BrachyVision Version 15.

1
Installation Product Acceptance

IPA-BV-151-D JANUARY 2025

1 Reference Information
1.1 IPA Safety Caution
This document is intended for use by trained Varian personnel. Use by
CAUTION untrained personnel could result in possible injury or damage to the
equipment.

1.2 Digital Form Management

This document is available either through Lotus Notes or TrueContext.

1.3 References
• B503361R01: Treatment Planning for Brachytherapy, BrachyVision Reference Guide
• B503362R01: Treatment Planning for Brachytherapy, BrachyVision Instructions for Use

1.4 Acceptance Form

Complete and sign the IPA Acceptance Form, which is located at the end of the document.

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2 Introduction
2.1 Scope
This Installation Product Acceptance (IPA) procedure provides testing procedures and data recording tables to
enable Varian to demonstrate that the Brachytherapy Standalone and Network Aria 15.1 has been successfully
installed and meets required manufacturer specifications.

2.2 IPA Tests Applicability

This acceptance procedure can be used for new installations, or for upgrades. Instructions are provided in
note boxes under various test section headings stating the applicability of tests for each scenario. Enter NA if
the component is not installed. Enter the actual values in any data table boxes where applicable.

NOTICE Access to the system can only be by a domain user with valid credentials.

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3 Preliminary System Configuration

NOTICE This section should only be required for new systems.

3.1 Create a Brachytherapy Unit

The tests require that either a VariSource, GammaMed or Bravos Afterloader
unit be present, even if this is not the unit you will ultimately use your
NOTICE BrachyVision for. If you do not have an Afterloader, please install a Bravos
machine and source for the purpose of these tests.
1. Log in to home from the desktop Icon.
2. Username is the Windows login username and password the Windows login password.
3. Select Quicklinks > Administration > RT Administration
4. Select Continue

5. Select Radiation & Imaging Devices

6. If no Varian Brachy Unit type device is listed, select New and select New Brachy Unit.
7. Enter the following ID, model and dose rate mode depending on your Afterloader model.

MACHINE TYPE
MACHINE TYPE VariSource GammaMed
ID VariSource GammaMed
MODEL VariSource iX GammaMed Plus GammaMed iX
DOSE RATE MODEL HDR HDR/PDR HDR/PDR

8. Select Create and select File >Save Change

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9. Double click on the machine name in the table and select the Brachy Unit tab. Ensure that the Export
Directory is set to point to the correct location. Press OK and select File > Save All

10. Select the General tab and select DICOM as the machine interface.

DICOM is the default machine interface setting for all ARIA sites. This will only be changed with a
non-ARIA site, Mosaiq for example.

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11. If you have a pulsed dose rate (PDR) unit (GammaMed Plus), double click on the machine name in the
table.

12. Select the Brachy Unit tab and select the arrow next to the Dose Rate Mode box (which will be displaying
HDR).
13. Select PDR in the Dose Rate Mode field. Select OK
14. Select File > Save All

3.2 Commissioning Source Model(s)

Introduced in Version 13 is Source Model Approval. There are 4 possible levels:
• Unapproved – Source model cannot be used.
• Commissioning – Source model can be used to create plans, but the plans cannot be exported.
• Approved – Source model can be used for treatment.

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• Retired – Source model cannot be used.

If this step is not completed following an upgrade to V13, then the customer will not be able to
treat.

1. Select Quicklinks > Administration > RT Administration

2. Select Workspace > Clinical Data
3. Select the Radioactive Source Model tab.
4. Double click the source model to be commissioned.

