Effect Of Collimator Research Articles

Verification of the junctional dose for irradiation of the chest wall and supraclavicular regions under the circumstances of advanced technologies.

A single-isocenter half-beam technique is commonly used when irradiating the chest wall and supraclavicular regions in patients with high-risk breast cancer. However, several studies have reported that underdosage can occur at the junction of the chest wall and supraclavicular regions due to a "tongue-and-groove" effect. This study verified the efficacy of an open leaf technique (OL-tech) that involves placing a multileaf collimator 5 mm outside from the beam central axis to remove the effect of the multileaf collimator in a single-isocenter half-beam technique. We compared the junction doses of the OL-tech with those of a conventional technique (C-tech) in square and clinical plans, using 4 and 10 MV x-rays in the Clinac iX and 6 and 10 MV x-rays in the Trilogy accelerators (Varian Medical Systems, Palo Alto, CA). EBT3 radiochromic films were used for measurements. Measurements were performed at a depth of 3 cm when verifying field matching. The EBT3 films in the square plan indicated junction doses for the C-tech of 78.3% with the Clinac iX accelerator and 73.6% with the Trilogy accelerator. By contrast, the corresponding doses for the OL-tech were 107.2% and 99.8%, respectively. In the clinical plan, the junction doses for the C-tech were 76.5% with the Clinac iX accelerator and 72.6% with the Trilogy accelerator; the corresponding doses for the OL-tech were 108.3% and 101.7%, respectively. As with the square plan, variations in the junction dose were much smaller using the OL-tech than using the C-tech. Our results suggest that the OL-tech can be useful for improving dose homogeneity at the junction of the chest wall and supraclavicular regions.

Imaging in Diagnostic Nuclear Medicine

Single-photon emission computed tomography (SPECT) and positron emission tomography (PET) are modern methods for visualization in diagnostic nuclear medicine. SPECT is known as a workhorse in cardiology, and PET is the gold standard in oncology. The development of nuclear medicine is provided by cooperation of physicists, mathematicians, biologists, medical doctors, and radio-chemists. In spite of extensive clinical applications, several problems may lead to false diagnoses. In particular, the correction of attenuation of gamma radiation in human organs must be taken into account. For interpretation and evaluation of such an effect on the clinical results, we perform physico-mathematical simulation of the SPECT diagnostics in cardiology in the absence and presence of the correction of attenuation. A brief review of the state-of-the art is presented. The simulation employs the first Russian anthropomorphic mathematical phantom that describes the distribution of radio-pharmacological agent (99m Tc-methoxyisobutylisonitrile) in chest organs of a typical male patient. A model for calculation of raw images is developed with allowance for attenuation of radiation in biological tissues and the effect of collimator and detector. The results of the proposed models and calculated images are compared with clinical images obtained at the Meshalkin Institute of Circulation Pathology (Novosibirsk) and Myasnikov Institute of Clinical Cardiology (Moscow). Statistical algorithms are developed for the solution of the inverse problem of image reconstruction based on the entropy principle. The clinical and physico-mathematical approaches are compared in the evaluation of the effect of correction on the quality of reconstructed images of the left ventricle of myocardium.

A comparison of the gamma index and dose volume histogram of patient for IMRT/VMAT with different QA systems

