A multileaf collimator phantom for the quality assurance of radiation therapy planning systems and CT simulators.
OBJECTIVE
The evolution of three-dimensional conformal radiation treatment has led to the use of multileaf collimators (MLCs) in intensity-modulated radiation therapy (IMRT) and other treatment techniques to increase the conformity of the dose distribution. A new quality assurance (QA) phantom has been designed to check the handling of MLC settings in treatment planning and delivery.


METHODS
The phantom consists of a Perspex block with stepped edges that can be rotated in all planes. The design allows for the assessment of several MLC and micro-MLC types from various manufacturers, and is therefore applicable to most radiation therapy institutions employing MLCs. The phantom is computed tomography (CT) scanned as is a patient, and QA assessments can be made of field edge display for a variety of shapes and orientations on both radiation treatment planning systems (RTPS) and computed tomography simulators.


RESULTS
The dimensions of the phantom were verified to be physically correct within an uncertainty range of 0-0.7 mm. Errors in leaf position larger than 1 mm were easily identified by multiple observers.


CONCLUSIONS
The MLC geometry phantom is a useful tool in the QA of radiation therapy with application to RTPS, CT simulators, and virtual simulation packages with MLC display capabilities.
McNiven
Andrea
A
Department of Medical Biophysics, University of Western Ontario, London Regional Cancer Centre, London, Ontario, Canada N6A 4L6.
Kron
Tomas
T
Van Dyk
Jake
J
D000465:Algorithms; D002138:Calibration; D004867:Equipment Design; D010315:Particle Accelerators; D019047:Phantoms, Imaging / Q000592:standards*; D011786:Quality Control; D011880:Radiotherapy Planning, Computer-Assisted / Q000592:standards*; D020266:Radiotherapy, Conformal / Q000592:standards*; D014057:Tomography, X-Ray Computed