摘要: The absolute dose difference of the iso-center position at different times was used to evaluate the stability of medical linear accelerator (LINAC). In order to eliminate the drawback of point dose without statistical significance and to investigate the output stability of segment with small weight related to intensity-modulated radiotherapy (IMRT), a modified method of evaluating the stability of LINAC was proposed based on planar dose combined with gamma method. With a commercial available two-dimensional ionization chamber, a set of planar doses with dose gradient from 2 cGy to 100 cGy were obtained. Then the gamma method was adopted to analyze the dose difference between the reference data and the evaluated data at each dose level. The results showed that the improved method based on planar dose for analyzing the output stability of the medical LINAC was feasible and efficient, and suggested that the reverse optimization should be aborted in clinical when the segment weight related to IMRT was under 10 MU.