Current methods for evaluating modern radiation therapy treatment plan
ning (RTP) systems include the manual superposition of calculated and
measured isodose curves and the comparison of a limited number of calc
ulated and measured point doses. Both techniques have significant limi
tations in providing quantitative evaluations of the large number of d
ose data generated by modern RTP systems. More sophisticated compariso
n techniques have been presented in the literature, including dose-dif
ference and distance-to-agreement (DTA) analyses. A software tool has
been developed that uses superimposed isodose plots, dose-difference,
and DTA distributions to quantify errors in computed dose distribution
s. Dose-difference and DTA analyses are overly sensitive in regions of
high- and low-dose gradient, respectively. The logical union of locat
ions that fail both dose-difference and DTA acceptance criteria, terme
d the composite evaluation, is calculated and displayed. The composite
evaluation provides a method for the physicist to efficiently identif
y regions that fail both the dose-difference and DTA acceptance criter
ia. The tool provides a computer platform for the quantitative compari
son of calculated and measured dose distributions. (C) 1998 American A
ssociation of Physicists in Medicine. [S0094-2405(98)00410-6].