ArcCHECK

The Benchmark for

3D Pre-Treatment QA
 ArcCHECK® ArcCHECK®

The World's
Volumetric Measurement QA for Patient Plan,
Dose and Machine Testing
ArcCHECK is the only true 4D array specifically designed for QA of today’s

Most Selected
modern rotational deliveries and is recommended by AAPM Task Group 218 for
3D measurement requirements. Its 1,300+ SunPoint® Diode Detectors provide
consistent and highly sensitive measurements for all gantry angles, with no
additional hardware required. Independent absolute dose measurements enable

4D Array
the gold standard for stringent and efficient patient plan and machine QA testing.

Patient Plan QA
Stringent, fully independent measurement QA of
ArcCHECK is the only detector array
®
patient plan and delivery with SNC Patient™ software

specifically designed to identify errors Dose and DVH QA

in rotational delivery. It's the ideal Full 3D Dose reconstruction for target and OAR DVH
QA with 3DVH ® software

solution for: 4D Patient Pre-Treatment Machine QA

QA for IMRT, VMAT, SBRT and MRgRT; Dynamic machine QA testing routines are provided for
a wide variety of tests with SNC Patient software
including specialty systems such as
Hardware
Varian Medical Systems® Halcyon™ ArcCHECK embodies the spirit of independent Medical
Physics measurement.
System and Ethos™ Therapy; and • 1,386 SunPoint Diode Detectors (0.019 mm 3)
Accuray TomoTherapy® and Radixact™ • Consistent Beams Eye View (BEV) for all gantry
angles measuring entrance and exit dose
Systems. • Real-time electrometer measures every pulse, as
well as composite and sub-arcs
• Interior cavity allows for a wide range of detector
and tissue equivalent inserts

1 I www.lightages.com
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 ArcCHECK® ArcCHECK®

See the Entire Picture Interior Measurements

An Ideal Geometry
Measuring completely around the isocenter in a uniform manner for each
Phantoms are ideally shaped like a patient. angle is a more stringent measurement than a simple composite dose at the
The cylindrical design of ArcCHECK isocenter. Errors visible in the isocenter are also visible in the surrounding dose
intentionally simulates patient geometry to measurements, but in more detail.
better match reality. ArcCHECK measures entry and exit dose for every angle. For each beam angle, ArcCHECK measures high dose
regions at the entrance and low dose regions at the exit, detecting potential delivery and TPS modeling errors
for both high and low dose levels. For those who would like to measure the dose at isocenter or elsewhere
Because ArcCHECK detectors always face the delivery beam regardless of gantry angle, detection of very small
within the cavity, Sun Nuclear offers the versatile MultiPlug™ and CavityPlug™ with detector insert capabilities.
gantry angle errors are possible. In contrast, when a 2D array is irradiated obliquely, the geometry collapses to 1D.
Even when there is no detector shadowing effect, significant information is lost on a 2D array, and errors up to 10°
are missed 75% of the time. 1
With ArcCHECK, gantry angle, leaf-end position, absolute dose, and time (4D) are measured and correlated to identify
sources of error. Dose accuracy is improved and errors can be traced to the treatment planning system, the delivery
system, or the imaging system.
CavityPlug™
• Precision fitted to ArcCHECK cavity
What You See with a 2D Array
• Measure dose in cavity center

2D Array Measurement • Precision milled holders available for a wide range

An inherent limitation of 2D arrays is of detectors.
an inability to capture all of the dose - Custom holders can be created for any detector
information for rotational deliveries. not currently available
• Solid insert included to achieve solid cavity

What You See with ArcCHECK

0o 180o
ArcCHECK Measurement MultiPlug™
ArcCHECK displays BEV dose
distribution throughout the entire arc • Hounsfield Unit (HU) conversion testing
delivery. More data is available to • Tissue equivalent inserts, available as options:
perform a more thorough
- Brain - Liver - Apidose
QA analysis.
- Bone - Lung - Titanium
- Breast - Muscle - Water/Air

• Dose in up to 25 locations
• Film cassette insert
"Significant information is lost on a 2D array, and errors up
• Bezel angle indicator for rotation within cavity
to 10° are missed 75% of the time."1
• Precision milled detector holder included
1. Hauri, P et al., "Clinical evaluation of an anatomy-based patient specific quality assurance system," JACMP, 15, 2 (2014)
- Solid insert included to achieve solid cavity

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 ArcCHECK® ArcCHECK®

Helical Detector Grid

Detectors are arranged on a HeliGrid™ which increases the sampling rate and
reduces BEV detector overlap and shadowing.
• An ArcCHECK 10 x 10 cm 2 area contains 221 detectors
• Entrance and exit dose are measured, effectively doubling the detector density in the measurement field

Beam Delivery ArcCHECK Detector BEV

10 x 10 cm 21 x 21 cm
221 Detectors 1386 Detectors

3D Dose Analysis
With a single mouse click, SNC Patient software compares measured ArcCHECK
dose points to planned dose points. Compare normalized data or absolute dose
data using Distance to Agreement (DTA), Gamma ( ), and Gradient Compensation.

