Clinical commissioning of pencil beam scanning for intensity-modulated proton therapy

Abstract: In radiation oncology, “clinical commissioning,” or simply “commissioning,” refers to the process that takes place after a machine has passed acceptance tests but before the first patient can be treated. There are unique aspects of commissioning of pencil beam scanning for intensity-modulated proton therapy. In this chapter, we will focus on commissioning of computed tomography (CT) numbers for proton therapy, treatment planning systems, and treatment delivery systems.