5. On the Approval tab change the status to Commissioning. Select OK

6. Enter password, select Save
7. Repeat for other sources if needed.

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3.3 Install a Source in the Brachy Unit
1. Select Quicklinks > Administration > RT Administration
2. Select Workspace > Radiation & Imaging Devices
3. Highlight the correct Brachy device (if none exists see above: Create a Brachy Unit) and select the
Radioactive Source tab. If an active source exists continue to, if not select New Source
4. If you are using the VariSource machine enter the following information:
• ID = VS1
• Source Model = VS Ir-192 (2012
• Enter the Source Wire serial number in the Serial Number field. Select, OK then, No for the source
report, and go to step 6.
5. If you are using a GammaMed machine please enter the following information:
6. Enter source strength: 40700
7. Source Planning Activity; select Nominal

GAMMAMEDINFORMATION
GAMMAMED PLUS HDR GAMMAMED PLUS PDR
ID GM Plus HDR GM Plus PDR

Source Model GMP Ir-192 HDR GMP Ir-192 PDR

8. Select OK and Yes select File > Save All

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9. Confirm changes.

3.4 Install the Imaging Geometry

1. Select Quicklinks > Administration >RT Administration
2. Select Workspace > Radiation & Imaging Devices
3. Select the Overview Tab
4. Select New and select New Localization Jig
5. Enter the following:
• ID = Orthogonal
• Model = Orthogonal
6. Select the Create button.
7. Double click on the new device ID
8. Select the Geometry tab and select the Orthogonal type.
9. Select the Orthogonal tab and enter the values displayed below.

10. Select OK
11. Confirm changes.

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3.5 Configuring the Vidar Import Filter

NOTICE This section is required if the system has a Vidar Scanner.

1. Select Quicklinks > DICOM >Import Export

2. If the Vidar Import Filter is not listed under the Import tab, select Manage
3. Select Add and select the Vidar Import Filter from the list and select OK
4. Set the following:
• Resolution: 75
• Bits Per Pixel: 8, 12, or 16 (depending on scanner capability)
• Image Type: X-Ray Film (Includes Magnification)
• Image Scale: Scaling from Device
5. Select OK

3.6 Configuring the Software for Use with a Flat Bed Scanner
(ScanMaker)

NOTICE This section is required if the system has a Flat Bed Scanner.

If a Standalone and network BrachyVision system was ordered with a flatbed scanner this software should
have already been installed, and therefore there should be no need to follow this procedure. In this case go to
the next section on installing the TIFF filter.
Install the Image Capture software supplied with the scanner following default instructions.

3.6.1 Installing the Tiff Filter for use with the Flat Bed Scanner

NOTICE This section is required if the system has a Flat Bed Scanner.

1. Select Quicklinks > DICOM >Import Export

2. If the TIFF Import Media File Filter is not listed under the Import tab, select Manage
3. Select Add and select the Bitmap Media File Import Filter from the list and select OK
4. Set the following:
a. Name and Description: TIFF Import Media File Filter
b. Working Directory: Where the system will look for the images
c. Type: X-ray film (includes magnification)
d. File Search: TIFF
5. Select OK and select File > Exit

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3.7 Configure the Digitizer

NOTICE This section is required if the system has a Digitizer.

1. Select Quicklinks > Treatment Planning > Brachytherapy Planning

2. Select Tools > Workstation Configuration
3. Select the COM Port from the drop-down list. (Don’t configure the Digitizer resolution).
4. Select OK and select File > Save All

3.8 Configure the DICOM Import/Export

3.8.1 Configuring the DICOM Media File Import Filter
1. Select Quicklinks > Administration >RT Administration
2. Select Tools > Import / Export Configuration
3. If the DICOM Media File Import Filter is not listed under Import, select Add
4. Select the DICOM Media File Import Filter from the list and select OK
5. Press the Browse button and select working directory where the Images will be located. This is usually
D:\Images.
6. Check to Backup Imported Files and press the Browse button and select backup directory. This is usually
D:\Varian\Data\Dicom\todelete.

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7. Select OK
8. Close the Import / Export Configuration box and select File > Save All

3.8.2 Configuring the DICOM Transmit Device

DICOM Transmit devices are all configured differently. The following information is needed for set up:
• Workstation name: BRACHY (Or defined by your specific networking needs. Please contact support if you
need to change the workstation name. BrachyVision must be modified prior to this, or it will not run
when the workstation name is changed.)
• Workstation IP address
• Listening port: 104 (or as defined by your IT department)
• Host / Application Entity Title name: DD_BRACHY (Or defined by your specific needs. Please call technical
support if you must customize your Application Entity Title)

3.8.3 Configuring the DICOM Daemon

1. Select Start > All Programs > Varian System > File Daemon Configuration to display the configuration
Wizard.
2. Select Configure Existing Services button and check to see if the correct service has already been
configured.
3. If the correct service has not been entered, select Add New Service button and follow the Instructions to
configure the new service.

