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Four-Dimensional Dose Calculation Algorithm Considering Variations in Dose Distribution Induced by Sinusoidal One-Dimensional Motion Patterns

J Taguenang

J Taguenang*, O Algan , S Ahmad , I Ali , Oklahoma Univ. Health Science Ctr., Oklahoma City, OK


SU-E-T-520 Sunday 3:00PM - 6:00PM Room: Exhibit Hall

Purpose: To investigate quantitatively the variations in dose-distributions induced by motion by measurements and modeling. A four-dimensional (4D) motion model of dose distributions that accounts for different motion parameters was developed.

Methods: Variations in dose distributions induced by sinusoidal phantom motion were measured using a multiple-diode-array-detector (MapCheck2). MapCheck2 was mounted on a mobile platform that moves with adjustable calibrated motion patterns in the superior-inferior direction. Various plans including open and intensity-modulated fields were used to irradiate MapCheck2. A motion model was developed to predict spatial and temporal variations in the dose-distributions and dependence on the motion parameters using pencil-beam spread-out superposition function. This model used the superposition of pencil-beams weighted with a probability function extracted from the motion trajectory. The model was verified with measured dose-distributions obtained from MapCheck2.

Results: Dose-distribution varied considerably with motion where in the regions between isocenter and 50% isodose-line, dose decreased with increase of the motion amplitude. Dose levels increased with increase in the motion amplitude in the region beyond 50% isodose-line. When the range of motion (ROM=twice amplitude) was smaller than the field length both central axis dose and the 50% isodose-line did not change with variation of motion amplitude and remained equal to the dose of stationary phantom. As ROM became larger than the field length, the dose level decreased at central axis dose and 50% isodose-line. Motion frequency and phase did not affect the dose distributions which were delivered over an extended time longer than few motion cycles, however, they played an important role for doses delivered with high-dose-rates within one motion cycle.

Conclusion: A 4D-dose motion model was developed to predict and correct variations in dose distributions induced by one-dimensional sinusoidal motion. This model was verified with measured dose-distributions and can be expanded to consider complicated patient motion patterns.

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