Mansour Iymad R, Valdes-Cortez Christian, Ayala Alvarez David Santiago, Berumen Francisco, Côte Jean-Simon, Ndoutoume-Paquet Gaël, Watson Peter G F, Seuntjens Jan, Ballester Facundo, Mainegra-Hing Ernesto, Thomson Rowan M, Beaulieu Luc, Vijande Javier
Carleton Laboratory for Radiotherapy Physics, Department of Physics, Carleton University, Ottawa, Canada.
Princess Margaret Cancer Centre, Radiation Medicine Program, University Health Network, Toronto, Canada.
Med Phys. 2025 Jul;52(7):e17872. doi: 10.1002/mp.17872. Epub 2025 May 25.
This work provides the first two clinical test cases for commissioning electronic brachytherapy (eBT) model-based dose calculation algorithms (MBDCAs) for skin irradiation using surface applicators.
The test cases utilize the INTRABEAM 30 mm surface applicator. Test Case I: water phantom is used to evaluate the algorithm's performance in a uniform medium consisting of a voxelized water cube surrounded by air. Test Case II: Surface eBT represents a heterogeneous medium with four distinct layers: skin tissue, adipose tissue, cortical bone, and soft tissue. Treatment plans for both cases were created and exported into the Radiance treatment planning system (TPS). Dose-to-medium calculations were then performed using this Monte Carlo (MC)-based TPS and compared with MC simulations conducted independently by three different groups using two codes: EGSnrc and PENELOPE. The results agreed within expected Type A and B statistical uncertainties.
The dataset is available online at https://doi.org/10.52519/00005. A proprietary file designed for use within Radiance containing CT images and the treatment plan for both test cases, the LINAC modeling, and the CT calibration are included, as well as reference MC and TPS dose data in RTdose format and all files required to run the MC simulations.
This dataset serves as a valuable resource for commissioning eBT MBDCAs and lays the groundwork for developing clinical test cases for other eBT systems. It is also a helpful educational tool for exploring various eBT devices and their advantages and drawbacks. Furthermore, brachytherapy researchers seeking a benchmark for dosimetric calculations in the low-energy domain will find this dataset indispensable.
本研究提供了头两个临床测试案例,用于调试基于电子近距离放射治疗(eBT)模型的剂量计算算法(MBDCAs),以使用表面施源器进行皮肤照射。
测试案例使用INTRABEAM 30毫米表面施源器。测试案例I:水模体用于评估算法在由空气包围的体素化水立方组成的均匀介质中的性能。测试案例II:表面eBT代表一种具有四个不同层次的非均匀介质:皮肤组织、脂肪组织、皮质骨和软组织。为这两个案例创建治疗计划并导出到Radiance治疗计划系统(TPS)中。然后使用基于蒙特卡罗(MC)的TPS进行介质剂量计算,并与三个不同小组使用EGSnrc和PENELOPE两种代码独立进行的MC模拟结果进行比较。结果在预期的A类和B类统计不确定性范围内一致。
该数据集是调试eBT MBDCAs的宝贵资源,为开发其他eBT系统的临床测试案例奠定了基础。它也是探索各种eBT设备及其优缺点的有用教育工具。此外,寻求低能量领域剂量计算基准的近距离放射治疗研究人员会发现该数据集不可或缺。