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4 System Verification
4.1 Test Procedures
This chapter describes the steps required to complete the System Verification test. It consists of 8 different
test procedures (TP). Some of the tests are only required if the system configuration includes the relevant
hardware.
A basic understanding of the treatment planning functions is necessary to conduct the test. Please refer to the
‘Brachytherapy Planning Instructions for Use’ for further instructions. The test procedure will outline the
necessary BrachyVision commands shown in bold
Ensure that all of the necessary items have been configured. See Chapter 5.

4.2 TP 1. Vidar Film Scanner Test

This test should only be performed if the system contains a VIDAR film scanner. If the system does not contain
a VIDAR film scanner, mark NA and continue with the next test (TP2.)
If you are using a VIDAR scanner, BrachyVision must be running for at least
90 seconds prior to running this test as the scanner needs to fully connect.
NOTICE There is also a 90 minute warm up period for the scanner itself, required prior
to scanning films.
This test article is used to test the output from a VIDAR film scanner. The test articles can be downloaded
from:
GCS Data Center>Products>Brachytherapy>BrachyVision>IPA-BV-Test Articles.
Scan the test images as follows:

These images should be checked to ensure that it is to scale, prior to using it

NOTICE for testing; printing and photocopying can rescale the images. (It should also
only be printed on A4 otherwise the image will be rescaled.)

1. Select File > New Patient

2. Enter the following:
• Last Name = CAP
• ID1 = scanner
3. Select OK
4. Select Quicklinks > DICOM > Import Export
5. Place the AP image in the scanner. The image should be placed in the scanner as you wish to see it on the
screen. Select the VIDAR import filter. Select the Arrow to continue. If the scan is upside down or back
to front, please re-scan it. Select the following:
• Resolution: 75
• Bits Per Pixel: 8, 12, or 16 (depending on scanner capability)
• Image Type: X-Ray Film (Includes Magnification)
• Image Scale: Scaling from Device
6. Once the image is scanned in the correct orientation, select listed image for import. Select the Arrow to
continue to import or select Scan more. Place the LAT image (second image) in the scanner and select
the Arrow to scan. If the scan is upside down or back to front, please correct the orientation and rescan it.

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7. Once the LAT image is scanned in the correct orientation, Select images to be imported in Browse to
your patient.
8. Select Quicklinks > Treatment Planning > Brachytherapy 2D Entry
• You may need to open the patient and images in Selection.
9. Drag the images into the main windows. Select View > Measure / Distance to measure the distance of
the upper vertical line and the horizontal line of the both test images. The distances should be 11.4 cm and
12.0 cm, respectively. Enlarge the images if necessary by selecting View > Zoom / Zoom In
10. The test passes if the images are successfully scanned and loaded, and the measurements on the screen
of each image are within 1.5 mm.
• To close the measurement tool, select the Xbutton.
11. Close this Patient by highlighting the patient in the top Left Focus window and select File > Close
Results
DATA TABLE: SECTION 4.2 - TP 1. VIDAR FILM SCANNER TEST
NA IF VIDAR FILM SCANNER TEST IS NOT INSTALLED
ACTUAL
OBJECT TO MEASURE EXPECTED RESULT MEASUREMENT TOLERANCE
IN CM
Vertical Line 11.4cm
±0.15cm
Horizontal Line 12.0cm

