Intensity modulated arc deliveries approximated by a large number of fixed gantry position sliding window dynamic multileaf collimator fields.

Abstract:

:The intensity modulated arc has been proposed as an alternative to tomotherapy. Treatment planing systems more typically model the conventional step and shoot or sliding window dynamic multileaf collimator (DMLC) deliveries, and may not support intensity modulated arc therapy (IMAT). As well, another potential drawback to this technique is that increasing the number of intensity levels required to achieve certain dose distributions necessitates increasing the number of gantry passes, as may occur if the desired dose distribution is complex (e.g., concave or bifurcated), potentially increasing the overall treatment time. A technique is presented here for the delivery of tomotherapy like dose distributions in a single gantry pass by the use of a large number of fields modulated by a sliding window DMLC technique from fixed equally spaced gantry positions. This serves as a good approximation to either IMAT or tomotherapy deliveries. The planning of these fields is achieved using iterative filtered back projection. Measured results of deliveries of varying degrees of complexity on a homogeneous phantom are compared to desired distributions.

journal_name

Med Phys

journal_title

Medical physics

authors

MacKenzie MA,Robinson DM

doi

10.1118/1.1508110

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

2359-65

issue

10

eissn

0094-2405

issn

2473-4209

journal_volume

29

pub_type

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