Lineacgrams are diagnostic films taken using X-ray from the linear accelerator with the patient in the treatment position to assure that the treatment is being delivered in accordance with the treatment prescription. But the image quality of the lineacgram is so bad because of the high X-ray energy. This paper presents a new algorithm that enhances the image of lineacgram. Thls algorithm calculates optimal threshold value which is used for segmentation of lineacgram using co-occurrence matrix and enhances the image Inside and outside treatment area preserving treatments boundary.