Document Detail


IMRT delivery performance with a varian multileaf collimator.
MedLine Citation:
PMID:  18406945     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of a multileaf collimator (MLC) for intensity-modulated radiotherapy poses unique dosimetric issues. The nature of intensity-modulated radiotherapy dosimetry, centered on leaf position accuracy, is common to all MLCs. However, the mechanical and software designs of MLCs from the different manufacturers distinguish them. This report focused on the Varian Millennium 120, although the concepts are applicable to the earlier Varian Mark series as well. The factors that affect dose delivery in clinical fields (i.e., mechanical tolerances, motor fatigue, and latency effects) have been quantified. Moreover, inadequate modeling of the MLC in the planning system can be perceived as erratic performance. Individually, some problems have been shown to be insignificant; others are correctable using software. If these problems are rectified or at least understood by the physicist, quality assurance can be simplified.
Authors:
Thomas Losasso
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  International journal of radiation oncology, biology, physics     Volume:  71     ISSN:  0360-3016     ISO Abbreviation:  Int. J. Radiat. Oncol. Biol. Phys.     Publication Date:  2008  
Date Detail:
Created Date:  2008-04-14     Completed Date:  2008-06-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7603616     Medline TA:  Int J Radiat Oncol Biol Phys     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S85-8     Citation Subset:  IM    
Affiliation:
Department of Medical Physics, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA. losassot@mskcc.org
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MeSH Terms
Descriptor/Qualifier:
Calibration / standards
Equipment Design
Equipment Failure Analysis
Mechanics
Particle Accelerators / instrumentation,  standards*
Quality Control
Radiotherapy Dosage
Radiotherapy Planning, Computer-Assisted / standards*
Radiotherapy, Intensity-Modulated / instrumentation*,  standards
Scattering, Radiation
Software / standards*
Technology, Radiologic / instrumentation,  standards

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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