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Monte Carlo Investigation of Sources of Dosimetric Discrepancies with 2D Arrays

M Afifi

M Afifi1*, N Deiab2 , A El-Farrash3 , A Abd El-Hafez4 , A Eldib5 , I Veltchev5 , C Ma5 , (1) Minia Oncology Center,Minia,Egypt,(2) National Cancer Institute, Cairo,Egypt ,(3) Mansoura University, Mansoura, Mansoura,Egypt, (4) National Institute For Standards, Cairo, cairo, (5) Fox Chase Cancer Center, Philadelphia, PA, USA


SU-F-T-281 (Sunday, July 31, 2016) 3:00 PM - 6:00 PM Room: Exhibit Hall

Intensity modulated radiation therapy (IMRT) poses a number of challenges for properly measuring commissioning data and quality assurance (QA). Understanding the limitations and use of dosimeters to measure these dose distributions is critical to safe IMRT implementation. In this work, we used Monte Carlo simulations to investigate the possible sources of discrepancy between our measurement with 2D array system and our dose calculation using our treatment planning system (TPS).

Material and Methods:
MCBEAM and MCSIM Monte Carlo codes were used for treatment head simulation and phantom dose calculation. Accurate modeling of a 6MV beam from Varian trilogy machine was verified by comparing simulated and measured percentage depth doses and profiles. Dose distribution inside the 2D array was calculated using Monte Carlo simulations and our TPS. Then Cross profiles for different field sizes were compared with actual measurements for zero and 90° gantry angle setup. Through the analysis and comparison, we tried to determine the differences and quantify a possible angular calibration factor.

Minimum discrepancies was seen in the comparison between the simulated and the measured profiles for the zero gantry angles at all studied field sizes (4x4cm², 10x10cm², 15x15cm², and 20x20cm²). Discrepancies between our measurements and calculations increased dramatically for the cross beam profiles at the 90⁰ gantry angle. This could ascribe mainly to the different attenuation caused by the layer of electronics at the base behind the ion chambers in the 2D array. The degree of attenuation will vary depending on the angle of beam incidence. Correction factors were implemented to correct the errors.

Monte Carlo modeling of the 2D arrays and the derivation of angular dependence correction factors will allow for improved accuracy of the device for IMRT QA.

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