Abstract:Objective To analyze the failure and processing methods of helical tomotherapy multi-leaf collimator (MLC) and summarize relevant maintenance experience, aiming to accurately identify the faulty parts, shorten the downtime and enhance the work time. Methods The failure data of the helical tomotherapy MLC system in the past 48 months were analyzed to identify the common faulty parts, causes and processing methods. Results During the previous 48 months, the MLC failure occurred for 20 times, 11 times for air compressor failure, 4 times for position verification board failure, twice for leaf driver failure, twice for cushion valve failure and once for the slip of leaf position verification rod. The MLC failure was significantly correlated with the humidity of high-pressure gas. The work time of machine exerted significant effect upon the service time of MLC parts. Conclusions The structure of the helical tomotherapy MLC system is complex. The high-intensity work increases the failure rate. The humidity of high-pressure gas affects the normal operation of the MLC equipment. The faulty parts can be identified, the downtime can be reduced and the work time can be enhanced by summarizing the experience of MLC maintenance.
Li Hongming,Yu Lang,Sun Xiansong et al. Analysis of failure of helical tomotherapy multi-leaf collimator system[J]. Chinese Journal of Radiation Oncology, 2019, 28(2): 155-157.
[1] 马林,王连元,戴相坤.螺旋断层治疗系统原理及其应用[J].医疗卫生装备,2008,29(1):100-102. Ma L,Wang LY,Dai XK.Principle and application of spiral fault therapy system[J].Chin Med Equip J,2008,29(1):100-102.DOI:10.3969/j.issn.1003-8868.2008.12.044. [2] van Asselen B,Dehnad H,Terhaard CH,et al. Segmental IMRT for oropharyngeal cancer in a clinical setting[J].Radiother Oncol,2003,69(2):259-266. DOI:https://doi.org/10.1016/j.radonc.2003.09.008. [3] Wu C,Guo F,Purdy JA.Helical tomotherapy shielding calculation for an existing LINAC treatment room:sample calculation and cautions[J].Phys Med Biol,2006,51:N389-392. DOI:https://doi.org/10.1088/0031-9155/51/21/N02. [4] 黎静;张晋建;文婷,等.螺旋断层放疗系统故障介绍及原因分析[J].医疗卫生装备,2014,35(6):119-121.DOl:10.7687/J.ISSNl003-8868.2014.06.119. Li J,Zhang JJ,Wen J,et al. Fault introduction and cause analysis of spiral fault radiotherapy system[J].Chin Med Equip J,2014,35(6):119-121.DOl:10.7687/J.ISSNl003-8868.2014.06.119. [5] 邵伟新,周丽敏,苏剑斌.环境条件与医疗设备故障及维护[J].武警医学,2007,18(9):716-717. DOI:10.3969/j.issn.1004-3594.2007.09.034 Shao WX,Zhou LM,Su JB. Environmental conditions and medical equipment failure and maintenance[J].Med J Chin Peop Arm Polic,2007,18(9):716-717.DOI:10.3969/j.issn.1004-3594.2007.09.034. [6] 胡杰.医用直线加速器14年的使用总结[J].中国医疗器械杂志,20lO,34(1):66-68.DOI:10.3969/j.issn.1671-7104.2010.01.020. Hu J. Summary of the use of medical linear Accelerator for 14 years[J].Chin J Med Devic,20lO,34(1):66-68.DOI:10.3969/j.issn.1671-7104.2010.01.020.