Department of Medical Physics, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA.
Department of Human Oncology, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA.
J Appl Clin Med Phys. 2022 Aug;23(8):e13646. doi: 10.1002/acm2.13646. Epub 2022 May 20.
We investigated the hypothesis that the transmission function of rounded end linearly traveling multileaf collimators (MLCs) is constant with position. This assumption is made by some MLC models used in clinical treatment planning systems (TPSs) and in the Varian MLC calibration convention. If not constant, this would have implications for treatment plan QA results.
A two-dimensional ray-tracing tool to generate transmission curves as a function of leaf position was created and validated. The curves for clinically available leaf tip positions (-20 to 20 cm) were analyzed to determine the location of the beam edge (half-attenuation X-ray [XR]) location, the beam edge broadening (BEB, 80%-20% width), as well as the leaf tip zone width. More generalized scenarios were then simulated to elucidate trends as a function of leaf tip radius.
In the analysis of the Varian high-definition MLC, two regions were identified: a quasi-static inner region centered about central axis (CAX), and an outer one, in which large deviations were observed. A phenomenon was identified where the half-attenuation ray position, relative to that of the tip or tangential ray, increases dramatically at definitive points from CAX. Similar behavior is seen for BEB. An analysis shows that as the leaf radius parameter value is made smaller, the size of the quasi-static region is greater (and vice versa).
The MLC transmission curve properties determined by this study have implications both for MLC position calibrations and modeling within TPSs. Two-dimensional ray tracing can be utilized to identify where simple behaviors hold, and where they deviate. These results can help clinical physicists engage with vendors to improve MLC models, subsequent fluence calculations, and hence dose calculation accuracy.
我们研究了这样一个假设,即圆形末端线性移动多叶准直器(MLC)的传输函数随位置保持不变。某些用于临床治疗计划系统(TPS)和瓦里安 MLC 校准规范中的 MLC 模型都采用了这一假设。如果这一假设不成立,将会对治疗计划 QA 结果产生影响。
创建并验证了一个二维射线追踪工具,用于生成随叶片位置变化的传输曲线。分析了临床可用的叶片尖端位置(-20 至 20 cm)的曲线,以确定光束边缘(半衰减 X 射线[XR])位置、光束边缘展宽(BEB,80%-20%宽度)以及叶片尖端区域宽度。然后模拟了更一般的情况,以阐明作为叶片尖端半径函数的趋势。
在对瓦里安高分辨率 MLC 的分析中,确定了两个区域:一个以中心轴(CAX)为中心的准静态内部区域,以及一个外部区域,在该区域中观察到了较大的偏差。确定了一个现象,即半衰减射线的位置,相对于尖端或切向射线的位置,在离 CAX 确定的点处会急剧增加。BEB 也有类似的表现。分析表明,随着叶片半径参数值变小,准静态区域的尺寸会变大(反之亦然)。
本研究确定的 MLC 传输曲线特性对 MLC 位置校准和 TPS 内建模都有影响。二维射线追踪可用于确定简单行为存在的位置以及它们偏离的位置。这些结果可以帮助临床物理学家与供应商合作,改进 MLC 模型、后续的剂量分布计算,从而提高剂量计算的准确性。