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. 2009 Oct-Dec;34(4):194–199. doi: 10.4103/0971-6203.56078

Table 2.

Acceptance tests of a tomotherapy Hi-ART machine

Items checked Acceptance method Acceptance check
System start up - Upon power up the red lasers turn on and move to home position Functional
- Operator station (OS) computer turns on and operator logs in
- System initializes, couch and laser positions are displayed on position control panel
System shut down - Operator station computer turned off, key turned off on the machine and switched off. Red lasers turn off and the power distribution unit is turned off Functional
Manual couch control - Couch moves up or down and in or out only when the enable button underneath is pressed Functional
DICOM import - Import of DICOM images (kVCT) and structures to the system and display at the operator and planning station (PS) Images can be viewed at OS and PS
Safety interlock - Mode switch: Imaging MVCT can not be formed when the mode switch is at treat Functional
- Visual and audible indicators working
- Door interlock working – checked during MVCT imaging procedure
- Stop button on position control panel (PCP) working
- Each emergency stop inside and outside the treatment room and on status control shuts down power to the gantry
Laser alignment Verify home positions for movable red lasers where they overlap the fixed overhead green lasers within ±1 mm Verified
Create a MVCT scan procedure for the cylindrical cheese phantom with the dowel at 5 mm position out. Red lasers move from home position to 2, 8 and 4 cm in the X, Y and −Z directions, respectively.
Dose during MVCT scan is less than 4 cGy
MVCT images are reconstructed and viewable from Reconstruction tab.
Lateral and vertical shift for the reference “cross” on the MVCT image is ±1 mm and 5±1 mm, respectively.
Treatment delivery test Treatment plans for “on axis” and “off axis” targets on a cheese phantom are delivered. The measured dose at each point is within ± 3% at ± 3 mm of the calculated point. Verified
Interrupted treatment completion test Two films are exposed sequentially with uninterrupted and interrupted but completed procedures. Visual inspection of the films shows no discontinuity and point dose difference is within 3%. Verified