Contoured Multi-Layer MLC Apertures for Small-Field SRS
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Solution Overview
Problem
Existing multi-layer MLCs face challenges in achieving adequate dose distribution for small field sizes required in stereotactic radiosurgery, particularly for pediatric patients with disproportionately larger cranial lesions, and conventional designs compromise radiation delivery efficiency and precision.
Innovation Solution
The development of a multi-layer MLC with contoured beam-blocking leaves that form small apertures when closed, allowing precise delivery of focused treatment beams for targets of varying sizes and shapes, while maintaining the advantages of multi-layer MLCs such as compactness and robust shielding.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Manufacturing precision
If conventional multi-layer MLCs are used, then compactness and robust shielding are maintained, but adequate dose distribution for small field sizes required for SRS cannot be achieved
Solution Approach 1:
The MLC leaves are designed with different end portion configurations: some leaves have concave end surfaces to form small circular apertures for SRS, while other leaves maintain straight or angled end surfaces for standard radiotherapy. This local differentiation allows the same multi-layer MLC structure to achieve both small field SRS precision and standard field versatility.
Solution Approach 2:
The MLC system dynamically selects which leaves to close based on treatment requirements. For SRS, specific leaves with concave ends are closed to form small apertures, while for standard radiotherapy, different leaf combinations are used. This dynamic configuration allows adaptation between small field SRS and standard field treatments without physical reconfiguration.
2Area of stationary object
If SRS cones are mounted externally on linear accelerator, then installation space is reduced, but collision hazard with treatment couch or patient increases and treatment delivery efficiency is compromised
Solution Approach 1:
The SRS aperture-forming capability is merged into the existing multi-layer MLC structure rather than using separate external cones. The MLC leaves themselves form the aperture when closed, eliminating the need for external SRS cones and their associated mounting space, while avoiding collision hazards and maintaining treatment efficiency.
3Productivity
If multi-layer MLCs with larger leaf widths are used, then handling of larger field sizes is improved, but adequate dose distribution for small field sizes is compromised
Solution Approach 1:
The MLC leaves are designed with different end portion configurations: some leaves have concave end surfaces to form small circular apertures for SRS, while other leaves maintain straight or angled end surfaces for standard radiotherapy. This local differentiation allows the same multi-layer MLC structure to achieve both small field SRS precision and standard field versatility.
Data Source
Figure 1
Figure 2
Figure 2A~2D
AI summary
An apparatus includes a first multileaf collimator (130) comprising a plurality of pairs of beam-blocking leaves each comprising an end portion. The end portions of the beam-blocking leaves of one pair (132a-b) are contoured to allow forming a first aperture (134) when the beam-blocking leaves of the pair are closed. The first aperture has a closed shape such as a circle in a beam's eye view.