Evidence map›Paper›PMID 40660897›Full record

ArticleJournal of applied clinical medical physics2025

Evaluation of multileaf collimator driving accuracy in helical rotational irradiation system: Quantitative analysis of leaf open time during treatment.

Hirofumi Honda, Motoharu Sasaki, Masahide Tominaga, Kenji Omoto, Teruhito Kido

Abstract readEvaluation Study
In one paragraph

Article in Journal of applied clinical medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hirofumi HondaDepartment of Radiological Technology, Ehime University Hospital, Toon, Ehime, Japan.
Motoharu SasakiGraduate School of Advanced Technology and Science, Tokushima University, Tokushima, Japan.
Masahide TominagaGraduate School of Advanced Technology and Science, Tokushima University, Tokushima, Japan.
Kenji OmotoDepartment of Radiological Technology, Ehime University Hospital, Toon, Ehime, Japan.
Teruhito KidoDepartment of Radiology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Radixact treatment system is equipped with a delivery analysis feature. This feature enables dose reconstruction using the patient's treatment-planning computed tomography scans and allows verification of the multileaf collimator (MLC) performance before and during treatment. In the Radixact system, the opening time of the MLC leaves is determined based on the treatment plan. PURPOSE: This study aimed to evaluate MLC driving accuracy by assessing the MLC leaf open time (LOT) during treatment.

methodsUsing Delivery Analysis version 2.3, we compared the treatment plan LOT with the LOT measured during treatment to determine the average and one standard deviation (%) of the LOT attainment rate. The analysis included comparisons of treated sites across 39 cases: nine prostate, eight pelvic, seven head, six chest, five head and neck (H&N), and four stereotactic body radiation therapy (SBRT) treatment plans.

resultsThe average and one standard deviation (%) of the LOT attainment rate for all patients on treatment was 94.56 ± 2.37. The values of each site were as follows: prostate, 95.93 ± 0.68; pelvis, 93.37 ± 2.16; head, 95.05 ± 1.99; chest, 97.61 ± 0.78; H&N, 92.44 ± 1.32; and SBRT, 98.39 ± 0.57. The treatment plans with the lowest attainment rates for each site were as follows: prostate, 95.19 ± 0.39; pelvis, 90.59 ± 0.16; head, 92.20 ± 0.15; chest, 95.76 ± 0.04; H&N, 90.55 ± 0.30; and SBRT, 97.32 ± 0.07. The plans with the largest one standard deviation (%) per site were as follows: prostate, ± 0.97; pelvis, ± 0.26; head, ± 0.57; chest, ± 0.23; H&N, ± 0.30; and SBRT, ± 0.07.

conclusionsWe proposed a simple method for quantitatively analyzing the LOT of an MLC. The average LOT attainment rate and its standard deviation varied by treatment site. Since the standard deviation differed by plan, the LOT attainment rate during treatment should be carefully monitored.

Indexed as

Head and Neck NeoplasmsNeoplasmsParticle AcceleratorsProstatic NeoplasmsRadiosurgeryRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedHumansMaleOrgans at RiskPelvic NeoplasmsRadiotherapy DosageThoracic Neoplasmsdelivery analysisMLC leaf open timemulti‐leaf collimatorRadixact system

Identifiers

PMID40660897
PMCPMC12260261

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.