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LINAC Commissioning in Georgia: Ensuring Accuracy for Cancer Treatment

Updated: May 31

Linear accelerators (LINACs) are vital in modern radiation therapy for cancer treatment. These sophisticated machines generate high-energy radiation beams that precisely target tumors while minimizing damage to surrounding healthy tissue. LINACs must undergo a meticulous commissioning process before clinical use to ensure accurate dosage delivery and patient safety.

LINAC being commissioned in the state of Georgia

We, at Global Radiation Physics, a leading provider of medical physics services, is dedicated to achieving compliance and promoting safety in radiation oncology throughout Georgia.

What is LINAC Commissioning?

LINAC commissioning is a comprehensive calibration and testing process performed on newly installed or upgraded linear accelerators. The primary goals of commissioning are:

  1. Ensuring beam output accuracy: Verifying that the radiation dose delivered by the LINAC matches the prescribed dose within acceptable tolerances.

  2. Verifying radiation field alignment and stability: Confirm that the radiation beam is properly aligned with the patient positioning system and remains stable over time.

  3. Establishing baselines for safety and quality checks: Setting up reference values for ongoing quality assurance tests to maintain optimal performance throughout the LINAC's lifespan.

The LINAC Commissioning Process in Georgia

Beam Data Collection

Medical physicists collect extensive beam data during commissioning to characterize the LINAC's radiation output. This includes measuring depth doses (how dose changes with depth in water), beam profiles (dose distribution across the field), and output factors (relative dose for different field sizes). Specialized equipment such as water phantoms and ionization chambers are used to acquire accurate measurements.

Treatment Planning System Configuration

Once beam data is collected, it is imported into the treatment planning system (TPS). The TPS uses this data to create a virtual model of the LINAC, allowing physicians to calculate precise dose distributions for individual patient treatment plans. Proper TPS configuration is crucial for ensuring that calculated doses match the actual delivered doses.

Quality Assurance

Rigorous quality assurance (QA) tests are performed to verify the LINAC's performance and safety. These tests include checking the congruence between the light field (used for patient positioning) and the radiation field, as well as patient-specific QA for advanced techniques like intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT).

Regulations and Compliance in Georgia

LINAC commissioning in Georgia is overseen by state-level organizations like the Georgia Department of Community Health and national bodies such as the Nuclear Regulatory Commission (NRC). These agencies set compliance standards and documentation requirements to ensure the safe and effective use of LINACs. Global Radiation Physics assists healthcare facilities in navigating the complex regulatory landscape, streamlining the compliance process, and providing expert guidance.

The Role of Medical Physicists in LINAC Commissioning

Qualified medical physicists play a central role in overseeing the LINAC commissioning process. With their expertise in radiation physics, beam measurements, and treatment planning, medical physicists ensure that LINACs are calibrated to deliver accurate doses while prioritizing patient safety. They meticulously analyze beam data, configure treatment planning systems, and perform comprehensive quality assurance tests.

By partnering with experienced medical physicists like those at Global Radiation Physics, cancer centers can have confidence in the accuracy and safety of their LINAC systems.


Accurate LINAC commissioning is essential for providing optimal cancer care to patients in Georgia. By ensuring precise dose delivery and adherence to safety standards, well-commissioned LINACs contribute to better treatment outcomes and patient well-being. Cancer centers prioritize thorough commissioning by collaborating with trusted medical physics experts like Global Radiation Physics, demonstrating their commitment to delivering the highest quality of care.

TrueBeam STX LINAC in Georgia

If you seek to establish a new LINAC system or need support for an existing one, Global Radiation Physics is your partner in ensuring accuracy, safety, and compliance. Our team of experienced medical physicists is dedicated to providing comprehensive commissioning services tailored to your facility's needs.

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