clinical medical physics · 2026

Fast fourier transform based spectral features for machine learning prediction of gamma passing rates in virtual VMAT PSQA: A feasibility study.

Yan B, Peng H, Xue X, Zheng C et al.

PurposeThis study aimed to evaluate the feasibility of fast Fourier transform (FFT) based spectral features for predicting volumetric modulated arc therapy (VMAT) gamma passing rates (GPRs) in virtual…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2026

A versatile phantom-based framework for end-to-end testing of (online) adaptive proton therapy in the head-and-neck region.

Brunner J, Albertini F, Bernardini GP, Bertschi S et al.

Background and purposeClinical implementation of online adaptive proton therapy requires rigorous testing of all facility-specific components. This work aimed to develop a multi-purpose phantom-based …

QA & dosimetry📖 Free full textPeer-ReviewedOpenAlexJournal of Applied Clinical Medical Physics · 2026

Log file‐based patient‐specific quality assurance for MR‐guided radiation therapy with comprehensive motion management

Kai Yuan, Matthew M. Cheung, Louis Lee

BACKGROUND: Patient-Specific Quality Assurance (PSQA) for Elekta Unity MR-Linac treatments delivered under Comprehensive Motion Management (CMM) is challenging because beam gating, unexpected interrup…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedRadiological physics and technology · 2026

Development of a CT/MRI-compatible anthropomorphic multimodal deformable male pelvic phantom for end-to-end quality assurance testing in MR-guided online adaptive radiotherapy.

Nishitani M, Okamoto H, Chang W, Kuwahara J et al.

Current quality assurance phantoms often lack MR signal, deformability, or real-time dosimetry capability, limiting comprehensive end-to-end evaluation for MR-guided online adaptive radiotherapy (MRgO…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedPhysical and engineering sciences in medicine · 2026

An end-to-end quality assurance procedure for pelvic VMAT using optically stimulated luminescence dosimeters and an anthropomorphic phantom.

Azalmad A, Abour M, El Ouartiti M, Hilal M.

BackgroundVolumetric modulated arc therapy (VMAT) enables highly conformal pelvic dose delivery, but its clinical benefit depends on agreement between the Treatment Planning System (TPS) calculation a…

QA & dosimetryTherapeutic📖 Free full textPeer-ReviewedPubMedPediatric blood & cancer · 2026

Feasibility, Treatment Planning, and Clinical Results of VMAT-Based Total Body Irradiation for Pediatric Patients: Single-Center Experience.

Mico S, Hermida-López M, Ramos-Albiac M, Pié-Padró S et al.

Background and purposeTotal body irradiation (TBI) is a standard component of conditioning regimens for pediatric patients with acute lymphoblastic leukemia (ALL) undergoing hematopoietic stem cell tr…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedJournal of applied clinical medical physics · 2026

Clinical implementation and performance evaluation of a motorized MR-compatible OCTAVIUS 4D system for SBRT patient-specific QA on a 1.5 T MR-LINAC.

Chevillard C, Blanchet M, Mella C, Sauvinet R et al.

BackgroundMagnetic resonance-guided radiotherapy using 1.5 T MR-LINAC systems introduces specific constraints for patient-specific quality assurance (PSQA), requiring MR-compatible dosimetric devices …

QA & dosimetryPeer-ReviewedPubMedThe British journal of radiology · 2026

Results of an international survey of SunCHECK Patient users: consensus and benchmark data for plan verification, pre-treatment quality assurance and in vivo dosimetry tolerances.

Haughey A, Biggar R, Caines R, Moloney S et al.

ObjectivesElectronic portal imaging devices (EPID) are well suited to radiotherapy in-vivo dosimetry (IVD), but limited guidance remains a barrier to routine clinical use. This SunCHECK (Sun Nuclear C…

QA & dosimetryPeer-ReviewedPubMedPhysical and engineering sciences in medicine · 2026

Increasing demands on commissioning and quality assurance for cone-based multiple brain metastases robotic radiosurgery: evaluation in a custom phantom.

Mukwada G, Rowshanfarzad P, Ebert MA.

CyberKnife stereotactic radiosurgery (SRS) treatment of multiple brain metastases (MBM) using fixed cone collimation is well established. This study aims to rigorously evaluate the commissioning of MB…

QA & dosimetryPeer-ReviewedPubMedPhysica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2026

Patient-specific MU rate optimization to reduce lung dose rate in Volumetric Modulated Arc Therapy-based Total Body Irradiation: A feasibility study.

Jagadeesan S, Chamundeeswari SPV.

Reducing the lung dose rate significantly decreases the risk of toxicity in high-dose total-body irradiation (TBI). This study investigated the feasibility of delivering Volumetric Modulated Arc Thera…

QA & dosimetryPeer-ReviewedPubMedPhysica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2026

Gamma passing rates of sequential boost head and neck VMAT treatment plans: complexity metrics and irradiation phase-specific analysis.

Outsikas K, Patatoukas G, Chalkia M, Zourari K et al.

To investigate parameters systematically associated with low Gamma Passing Rate (GPR) values in Volumetric Modulated Arc Therapy (VMAT) technique in head and neck radiotherapy plans and to evaluate wh…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedJournal of applied clinical medical physics · 2026

Implementation of VMAT-based lattice spatially fractionated radiation therapy (SFRT) across linac platforms: Practical considerations for QA and motion management.

