Multileaf collimators have become available in many radiotherapy treatment
centres. The cross section of a beam can be shaped to a projection of the t
arget area by moving the leaves of the multileaf collimator into the beam.
In this paper, a method is described to optimize the positions of the indiv
idual leaves automatically, once the beam directions and weights have been
chosen. The individual positions of the leaves are optimized using the vari
able metric method. Changes in dose resulting from small leaf movements are
computed efficiently using a special method. The optimization method was t
ested on a treatment Plan for a phantom patient. It was found that the unne
cessary edges of the beams were trimmed efficiently.