치료용 가속기에 대한 Multileaf Collimator의 소프트웨어 개발 및 임상적용

Software Development and Clinical Application of a Multileaf Collimator on Linear Accelerator

The use of multileaf collimator(MLC) to replace conventional field-shaping techniques is not in itself expected to improve the local control of malignancy. The purpose for using MLCs in conventional radiation oncology is to improve the efficiency of treatment delivery. For effective clinical application of MLCs to shaped radiation field, field outline must be translated into MLC leaf position tables. The intended leaf positions contained in these tables must then be communicated to the control computer that drives the MLC. There are currently at least three techniques utilized by manufacturers of MLCs and treatment planning systems for doing this. The Varian series use a workstation employing a manual digitizer and light box especially. It has a third level MLC configuration and also has the option of placing the wedges above or below the block tray. The C language are used for development of software and three leaf coverage have been used for positioning MLC loaves at the nominal field boundary. The fit of the leaf shape to treatment target volumes are optimized by the rotation of the direction in leaf travel. The clinical application of this software are investigated for Varian MLCs used in linear accelerator of Yonsei Cancer Center. The advantage of the results with using this software is to prescribe and calculate exposed and blocked area in MLCs field.