A conventional treatment machine shapes x-ray fields by a set of dense metal collimators(jaws) built into the machine. These collimators are positioned by the therapist using hand controls in the treatment room, and usually remain stationary during treatment. The collimator jaws of treatment machines produce rectangular beams. Conventional beam shaping is accomplished through the use of a combination of these collimator jaws and secondary custom beam blocks attached to the accelerator beyond the collimator Jaws. The jaw positions for a particular field can be retrieved from a computer. One application of this increased capability is replacement of beam blocks for field-shaping with the MLC. There are three basic applications of the MLC. The first application is to replace conventional blocking. A second function of the MLC is related to conformal therapy, adjusting the field shape to match the beam's eye view projection of a planning target volume during treatment. The third application is the use of the MLC to achieve beam intensity modulation. The aim of this paper is to provide basic principle and to state fundamental concepts needed to implement the use of a multileaf collimator in the conventional clinical setting. The use of MLC field shaping is likely to save time and to incur a lower operating cost when compared to the use of beam blocks.
The Journal of Korean Society for Radiation Therapy
/
v.11
no.1
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pp.6-10
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1999
The field size can be beam output, therefore MonitorUnit can be varied due to field size dependence The purpose of this study is to evaluate and compare the dose variation according to exchange of collimator The measurements were perfomed with Wellhofer dosimetry system(water phantom. ion chamber. electrometer. system controller. build up cap. etc)and two types of linear accerlerator (Mevatron KD, MevatronMX) Scatter can be affected to field size dependence and scatter correction is separated into collimator and phantom components, scatter components can affect by exchanging of collimator Measurements of collimator scatter factor(Sc) was done in air with build up cap. 1)Square field (5cm2 to 40cm2) was measured 2)and then keeping the upper jaw constant at loom and varing lower jaw from 5cm to 40cm, 3)keeping the lower jaw constant at 10cm and varing upper jaw from 5cm to 40cm Measurements of total scatter factor(Scp) was done in water at Dmax as the procedure of collimator scatter factor measurements in water Dmax The total scatter factors were obtained to the following equation(Sp=Scp/Sc) The measured data is normalized to the data of reference field size($10{\times}10$), rectangular field is inverted to equivalent field to compare three field size data As the collimator setting is varied, the output was changed In conclusion, the error was obtained small but it must be eliminated if we intend to reach the common stated goal of $5\%$ overall uncertainty in dose determination
Kim, Hyeon Yeong;Chang, Nam Jun;Jung, Hae Youn;Jeong, Yun Ju;Won, Hui Su;Seok, Jin Yong
The Journal of Korean Society for Radiation Therapy
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v.32
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pp.61-71
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2020
Purpose: To investigate the effect of collimator angle on plan quality of PAN-Pelvis Multi-isocenter VMAT plan, dose reproducibility at the junction and impact on set-up error at the junction. Material and method: 10 adult patients with whole pelvis cancer including PAN were selected for the study. Using Trubeam STx equipped with HD MLC, we changed the collimator angle to 20°, 30°, and 45° except 10° which was the default collimator angle in the Eclipse(version 13.7) and all other treatment conditions were set to be the same for each patient and four plans were established also. To evaluate these plans, PTV coverage, coverage index(CVI) and homogeneity index (HI) were compared and clinical indicators for each treatment sites in normal tissues were analyzed. To evaluate dose reproducibility at the junction, the absolute dose was measured using a Falmer type ionization chamber and dose changes at the junction were evaluated by moving the position of the isocenter in and out 1~3mm and setting up the virtual volume at the junction. Result: CVI mean value was PTV-45 0.985±0.004, PTV-55 0.998±0.003 at 45° and HI mean value was PTV-45 1.140±0.074, and PTV-55 1.031±0.074 at 45° which were closest to 1. V20Gy of the kidneys decreased by 9.66% and average dose of bladder and V30 decreased by 1.88% and 2.16% at 45° compared to 10° for the critical organs. The dose value at the junction of the plan and the actual measured were within 0.3% and within tolerance. At the junction, due to set-up error the maximum dose increased to 14.56%, 9.88%, 8.03%, and 7.05%, at 10°, 20°, 30°, 45°, and the minimum dose decreased to 13.18%, 10.91%, 8.42%, and 4.53%, at 10°, 20°, 30°, 45° Conclusion: In terms of CVI, HI of PTV and critical organ protection, overall improved values were shown as the collimator angle increased. The impact on set-up error at the junction by collimator angle decreased as the angle increased and it will help improve the anxiety about the set up error. In conclusion, the collimator angle should be recognized as a factor that can affect the quality of the multi-isocenter VMAT plan and the dose at the junction, and be careful in setting the collimator angle in the treatment plan.
