DynaLog File Viewer Reference Guide Dyna Log (2013)
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DynaLog File Viewer Reference Guide Millennium 52-leaf MLC Millennium 80-leaf MLC Millennium 120-leaf MLC HD120 MLC MARK-Series 52-leaf MLC MARK-Series 80-leaf MLC Saturne 80-leaf MLC BrainLAB m3 13485 100013698-06 July 2013 2 Document ID 100013698, Revision 06 Abstract DynaLog File Viewer Reference Guide provides reference information and procedures for using the DynaLog File Viewer, version 8.X. This publication is the English-language original. Manufacturer Varian Medical Systems, Inc. 3100 Hansen Way Palo Alto, CA 94304-1038 United States European Authorized Representative Varian Medical Systems UK Ltd. Oncology House Gatwick Road, Crawley West Sussex RH10 9RG United Kingdom Notice Information in this user guide is subject to change without notice and does not represent a commitment on the part of Varian. Varian is not liable for errors contained in this user guide or for incidental or consequential damages in connection with furnishing or use of this material. This document contains proprietary information protected by copyright. No part of this document may be reproduced, translated, or transmitted without the express written permission of Varian Medical Systems, Inc. FDA 21 CFR 820 Quality System Regulations (CGMPs) Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the requirements specified within this federal regulation. ISO 13485 Varian Medical Systems, Oncology Systems products are designed and manufactured in accordance with the requirements specified within the ISO 13485 quality standard. CE Varian Medical Systems, Oncology Systems products meet the requirements of Council Directive MDD 93/42/EEC. EU REACH SVHC Disclosure The link to the current EU REACH SVHC disclosure statement can be found at http://www.varian.com/us/corporate/legal/reach.html HIPAA Varian’s products and services are specifically designed to include features that help our customers comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The software application uses a secure login process, requiring a user name and password, that supports role-based access. Users are assigned to groups, each with certain access rights, which may include the ability to edit and add data or may limit access to data. When a user adds or modifies data within the database, a record is made that includes which data were changed, the user ID, and the date and time the changes were made. This establishes an audit trail that can be examined by authorized system administrators. WHO ICD-O codes and terms used by permission of WHO, from: ■ International Classification of Diseases for Oncology, (ICD-O) 3rd edition, Geneva, World Health Organization, 2000. ICD-10 codes and terms used by permission of WHO, from: ■ International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10). Vols 1–3, Geneva, World Health Organization, 1992. DynaLog File Viewer Reference Guide CAUTION: US Federal law restricts this device to sale by or on the order of a physician. Trademarks Clinac® linear accelerator, Exact® arm, Exact® couch, On-Board Imager® kV imaging system, ARIA® oncology information system, Eclipse™ integrated treatment planning, Millennium™ MLC, PortalVision™ MV imaging system, PortalVision™ aS1000 MV imager, PortalVision™ aS500 MV imager, PortalVision™ aS500–II MV imager, and RPM™ respiratory gating system, Silhouette Edition®, UNIQUE™, EDW™, HD120 MLC™ are trademarks of Varian Medical Systems, Inc. Microsoft® is a registered trademark of Microsoft Corporation. All other trademarks or registered trademarks are the property of their respective owners. Copyright © 2002, 2003, 2006, 2007, 2010, 2013 Varian Medical Systems, Inc. All rights reserved. Produced in the United States of America. 3 Contents CHAPTER 1 INTRODUCTION .............................................................................................................. 6 Introduction ....................................................................................................................................................... 6 Visual Cues ......................................................................................................................................................... 6 Contacting Varian Customer Support ......................................................................................................... 7 DynaLog File ....................................................................................................................................................... 8 DynaLog File Size ...............................................................................................................................................9 DynaLog File Viewer Description .................................................................................................................. 9 CHAPTER 2 GENERATING DYNALOG FILES ....................................................................................11 Generate DynaLog Files .................................................................................................................................. 11 Generate and Save DynaLog Files for a MARK-Series MLC .............................................................11 Generate and Save DynaLog Files for a Millennium MLC .............................................................. 12 CHAPTER 3 DYNALOG FILE VIEWER PROCEDURES .....................................................................14 Start DynaLog File Viewer ............................................................................................................................. 14 Set the DynaLog File Interpretation ........................................................................................................... 14 Open DynaLog Files .........................................................................................................................................15 Millennium DynaLog Files ..................................................................................................................... 16 Classic DynaLog Files ...............................................................................................................................18 Save DynaLog Analysis Results .................................................................................................................... 