Radiotherapy has a vital part in the treatment of prostate tumor. Three-dimensional conformal radiotherapy (3D-CRT), intensity modulated radiotherapy (IMRT) and volumetric modulated arc therapy (VMAT) techniques are currently used. In this concern, the present study is a trial to shed further light on the mean differences and to note the similarity or dissimilarity between the proposed three techniques of radiotherapy for head & neck (H & N) cancer. Measurements were carried out based on two dimensional (2D) array PTW and portal dosimetry in patient with head and neck canceras tool for evaluation. Specifically, the aim of the first part was to demonstrate that quality assurance (QA) tool for IMRT and its passing rate criteria might not expect dose errors in patient. This study examines the effect of systematic positional multi-leaf collimator (MLC) bank errorson gamma (Γ) examination results used for QA of treatment technique and to assess the result of dose changes presented in dynamic multi-leaf collimator (DMLC) modeling and delivery methods on metrics for IMRT. Twenty head and neck IMRT plans were selected for current study using the same group of dose–volume constraints. Treatment plans were created using 3D-CRT, VMAT and IMRT techniques. Homogeneity index (HI), Conformity index (CI), max. spinal cord dose, max. brainstem dose, mean parotid dose, larynx dose, oral cavity dose, and monitor units (MUs) were compared. For every patient, a group of data analysis was done for each technique and then imported to the DVH (PTW 2D array) for processing. A measured dose volume histogram metrics (DVH) was created in QA system and note the similarity to the calculated DVH from the treatment plan. Their variations due to errors related to the treatment planning system (TPS) (its algorithm for dose calculation) in addition to beam delivery. It is clearly shown that VMAT has a little better CI whereas the volume of small doses was higher.VMAT had lesser MUs than IMRT. 3D-CRT had the lowest common MU, CI and HI. IMRT would be preferred to VMAT in head and neck radiotherapy. Also, the current study showed even if the whole of IMRT QA had high Gamma passing rates 98.3 ± 1.3% (96.7-99.7%) for “3%/3 mm” criteria, there were located significant errors in some of the calculated clinical dose metrics. This study approves that conventional IMRT QA are not a prescient warning of errors in PTV dose and OAR dose (organs at risk). The dose QA has to allow us to expect and evaluate the relation of results of gamma test and DVH for treatment technique plan.

Effect of the LEGe detector collimators on K-series peaks and Compton scattering in XRF analysis using gamma rays

The effect of a low-energy germanium detector collimator with different diameters on the measurement of the X-ray fluorescence of palladium (Pd) was studied experimentally. Changes in the Pd K-series and Compton scattering peaks were measured and analysed with and without a detector collimator, where for the former, collimators with different diameters were used. The signal-to-noise ratio increased when a shielding collimator was used with a narrow detector collimator. The Compton dispersion and fraction dead time were reduced considerably using a detector collimator by increasing the distance from the source to the detector, and the collimator length-to-diameter ratio. The full width at half maximum (FWHM) of the Pd Kα1 and Pd Kβ1 peaks decreased almost linearly with the collimator length-to-diameter ratio. The FWHM illustrated that the spectral resolution was improved when a collimator with a smaller diameter but unchanged length was used. The uncertainties at the Pd Kα1, Pd Kβ1, and Compton dispersion peaks were approximately correlated linearly with the collimator length-to-diameter ratio.

Dosimetric effect of limited aperture multileaf collimator on VMAT plan quality: A study of prostate and head-and-neck cancers.

The aim of study was to evaluate the dosimetric effect of collimator-rotation on VMAT plan quality, when using limited aperture multileaf collimator of Elekta Beam Modulator™ providing a maximum aperture of 21cm×16cm. The increased use of VMAT technique to deliver IMRT from conventional to very specialized treatments present a challenge in plan optimization. In this study VMAT plans were optimized for prostate and head and neck cancers using Elekta Beam-ModulatorTM, whereas previous studies were reported for conventional Linac aperture. VMAT plans for nine of each prostate and head-and-neck cancer patients were produced using the 6MV photon beam for Elekta-SynergyS® Linac using Pinnacle3 treatment planning system. Single arc, dual arc and two combined independent-single arcs were optimized for collimator angles (C) 0°, 90° and 0°-90° (0°-90°; i.e. the first-arc was assigned C0° and second-arc was assigned C90°). A treatment plan comparison was performed among C0°, C90° and C(0°-90°) for single-arc dual-arc and two independent-single-arcs VMAT techniques to evaluate the influence of extreme collimator rotations (C0° and 90°) on VMAT plan quality. Plan evaluation criteria included the target coverage, conformity index, homogeneity index and doses to organs at risk. A 'two-sided student t-test' (p≤0.05) was used to determine if there was a significant difference in dose volume indices of plans. For both prostate and head-and-neck, plan quality at collimator angles C0° and C(0°-90°) was clinically acceptable for all VMAT-techniques, except SA for head-and-neck. Poorer target coverage, higher normal tissue doses and significant p-values were observed for collimator angle 90° when compared with C0° and C(0°-90°). A collimator rotation of 0° provided significantly better target coverage and sparing of organs-at-risk than a collimator rotation of 90° for all VMAT techniques.

