Accuracy of Dynamic Multileaf Position and Influence of Beam Profile According to Change in Dose Monitor Unit in QA Plan of Intensity Modulated Radiotherapy

Abstract

The number of dose monitor units in IMRT QA plans differs form the actual conditions of IMRT in dosimetry for verification of dynamic multileaf-IMRT(DMLC-IMRT). We measured the accuracy of the position of the dynamic multileaf collimator and the dose profile for various numbers of dose monitor units, and verified the accuracy of dosimetry in an IMRT QA plan. The accuracy of the position of the dynamic multileaf collimator was measured by using the software of the external irradiation device, and the dose profile was measured by using the semiconductor profiler. Deviation in the position of the dynamic multileaf collimator increased as the number of dose monitor units decreased. When deviation in the position of the dynamic multileaf collimator was large and the gap width of the multileaf collimator was narrow, the change in dose profile was large. Therefore, verification of IMRT QA plans requires a phantom and measurement device close to the actual conditions of IMRT.