21 View DynaLog Data in Graphical Formats ................................................................................................23 Error Histogram ........................................................................................................................................23 Error RMS ................................................................................................................................................... 26 Beam On Plot ............................................................................................................................................ 28 Beam Hold Off Plot ................................................................................................................................. 28 Arrange DynaLog File Graphical Formats .................................................................................................30 Display File Information ................................................................................................................................30 Print DynaLog File Reports ............................................................................................................................ 31 Close DynaLog Files ......................................................................................................................................... 31 Obtain DynaLog File Viewer Version Number ......................................................................................... 32 Exit DynaLog File Viewer ...............................................................................................................................32 CHAPTER 4 INTERPRET DYNALOG ANALYSIS RESULTS .............................................................33 DynaLog File Viewer Analysis of Step-and-Shoot Treatments ............................................................ 33 Relation Between Dynamic Tolerance and RMS Error ...........................................................................34 APPENDIX A DYNALOG FILE CONTENTS .......................................................................................41 File Naming Convention ................................................................................................................................ 41 File Header ........................................................................................................................................................ 41 File Content ...................................................................................................................................................... 42 4 DynaLog File Viewer Reference Guide APPENDIX B COMPRESSING DYNALOG FILES ............................................................................ 44 Compress DynaLog Files ............................................................................................................................... 44 Install Zip and Unzip ...................................................................................................................................... 44 Zip DynaLog Files ............................................................................................................................................ 44 Unzip DynaLog Files ....................................................................................................................................... 45 INDEX ........................................................................................................................................................46 Contents 5 Chapter 1 Introduction Introduction This reference guide describes DynaLog files and how to use DynaLog File Viewer, version 8.X (DFV), a program that analyzes data in DynaLog files and displays the data in graphical formats. DynaLog File Viewer Reference Guide is written for physicists who want to statistically evaluate leaf positions and the beam state of the Clinac during a dynamic treatment using a MARK-Series MLC or a Millennium MLC (this includes the HD120 MLC). This guide uses the term MARK-Series to indicate all pre-Millennium MLCs including MLC, Standard MLC, CR-MLC, and MARK-Series MLC. Before you begin using DynaLog File Viewer, you should be familiar with the Microsoft Windows operating environment and have basic knowledge of the MLC software. Visual Cues This publication uses the following visual cues to help you find information: WARNING: A warning describes actions or conditions that can result in serious injury or death. CAUTION: A caution describes hazardous actions or conditions that can result in minor or moderate injury. NOTICE: A notice describes actions or conditions that can result in damage to equipment or loss of data. Note: A note describes information that may pertain to only some conditions, readers, or sites. 6 DynaLog File Viewer Reference Guide Tip: A tip describes useful but optional information such as a shortcut, reminder, or suggestion, to help get optimal performance from the equipment or software. Contacting Varian Customer Support Varian Customer Support is available on the internet, by e-mail, and by telephone. Support services are available without charge during the initial warranty period. The my.varian.com website provides contact information, product documentation, and other resources for all Varian products. Get Online Customer Support You can browse the my.varian.com site without having a Varian account or logging in. However, you must have a Varian account to get online customer support and to access product information for products at your institution or clinic. 1. Go to http://my.varian.com. 2. Click Contact Us at the top of the window to display customer support and training options, and international e-mail addresses and telephone numbers. 3. Choose an option: ■ If you do not already have an account, click Create New Account and follow the instructions. Establishing an account may take a few days. ■ If you have an account, go to the next step. 4. Enter your user name and password. 