This work is focussed on developing a commissioning procedure so that a Monte Carlo model, which uses BEAMnrc's standard VARMLC component module, can be adapted to match a specific BrainLAB m3 micro-multileaf collimator (microMLC). A set of measurements are recommended, for use as a reference against which the model can be tested and optimized. These include radiochromic film measurements of do...

Helical tomotherapy (HT) is a novel treatment approach that combines Intensity-Modulate Radiation Therapy (IMRT) delivery with in-built image guidance using megavoltage (MV) CT scanning. The technique utilises a 6 MV linear accelerator mounted on a CT type ring gantry. The beam is collimated to a fan beam, which is intensity modulated using a binary multileaf collimator (MLC). As the patient ad...

The multileaf collimator sequencing problem is an important component in effective cancer treatment delivery. The problem can be formulated as finding a decomposition of an integer matrix into a weighted sequence of binary matrices whose rows satisfy a consecutive ones property. Minimising the cardinality of the decomposition is an important objective and has been shown to be strongly NP-Hard, ...

Malignant mesothelioma is a very serious disease. The contemporary treatment in operable cases involves a combination of neoadjuvant chemotherapy, extrapleural pneumonectomy, and postoperative radical radiation therapy. In these patients, intensity modulated radiation therapy (IMRT) techniques are used to achieve a better therapeutic ratio [1–5]. However, most cases are inoperable due to variou...

Intensity modulated radiation therapy (IMRT) is one of the most effective modalities for modern cancer treatment. The key to successful IMRT treatment hinges on the delivery of a two-dimensional discrete radiation intensity matrix using a device called a multileaf collimator (MLC). Mathematically, the delivery of an intensity matrix using an MLC can be viewed as the problem of representing a no...

A program has been developed to evaluate the delivered fluence of step-and-shoot segmental and sliding window dynamic multileaf collimator (MLC) fields. To automate these checks, a number of tools have been developed using data available from the dynamic log files that can be created each time a dynamic delivery occurs. Experiments were performed with a Varian 2100EX with a 120 leaf MLC equippe...

We consider the following problem: to decompose a positive integer matrix into a linear combination of binary matrices that respect the consecutive ones property. The positive integer matrix corresponds to fields giving the different radiation beams that a linear accelerator has to send throughout the body of a patient. Due to the inhomogeneous dose levels, leaves from a multi-leaf collimator a...

The more complex delivery techniques required for implementation of intensity-modulated radiotherapy (IMRT) based on inverse planning optimization have changed the relationship between dose at depth and dose at buildup regions near the surface. Surface buildup dose is dependent on electron contamination primarily from the unblocked view of the flattening filter and secondarily from air and coll...

Since the introduction of 3-dimensional conformal radiotherapy (3DCRT), new radiotherapy techniques have expanded the indication of radiotherapy for the treatment of hepatocellular carcinoma (HCC), from the hitherto palliative to a now curative-intent purpose. Intensity-modulated radiotherapy (IMRT), currently the most advanced radiotherapy technique, is considered an attractive option for the ...