The quality assurance of Varian enhanced dynamic wedges using Daily QA Check 2

Background: Clinical implementation of enhanced dynamic wedges (EDW) requires, as any other dynamic treatment, very serious quality assurance (QA) program. In this work, we presented the results of six-month evaluation of Varian enhanced dynamic wedges and detailed QA program for those wedges. Methods: The Sun Nuclear Daily QA Check 2 was used for QA purpose. The QA program included daily and monthly checks. The daily QA program included central axis dose and wedge angle measurements. Within the monthly QA program wedge factors and delivered STTs from the Dynalog files were checked. Results: Our daily QA measurements of dose and wedge angle showed the reproducibility error less than ±1.5%. On the other hand, monthly QA measurements of wedge factor the reproducibility error was less than ±0.5%. The monthly QA check of delivered STTs showed excellent agreement. Conclusion: During the six-month quality control we observed a good reproducibility in the delivery of EDW treatment. Also, the Sun Nuclear Daily QA Check 2 showed to be very satisfying in QA of the EDW treatment.