Technical Note: Investigating of dosimetric leaf gap and leaf transmission factor variations across gantry and collimator angles in volumetric modulation arc therapy

<h3>Purpose</h3><p dir="ltr">This study investigates the influence of gantry and collimator angles on the dosimetric leaf gap (DLG) and leaf transmission factor (LTF) in a Varian LINAC equipped with rounded‐end multi‐leaf collimators (MLCs). While Varian guidelines recomm...

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Main Author: Aram Rostami (22045274) (author)
Other Authors: Mojtaba Barzegar (12195980) (author), Muhammad Usman (1504405) (author), Satheesh Prasad Paloor (22045277) (author), Abbass Yousef Mkanna (22045280) (author), Alla Fuad Al‐Sabahi (22045283) (author), Rabih Wafiq Hammoud (17346817) (author)
Published: 2024
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author Aram Rostami (22045274)
author2 Mojtaba Barzegar (12195980)
Muhammad Usman (1504405)
Satheesh Prasad Paloor (22045277)
Abbass Yousef Mkanna (22045280)
Alla Fuad Al‐Sabahi (22045283)
Rabih Wafiq Hammoud (17346817)
author2_role author
author
author
author
author
author
author_facet Aram Rostami (22045274)
Mojtaba Barzegar (12195980)
Muhammad Usman (1504405)
Satheesh Prasad Paloor (22045277)
Abbass Yousef Mkanna (22045280)
Alla Fuad Al‐Sabahi (22045283)
Rabih Wafiq Hammoud (17346817)
author_role author
dc.creator.none.fl_str_mv Aram Rostami (22045274)
Mojtaba Barzegar (12195980)
Muhammad Usman (1504405)
Satheesh Prasad Paloor (22045277)
Abbass Yousef Mkanna (22045280)
Alla Fuad Al‐Sabahi (22045283)
Rabih Wafiq Hammoud (17346817)
dc.date.none.fl_str_mv 2024-09-11T06:00:00Z
dc.identifier.none.fl_str_mv 10.1002/acm2.14523
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Technical_Note_Investigating_of_dosimetric_leaf_gap_and_leaf_transmission_factor_variations_across_gantry_and_collimator_angles_in_volumetric_modulation_arc_therapy/29898581
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Oncology and carcinogenesis
DLG
gantry and collimator
LTF
MLC
dc.title.none.fl_str_mv Technical Note: Investigating of dosimetric leaf gap and leaf transmission factor variations across gantry and collimator angles in volumetric modulation arc therapy
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Purpose</h3><p dir="ltr">This study investigates the influence of gantry and collimator angles on the dosimetric leaf gap (DLG) and leaf transmission factor (LTF) in a Varian LINAC equipped with rounded‐end multi‐leaf collimators (MLCs). While Varian guidelines recommend DLG measurements at zero degrees for both gantry and collimator, this research aims to address the knowledge gap by assessing DLG and LTF variations at different gantry and collimator angles.</p><h3>Methods</h3><p dir="ltr">Measurements were conducted using a Varian TrueBeam LINAC with a Millennium 120‐leaf MLC and Eclipse TPS version 16.1. The beams utilized in this study had energies of 6 MV, 10 MV, 6 FFF, and 10 FFF. LTF and DLG were determined using ionization chambers in solid water phantoms at various gantry angles (0°, 45°, 90°, 135°, 180°, 225°, 270°, and 315°). For each gantry angle, measurements were also taken at various collimator angles (0°, 45°, 90°, and 315°). Dosimetric impacts were evaluated through VMAT Picket Fence tests and patient‐specific verification using portal dosimetry for 10 clinical VMAT plans.</p><h3>Results</h3><p dir="ltr">LTF values showed no significant variation across gantry and collimator angles. However, DLG values exhibited notable differences depending on the gantry angle and were independent of the collimator angle. The highest DLG value was observed at a gantry angle of 270 degrees, while the lowest was at 90 degrees. The AXB DLGAverage (averaging seven measurements of DLGs at different gantry angles) model demonstrated the best agreement between measured and calculated dose distributions, indicating the importance of considering averaged DLG values across multiple gantry angles for accurate dose calculations.</p><h3>Conclusion</h3><p dir="ltr">Our study highlights the variability of DLG with gantry angle alterations, contrary to Varian guidelines recommending DLG measurements at zero gantry angle only. We advocate for utilizing an averaged DLG value from measurements across multiple gantry angles, as outlined in our methodology.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Applied Clinical Medical Physics<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/acm2.14523" target="_blank">https://dx.doi.org/10.1002/acm2.14523</a></p>
eu_rights_str_mv openAccess
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identifier_str_mv 10.1002/acm2.14523
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/29898581
publishDate 2024
