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Gamma Knife Perfexion Dosimetry: A Monte Carlo Model of One Sector

R Best

R Best1,2*, J Gersh3, D Wiant4, J Bourland1,2, (1) Wake Forest University, Winston-Salem, NC, (2) Wake Forest University School of Medicine, Winston-Salem, NC, (3) Mid-South Radiation Physics, Paragould, AR, (4) Regional Cancer Center Moses Cone Health Systems, GREENSBORO, NC

SU-E-T-468 Sunday 3:00:00 PM - 6:00:00 PM Room: Exhibit Hall

Purpose: We have implemented a Monte Carlo (MC) based dose computation model of one sector of the Gamma Knife Perfexion (GK PFX) using the Penelope MC dosimetry codes. The single sector simulation was rotated about the z-axis to model all eight GK sectors. GK dosimetric aspects examined include: 1) output factors (OF) for each of the three GK collimator sizes (4, 8, 16 mm), 2) OFs for each source row and collimator size, and 3) dose distribution profiles along the x- and z-axes, compared to film measurements and dose calculations from the Leksell GammaPlan (LGP) workstation.
Methods: We defined the internal GK PFX geometry in Penelope with the aid of vendor-supplied proprietary information. A single source per row was modeled for five rows for each of the 3 collimators (15 beams modeled). MC simulations were carried out on a Linux cluster. Phase space files (PSFs) were collected for the 15 modeled collimators then rotated about the z-axis to model the sector of 24 sources per collimator. 3D dose distributions from the MC model, film, and LGP DICOM-RT dose exports were analyzed using Matlab. For OF calculations, a 16 cm diameter dosimetry sphere was modeled with a virtual detector volume at its center.
Results: Good agreement is found for row- and total-output factors (greatest deviation of any type < 4%) compared to reference values. Off-axis factors closely follow LGP predicted dose distributions along the x-axis and differ on the inferior side of the z-axis.
Conclusions: Detailed geometric representations (radiation source, device components) of the GK PFX are required for high fidelity MC simulations. Calculated GK PFX OF values depend on the simulated detector volume size (4 mm OF most dependent). Our model shows strong agreement for the GK PFX OFs and dose profile curves compared to reference values.

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