title: Physical and dosimetric aspects of a multileaf collimation system used in the dynamic mode for implementing intensity modulated radiotherapy.
abstract: The use of a multileaf collimator in the dynamic mode to perform intensity modulated radiotherapy became a reality at our institution in 1995. Unlike treatment with static fields using a multileaf collimator, there are significant dosimetric issues which must be assessed before dynamic therapy can be implemented. We have performed a series of calculations and measurements to quantify head scatter for small fields, collimator transmission, and the transmission through rounded leaf ends. If not accounted for, these factors affect the delivered dose to the prostate by 5%-20% for a typical plan. Data obtained with ion chambers and radiographic film are presented for both 6 and 15 MV x-ray beams. The impact on the delivered dose of the mechanical accuracy of the multileaf collimator, achieved during leaf position calibration and maintained during dose delivery, is also discussed.
authors.affiliation: Department of Medical Physics, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA. losassot@mskcc.org
authors.forename: T
authors.initials: T
authors.lastname: LoSasso
authors.forename: C S
authors.initials: CS
authors.lastname: Chui
authors.forename: C C
authors.initials: CC
authors.lastname: Ling
mesh_terms: D055592:Biophysical Phenomena; D001703:Biophysics; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000532:radiotherapy; D019047:Phantoms, Imaging; D011471:Prostatic Neoplasms / Q000532:radiotherapy; D011785:Quality Assurance, Health Care; D011874:Radiometry / Q000295:instrumentation / Q000592:standards / Q000706:statistics & numerical data; D011880:Radiotherapy Planning, Computer-Assisted / Q000295:instrumentation* / Q000592:standards / Q000706:statistics & numerical data; D011882:Radiotherapy, High-Energy / Q000295:instrumentation / Q000592:standards / Q000706:statistics & numerical data; D012542:Scattering, Radiation; D014962:X-Ray Film