Commissioning and Performance Evaluation of Varian TrueBeam Linear Accelerator

Aim: The aim of this study is to present a report on the commissioning results of the Varian TrueBeam machine with available photon energies so that it can benefit medical physicists during the entire commissioning process. Subjects and Methods: All tests were performed as per the recommendation of the Atomic Energy Regulatory Board. The beam profiles and percentage depth dose of both photon and electron beams were measured with Sun nuclear Radiation Field Analyzer and 0.125 cc ionization chamber. Output accuracy and consistency of photon and electron beams were measured using 0.6 cc cylindrical ionization chamber and 0.350 cc parallel plate ionization chamber, respectively. To measure the congruency of radiation and optical field and isocenter check with respect to gantry, collimator, and couch, self‑developed films were used. Results: Isocenter shift due to gantry, collimator, and couch, rotation was found to be within ± 2‑mm diameter circle. Congruency of optical and radiation fields was measured for symmetric fields 5 cm × 5 cm, 10 cm × 10 cm, 20 cm × 20 cm, and 30 cm × 30 cm for all available energy and was within ± 2 mm. Dosimetric leaf gap value for the multi‑leaf collimator was measured with 0.125 cc ionization chamber and values are −0.853 mm, −1.106 mm, −1.097 mm, −0.765 mm, and −1.005 mm for energies 6 MV, 10 MV, 15 MV, 6 flattening filter free (FFF), and 10 FFF, respectively. Conclusions: All electrical, mechanical, dosimetric, and safety measurement were found to be within permissible limits. Before clinical use, the beam data are crosschecked with point dosimetry, portal dosimetry, and MapCHECK two‑dimensional detector array and results are within tolerance.