IPAC2021 - List of Authors (Kasim, M.F.)

Paper	Title	Page
MOPAB415	Failure Rates and Downtimes of Multi-Leaf Collimators in Indonesia	1248
	G.S. Peiris, S.L. Sheehy The University of Melbourne, Melbourne, Victoria, Australia M.F. Kasim, S.A. Pawiro University of Indonesia, Depok, Jawa Barat, Indonesia
	One of the greatest barriers to cancer treatment in Low and Middle-Income Countries (LMICs) is the access to Radiotherapy Linear Accelerators (LINACs). Not only are the LINACs complex, the harsh environment of LMICs cause frequent breakdowns resulting in downtimes ranging from days to months. Recent research has identified a disparity between LMICs and High Income Countries (HICs) and determined the Multi-Leaf Collimator (MLC) as a component needing re-evaluation. The MLC causes over 30% of the problems in RT LINACs, but the modes of failure and quantify the extent of the damage done are yet to be quantified. Using data from across Indonesia, we show the pathways to failure of RT Machines and frequency of breakdowns over time. A component of the MLC needs to be replaced every 9.98 faults per 1000 patients treated and the MLC itself breaks down on average every 36±1.8 days. When comparing the downtime by leaf width, the data shows 5mm leaves contribute 18.27±6.5% to all breakdowns while 10mm makes up 15.87±4.3%. These results outline the need to reassess the current generation of RT LINACs and ultimately work towards guiding future designs to be robust enough for all environments.
DOI •	reference for this paper ※ https://doi.org/10.18429/JACoW-IPAC2021-MOPAB415
About •	paper received ※ 19 May 2021 paper accepted ※ 09 June 2021 issue date ※ 16 August 2021
Export •	reference for this paper using ※ BibTeX, ※ LaTeX, ※ Text/Word, ※ RIS, ※ EndNote (xml)

Paper

Title

Page

Failure Rates and Downtimes of Multi-Leaf Collimators in Indonesia

1248

G.S. Peiris, S.L. Sheehy
The University of Melbourne, Melbourne, Victoria, Australia
M.F. Kasim, S.A. Pawiro
University of Indonesia, Depok, Jawa Barat, Indonesia

One of the greatest barriers to cancer treatment in Low and Middle-Income Countries (LMICs) is the access to Radiotherapy Linear Accelerators (LINACs). Not only are the LINACs complex, the harsh environment of LMICs cause frequent breakdowns resulting in downtimes ranging from days to months. Recent research has identified a disparity between LMICs and High Income Countries (HICs) and determined the Multi-Leaf Collimator (MLC) as a component needing re-evaluation. The MLC causes over 30% of the problems in RT LINACs, but the modes of failure and quantify the extent of the damage done are yet to be quantified. Using data from across Indonesia, we show the pathways to failure of RT Machines and frequency of breakdowns over time. A component of the MLC needs to be replaced every 9.98 faults per 1000 patients treated and the MLC itself breaks down on average every 36±1.8 days. When comparing the downtime by leaf width, the data shows 5mm leaves contribute 18.27±6.5% to all breakdowns while 10mm makes up 15.87±4.3%. These results outline the need to reassess the current generation of RT LINACs and ultimately work towards guiding future designs to be robust enough for all environments.

DOI •

reference for this paper ※ https://doi.org/10.18429/JACoW-IPAC2021-MOPAB415

About •

paper received ※ 19 May 2021 paper accepted ※ 09 June 2021 issue date ※ 16 August 2021

Export •

reference for this paper using ※ BibTeX, ※ LaTeX, ※ Text/Word, ※ RIS, ※ EndNote (xml)