5. Browse the information and then click the link that corresponds to what you want to do: ■ Fill out and submit a support request. ■ Find documents. Online documents in PDF format include customer technical bulletins (CTBs,) manuals, and customer release notes (CRNs). ■ Send an e-mail to Varian support. You can browse for international e-mail addresses and telephone numbers by geographic area, and for oncologyspecific contacts such as for brachytherapy. ■ Find parts and services by geographical area. E-Mailing Varian Send e-mail inquiries through the my.varian.com website. Alternatively, you can use a support e-mail address that corresponds to your location or interest: Chapter 1 7 Location E-mail Address North America support-americas@varian.com Latin America soporte.al@varian.com Europe support-emea@varian.com Australia and New Zealand support-anz@varian.com China support-china@varian.com Japan support-japan@varian.com South East Asia support-sea@varian.com Brachytherapy Systems brachyhelp@varian.com Ordering Documents by Phone You can order documents by phone by calling Varian Medical Systems support. Location Telephone Number North America + 1 888 827 4265 (Press 2 for parts) Global Call your local Varian office. DynaLog File A DynaLog file is a record of the actual dose fraction (dose dynamic) or gantry angle (arc dynamic) versus actual MLC leaf positions from either a dynamic treatment or a segmental treatment, encoded in UTF-8 format. A dynamic treatment is a treatment during which the MLC leaves, collimator, or gantry move while the beam is on and both the dose rate and the speed of the leaves are continually adjusted by the control system. The DynaLog data is taken every 50 ms by the MLC controller. The recording continues until the dynamic treatment is completed or terminated. Starting with MLC version 8.0, DynaLog file information is collected for the entire treatment, and no time limit is imposed. Autosave is only accomplished if automatic DynaLog logging was started prior to treatment. The MLC controller stores the DynaLog data in a temporary memory buffer. Each time you load a new dynamic treatment, the MLC controller overwrites the DynaLog data from the previous treatment. As a result, the DynaLog data for the finished treatment is no longer retrievable. To prevent losing data from your dynamic treatment, save the DynaLog files after each field or turn on the autosave feature of DynaLog files. 8 DynaLog File Viewer Reference Guide DynaLog File Size The DynaLog file size is dependent upon the elapsed treatment time. Thus, the longer the dynamic treatment lasts, the larger the DynaLog file size. File size might become a consideration on the MARK-Series MLC, where the file needs to be transferred from the controller using floppy disks or flash drive. If the file becomes too large, you can use a file-compression utility to reduce its size so that it fits on the floppy disk. One popular compression tool is PKZIP, available from the PKWARE web site at http://www.pkware.com. Another alternative is the public domain compression tool Zip from the Info-ZIP Group, which you can find in the ZipTool directory on the DFV installation CD-ROM. For more information about using this utility, see Compress DynaLog Files on page 44. DynaLog File Viewer Description DynaLog File Viewer is a utility program that allows you to view data from DynaLog files in graphical formats. A standard text editor such as WordPad or Notepad cannot be used to view DynaLog files. DynaLog File Viewer takes the data from the DynaLog files and converts the data into tables and plots. DynaLog files are viewed by using one of the following formats: ■ Error Histogram—shows information for all leaf position deviations. DynaLog File Viewer creates a histogram with a tally of the number of leaf position deviations within each bin. This plot is broken into 0.05 cm bins spanning a total range from 0–1.00 cm. The plot has a zero deviation bin for deviations less than 0.005 cm and an above maximum bin for deviations greater than 1.00 cm. The error histogram bin boundaries represent position deviations at the isocenter plane. ■ Error RMS—shows the calculated root mean square (RMS) value for leaf deviations. DynaLog File Viewer calculates RMS values for leaf position deviations of individual leaves using the following formula: n Lea fError RM S = ∑ (Lea fPlanPost - Lea fActualPost ) 2 t= 1 ----------------------------------------------------------------------------------------------n where: ■ t = data sample index ■ n = total number of samples Chapter 1 9 Note: DynaLog files contain all leaf positions, but a leaf is included in the RMS calculations only if it or the opposing leaf moves during the treatment. ■ Beam Hold Off plot—shows when and how often the beam hold-off is asserted during the dynamic treatment. This plot can be used as a tool to ensure that the system is operating correctly. ■ Beam On plot—shows when and how often the beam is on during the dynamic treatment. For examples of each of the data tables and plots, as well as instructions on how to use DynaLog File Viewer, see Chapter 3. 10 DynaLog File Viewer Reference Guide Chapter 2 Generating DynaLog Files Generate DynaLog Files The MARK-Series MLC and Millennium MLC controllers operate in different software environments; therefore, the procedure for generating DynaLog files for each type of controller is different. This chapter provides step-by-step instructions for generating DynaLog files for the MARK-Series MLC and the Millennium MLC. Generate and Save DynaLog Files for a MARK-Series MLC To generate DynaLog files for a MARK-Series MLC, perform the following steps: 1. Close the patient file on the MLC workstation. 2. Type F on the MLC controller keyboard. The MLC controller prompts you to type a letter that represents the disk drive where you want to save the DynaLog files for both carriages. 3. To save the DynaLog files, perform one of the following: ■ Type A to save the DynaLog files onto a floppy disk. ■ Type letter of the flash drive location to save the DynaLog files onto a flash drive. ■ Type C to save the DynaLog files to the hard disk drive. Note: DynaLog files saved to the hard disk drive are stored in the MLC controller directory and are not accessible while the MLC controller is in use. To access the files, exit the MLC controller. Once you have specified the drive where the DynaLog files are to be saved, the MLC controller writes dynaloga.001 for carriage A and dynalogb.001 for carriage B to the designated drive. The MLC controller automatically increases the file extension number (for example, .002, .003, .004 and so forth), each time new DynaLog files are generated. If the DynaLog files are saved to a hard disk drive, to copy them onto a floppy disk or flash drive, type one of the following commands at the MS-DOS prompt: ■ copy dynaloga.