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龙门式被动散射质子系统的蒙特卡罗模型的灵敏度分析。

Sensitivity analysis of Monte Carlo model of a gantry-mounted passively scattered proton system.

机构信息

Department of Radiation Oncology, Washington University, St. Louis, Missouri, USA.

出版信息

J Appl Clin Med Phys. 2020 Feb;21(2):26-37. doi: 10.1002/acm2.12803. Epub 2020 Jan 3.

Abstract

PURPOSE

This study aimed to present guidance on the correlation between treatment nozzle and proton source parameters, and dose distribution of a passive double scattering compact proton therapy unit, known as Mevion S250.

METHODS

All 24 beam options were modeled using the MCNPX MC code. The calculated physical dose for pristine peak, profiles, and spread out Bragg peak (SOBP) were benchmarked with the measured data. Track-averaged LET (LET ) and dose-averaged LET (LET ) distributions were also calculated. For the sensitivity investigations, proton beam line parameters including Average Energy (AE), Energy Spread (ES), Spot Size (SS), Beam Angle (BA), Beam Offset (OA), and Second scatter Offset (SO) from central Axis, and also First Scatter (FS) thickness were simulated in different stages to obtain the uncertainty of the derived results on the physical dose and LET distribution in a water phantom.

RESULTS

For the physical dose distribution, the MCNPX MC model matched measurements data for all the options to within 2 mm and 2% criterion. The Mevion S250 was found to have a LET between 0.46 and 8.76 keV.μm and a corresponding LET between 0.84 and 15.91 keV.μm . For all the options, the AE and ES had the greatest effect on the resulting depth of pristine peak and peak-to-plateau ratio respectively. BA, OA, and SO significantly decreased the flatness and symmetry of the profiles. The LETs were found to be sensitive to the AE, ES, and SS, especially in the peak region.

CONCLUSIONS

This study revealed the importance of considering detailed beam parameters, and identifying those that resulted in large effects on the physical dose distribution and LETs for a compact proton therapy machine.

摘要

目的

本研究旨在介绍治疗喷嘴与质子源参数之间的相关性,并展示被动双散射紧凑型质子治疗设备(即 Mevion S250)的剂量分布。

方法

使用 MCNPX MC 代码对所有 24 种光束选项进行建模。计算出的原始峰、轮廓和扩展布拉格峰(SOBP)的物理剂量与实测数据进行了基准测试。还计算了平均线性能量传递(LET)和剂量平均 LET(LET)分布。为了进行敏感性研究,质子束线参数包括平均能量(AE)、能量离散度(ES)、光斑大小(SS)、射束角度(BA)、射束偏移(OA)和第二散射体偏移(SO)从中心轴,以及第一散射体(FS)厚度,在不同阶段进行模拟,以获得在水模体中物理剂量和 LET 分布的推导结果的不确定性。

结果

对于物理剂量分布,MCNPX MC 模型与所有选项的测量数据在 2mm 和 2%的标准范围内匹配。Mevion S250 的 LET 在 0.46 到 8.76keV.μm 之间,相应的 LET 在 0.84 到 15.91keV.μm 之间。对于所有选项,AE 和 ES 对原始峰的深度和峰-平台比的影响最大。BA、OA 和 SO 显著降低了轮廓的平坦度和对称性。LET 对 AE、ES 和 SS 非常敏感,特别是在峰值区域。

结论

本研究揭示了考虑详细束参数的重要性,并确定了对紧凑型质子治疗机物理剂量分布和 LET 有较大影响的参数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16ae/7021009/540b9694c667/ACM2-21-26-g001.jpg

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