ABSTRACT
Magnetic resonance imaging (MRI) during brachytherapy may alter the dose distribution of radioactive sources implanted in the tumor. This study investigates the impact of a magnetic field of 1.5 T, 3 T, and 7 T strengths on the dose distribution of high dose rate Co-60, Ir-192, and Yb-169, and low dose rate I-125 sources, using Geant4 Monte Carlo toolkit. After validating the simulation results by calculating the AAPM-TG43 dosimetric parameters, seven sources of each radioisotope were simulated in a water phantom, and their dose distributions were compared under the influence of a magnetic field. The simulation results indicate that using Co-60 brachytherapy under the MRI guidance is not recommended. Furthermore, the impact of a magnetic field of up to 7 T strength on the dose distribution of Ir-192, Yb-169, and I-125 sources is negligible, provided that there is no air pocket near brachytherapy sources.
Subject(s)
Brachytherapy , Iridium Radioisotopes , Brachytherapy/methods , Cobalt Radioisotopes/therapeutic use , Iodine Radioisotopes , Iridium Radioisotopes/therapeutic use , Magnetic Fields , Monte Carlo Method , Radiometry/methods , Radiotherapy DosageABSTRACT
In this work, the 3D proton dose profile is calculated in a homogenous water phantom using a Monte Carlo application developed with the Geant4 toolkit. The effect of the ridge filter material (for SOBP widths of 6, 9 and 12cm) on the homogeneity of the dose distribution, secondary neutron production and beam efficiency are investigated in a single ring wobbling irradiation system. The energy spectrum of secondary neutrons per primary proton at various locations around the phantom surface is calculated. The simulation revealed that most of the produced neutrons are released at slight angles which enable them to reach the patient and consequently to be hazardous. Also, the homogeneity of the dose distribution at the proximal edge of spread out Bragg peak (SOBP) field is deteriorated due to the scattering of protons in the ridge filter. It is found that for reducing the above mentioned destructive effects, usage of a PMMA ridge filter is better than Al one. For a similar value of 9cm water equivalent thickness, beam widening radius of Al at isocenter is twice of PMMA. Furthermore, for uniform irradiation of the target, the beam efficiency of the system for Al is less than of PMMA and also regarding to the secondary neutron production PMMA is a better choice.