A strategy to minimize errors from differential intrafraction organ motion using a single configuration for a 'breathing' multileaf collimator.

Abstract:

:Intensity-modulated radiation therapy (IMRT) can be delivered by the 'sliding-leaves' dynamic multileaf collimator (DMLC) technique. Intrafraction organ motion can be accommodated by arranging an identical tracking motion for 'breathing leaves'. However, this is only possible for very specific circumstances such as regular, mathematically parameterizable, rigid-body, density-conserving, one-dimensional translations. In this paper, we investigate what happens when planes of tissue in the line of sight of the MLC have differential motion with respect to the moving leaves. In this situation, there is no solution to the problem and a perfect tracking motion cannot be arranged. However, an iterative minimization-of-errors 'solution' (or strategy) can be found and the technique is presented for this. From this, under certain mathematically simple differential motions it is possible to obtain some elegant algebraic solutions which are presented. In general, however, a lengthy computational minimization is required and results of examples of these are presented.

journal_name

Phys Med Biol

authors

Webb S,Binnie DM

doi

10.1088/0031-9155/51/18/005

subject

Has Abstract

pub_date

2006-09-21 00:00:00

pages

4517-31

issue

18

eissn

0031-9155

issn

1361-6560

pii

S0031-9155(06)25864-0

journal_volume

51

pub_type

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