4.3 TP 2. Flatbed Film Scanner Test

This test should only be performed if the system contains a Flatbed film scanner. If the system does not
contain a Flatbed film scanner, mark NA and continue with the next test (TP 3.)
This test item is used to test the output from a flatbed film scanner. The test articles can be downloaded from:
GCS Data Center>Products>Brachytherapy>BrachyVision>IPA-BV-Test Articles
Scan the test images as follows:
1. Start the image capture software supplied with the scanner.
2. Ensure that the software is setup to scan Positive Transparency Type of Material.
3. Position the first image on the scanner leaving the frame with the scale measurements that fits along the
edge of the glass on the scanner. (Ensure that the frame that is supplied with the scanner is placed on the
glass with the gap at the bottom of the scanner and that the image does not cover this gap)

This image should be checked to ensure that it is to scale prior to using it for
NOTICE testing, printing and photocopying can rescale the images. (It should also
only be printed on A4 otherwise the image will be rescaled).

4. Continue to scan the image and save it as a TIFF file (AP.tiff)

5. Repeat these steps with the second image. Save this as LAT.tiff.
6. Once both images are scanned, close scanner software and select Quicklinks > Treatment Planning >
Brachytherapy 2D Entry. Select File > Import > TIFF Import Media File Filter
7. Locate the directory where the images are located by pressing the ‘…’ button. Then press the Refresh
button if required.
8. Ensure the correct images are selected and press the Right arrow

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9. Select New Patient
10. Enter the following:
• Last Name = CAP
• ID1 = flat scanner
11. Select OK. Select the Right arrow save the images to the database.
12. Select the Return arrow to return to Brachytherapy 2D Entry
13. Drag the images into the main windows. Select View > Measure > Distance to measure the distance of
the upper vertical line and the horizontal line of the both test images. The distances should be 11.4 cm and
12.0 cm, respectively. Enlarge the images if necessary by selecting View > Zoom / Zoom In
14. The test passes if the images are successfully scanned and loaded, and the measurements on the screen
of each image are within 1.5 mm.
15. Close this patient by highlighting the patient in the top Left Focus window and select
File > Close
Results

DATA TABLE: SECTION 4.3 - TP 2. FLATBED FILM SCANNER TEST

NA IF FLATBED FILM SCANNER IS NOT INSTALLED
ACTUAL TOLERANCE
OBJECT TO MEASURE EXPECTED RESULT MEASUREMENT
IN CM
Vertical Line 11.4cm ±0.15cm

Horizontal Line 12.0cm

4.4 TP 3. Digitizer Test

This Test should only be performed if the system contains an electromagnetic digitizer. If the system does not
contain an electromagnetic digitizer, mark NA and continue with the next test (TP4.)
1. Select Quicklinks > Treatment Planning > Brachytherapy 2D Entry
2. Select File > New Patient
3. Enter the following and Save:
• Last Name = CAP
• ID1 = digitizer
4. Select Insert > New Radiograph Set
5. The system will automatically create a plan. Enter the following:
• If there is no default technique, select Interstitial
• Prescribed % = 100
• Prescribed Dose / Fraction = 6Gy (or 600cGy)
• Number of Fractions = 1
• Select OK button.
6. The system will display the following message.

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7. Select the Continue without images button
8. If a list of imaging geometries is displayed select the Orthogonal object (created when configuring the
system in chapter 5) from the list and select OK. This list will only be displayed if more than one imaging
geometry option has been configured.
9. Verify that in the Localization Jig Properties, the Orthogonal type under Geometry tab is selected.

10. Check that COSMO (the Green Man) is facing forward in the left-hand window and that the nose is
pointing to the right in the right-hand window. If not, select Insert > New Radiograph set and check the
values.
11. Position the test images downloaded earlier side by side on the digitizer. Be careful to match the horizontal
direction with the base of the digitizer tablet.

This image should be checked to ensure that it is to scale prior to using it for
NOTICE testing, printing and photocopying can rescale the images. (It should also
only be printed on A4 otherwise the image will be rescaled).

