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Quality control of dose volume histogram computation characteristics of 3D treatment planning systems

Detailed quality control (QC) protocols are a necessity for modern radiotherapy departments. The established QC protocols for treatment planning systems (TPS) do not include recommendations on the advanced features of three-dimensional (3D) treatment planning, like the dose volume histograms (DVH). In this study, a test protocol for DVH characteristics was developed. The protocol assesses the consistency of the DVH computation to the dose distribution calculated by the same TPS by comparing DVH parameters with values obtained by the isodose distributions. The computation parameters (such as the dimension of the computation grid) that are applied to the TPS during the tests are not fixed but set by the user as if the test represents a typical clinical case. Six commercial TPS were examined with this protocol within the frame of the EC project Dynarad (Biomed I). The results of the intercomparison prove the consistency of the DVH results to the isodose values for most of the examined TPS. However, special attention should be paid when working with cases of adverse conditions such as high dose gradient regions. In these cases, higher errors are derived, especially when an insufficient number of dose calculation points are used for the DVH computation.