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SU‐E‐T‐556: Interplay Effect Between Dynamic MLC and Moving Target for Lung SBRT with IMAT Technique Delivered by Flattening Filter Free Beam of True Beam Machine
Author(s) -
Li X,
Yang Y,
Li T,
Heron D,
Huq M
Publication year - 2011
Publication title -
medical physics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.473
H-Index - 180
eISSN - 2473-4209
pISSN - 0094-2405
DOI - 10.1118/1.3612518
Subject(s) - nuclear medicine , medicine , dosimetry , radiation therapy , radiology
Purpose: To investigate the dosimetric impact of the interplay effect between dynamic MLC and moving target on lung SBRT with intensity‐ modulated arc therapy (IMAT) technique delivered by flattening filter free (FFF) beam of True‐Beam machine. Methods: 6 lung cancer patients with 0.5–1.0 cm tumor motions were investigated in this study. All patients underwent 4DCT scan using audio coaching. For each patient, a 2‐arc IMAT plan was retrospectively generated using Varian RapidArc planning system. Based on the total MU, dose rate and respiratory cycle, the planned MLC control points of IMAT plans were assigned into different respiratory phases. Afterward, 10 new IMAT plans related to different respiratory phases were generated and imported back into Eclipse planning system to calculate the radiation dose on the CT images of different respiratory phases. In‐house 4D dose calculation program with deformable registration capacity was used to calculate the cumulative doses from all respiratory phases. Following parameters were used to evaluate the dosimetric impacts: dose error (DE), i.e., the difference between the 3D dose of original IMAT plan and the calculated 4‐D dose, and the percentage of volume receiving 100% of the prescribed dose (V100).Results: For all patients, the average maximum DE of PTV and CTV are 32.6% and 4.8%. The DE is larger than 5% for 22% of PTV and 0.3% of CTV volume, and the DE is less than 3% for over 88% of the CTV volume. Compared to the original IMAT plans, the V100 of PTV are lower by 15%. However, the changes on V100 of CTV are less than 1%. Conclusions: For lung IMAT treatment delivered by FFF beam of True‐Beam machine, the interplay effect between dynamic MLC and moving target could change the absolute doses within the target, but its impact on CTV dose coverage is insignificant.