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TLD phantom yielded passing results with a measured-to-expected TLD dose ratio of 1.02. The MD Anderson SRS head phantom yielded passing results, with 4% TLD agreement and %GP of 95%/93% (5%/3mm) for coronal/sagittal film planes. The RTsafe gel phantom gave %GP of 95% (5%/2mm) for all four targets. For our first 58 patients, film-based patient-specific quality assurance has resulted in an average %GP of 98.7% (range, 94-100%) at 2%/2mm. Core ZAP-X features were found to be functional. On the basis of our results, point-dose and plan

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