Multileaf Collimator Modeling and Commissioning for Complex Radiation Treatment Plans Using 2-Dimensional (2D) Diode Array MapCHECK2

Purpose: This study aims to develop a data-collecting package ExpressMLC and investigate the applicability of MapCHECK2 for multileaf collimator (MLC) modeling and commissioning for complex radiation treatment plans. Materials and methods: The MLC model incorporates realistic parameters to account f...

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Main Authors: Jian Guo BS, Meng Zhu BS, Weijin Zeng BS, He Wang MS, Songbing Qin MD, Zhibin Li, Yu Tang PhD, Binbin Ying MD, Jiugao Sang, Ming Ji PhD, Kuo Meng PhD, Zhouguang Hui MD, Jianyang Wang MD, Juying Zhou MD, Yin Zhou PhD, Jian Huan MD
Format: Article
Language:English
Published: SAGE Publishing 2024-02-01
Series:Technology in Cancer Research & Treatment
Online Access:https://doi.org/10.1177/15330338231225864
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author Jian Guo BS
Meng Zhu BS
Weijin Zeng BS
He Wang MS
Songbing Qin MD
Zhibin Li
Yu Tang PhD
Binbin Ying MD
Jiugao Sang
Ming Ji PhD
Kuo Meng PhD
Zhouguang Hui MD
Jianyang Wang MD
Juying Zhou MD
Yin Zhou PhD
Jian Huan MD
author_facet Jian Guo BS
Meng Zhu BS
Weijin Zeng BS
He Wang MS
Songbing Qin MD
Zhibin Li
Yu Tang PhD
Binbin Ying MD
Jiugao Sang
Ming Ji PhD
Kuo Meng PhD
Zhouguang Hui MD
Jianyang Wang MD
Juying Zhou MD
Yin Zhou PhD
Jian Huan MD
author_sort Jian Guo BS
collection DOAJ
description Purpose: This study aims to develop a data-collecting package ExpressMLC and investigate the applicability of MapCHECK2 for multileaf collimator (MLC) modeling and commissioning for complex radiation treatment plans. Materials and methods: The MLC model incorporates realistic parameters to account for sophisticated MLC features. A set of 8 single-beam plans, denoted by ExpressMLC, is created for the determination of parameters. For the commissioning of the MLC model, 4 intensity modulated radiation therapy (IMRT) plans specified by the AAPM TG 119 report were transferred to a computed tomography study of MapCHECK2, recalculated, and compared to measurements on a Varian accelerator. Both per-beam and composite-beam dose verification were conducted. Results: Through sufficient characterization of the MLC model, under 3%/2 mm and 2%/2 mm criteria, MapCHECK2 can be used to accurately verify per beam dose with gamma passing rate better than 90.9% and 89.3%, respectively, while the Gafchromic EBT3 films can achieve gamma passing rate better than 89.3% and 85.7%, respectively. Under the same criteria, MapCHECK2 can achieve composite beam dose verification with a gamma passing rate better than 95.9% and 90.3%, while the Gafchromic EBT3 films can achieve a gamma passing rate better than 96.1% and 91.8%; the p -value from the Mann Whitney test between gamma passing rates of the per beam dose verification using full MapCHECK2 package calibrated MLC model and film calibrated MLC model is .44 and .47, respectively; the p -value between those of the true composite beam dose verification is .62 and .36, respectively. Conclusion: It is confirmed that the 2-dimensional (2D) diode array MapCHECK2 can be used for data collection for MLC modeling with the combination of the ExpressMLC package of plans, whose doses are sufficient for the determination of MLC parameters. It could be a fitting alternative to films to boost the efficiency of MLC modeling and commissioning without sacrificing accuracy.
