Verification of the omni wedge technique

Barrett D. Milliken, Julius V. Turian, Russell J Hamilton, Steven J. Rubin, Franca T. Kuchnir, Cedric X. Yu, John W. Wong

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The optimal field shape achieved using a multileaf collimator (MLC) often requires collimator rotation to minimize the adverse effects of the scalloped dose distribution the leaf steps produce. However, treatment machines are designed to deliver wedged fields parallel or perpendicular to the direction of the leaves. An analysis of cases from our clinic showed that for 25% of the wedged fields used to treat brain and lung tumors, the wedge direction and optimal MLC orientation differed by 20°or more. The recently published omni wedge technique provides the capability of producing a wedged field with orientation independent of the orientation of the collimator. This paper presents a comparison of the three-dimensional (3D) dose distributions of the omni wedged field with distributions of wedged fields produced using both the universal and dynamic wedge techniques. All measurements were performed using film dosimetry techniques. The omni wedge generated fields closely matched the conventional wedged fields. Throughout 95% of the irradiated volume (excluding the penumbra), the dose distribution of the omni wedged field ranged from + 5.5 to - 3.5 ± 1.5% of that of the conventionally wedged fields. Calculation of the omni wedged field is as accurate as conventional wedged field calculation when using a 3D treatment planning systems. For two-dimensional treatment planning systems, where one must assume that the omni wedged field is identical to a conventional field, the calculated field and the delivered field differs by a small amount.

Original languageEnglish (US)
Pages (from-to)1419-1423
Number of pages5
JournalMedical Physics
Volume25
Issue number8
DOIs
StatePublished - Aug 1998
Externally publishedYes

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Film Dosimetry
Brain Neoplasms
Lung
Direction compound

Keywords

  • 3D-conformal radiation therapy
  • Dynamic wedge
  • Film dosimetry
  • Multileaf collimator
  • Omni wedge
  • Wedge

ASJC Scopus subject areas

  • Biophysics

Cite this

Milliken, B. D., Turian, J. V., Hamilton, R. J., Rubin, S. J., Kuchnir, F. T., Yu, C. X., & Wong, J. W. (1998). Verification of the omni wedge technique. Medical Physics, 25(8), 1419-1423. https://doi.org/10.1118/1.598314

Verification of the omni wedge technique. / Milliken, Barrett D.; Turian, Julius V.; Hamilton, Russell J; Rubin, Steven J.; Kuchnir, Franca T.; Yu, Cedric X.; Wong, John W.

In: Medical Physics, Vol. 25, No. 8, 08.1998, p. 1419-1423.

Research output: Contribution to journalArticle

Milliken, BD, Turian, JV, Hamilton, RJ, Rubin, SJ, Kuchnir, FT, Yu, CX & Wong, JW 1998, 'Verification of the omni wedge technique', Medical Physics, vol. 25, no. 8, pp. 1419-1423. https://doi.org/10.1118/1.598314
Milliken BD, Turian JV, Hamilton RJ, Rubin SJ, Kuchnir FT, Yu CX et al. Verification of the omni wedge technique. Medical Physics. 1998 Aug;25(8):1419-1423. https://doi.org/10.1118/1.598314
Milliken, Barrett D. ; Turian, Julius V. ; Hamilton, Russell J ; Rubin, Steven J. ; Kuchnir, Franca T. ; Yu, Cedric X. ; Wong, John W. / Verification of the omni wedge technique. In: Medical Physics. 1998 ; Vol. 25, No. 8. pp. 1419-1423.
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