Assessment of DLG Correction Factor in Mobius3D Commissioning Affected by Couch Top
Abstract Purpose: This study assesses the dosimetric leaf gap (DLG) correction factor in Mobius3D commissioning affected by a couch top platform and calculates the optimal DLG value according to the point dose difference function. Methods: DLG optimizations were performed for 3 LINAC machines and a total of 30 patient VMAT plans (i.e., 10 plans per each LINAC). Point dose calculations were performed using an automatic dose calculation system in Mobius3D as well as Mobis3D calculation using an MVP-based QA plan with a carbon fiber couch top. Subsequently, the results were compared with measurement data. Results: The averaged point dose measured for the MVP with a couch top decreased by approximately 2% relative to that without the couch top. The average of the optimal DLG factors increased by 1.153 due to the couch top effect for a dose decrease of 2% at the measured point. Conclusions: Users should adjust the DLG correction factor using a specific phantom (including MVP) with a couch top. If the factor adjusted by using MVP automatic dose calculation system, the factor should be increased by approximately 1.153 per 2% dose difference considering user’s couch top effect.