DOI QR코드

DOI QR Code

이중으로 집중된 동적 미세 다엽콜리메이터의 선량학적 특성 평가

Evaluation of Dosimetric Characteristics of a Double-focused Dynamic Micro-Multileaf Collimator (DMLC)

  • 김애란 (가톨릭대학교 의과대학 의공학교실) ;
  • 서재혁 (가톨릭대학교 의과대학 의공학교실) ;
  • 신헌주 (가톨릭대학교 의과대학 의공학교실) ;
  • 박형욱 (경기대학교 의학물리학과) ;
  • 이기웅 (경기대학교 의학물리학과) ;
  • 이재춘 (경기대학교 의학물리학과) ;
  • 김신욱 (가톨릭대학교 의과대학 의공학교실) ;
  • 김지나 (가톨릭대학교 의과대학 의공학교실) ;
  • 박혜리 (전주예수병원 방사선종양학과) ;
  • 이희관 (전주예수병원 방사선종양학과) ;
  • 강영남 (가톨릭대학교 서울성모병원 방사선종양학과)
  • Kim, Ae Ran (Department of Biomedical Engineering, College of Medicine, The Catholic University of Korea) ;
  • Seo, Jae-Hyuk (Department of Biomedical Engineering, College of Medicine, The Catholic University of Korea) ;
  • Shin, Hun-Joo (Department of Biomedical Engineering, College of Medicine, The Catholic University of Korea) ;
  • Park, Hyeong Wook (Department of Medical Physics, Kyonggi University of Korea) ;
  • Lee, Ki Woong (Department of Medical Physics, Kyonggi University of Korea) ;
  • Lee, Jae Choon (Department of Medical Physics, Kyonggi University of Korea) ;
  • Kim, Shin-Wook (Department of Biomedical Engineering, College of Medicine, The Catholic University of Korea) ;
  • Kim, Ji Na (Department of Biomedical Engineering, College of Medicine, The Catholic University of Korea) ;
  • Park, Hyeli (Department of Radiation Oncology, Presbyterian Medical Center of Korea) ;
  • Lee, Heui-Kwan (Department of Radiation Oncology, Presbyterian Medical Center of Korea) ;
  • Kang, Young-Nam (Department of Radiation Oncology, Seoul St. Mary's Hospital, The Catholic University of Korea)
  • 투고 : 2015.12.01
  • 심사 : 2015.12.28
  • 발행 : 2015.12.31

초록

이중으로 집중된 미세 다엽콜리메이터(Double-focused micro Multileaf Collimator: ${\mu}MLC$)는 보통의 다엽콜리메이터(Multileaf Collimator: MLC)에 비하여 조사면 가장자리 부분의 선량을 급격하게 줄여준다. 이러한 특성 때문에, 미세 다엽 콜리메이터는 정위적 방사선 수술과 치료(Stereotactic Radio-Surgery/RadioTtherapy, SRS/SRT)에 사용되어 왔다. 우리는 Elekta Synergy 선형가속기에 이중으로 집중된 동적 미세 다엽콜리메이터(Double-focused Dynamic micro-Multileaf Collimator: DMLC)를 부착하여 선량학적 특성을 평가하였다. 본 연구에서는, 필름(GafChromic EBT2 film), EDGE 다이오드 검출기, 3차원 물 팬텀을 이용하였다. 깊이선량백분율(Percent Depth Dose, PDD), 엽 투과도(leaf leakage), 반그림자(Penumbra)를 측정하였고, 모든 데이터들은 6MV 광자선으로 측정하였다. 그 결과, DMLC가 1% 이내의 투과도를 갖는것을 확인할 수 있었다. DMLC는 이중으로 집중 되는 구조를 가졌기 때문에 반 그림자가 조사야 크기에 대하여 독립적인 것을 확인하였다. 본 연구에서는 DMLC의 선량학적 특성을 바탕으로, Elekta Synergy에 부착된 DMLC의 적용 가능성을 증명하였다.

Double-focused micro-Multileaf Collimator (${\mu}MLC$) is able to create radiation fields having sharper dose gradients at the field edges than common MLC. Therefore, ${\mu}MLC$ has been used for the stereotactic radiosurgery (SRS) and Stereotactic Radiotherapy (SRT). We evaluated the dosimetric characteristics of a doublefocused Dynamic-${\mu}MLC$ (DMLC) attached to the Elekta Synergy linear accelerator. For this study, the dosimetric parameters including, Percent Depth Dose (PDD), Leaf leakage and penumbra, have been measured by using of the radiochromic films (GafChromic EBT2), EDGE diode detector and three-dimensional water phantom. All datas were measured on 6 MV x-ray. As a result, The DMLC shows transmission below to 1% and because of double-focused construction of the DMLC, the penumbras of fields with DMLC are independent from the field sizes. In this paper, the resulting dosimetric evaluations proved the applicability of the DMLC attached to the Elekta Synergy linear accelerator.

키워드

참고문헌

  1. Bortfeld T, Oelfke U, Nill S, What is the optimum leaf width of a multileaf collimator? Med Phys 27(11):2494-502 (2000) https://doi.org/10.1118/1.1319524
  2. Fischer M, Todorovic M, Drud E, and Cremers F, Commissioning of a double-focused micro multileaf collimator (${\mu}MLC$). J Appl Clin Med Phys 11(2):81-91 (2010) https://doi.org/10.1120/jacmp.v11i2.3131
  3. AAPM Report No. 72: Basic Applications of Multileaf Collimators, Report of Task Group 50 (2001)
  4. Meeks SL, Bova FJ, Kim S, Tome WA, and Buatti JM, Dosimetric characteristics of a double-focused miniature multileaf collimator. Med Phys 26(5):729-733 (1999) https://doi.org/10.1118/1.598579
  5. Galal MM, Keogh S, and Khalil S, Dosimetric and mechanical characteristics of a commercial dynamic ${\mu}MLC$ used in SRS Med Phys 38(7):4225 (2011) https://doi.org/10.1118/1.3601018
  6. Gonzalez W, Lallena AM, Alfonso R, Monte Carlo simulation of the dynamic micro-multileaf collimator of a LINAC Elekta Precise using PENELOPE. Phys Med Biol 56(11):3417-3431 (2011) https://doi.org/10.1088/0031-9155/56/11/015
  7. Yu CX, Design considerations for the sides of multileaf collimator leaves. Phys Med Biol 43:1335-1342 (1998) https://doi.org/10.1088/0031-9155/43/5/022
  8. Bayouth JE, Morrill SM, MLC dosimetric characteristics for small field and IMRT applications, Med Phys 30(9) :2545-52 (2003) https://doi.org/10.1118/1.1603743
  9. Garcia-Garduno OA, Celis MA, Manuel J, et al., Radiation transmission, leakage and beam penumbra measurements of a micro-multileaf collimator using GafChromic EBT Film. J Appl Clin Med Phys 9(3):2802 (2008)