Quality assurance of proton compensators

Qingya Zhao, Huanmei Wu, Indra J. Das

Research output: Chapter in Book/Report/Conference proceedingConference contribution

4 Scopus citations


Distal dose conformity to a target volume is achieved by choosing proper range of the proton beam and modifying it by custom designed compensator. The voxel of the compensator is milled precisely using a computerized milling machine. The quality assurance of proton compensators used in patient treatment is a vital issue in proton therapy that is investigated. Forty one patient specific proton compensators were analyzed that were manufactured using Milltronics VM16 computerized machine. Comparisons were made between the treatment planning system output data file and the voxel depth of the compensator. Point depths were measured by Sheffield Discovery II and were input into OmniPro IMRT software. The spatial distributions and histograms of compensator depth differences were visualized and evaluated. The acceptable depth difference between the measured and specified depth 0.32mm was maintained. The acceptance criterion of the manufactured compensator was 95% data points. For 37 of the 41 compensators, all measured points passed the test. The average difference is ±0.04 mm with the max difference depth of 0.28mm. One compensator was rejected as 10.4% of the measured points failed the test. For 3 other compensators, about 2.7% of the measured points failed the test with the maximum difference of 9.8 mm. Spatial distribution of the poor quality points was evaluated to decide if the compensa- tors should be rejected. A method for proton compensator quality assurance based on an existing commercial software system is introduced. The QA approach is coupled with visualization and statistical evaluation. Spatial distributions of error points can be identified, which are valuable for further dose distribution analysis.

Original languageEnglish (US)
Title of host publicationWorld Congress on Medical Physics and Biomedical Engineering
Number of pages4
StatePublished - Apr 16 2013
EventWorld Congress on Medical Physics and Biomedical Engineering - Beijing, China
Duration: May 26 2012May 31 2012

Publication series

NameIFMBE Proceedings
Volume39 IFMBE
ISSN (Print)1680-0737


OtherWorld Congress on Medical Physics and Biomedical Engineering


  • Compensator
  • Proton Radiotherapy
  • Quality Assurance

ASJC Scopus subject areas

  • Biomedical Engineering
  • Bioengineering

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    Zhao, Q., Wu, H., & Das, I. J. (2013). Quality assurance of proton compensators. In World Congress on Medical Physics and Biomedical Engineering (pp. 1719-1722). (IFMBE Proceedings; Vol. 39 IFMBE). https://doi.org/10.1007/978-3-642-29305-4_452