Abstract

In this paper, we suggest a new method for verifying the motion of a binary multileaf collimator (MLC) in helical tomotherapy. For this we used a combination of a cylindrical scintillator and a general‐purpose camcorder. The camcorder records the light from the scintillator following photon irradiation, which we use to track the motion of the binary MLC. The purpose of this study is to demonstrate the feasibility of this method as a binary MLC quality assurance (QA) tool. First, the verification was performed using a simple binary MLC pattern with a constant leaf open time; secondly, verification using the binary MLC pattern used in a clinical setting was also performed. Sinograms of simple binary MLC patterns, in which leaves that were open were detected as “open” from the measured light, define the sensitivity which, in this case, was 1.000. On the other hand, the specificity, which gives the fraction of closed leaves detected as “closed”, was 0.919. The leaf open error identified by our method was −1.3±7.5%. The 68.6% of observed leaves were performed within ± 3% relative error. The leaf open error was expressed by the relative errors calculated on the sinogram. In the clinical binary MLC pattern, the sensitivity and specificity were 0.994 and 0.997, respectively. The measurement could be performed with −3.4±8.0% leaf open error. The 77.5% of observed leaves were performed within ± 3% relative error. With this method, we can easily verify the motion of the binary MLC, and the measurement unit developed was found to be an effective QA tool.PACS numbers: 87.56.Fc, 87.56.nk

Highlights

  • 28 Hashimoto et al.: Verifying motion of a binary multileaf collimator become possible to deliver more complex radiation fields to the target; simultaneous verification of the appropriateness of the radiation field needs to be done

  • The 77.5% of observed leaves were performed within ± 3% relative error

  • We have developed a simple quality assurance (QA) tool that can check binary multileaf collimators (MLC) motion

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Summary

Introduction

28 Hashimoto et al.: Verifying motion of a binary multileaf collimator become possible to deliver more complex radiation fields to the target; simultaneous verification of the appropriateness of the radiation field needs to be done. New IMRT methods using dynamic multileaf collimators (MLC)(6-9) and helical tomotherapy (TomoTherapy Inc., Hi·Art, Madison, WI)(10-12) have been developed and these are used worldwide. In these methods, the MLC is moved during irradiation and, its motion must be very precisely controlled. Helical tomotherapy, composed of a small 6 MV linear accelerator rotating on a slip ring together with a binary MLC, enables us to deliver a complex dose distribution. A tool for measuring such motion has not been readily available

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