Purpose: In the last years, some studies investigated dosimetric benefits of a free flattening filter for the photon mode in the radiotherapy field. This study aims to provide a theoretical study published and analysis of basic dosimetric properties for a Saturne 43 Linac head to implement free flattening filter beams clinically. Material and Methods: Thi...

This paper describes the Insight Toolkit (ITK) Conformal Flattening filter: itkConformalFlatteningFilter. This ITK filter is an implementation of a paper by Sigurd Angenent, et al., “On the Laplace-Beltrami Operator and Brain Surface Flattening” [1]. This filter performs an angle preserving map of any genus zero (i.e. no handles) surface to the sphere or, alternatively, to the plane. In this pa...

Introduction: This study aimed to measure the neutron contamination of flattening filter (FF) and flattening filter-free (FFF) 10-MV photon beams delivered by the Elekta InfinityTM accelerator. Material and Methods: The photoneutron spectrum produced by the Linac head was evaluated using a Monte Carlo (MC) simulation. The geometry ...

In principle, the concept of flat initial radiation-dose distribution across the beam is unnecessary for intensity modulated radiation therapy. Dynamic leaf positioning during irradiation could appropriately adjust the fluence distribution of an unflattened beam that is peaked in the center and deliver the desired uniform or nonuniform dose distribution. Removing the flattening filter could lea...

Flattening filter-free (FFF) beams are becoming the preferred beam type for stereotactic radiosurgery (SRS) and stereotactic ablative radiation therapy (SABR), as they enable an increase in dose rate and a decrease in treatment time. This work assesses the effects of the flattening filter on small field output factors for 6 MV beams generated by both Elekta and Varian linear accelerators, and d...

The objective of this study was to assess the feasibility of stereotactic radiotherapy for early stage lung cancer using photon beams from a Varian Clinac accelerator operated without a flattening filter. Treatment plans were generated for 10 lung cancer patients with isolated lesions less than 3 cm in diameter. For each patient, two plans were generated, one with and one without the flattening...