Stepped leaf edges are the major limitation of conforming to the prescribed treatment contour defined by the conventional multileaf collimator (MLC), which produces a scalloped dose pattern. The commercial HD-270 MLC (HDI) technique provides a software solution of the conventional MLC to achieve smoothed edge and optimal penumbra of the MLC shaped field. We implemented the HDI functionality on a 3D treatment planning system and compared the dosimetric effects of the HDI delivery in simulation with those in experiment for a number of the MLC fields. The fields from the contour of varied shapes with different sizes of the leaf stepping were tested for the HDI delivery. There is a good agreement of the dose distribution between the calculation as implemented in the planning system and the measurement performed on the treatment machine. It has been shown that the HDI delivery significantly smooths the stepped field edge with the reduced isodose undulation and effective penumbra. A problem may be present when the HDI is applied for the treatment of the circular contour of smaller diameter, and the conformity of the MLC shaping may not be achievable satisfactorily with the existing system. The optimization of leaf configuration is suggested to improve the conformity of the HDI technique. The HDI planning then can be used to assist in the decision making of applying the HDI treatment delivery.

译文

:叶片边缘呈阶梯状是符合常规多叶准直仪(MLC)所定义的规定治疗轮廓的主要限制,它会产生扇贝形的剂量模式。商业HD-270 MLC(HDI)技术提供了常规MLC的软件解决方案,以实现MLC成形场的平滑边缘和最佳半影。我们在3D治疗计划系统上实现了HDI功能,并将HDI交付在模拟中的剂量效应与在许多MLC领域的实验中的剂量效应进行了比较。测试了来自不同形状轮廓和不同叶阶大小的区域的HDI交付情况。在计划系统中执行的计算与在治疗机上执行的测量之间的剂量分布有很好的一致性。业已表明,HDI的输送显着平滑了阶梯状的场边缘,并减少了等剂量的起伏和有效的半影。当将HDI应用于较小直径的圆形轮廓的处理时,可能会出现问题,并且现有系统可能无法令人满意地实现MLC成形的一致性。建议优化叶配置以提高HDI技术的一致性。然后,可以使用HDI规划来协助做出应用HDI处理交付的决策。

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