Instrumental Quality Control of Therapeutic Linear Accelerator Performance

The objective of the article was to assess therapeutic linear accelerator performance. Material & method used were quality control tools, direct measurement & theoretical calculation methods. The analysis of results showed that: shift of machine isocenter was 1 mm then increases up to 2 mm through the gantry angles 0 to 300° and 300 to 360 respectively. The diaphragm rotation isocenter clock & anti-clock wise was 1mm. the light and radiation fields showed concise matching up to 9×9 cm, then for 10×10, 14×14 and 16×16 cm there were incongruence by 0.25, 0.3 and 0.41 cm respectively. The increment of the field sizes (2×2, 4×4 - 20×20) cm following SSD increment fitted with the inverse square law significantly (R2 = 1). The theoretical (calculation method) field size was greater than the measured (practical) field size relative to SSD by 0.2 cm. The system output in Gy/Mu increases significantly (R2 = 0.9) as the field size increases in logarithmic equation; while it decreases as SSD increases. The measured output on phantom surface was greater (0.8Gy/MU) than that calculated theoretically which was (0.5 Gy/MU). A significant (R2 = 0.8) reduction in output reading following the increment of temperature for Linac 10 MV and 6 MV respectively, while the pressure lead to significant (0.6) increment of system output reading. TLD showed narrow penumbra extension as 0.32 and 0.2 cm for lianc 6MV and 10MV respectively compared with 0.5 and 0.3 cm at maximum depth dose when obtained from dose histogram.