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Elliptical Source Model for IMRT and VMAT with Complex Modulation

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G Tang

G Tang*, S Lim , T LoSasso , Memorial Sloan-Kettering Cancer Center, New York, NY


SU-E-T-440 Sunday 3:00PM - 6:00PM Room: Exhibit Hall

Purpose: To improve dose calculation accuracy for highly modulated fields in IMRT and VMAT using an elliptical source model.

Methods: For 2 TrueBeam linacs equipped with Millennium and HD MLCs, the source model of 6 and 15 MV beams was optimized with adjustments of the focal spot dimensions in the Varian Eclipse TPS. Starting from the measured focal spot size of 1.75 x 1.75 mm, the y-dimension of the source was varied while the x-dimension was kept constant. In addition, all other modeling parameters such as the extrafocal source and dosimetric leaf gap remained unchanged. The different models were compared with measured penumbra for jaws and MLC using ion chamber and diode. For 2 IMRT and 2 VMAT cases, the calculated doses were compared with radiochromic film and EPID measurements.

Results: A source size of 1.75 x 0.75 mm was found to be optimal for beam modeling. The calculated penumbra (80-20) of a MLC-defined open field was within 0.8 mm compare to measurement for both the inline and crossline profile for various field sizes and depths. The dose gradients in the direction perpendicular to the MLC travel direction was better modeled compared to the source model with a circular focal spot of 1.75 mm for the fields with rigorous MLC modulation. Local differences up to 8% were found in those regions.

Conclusion: The conventional source model using a symmetric focal spot tends to overestimate the penumbra perpendicular to the MLC travel direction, resulting in an inaccurate dose calculation especially for fields with complex MLC modulation. This can be improved with an elliptical source model and it can be considered as a standard as IMRT and VMAT treatments are becoming a norm for the clinic.

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