Dosimetric effect of multileaf collimator leaf width on volumetric modulated arc stereotactic radiotherapy for spine tumors

This work aimed to study the dosimetric effect of multileaf collimator (MLC) leaf widths in treatment plans for patients receiving volumetric modulated arc therapy (VMAT) for spine stereotactic body radiation therapy (SBRT). Thirteen patients treated with spine SBRT were retrospectively selected for this study. The patients were treated following the protocol of the Radiation Therapy Oncology Group 0631 (RTOG 0631) for spine metastasis. The prescription dose was 16 Gy in 1 fraction to 90% of the target volume (V16 > 90%). The maximum spinal cord dose of 14 Gy and 10% of the spinal cord receiving < 10 Gy (V10) were the acceptable tolerance doses. For the purpose of this study, 2 dual-arc VMAT plans were created for each patient using 3 different MLC leaf widths: 2.5 mm, 4 mm, and 5 mm. The compliance with the RTOG 0631 protocol, conformity index (CI), dose gradient index (DGI), and number of monitor units (MUs) were compared. The average V16Gy of the targets was 91.8 ± 1.2%, 92.2 ± 2.1%, and 91.7 ± 2.3% for 2.5-mm, 4-mm, and 5-mm leaf widths, respectively (p = 0.78). Accordingly, the average CI was 1.45 ± 0.4, 1.47 ± 0.29, and 1.47 ± 0.31 (p = 0.98), respectively. The average DGI was 0.22 ± 0.04, 0.20 ± 0.06, and 0.22 ± 0.05, respectively (p = 0.77). The average maximum dose to the spinal cord was 12.45 ± 1.0 Gy, 12.80 ± 1.0 Gy, and 12.48 ± 1.1 (p = 0.62) and V10% of the spinal cord was 3.6 ± 2.1%, 5.6 ± 2.8%, and 5.5 ± 3.0% (p = 0.11) for 2.5-mm, 4-mm, and 5-mm leaf widths, respectively. Accordingly, the average number of MUs was 4341 ± 500 MU, 5019 ± 834 MU, and 4606 ± 691 MU, respectively (p = 0.053). The use of 2.5-mm, 4-mm, and 5-mm MLCs achieved similar VMAT plan quality as recommended by the RTOG 0631. The dosimetric parameters were also comparable for the 3 MLCs. In general, any of these leaf widths can be used for spine SBRT using VMAT.

Simulated Design Strategies for SPECT Collimators to Reduce the Eddy Currents Induced by MRI Gradient Fields

Combining single photon emission computed tomography (SPECT) with magnetic resonance imaging (MRI) requires the insertion of highly conductive SPECT collimators inside the MRI scanner, resulting in an induced eddy current disturbing the combined system. We reduced the eddy currents due to the insert of a novel tungsten collimator inside transverse and longitudinal gradient coils. The collimator was produced with metal additive manufacturing, that is part of a microSPECT insert for a preclinical SPECT/MRI scanner. We characterized the induced magnetic field due to the gradient field and adapted the collimators to reduce the induced eddy currents. We modeled the x-, y-, and z-gradient coil and the different collimator designs and simulated them with FEKO, a three-dimensional method of moments / finite element methods (MoM/FEM) full-wave simulation tool. We used a time analysis approach to generate the pulsed magnetic field gradient. Simulation results show that the maximum induced field can be reduced by 50.82% in the final design bringing the maximum induced magnetic field to less than 2% of the applied gradient for all the gradient coils. The numerical model was validated with measurements and was proposed as a tool for studying the effect of a SPECT collimator within the MRI gradient coils.

Rounded leaf end effect of multileaf collimator on penumbra width and radiation field offset: an analytical and numerical study.

