Dose distributions of x-ray fields as shaped with multileaf collimators

Multileaf collimators (MLC) with various blade widths were simulated using standard cerrobend blocks, and three-dimensional dose computations were carried out to study the resultant radiation field edges. Film measurements made with 6 and 18 MV x-ray beams were compared with calculations that employed a three-dimensional Fourier convolution. A spatial accuracy of better than 3 mm was found in the 50% isodose line of the penumbral region with a calculation voxel size of 5 mm x 5 mm x 5 mm. The computer simulation was used to study the deviation of the calculated 50% isodose line from the desired geometric field edge using various MLC blade positions. The study suggests that multileaf collimation to the outside of the desired field edge will lead to overdose outside the field, whereas multileaf collimation to the inside of the desired field edge will lead to underdose inside the field. When the direction of travel of the leaves with respect to the field edge is near 45 degrees, the 50% isodose of a multileaf-collimated beam will fall close to the desired edge with no underdose when the leaf corners are allowed to insert into the desired field edge by 1.2 mm for 6 MV x-rays and 1.4 mm for 18 MV x-rays using a 1 cm wide leaf. These blade offsets account for the scattering of photons and electrons in the medium within the penumbral region.