background: inclusion of inhomogeneity corrections in intensity modulated small fields always makes conformal irradiation of lung tumor very complicated in accurate dose delivery. objective: in the present study, the performance of five algorithms via monte carlo, pencil beam, convolution, fast superposition and superposition were evaluated in lung cancer intensity modulated radiotherapy planni...

The purpose of this study was to create AAPM TG 119 benchmark plans for volumetric arc therapy (VMAT) and to compare VMAT plans with IMRT plan data. AAPM TG 119 proposes a set of test clinical cases for testing the accuracy of IMRT planning and delivery system. For these test cases, we generated two treatment plans, the first plan using 7-9 static dMLC IMRT fields and a second plan utilizing on...

INTRODUCTION Results of use of methodology for VMAT commissioning and quality assurance, utilizing both control point tests and dosimetric measurements are presented. METHODS AND MATERIALS A generalizable, phantom measurement approach is used to characterize the accuracy of the measurement system. Correction for angular response of the measurement system and inclusion of couch structures are ...

Benchmarking Flattening Filter-Free Photons for IMRT/VMAT using TG119 By Sarah Ashmeg Graduate Program in Medical Physics Duke University Date: _______________________ Approved: ___________________________ Jennifer O’Daniel, Co-Supervisor ___________________________ Fang-Fang Yin, Co-Supervisor ___________________________ Timothy Turkington An abstract of a thesis submitted in partial fulfillme...

Nasopharyngeal carcinoma is an endemic disease within specific regions in the world. Radiotherapy is the main treatment. In recent decades, intensity-modulated radiation therapy has undergone a rapid evolution. Compared with two-dimensional radiotherapy and/or three-dimensional conformal radiotherapy, evidence has shown it may improve quality of life and prognosis for patients with nasopharynge...

A new method of generating wedge-shaped dose distributions through dynamic multileaf collimator dose delivery rather than computer-controlled jaw motion is presented. The method starts with the calculation of a wedge-shaped beam profile for the desired wedge angle. The resultant wedge beam profile is then passed to the intensity-modulated radiation therapy (IMRT) leaf sequence generation algori...

PURPOSE Scattered radiation from multi-leaf collimators (MLCs) is no longer negligible for calculating in-air output ratio, Sc for small and irregular fields often used in intensity-modulated radiation therapy (IMRT). An extra-focal source model for scattered radiation from MLCs, namely MLC scatter source, has been developed to improve the accuracy of the Sc calculation. METHODS A conventiona...

The build-up dose in the megavoltage photon beams can be a limiting factor in intensity-modulated radiation therapy (IMRT) treatments. Excessive surface dose can cause patient discomfort and treatment interruptions, while underdosing may lead to tumor repopulation and local failure. Dose in the build-up region was investigated for IMRT delivery with solid brass compensator technique(compensator...

BACKGROUND This study aimed to assess the recent changes of radiation therapy (RT) modalities in Korea. In particular, we focused on intensity-modulated radiation therapy (IMRT) utilization as the main index, presenting the application status of advanced RT. METHODS We collected information from the Korean Health and Insurance Review and Assessment Service data based on the National Health In...

External radiation beam treatment of cancer tumours involves delivery of invisible radiation beams through the body where internal structures can not be seen. Beam targeting of patient anatomy has to very accurate to achieve the desired therapeutic result. Good understanding of radiotherapy treatment (RT) concepts is essential to training. This paper presents a virtual environment simulator dev...