BackgroundPenumbra characteristics play a significant role in dose delivery accuracy for radiation therapy. For treatment planning, penumbra width and radiation field offset strongly influence target dose conformity and organ at risk sparing.MethodsIn this study, we present an analytical and numerical approach for evaluation of the rounded leaf end effect on penumbra characteristics. Based on the rule of half-value layer, algorithms for leaf position calculation and radiation field offset correction were developed, which were advantageous particularly in dealing with large radius leaf end. Computer simulation was performed based on the Monte Carlo codes of EGSnrc/BEAMnrc, with groups of leaf end radii and source sizes. Data processing technique of curve fitting was employed for deriving penumbra width and radiation field offset.ResultsResults showed that penumbra width increased with source size. Penumbra width curves for large radius leaf end were U-shaped. This observation was probably related to the fact that radiation beams penetrated through the proximal and distal leaf sides. In contrast, source size had negligible impact on radiation field offset. Radiation field offsets were found to be constant both for analytical method and numerical simulation. However, the overall resulting values of radiation field offset obtained by analytical method were slightly smaller compared with Monte Carlo simulation.ConclusionsThe method we proposed could provide insight into the investigation of rounded leaf end effects on penumbra characteristics. Penumbra width and radiation field offset calibration should be carefully performed to commission multileaf collimator for intensity modulated radiotherapy.

Experimental and simulated study of detector collimation for a portable 3″ × 3″ NaI(Tl) detector system for in-situ measurements

The effect of detector collimator and scatterer thickness on multiple Compton backscattered gamma photons is studied. Gamma photons from a 137Cs source of 5.8 mCi, is allowed to fall on Carbon, Aluminium, Iron and Copper targets and the scattered photons are detected by a properly shielded 76 mm × 76 mm NaI(Tl) scintillation detector located at 90° to the incident beam. To extract the contribution of multiple scattered photons from the measured spectra, single scattered distribution is remodelled analytically. The thickness at which the multiple scattered photons saturate is determined for different detector collimator apertures and scatterer thicknesses. The variation of saturation thickness, Signal-to-Noise (S/N) ratio, Multiple Scattering Fraction (MSF) for different materials and collimator sizes are studied and compared with the available literature. Monte Carlo simulated calculations using MCNP code supports the present experimental work.

Clinical effect of multileaf collimator width on the incidence of late rectal bleeding after high-dose intensity-modulated radiotherapy for localized prostate carcinoma.

Several studies have confirmed a dosimetric advantage associated with use of a smaller leaf in intensity-modulated radiation therapy (IMRT). However, no studies have identified any clinical benefits. We investigated the effect of a smaller multileaf collimator (MLC) width on the onset of late rectal bleeding after high-dose prostate IMRT. Two hundred and five prostate cancer patients were treated with a total dose of 78 Gy in 39 fractions by use of a dynamic MLC technique; however, two different MLC were used: a 10-mm-wide device and a 5-mm-wide device. Gastrointestinal toxicity and several clinical factors were assessed. The 5-year actuarial risk of grade 2 or higher rectal bleeding was 6.9 % for the 10-mm-wide group (n = 132) and 1.8 % for the 5-mm-wide group (n = 73) (p = 0.04). The median estimated rectal doses for the two groups were 55.1 and 50.6 Gy (p < 0.001), respectively. Univariate analysis showed that acute toxicity, rectal V30-60, median rectal dose, normal tissue complication probability (NTCP), and MLC type were significant predictive factors for late rectal toxicity. In multivariate analysis, acute toxicity and NTCP remained significant. In our planning approach for prostate IMRT, a decrease in MLC width from 10 to 5 mm contributed to further rectal dose reduction, which was the most important predictor of late rectal toxicity.

Analysis of eddy currents induced by transverse and longitudinal gradient coils in different tungsten collimators geometries for SPECT/MRI integration.