### X:dynaloga.### ■ copy dynalogb.### X:dynalogb.### where ### is the appropriate three-digit extension and X is the appropriate floppy disk or flash drive location. Chapter 2 Generating DynaLog Files 11 Generate and Save DynaLog Files for a Millennium MLC The Millennium MLC controller operates in a VxWorks® environment. Serial communication, using HyperTerminal, needs to be set up to communicate with the MLC controller, and an Ethernet connection is required to transfer DynaLog files to the workstation. Note: DynaLog files may contain patient Personal Health Information (PHI). Use one of the following methods to generate DynaLog files for the Millennium MLC: ■ Enter a command to save the DynaLog files for only the dynamic treatment just completed. or ■ Enter a command to make the MLC controller automatically save the DynaLog files after the completion of each dynamic treatment. There are two possible ways to automatically save DynaLog files: ■ Enter a command at HyperTerminal that turns on the autosave only for the current session. ■ Modify the appropriate startup.* file to turn on autosave permanently. Note: The Millennium MLC controller automatically names the file when generating new DynaLog files. The name is based on the patient’s information and time of treatment. However, the MLC workstation replaces following characters in the DynaLog file name with an underscore _: ■ < (less than) ■ > (greater than) ■ : (colon) ■ " (double quote) ■ / (forward slash) ■ \ (backslash) ■ | (vertical bar or pipe) ■ ? (question mark) ■ * (asterisk) To enable the system to generate and save DynaLogs automatically, in the HyperTerminal at the VxWorks prompt, type the command: diagAutoDynalogs 1 To turn off this feature, type the command: diagAutoDynalogs 0 12 DynaLog File Viewer Reference Guide When this feature is enabled, as soon as a dynamic MLC treatment finishes, the controller writes those treatment DynaLog files to the DynaLogs folder subdirectory within the default FTP root directory on the MLC workstation. For example: \Oncology\MLC\Controller\exec\DynaLogs\ Unlike manually-generated DynaLog files, the controller assigns unique file names to the automatically generated DynaLog files. The Revision B MLC controller names the files using the following convention: CYYYYMMDDHHNNSS_.dlg where the values are as follows: C A or B for the MLC carriage (leaf bank) YYYY 4-digit year MM 2-digit month DD 2-digit day of the month HH 24-hour clock time stamp NN minutes time stamp SS seconds time stamp The Patient ID Chapter 2 Generating DynaLog Files 13 Chapter 3 DynaLog File Viewer Procedures Start DynaLog File Viewer DynaLog File Viewer opens, saves, and displays the DynaLog files in data tables and plots. To start DynaLog File Viewer: ■ Double-click the DynaLog File Viewer icon on the desktop. or ■ From the Windows Start menu, select Programs > MLC Utilities > DynaLog File Viewer. The first time DynaLog File Viewer is opened, the Configuration dialog box opens, allowing you to choose which MLC calculations are to be used, and what file format is to be used from the list of available formats (see Set the DynaLog File Interpretation on page 14). After the first time, when the program opens, the Open dialog box for the current configuration opens (see Millennium DynaLog Files on page 16 and Classic DynaLog Files on page 18). Set the DynaLog File Interpretation The MLC type you specify determines the types of files you can open and how the data is interpreted by which MLC type you specify: ■ When you start DynaLog File Viewer for the first time, you are prompted to select an MLC type. ■ You can also change the MLC type at any time by selecting MLC Type from the Config menu. The Pick MLC Type dialog box opens so that you can select the MLC type. 14 DynaLog File Viewer Reference Guide The five choices represent the eight supported MLC configurations. Each configuration uses different correction factors and calculation sets: ■ Millennium MLC (120, 80, & 52) ■ Millennium 120-leaf MLC ■ Millennium 80-leaf MLC ■ Millennium 52-leaf MLC ■ HD 120 MLC ■ Mark MLC (80 & 52) ■ MARK-Series 80-leaf MLC ■ MARK-Series 52-leaf MLC ■ m3 without Varian MLC (Novalis) ■ m3 with Varian MLC Note: The same data yields different results when different configuration settings are selected. Therefore, you should ensure that you select the configuration that is used to collect your data. You can open either Millennium DynaLog files or Classic files. For more information, see Millennium DynaLog Files on page 16 and Classic DynaLog Files on page 18. Open DynaLog Files From the File menu, DynaLog File Viewer can open either Millennium DynaLog files or Classic files. Chapter 3 DynaLog File Viewer Procedures 15 Note: You can only open Millennium DynaLog files if you have the MLC type set to Millennium MLC (see Set the DynaLog File Interpretation on page 14). Millennium DynaLog Files When you start the Dynalog File Viewer program, the Open Dynalog File for Carriage A window Figure 1 opens. Figure 1 Open DynaLog File for Carriage A Window At other times, you can display this window from the File menu. 16 DynaLog File Viewer Reference Guide To open a Millennium DynaLog file, perform the following steps: 1. From the File menu, select Open Dynalog Files. The Open Dynalog File for Carriage A window appears (see Figure 1 Open DynaLog File for Carriage A Window on page 16). If the desired file is not available, use the folder navigation buttons in the window to navigate to the directory containing the desired file. 2. Select the file for carriage A (for example, A20050721094800_294262481.dlg). 3. Click Open. The program opens the files for Carriage A and Carriage B. The file name for Carriage B is automatically assumed to be the same as that for Carriage A, with a B prefix instead of an A. Note: To open a file, both the A and B files must be present in the same folder. The program automatically generates the data tables and plots for both the error RMS and the error histogram data and displays them in the main window. Chapter 3 DynaLog File Viewer Procedures 17 Classic DynaLog Files Classic DynaLog Files are generated by Mark-series MLC models. To open a Classic DynaLog file, perform the following steps: 1. From the File menu, select Open Classic Dynalog Files. The Open Classic Dynalog File for Carriage A window appears. 