Introduction Intensity Modulated Radiation Therapy (IMRT) has made a significant progress in radiation therapy centers in recent years. In this method, each radiation beam is divided into many subfields that create a field with a modulated intensity. Considering the complexity of this method, the quality control for IMRT is a topic of interest for researchers. This article is about the various ...

Introduction: The presence of heterogeneities such as air-filled cavities in the head and neck treatment fields region, may result in potential dosimetric disagreement because the losses of charged particle equilibrium. Most of treatments planning systems are not able to predict dose distribution of inhomogeneities region accurately. Therefore, dose calculation algorithms need to...

We analyzed a number of cases about the Linac troubles in our hospital and have examined the effect of preventive maintenance with Weibull analysis and exponential distribution from April 2001 to March 2012. The total failure by irradiation disabled was 1, 192. (1) Medical linear accelerator (MLC) system was 24.0%, (2) radiation dosimetry system 13.1%, and the (3) cooling-water system was 26.5%...

AIM The RapidArc commissioning and Acceptance Testing program will test and ensure accuracy in DMLC position, precise dose-rate control during gantry rotation and accurate control of gantry speed. BACKGROUND Recently, we have upgraded our linear accelerator capable of performing IMRT which was functional from 2007 with image guided RapidArc facility. The installation of VMAT in the existing l...

Accuracy and precision of leaf positioning in multileaf collimators (MLCs) are significant factors for the accuracy of IMRT treatments. This study aimed to inves-tigate the accuracy and repeatability of the MLC leaf positioning via the DAVID invivo dosimetric system for dynamic and static MLC systems. The DAVID system was designed as multiwire transmission ionization chamber which is placed in ...

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...

An editable rounded leaf offset (RLO) table is provided in the Pinnacle3 treatment planning software. Default tables are provided for major linear accelerator manu- facturers, but it is not clear how the default table values should be adjusted by the user to optimize agreement between the calculated leaf tip value and the actual measured value. Since we wish for the calculated MLC-defined field...

background: stereotactic radiosurgery is an important clinical tool for the treatment of small lesions in the brain, including benign conditions, malignant and localized metastatic tumors. a dosimetry study was performed for elekta ‘synergy s ’ as a dedicated stereotactic radiosurgery unit, capable of generating circular radiation fields with diameters of 1-5 cm at isocentre using the beam/egs4...

The complexity of VMAT delivery requires new methods and potentially new tools for the commissioning of these systems. It appears that great consideration is needed for quality assurance (QA) of these treatments since there are limited devices that are dedicated to the QA of rotational delivery. In this present study, we have evaluated the consistency and reproducibility of one prostate and one...