Gholami S, Rassiah P.

Background Spatially fractionated radiation therapy (SFRT) offers a method to treat bulky, radioresistant tumors while sparing normal tissues. Modern volumetric modulated arc therapy (VMAT) delivery e…

QA & dosimetryPeer-ReviewedPubMedJournal of applied clinical medical physics · 2026

Explainable machine learning for patient-specific quality assurance in intensity-modulated radiotherapy based on anatomical structures.

Zhang X, Huang Y, Wang J, Zhang X et al.

BackgroundPatient-specific quality assurance (PSQA) plays a pivotal role in intensity-modulated radiotherapy (IMRT) to ensure accurate dose delivery. However, conventional measurement-based PSQA appro…

QA & dosimetryPeer-ReviewedPubMedZeitschrift fur medizinische Physik · 2026

Patient-specific quality assurance in stereotactic radiotherapy: clinical practice in absence of guidelines - status and new approach from the DGMP working group for physics and technology in stereotactic radiotherapy.

Gottschlag H, Bathen B, Beckers E, Gauer T et al.

IntroductionGuidelines on how to perform patient-specific quality assurance (PSQA) in stereotactic radiotherapy (SRT) are currently not available. In this context, guidelines for modulated techniques …

TherapeuticQA & dosimetryPeer-ReviewedPubMedJournal of medical imaging and radiation sciences · 2026

Dosimetric evaluation and clinical feasibility of Halcyon-E O-ring linear accelerator for single fraction coplanar stereotactic radiosurgery.

Shahid T, Sarkar B, Biswal SS, George K et al.

AimThis study aimed to evaluate the Halcyon-E O-ring gantry linear accelerator, which lacks non-coplanar beam delivery capability, for single-fraction stereotactic radiosurgery (SRS). The validation p…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedRadiation oncology (London, England) · 2026

Comparative dosimetric evaluation of independent verification systems: ArcherQA versus AccuCheck for volumetric modulated Arc therapy plan validation.

Wang T, Chen J, Zhang K, Geng H et al.

BackgroundVolumetric Modulated Arc Therapy (VMAT), as an advanced radiotherapy technique places higher demands on quality assurance (QA) during treatment planning. Although multiple verification syste…

QA & dosimetryPeer-ReviewedPubMedZeitschrift fur medizinische Physik · 2026

A probabilistic framework for risk-bounded patient-specific quality assurance in volumetric modulated arc therapy based on measured and calculated gamma pass rates.

Schiebl M, Trnková P, Heilemann G, Jindráková M et al.

This study introduces a probabilistic framework for patient-specific quality assurance (PSQA) in volumetric modulated arc therapy (VMAT), using gamma pass rates obtained from both measurement-based an…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedPhysics and imaging in radiation oncology · 2026

A survey of practice patterns for patient-specific quality assurance on behalf of the ESTRO dosimetry & quality assurance focus group.

Dufreneix S, Essers M, Aspradakis MM, Wegener S et al.

Background and purposeAs treatment planning and delivery systems nowadays have the capability to simulate and realise increasingly complex irradiation geometries, quality assurance programs need to be…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedMedical physics · 2026

Prediction of VMAT gamma passing rates using 3D CNNs based on leaf position analysis and gradient class activation mapping for plan complexity evaluation.

Berchtold J, Vockner S, Messner I, Stana M et al.

Background Volumetric Modulated Arc Therapy (VMAT) is a highly conformal radiotherapy technique that enables precise tumor irradiation while sparing surrounding healthy tissue. However, the high techn…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedPhysics and imaging in radiation oncology · 2026

A component-wise commissioning and validation framework for non-transit electronic portal imaging device patient-specific quality assurance.

Moghaddasi L, Perez M, Stewart M, Gabay N et al.

Background and purpose The American Association of Physicists in Medicine Task Group 307 (AAPM TG-307) recommends validation of electronic portal imaging device (EPID) patient-specific quality assuran…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedPhysics and imaging in radiation oncology · 2026

A multi-institutional EPID-based 3D dose reconstruction model in a virtual phantom for standardized patient QA, benchmarking and auditing for stereotactic radiosurgery.

Zwan B, Searle E, Stanton C, Teng CL et al.

Background and purposeFor single-isocentre multi-target (SIMT) stereotactic radiosurgery (SRS), benchmarking, auditing and inter-institutional standardisation of dose verification remain challenging a…

QA & dosimetry📖 Free full textPeer-ReviewedPubMedPhysics and imaging in radiation oncology · 2026

Motion mitigation in positron-emission tomography guided radiotherapy delivered on a magnetic resonance imaging-linear accelerator.

Everard AJ, Santo RJ, Borman PTS, Uijtewaal P et al.

Background and purpose The precision of Positron Emission Tomography (PET)-guided radiotherapy may be compromised by motion. To address this, we demonstrated the feasibility of a motion-robust PET-to-…

QA & dosimetryPeer-ReviewedPubMedInternational journal of radiation oncology, biology, physics · 2026

Multicenter End-to-End Evaluation of Single-Isocenter Multitarget Stereotactic Radiosurgery Approaches: Accuracy and Plan Quality.

Thomann B, Fechter T, Fischer J, Runz A et al.

PurposeWe conducted a multicenter study on single-isocenter multitarget stereotactic radiosurgery to dosimetrically assess end-to-end test results and identify approaches and techniques influencing sp…

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