Dynamic multi-leaf collimator, which has the function of radiation beam shaping, is a key executive component of tumor precise radiotherapy, and plays a core role in improving the accuracy, efficiency and quality of radiotherapy. A new type of collimator leaf end structure with circular arc and plane combination was studied, and collimator penumbra performance analysis model combining analytical expression and graphic analysis was developed. The influence of leaf end structure on penumbra was analyzed quantitatively, and a set of three-dimensional structure design of dynamic multi-leaf collimator was completed. The feasibility of the structural design and analysis model was verified through experimental measurements.
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http://dx.doi.org/10.3969/j.issn.1671-7104.2023.04.005 | DOI Listing |
Med Phys
November 2024
Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Background: The multi-leaf collimator (MLC) is an advanced device utilized for beam shaping and intensity modulation in radiotherapy. With the framework of the contemporary single-layer MLC featuring a rounded leaf tip, the leaf tip transmission and leakage exert a considerable influence on radiotherapy.
Purpose: To scale down the leakage and transmission from the leaf gap when the opposite leaves are closed.
Cureus
September 2024
Department of Radiology, Aichi Medical University, Nagakute, JPN.
Introduction Volumetric-modulated arcs (VMA) can produce dose distributions suitable for stereotactic radiosurgery (SRS) with a multi-leaf collimator (MLC) for brain metastases (BMs). The treatment planning and verification for VMA are more complicated than for dynamic conformal arcs. The longer the preparation time from image acquisition to the start of irradiation, the higher the risk of tumor growth and/or displacement.
View Article and Find Full Text PDFRadiol Phys Technol
December 2024
Department of Radiation Physics, Kidwai Memorial Institute of Oncology, Bengaluru, India.
Asian Pac J Cancer Prev
July 2024
Department of Radiotherapy, Children's Cancer Hospital, Egypt.
Aim: This study aimed to evaluate the efficacy of static or step-and-shoot intensity-modulated radiotherapy (ssIMRT) and dynamic intensity-modulated radiotherapy (dIMRT) delivery techniques for various treatment sites.
Materials And Methods: The treatment planning system (TPS) was utilized to develop optimal treatment plans for twenty-seven patients selected for this comparative study, including nine with head and neck cancer, nine with prostate cancer, and nine with cervical cancer. The prescribed doses were 7000cGy/33fr, 7425cGy/33fr, and 5000cGy/25fr for the nasopharynx, prostate, and cervix cases, respectively, in both ssIMRT and dIMRT delivery techniques.
Med Phys
October 2024
Department of Radiation Oncology, Yonsei Cancer Center, Heavy Ion Therapy Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
Background: Intensity modulation with dynamic multi-leaf collimator (MLC) and monitor unit (MU) changes across control points (CPs) characterizes volumetric modulated arc therapy (VMAT). The increased uncertainty in plan deliverability required patient-specific quality assurance (PSQA), which remained inefficient upon Quality Assurance (QA) failure. To prevent waste before QA, plan complexity metrics (PCMs) and machine learning models with the metrics were generated, which were lack of providing CP-specific information upon QA failures.
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