Balog J P, Mackie T R, Wenman D L, Glass M, Fang G, Pearson D
Department of Medical Physics, University of Wisconsin at Madison, 53706, USA.
Med Phys. 1999 Feb;26(2):176-86. doi: 10.1118/1.598501.
Multileaf collimators (MLCs) have advanced past their original design purpose as a replacement for field shaping cerrobend blocks. Typically, MLCs incorporate an interlocking tongue-and-groove design between adjacent leaves to minimize leakage between leaves. They are beginning to be used to provide intensity modulation for conformal three-dimensional radiation therapy. It is possible that a critical target volume may receive an underdose due to the region of overlap if adjacent leaves are allowed to alternate between the open and closed positions, as they might if intensity modulation is employed. This work demonstrates the magnitude of that effect for a commercially available one-dimensional temporally modulated MLC. The magnitude of the transmission between leaves as a function of leaf separation was also studied, as well as the transmission as a function of leaf rotation away from the source. The results of this work were used for the design of a tomotherapy MLC. The radiation leakage considerations for a tomotherapy MLC are discussed.
多叶准直器(MLCs)已经超越了其最初作为替代铅挡块进行射野塑形的设计目的。通常,多叶准直器在相邻叶片之间采用互锁的榫槽设计,以尽量减少叶片间的泄漏。它们开始被用于为适形三维放射治疗提供强度调制。如果允许相邻叶片在打开和关闭位置之间交替,就像在采用强度调制时那样,关键靶区可能会因重叠区域而接受剂量不足。这项工作展示了一种商用一维时间调制多叶准直器这种效应的大小。还研究了叶片间透射率随叶片间距的变化情况,以及透射率随叶片远离源旋转的变化情况。这项工作的结果被用于断层放射治疗多叶准直器的设计。讨论了断层放射治疗多叶准直器的辐射泄漏问题。