Evaluation of Bremsstrahlung radiation dose in stereotactically radiocolloid therapy of cystic craniopharyngioma tumors with 32P radio-colloid.

Over 90% of craniopharyngeal brain tumors are cystic, which enables the injection of beta emitters such as phosphorus-32 (32P) radio-colloid into cysts for their treatment. The aim of this study was to evaluate the clinical and theoretical modelling of Bremsstrahlung radiation dose resulting from stereotactic radio-colloid therapy of cystic craniopharyngioma tumors with 32P. 32P radio-colloid with appropriate activity concentration was injected to a head phantom, and then the Bremsstrahlung radiation spectrum and planar images were obtained using a gamma camera. Both phantom and gamma camera were simulated using MCNPX code, and the results were compared with practical results. Bremsstrahlung radiation spectrum was measured using a handheld gamma spectrometer for two patients treated with stereotactic radio-colloid therapy with 32P in different positions and compared to Monte Carlo simulation. Results of counting and determining sensitivity coefficients in the air and the attenuating environment were obtained. Also, comparing the counting sensitivity from practical and simulation methods indicated the agreement of the data between the two methods. Comparison of the spectra from different positions around patient's head indicated the ability to use this detector to quantify the activity in the operating room. Selection of the spectrum is important in Bremsstrahlung radiation imaging. We can take advantage of spectrometry measurement using gamma camera, handheld gamma spectrometer for patient, and theoretical modeling with Monte Carlo code to evaluate radiopharmaceutical distribution, leakage, as well as estimate activity and predict therapeutic effects in other adjacent structures and ultimately optimize radio-colloid therapy in cystic craniopharyngeal patients.

Evaluation of the effect of soft tissue composition on the characteristics of spread-out Bragg peak in proton therapy.

AIM: The aim of this study is to evaluate the effect of soft tissue composition on dose distribution and spread-out Bragg peak (SOBP) characteristics in proton therapy. SUBJECTS AND METHODS: Proton beams with nominal energies of 70, 120 and 210 MeV were considered. The soft tissues and tissue equivalent materials implemented in this study are: 9-component soft tissue, 4-component soft tissue, adipose tissue, muscle (skeletal), lung tissue, breast tissue, A-150 tissue equivalent plastic, perspex and water. Each material was separately defined inside a 20 cm × 20 cm × 40 cm phantom. A multilayer phantom was evaluated as well. The effect of tissue composition on the relative dose in SOBP region (relative to the dose in SOBP region in water), range of SOBP, length of SOBP, and uniformity index of SOBP was evaluated. RESULTS: Various soft tissues and tissue equivalent materials have shown different dose level in SOBPs, ranges of SOBPs, lengths of SOBPs and uniformity indices. CONCLUSIONS: Based on the obtained results, various soft tissues and tissue equivalent materials have quite different SOBP characteristics. Since in clinical practice with proton therapy, only the range of SOBP is corrected for various tissues, omission of the above effects may result in major discrepancies in proton beam radiotherapy. To improve treatment accuracy, it is necessary to introduce such effects in treatment planning in proton therapy.

Specific Absorbed Fractions of Internal Photon and Electron Emitters in a Human Voxel-based Phantom: A Monte Carlo Study.

The specific absorbed fraction (SAF) of energy is an essential element of internal dose assessment. Here reported a set of SAFs calculated for selected organs of a human voxel-based phantom. The Monte Carlo transport code GATE version 6.1 was used to simulate monoenergetic photons and electrons with energies ranging from 10 keV to 2 MeV. The particles were emitted from three source organs: kidneys, liver, and spleen. SAFs were calculated for three target regions in the body (kidneys, liver, and spleen) and compared with the results obtained using the MCNP4B and GATE/GEANT4 Monte Carlo codes. For most photon energies, the self-irradiation is higher, and the cross-irradiation is lower in the GATE results compared to the MCNP4B. The results show generally good agreement for photons and high-energy electrons with discrepancies within - 2% ±3%. Nevertheless, significant differences were found for cross-irradiation of photons of lower energy and electrons of higher energy due to statistical uncertainties larger than 10%. The comparisons of the SAF values for the human voxel phantom do not show significant differences, and the results also demonstrated the usefulness and applicability of GATE Monte Carlo package for voxel level dose calculations in nonuniform media. The present SAFs calculation for the Zubal voxel phantom is validated by the intercomparison of the results obtained by other Monte Carlo codes.

A Comparison Between GATE and MCNPX Monte Carlo Codes in Simulation of Medical Linear Accelerator.

Radiotherapy dose calculations can be evaluated by Monte Carlo (MC) simulations with acceptable accuracy for dose prediction in complicated treatment plans. In this work, Standard, Livermore and Penelope electromagnetic (EM) physics packages of GEANT4 application for tomographic emission (GATE) 6.1 were compared versus Monte Carlo N-Particle eXtended (MCNPX) 2.6 in simulation of 6 MV photon Linac. To do this, similar geometry was used for the two codes. The reference values of percentage depth dose (PDD) and beam profiles were obtained using a 6 MV Elekta Compact linear accelerator, Scanditronix water phantom and diode detectors. No significant deviations were found in PDD, dose profile, energy spectrum, radial mean energy and photon radial distribution, which were calculated by Standard and Livermore EM models and MCNPX, respectively. Nevertheless, the Penelope model showed an extreme difference. Statistical uncertainty in all the simulations was <1%, namely 0.51%, 0.27%, 0.27% and 0.29% for PDDs of 10 cm(2)× 10 cm(2) filed size, for MCNPX, Standard, Livermore and Penelope models, respectively. Differences between spectra in various regions, in radial mean energy and in photon radial distribution were due to different cross section and stopping power data and not the same simulation of physics processes of MCNPX and three EM models. For example, in the Standard model, the photoelectron direction was sampled from the Gavrila-Sauter distribution, but the photoelectron moved in the same direction of the incident photons in the photoelectric process of Livermore and Penelope models. Using the same primary electron beam, the Standard and Livermore EM models of GATE and MCNPX showed similar output, but re-tuning of primary electron beam is needed for the Penelope model.