Treatment planning validation for symmetric and asymmetric motorized wedged fields

Tamer Dawod


Purpose: Wedged beam are often used in clinical radiotherapy to compensate missing tissues and dose gradients. The Elekta Precise linear accelerator supports an internal motorized wedge, which is a single large, physical wedge on a motorized carriage. In this study, the dosimetric performance of Elekta precise three dimensional treatment planning system (3DTPS) is evaluated by comparing the calculated and measured doses.

Methods: The calculations were performed by the 3DTPS for symmetric as well as asymmetric fields in a source to skin distance (SSD) setup at the depth of maximum dose (dmax) as well as at 5, 10, and 20 cm depths in water phantom using 60° motorized wedges for field sizes of 4 × 4, 10 × 10, and 20 × 20 cm2 for 6 and 15 MV photon beams. Measurements were produced by Elekta Precise linear accelerator using 0.125 cc volume ionization chamber.   

Results: Good agreement between the measured and calculated isodose lines were found, with the maximum difference not exceed 5%. The difference between the calculated and measured data increases as the field size decreases, and the deviation in symmetric setting was less than that of asymmetric setting. The increase in wedge angle led to increase in the difference between calculated and measured data.

Conclusion: The results from this study showed that the accuracy of Elekta Precise 3DTPS used with the motorized wedges for symmetric and asymmetric fields is adequate for the clinical applications under the studied experimental conditions. 


Radiotherapy; Motorized Wedge; Linear Accelerator

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