Table 4.
Quality control tests for teletherapy units (tolerances and action levels are specified in millimeters unless otherwise stated)
| Designator | Test | Performance | |
|---|---|---|---|
| Tolerance | Action | ||
| Daily | |||
| DCO1 | Door interlock/last person out | Functional | |
| DCO2 | Motion interlock | Functional | |
| DCO3 | Couch brakes | Functional | |
| DCO4 | Beam status indicators | Functional | |
| DCO5 | Patient audiovisual monitors | Functional | |
| DCO6 | Room radiation monitors | Functional | |
| DCO7 | Emergency off | Functional | |
| DCO8 | Beam interrupt/counters | Functional | |
| DCO9 | Head swivel lock | Functional | |
| DCO10 | Lasers/crosswires | 1 | 2 |
| DCO11 | Optical distance indicator | 1 | 2 |
| DCO12 | Optical back pointer | 2 | 3 |
| DCO13 | Field size indicator | 1 | 2 |
| Monthly | |||
| MCO1 | Latching of wedges, trays | Functional | |
| MCO2 | Wedge interlocks | Functional | |
| MCO3 | Gantry angle readouts | 0.5° | 1° |
| MCO4 | Collimator angle readouts | 0.5° | 1° |
| MCO5 | Couch position readouts | 1 | 2 |
| MCO6 | Couch rotation isocenter | 2 | 3 |
| MCO7 | Optical distance indicator | 1 | 2 |
| MCO8 | Crosswire centering | 1 | 2 |
| MCO9 | Light/Radiation coincidence | 2 | 3 |
| MCO10 | Field size indicator | 1 | 2 |
| MCO11 | Relative dosimetry | 1% | 2% |
| MCO12 | Shutter error | Reproducible | |
| MCO13 | Beam symmetry (source position) | 2% | 3% |
| MCO14 | Records | Complete | |
| Annually | |||
| ACO1 | Reference dosimetry | 1% | 2% |
| ACO2 | Relative output factor reproducibility | 1% | 2% |
| ACO3 | Central axis depth dose reproducibility | 1% | 2% |
| ACO4 | Wedge transmission factor reproducibility | 1% | 2% |
| ACO5 | Accessory transmission factor reproducibility | 1% | 2% |
| ACO6 | Output reproducibility vs. gantry angle | 1% | 2% |
| ACO7 | Beam symmetry reproducibility vs. gantry angle | 2% | 3% |
| ACO8 | Timer linearity | 1% | 2% |
| ACO9 | Shutter error | 0.03 min. | 0.05 min. |
| ACO10 | Collimator rotation isocenter | 2 | 3 |
| ACO11 | Gantry rotation isocenter | 2 | 3 |
| ACO12 | Couch rotation isocenter | 2 | 3 |
| ACO13 | Coincidence of collimator, gantry, couch axes | 2 | 3 |
| ACO14 | Coincidence of isocenters | 2 | 3 |
| ACO15 | Couch deflection | 3 | 5 |
| ACO16 | Independent quality control review | Complete | |