12. Verify that Localization > Set Registration Point is selected. Select the AP Window and then, using the
electromagnetic digitizer, digitize the + on the AP image. Select LAT Window and repeat for the LAT
image.
13. Select Insert > New Applicator to insert a catheter into plan. Enter the following in the Applicator
Properties window and select OK
• Applicator length (cm) = 130 cm
• Step size (cm) = 0.5
• First source position (cm) = 0
• Last source position (cm) = 0
14. Verify that Localization > Edit Shape is selected. Enter the catheter points using the electromagnetic
digitizer from the test images on the lightbox. Start with the top most point with coordinate (5.7, 11.4) of the
AP image (AP window active) and proceed to digitize all four corner points of the image. Repeat with the
LAT image (LAT image active) starting with the coordinate (-5.7, 11.4).
15. Once the catheter is entered, open the applicator properties (by selecting the applicator in the bottom left-
hand window and select Edit > Properties. Enter the following and select OK
• First source position (cm) = 16.5 cm

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 • Last source position (cm) = 17.5 cm
16. Ensure you can see two magenta boxes in the center of the catheter. (These are the sources.)
17. Select Edit > Properties and select Geometry in the Applicator Properties dialog box.
• Verify that the four points digitized have the following coordinates:
• Standard Planning coordinate system: (5, 5, 10), (5, 5, 0), (-5, -5, 0), and (-5, -5, -5).
• IEC 1217 Planning coordinate system: (5, 5,-5), (5, 0,-5), (-5, 0, 5), (-5,-5, 5)
• The test passes if the error for each point is less than 2 mm.
Results

DATA TABLE: SECTION 4.4 - TP 3. DIGITIZER TEST

NA IF DIGITIZER TEST STD PLANNING C0-ORDINATES IS NOT INSTALLED
ACTUAL
STANDARD PLANNING COORDINATES MEASUREMENT TOLERANCE
IN CM
5, 5, 10

5, 5, 0
±0.20cm
-5, -5, 0

-5, -5, -5

DATA TABLE: SECTION 4.4 - TP 3. DIGITIZER TEST IEC1217

NA IF DIGITIZER TEST IEC1217 IS NOT INSTALLED
ACTUAL
IEC 1217 PLANNING COORDINATES MEASUREMENT TOLERANCE
IN CM
5, 5, -5

5, 0, -5
±0.20cm
-5, -0, -5

-5, -5, 5

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4.5 TP 4. TG43 Dose Calculation

Test plans for this test can be downloaded from the GCS Data
NOTICE Centre>Brachytherapy>BrachyVision.

There is a separate test plan for each treatment unit, i.e. GMpHDR. In case there is a test plan that already
exists on the system, remove the dwell time and re-enter it to force recalculation.
The instructions for creating a test plan can be found in Appendix A Creating a Test Plan.
1. Select Quicklinks > Treatment Planning > Brachytherapy Planning
2. Import the test plan by selecting File > Import > DICOM Media Import Filter
3. Browse to the location of the test plan.

4. Select right-hand blue arrow to import the selected objects.

5. Select New Patient; select OK
6. You may get some warnings if your machine is named differently to that in the file. Ensure that the machine
selected matches your machine. Other Information message may also be given. Select OK
7. Select the right arrow once to connect the objects to the patient and then the return arrow to close the
import window.
8. The imported plan will be approved. Right click on the Plan icon and select Copy Plan and then right click
on the course and select Paste plan to create a copy that can be modified. Select OK to close the plan
properties dialog.

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9. Right Click on the Applicator in the focus window and select Properties. Reselect the applicator from the
drop-down box (even if it is correctly set). Ensure that the Source parameters are set up as below and
select OK.

For Bravos machines the first source position and last source position figures
NOTICE are different, see Appendix A for details.

