Novel multileaf collimator designs with tongues and grooves in leaf end and Monte Carlo simulations

In this study, we proposed 2 new multileaf collimator leaf designs to eliminate leaf gaps for closed leaf pairs so that radiation leakage can be avoided. In the new designs, multi tongues and grooves were added to the conventional multileaf collimators leaf ends. Thus, when a pair of leaves closed, tongues of a leaf can enter grooves of its opposing leaf. Consequently, there would be no radiation leakage through closed leaves. One design was named finger-shaped MLC, and another design with doubled leaf end thickness was named hand-shaped MLC. Monte Carlo simulations were performed to simulate dosimetric characteristics of the new MLC designs and comparison to conventional MLCs was performed. The simulations show that for the closed field, the new designs reduce leakage dramatically. And for the open field, the finger-shaped MLC has a larger penumbra width than conventional MLC, while the penumbra for the hand-shaped MLC is comparable to that of conventional MLC. With the application of new MLC designs, it is expected to eliminate leaf gaps for MLC usage and protect normal tissues better. (c) 2024 Published by Elsevier Inc. on behalf of American Association of Medical Dosimetrists.