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Small Field Dosimetry: Output Factors for Fixed Cones, Iris Collimator and MLC Fields for the CyberKnife M6™ System with Newly Released InCise™ Multileaf Collimator

M Huq

M Saiful Huq*, Y Zhang , C Ozhasoglu , S Jang , D Heron , R Lalonde , UPMC CancerCenter, Pittsburgh, PA


SU-E-T-706 (Sunday, July 12, 2015) 3:00 PM - 6:00 PM Room: Exhibit Hall

Purpose: Accuray has recently released a new collimator, the InCise™ Multileaf Collimator (MLC), for clinical use with the CyberKnife M6™ System. This work reports the results of measurements of output factors (OF) for fields shaped by the InCise™ Multileaf collimator, Iris collimator and fixed cones.

Methods: The MLC consists of 41 pairs of 2.5 mm wide leaves projecting a minimum and maximum field size of 7.6 mm x 7.5 mm and 110 mm x 97.5 mm at 800 mm SAD. OF measurements were made using 6 different detectors: PTW stereotactic and electron diodes, PTW microDiamond detector, Sun Nuclear Edge diode, IBA SFD diode and PFD 3G photon diode. Measurements were made for 14 MLC field sizes and 12 cone/Iris field sizes (5mm to 60 mm diameter field sizes). All measurements were made in a Wellhofer water tank at the depth of maximum dose. Correction factors from Francescon et al (PMB 59, 2014, N11-N17; 17, 2012 3741-3748) were used to correct the diode responses for the fixed cone and Iris measurements.

Results: For the MLC fields no correction factors are currently available. For the cones and Iris collimator, the average of corrected OF for all diodes ranged from 0.651 ± 0.014 (5mm cone) to 0.994 ± 0.001 (50 mm cone); for the Iris collimator the corresponding values are 0.510 ±0.004 and 0.997 ±0.000 respectively. The OF for the MLC field sizes ranged from 0.806 ±0.009 for the 7.6 mm x 7.5 mm field to 1.023± 0.003 for the 110 mm x 97.5 mm field size.

Conclusion:The present results are the first set of output factor data reported for the InCise™ MLC, Iris collimator and the fixed cones for the CyberKnife M6™ system. Good agreement is obtained among all the corrected data for the cones and Iris data.

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