Cherenkov imaging has been shown to allow near real time imaging of the beam entrance and exit on patient tissue, with the appropriate intensified camera and associated image processing. A dedicated system has been developed for research into full torso imaging of whole breast irradiation, where the dual camera system captures the beam shape for all beamlets used in this treatment protocol. Particularly challenging verification measurement exists in dynamic wedge, field in field, and boost delivery, and the system was designed to capture these as they are delivered. Two intensified CMOS (ICMOS) cameras were developed and mounted in a breast treatment room, and pilot studies for intensity and stability were completed. Software tools to contour the treatment area have been developed and are being tested prior to initiation of the full trial. At present, it is possible to record delivery of individual beamlets as small as a single MLC thickness, and readout at 20 frames per second is achieved. Statistical analysis of system repeatibilty and stability is presented, as well as pilot human studies.
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