Quality assurance of asymmetric jaw alignment using 2D diode array

Purpose: A method using a 2D diode array is proposed to measure the junction gap (or overlap) and dose with high precision for routine quality assurance of the asymmetric jaw alignment. Methods: The central axis (CAX) of the radiation field was determined with a 15 x 15 cm(2) photon field at four cardinal collimator angles so that the junction gap (or overlap) can be measured with respect to the CAX. Two abutting fields having a field size of 15 cm (length along the axis parallel to the junction) x 7.5 cm (width along the axis perpendicular to the junction) were used to irradiate the 2D diode array (MapCHECK2) with 100 MU delivered at the photon energy of 6 MV. The collimator was slightly rotated at 15 degrees with respect to the beam central axis to increase the number of diodes effective on the measurement of junction gap. The junction gap and dose measured in high spatial resolution were compared to the conventional methods using an electronic portal imaging device (EPID) and radiochromic film, respectively. In addition, the reproducibility and sensitivity of the proposed method to the measurements of junction gap and dose were investigated. Results: The junction gap (or overlap) and dose measured by MapCHECK2 agreed well to those measured by the conventional methods of EPID and film (the differences ranged from -0.01 to 0 cm and from -1.34% to 0.6% for the gap and dose, respectively). No variation in the repeat measurements of the junction gap was found whereas the measurements of junction dose were found to vary in quite a small range over the days of measurement (0.21%-0.35%). While the sensitivity of the measured junction gap to the actual junction gap applied was the ideal value of 1 cm/cm as expected, the sensitivity of the junction dose to the actual junction gap increased as the junction gap (or overlap) decreased (maximum sensitivity: 201.7%/cm). Conclusions: The initial results suggest that the method is applicable for a comprehensive quality assurance of the asymmetric jaw alignment. (C) 2013 American Association of Physicists in Medicine.