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spelling doaj.art-886a5e955801456ca71b9e30fb07eaa22024-02-05T15:04:04ZengSAGE PublishingTechnology in Cancer Research & Treatment1533-03382024-02-012310.1177/15330338231225864Multileaf Collimator Modeling and Commissioning for Complex Radiation Treatment Plans Using 2-Dimensional (2D) Diode Array MapCHECK2Jian Guo BS0Meng Zhu BS1Weijin Zeng BS2He Wang MS3Songbing Qin MD4Zhibin Li5Yu Tang PhD6Binbin Ying MD7Jiugao Sang8Ming Ji PhD9Kuo Meng PhD10Zhouguang Hui MD11Jianyang Wang MD12Juying Zhou MD13Yin Zhou PhD14Jian Huan MD15 Department of Radiation Oncology, , Suzhou, China Qiusuo Health Technologies Inc., Suzhou, China Department of Radiation Oncology, Yihui Foundation Hospital, Shanwei, China Qiusuo Health Technologies Inc., Suzhou, China Department of Radiation Oncology, , Suzhou, China Department of Radiation Oncology, , Suzhou, China Qiusuo Health Technologies Inc., Suzhou, China Department of Stomatology, Ningbo First Hospital, Ningbo, China Department of Radiation Oncology, Rudong County Hospital, Nantong, China Qiusuo Health Technologies Inc., Suzhou, China Department of Radiation Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China Department of Radiation Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China Department of Radiation Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China Department of Radiation Oncology, , Suzhou, China Homology Medical Technologies Inc., Ningbo, China Department of Radiation Oncology, Suzhou Science and Technology Town Hospital, Suzhou, ChinaPurpose: This study aims to develop a data-collecting package ExpressMLC and investigate the applicability of MapCHECK2 for multileaf collimator (MLC) modeling and commissioning for complex radiation treatment plans. Materials and methods: The MLC model incorporates realistic parameters to account for sophisticated MLC features. A set of 8 single-beam plans, denoted by ExpressMLC, is created for the determination of parameters. For the commissioning of the MLC model, 4 intensity modulated radiation therapy (IMRT) plans specified by the AAPM TG 119 report were transferred to a computed tomography study of MapCHECK2, recalculated, and compared to measurements on a Varian accelerator. Both per-beam and composite-beam dose verification were conducted. Results: Through sufficient characterization of the MLC model, under 3%/2 mm and 2%/2 mm criteria, MapCHECK2 can be used to accurately verify per beam dose with gamma passing rate better than 90.9% and 89.3%, respectively, while the Gafchromic EBT3 films can achieve gamma passing rate better than 89.3% and 85.7%, respectively. Under the same criteria, MapCHECK2 can achieve composite beam dose verification with a gamma passing rate better than 95.9% and 90.3%, while the Gafchromic EBT3 films can achieve a gamma passing rate better than 96.1% and 91.8%; the p -value from the Mann Whitney test between gamma passing rates of the per beam dose verification using full MapCHECK2 package calibrated MLC model and film calibrated MLC model is .44 and .47, respectively; the p -value between those of the true composite beam dose verification is .62 and .36, respectively. Conclusion: It is confirmed that the 2-dimensional (2D) diode array MapCHECK2 can be used for data collection for MLC modeling with the combination of the ExpressMLC package of plans, whose doses are sufficient for the determination of MLC parameters. It could be a fitting alternative to films to boost the efficiency of MLC modeling and commissioning without sacrificing accuracy.https://doi.org/10.1177/15330338231225864
spellingShingle Jian Guo BS
Meng Zhu BS
Weijin Zeng BS
He Wang MS
Songbing Qin MD
Zhibin Li
Yu Tang PhD
Binbin Ying MD
Jiugao Sang
Ming Ji PhD
Kuo Meng PhD
Zhouguang Hui MD
Jianyang Wang MD
Juying Zhou MD
Yin Zhou PhD
Jian Huan MD
Multileaf Collimator Modeling and Commissioning for Complex Radiation Treatment Plans Using 2-Dimensional (2D) Diode Array MapCHECK2
Technology in Cancer Research & Treatment
title Multileaf Collimator Modeling and Commissioning for Complex Radiation Treatment Plans Using 2-Dimensional (2D) Diode Array MapCHECK2
title_full Multileaf Collimator Modeling and Commissioning for Complex Radiation Treatment Plans Using 2-Dimensional (2D) Diode Array MapCHECK2
title_fullStr Multileaf Collimator Modeling and Commissioning for Complex Radiation Treatment Plans Using 2-Dimensional (2D) Diode Array MapCHECK2
title_full_unstemmed Multileaf Collimator Modeling and Commissioning for Complex Radiation Treatment Plans Using 2-Dimensional (2D) Diode Array MapCHECK2
title_short Multileaf Collimator Modeling and Commissioning for Complex Radiation Treatment Plans Using 2-Dimensional (2D) Diode Array MapCHECK2
title_sort multileaf collimator modeling and commissioning for complex radiation treatment plans using 2 dimensional 2d diode array mapcheck2
url https://doi.org/10.1177/15330338231225864
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