The medical linear accelerator
(linac) is a crucial piece of technology for the radiation oncology industry
and is one of the most used machines in the field. The underlying principle of
a linac is straightforward, but producing a consistent, stable beam of
radiation and precise, sophisticated design for careful operation is essential.
A linear accelerator works by
heating a filament that boils off a cloud of electrons; these electrons are
then accelerated by an electric field applied between the filament (cathode)
and a thin metal window (anode). The electrons then hit a target (where they
produce Bremsstrahlung X-rays) or a scattering foil (to distribute an electron
beam evenly.)
Afterward, the beam can be shaped
in the treatment head – a part of the LINAC machine. Below, we discuss the external
and internal
components of a Linear Accelerator.
External Components of a Linear Accelerator:
Couch (Patient Positioning
System) The couch supports and positions the patient during treatment.
Modern LINAC couches allow for precise patient positioning for proper beam
exposure, which can move on the x, y, and z-axis. More advanced couches may
include the ability to allow a patient to be positioned to roll, pitch, and
yaw.
Electronic Portal Imaging
Device (EPID) The electronic portal imaging device forms an
image using the MV treatment beam. EPIDs are valuable in tools for monitoring
patient setup and quality assurance.
Gantry The
linac is mounted on a rotating gantry that offers treatment from multiple
angles.
kV Imaging System The
kilovoltage imaging system consists of a kV X-ray generator and an electronic
imaging device. Lower energies of the imaging system improve contrast,
particularly when used to produce a cone-beam CT.
Stand Connected
to the gantry, the stand contains electrons and other systems required for
linac operation.
Read more on the internal components of Linear Accelerators
such as the bending magnet, accelerating waveguide, circulator, and more.
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