Calculation of monitor units for a linear accelerator with asymmetric jaws

A simple approach was developed that calculates the output factors and tissue maximum ratio of an asymmetric field at any point within the open field, and specifically both at the central axis (when the jaws do not shadow it) and at the effective center of the open field, using the existing tables for symmetric fields and the multidepth profile information for the largest available field size (either open or with a wedge present). Day's method was adapted to calculate the effective values of the usual field-size-dependent parameters. This approach makes these parameters also dependent on the location of the calculation point relative to the field edges in an asymmetric field. This algorithm was tested by comparing its predictions with measurements of asymmetric and half blocked fields, with and without wedges, in a water phantom at different depths and off-axis distances. The agreement between calculated and measured dose rate is within 1%-3% even in highly asymmetric fields for both 6- and 18-MV photons.