The effect of the primary collimator and flattening filter on asymmetric   fields for a Siemens PRIMUS linear accelerator
  Homogeneity for highly asymmetric fields has been studied for a Siemens PRIMUS linear accelerator. The flattening filter has a radius smaller than the primary collimator one, creating inhomogeneities that affect large fields in areas far from the collimator axis, and asymmetric fields with large offset. Profiles and absolute dose have been measured in fields with two jaws at maximal position (20 cm) and the other two at maximal overtravel (10 cm.), corresponding to 10 x 10 fields with extreme offset. Profiles have a remarkable gradient decreasing towards the beam edge, making these fields unsuitable for treatments. Results show that the design of the primary collimator and flattening filter assembly has direct consequences in homogeneity. This can have clinical consequences for treatments involving fields that include these inhomogeneous areas. Comparisons with the treatment planning system (Philips Pinnacle) calculations, that computes under the hypotheses of a uniformly flattened beam, result in severe discrepancies. 
F. Cutanda, S.T. Vargas-Castrillon