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Varian醫(yī)用直線加速器DMLC物理參數(shù)的測量與驗證_________

Measurement and verification on DMLC physical parameters of Varian medical linac accelerator

作者:               李軍  張西志  張先穩(wěn)  陳雪梅  桂龍剛  湯曉斌  柴磊  陳達                                 
單位:                                            南京航空航天大學(xué)核科學(xué)與工程系(南京210016)                
關(guān)鍵詞:                                         加速器;DMLC;物理參數(shù);測量;驗證                 
分類號:
出版年·卷·期(頁碼):2015·34·5(509-513)
摘要:

目的 通過測量Varian IX和23EX醫(yī)用直線加速器60對和40對動態(tài)多葉準(zhǔn)直器(dynamic multileaf collimator, DMLC) 的葉片透射因子、葉片間漏射因子、葉片位置校正因子及內(nèi)、外半影,探討DMLC參數(shù)是否受X射線能量和葉片數(shù)目的影響,并探討DMLC參數(shù)在治療計劃系統(tǒng)(treatment planning system, TPS)的必要性和重要性。方法 采用Kodak X-Omat V膠片分析儀測量工具,分別對Varian醫(yī)用直線加速器60對和40對的DMLC葉片透射因子、葉片間漏射因子、葉片位置校正因子及內(nèi)、外半影這5種參數(shù)測量。并將測得的DMLC參數(shù)結(jié)果引入到TPS的原始機器數(shù)據(jù)中。在TPS中針對模體設(shè)計逆向調(diào)強計劃,并在加速器上對夾有膠片的模體進行照射,對比分析膠片實測的劑量分布結(jié)果和TPS計算得到的劑量分布結(jié)果。結(jié)果 對于相同葉片數(shù)目的DMLC,X射線能量越大,參數(shù)值越大。對于相同的X射線能量,DMLC葉片數(shù)目越多,參數(shù)值越大。在TPS中引入測得DMLC參數(shù)后,TPS計算得到以及膠片實測得到的80%等劑量線面積重合度均大于95%,曲線的分離度均小于3mm。結(jié)論 DMLC參數(shù)均會受葉片數(shù)目以及加速器X射線能量大小的影響,但只要將測得的DMLC參數(shù)正確引入到TPS中進行,則實測得到的劑量分布與TPS計算得到的劑量分布均能滿足高重合度和低分離度,從而滿足臨床治療要求。

Objective To measure the parameters of dynamic multileaf collimator (DMLC) including leaf transmission factor, between-leaf leakage factor, leaf position correction factor, inner and outer penumbra for 60 pairs of leaves in Varian IX medical linac accelerator and 40 in Varian 23 EX, respectively, to analyze the effects of X-ray energy and leaf numbers on the DLMC parameters, whose importance is also analyzed in treatment planning system (TPS). Methods The five parameters of DLMC: leaf transmission factor, between-leaf leakage factor, leaf position correction factor, inner and outer penumbra are measured, and the results are imported into TPS. The inverse intensity-modulated radiation therapy (IMRT) is designed for phantom in TPS, and the phantom with a film is irradiated on the accelerator couch, then the dose distribution is comparatively analyzed between the measured results on the film and TPS. Results As to the same number of DMLC leaves, the higher the X-ray energy, the bigger the parameters. As to the same X-ray energy, the more the DMLC leaves, the bigger the parameters. The area contact ratios of 80% isodose line got from both actual measurement on the film and TPS are higher than 95%, and the separation degree of the curves are both lower than 3mm. Conclusions Although each DMLC parameter can be influenced by the leaf number and X-ray energy, the dose distributions of both actual measurement and TPS are capable of satisfying higher contact ratio and lower separation degree by guiding the measured DMLC parameters into TPS, which meet the clinical application requirement.
 

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