A ray tracing based method has been developed to calculate the x-ray transm
ission through a multileaf collimator (MLC) for beam delivery Verification
and dose calculation in intensity modulated radiotherapy (IMRT). The path l
ength of a ray line in the MLC is accurately calculated using the exact geo
metry of the MLC leaves. The fluence distribution of an IMRT field is calcu
lated first using a point source. The fluence distribution for a realistic
beam model is obtained, as an approximation, by convolving the point source
fluence distribution with the distribution of source strength. Full ray tr
acing calculations are performed using analytic and Monte Carlo simulated b
eam models to verify the accuracy of the convolution method. The calculatio
n is in better agreement with measurements using either film or a beam imag
ing system (BIS) than previous calculations for MLC transmission using a si
mplified model. This ray tracing calculation can be applied to the problem
of verifying dynamic MLC leaf sequences as part of a patient-specific quali
ty assurance process for IMRT. (C) 2000 American Association of Physicists
in Medicine. [S0094-2405(00)00508-3].