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rights_invalid_str_mv CC BY 4.0
spelling Technical Note: Investigating of dosimetric leaf gap and leaf transmission factor variations across gantry and collimator angles in volumetric modulation arc therapyAram Rostami (22045274)Mojtaba Barzegar (12195980)Muhammad Usman (1504405)Satheesh Prasad Paloor (22045277)Abbass Yousef Mkanna (22045280)Alla Fuad Al‐Sabahi (22045283)Rabih Wafiq Hammoud (17346817)Biomedical and clinical sciencesClinical sciencesOncology and carcinogenesisDLGgantry and collimatorLTFMLC<h3>Purpose</h3><p dir="ltr">This study investigates the influence of gantry and collimator angles on the dosimetric leaf gap (DLG) and leaf transmission factor (LTF) in a Varian LINAC equipped with rounded‐end multi‐leaf collimators (MLCs). While Varian guidelines recommend DLG measurements at zero degrees for both gantry and collimator, this research aims to address the knowledge gap by assessing DLG and LTF variations at different gantry and collimator angles.</p><h3>Methods</h3><p dir="ltr">Measurements were conducted using a Varian TrueBeam LINAC with a Millennium 120‐leaf MLC and Eclipse TPS version 16.1. The beams utilized in this study had energies of 6 MV, 10 MV, 6 FFF, and 10 FFF. LTF and DLG were determined using ionization chambers in solid water phantoms at various gantry angles (0°, 45°, 90°, 135°, 180°, 225°, 270°, and 315°). For each gantry angle, measurements were also taken at various collimator angles (0°, 45°, 90°, and 315°). Dosimetric impacts were evaluated through VMAT Picket Fence tests and patient‐specific verification using portal dosimetry for 10 clinical VMAT plans.</p><h3>Results</h3><p dir="ltr">LTF values showed no significant variation across gantry and collimator angles. However, DLG values exhibited notable differences depending on the gantry angle and were independent of the collimator angle. The highest DLG value was observed at a gantry angle of 270 degrees, while the lowest was at 90 degrees. The AXB DLGAverage (averaging seven measurements of DLGs at different gantry angles) model demonstrated the best agreement between measured and calculated dose distributions, indicating the importance of considering averaged DLG values across multiple gantry angles for accurate dose calculations.</p><h3>Conclusion</h3><p dir="ltr">Our study highlights the variability of DLG with gantry angle alterations, contrary to Varian guidelines recommending DLG measurements at zero gantry angle only. We advocate for utilizing an averaged DLG value from measurements across multiple gantry angles, as outlined in our methodology.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Applied Clinical Medical Physics<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/acm2.14523" target="_blank">https://dx.doi.org/10.1002/acm2.14523</a></p>2024-09-11T06:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1002/acm2.14523https://figshare.com/articles/journal_contribution/Technical_Note_Investigating_of_dosimetric_leaf_gap_and_leaf_transmission_factor_variations_across_gantry_and_collimator_angles_in_volumetric_modulation_arc_therapy/29898581CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/298985812024-09-11T06:00:00Z
spellingShingle Technical Note: Investigating of dosimetric leaf gap and leaf transmission factor variations across gantry and collimator angles in volumetric modulation arc therapy
Aram Rostami (22045274)
Biomedical and clinical sciences
Clinical sciences
Oncology and carcinogenesis
DLG
gantry and collimator
LTF
MLC
status_str publishedVersion
title Technical Note: Investigating of dosimetric leaf gap and leaf transmission factor variations across gantry and collimator angles in volumetric modulation arc therapy
title_full Technical Note: Investigating of dosimetric leaf gap and leaf transmission factor variations across gantry and collimator angles in volumetric modulation arc therapy
title_fullStr Technical Note: Investigating of dosimetric leaf gap and leaf transmission factor variations across gantry and collimator angles in volumetric modulation arc therapy
title_full_unstemmed Technical Note: Investigating of dosimetric leaf gap and leaf transmission factor variations across gantry and collimator angles in volumetric modulation arc therapy
title_short Technical Note: Investigating of dosimetric leaf gap and leaf transmission factor variations across gantry and collimator angles in volumetric modulation arc therapy
title_sort Technical Note: Investigating of dosimetric leaf gap and leaf transmission factor variations across gantry and collimator angles in volumetric modulation arc therapy
topic Biomedical and clinical sciences
Clinical sciences
Oncology and carcinogenesis
DLG
gantry and collimator
LTF
MLC