10. The system will ask if you want to scale the dwell times, select No. Select OK to the next 2 messages.

11. Calculate the required dwell time.

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 For VariSource
Select Window > Brief report window and check the source activity.
• Calculate the required dwell time by dividing 10⁶ (1,000,000) by the activity in mCi.
• For example, with an 8467 mCi source, the required treatment time would be:
1,000,000 / 8467 = 118.1 seconds.
For GammaMed
The required dwell time for
• HDR is 100 seconds
• PDR is 1000 seconds
12. Select Planning > Modify Dose / Set all dwell times and enter the dwell time determined in step 9 and
press Set.
13. Select Planning > Calculate the 3Ddose. Select Window > Brief report window. Print the brief report
by selecting File > Print / View.
14. Compare the printed values with those listed in table below. The results can be accepted if they are within
2% of the correct values.
Results

DATA TABLE: SECTION 4.5 - TP 4. TG43 DOSE CALCULATION

NA IF MACHINE TYPE IS NOT INSTALLED
MACHINE TYPE
Reference Point VariSource Ir-192 Actual GM Plus HDR Actual GM Plus PDR Actual
Coordinates (2012) Value (2012)* Value Value
X[cm] Y[cm] Z[cm] Dose 2% -2% Dose 2% -2% Dose 2% -2%
[Gy] [Gy] [Gy]
0 2 0 3.134 3.197 3.071 3.178 3.242 3.115 3.199 3.263 3.135
0 4 0 0.782 0.798 0.767 0.794 0.810 0.778 0.800 0.816 0.784
-4 0 0 0.482 0.492 0.472 0.538 0.548 0.527 0.763 0.778 0.748

15. Leave this plan open for TP5 or TP6; whichever is applicable.
16. Accepted results verify that the correct dose calculation parameters were set in the source configuration.

This test checks the dose calculation on BrachyVision using Varian supplied
WARNING sources, however if custom sources have been entered it is the user’s
responsibility to perform a manual dose check.

4.6 TP 5. Acuros BV Dose Calculation

This test should only be performed if the system contains an Acuros BV License. If the system does not
contain a VIDAR film scanner, mark NA and continue with the next test (TP6.)
1. Right click on the plan created in TP 4 above and select Copy Plan
2. Right click on the course and select Paste Plan.
3. Right click on the dose icon and select Properties
4. Set the 3D dose matrix up as shown.

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5. Select Planning > Calculate Inhomogeneity corrected dose
6. Select the Calculation Medium as water and Select Start Calculation
7. Once the calculation has completed close the dialogue and select Window > Brief report window. Print
the brief report by selecting File > Print / View.
8. Compare the printed values with those listed in Table below. The results can be accepted if they are within
2% of the correct values.

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Results

DATA TABLE: SECTION 4.6 - TP 5. ACUROS BV DOSE CALCULATION

NA IF NO ACUROS BV LICENSE INSTALLED
MACHINE TYPE
Reference Point VariSource Ir-192 Actual GM Plus HDR Actual GM Plus PDR Actual
Coordinates (2012) Value (2012)* Value Value
X[cm] Y[c Z[cm] Dose 2% -2% Dose 2% -2% Dose 2% -2%
m] [Gy] [Gy] [Gy]
0 2 0 3.134 3.197 3.071 3.178 3.242 3.115 3.191 3.255 3.127
0 4 0 0.782 0.798 0.767 0.794 0.810 0.778 0.797 0.813 0.781
-4 0 0 0.482 0.492 0.472 0.538 0.548 0.527 0.771 0.786 0.755

9. Leave this plan open for TP6. Accepted results verify that the correct dose calculation parameters were set
in the source configuration.
In some areas, particularly around the tip and tail of the source in high anisotropy areas, TG43 and Acuros
calculations in water may disagree. This is due to several factors in the TG43 calculation employed by
BrachyVision, and the published data that it is based on, - particularly the angular resolution of the anisotropy
data, that reference point doses are calculated exactly to that point, rather than on the 3D dose grid.
Acuros has been extensively validated against Monte Carlo models, as well as experimental methods, and we
are confident that it better reflects the real dosimetry in water than the TG43 calculations

4.7 TP 6. Treatment Plan Transfer to the Treatment Unit

This test should only be performed on a standalone system if a VariSource or GammaMed unit is available. If
no system is available mark this test as ‘Not Applicable’ and continue with the next test (TP7.) The test
assumes the plan from TP 4 or TP 5 is still open.

If you have an “iX” Brachy unit, this section is not applicable, and configuration will be
unavailable.