The behavior of the correction factor associated with the collimator opening(head-scatter factor) were investigated for the 6MV x-ray beams of medical linear accelerator. The primary photon fluence was measured in air quasi-small fied size. Consideration in this study was given to the effect of head scatter factor with quasi-small fied size, the upper and lower collimator jaw scatter collection factors of quasi-small field (4-10cm) were measured with ion chamber. In general, the wedge factors which are used clinical practics are ignored of dependency on field sizes and depth. In wedge factors for each wedge filter were measured at various depth by using 6MV X-ray. In this present we inverstigated systematically the depth and field sizes dependency to determine the absorbed dose more accurately. Head scatter(upper-lower collimator jaw)appears to be (1) a small effect, less than 5% over the range of clinical field sizes (2) generated primarily at the flattening filter and therefored influenced most by the upper collimator setting.
Kim, Chong Mi;Yun, In Ha;Hong, Dong Gi;Back, Geum Mun
The Journal of Korean Society for Radiation Therapy
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v.26
no.2
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pp.233-238
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2014
Purpose : The Varian's Eclipse radiation treatment planning system is able to correct radiation treatment thought leaf gap which is limitation MLC movement for collision with both MLC. In this study, I'm try to analyze dosimetric effect about the leaf gap in treatment planning system. And then apply to clinical implement. Materials and Methods : The Elclipse version is 10.0. In general, the leaf gap set to 0.05~0.3 mm and must measurement each leaf gap. The leaf gap measured by each LINACs and photons. We applied to measured each leaf gap in IMRT and VMAT. Changing the leaf gap, we evaluated treatment plans by Dmax, CI, etc. Results : When the same plan was evaluated with changing the leaf gap, an increase of 2-5% over the value Dmax, CI increases mm to 0.0~0.50 mm leaf gap. Volumetric modulated and intensity modulated radiation therapy plans all showed the same trend was not found significant between each radiation treatment planning. Conclusion : Generally, the leaf gap setting has a unique measure of the Multileaf collimator. However, the aging of the Multileaf collimator, calibration, and can be changed, after inspection and repair of the lip gap should eventually because these values affect the treatment plan must be applied to the treatment after confirmation. In some cases, may be to maintain the initial setting value of the lip gap, which is undesirable because it can override the influence on the treatment plan.
Kim, Ji-Hyeon;Son, Hyeon-Soo;Lee, Juyoung;Park, Hoon-Hee
The Korean Journal of Nuclear Medicine Technology
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v.21
no.2
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pp.55-64
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2017
Purpose Recently, with the spread of SPECT/CT, various image correction methods can be applied quickly and accurately, which enabled us to expect quantitative accuracy as well as image quality improvement. Among them, the Collimator Detector Response(CDR) recovery is a correction method aiming at resolution recovery by compensating the blurring effect generated from the distance between the detector and the object. The purpose of this study is to find out quantitative change depending on the change in detection distance in SPECT/CT images with CDR recovery applied. Materials and Methods In order to find out the error of acquisition count depending on the change of detection distance, we set the detection distance according to the obit type as X, Y axis radius 30cm for circular, X, Y axis radius 21cm, 10cm for non-circular and non-circular auto(=auto body contouring, ABC_spacing limit 1cm) and applied reconstruction methods by dividing them into Astonish(3D-OSEM with CDR recovery) and OSEM(w/o CDR recovery) to find out the difference in activity recovery depending on the use of CDR recovery. At this time, attenuation correction, scatter correction, and decay correction were applied to all images. For the quantitative evaluation, calibration scan(cylindrical phantom, $^{99m}TcO_4$ 123.3 MBq, water 9293 ml) was obtained for the purpose of calculating the calibration factor(CF). For the phantom scan, a 50 cc syringe was filled with 31 ml of water and a phantom image was obtained by setting $^{99m}TcO_4$ 123.3 MBq. We set the VOI(volume of interest) in the entire volume of the syringe in the phantom image to measure total counts for each condition and obtained the error of the measured value against true value set by setting CF to check the quantitative accuracy according to the correction. Results The calculated CF was 154.28 (Bq/ml/cps/ml) and the measured values against true values in each conditional image were analyzed to be circular 87.5%, non-circular 90.1%, ABC 91.3% and circular 93.6%, non-circular 93.6%, ABC 93.9% in OSEM and Astonish, respectively. The closer the detection distance, the higher the accuracy of OSEM, and Astonish showed almost similar values regardless of distance. The error was the largest in the OSEM circular(-13.5%) and the smallest in the Astonish ABC(-6.1%). Conclusion SPECT/CT images showed that when the distance compensation is made through the application of CDR recovery, the detection distance shows almost the same quantitative accuracy as the proximity detection even under the distant condition, and accurate correction is possible without being affected by the change in detection distance.
