30 November 2023 to 1 December 2023
Verkehrshaus der Schweiz
Europe/Zurich timezone

Validation of a 6 MV flattening filter free phase space of a C-arm linear accelerator for a Monte Carlo framework

1 Dec 2023, 15:30
10m
Konferenzsaal Coronado (Conference Center)

Konferenzsaal Coronado

Conference Center

Oral Radiation Therapy Session VI

Speaker

Ms Francine El Khoury Youhanna (Department of Biomedical Engineering, ETH Zurich)

Description

Purpose: To validate a 6 MV flattening filter free (FFF) phase space, determined in previous works, of a TrueBeam system for a Monte Carlo (MC) dose calculation framework.
Methods: The 6 MV FFF phase space, scored at the end of the patient-independent part (above the secondary collimator jaws), is used to calculate MC dose distributions inside a water phantom for square, rectangular, off-axis and MLC collimated fields and two volumetric modulated arc therapy (VMAT) plans consisting of 4 and 6 arcs, respectively. The dose distributions of the open fields were measured inside a water bath using a Semiflex 3D and a microDiamond detector (PTW, Freiburg, DE). The depth dose (DD) curves, X-profiles and Y-profiles of the absolute dose distributions were compared using a 1D gamma analysis, with a 1% (global), 1 mm criterion. The dose distributions of the VMAT plans were measured using radiochromic films and compared to the MC calculated dose distributions using a 2D gamma analysis, with a 3% (global), 2 mm criterion and a 20% low-dose threshold.
Results: The gamma passing rate between the (Semiflex 3D) measured and MC calculated dose distributions averaged at 92% (56%-94%) for DD curves, 98% (27.27%-100%) for X-profiles and 96% (27.3%-100%) for Y-profiles for all depths. The disagreement being mainly in the build-up region of the DD curves, where the calculated dose is lower than the measured dose. Comparing measurements performed with the microDiamond detector and the MC calculated DDs, the gamma passing rate averaged at 99.9% (99.35%-100%) for PDDs, 96% (76.36%-100%) for X-profiles and 95 % (74.1%-100%) for Y-profiles for all depths. For the VMAT plans, the gamma passing rates between the measured and MC calculated dose distributions were 95% for the 4 arcs case and 99% for the 6 arcs case.
Conclusion: A phase space for a 6 MV FFF photon beam of a TrueBeam system was successfully validated for open and intensity-modulated fields.

Primary author

Ms Francine El Khoury Youhanna (Department of Biomedical Engineering, ETH Zurich)

Co-authors

D. Frei Gian Guyer (Division of Medical Radiation Physics, Inselspital) Marco Stampanoni (PSI - Paul Scherrer Institut) Michael Fix Peter Manser (Division of Medical Radiation Physics and Department of Radiation Oncology, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland) Silvan Müller W. Volken

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