Monte Carlo study on mucosal dose in oral and naval cavity using photon beams with small field

2011 ◽  
Vol 10 (4) ◽  
pp. 261-271 ◽  
Author(s):  
James C.L. Chow ◽  
Amir M. Owrangi
Keyword(s):  
Monte Carlo ◽  
Beam Energy ◽  
Field Size ◽  
Small Field ◽  
Beam Angle ◽  
Photon Beams ◽  
Dose Ratio ◽  
Dose Enhancement ◽  
Bone Interface ◽  
Energy Beam

AbstractWe study how mucosal dose in the oral or nasal cavity depends on the irradiated small segmental photon fields varying with beam energy, beam angle and mucosa thickness. Dose ratio (mucosal dose with bone underneath to dose at the same point without bone) reflecting the dose enhancement due to the bone backscatter was determined by Monte Carlo simulation (EGSnrc-based code), validated by measurements. Phase space files based on the 6 and 18 MV photon beams with small field size of 1 × 1 cm2, produced by a Varian 21 EX linear accelerator, were generated using the BEAMnrc Monte Carlo code. Mucosa phantoms (mucosa thickness = 1, 2 and 3 mm) with and without a bone under the mucosa were irradiated by photon beams with gantry angles varying from 0 to 30°. Doses along the central beam axis in the mucosa and the dose ratio were calculated with different mucosa thicknesses. For the 6 MV photon beams, the dose at the mucosa-bone interface increased by 44.9–41.7%, when the mucosa thickness increased from 1 to 3 mm for the beam angle ranging from 0 to 30°. These values were lower than those (58.8–53.6%) for the 18 MV photon beams with the same beam angle range. For both the 6 and 18 MV photon beams, depth doses in the mucosa were found to increase with an increase of the beam angle. Moreover, the dose gradient in the mucosa was greater for the 18 MV photon beams compared to the 6 MV. For the dose ratio, it was found that the dose enhancement due to the bone backscatter increased with a decrease of mucosa thickness, and was more significant at both the air-mucosa and mucosa-bone interface. Mucosal dose with bone was investigated by Monte Carlo simulations with different experimental configurations, and was found vary with the beam energy, beam angle and mucosa thickness for a small segmental photon field. The dosimetric information in this study should be considered when searching for an optimized treatment strategy to minimize the mucosal complications in the head-and-neck intensity-modulated radiation therapy.

scholarly journals Estimation of Dosimetric Parameters based on KNR and KNCSF Correction Factors for Small Field Radiation Therapy at 6 and 18 MV Linac Energies using Monte Carlo Simulation Methods

2019 ◽  
Vol 9 (1Feb) ◽  
Author(s):  
S A Rahimi ◽  
B Hashemi ◽  
S R Mahdavi
Keyword(s):  
Monte Carlo ◽  
Correction Factor ◽  
Reference Conditions ◽  
Field Size ◽  
Monte Carlo Code ◽  
Small Field ◽  
Correction Factors ◽  
Photon Beams ◽  
Small Field Dosimetry ◽  
Circular Field

Background: Estimating dosimetric parameters for small fields under non-reference conditions leads to significant errors if done based on conventional protocols used for large fields in reference conditions. Hence, further correction factors have been introduced to take into account the influence of spectral quality changes when various detectors are used in non-reference conditions at different depths and field sizes.Objective: Determining correction factors (KNR and KNCSF) recommended recently for small field dosimetry formalism by American Association of Physicists in Medicine (AAPM) for different detectors at 6 and 18 MV photon beams.Methods: EGSnrc Monte Carlo code was used to calculate the doses measured with different detectors located in a slab phantom and the recommended KNR and KNCSF correction factors for various circular small field sizes ranging from 5-30 mm diameters. KNR and KNCSF correction factors were determined for different active detectors (a pinpoint chamber, EDP-20 and EDP-10 diodes) in a homogeneous phantom irradiated to 6 and 18 MV photon beams of a Varian linac (2100C/D).Results: KNR correction factor estimated for the highest small circular field size of 30 mm diameter for the pinpoint chamber, EDP-20 and EDP-10 diodes were 0.993, 1.020 and 1.054; and 0.992, 1.054 and 1.005 for the 6 and 18 MV beams, respectively. The KNCSF correction factor estimated for the lowest circular field size of 5 mm for the pinpoint chamber, EDP-20 and EDP-10 diodes were 0.994, 1.023, and 1.040; and 1.000, 1.014, and 1.022 for the 6 and 18 MV photon beams, respectively.Conclusion: Comparing the results obtained for the detectors used in this study reveals that the unshielded diodes (EDP-20 and EDP-10) can confidently be recommended for small field dosimetry as their correction factors (KNR and KNCSF) was close to 1.0 for all small field sizes investigated and are mainly independent from the electron beam spot size.

scholarly journals The Influence of Brass Compensator Thickness and Field Size on Neutron Contamination Spectrum in 18MV Elekta SL 75/25 Medical Linear Accelerator with and without Flattening Filter: A Monte Carlo Study