We investigated the temporal variation of the induced magnetic field due to the transverse and the longitudinal gradient coils in tungsten collimators arranged in hexagonal and pentagonal geometries with and without gaps between the collimators. We modeled x-, y-, and z-gradient coils and different arrangements of single-photon emission computed tomography (SPECT) collimators using FEKO, a three-dimensional electromagnetic simulation tool. A time analysis approach was used to generate the pulsed magnetic field gradient. The approach was validated with measurements using a 7T MRI scanner. Simulations showed an induced magnetic field representing 4.66% and 0.87% of the applied gradient field (gradient strength = 500 mT/m) for longitudinal and transverse gradient coils, respectively. These values can be reduced by 75% by adding gaps between the collimators for the pentagonal arrangement, bringing the maximum induced magnetic field to less than 2% of the applied gradient for all of the gradient coils. Characterization of the maximum induced magnetic field shows that by adding gaps between the collimators for an integrated SPECT/MRI system, eddy currents can be corrected by the MRI system to avoid artifact. The numerical model was validated and was proposed as a tool for studying the effect of a SPECT collimator within the MRI gradient coils.

Dosimetric Effect of Binary Multileaf Collimator in Helical Tomotherapy to Optic System in Treating Nasopharyngeal Carcinoma

Dosimetric Effect of Binary Multileaf Collimator in Helical Tomotherapy to Optic System in Treating Nasopharyngeal Carcinoma

Dosimetric comparison of different multileaf collimator leaves in treatment planning of intensity-modulated radiotherapy for cervical cancer

To study the effect of multileaf collimator (MLC) leaf widths (standard MLC [sMLC] width of 10mm and micro-MLC [mMLC] width of 4mm) on intensity-modulated radiotherapy (IMRT) for cervical cancer. Between January 2010 and August 2010, a retrospective analysis was conducted on 12 patients with cervical cancer. The treatment plans for all patients were generated with the same machine setup parameters and optimization methods in a treatment planning system (TPS) based on 2 commercial Elekta MLC devices. The dose distribution for the planning tumor volume (PTV), the dose sparing for organs at risk (OARs), the monitor units (MUs), and the number of IMRT segments were evaluated. For the delivery efficiency, the MUs were significantly higher in the sMLC-IMRT plan than in the mMLC-IMRT plan (802 ± 56.9 vs 702 ± 56.7; p < 0.05). The number of segments in the plans were 58.75 ± 1.8 and 59 ± 1.04 (p > 0.05). For the planning quality, the conformity index (CI) between the 2 paired IMRT plans with the mMLC and the sMLC did not differ significantly (average: 0.817 ± 0.024 vs 0.810 ± 0.028; p > 0.05). The differences of the homogeneity index (HI) between the 2 paired plans were statistically significant (average: 1.122 ± 0.010 vs 1.132 ± 0.014; p < 0.01). For OARs, the rectum, bladder, small intestine, and bony pelvis were evaluated in terms of V10, V20, V30, and V40, percentage of contoured OAR volumes receiving 10, 20, 30, and 40Gy, respectively, and the mean dose (Dmean) received. The IMRT plans with the mMLC protected the OARs better than the plans with the sMLC. There were significant differences (p < 0.05) in evaluated parameters between the 2 paired IMRT plans, except for V30 and V40 of the rectum and V10, V20, V40, and Dmean of the bladder. IMRT plans with the mMLC showed advantages over the plans with the sMLC in dose homogeneity for targets, dose sparing of OARs, and fewer MUs in cervical cancer.

Effect of MLC leaf position, collimator rotation angle, and gantry rotation angle errors on intensity-modulated radiotherapy plans for nasopharyngeal carcinoma

The purpose of this study was to investigate the effect of multileaf collimator (MLC) leaf position, collimator rotation angle, and accelerator gantry rotation angle errors on intensity-modulated radiotherapy plans for nasopharyngeal carcinoma. To compare dosimetric differences between the simulating plans and the clinical plans with evaluation parameters, 6 patients with nasopharyngeal carcinoma were selected for simulation of systematic and random MLC leaf position errors, collimator rotation angle errors, and accelerator gantry rotation angle errors. There was a high sensitivity to dose distribution for systematic MLC leaf position errors in response to field size. When the systematic MLC position errors were 0.5, 1, and 2mm, respectively, the maximum values of the mean dose deviation, observed in parotid glands, were 4.63%, 8.69%, and 18.32%, respectively. The dosimetric effect was comparatively small for systematic MLC shift errors. For random MLC errors up to 2mm and collimator and gantry rotation angle errors up to 0.5°, the dosimetric effect was negligible. We suggest that quality control be regularly conducted for MLC leaves, so as to ensure that systematic MLC leaf position errors are within 0.5mm. Because the dosimetric effect of 0.5° collimator and gantry rotation angle errors is negligible, it can be concluded that setting a proper threshold for allowed errors of collimator and gantry rotation angle may increase treatment efficacy and reduce treatment time.