18 DynaLog File Viewer Reference Guide If the desired file is not available, use the folder navigation buttons in the window to navigate to the directory containing the desired file. 2. Select the file for carriage A (for example, DYNALOGA.015). 3. Click Open. The program opens the files for Carriage A and Carriage B. The file name for Carriage B is automatically assumed to be the same as that for Carriage A, with the last letter of the file name being B instead of A. Note: To open a file, both the A and B files must be present in the same folder. The program automatically generates the data tables and plots for both the error RMS and the error histogram data and displays them in the main window. Chapter 3 DynaLog File Viewer Procedures 19 20 DynaLog File Viewer Reference Guide Save DynaLog Analysis Results To save the error histogram data table, perform the following steps: 1. From the File menu, select Save Error Histogram. The Save Histogram Data window appears. 2. Accept the default file name or type a new file name for the error histogram data table in the File name text box. 3. Click Save. The error histogram data file is an ASCII text file that contains the same data as Chapter 3 DynaLog File Viewer Procedures 21 the Error Histogram Data window, described in Error Histogram on page 23. To save the error RMS data, perform the following steps: 1. From the File menu, select Save Error RMS. The Save RMS Data window appears. 2. Accept the default file name or type a new file name for the error RMS data table in the File name text box. 3. Click Save. The program saves the error RMS file and closes the window. 22 DynaLog File Viewer Reference Guide The error RMS data file is an ASCII text file that contains the same data as the Error RMS Data window, described in Error RMS on page 26. View DynaLog Data in Graphical Formats To view the tables and plots for the DynaLog data: ■ From the View menu, select the desired data tables and plots. When selecting either Error Histogram or Error RMS from the View menu, DFV displays both the data table and the plot in the main window. For clarity, this reference guide shows the data tables and plots in individual figures. Error Histogram To view the error histogram data: ■ From the View menu, select Error Histogram. ■ From the Window menu, select either Error Histogram Data or Error Histogram Plot. DynaLog File Viewer opens both the Error Histogram Data (Figure 2 on page 24) and the Error Histogram Plot windows (Figure 4 on page 26). The Error Histogram Data table has five columns. Chapter 3 DynaLog File Viewer Procedures 23 1 2 1. Bin number 2. Range of leaf deviation for that bin at the isocenter plane 3. Number of samples in that bin Figure 2 3 4 5 4. Percentage of the total sample count in that bin 5. Summation of the percentage in that bin Error Histogram Data Window The last column contains the cumulative sum of the percentages in the fourth column. If the sum of the percentages reaches 95% within the first 8 rows, then the Percent and Percent Sum columns of the row that crosses the 95% threshold, and all the previous rows, are shaded green. If the sum of the percentages does not reach 95% in the first 8 rows, then the first 8 rows are shaded green, and the subsequent rows are shaded red up to the row that reaches the 95% mark. If there is a non-zero # of Counts value for bin 22, then that value is shaded yellow (see Figure 3). 24 DynaLog File Viewer Reference Guide Figure 3 Error Histogram Data with Shading for Bin 22 The specifications that determine pass or fail (red or green) are set to match the current Varian specification, and cannot be altered by the user. The Error Histogram Plot provides a graphical representation of the Error Histogram Data values. Chapter 3 DynaLog File Viewer Procedures 25 1 2 1. Y-axis represents sample count 2. X-axis represents bin number Figure 4 Error Histogram Plot Window Error RMS To view the error RMS data: ■ Select Error RMS from the View menu. DFV displays both the Error RMS Data (Figure 5) and the Error RMS Plot (Figure 6) windows. The first row of the Error RMS Data table shows the average RMS error for the moving leaves on carriage A and carriage B. The second row shows the maximum RMS error for the leaves on carriage A and carriage B. The green shading indicates the larger maximum of the two. If the maximum value is greater than the acceptance specification, then the value is shaded red instead of green. The remaining rows represent the RMS error for each individual leaf. All error values are in units of centimeters at the treatment plane. Leaf pairs that do not move during the course of the treatment are not included in the RMS calculations. 26 DynaLog File Viewer Reference Guide 1 2 3 1. Leaf number 2. RMS error for carriage A 3. RMS error for carriage B Figure 5 Error RMS Data Window 1 2 1. Y-axis represents RMS error 2. X-axis represents leaf number Figure 6 Chapter 3 DynaLog File Viewer Procedures Error RMS Plot Window 27 Beam On Plot ■ To view the Beam On Plot, select Beam On Plot from the View menu. The Beam On Plot window appears. 1 2 1. Y-axis represents beam on 2. X-axis represents time Figure 7 Beam On Plot Figure 7 shows the state of the beam during the dynamic treatment as a function of time. The X-axis represents time; the Y-axis has a 0 or 1 value. A 1 represents the state in which the beam is on, and 0 represents the state in which the beam is off. Beam Hold Off Plot ■ To view the Beam Hold Off Plot, select Beam Hold Off Plot from the View menu. The Beam Hold Off Plot window appears. 