%0 Journal Article %T TrueBeam Low Dose Rate Investigation for Pulsed Reduced Dose Rate IMRT %A Mark Geurts %J International Journal of Medical Physics,Clinical Engineering and Radiation Oncology %P 139-149 %@ 2168-5444 %D 2017 %I Scientific Research Publishing %R 10.4236/ijmpcero.2017.62013 %X The capability of the TrueBeam treatment system to deliver step and shoot IMRT plans at low dose rates was evaluated. Beam characteristics during low dose rates (5 to 100 MU/min) were evaluated for consistency using a planar ion chamber array. MU constancy, linearity, and beam profile symmetry were all found to be equivalent within 0.5%. The response of the Scandi Dos Delta 4 system was also evaluated at low dose rates of using static open beams compared to ion chamber measurements, and step and shoot IMRT plans comparing 5 - 20 MU/min and 100 MU/min dose rates, with a maximum observed absolute dose difference of 0.8% and equivalence margin of 0.2%. The Gamma Index and measurement reproducibility were also found to be equivalent. %K PRDR %K Low Dose Rate %K Delta 4 %K TrueBeam %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=76293