Elimination of field size dependence of enhanced dynamic wedge factors

Enhanced dynamic wedge factors (EDWF) are characterized by a strong field size dependence. In contrast to physical wedge factors, the EDWF decrease as the field size is increased: for 6 MV 60 degrees wedge, the EDWF decreases by 50% when the field size is increased from 4 x 4 cm2 to 20 x 20 cm2. A method that eliminates the field size dependence of EDWF was developed and investigated in this work. In this method, the wedged field shape is determined by a multileaf collimator. The initial position of the moving Y jaw is determined by the field size and the stationary Y jaw is kept fixed at 10 cm for field sizes < or = 20 cm in the wedged direction. For all other fields, the stationary Y jaw setting is determined by the field size. The modified method results in EDWF that are independent of field size, with no change in the wedge dose distribution when compared with the conventional use of EDW.