The use of a realistic VMAT delivery emulator to optimize dynamic machine parameters for improved treatment efficiency.

Abstract:

:The delivery of volumetric modulated arc therapy (VMAT) requires the simultaneous movement of the linear accelerator gantry, multi-leaf collimators and jaws while the dose rate is varied. In this study, a VMAT delivery emulator was developed to accurately predict the characteristics of a given treatment plan, incorporating realistic parameters for gantry inertia and the variation in leaf speed with respect to gravity. The emulator was used to assess the impact of dynamic machine parameters on the delivery efficiency, using a set of prostate and head and neck VMAT plans. Initially, assuming a VMAT system with fixed dose rate bins, the allowable leaf and jaw speeds were increased and a significant improvement in treatment time and average dose rate was observed. The software was then adapted to simulate a VMAT system with continuously varying dose rate, and the increase in delivery efficiency was quantified, along with the impact of an increased leaf and jaw speed. Finally, a set of optimal dynamic machine parameters was derived assuming an idealized scenario in which the treatment is delivered in a single arc at constant maximum gantry speed.

journal_name

Phys Med Biol

authors

Boylan CJ,Rowbottom CG,Mackay RI

doi

10.1088/0031-9155/56/13/024

subject

Has Abstract

pub_date

2011-07-07 00:00:00

pages

4119-33

issue

13

eissn

0031-9155

issn

1361-6560

pii

S0031-9155(11)88340-5

journal_volume

56

pub_type

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