Validation of quality control tests of a multileaf collimator using electronic portal image devices and commercial software

Abstract

We describe a daily quality control procedure of the multileaf collimator (MLC) based on electronic portal image devices and commercial software. We designed tests that compare portal images of a set of static and dynamic MLC configurations to a set of reference images using commercial portal dosimetry software. Reference images were acquired using the same set of MLC configurations after the calibration of the MLC. To assess the sensitivity to detect MLC underperformances, we modified the  MLC configurations by inserting a range of leaf position and speed errors. Distance measurements on portal images correlated with leaf position errors down to 0.1 mm in static MLC configurations. Dose differences between portal images correlated both with speed errors down to 0.5% of the nominal leaf velocities and with leaf position errors down to 0.1 mm in dynamic MLC configurations. The proposed quality control procedure can assess static and dynamic MLC configurations with high sensitivity and reliability.