Li Xiaobo,Deng Xiaowu,Xu Benhua,et al.Effect of inhomogeneity on accuracy of various IMRT dose calculation models[J].Chinese Journal of Radiological Medicine and Protection,2015,35(8):628-631
Effect of inhomogeneity on accuracy of various IMRT dose calculation models
Received:October 16, 2014  
DOI:10.3760/cma.j.issn.0254-5098.2015.08.017
KeyWords:IMRT  Monte Carlo  Pencil beam  Dosimetry
FundProject:福建省卫生厅青年课题基金(2008-1-22)
Author NameAffiliationE-mail
Li Xiaobo Department of Radiation Oncology, the Affiliated Union Hospital, Fujian Medical University, Fuzhou 350001, China  
Deng Xiaowu 中山大学肿瘤防治中心肿瘤放疗科 dengxw@sysucc.org.cn 
Xu Benhua Department of Radiation Oncology, the Affiliated Union Hospital, Fujian Medical University, Fuzhou 350001, China  
Lin Zhixing Department of Radiation Oncology, the Affiliated Union Hospital, Fujian Medical University, Fuzhou 350001, China  
Chen Yuangui Department of Radiation Oncology, the Affiliated Union Hospital, Fujian Medical University, Fuzhou 350001, China  
Huang Miaoyun Department of Radiation Oncology, the Affiliated Union Hospital, Fujian Medical University, Fuzhou 350001, China  
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Abstract::
      Objective To investigate the dosimetric performance of two algorithms for correcting the presence of tissue inhomogeneities, the finite site pencil beam (FSPB) and X-ray voxel Monte Carlo (XVMC) plans were implemented in the MONACO system, with the accuracy of application to clinic treatment of two algorithms were evaluated. Methods In a non-uniform artificial anthropomorphic phantom, regular open fields and intensity modulation radiated therapy (IMRT) plans of the MONACO were measured by using calibrated EBT2 films, and the dose accuracy of the two kinds of plans was analyzed by comparing the planned and measured plane dose. Results In an anthropomorphic phantom, the deviations between the calculated values by XVMC and the measured values by films were less than ±2%. While the deviations of FSPB values between calculation and measurements was within ±3%, except at the condition of 15 MV, 10 cm×2 cm field, the dose error in lung was up to 6.51%. The verification of individual IMRT beams based on films showed that the pass rates of calculation by XVMC and FSPB were larger than 90% with γ criterion of 3%/3 mm and 4%/4 mm, respectively. At 3%/3 mm, the pass rates of FSPB were in the range of 80%-90%. At the same time, the pass rates of all individual fields were higher than 90%. Conclusions The accuracy of dose calculation of XVMC is better than that of FSPB when being in multi-segments and non-uniform media. The error of algorithm can be controlled within ±3%, for the calculation by XVMC. And the dose deficiency of PTV arising from algorithm can be avoided.
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