Three different institutions with Elekta linacs (two VersaHD and one Synergy) equipped with the Agility MLC (Elekta AB, Stockholm, Sweden) and the RayStation TPS (RaySearch Laboratories, Stockholm, Sweden) participated in this study, using the 6 MV flattened beam. The Agility MLC uses a flat slightly non-target pointing surface [14] (link), [15] (link). The tilted leaf side is cut by the rounding of the leaf tip, reducing the maximum extension of the tongue-and-groove into the open region with a progressive increase of tongue-and-groove shadowing as far as 20 mm from the leaf tip end [7] (link).
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