Enter the dose difference (ฮ”D), the dose-difference criterion (ฮ”Dcrit), the distance-to-agreement (ฮ”d), and the distance criterion (ฮ”dcrit) into the calculator to determine the (fixed-point) gamma value (GI). Use consistent units (ฮ”D and ฮ”Dcrit in the same dose units; ฮ”d and ฮ”dcrit in the same distance units).

Gamma Index Calculator

Enter any 4 values to calculate the missing variable


Related Calculators

Gamma Index Formula

The gamma index (GI) is a dimensionless radiotherapy quality-assurance metric that combines dose error and spatial error into a single result. This calculator uses the fixed-point form of gamma, which is appropriate when the dose difference and distance-to-agreement have already been identified for the comparison being evaluated.

GI = \sqrt{\left(\frac{\Delta D}{\Delta D_{crit}}\right)^2 + \left(\frac{\Delta d}{\Delta d_{crit}}\right)^2}

In practical terms, smaller gamma values indicate better agreement. A gamma value at or below 1 means the point satisfies the selected tolerance criteria.

GI \le 1

Variable Definitions

Variable Description Unit Notes
GI Gamma index value Unitless
ΔD Dose difference between the compared values Use the same dose basis as ΔDcrit
ΔDcrit Allowed dose-difference criterion or tolerance Must be positive and in the same dose units as ΔD
Δd Distance-to-agreement for the comparison Use the same distance units as Δdcrit
Δdcrit Allowed distance criterion or tolerance Must be positive and in the same distance units as Δd

How to Interpret Gamma Index

Gamma Result Interpretation
Less than 1 The comparison passes with margin to spare.
Equal to 1 The comparison is exactly on the acceptance boundary.
Greater than 1 The comparison fails the selected criteria.

How to Calculate the Gamma Index

  1. Determine the dose difference, ΔD.
  2. Choose the dose criterion, ΔDcrit.
  3. Determine the distance-to-agreement, Δd.
  4. Choose the distance criterion, Δdcrit.
  5. Substitute the values into the formula.
  6. Interpret the result relative to the pass threshold of 1.

Rearranged Forms

Because the calculator can solve for any one missing value, the gamma equation can be rearranged as needed.

Solve for dose difference

\Delta D = \Delta D_{crit}\sqrt{GI^2 - \left(\frac{\Delta d}{\Delta d_{crit}}\right)^2}

Solve for distance-to-agreement

\Delta d = \Delta d_{crit}\sqrt{GI^2 - \left(\frac{\Delta D}{\Delta D_{crit}}\right)^2}

Solve for dose criterion

\Delta D_{crit} = \frac{\Delta D}{\sqrt{GI^2 - \left(\frac{\Delta d}{\Delta d_{crit}}\right)^2}}

Solve for distance criterion

\Delta d_{crit} = \frac{\Delta d}{\sqrt{GI^2 - \left(\frac{\Delta D}{\Delta D_{crit}}\right)^2}}

For these rearranged forms to produce a real-valued result, the quantity inside the square root must be zero or greater, and both criteria must be greater than zero.

Example Calculation

If the dose difference is 0.5, the dose criterion is 1.0, the distance-to-agreement is 2.0, and the distance criterion is 5.0, then:

GI = \sqrt{\left(\frac{0.5}{1.0}\right)^2 + \left(\frac{2.0}{5.0}\right)^2}
GI = \sqrt{0.25 + 0.16} = \sqrt{0.41} \approx 0.64

Since 0.64 is less than 1, the point meets the chosen criteria.

Important Usage Notes

  • Keep dose units consistent between ΔD and ΔDcrit.
  • Keep distance units consistent between Δd and Δdcrit.
  • Do not use zero for either criterion; both tolerances must be positive.
  • If dose criteria are based on percent, make sure the percent basis is applied consistently before calculating.
  • This simplified calculator does not perform the spatial search used in full distribution-based gamma analysis; it evaluates the fixed-point form once the comparison quantities are already known.

Common Questions

Is the gamma index a percentage?
No. The gamma index is unitless. It is built from normalized dose and distance terms.
What does a lower gamma value mean?
A lower value means the measured and reference results agree more closely relative to the chosen tolerances.
Can I mix dose units?
No. If ΔD is entered in cGy, then ΔDcrit must also be in cGy. The same consistency rule applies to distance units.
Why can the calculator solve for any variable?
The gamma relationship is algebraic in this fixed-point form, so the equation can be rearranged to isolate any one unknown when the other four values are known.