The integral quality monitor (IQM) system compares the signal measured with a large volume chamber mounted to the linear accelerator's head to the signal calculated using the patient DICOM RT plan for patient-specific quality assurance (PSQA). A method was developed to reconstruct the dose in patients using the signal measured by IQM chamber and patient planning CT images. A software tool named IQMDose3D was implemented to automate this procedure and integrated into the IQM-based PSQA workflow. IQMDose3D enables the physicists to evaluate PSQA by focusing on the clinical perspective by comparing the delivered plan t the approved clinical plan in terms of the clinical goals, dose-volume histogram (DVH) in addition to the three-dimensional (3D) gamma map and gamma pass rate.
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Xing et al. (2024) studied this question.
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