Please remember that is not possible to planning approve a plan using a

source model with status “Commissioning”. If the source has not been
Approved by the customer, you will need to go into RT Administration and
NOTICE Approve the source temporarily for this test. The source should be set back to
the status Commissioning at the end of the test and the user should be
informed that they will need to Approve a source prior to being able to treat.

Finally, check that the treatment plan is correctly transferred to the treatment unit.
1. Highlight Applicator 1, Channel 1 object in the lower left-hand focus window.
2. Select Window > Dwell Control Window and enter 75 sec for the dwell time.

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3. Select Planning > Calculate 3D Dose
4. Select Window > Brief report window followed by File > Print / View to print brief report.
5. Right mouse click on the plan, select Plan Approval >Planning Approved from the options on the list and
select Continue to the warning and then login.
6. Select Quicklinks > Treatment Management > Treatment Preparation
7. Select Plan Scheduling tab and select Plan Scheduling
8. Select Schedule. Fraction status goes to treat – hover over icon to see.
9. Select Approve for treatment approval of the plan after login.
10. Go to Appointment Scheduling
11. Enter a New Appointment and set the Activity to the correct one for treatment delivery. (The activity must
be configured correctly for HDR in Data Admin. (Please refer to the Service manual SVM-BX-IXCONS for
details on configuration.)
12. Mark the patient into Waiting Room.
13. Import Plan on the HDR iX console.
14. Deliver HDR test plan. Treatment results should automatically be returned to ARIA.
15. Check RT Summary for treatment results.
Results

DATA TABLE: SECTION 4.7 - TP 6. TREATMENT PLAN TRANSFER TO

THE TREATMENT UNIT
NA IF NO TREATMENT PLAN TRANSFER IS INSTALLED
X = YES
PLAN IS EXPORTED TO THE CORRECT LOCATION

16. Appointment in Appointment Scheduling should now be marked Completed.

17. Select Quicklinks > Treatment Planning > Brachytherapy Planning

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18. If a Mosaiq site (non-ARIA site) select File > Export > Plan to Treatment Unit and make sure to select the
location specified in the Afterloader properties in RT Admin. Result is accepted if the file is created in the
folder configured.
19. If an ARIA site select Quicklinks > File > Export > DICOM Media File Export

4.8 TP 7. Image Transfer over the Network

This test should only be performed if electronic image transfer is available. If not mark this test as not
applicable
This test item will test image transfer between imaging devices (e.g. Acuity, CT option, GE Advantage) and
BrachyVision.
The images are acquired in the imaging device and then exported to BrachyVision. The export and import are
done differently depending on imaging device.
Please refer to the user’s manual on how to import images from a specific imaging device.
Results

DATA TABLE: SECTION 4.8 - TP 7. IMAGE TRANSFER OVER THE NETWORK

NA IF IMAGE TRANSFER OVER NETWORK IS NOT AVAILABLE
X = YES
IMAGE IS EXPORTED TO THE CORRECT LOCATION

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5 Reproducibility
5.1 Reproducibility Tests
The following table indicates some events for which Varian recommends the system be re-tested.

REPRODUCIBILITY TESTS
EVENT TESTS TO RUN
Film scanner repair or replacement TP1 or TP2

Digitizer repair or replacement TP3

Generation or installation of a new source model TP4

All applicable tests (At least TP 4,

Installation of a new BrachyVision software version TP 6 and TP 7, Include TP5 where
an Acuros BV license is present)
Significant Network Changes, or Installation of a new network image
TP7
source

Modification or significant repair to Afterloader console TP6

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APPENDIXA TEST PLAN
A.1 Creating a Test Plan
1. Go to Quicklinks > Treatment Planning > Brachytherapy 2D Entry then select File > New Patient
2. Enter a Last Name and ID.
3. Select Insert > New Radiograph Set. The system will automatically create a plan. Enter the following and
select OK:
• Prescribed % = 100
• Prescribed Dose / Fraction = 6 Gy (or 600 cGy)
• The system will ask if you want to continue to work without images. Confirm it.
4. From the list of imaging geometry, select the ‘Orthogonal’ imaging. Verify that in the ‘Localization Jig
Properties’ the ‘Orthogonal’ type under Geometry tab are selected. Select OK.
5. Select Insert > New Applicator and enter the following:
• Applicator length, GMP = 130 cm VariSource and Bravos = As needed per selected
applicator and TGT choice
• Step size (cm) = 0.5
• First source position = 0
• Last source position (cm) = 0
6. Select the Geometry button and enter two points for the catheter.

