SU-E-T-327: Dosimetry and Implementation of High-Dose Rate MLC-Based GRID Therapy Using a 6MV Flattened Filter Free (FFF) Photon Beam.

MedStar author(s):
Citation: Medical Physics. 40(6Part15):279, 2013 JunPMID: 28518570Institution: RadAmerica, LLC-MedStar HealthForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2013ISSN:
  • 0094-2405
Name of journal: Medical physicsAbstract: CONCLUSION: 6MV FFF MLC-based GRID therapy aligned accurately with IGRT showed advantages in the higher dose delivery by more than 2 times reducing treatment time over a conventional delivery.Copyright © 2013 American Association of Physicists in Medicine.METHODS: Planning for MLC GRID therapy was done by a Varian Eclipse treatment planning system. The dose plane at depth of 5cm was exported for a dose comparison between the calculated and measured data. MLC GRID with the projected square openings of 10 x 10 mm at the isocenter was studied using 6MV FFF photons at a dose rate of 1400MU/min. Four separate MLC-shaped beams of each with two columns of GRID openings were automated for delivery by a Varian TrueBeam linear accelerator. MLC GRID was characterized with depth dose, profile and output using an IBA scanning system.PURPOSE: To dosimetrically characterize high-dose rate multileaf collimator (MLC)-based, spatially-fractionated GRID therapy (MLC GRID) using a 6MV flattened filter free (FFF) photon beam delivered from a Varian TrueBeam linear accelerator.RESULTS: 6MV FFF GRID patterns recorded using films and EPID were found to be consistent in both aperture sizes and alignment. A MapCheck was used to validate the 16-20 cm field of a 6MV FFF GRID with a pass rate of 97% at 3%/3mm criteria. The ratio of the openings to the blocked area was quantified to be 25% with a valley-to-peak ratio of about 16.5% from the beam profiles in the central aperture. GRID therapy is a technique to treat advanced bulky tumor in a single or a few fractions by delivering a dose of 12 to 20Gy to tumors that do not respond to conventional fractionation schemes. Four abutting GRID fields with 3000 MU to each field took only about 9 minutes using a 6MV FFF beam, but took more than 30 minutes for delivery at 400 MU/min.All authors: Dou K, Jacobs M, Lerma F, Li BFiscal year: FY2013Digital Object Identifier: Date added to catalog: 2017-05-26
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Journal Article MedStar Authors Catalog Article 28518570 Available 28518570

CONCLUSION: 6MV FFF MLC-based GRID therapy aligned accurately with IGRT showed advantages in the higher dose delivery by more than 2 times reducing treatment time over a conventional delivery.

Copyright © 2013 American Association of Physicists in Medicine.

METHODS: Planning for MLC GRID therapy was done by a Varian Eclipse treatment planning system. The dose plane at depth of 5cm was exported for a dose comparison between the calculated and measured data. MLC GRID with the projected square openings of 10 x 10 mm at the isocenter was studied using 6MV FFF photons at a dose rate of 1400MU/min. Four separate MLC-shaped beams of each with two columns of GRID openings were automated for delivery by a Varian TrueBeam linear accelerator. MLC GRID was characterized with depth dose, profile and output using an IBA scanning system.

PURPOSE: To dosimetrically characterize high-dose rate multileaf collimator (MLC)-based, spatially-fractionated GRID therapy (MLC GRID) using a 6MV flattened filter free (FFF) photon beam delivered from a Varian TrueBeam linear accelerator.

RESULTS: 6MV FFF GRID patterns recorded using films and EPID were found to be consistent in both aperture sizes and alignment. A MapCheck was used to validate the 16-20 cm field of a 6MV FFF GRID with a pass rate of 97% at 3%/3mm criteria. The ratio of the openings to the blocked area was quantified to be 25% with a valley-to-peak ratio of about 16.5% from the beam profiles in the central aperture. GRID therapy is a technique to treat advanced bulky tumor in a single or a few fractions by delivering a dose of 12 to 20Gy to tumors that do not respond to conventional fractionation schemes. Four abutting GRID fields with 3000 MU to each field took only about 9 minutes using a 6MV FFF beam, but took more than 30 minutes for delivery at 400 MU/min.

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