2018 ◽  
Vol 8 (3Sep) ◽  
Author(s):  
A S Talebi ◽  
M Maleki ◽  
P Hejazi ◽  
M Jadidi ◽  
R Ghorbani
Keyword(s):  
Monte Carlo ◽  
Linear Accelerator ◽  
Monte Carlo Study ◽  
High Energy ◽  
Nonparametric Tests ◽  
Primary Electron ◽  
Field Size ◽  
Dose Ratio ◽  
Medical Linear Accelerator ◽  
Flattening Filter

BackgroundOne of the most significant Intensity Modulated Radiation Therapy treatment benefits is a high target to normal tissue dose ratio. To improve this advantage, an additional accessory such as a compensator is used to delivering doses. Compensator-based IMRT treatment is usually operated with an energy higher than 10 MV. Photoneutrons, which have high linear energy transfer and radiobiological effectiveness, are produced by colliding high-energy photon beams with linear accelerator structures, then they deliver the unwanted doses to patients and staff. Therefore, the neutron energy spectra should be determined in order to calculate and reduce the photoneutron risk.Objective: We have conducted a comprehensive and precise study on the influence of brass compensator thickness and field size on neutron contamination spectrum in an Elekta SL 75/25 medical linear accelerator with and without the flattening filter by Monte Carlo method.Materials and Methods: MCNPX MC Code version 2.6.0 was utilized to simulate the detailed geometry of Elekta SL 75/25 head components based on Linac’s manual. This code includes an important feature to simulate the photo-neutron interactions. Photoneutrons spectrum was calculated after the Linac output benchmarking based on tuning the primary electron beam.Results and Conclusion: Based on the Friedman and Wilcoxon nonparametric tests results (P<0.05), photoneutron fluence directly depends on the field size and compensator thickness. Moreover, the unflattened beam provides lower photoneutron fluence than the flattened beam. Photoneutrons fluence is not negligible in compensator-based IMRT treatment. However, in order to optimize treatment plans, this additional and unwanted dose must be accounted for patients.

scholarly journals The effect of SSD, Field size, Energy and Detector type for Relative Output Factor measurement in small photon beams as compared with Monte Carlo simulation

2019 ◽  
Vol 25 (2) ◽  
pp. 101-110
Author(s):  
Itumeleng Setilo ◽  
Oluwaseyi Michael Oderinde ◽  
Freek Cp du Plessis
Keyword(s):  
Monte Carlo Simulation ◽  
Monte Carlo ◽  
Field Size ◽  
Photon Beams ◽  
Output Measurement ◽  
Voxel Size ◽  
Output Factor ◽  
Ion Chamber ◽  
Small Fields ◽  
Mc Simulation

Abstract Introduction: Small fields photon dosimetry is associated with many problems. Using the right detector for measurement plays a fundamental role. This study investigated the measurement of relative output for small photon fields with different detectors. It was investigated for three-photon beam energies at SSDs of 90, 95, 100 and 110 cm. As a benchmark, the Monte Carlo simulation was done to calculate the relative output of these small photon beams for the dose in water. Materials and Methods: 6, 10 and 15 MV beams were delivered from a Synergy LINAC equipped with an Agility 160 multileaf collimator (MLC). A CC01 ion chamber, EFD-3G diode, PTW60019 microdiamond, EBT2 radiochromic film, and EDR2 radiographic film were used to measure the relative output of the linac. Measurements were taken in water for the CC01 ion chamber, EFD-3G diode, and the PTW60019. Films were measured in water equivalent RW3 phantom slabs. Measurements were made for 1 × 1, 2 × 2, 3 × 3, 4 × 4, 5 × 5 and a reference field of 10 × 10 cm2. Field sizes were defined at 100cm SSD. Relative output factors were also compared with Monte Carlo (MC) simulation of the LINAC and a water phantom model. The influence of voxel size was also investigated for relative output measurement. Results and Discussion: The relative output factor (ROF) increased with energy for all fields large enough to have lateral electronic equilibrium (LEE). This relation broke down as the field sizes decreased due to the onset of lateral electronic disequilibrium (LED). The high-density detector, PTW60019 gave the highest ROF for the different energies, with the less dense CC01 giving the lowest ROFs. Conclusion: These are results compared to MC simulation, higher density detectors give higher ROF values. Relative to water, the ROF measured with the air-chamber remained virtually unchanged. The ROFs, as measured in this study showed little variation due to increased SSDs. The effect of voxel size for the Monte Carlo calculations in water does not lead to significant ROF variation over the small fields studied.

scholarly journals A Monte Carlo Study on Dose Enhancement in the Presence of Nanoparticles by Photon Source: A Comparison between Various Concentration and Material of Nanoparticles

2021 ◽  
Author(s):  
Arezoo Kazemzadeh ◽  
Habiballah Moradi
Keyword(s):  
Monte Carlo ◽  
Monte Carlo Study ◽  
High Energy ◽  
Energy Sources ◽  
Photon Beams ◽  
Treatment Efficiency ◽  
Dose Enhancement ◽  
Gold Silver ◽  
Photon Source ◽  
Energetic Photon

