A quality assurance technique for the static multileaf collimator mode based on intrinsic base lines

Abstract The inspection of the static leaf positions of Multileaf Collimator (MLC) devices is essential for safe radiotherapy deliveries in both static and dynamic modes. The purpose of this study was to develop a robust, accurate and generic algorithm to measure the individual static MLC leaf positions. This was performed by extracting leaf tip locations from the radiographic film image and measuring their relative distance from a reference line on the film. The reference line was created with a selected set of MLC leaf sides. The film scaling was created and verified using the physical leaf width. The average measured distance corresponds to a leaf width of 10 mm was 9.95 ± 0.09 mm. The estimated reproducibility of the leaf tips location was ±0.26 mm. The code accuracy was checked by intentionally positioning set of leaves with small errors (1 mm), and the detected deviations from the expected positions ranged from −0.25 mm and +0.32 mm. The algorithm includes two self testing functions in order to detect failures of leaf positioning due to poor film quality and to avoid the potential systematic errors attributable to the improper collimator setting. The code is promising to be more efficient with Gafchromic and Electronic Portal Imaging Device (EPID).