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 Bioljournal_title
Physics in medicine and biologyauthors
Boylan CJ,Rowbottom CG,Mackay RIdoi
10.1088/0031-9155/56/13/024subject
Has Abstractpub_date
2011-07-07 00:00:00pages
4119-33issue
13eissn
0031-9155issn
1361-6560pii
S0031-9155(11)88340-5journal_volume
56pub_type
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