7. Once the catheter is entered in Applicator Properties enter the following and select OK:
• First source position (cm) = 0 cm (If a Bravos Machine 0.1 cm)
• Last source position (cm) = 0.5 cm (If a Bravos Machine 0.6 cm)
8. Select Quicklinks > Treatment Planning > Brachytherapy Planning and save to continue;
9. Select Insert > New Reference Point and Location to enter a new reference point. Click in the
transverse view then enter an ID and None for the patient volume. Select the Location tab to enter this
coordinate from the keyboard: (0.0, 2.0, and 0.0). Select OK
10. Repeat step 9 starting at Insert > New Reference Point and Location until you have 3 points with the
following coordinates.

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 0 2 0

0 4 0

-4 0. 0

11. There should be a total of 4 reference points together with the primary reference.

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6 Publication Information
6.1 Revision Information
REVISION INFORMATION
REV DATE DESCRIPTION OF CHANGE AUTHOR NAME
Template Transfer TMP-GE-IPA_SW-D
D 27 Jan 2025 Updated the values in section 4.6 table Acuros BV Dose Steve Carey
calculation due to IR-2024-00513

Template Transfer TMP-GE-IPA_SW-A

Updated Section 6.1 Vidar Film Scanner Test added
instruction to download test articles from the GCS Data
Center.
Updated Section 6.2 Flatbed Film Scanner Test added
instruction to download test articles from the GCS Data
C 04 Feb 2021 Center. Steve Carey
Updated Section 6.3 Digitiser Test Step 11.
Updated Section 6.4 TG43 Dose Calculation added notice
to step 9.
Removed Appendix A Test Articles
Removed References to PSE website

6.2 Conventions

A warning describes actions or conditions that can result in serious injury or

WARNING death.

A caution describes hazardous actions or conditions that can result in minor

CAUTION or moderate injury.

A notice describes actions or conditions that can result in equipment damage,

NOTICE non-compliant operation, and / or other significant issues that do not involve
injury.

A stop describes actions or conditions that must be verified or satisfied before continuing.

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 A note describes actions or conditions that help the user obtain optimum performance from the
equipment or software.

A tip describes actions or conditions that simplify, improve, or assist the end user with the
required steps.

Place
An icon box shows the user an image of the icon, button, app quick start, or other object to be
image
used and describes the objective or instructs how it should be used. This is a new table type.
here

6.3 Document Information

NOTICE Information in this document 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 document or for incidental or consequential damages in connection with the
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, a Siemens Healthineers Company.
This publication is the English-language original.

TRADEMARK Varian products referenced herein are either registered trademarks or trademarks of
INFORMATION Varian, a Siemens Healthineers Company, in the U.S. and/or other countries. The
names of other companies and products mentioned herein may be the trademarks of
their respective owners. Any rights not expressly granted herein are reserved.

CONTACT Support services are available without charge during the initial warranty period. If you
INFORMATION seek information not included in this publication, contact Varian.
You may use MyVarian for all means of contacting Varian. Click Contact Us. No
registration is required but is recommended.
If you are unable to access MyVarian, use the following email address for support:
support@varian.com

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 Print all information clearly.

IPA File Name

Acceptance Completion Date

(DD Mon YYYY)

BrachyVision PCSN

Institution:

Address:

Varian Representative:

Printed Name

Signature Date Signed (DD Mon YYYY)

The signature above indicates that all applicable and required

tests within this document have been satisfactorily performed
and met the required product specification.

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