title: A method for testing the performance and the accuracy of the binary MLC used in helical tomotherapy.
abstract: During a helical tomotherapy a binary MLC is used for fluence modulation. The 64 pneumatically driven leaves of the MLC are either completely open or closed. The fast and frequent leaf movements result in a high demand of accuracy and stability of the MLC. This article is based on the analytical investigation of the accuracy and the stability of the MLC. Different patterns of MLC movements were generated to investigate the characteristics of the MLC. One of the considered aspects contains the friction between the leaves. The influence of variations of the compressed air on the MLC was also explored. The integrated MVCT detector of the tomotherapy system deposits the treatment data in a matrix. The detector is triggered with the linear accelerator, which is pulsed by 300Hz. The data matrix is available after the treatment. An IDL (Interactive Data Language) routine was programmed in order to analyse the matrix. The points of time, at which the leaves open (POT), and the period, in which the leaves stay open (LOT), were measured and compared with the desired values. That procedure has been repeated several times a week for approximately 6 months to investigate the stability of the MLC. Relative deviations of the LOT from -0.4% to -5.4% were measured. The friction between the leaves had no significant influence on the LOT. The available compressed air, that is used to move the leaves, depends on the number of moving leaves and also on the previous movements of the MLC. Variations of the compressed air resulted in deviations of the LOT from -1.8% to -3.7%. The measured POT deviates from the programmed POT up to -18.4ms±0.7ms. This maximal deviation correlates with a shift of the gantry angle of 0.52̊ which is negligible. The MLC has shown a stable behaviour over the 6 months. A separate consideration of the leaves showed no higher standard deviation of the LOT than ±0.7ms during the investigated time. The variation between the different leaves is much higher than the deviations of LOT caused by friction and changes of compressed air. The deviations of the LOT vary between -2.6ms and -11.0ms. The developed method is feasible in order to recognize a deterioration of the MLC performance.
authors.affiliation: Department of Radiation Oncology, University Hospital Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany. steffen.lissner@med.uni-heidelberg.de
authors.forename: Steffen
authors.initials: S
authors.lastname: Lissner
authors.forename: Kai
authors.initials: K
authors.lastname: Schubert
authors.forename: Sebastian
authors.initials: S
authors.lastname: Klüter
authors.forename: Dieter
authors.initials: D
authors.lastname: Oetzel
authors.forename: Jürgen
authors.initials: J
authors.lastname: Debus
mesh_terms: D000465:Algorithms; D017076:Computer-Aided Design; D019544:Equipment Failure Analysis / Q000295:instrumentation* / Q000379:methods*; D020266:Radiotherapy, Conformal / Q000295:instrumentation* / Q000379:methods*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity