Quality Control For Two Types Of Radiotherapy Multileaf Collimators
Downloads
The purpose of our study was to describe the performance characteristics of two MLC systems (Elekta and Siemens) having different leaf width respectively to improve the available data. Furthermore, the work suggests an adequate QA program to be performed during routine treatment delivery.
Methods and Material: The Leaf leakage, tongueand- groove effect, identification between lightfield and radiation field , measurement of penumbra for all borders of MLC leaves, Penumbra measurements in the direction of leaf motion, Penumbra measurements for stepped MLC edges, Precise position of MLCs of a highenergy photon (6 MV) Elekta and Siemens linear accelerator were measured using Kodak X-Omat V film.
Results : The results of leaf transmission agree with literature data dealing with the same MLC. The value obtained of the dose reduction for the tongue-and-groove effect is greater than other reports .Measurements of identification between light field and radiation field showed that, the difference between them ranged from 2 mm to 3mm. The penumbra width is independent of leaf position. For stepped edge, the measured penumbra width for MLC is larger than custom blocks about 2mm for erect edge and 2 mm for 45o angled edge, there is small difference in position accuracy of leaves due to the effect of gravity.
Conclusions: The results showed that, it is important to know the dosimetric characteristicsof MLC to know its effect in the treatment process.
Georg D and Dutreix A. 1997. A formalism
to calculate the output ratio in a miniphantom
for a GE multileaf collimator.
Phys. Med. Biol. 1997;42: 521–36.
Pawlickia T and Mundt A J. 2007. Quality
in radiation oncology. Med. Phys.2007; 34:
Galvin J M, Smith A R, Moeller R D,
Goodman R L, Powlis W D, Rubenstein J,
et al. Int. J. Radiat. Oncol. Biol. Phys.1992;
: 789.
Ezzell GA, Galvin JM, Low D, Palta JR,
Rosen I, Sharpe MB, et al. 2003.Guidance
document on delivery, treatment planning,
and clinical implementation of IMRT:
Report of the IMRT subcommittee of the
AAPM radiation therapy committee. Med. Phys. 2003;30(8):2089-115.
Kairn T, Kenny J, Crowe S B, Fielding A L,
Franich R D, Johnston P N, et al 2010.
Modelling a complex micro-multileaf
collimator using the standard BEAMnrc
distribution. Medical Physics.2010; 37(4):
-7.
TG-106, American Association of
Physicists in Medicine Radiation.
Accelerator beam data commissioning
equipment and procedures: Report of the
TG-106 of the Therapy Physics Committee
of the AAPM .Medical Physics Publishing.
Hwang I-M, Lind S-Y, Lee M-S, Wang CJ,
Chuang K-S, Ding H-J. 2002.An
effective method for smoothing the
staggered dose distribution of multi-leaf
collimator field edge. Nuclear Instruments
and Methods in Physics Research .2002;
: 132–8.
Kotb O M, Elshahat K M, Eldebawi N M
and Mansour N A.2013. Dosimetric
evaluation of the multileaf collimator for
irregular shaped radiation fields. IOSRJAP.
, 5(3):57-63.
Xia P and Verhey L J.2001. Delivery
systems of intensity-modulated
radiotherapy Using conventional multileaf
collimators. Medical Dosimetry.2001;26(2):
–77.
Jeraj M, Robar V.2004. Multileaf
collimator in radiotherapy. RadiolOncol
; 38(3): 235-40.
Taherkhan A, Mohammad M, Saboori M S,
Changizi V.2010. Evaluation of the
physical characteristic of Cerrobend blocks
used for radiation therapy. Iran. J. Radiat.
Res., 2010; 8 (2): 93-101.
LoSasso T, Chui C-S, and Clifton Ling
C.1998. Physical and dosimetric aspects of
a multileaf collimation system used in the
dynamic mode for implementing intensity
modulated radiotherapy. Med. Phys.1998;
:10.
Den J, Pawlicki T, Chen Y, Li J, Jiang S B
and Ma C-M.2001. The MLC tongue and
groove effect on IMRT dose distributions.
Phys. Med. Biol.2001; 46: 1039–60.
Pasquino M, Borca V C, Catuzzo P,
Ozzello F, and Tofani S.
Transmission, penumbra and leaf
positional accuracy in commissioning and
quality assurance program of a multileaf
collimator for step and shoot IMRT
treatments. Tumori.2006; 92: 511-6.