28 DynaLog File Viewer Reference Guide 1 2 1. Y-axis represents beam hold-off 2. X-axis represents time Figure 8 Beam Hold Off Plot for Dynamic Treatment Figure 8 shows the state of the beam hold-off during the dynamic treatment as a function of time. The Y-axis can have a value of 0 or 1. A 1 represents the state in which the beam hold-off is on (X-ray off), and 0 represents the state in which the beam hold-off is off (X-ray on). The X-axis represents time. 1. Y-axis represents beam hold-off 2. X-axis represents time Figure 9 Chapter 3 DynaLog File Viewer Procedures Beam Hold Off Plot for LFIMRT 29 Figure 9 shows the state of the beam hold-off during the LFIMRT treatment as a function of time. The Y-axis can have a value of 0 or 2. A 2 represents the state in which the beam hold-off is on (X-ray off), and 0 represents the state in which the beam hold-off is off (X-ray on). The X-axis represents time. Arrange DynaLog File Graphical Formats When several data tables and plots are open, you can specify which data table or plot appears in the front by clicking on the window or by using the Window menu. To bring the data table or plot to the front: ■ Click in the window of the desired DynaLog file information. or ■ From the Window menu, select the desired DynaLog file information. The Window menu displays only the open data tables and plots. Data tables and plots are numbered in the order in which they were opened. Note: In order to bring a specific data table or plot to the front, the data table or plot must be active and must appear in the main DynaLog File Viewer window. Display File Information To display information about the current data files: ■ Select the File Info option from the View menu. The File Info data box opens and shows the File Info data. 30 DynaLog File Viewer Reference Guide Print DynaLog File Reports To print DynaLog file reports: 1. Select Print Reports from the File menu. 2. In the standard Windows print dialog box, select the desired printer. 3. Click OK. The Print Reports option prints a single report with file information, plus the data tables and charts from the windows that are open. This can include: ■ Error Histogram Plot ■ Error Histogram Data ■ Error RMS Plot ■ Error RMS Data ■ Beam On Plot ■ Beam Hold Off Plot Close DynaLog Files To close the DynaLog file tables and plots: ■ Click the close button (X) in the upper right corner of the window. Chapter 3 DynaLog File Viewer Procedures 31 Obtain DynaLog File Viewer Version Number To display the DynaLog File Viewer version number: ■ Select About from the Help menu. Exit DynaLog File Viewer To exit DynaLog File Viewer: ■ Select Exit from the File menu. 32 DynaLog File Viewer Reference Guide Chapter 4 Interpret DynaLog Analysis Results DynaLog File Viewer Analysis of Step-and-Shoot Treatments In order to understand the statistical analyses performed by DynaLog File Viewer for step-and-shoot treatments, it is important to understand some details about how the leaves are instructed to move throughout the treatment, and how this information is recorded in the DynaLog files. Varian dynamic MLC treatments are driven by MLC plan files, also known as dva files. MLC plan files are the instructions for the positioning of all MLC leaves throughout the treatment, and consist of a progressive sequence of dose fractions; associated with each dose fraction is an intended position for each leaf. Step-andshoot treatments contain alternating step and shoot segments: the step segment instructs the leaves to move with no dose increase; the shoot segment instructs the dose fraction to increase with no leaf movement. In each 50-ms control cycle, the Clinac reports the current dose fraction along with the actual position of each leaf. The MLC controller determines if the actual dose fraction has reached the next dose fraction listed in the MLC plan file. If so, the next dose fraction, along with a new set of leaf positions, is read from the MLC plan file; these positions then become the new expected leaf positions. At this transition point, the leaves are in the leaf positions associated with the former dose fraction—the old positions—but the MLC controller now expects them to be at the new positions. Often for the step-and-shoot technique, these position changes are large—on the order of millimeters or even centimeters—and they exceed the dynamic leaf tolerance. In this case, a beam hold-off is asserted. At this instant in time, the following occurs: ■ Leaf position deviations are equal to the distance between the current actual leaf positions (which were the old expected positions) and the newly calculated expected leaf positions. ■ Beam hold-off has been asserted. ■ Beam hold-off instruction has not yet been delivered to the Clinac, and so the beam is still on. The DynaLog file record for this instance records the following: ■ Beam hold-off = 1 (Yes) or = 2 (during LFIMRT carriage group transitions) ■ Beam on = 1 (Yes) ■ Actual leaf positions equal to the old positions Chapter 4 Interpret DynaLog Analysis Results 33 ■ Expected leaf positions equal to the new positions Note: Even if the dynamic leaf tolerance is not exceeded, these transition values are still relatively large. The DynaLog File Viewer includes all DynaLog file data points with beam on = 1 in its calculations, so these transition points are always included. As a result at each transition point, leaf deviation values equal to the intended incremental movement of the leaf—relatively large values—are included in the statistical calculations. It is important to understand that during normal operation of the MLC, these transition-point deviations are always included in the statistical results calculated by the DynaLog File Viewer. Relation Between Dynamic Tolerance and RMS Error DynaLog data depend on the dynamic plan and the treatment setup. Typically, DynaLog data include the following characteristics: ■ Distinguishable correlation exists between the histogram distribution and the RMS error values for leaf position deviations. When the RMS error values are large, the histogram bin counts reflect this fact. For example, more tallies may be in bin ranges trending toward 1.0 cm. On the other hand, when the RMS error values are smaller, more tallies may be in bin ranges trending toward 0.0 cm. Active leaves are those leaves that move during the delivery of the dynamic field. Note: The number of RMS samples is derived from the summation of bin tallies and the number of active leaves, according to the following equation: Number of RMS Samples = Summation of Bin Samples Number of Active Leaves ■ Smaller dynamic tolerance values result in lower RMS error values, whereas larger dynamic tolerance values result in higher RMS error values. ■ Smaller dynamic tolerance values result in more frequent beam hold-offs. Figure 10 on page 35 through Figure 18 on page 40 show results of the Error Histogram Values, Error RMS Values, and Beam Hold Off Plot windows of DynaLog files from treatments delivered using various total doses and dose rates. 