Virtual Inclinometer™ Easy Setup

ArcCHECK calculates gantry angle ArcCHECK contains a sophisticated yet
independently using entrance and exit easy to use leveling system that ensures
dose. quick and accurate setup.
• Virtual Inclinometer is accurate to ±1° 2 • With integrated rotation and tilt inclinometers, the
• System design eliminates the need for additional leveling LEDs relay setup status in real-time.
inclinometer cables and mounting to the delivery
Leveling LEDs
system.

Larger Fields
Two ArcCHECK measurements can be
combined in SNC Patient software
for larger field sizes. 4D Beam Reproducibility Analysis Dynamic MLC Analysis
Speed up TG-53 checks and monthly VMAT Evaluate the difference between the planned
tests with 4D QA of your month-to-month and delivered MLC pattern, and identify
Smaller Fields machine performance. Users can analyze leaves that may indicate required service.
Power/Data Cable
Merge feature provides 442 detectors when, where, and in what magnitude Additional machine QA tests are also
discrepancies are occurring. included.
within a 10x10 cm2 field.

2. Kozelka, J. et al., "Optimizing the accuracy of a helical diode array dosimeter," Med. Phys., 38, 9 (2011)

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 ArcCHECK® ArcCHECK®

3DVH® Machine QA Analysis

3DVH uses ArcCHECK QA Use ArcCHECK for a wide variety
measurements to estimate of machine QA tests in dynamic
3D dose to the patient geometry. and rotational mode.
• Perform 3D dose and DVH QA analysis on • Dynamic Gantry Rotation QA*
patient – not phantom – geometry • Dynamic Gantry Angle QA*
• Identify TPS and beam delivery errors • Dynamic Gantry Speed QA
• Supports coplanar and non-coplanar • Dynamic Symmetry and Flatness*
beams reduces BEV detector overlap and
shadowing. • MLC QA
• Treatment Reproducibility QA

Phantom Evolution
3%/3mm criteria showing 99.2% passing rate, a good
test of deliverability and machine performance.

*Also available with static angles

INTEGRATION

Integration with the

SunCHECK™ Platform
Together, ArcCHECK and SunCHECK™ Patient provide
unmatched flexibility for pre-treatment QA, improved
root cause analysis, and efficient audit QA

Simplified Workflow
Clinical Evaluation
Easily transition between ArcCHECK Patient QA records
Evaluating the same plan, 3DVH shows substantial target underdose, indicating that although the plan was
and SunCHECK Patient QA records, all in one Platform,
properly delivered, the clinical impact was below expectations.
saving ~30 minutes per patient otherwise spent
searching for data.
U.S. Patent No. 7,945,022

Separate Error Sources

More easily identify sources of error. DoseCHECK™
software identifies algorithm errors. ArcCHECK
identifies delivery errors.

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 ArcCHECK® ArcCHECK®

Selected Publications Specifications

Helical Grid (HeliGrid) Geometry

ArcCHECK® Accuracy Studies 3DVH® Studies 1,386 SunPoint Diode Detectors

Commissioning Monte Carlo algorithm for robotic radiosurgery Automated Planning and Delivery of Hippocampal Avoidance 1.0 cm Detector Spacing
using cylindrical 3D-array with variable density inserts Whole-Brain Radiotherapy for Brain Metastases Using HyperArc
Dechambre et al., Liege University Hospital, Belgium, European Technology,
Journal of Med Physics, 33 (152-158) (2017) I Rusu, et al. Loyola Univ Medical Center, Maywood, IL, WE-C1000-