In this study, we evaluated image quality by changing collimator length and detector thickness using the Geant4 Application for Tomographic Emission (GATE) simulation tool. The gamma camera based on the Cadimium Zinc Telluride (CZT) and NaI detectors is modeled. In addition the images were acquired by setting 1, 2, 3, 4, 5, and 6 cm collimator length and 1, 3, 5, and 7 mm detector thickness using point source and phantom, which is designed by each diameter (4.45, 3.80, 3.15, 2.55 mm) with 447, 382, 317, and 256 Bq. The sensitivity (cps/MBq) for point source, and signal to noise ratio (SNR) and profile for phantom at the 4.45 mm by drwan the region of interests were used for quantitative analysis. Based on the results, the sensitivity according to collimator length is 2.3 ~ 48.6 cps/MBq for CZT detector, and 1.8 ~ 43.9 cps/MBq for NaI detector. The SNR using phantom is 3.6~9.8 for CZT detector, and 2.9~9.5 for NaI detector. As the collimator length is increased, the image resolution is also improved according to profile results based on the CZT and NaI detector. In addition, the senistivity for detector thickness is 0.04 ~ 0.12 cps/MBq for CZT detector, and 0.03 ~ 0.11 cps/MBq. The SNR using phnatom is 7.3~9.8 count for CZT detector, and 5.9~9.5 for NaI detector. As the detector thickness is increased, the image resolution is decreased according to profile results based on the CZT and NaI detector due to scatter ray. In conclusion, we need to set the geometric material such as detector and collimator to acuquire suitable image quality in nuclear medicine.
Kyung Hee university invented the Transformable Reflective Telescope (TRT) for optical experiment and education. The TRT kit can transform into three optical configurations from Newtonian to Cassegrain to Gregorian by exchanging the secondary mirror. We designed the Ebert-Fastie spectrograph as an extension of the TRT kit. The primary mirror of the TRT kit serves as both collimator and camera lens, and the reflective grating as the dispersing element is placed along the optical axis of the primary mirror. We designed and fabricated the grating holder and the source units using 3D printer. Baffle was also fabricated to suppress the stray light, which was reduced by 83%. The spectrograph can observe the optical wavelength range (4000Å~7000Å). Measured resolving power (R=λ/Δλ) was ~700 with slit width of 0.18mm. The spectrograph is optimized for f/24, and the spectral pixel scale is 0.49Å/pixel with Canon 550D detector. We present the sample spectra of discharged Ne, Ar and Kr gases. The flexible setting and high performance make this spectrograph a useful tool for education and experiment.
Patient dose verification is one of the most Important responsibilities of the physician in the treatment delivery of radiation therapy. For the task, it is necessary to use an accurate dosimeter that can verify the patient dose profile, and it is also necessary to determine the physical characteristics of beams used in intensity modulated radiation therapy (IMRT) The Beam Intensity Scanner (BInS) System is presented for the dosimetric verification of the two dimensional photon beam. The BInS has a scintillator, made of phosphor Terbium-doped Gadolinium Oxysulphide (Gd$_2$O$_2$S:Tb), to produce fluorescence from the irradiation of photon and electron beams. These fluoroscopic signals are collected and digitized by a digital video camera (DVC) and then processed by custom made software to express the relative dose profile in a 3 dimensional (3D) plot. As an application of the BInS, measurements related to IWRT are made and presented in this work. Using a static multileaf collimator (SMLC) technique, the intensity modulated beam (IMB) is delivered via a sequence of static portals made by controlled leaves. Thus, when static subfields are generated by a sequence of abutting portals, the penumbras and scattered photons of the delivered beams overlap in abutting field regions and this results in the creation of “hot spots”. Using the BInS, inter-step “hot spots” inherent in SMLC are measured and an empirical method to remove them is proposed. Another major MLC technique in IMRT, the dynamic multileaf collimator (DMLC) technique, has different characteristics from SMLC due to a different leaf operation mechanism during the irradiation of photon and electron beams. By using the BInS, the actual delivered doses by SMLC and DMLC techniques are measured and compared. Even if the planned dose to a target volume is equal in our experimental setting, the actual delivered dose by DMLC technique is measured to be larger by 14.8% than that by SMLC, and this is due to scattered photons and contaminant electrons at d$_{max}$.
This study was an investigation of the anode heel effect caused by changing the angle of the x-ray tube. We established the following conditions for experimental measurements: 70 kV, 30 mAs, focus-detector distance of 100cm, and a collimator setting of $35{\times}43cm^2$. The measurement points were set up at the center of the collimator and extended to each side in intervals of 3.5cm, with points A1, A2, A3, A4, A5, A6 on the anode side and points C1, C2, C3, C4, C5, C6 on the cathode side. We measured the entrance surface dose from point A6 to point C6 with each point perpendicular to an x-ray tube. And we did the same when measuring different angles of the x-ray tube from 15 to 30 degrees for every point on the anode and cathode sides. Using perpendicular x-ray tube, we found that the entrance surface dose of the A5 point was three times higher than that of the C5 point. Thus, we conclude that if the anode side is placed near highly radiosensitive organs, then there will be less radiation exposure when using a perpendicular x-ray tube. When imaging using x-ray tube angles, an angle to the cathode side can reduce the gap of the entrance surface dose on both the anode and cathode sides. When imaging areas where there are differences in thickness between the upper and lower sides, the angle to the cathode side that is closer to the thicker area can reduce the gap of the entrance surface dose and capture a higher quality image.
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