34 DynaLog File Viewer Reference Guide Figure 10 shows the Error Histogram Data window. The inset window shows quantitative leaf histogram data values split into bins, the number of tallies per bin, and the percentage of occurrences in each bin. The large window displays a graphical representation of the same data. This IMRT plan was delivered using 180 MU at a dose rate of 300 MU/min. Figure 10 Error Histogram Data and Plot at 180 MU and 300 MU/min Figure 11 shows a plot of leaf RMS error values for the same treatment as used for Figure 10. Chapter 4 Interpret DynaLog Analysis Results 35 Figure 11 Error RMS Values Plot at 180 MU and 300 MU/Min Figure 12 shows the Beam Hold Off plot for the same treatment. In this case, there were no beam hold-offs. Figure 12 Beam Hold Off Plot at 180 MU and 300 MU/Min Figure 13 shows the same display as shown in Figure 10 on page 35, except that the treatment represented in Figure 13 was delivered using a dose rate of 600 MU/min rather than 300 MU/min. The higher dose rate requires the leaves to move faster to maintain the desired dose versus position prescribed in the MLC plan file. Note the higher percentage of counts in the 0.005 cm–0.05 cm bin (72.69%) compared to the same bin shown in Figure 10 (59.31%). 36 DynaLog File Viewer Reference Guide Figure 13 Error Histogram Data and Plot at 180 MU and 600 MU/Min Figure 14 shows the plot of leaf RMS error values for the same treatment as used for Figure 13. Notice that the general shape of the curve is similar to Figure 11 on page 36, but the individual peak values have increased compared to the individual peak values in Figure 11. Figure 14 Error RMS Values Plot at 180 MU and 600 MU/Min Chapter 4 Interpret DynaLog Analysis Results 37 Figure 15 shows the Beam Hold Off plot for the treatment delivered using 180 MU at 600 MU/min. This plan results in more beam hold-offs compared to Figure 12 on page 36, because the beam needed to be paused while the leaves moved into the positions as prescribed in the MLC plan file. Figure 15 Beam Hold Off Plot at 180 MU and 600 MU/Min Figure 16 corresponds to Figure 10 on page 35 except that Figure 16 was generated with a total dose of 45 MU rather than 180 MU. The lower total dose requires the leaves to move at a faster speed to maintain the desired dose versus position prescribed in the MLC plan file. Note the slightly higher percentage of counts in the 0.005 cm–0.05 cm bin (63.35%) compared with the same bin shown in Figure 10 (59.31%). 38 DynaLog File Viewer Reference Guide Figure 16 Error Histogram Data and Plot at 45 MU and 300 MU/Min Figure 17 corresponds to Figure 11 on page 36 except that, while the general shape of the curve remains quite similar to the curve in Figure 11, the individual peak values have increased from over 0.036 cm in Figure 11 to a little over 0.11 cm in Figure 17. Figure 17 Error RMS Values Plot at 45 MU and 300 MU/Min Chapter 4 Interpret DynaLog Analysis Results 39 Figure 18 corresponds to Figure 12 on page 36 and Figure 15 on page 38 except that the total dose and/or dose rate was reduced. Notice the larger number of beam holdoffs in this plot compared to the beam hold-offs in Figure 15. This is what is expected when the treatment conditions are changed so that the time allowed for the leaf movements is reduced from 0.30 minutes at 600 MU/min and 180 MU total dose to 0.15 minutes at 300 MU/min and 45 MU total dose. Figure 18 40 Beam Hold Off Plot at 45 MU and 300 MU/Min DynaLog File Viewer Reference Guide Appendix A DynaLog File Contents File Naming Convention The MLC controller names the files using the following convention: CYYYYMMDDHHNNSS_ .dlg where: C A or B for the MLC carriage (leaf bank) YYYY 4-digit year MM 2-digit month DD 2-digit day of the month HH 24-hour clock time stamp NN minutes time stamp SS seconds time stamp The Patient ID Note: The Millennium MLC controller automatically names the file when generating new DynaLog files. The name is based on the patient’s information and time of treatment. However, the MLC workstation replaces following characters in the DynaLog file name with an underscore _: ■ < (less than) ■ > (greater than) ■ : (colon) ■ " (double quote) ■ / (forward slash) ■ \ (backslash) ■ | (vertical bar or pipe) ■ ? (question mark) ■ * (asterisk) File Header The file header consists of 6 lines with the following meanings: Appendix A DynaLog File Contents 41 Line Format Description 1 B Letter indicating version 2 , , Patient information, up to 25 characters 3 , Treat 6.5 or greater or or Standalonea 4 Tolerance 5 Number of leaves in MLC 6 Clinac Scale 0 = Varian scale 1 = IEC scale (IEC 60601-2-1 only) Note: The IEC 61217 scale is not available for DynaLog files. a. The logic for determining the third line is as follows: If the Field Serial number is zero and the PlanUID is non-zero, it is assumed to be Treat 6.5 or greater. If both the Field Serial number and the PlanUID are zero, the filename is used. If the filename is an empty string, a blank line is written. File Content Each line of the DynaLog file contains the following: Column Format Description 1 Current dose fraction or current gantry rotation Note: For RapidArc and conformal arc plans, dose fraction information is displayed only if you remove the # character preceding the diagUseRapidArcDynalogFormat command in the MLC controller startup script. In all other cases, gantry rotation in tenths of a degree is displayed if you retain the # character preceding the diagUseRapidArcDynalogFormat com‐ mand. 2 Previous segment number (starting with zero) 3 Beam hold-off state 2 = LFIMRT carriage group transitions 1 = MLC beam hold-off signal asserted 0 = MLC beam hold-off signal not asserted 42 DynaLog File Viewer Reference Guide Column Format Description 4 Beam on state 1 = Clinac beam is on 0 = beam is off 5 Previous segment dose index or previous segment gantry angle 6 Next segment dose index or next segment gantry angle 7 Gantry rotation in 10th of a degree 8 Collimator rotation in 10th of a degree 9 Upper Y1 jaw position in mm in the isoplane 10 Upper Y2 jaw position in mm in the isoplane 11 Lower X1 jaw position in mm in the isoplane 12 Lower X2 jaw position in mm in the isoplane 13 Carriage expected position in 100th of a mm 14 Carriage actual position in 100th of a mm The remaining columns contain the following values for each leaf in the carriage. (nLeaf = 0, 1, 2, and so on) 4*nLeaf + 15 Expected position 4*nLeaf + 16 