Abstract

This study evaluates changes in the dosimetric characteristics of a Varian Millennium 80‐leaf multileaf collimator (MLC) in a radiation field. In this study, dose rate, scatter factor, percentage depth dose, surface dose and dose in the buildup region, beam profile, flatness and symmetry, and penumbra width measurements were made for 6‐MV and 15‐MV photon beams. Analysis of widths between 50% dose levels of the beam profiles to reflect the field size at the level of profile measurement shows a significant difference between the fields defined by MLC and/or jaws and MLC (zero gap) and the fields defined by jaws only. The position of the MLC leaves in the radiation field also significantly affects scatter factors. A new relationship has, therefore, been established between the scatter factors and the position of the MLC, which will indeed be useful in the dose calculation for irregular fields. Penumbra widths increase with field size and were higher for fields defined by jaws and/or MLC than jaws and MLC (zero gap) by 1.5 mm to 4.2 mm and 3.8 mm to 5.0 mm, for 6‐MV, and 1.5 mm to 2.4 mm and 3.0 mm to 5.6 mm, for 15‐MV, at 20% to 80% and 10% to 90% levels, respectively. The surface dose and the dose in the buildup region were smaller for fields defined by jaws and MLC (zero gap) than the fields defined by jaws and/or MLC for both photon energies. No significant differences were found in percentage depth dose beyond dmax, beam profiles above 80% dose level, and flatness and symmetry for both energies. The results of this study suggest that while one collects linear accelerator beam data with a MLC, the effects of the positions of the MLC leaves play an important role in dosimetric characteristics of 3D conformal radiation therapy as well as intensity‐modulated radiotherapy.PACS number: 87.53.Dq

Highlights

  • Modern linear accelerators equipped with multileaf collimator (MLC) systems provide means to deliver 3D conformal radiation therapy (3D-CRT)(1–4) and intensity-modulated radiation therapy (IMRT).(5–7) The use of a MLC system for delivering 3D-CRT and IMRT requires the delivery of complex beam arrangements having multiple, irregularly shaped radiation fields and, depends on accurate dosimetric parameters of the MLC.[8,9,10,11,12,13,14,15,16] In 3D-CRT, dose and/or monitor units are verified using semi-empirical methods of dose calculation

  • The dosimetric characteristics include dose rates, scatter factors, central axis percentage depth dose, surface dose, dose in buildup region, beam profiles, flatness and symmetry, and penumbra width for 6-MV and 15-MV photon beams, for the fields defined by jaws only (MLC in park position), MLC only, and jaws with MLC

  • The dosimetric characteristics of the Varian Millennium 80 MLC system are quite similar to the standard collimator system except for scatter factors, surface dose and buildup region dose, and penumbra widths

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Summary

Introduction

Modern linear accelerators equipped with multileaf collimator (MLC) systems provide means to deliver 3D conformal radiation therapy (3D-CRT)(1–4) and intensity-modulated radiation therapy (IMRT).(5–7) The use of a MLC system for delivering 3D-CRT and IMRT requires the delivery of complex beam arrangements having multiple, irregularly shaped radiation fields and, depends on accurate dosimetric parameters of the MLC.[8,9,10,11,12,13,14,15,16] In 3D-CRT, dose and/or monitor units are verified using semi-empirical methods of dose calculation. In some radiotherapy treatment-planning systems, the dose calculation and planning algorithms are based on these methods but the methods do not account for the changes in dosimetric parameters. The influence of the MLC leaves on dosimetric parameters depends on the type of MLC system and its placement in the treatment head. In Varian linear accelerators, the MLC system is used as a tertiary collimator, that is, below the collimator jaws, which influences dosimetric data in a way entirely different than in other MLC systems. The dosimetric data obtained at the time of acceptance testing and commissioning of a linear accelerator do not account for the influence of MLC leaves. The influence of the MLC system must be taken into account

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