Sykes J R, Williams P C.1998. An
experimental investigation of the T&G
effect for the Philips multileaf collimator.
Phys Med Biol.1998; 43: 3157- 65.
Garwood P.2007. World Health
Organization's Fight against Cancer:
StrategiesThat Prevent Cure and Care.
World Health Organization. Geneva,
Switzerland; 2007.
AAPM (American Association of Physicists
in Medicine): Basic applications of
multileaf collimators. Report 72 of AAPM
Radiation Therapy Committee Task Group
Medical Physics Publishing, Madison,
WI, 2001.
Bucciolini M, BanciBuonamici F, Casati
M.2004. Verification of IMRT fields by
film dosimetry. Med Phys.2004; 31: 161-8.
Lee M-S, Liao W-T, Lo S-H, Chen F-L,
Wong S-W, Sheng C-H, Hsu W-L.2004.
Characterization of Delivery Systems for
Intensity Modulated Radiation Therapy Using a Step-and-Shoot Approach. Tzu Chi
Med J. 2004.16( 6).
García-Garduño O A , Celis M A, Manue J
, Gutiérrez L, Moreno-Jiménez S, Martínez-
Dávalos A, and Rodríguez-Villafuerte
M.2008. Radiation transmission, leakage
and beam penumbra measurements of a
micro-multileaf collimator using
GafChromic EBT film. Jacmp..2008; 9(3).
Hounsell A R, Jordan T J.1997. Quality
control aspects of the Philips multileaf
collimator. Radiotherapy and
Oncology.1997; 45: 225–33.
Arnfield M R, Siebers J V, Kim J O, Wu Q,
Keall P J, Mohan R. A method for
determining multileaf collimator
transmission and scatter for dynamic
intensity modulated radiotherapy. Med.
Phys. 200; 27 (10).
Podder T K, Bednarz G , Yu Y, Galvin J
M. 2011.Physical characterization and
comparison of two commercially available
micro-MLCs. PhysicaMedica .2011; 27:52-
Sharma D S, Dongre P M, Mhatre V,
Heigrujam M.2011. Physical and dosimetric
characteristic of high-definition multileaf
collimator (HDMLC) for SRS and IMRT.
Jacmp.2011; 12( 3): 3475.
Klein EE, Harms W B, Low D A, and
Purdy J A.1995. Clinical implementation of
a commercial multileaf collimator:
dosimetry, networking, simulation, and
quality assurance.Int J Radiat. Oncol.Biol.
Phys.1995; 33: 1195-208.
Njeh CF, Caroprese B, Desai P. 2012.A
simple quality assurance test tool for the
visual verification of light and radiation
field congruent using electronic portal
images device and computed radiography.
Radiation Oncology 2012, 7:49.
Jordan T J, and Williams P C. 1994.The
design and performance characteristics of a
multileafcollimator.Phys Med
Biol.1994;39:231-51.
Yu C X, Symons M J, Du M N, Martinez
AA, and Wong J. 1995.A method for
implementing dynamic photon beam
intensity modulation using independent
jaws and a multileaf collimator. Phys. Med.
Biol. 1995; 40: 769– 87.
Khan F M. Treatment Planning in Radiation
Oncology,2nd Edition. Baltimore: William
& Wilkins, (2007):99-116.
Khan F M.The Physics of Radiation
Therapy, 4th Edition. Baltimore: William &
Wilkins, (2010).
ICRU report 24. Washington (DC),
(2000)54.
El-Maraghy K A, Metwaly M, El-Sayed E
M, Sallam A M. 2014.A quality assurance
technique for the static multileaf collimator
mode based on intrinsic base
lines.JRRAS.2014;7(2):230-40.
E.B. Podgorsak, P. Metcalfe, and J.V. Dyk,
Int. J. Radiat. Oncol. Biol.Phys.,
(1999)371.
Liu Y, Shi C, Tynan P, Papanikolaou N.
Dosimetric characteristics of duallayer
multileaf collimation for small-field
and intensity-modulated radiation therapy
applications. Journal of Applied Clinical
Medical Physics.2008; 9(2):2709.
Sykes J R, Williams P C.1998. An
experimental investigation of the T&G
effect for the Philips multileaf collimator.
Phys Med Biol.1998; 43: 3157- 65.
All Content should be original and unpublished.