Purpose: Recently, the application of high atomic number nanoparticles is suggested in the field of radiotherapy to improve physical dose enhancement and hence treatment efficiency. Several factors such as concentration and material of nanoparticles and energy of beam define the amount of dose enhancement in the target in the presence of nanoparticles. Materials and Methods: In this approach, a spherical cell was simulated through the Geant4 Monte Carlo toolkit which contained a nucleus and nanoparticles distributed through the cell. To investigate the effect of the concentration of nanoparticles on the deposited dose, it ranged from 3 mg/g to 30 mg/g for different materials like gold, silver, gadolinium, and platinum. Also, various mono-energetic photon beams included low and high energy sources were applied. Results: The results proved that as the concentration increased, the Dose Enhancement Factor (DEF) enlarged. Overall, almost for all energy and material that were used in this study, the maximum of DEF values occurred in the concentration of 30 mg/g. Moreover, lower energy sources presented higher DEF compared to other sources. The results indicated that the highest amount of DEF transpired for 35 keV photon beams equal to 14.67. Also, the K-edge energy of each material affects DEF values. Conclusion: To obtain a better outcome in the use of nanoparticles in combination with radiotherapy, a higher concentration of nanoparticles and low-energy photons should be considered to optimize the DEF and thus the treatment ratio.

scholarly journals Depth Dose Enhancement on Flattening-Filter-Free Photon Beam: A Monte Carlo Study in Nanoparticle-Enhanced Radiotherapy

2020 ◽  
Vol 10 (20) ◽  
pp. 7052
Author(s):  
James C. L. Chow
Keyword(s):  
Monte Carlo ◽  
Monte Carlo Study ◽  
Photon Beam ◽  
Depth Range ◽  
Photon Beams ◽  
Dose Enhancement ◽  
Au Nps ◽  
Depth Dose ◽  
Flattening Filter Free ◽  
Flattening Filter

The aim of this study is to investigate the variations of depth dose enhancement (DDE) on different nanoparticle (NP) variables, when using the flattening-filter-free (FFF) photon beam in nanoparticle-enhanced radiotherapy. Monte Carlo simulation under a macroscopic approach was used to determine the DDE ratio (DDER) with variables of NP material (gold (Au) and iron (III) oxide (Fe2O3)), NP concentration (3–40 mg/mL) and photon beam (10 MV flattening-filter (FF) and 10 MV FFF). It is found that Au NPs had a higher DDER than Fe2O3 NPs, when the depths were shallower than 6 and 8 cm for the 10 MV FF and 10 MV FFF photon beams, respectively. However, in a deeper depth range of 10–20 cm, DDER for the Au NPs was lower than Fe2O3 NPs mainly due to the beam attenuation and photon energy distribution. It is concluded that DDER for the Au NPs and Fe2O3 NPs decreased with an increase of depth in the range of 10–20 cm, with rate of decrease depending on the NP material, NP concentration and the use of FF in the photon beam.

scholarly journals Estimation of Dose Enhancement for Inhomogeneous Distribution of Nanoparticles: A Monte Carlo Study

2021 ◽  
Vol 11 (11) ◽  
pp. 4900
Author(s):  
Fouad Abolaban ◽  
Eslam Taha ◽  
Abdulsalam Alhawsawi ◽  
Fathi Djouider ◽  
Essam Banoqitah ◽  
...  
Keyword(s):  
Monte Carlo ◽  
Metal Nanoparticles ◽  
Beam Energy ◽  
Positive Impact ◽  
Monte Carlo Study ◽  
Nanoparticle Concentration ◽  
Dose Enhancement ◽  
Hypoxic Conditions ◽  
Innermost Layer ◽  
Necrotic Region

High atomic number nanoparticles are of increasing interest in radiotherapy due to their significant positive impact on the local dose applied to the treatment site. In this work, three types of metal nanoparticles were utilized to investigate their dose enhancement based on the GATE Monte Carlo simulation tool. Gold, gadolinium, and silver were implanted at three different concentrations to a 1 cm radius sphere to mimic a cancerous tumor inside a 10 × 10 × 30 cm3 water phantom. The innermost layer of the tumor represents a necrotic region, where the metal nanoparticles uptake is assumed to be zero, arising from hypoxic conditions. The nanoparticles were defined using the mixture technique, where nanoparticles are added to the chemical composition of the tumor. A directional 2 × 2 cm2 monoenergetic photon beam was used with several energies ranging from 50 keV to 4000 keV. The dose enhancement factor (DEF) was measured for all three metal nanoparticles under all beam energies. The maximum DEF was ~7 for silver nanoparticles with the 50 keV beam energy at the highest nanoparticle concentration of 30 mg/g of water. Gold followed the same trend as it registered the highest DEF at the 50 keV beam energy with the highest concentration of nanoparticles at 30 mg/g, while gadolinium registered the highest at 100 keV.

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