Document Detail


Independent verification using portal imaging of intensity-modulated beam delivery by the dynamic MLC technique.
MedLine Citation:
PMID:  9800694     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of intensity-modulated radiation fields in radiotherapy treatment has been shown to have the potential to deliver highly conformal dose distributions. One technique for delivering these intensity-modulated beams is a computerized dynamic multileaf collimator (MLC). A major current impediment to the development of dynamic MLC therapy is verification of these highly complex treatments. Electronic portal imaging is shown here to be a solution to this verification problem. Experimental results are presented showing that leaf penumbra measured with a portal imager can be used to accurately define the positions of moving leaves. The random error in these leaf positions is compared with mean leaf positions along each leaf bank and specified leaf positions at prescription control points to check mechanical performance. Individual leaves are also checked for systematic motion errors. All leaf positions are found to be well within the manufacturer's specifications at all times. Finally, integral intensity images are presented that can be related to the dose distribution delivered. Portal imaging is shown to have the potential to become a valuable tool for the verification of dynamic MLC irradiation.
Authors:
M Partridge; P M Evans; A Mosleh-Shirazi; D Convery
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medical physics     Volume:  25     ISSN:  0094-2405     ISO Abbreviation:  Med Phys     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-01-19     Completed Date:  1999-01-19     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0425746     Medline TA:  Med Phys     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1872-9     Citation Subset:  IM    
Affiliation:
Joint Department of Physics, Royal Marsden NHS Trust, Sutton, United Kingdom. mikep@icr.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Biophysical Phenomena
Biophysics
Humans
Models, Theoretical
Neoplasms / radiotherapy
Particle Accelerators
Radiotherapy Planning, Computer-Assisted / methods*,  statistics & numerical data
Radiotherapy, High-Energy / methods,  statistics & numerical data

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


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