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Patient motion

BEV of MLC

accounts for

beam divergence

in lateral direction

Helical Tomotherapy - binary MLC

leaves 95% tungsten, thickness 10 cm

leaf width projected at isocenter: 0.625 cm

y-jaws collimate the beam to 1.0, 2.5 or 5.0 cm at isocenter

leaves are either fully closed or fully opened, when closed: stop

under opposite y-jaw

IMRT: treat with optimized leaf specific opening times