| TEST TYPE | MINIMUM TEST INTERVAL | TOLERANCE |
| A. Central axis dose calibration | At intervals not to exceed 12 months | 2 percent |
| B. Constancy checks-photons | ||
| (1) Dose per monitor unit along central axis | Weekly | 3 percent |
| (2) Depth dose | Monthly | 2 percent |
| (3) Beam uniformity | Monthly | 3 percent |
| (4) Monitor chamber linearity | At intervals not to exceed 12 months | 1 percent |
| (5) Timer linearity and error | At intervals not to exceed 12 months | 1 percent |
| TEST TYPE | MINIMUM TEST INTERVAL | TOLERANCE |
| A. Field positioning aids | ||
| (1) Light field and radiation field agreement | Monthly | 2 mm |
| (2) Mechanical distance pins, lasers, and SSD lights | Monthly | 2 mm |
| (3) Scale readouts | Monthly | 2 mm/1 degree angle |
| B. Machine alignment | ||
| (1) Jaw symmetry | At intervals not to exceed 12 months | 2 mm |
| (2) Coincidence of collimator (jaw) and gantry axes | At intervals not to exceed 12 months | 2 mm |
| (3) Stability of gantry arm and bearing under rotation | At intervals not to exceed 12 months | 2 mm |
| (4) Couch motion and tabletop sag | At intervals not to exceed 12 months | 2 mm |
| TEST TYPE | MINIMUM TEST INTERVAL | TOLERANCE |
| A. Beam uniformity | Monthly | 5 percent |
| B. Depth dose | Monthly | 2 mm at therapeutic depth |
| C. Dose per monitor unit constancy check | Weekly | 3 percent |
| TEST TYPE | MINIMUM TEST INTERVAL | TOLERANCE |
| A. Wedge transmission factor | At intervals not to exceed 12 months | 2 percent |
| B. Transmission factor constancy for all treatment accessories | At intervals not to exceed 12 months | 2 percent |
*Attenuation in blocks, wedge factors, and compensator data must be checked annually. A visual inspection of the mechanical integrity of these accessories must be done monthly.
| TEST TYPE | FREQUENCY | TOLERANCE |
| A. Localizing lasers | Daily | 2 mm |
| B. Distance indicator | Daily | 2 mm |
| C. Field size indicator | Monthly | 2 mm |
| D. Gantry/collimator angle indicators | Monthly | 1 degree |
| E. Cross-hair centering | Monthly | 2 mm diameter |
| F. Focal spot-axis indicator | Monthly | 2 mm |
| G. Fluoroscopic image quality | Monthly | Established baseline |
| H. Collision avoidance | Monthly | Functional |
| I. Light/radiation field coincidence | Monthly | 2 mm or 1 percent |
| J. Collimator rotation isocenter | At intervals not to exceed 12 months | 2 mm diameter |
| K. Gantry rotation isocenter | At intervals not to exceed 12 months | 2 mm diameter |
| L. Couch rotation isocenter | At intervals not to exceed 12 months | 2 mm diameter |
| M. Coincidence of collimator, gantry, couch axes, and isocenter | At intervals not to exceed 12 months | 2 mm diameter |
| N. Table top sag | At intervals not to exceed 12 months | 2 mm |
| O. Vertical travel of couch | At intervals not to exceed 12 months | 2 mm |
| P. Exposure rate | At intervals not to exceed 12 months | Established baseline |
| Q. Table top exposure with fluoroscopy | At intervals not to exceed 12 months | Established baseline |
| R. kVp and mAs calibration | At intervals not to exceed 12 months | Established baseline |
| S. High and low contrast resolution | At intervals not to exceed 12 months | Established baseline |
MS s 144.12
32 SR 777
December 10, 2007
Official Publication of the State of Minnesota
Revisor of Statutes