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Intensity-modulated radiation therapy (IMRT) delivery using "step-and-shoot" technique on Varian C-Series linear accelerator (linac) is influenced by the communication frequency between the multileaf collimator and linac controllers. Hence, the dose delivery accuracy is affected by the dose rate.

The impact of dose rate on the accuracy of step-and-shoot intensity-modulated radiation therapy quality assurance using varian 2300CD