Mini and Micro Multileaf Collimators

نویسندگان

  • T. Bortfeld
  • W. Schlegel
  • K.-H. Höver
  • D. Schulz-Ertner
چکیده

Multiple arc or multiple field convergent beam irradiation techniques have been used extensively for stereotactic radiosurgery (SRS) or radiotherapy (SRT) of small lesions. A major problem is that dose distributions produced by employing rectangular or circular collimators are of simple convex shape and therefore do not allow conformal treatment of irregularly shaped lesions. The use of multiple overlapping spherical treatments results in some field shaping advantages and permits the treatment of larger tumors. Disadvantages of this multiple isocenter technique include the increased treatment time and the substantial dose inhomogeneity that is the result of overlap of multiple fields. This dose inhomogeneity correlates significantly with side-effects and increased morbidity for those patients, as has been shown by Nedzi et al. [10]. Improved tumor dose homogeneity can be accomplished by using a field shaping device, which can form the optimal field shape for each beam direction.

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تاریخ انتشار 1999