Dynamic conformal arc cranial stereotactic radiosurgery: implications of multileaf collimator margin on dose-volume metrics.

The effect of multileaf collimator (MLC) margin on target and normal tissue dose-volume metrics for intracranial stereotactic radiosurgery (SRS) was assessed. 118 intracranial lesions of 83 SRS patients formed the basis of this study. For each planning target volume (PTV), five separate treatment plans were generated with MLC margins of -1, 0, 1, 2 and 3 mm, respectively. Identical treatment planning parameters were employed with a median of five dynamic conformal arcs using the Varian/BrainLab high-definition MLC for beam shaping. Prescription dose (PD) was such that 22 Gy covered at least 95% of the PTV. Dose-volume and dose-response comparative metrics included conformity index, heterogeneity index, dose gradient, tumour control probability (TCP) and normal tissue complication probability (NTCP). Target dose heterogeneity decreased with increasing MLC margin (p<0.001); mean heterogeneity index decreased from 70.4 ± 12.7 to 10.4 ± 2.2%. TCP decreased with increasing MLC margin (p<0.001); mean TCP decreased from 81.0 ± 2.3 to 62.2 ± 1.8%. Normal tissue dose fall-off increased with MLC margin (p<0.001); mean gradient increased from 3.1 ± 0.9 mm to 5.3 ± 0.7 mm. NTCP was optimal at 1 mm MLC margin. No unambiguous correlation was observed between NTCP and PTV volume. Plan delivery efficiency generally improved with larger margins (p<0.001); mean monitor unit per centigray of the PD decreased from 3.60 ± 1.30 to 1.56 ± 0.13. Conclusion Use of 1 mm MLC margins for dynamic conformal arc-based cranial radiosurgery resulted in optimal tumour control and normal tissue sparing. Clinical significance of these comparative findings warrants further investigation.

Effect of collimator and couch angle change on breast IMRT dose distributions

Intensity‐modulated tangential photon beams for breast cancer treatment can improve the dose uniformity significantly throughout the whole breast and reduce the dose to the lung and the heart when compared to the conventional technique. Before the first treatment, patient setup may require a change on the collimator angle and/or the couch angle based on the chest wall coverage according to the port films. The objective of this work is to investigate the effects of the collimator and the couch angle change on the dose distribution for breast cancer treatment using intensity‐modulated tangential photon beams, and to determine the clinical acceptable range of the angle change for routine treatment. Ten breast cases treated with intensity‐modulated tangential photon beams were analyzed in this study. Patient‐specific CT data and the radiation therapy planning (RTP) files obtained from our in‐house Monte Carlo based breast IMRT treatment planning system were used for IMRT dose recalculation with collimator or couch angle changes. The isodose distributions and DVHs were compared with the original plans, and the effects of the collimator and couch angle change to breast IMRT dose distributions were evaluated. Our results show that a 4° change in the collimator angle or the couch angle did not affect the dose distribution significantly and it is acceptable in the clinic for patient treatment.PACS number: 87.10.Rt

SU‐FF‐T‐415: The Effect of MLC Geometry On Monte Carlo Simulated Beam Output for IMRT

