International Journal of Radiation Research

en Rapid and safe installation of linear accelerators using vendor commissioning support and additional user commissioning Radiation Biology Radiation Biology تحقيق بديع Original Research <div style="text-align: justify;">Background: The successful installation of linear accelerators (LINACs) depends on operator skill and experience, and its optimization can be further improved using vendor commissioning support. To facilitate the introduction of LINAC, Elekta provides commissioning support through Accelerated Go Live (AGL) using representative beam data. This study aimed to evaluate the effective commissioning of LINAC-assisted AGL complemented by additional measurements conducted by a user. Materials and Methods: Output doses were measured within a field size of > 3 cm2 using a single chamber with AGL and within a field size of > 2 cm2 using three types of optimal chambers based on the field size adopted by the user. In all cases, the differences between the measured and calculated output doses were maintained at < 2%. Results: The accuracy of couch modeling was evaluated by measuring arc irradiation for three different field sizes, with the electron density value assigned as a dose difference of <2% between the measured and calculated values at 2% for all energies and field size of >3 cm2. Additionally, imaging scan parameters for cone beam computed tomography were optimized to reduce the radiation dose, in comparison to the initial vendor settings, by referencing IEC 60601-2-44 standards and examining results from neighboring facilities. Conclusions: AGL proved to be effective as a temporary check, but additional commissioning efforts by the user were necessary for a more thorough evaluation and more appropriate initiation, aligning with established clinical practices.</div> Linear accelerator, accelerated go live, Vendor commissioning support. 691 696 http://ijrr.com/browse.php?a_code=A-10-1-1227&slc_lang=en&sid=1 S. Okahira 7900319475328460027993 7900319475328460027993 No Department of Radiology, National Hospital Organization Yamaguchi Ube Medical Center, 685 Higashikiwa, Ube, Yamaguchi 755-0241, Japan Y. Tanabe tanabey@okayama-u.ac.jp 7900319475328460027994 7900319475328460027994 Yes Faculty of Medicine, Graduate School of Health Sciences, Okayama University, 2-5-1, Shikata, Kita, Okayama 700-8525, Japan T. Sasaki 7900319475328460027995 7900319475328460027995 No Department of Radiology, National Hospital Organization Okayama Medical Center, 1711-1, Tamasu, Kita, Okayama 701-1192, Japan A. Yamane 7900319475328460027996 7900319475328460027996 No Department of Radiology, National Hospital Organization Iwakuni Medical Center, 1-1-1, Atago, Iwakuni, Yamaguchi 740-0037, Japan T. Nakayama 7900319475328460027997 7900319475328460027997 No Department of Radiology, Chugoku Central Hospital of the Mutual Aid Association of Public School Teachers, 148-13, Miyuki, Fukuyama, Hiroshima, 720-2121, Japan A. Osaka 7900319475328460027998 7900319475328460027998 No Department of Radiology, Niigata Prefectural Central Hospital, 205, Shin-minamimachi, Nigata 943-0192, Japan Y. Fuji 7900319475328460027999 7900319475328460027999 No Department of Radiology, Chugoku Central Hospital of the Mutual Aid Association of Public School Teachers, 148-13, Miyuki, Fukuyama, Hiroshima, 720-2121, Japan