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Evaluation of the Analytical Anisotropic Algorithm in a Small Finger Joint Phantom Using Monte Carlo Simulation

J Chow

J Chow1*, A Owrangi2 , R Jiang3 , (1) Princess Margaret Cancer Center, Toronto, ON, (2) University of Michigan Health System, Ann Arbor, MI, (3) Grand River Regional Cancer Center, Kitchener, ON


SU-E-T-171 Sunday 3:00PM - 6:00PM Room: Exhibit Hall

Purpose:This study investigated the performance of the anisotropic analytical algorithm (AAA) in dose calculation in radiotherapy concerning a small finger joint. Monte Carlo simulation (EGSnrc code) was used in this dosimetric evaluation.

Methods:Heterogeneous finger joint phantom containing a vertical water layer (bone joint or cartilage) sandwiched by two bones with dimension 2 x 2 x 2 cm³ was irradiated by the 6 MV photon beams (field size = 4 x 4 cm²). The central beam axis was along the length of the bone joint and the isocenter was set to the center of the joint. The joint width and beam angle were varied from 0.5-2 mm and 0°-15°, respectively. Depth doses were calculated using the AAA and DOSXYZnrc. For dosimetric comparison and normalization, dose calculations were repeated in water phantom using the same beam geometry.

Results:Our AAA and Monte Carlo results showed that the AAA underestimated the joint doses by 10%-20%, and could not predict joint dose variation with changes of joint width and beam angle. The calculated bone dose enhancement for the AAA was lower than Monte Carlo and the depth of maximum dose for the phantom was smaller than that for the water phantom. From Monte Carlo results, there was a decrease of joint dose as its width increased. This reflected the smaller the joint width, the more the bone scatter contributed to the depth dose. Moreover, the joint dose was found slightly decreased with an increase of beam angle.

Conclusion:The AAA could not handle variations of joint dose well with changes of joint width and beam angle based on our finger joint phantom. Monte Carlo results showed that the joint dose decreased with increase of joint width and beam angle. This dosimetry comparison should be useful to radiation staff in radiotherapy related to small bone joint.

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