Purpose: This work studies the effect of detailed multileaf collimator (MLC) geometry on beam output for small MLC segments in Monte Carlo dose calculation for IMRT planning and quality assurance. Method and Materials: An analytical examination of the geometrical structures between the linac extrafocal source and the isocenter plane was evaluated. The main source, a small extended source, can contribute almost the same to every point at the isocenter plane while the extrafocal source, at the level of the flattening filter, may be partially blocked by the MLC leaves. The Siemens MLC geometry, with 7.7cm thick leaves was used to investigate the blocking effect. The flattening filter is 18.3cm above the MLC and the isocenter is 64 cm away from the MLC. The Monte Carlo method is an accurate method to predict the deliver doses to the patient; however, the beam output variation due to the detailed MLC geometry may introduce uncertainties in the Monte Carlo dose calculation. Results: A 1×1 cm opening at the isocenter plane 2.5cm away from the central axis can project a 0.24×0.33 cm area on the secondary source plane. While in Monte Carlo calculations, a 0.33×0.33 cm area is used. In order to precisely predict the effect of MLC blockage on beam output, a multiple Gaussian source at the secondary source plane (S. Jiang et al, Med. Phys. 28, 55, 2001) was used in this work. The integral scatter contribution from the real case differs from that used in Monte Carlo calculation by about 1.0%. This means the Monte Carlo method will predict a 1.0 % higher accumulated dose due to the overestimation of the exstrafocal source. Conclusion: Small (1–2%) uncertainties on the IMRT dose distribution calculated by the Monto Carlo method are predicted using reconstructed intensity maps rather than using detailed MLC geometry.

A randomized double blinded study to assess the efficacy of a laser-guided collimator on dental radiography training

To assess the effect of a laser-guided collimator in intraoral radiography training. A custom-made collimator with four red laser diodes on each corner on the rim of an aluminium alloy cubic housing was fabricated. The laser used low power diodes, which are classified as laser-safe by the United States Food and Drug Administration (FDA). When activated, the effective dimensions of the laser beams were 4 cm x 4.5 cm. Eighteen dental hygiene students were randomized into test and control groups. The Laser group used a rectangular collimator with the laser device, while the Non-laser group used a conventional rectangular collimator. Each group attended nine intraoral radiography training sessions. All radiographs were assessed and were classified into three categories: Excellent, Acceptable and Repeat, by a masked academic staff member. Reasons for repeats were marked. Statistical comparisons between the two groups were made. A total of 2334 radiographs were made. Conecut was more common on bitewings than periapicals. The Laser group produced fewer conecuts than the Non-laser group. The Laser group produced more excellent radiographs with fewer repeats than the Non-laser group, but there was not a significant difference. The laser-guided collimator helped the students to produce fewer repeats in a shorter period of time. It was an effective training aid.

Varying MLC end projection size: an effect of the double-focused Siemens multileaf collimator

Siemens linacs use multileaf collimators (MLCs) that move in an arc such that the flat faces of the leaf ends are always in the same plane as the radiation focus. An effect of this is that the magnification of the leaf end projection at the isocentric plane normal to the collimator rotation axis varies with the drive position of the leaves. This effect is quantified theoretically and empirically verified. A method is introduced for assessing the importance of the effect for a particular MLC pattern. The significance of the effect is discussed.

Effect of detector collimator and sample thickness on 0.662 MeV multiply Compton-scattered gamma rays

The simultaneous effect of detector collimator and sample thickness on 0.662 MeV multiply Compton-scattered gamma photons was studied experimentally. An intense collimated beam, obtained from 6-Ci 137Cs source, is allowed to impinge on cylindrical aluminium samples of varying diameter and the scattered photons are detected by a 51 mm×51 mm NaI(Tl) scintillation detector placed at 90° to the incident beam. The full energy peak corresponding to singly scattered events is reconstructed analytically. The thickness at which the multiply scattered events saturate is determined for different detector collimators. The parameters like signal-to-noise ratio and multiply scatter fraction (MSF) have also been deduced and support the work carried out by Shengli et al. [2000. EGS4 simulation of Compton scattering for nondestructive testing. KEK proceedings 200-20, Tsukuba, Japan, pp. 216–223] and Barnea et al. [1995. A study of multiple scattering background in Compton scatter imaging. NDT & E International 28, 155–162] based upon Monte Carlo calculations.