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A comparison of step-and-shoot leaf sequencing algorithms that eliminate tongue-and-groove effects

Srijit Kamath1, Sartaj Sahni1, Sanjay Ranka1, Jonathan Li2 and Jatinder Palta2

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The performances of three recently published leaf sequencing algorithms for step-and-shoot intensity-modulated radiation therapy delivery that eliminates tongue-and-groove underdosage are evaluated. Proofs are given to show that the algorithm of Que et al (2004 Phys. Med. Biol. 49 399–405) generates leaf sequences free of tongue-and-groove underdosage and interdigitation. However, the total beam-on times could be up to n times those of the sequences generated by the algorithms of Kamath et al (2004 Phys. Med. Biol. 49 N7–N19), which are optimal in beam-on time for unidirectional leaf movement under the same constraints, where n is the total number of involved leaf pairs. Using 19 clinical fluence matrices and 100 000 randomly generated 15 × 15 matrices, the average monitor units and number of segments of the leaf sequences generated using the algorithm of Que et al are about two to four times those generated by the algorithm of Kamath et al.


PACS

87.56.Da Ancillary equipment

87.56.ng Wedges and compensators

Subjects

Medical physics

Dates

Issue 14 (21 July 2004)

Received 26 March 2004

Published 28 June 2004



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