title: A jaw calibration method to provide a homogeneous dose distribution in the matching region when using a monoisocentric beam split technique.
abstract: OBJECTIVE
  Asymmetric collimators are currently available in most of linear accelerators. They involve a lot of clinical improvements, such as the monoisocentric beam split technique that is more and more used in many external radiotherapy treatments. The tolerance established for each independent jaw positioning is 1 mm. Within this tolerance, a gap or overlap of the collimators up to 2 mm can occur in the half beams matching region, causing dose heterogeneities up to 40%. In order to solve this dosimetric problem, we propose an accurate jaw calibration method based on the Monte Carlo modeling of linac photon beams.
  
  
  METHODS
  Simulating different jaw misalignments, the dose distribution occurring in the matching region for each particular configuration is precisely known, so we can relate the misalignment of the jaws with the maximum heterogeneity produced. From experimental measurements using film dosimetry, and taking into account Monte Carlo results, we obtain the actual misalignment of each jaw. By direct inspection of the readings of the potentiometers that control the position of the jaws, high precision correction can be performed, adjusting the obtained misalignments.
  
  
  RESULTS
  In the linac studied, the dose heterogeneity in the junction performed with X jaws (those farther from the source), and 6 MV photon beam was initially over 12%, although each jaw was within the tolerance in position. After jaw calibration, the heterogeneity was reduced to below 3%.
  
  
  CONCLUSIONS
  With this method, we are able to reduce the positioning accuracy to 0.2 mm. Consequently, the dose distribution in the junction of abutted fields is highly smoothed, achieving the maximum dose heterogeneity to be less than 3%.
authors.affiliation: Servicio de Radiofísica y Protección Radiológica, Complejo Asistencial de León, Altos de Nava s/n, E-24071 León, España. elenaceni@hotmail.com
authors.forename: E
authors.initials: E
authors.lastname: Cenizo
authors.forename: S
authors.initials: S
authors.lastname: García-Pareja
authors.forename: P
authors.initials: P
authors.lastname: Galán
authors.forename: C
authors.initials: C
authors.lastname: Bodineau
authors.forename: F
authors.initials: F
authors.lastname: Caudepón
authors.forename: F J
authors.initials: FJ
authors.lastname: Casado
mesh_terms: D000465:Algorithms; D002138:Calibration; D003627:Data Interpretation, Statistical; D011874:Radiometry / Q000379:methods*; D011879:Radiotherapy Dosage; D011880:Radiotherapy Planning, Computer-Assisted / Q000379:methods*; D020266:Radiotherapy, Conformal / Q000295:instrumentation* / Q000592:standards