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Title: Determination of the optimal tolerance for MLC positioning in sliding window and VMAT techniques

Purpose: Several authors have recommended a 2 mm tolerance for multileaf collimator (MLC) positioning in sliding window treatments. In volumetric modulated arc therapy (VMAT) treatments, however, the optimal tolerance for MLC positioning remains unknown. In this paper, the authors present the results of a multicenter study to determine the optimal tolerance for both techniques. Methods: The procedure used is based on dynalog file analysis. The study was carried out using seven Varian linear accelerators from five different centers. Dynalogs were collected from over 100 000 clinical treatments and in-house software was used to compute the number of tolerance faults as a function of the user-defined tolerance. Thus, the optimal value for this tolerance, defined as the lowest achievable value, was investigated. Results: Dynalog files accurately predict the number of tolerance faults as a function of the tolerance value, especially for low fault incidences. All MLCs behaved similarly and the Millennium120 and the HD120 models yielded comparable results. In sliding window techniques, the number of beams with an incidence of hold-offs >1% rapidly decreases for a tolerance of 1.5 mm. In VMAT techniques, the number of tolerance faults sharply drops for tolerances around 2 mm. For a tolerance of 2.5 mm, lessmore » than 0.1% of the VMAT arcs presented tolerance faults. Conclusions: Dynalog analysis provides a feasible method for investigating the optimal tolerance for MLC positioning in dynamic fields. In sliding window treatments, the tolerance of 2 mm was found to be adequate, although it can be reduced to 1.5 mm. In VMAT treatments, the typically used 5 mm tolerance is excessively high. Instead, a tolerance of 2.5 mm is recommended.« less
Authors:
;  [1] ;  [2] ;  [3] ;  [4] ;  [5]
  1. Department of Medical Physics, Hospital Sant Joan de Reus, IISPV, Tarragona 43204 (Spain)
  2. Department of Radiation Oncology, Hospital Quirón, Barcelona 08023 (Spain)
  3. Department of Medical Physics, Institut Català d’Oncologia, Girona 17007 (Spain)
  4. Department of Medical Physics, Institut Català d’Oncologia, L’Hospitalet de Llobregat 08908 (Spain)
  5. Department of Medical Physics, Hospital de la Santa Creu i Sant Pau, Barcelona 08041 (Spain)
Publication Date:
OSTI Identifier:
22413519
Resource Type:
Journal Article
Resource Relation:
Journal Name: Medical Physics; Journal Volume: 42; Journal Issue: 4; Other Information: (c) 2015 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
07 ISOTOPES AND RADIATION SOURCES; COLLIMATORS; LINEAR ACCELERATORS; OPTIMIZATION; POSITIONING; RADIOTHERAPY