Bloch C, Hill P, Klein E
Washington University School of Medicine, St. Louis, MO.
Med Phys. 2012 Jun;39(6Part17):3813. doi: 10.1118/1.4735560.
To quantify basic beam properties of the first gantry-mounted proton therapy accelerator, situated in the treatment room and delivering beam to the patient without any intermediate bending magnets.
Monte Carlo simulations for prototype beamlines of the Mevion S250TM proton therapy system were performed using MCNPX. For each configuration, open profiles in air were determined at 3 different positions for 3 range settings (216 profiles). Similarly, half-beam-blocked profiles were determined for the same settings (216 profiles). Additionally, beam axis fluence profiles in air were determined for 3 range settings (72 profiles). Finally, Bragg peak depth-dose curves in water were determined for 3 range settings (72 profiles). Using these 576 profiles, several beamline parameters were determined for each proton range and configuration, including virtual SAD, effective source size, and effective SAD. Additionally, Bortfeld's analytic approximation of the Bragg curve was fit to each depth-dose curve to determine R0, σ and ε. The 72 values determined for each parameter were compared within each configuration and across all configurations.
Within any configuration, the change in range was too small (=2.5 cm) to have a large effect on any of the extracted parameters. Comparing parameters among configurations revealed smooth trends. These parameters were then fit as a function of range.
The simplicity of this system results in beams with greater similarity among configurations as compared to other proton therapy systems. Because a beam with fixed initial energy is degraded only by tissue-equivalent materials, range straggling and beam divergence are nearly constant across all beamline configurations. Beam parameters change smoothly as functions of proton range, with no major discontinuities between configurations. This suggests that the entire machine may be fully and accurately characterized in a treatment planning system by fewer measurements than would normally be required.
对位于治疗室且无需任何中间弯曲磁铁即可向患者输送束流的首台龙门式质子治疗加速器的基本束流特性进行量化。
使用MCNPX对Mevion S250TM质子治疗系统的原型束流线进行蒙特卡罗模拟。对于每种配置,在3个不同位置针对3种射程设置确定空气中的开放轮廓(216个轮廓)。同样,针对相同设置确定半束阻挡轮廓(216个轮廓)。此外,针对3种射程设置确定空气中的束轴注量轮廓(72个轮廓)。最后,针对3种射程设置确定水中的布拉格峰深度剂量曲线(72个轮廓)。利用这576个轮廓,针对每个质子射程和配置确定了几个束流线参数,包括虚拟源轴距、有效源尺寸和有效源轴距。此外,将布拉格曲线的博尔特费尔德解析近似拟合到每个深度剂量曲线以确定R0、σ和ε。对每种配置内以及所有配置间确定的每个参数的72个值进行了比较。
在任何配置内,射程变化过小(=2.5厘米),对任何提取的参数都没有太大影响。比较不同配置之间的参数显示出平滑的趋势。然后将这些参数拟合为射程的函数。
与其他质子治疗系统相比,该系统的简单性导致不同配置之间的束流具有更高的相似性。由于具有固定初始能量的束流仅被组织等效材料衰减,射程离散和束发散在所有束流线配置中几乎是恒定的。束流参数随质子射程的变化而平滑变化,不同配置之间没有重大间断。这表明在治疗计划系统中,通过比通常所需更少的测量就可以全面且准确地表征整个机器。