Actual position 4*nLeaf + 17 Previous field position 4*nLeaf + 18 Next field position Note: ■ ■ ■ ■ Appendix A All dose fractions range from 0 to 25000. All gantry and collimator angles are recorded in tenths of degrees, Varian scale. All jaws are recorded in millimeters in the isoplane. All carriage and leaf positions are recorded in hundredths of millimeters, in the leaf (physical) plane. Zero is at the centerline. Positive means retracted. Negative means extended across the centerline. DynaLog File Contents 43 Appendix B Compressing DynaLog Files Compress DynaLog Files Zip is a file compression utility that reduces a file size. Zip typically compresses DynaLog files to approximately 10% of their original size. UnZip is the counterpart to Zip—it decompresses zipped files. Zip and UnZip are public domain programs from the Info-ZIP Group. Info-ZIP software (Zip, UnZip and related utilities) is freeware and can be obtained as either source code or executables from the Internet. This appendix provides instructions on how to use the Zip and UnZip utilities to compress and restore DynaLog files. For more detailed instructions on the use of these programs, including descriptions of features that are not described here, refer to the complete program documentation, included in zip files in the ZipTool \Distrib directory of the DFV installation CD-ROM. Note: These procedures apply only for a MARK‐Series MLC controller. Because Millennium MLC DynaLog files do not need to be transferred to floppy disks or flash drives, this process does not apply to Millennium MLC controllers. Install Zip and Unzip The files Zip.exe and UnZip.exe are located in the ZipTool directory on the DFV installation CD-ROM. To install the Zip and Unzip files, perform the following steps: 1. Copy UnZip.exe to C:\ on the computer on which the DynaLog files are to be analyzed. 2. Copy Zip.exe to C:\ on the MLC controller computer. (If the controller does not have a CD-ROM drive, transfer this file using a floppy disk or flash drive.) Zip DynaLog Files Note: Zipping DynaLog files can only be done when the MARK‐Series MLC controller computer is not running the MARK‐Series MLC controller software. 44 DynaLog File Viewer Reference Guide To zip DynaLog files directly to a floppy disk or flash drive on a MARK-Series MLC controller computer, perform the following steps: 1. If the MARK-Series MLC controller software is running, exit that program by typing E. 2. Insert the floppy disk or flash drive into the appropriate drive. 3. Change the current directory to the directory containing the desired DynaLog files to compress. 4. At the DOS prompt, type the zip command using the following syntax: C:\zip C:\zip a:dlogs dynloga.001 compresses dynloga.001 to a file named dlogs.zip on the A: drive. C:\zip a:dlog1 dynloga.001 dynlogb.001 compresses dynloga.001 and dynlogb.001 to a file named dlog1.zip on the A: drive. The normal DOS wildcard characters apply. C:\zip dlogall dynlog?.* compresses all files matching this wildcard template to a file named dlogall.zip in the current directory. Depending on the number and size of the original DynaLog files in this example, if dlogall.zip fits onto a floppy disk or flash drive, it can be copied to the floppy disk or flash drive using one of the normal DOS commands. Unzip DynaLog Files Once the zip files are copied to the destination computer containing UnZip.exe, the DynaLog files from the zip files can be retrieved. UnZip is a DOS program, so these steps must be executed in a command prompt window. To retrieve the DynaLog files from the zip files, perform the following steps: 1. Change the current directory to the directory containing the desired zip files to decompress. 2. At the DOS prompt, type the unzip command using the following syntax: C:\unzip The .zip extension to the zip file name is optional. UnZip extracts all the files that had been compressed into the specified zip file, restoring each to the current directory with its original file name. Appendix B Compressing DynaLog Files 45 Index A About MLC DynaLog File Viewer 32 analysis results save 21 step-and-shoot 33 arrange formats 30 B Beam Hold Off Plot 28, 34 beam hold-off LFIMRT 33, 42 Beam On Plot 28 C Classic DynaLog files, open 18 close DynaLog files 31 compress DynaLog files 44 Config menu, MLC Type 14 content, DynaLog files 42 customer support 7 D description, DynaLog File Viewer 9 diagAutoDynalogs 12 disable diagAutoDynalogs 12 display file information 30 dynamic tolerance 34 E emailing Varian customer support 7 enable diagAutoDynalogs 12 Error Histogram 9 data table 23, 34 plot 23, 34 save 21 Save-File Menu 21 view 23 View menu 23 Error RMS plot 34 save 21 Save-File menu 21 view 26 46 View menu 23 exit DynaLog File Viewer 32 F file information, view 30 File menu Exit 32 Open Classic DynaLog Files 18 Open DynaLog Files 16 Print Reports 31 Save Error Histogram 21 Save Error RMS 21 files close DynaLog files 31 display information 30 dva 33 DynaLog content 42 generate DynaLog 11 Mark-Series 11 Millennium 12 header 41 MLC plan 33 naming convention 41 open DynaLog files 15 Classic 18 Millennium 16 size of DynaLog 9 view DynaLog files 23 G generate DynaLog files 11 Mark-Series 11 Millennium 12 graphical formats arrange 30 view 23 H header, file 41 Help menu, About 32 histogram, error 9 data table 23, 34 plot 23, 34 save 21 DynaLog File Viewer Reference Guide view 23 I IMRT 34 install Unzip.exe 44 Zip.exe 44 Error Histogram 21 Error RMS 21 start DynaLog File Viewer 14 step-and-shoot, analysis 33 support e-mail addresses 7 T LFIMRT beam hold-off 33, 42 technical support 7 treatment dynamic 8 step-and-shoot 33 M U L Millennium DynaLog files, open 16 MLC Type 14 my.varian.com 7 unzip DynaLog files 44, 45 N Varian customer support 7 view Beam Hold Off Plot 28 Beam On Plot 28 DynaLog files 23 Error Histogram 23 Error RMS 26 File Info 30 View menu Beam Hold Off Plot 28 Beam On Plot 28 Error Histogram 23 Error RMS 23 File Info 30 visual cues 6 VxWorks 12 naming convention, file 41 O obtain version number 32 online customer support 7 open DynaLog files 15 Classic 18 Millennium 16 ordering product documents by phone 7 P print file-menu 31 reports 31 R V Z zip DynaLog files 44 relating dynamic tolerance & rms error 34 reports, print 31 RMS error dynamic tolerance 34 values 34 S save DynaLog results 21 Index 47
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