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Varian HD120 Multileaf Collimator

Varian's high-definition multileaf collimator for SRS / SBRT / small-field radiation therapy. 2.5 mm projected leaf width at isocenter on the central 32 leaf pairs (covering a 10 × 10 cm central field); 5 mm outer leaf pairs. The HD120 is the MLC that distinguishes TrueBeam STx and Varian Edge from the standard TrueBeam (which uses the Millennium 120 MLC with 5 mm central leaves). The 2.5 mm leaves enable fine-aperture conformality that the Millennium 120 cannot deliver, specifically for single-fraction radiosurgery targets.

Fits

Specs

  • 120 leaf pairs (60 per bank)
  • 2.5 mm projected leaf width at isocenter — central 32 leaf pairs
  • 5 mm projected leaf width at isocenter — outer leaf pairs
  • Central field coverage: 10 × 10 cm at 2.5 mm resolution
  • Interdigitating leaf design

Diagnosis

  • Leaf binding — mechanical leaf motion failure; affects specific leaves and presents as blocked or slow-traveling leaves in QA testing.
  • Position-sensor drift — leaf-position feedback drift; dosimetric impact on IMRT / VMAT plans. Routine MLC QC catches it.
  • Leaf motor wear — common on high-utilization SRS / SBRT platforms with many small-aperture plans. Individual leaf-motor replacement is a field service.
  • Radiation leakage — inter-leaf leakage measured annually per TG-142; HD120 leakage within tolerance despite fine leaf width.

Replacement

Individual leaf / motor service is a field procedure. Full MLC replacement is a larger service event. End-to-end dosimetric verification after any MLC service is mandatory, particularly for SRS / SBRT clinical programs.

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