Multileaf collimation in the treatment of the intact breast Journal Article


Authors: McCormick, B.; Lo, Y. C.; LoSasso, T.
Article Title: Multileaf collimation in the treatment of the intact breast
Abstract: PURPOSE: To compare multileaf-collimator beam shaping and conventional metal-alloy blocking in irradiation of the intact breast after breast- conserving surgery. MATERIALS AND METHODS: Transmission dose was measured in a phantom, by using both types of blocking with 6- and 15-MV photon beams. Buildup data were collected, using a 6-MV photon beam, comparing open fields to various beam modifiers. RESULTS: Contralateral breast transmission was reduced with the multileaf collimator from 4% to 1%. With the jaws and multileaf collimator, the primary beam component of 0.5% was eliminated. Buildup data for the multileaf collimator most closely resembled the surface dose when a blocking tray is not used and were slightly lower than those for the conventional mounted blocks. This relates to the use of the lower of the two sets of wedges on the multileaf collimator, which is closer to the patient and thus enhances the surface dose relative to the dose with an open field and no wedge. CONCLUSION: Multileaf-collimator blocking for primary breast treatment is similar to conventional blocking, and the transition from one technique to another should be uneventful. The transmission dose to the contralateral breast is decreased with the multileaf collimator.
Keywords: signal transduction; cancer radiotherapy; breast cancer; collimator; beam therapy; priority journal; article; breast neoplasms, therapeutic radiology; therapeutic radiology, postoperative; therapeutic radiology, technology
Journal Title: Radiology
Volume: 203
Issue: 2
ISSN: 0033-8419
Publisher: Radiological Society of North America, Inc.  
Date Published: 1997-05-01
Start Page: 561
End Page: 563
Language: English
PUBMED: 9114121
PROVIDER: scopus
DOI: 10.1148/radiology.203.2.9114121
DOI/URL:
Notes: Article -- Export Date: 17 March 2017 -- Source: Scopus
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  1. Beryl McCormick
    371 McCormick
  2. Thomas J LoSasso
    99 LoSasso
  3. Yeh-Chi Lo
    12 Lo