Commissioning of a micro-MLC (mMLC) for Stereotactic Radiosurgery

방사선수술용 4뱅크 마이크로 다엽콜리메이터의 인수 검사

  • Jeong, Dong-Hyeok (Department of Radiation Oncology, School of Medicine, Wonkwang University) ;
  • Shin, Kyo-Chul (Department of Radiation Oncology, Dankook University Hospital) ;
  • Kim, Jeung-Kee (Department of Radiation Oncology, Dong-A University Hospital) ;
  • Kim, Soo-Kon (Department of Radiation Oncology, Kangwon University Hospital) ;
  • Moon, Sun-Rock (Department of Radiation Oncology, School of Medicine, Wonkwang University) ;
  • Lee, Kang-Kyoo (Department of Radiation Oncology, School of Medicine, Wonkwang University)
  • 정동혁 (원광대학교병원 방사선종양학과) ;
  • 신교철 (단국대학교병원 방사선종양학과) ;
  • 김정기 (동아대학교병원 방사선종양학과) ;
  • 김수곤 (강원대학교병원 방사선종양학과) ;
  • 문성록 (원광대학교병원 방사선종양학과) ;
  • 이강규 (원광대학교병원 방사선종양학과)
  • Published : 2009.03.31

Abstract

The 4 bank mico-MLC (mMLC; Acculeaf, Direx, Isral) has been commissioned for clinical use of linac based stereotactic radiosurgery. The geometrical parameters to control the leaves were determined and comparisons between measured and calculated by the calculation model were performed in terms of absolute dose (cGy/100 MU). As a result of evaluating calculated dose for various field sizes and depths of 5 and 10 cm in water in the geometric condition of fixed SSD (source to surface distance) and fixed SCD (source to chamber distance), most of differences were within 1% for 6 MV and 15 MV x-rays. The penumbral widths at the isocenter were approximately evaluated to 0.29~0.43 cm depending on the field size for 6 MV and 0.36~0.51 cm for 15 MV x-rays. The average transmission and leakage for 6 MV and 15 MV x-rays were 6.6% and 7.4% respectively in single level of leaves fully closed. In case of dual level of leaves fully closed the measured transmission is approximately 0.5% for both 6 MV and 15 MV x-rays. Through the commissiong procedure we could verify the dose characteristics of mMLC and approximately evaluate the error ranges for treatment planning system.

본 연구에서는 방사선수술용 4뱅크 마이크로다엽콜리메이터(micro-multileaf collimator: mMLC)인 Acculeaf (Direx, Isral)의 가동을 위하여 인수 검사를 실시하였다. mMLC의 제어에 필요한 기하학적 요소들을 결정하고 선량계산 모델에 의해 계산한 결과를 절대선량(cGy/100 MU)의 측면에서 측정과 비교하였다. 고정된 SSD (source to surface distance) 및 SCD(source to chamber distance) 조건에서 다양한 조사면과 깊이 5 cm와 10 cm에 대하여 계산값을 평가한 결과 6 MV와 15MV x-선에 대하여 대부분 1.0% 이내로 일치하였다. 반음영의 크기는 조사면에 의존하면서 6 MV에 대하여 0.29~0.43cm 범위 그리고 15 MV에 대하여 0.36~0.51 cm 범위로 평가되었다. 엽의 투과 및 누설의 측정결과 단층 엽들에 대하여 평균 6.6% (6 MV) 및 7.4% (15 MV) 그리고 겹층 엽들에 대하여 평균 약 0.5% (6 and 15 MV)로 나타났다. 인수검사를 통하여 mMLC의 선량적 특성을 확인할 수 있었으며 치료계획시스템의 오차범위를 근사적으로 평가할 수 있었다.

Keywords

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