Linac Twins in Radiotherapy

In a radiotherapy department having more than one linear accelerator, it is rather common to match the dose output of all machines. In particular, the recently developed flattening filter free mode requires new investigations regarding the feasibility of matching and the consequences for quality assurance and workload. This refers also to the beam model of the radiotherapy treatment planning system. Our results show that matching is possible not only for flat beams but also for flattening filter free mode. Therefore, the machines can substitute each other in the case of breakdown or service without new treatment planning even in the case of complex intensity-modulated radiotherapy or volumetric-modulated arc therapy. The quality assurance is reduced to only one data set for both the linear accelerators and the radiotherapy treatment planning system