Filmless methods for quality assurance of Tomotherapy using GePD-F7-5, AAPM 2019
ArcCHECK • ArcCHECK successfully used to perform PSQA on HyperArc plans
Yang et al., Hong Kong, Med. Phys., 44 (7-8) (Jan 2017)
Clinical Evaluation of Lung SBRT for the Halcyon Platform and
A comparison of the gamma index analysis in various Dosimetric Comparison with the Truebeam STx and Millennium
commercial IMRT/VMAT QA systems MLC Systems
M. Husseina et al., Radiotherapy and Oncology C Kennedy, et al. University of Pennsylvania, Philadelphia, PA, SU-F- Optional ArcCHECK Trolley
109 (3), (2013) SAN4-8, AAPM 2019 Central Cavity
21.0 cm Array Length can help ensure smooth
Optimizing the accuracy of a helical diode array
transport of array and cradle.
• ArcCHECK used to perform PSQA on Lung SBRT plans from
dosimeter: A comprehensive calibration methodology coupled Halcyon v1.0 and v2.0 Narrow 18" width fits tight
21.0 cm Array Diameter
with a novel virtual inclinometer spaces, and shelf has been
VMAT QA: Measurement-guided 4D dose reconstruction on a
J. Kozelka et al., Med. Phys. 38 (9), (2011) designed to slide away when
patient 2.9 cm Physical Detector Depth
• Validates ArcCHECK: Field size dependence, angular B. Nelms et al., Med. Phys. 39 (7), (2013)
cradle feet are positioned on
dependence, dose rate dependence, and intrinsic relative the treatment couch.
sensitivity (array calibration) factors, along with Virtual Using a Novel Dose QA Tool to Quantify the Impact of Systematic
Inclinometer. Errors Otherwise Undetected by Conventional QA Methods:
Clinical Head and Neck Case Studies Detector Type: SunPoint® Diode Detectors Number of Connection Cables: Single power/data cable
Robotic radiosurgery system patient-specific QA for M. Chan et al., Technology in Cancer Research & Treatment 13 (1),
extracranial treatments using the planar ion chamber array Detector Quantity: 1,386 Dimensions (Total Length)(cm): 44.29
(2014)
and the cylindrical diode array Detector Spacing (cm): 1.0 Weight (kg): 15.4
• Discovered both systematic and patient specific errors using
M. Lin et al., JACMP. 16 (4), 2015 Array Diameter (cm): 21.0
3DVH that were missed by Gamma QA. Used both EPI Dose Recommended System Specifications
• Compares Angular Dependence, Detector Accuracy, and and film t o verify all 3DVH discovered errors were true Array Length (cm): 21.0
(SNC Patient, 3DVH)
Sensitivity to various errors
Cavity Diameter (cm): 15.0 Operating System: Windows 10 Pro 64-bit
Evaluating IMRT and VMAT dose accuracy: Practical examples
• Confirms diode accuracy for small-field measurements
of failure to detect systematic errors when applying a commonly Inherent Buildup (g/cm ): 3.3
2
Recommended 2.3 GHz or better,
CPU:
used metric and action levels Inherent Backscatter (g/cm2): 3.3 multi‑core (2 or more cores)
ArcCHECK-MR® Studies B. Nelms et al., Med. Phys. 40 (11), (2013) RAM: Recommended 8 GB or more
Detector Physical Depth (cm): 2.9
Performance of a cylindrical diode array for use in a
• Four separate hospitals submitted an article on errors they Helical Grid (HeliGrid) Hard Drive Space: Recommended 5 GB or more
1.5 T MR-linac Array Geometry:
discovered using 3DVH but were missed by conventional planar 1 cm offset
Houweling A. et al., Physics in Medicine and Biology, 61 (3) (2014)
Gamma analysis.
Phantom Material: PMMA (Acrylic) Compatibility
Patient-specific quality assurance for the delivery of (60)Co
Sensitivity of volumetric modulated arc therapy patient specific Active Detector Area (mm ): 0.64
2
FFF: Yes
intensity modulated radiation therapy subject to a 0.35-T lateral
QA results to multileaf collimator errors and correlation to dose
magnetic field. Detector Sensitivity (nC/Gy): 32.0 MR: Yes (ArcCHECK-MR ®)
volume histogram based metrics
Li HH. et al., Int J Radiat Oncol Biol Phys, 91 (1):65-72 (2015) Max Dose/Pulse (Gy): 0.002 Varian and Elekta C-arm linacs,
L. Coleman et al., Med. Phys. 40 (11), (2013)
Varian Medical Systems®
Detector Volume (mm 3): 0.019
• Concludes that 5% DVH errors are missed with Gamma only Halcyon™ System , Ethos™
Yes
Detector Stability: 0.5% / kGy at 6 MV Therapy and Accuray's
analysis and that volumetric analysis is recommended for
TomoTherapy® and Radixact™
VMAT QA. ±1% over the range 150 MU/
Dose Rate Dependence: Systems:
min to 1400 MU/min
Direct device connectivity within
Update Frequency (ms): 50 SunCHECK:
Learn more at sunnuclear.com/publications SunCHECK Patient
Varian Medical Systems® is a registered trademark, and Varian™, Halcyon™ are
trademarks, of Varian Medical Systems, Inc. Sun Nuclear Corporation is not affiliated
with or sponsored by Varian Medical Systems, Inc.

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Sun Nuclear Sun Nuclear Sun Nuclear
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