Jabbari Keyvan, Akbari Muhaddeseh, Tavakoli Mohamad Bagher, Amouheidari Alireza
Department of Medical Physics and Medical Engineering, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Radiation Oncology, Isfahan Milad Hospital, Isfahan, Iran.
Adv Biomed Res. 2016 Dec 27;5:193. doi: 10.4103/2277-9175.190986. eCollection 2016.
One of the standard equipment in medical linear accelerators is multi-leaf collimators (MLCs); which is used as a replacement for lead shielding. MLC's advantages are a reduction of the treatment time, the simplicity of treatment, and better dose distribution. The main disadvantage of MLC is the radiation leakages from the edges and between the leaves. The purpose of this study was to determine the effect of various treatment parameters in the magnitude of MLC leakage in linear accelerators.
This project was performed with ONCOR Siemens linear accelerators. The amount of radiation leakage was determined by film dosimetry method. The films were Kodak-extended dose range-2, and the beams were 6 MV and 18 MV photons. In another part of the experiment, the fluctuation of the leakage was measured at various depths and fields.
The amount of leakage was generally up to 1.5 ± 0.2% for both energies. The results showed that the level of the leakage and the amount of dose fluctuation depends on the field size and depth of measurement. The amount of the leakage fluctuations in all energies was decreased with increasing of field size. The variation of the leakage versus field size was similar to the inverse of scattering collimator factor.
The amount of leakage was more for 18 MV compare to 6 MV The percentage of the leakage for both energies is less than the 5% value which is recommended by protocols. The fluctuation of the MLC leakage reduced by increasing the field size and depth.
医用直线加速器的标准设备之一是多叶准直器(MLC);它被用作铅屏蔽的替代品。MLC的优点是减少治疗时间、治疗简单且剂量分布更好。MLC的主要缺点是叶片边缘和叶片之间存在辐射泄漏。本研究的目的是确定各种治疗参数对直线加速器中MLC泄漏量的影响。
本项目使用西门子ONCOR直线加速器进行。辐射泄漏量通过胶片剂量测定法确定。胶片为柯达扩展剂量范围-2,射线束为6兆伏和18兆伏光子。在实验的另一部分,在不同深度和射野下测量泄漏的波动情况。
两种能量下的泄漏量一般高达1.5±0.2%。结果表明,泄漏水平和剂量波动量取决于射野大小和测量深度。随着射野大小的增加,所有能量下的泄漏波动量均减小。泄漏量随射野大小的变化类似于散射准直器因子的倒数。
18兆伏时的泄漏量比6兆伏时更多。两种能量下的泄漏百分比均小于协议推荐的5%值。通过增加射野大小和深度,MLC泄漏的波动减小。