Respiratory gated VMAT (volumetric modulated arc therapy) repeats rapid stop and go operations of a MLC (multileaf collimator) by turning the beam on and off by respiratory gating. The rapid stop and go operations of the MLC during respiratory gated irradiation may induce position error of the MLC and may affect output error and dose distribution. The purpose of this study was to clarify the relationship between the MLC position accuracy of the respiratory gated VMAT and the VMAT parameters.
View Article and Find Full Text PDFNihon Hoshasen Gijutsu Gakkai Zasshi
March 2019
Purpose: The purpose of this research is to clarify the effects of low monitor unit (MU) on multileaf collimator (MLC) position accuracy and dose distribution in intensity modulated radiotherapy (IMRT) using respiratory gated.
Method: In the phantom experiment, irradiation without respiratory gated and respiratory gated with low MU (3, 5, and 7 MU) were performed, and positional accuracy and dose distribution of MLC were analyzed. MLC positional accuracy was calculated from the log-files and the MLC position error, gap size error, MLC leaf speed were calculated and compared with the planned value.