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Dosimetric Comparison Between Two Multileaf Collimator Systems for Stereotactic Radiosurgery and Radiotherapy

J Chow

K Asnaashari1, J Chow2*, M Heydarian2, (1) Tehran University of Medical Science, Tehran, Iran (2) Princess Margaret Hospital, Toronto, ON.

SU-E-T-411 Sunday 3:00:00 PM - 6:00:00 PM Room: Exhibit Hall

Purpose: This aim of this study is to compare the dosimetric parameters of two multileaf collimator (MLC) systems: (1) the beam modulator (BM), which is the MLC commercial name for Elekta 'Synergy S' linear accelerator; and (2) Radionics micro-MLC (MMLC).

Methods: Dosimetric parameters of percentage depth dose (PDD), in-plane and cross-plane beam profile, penumbra, MLC leakage and transmission for a 6 MV photon beam with different field sizes and depths were measured using ionization chamber, film, solid water phantom and water tank. At the same time, the BM and MMLC were modeled using the BEAMnrc code and the above dosimetric parameters were calculated using Monte Carlo simulations. Energy fluence spectra for the two MLC were determined using the BEAMnrc and BEAMDP.

Results: We found that dosimetric parameters (PDD, beam profile, energy fluence spectra, leakage and transmission) of the two MLC were similar, except for penumbra. The leaf-side and leaf-end 20%-80% penumbras at 10 cm depth for a 10x10 cm² field were 4.8 and 5.1 mm for the MMLC and 5.3 mm and 6.3 mm for the BM, respectively. The maximum percentage of the leakage for the BM and MMLC are 1.3% and 1.2%, while the average percentage of leakage for the BM and MMLC are 0.9% and 1%.

Conclusions: Based on their dosimetric characteristics for stereotactic radiosurgery and radiotherapy, it can be concluded that both the BM and MMLC can be used effectively, though the latter showed slightly sharper dose penumbra especially in the leaf-end direction. However, the BM has the advantages of producing considerably larger field at isocenter and having a greater isocenter clearance compared to the MMLC. The dosimetric data in this study should help radiotherapy staff to appreciate dependence of dosimetry on the MLC design and configuration for stereotactic radiosurgery and radiotherapy.

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