Preliminary validation of a Monte Carlo model for IMRT fields

Full text: A Monte Carlo model of an Elekta linac, validated for medium to large (10-30 cm) symmetric fields, has been investigated for small, irregular and asymmetric fields suitable for IMRT treatments. The model has been validated with field segments using radiochromic film in solid water. The modelled positions of the multileaf collimator (MLC) leaves have been validated using EBT film, In the model, electrons with a narrow energy spectrum are incident on the target and all components of the linac head are included. The MLC is modelled using the EGSnrc MLCE component module. For the validation, a number of single complex IMRT segments with dimensions approximately 1-8 cm were delivered to film in solid water (see Fig, I), The same segments were modelled using EGSnrc by adjusting the MLC leaf positions in the model validated for 10 cm symmetric fields. Dose distributions along the centre of each MLC leaf as determined by both methods were compared. A picket fence test was also performed to confirm the MLC leaf positions. 95% of the points in the modelled dose distribution along the leaf axis agree with the film measurement to within 1%/1 mm for dose difference and distance to agreement. Areas of most deviation occur in the penumbra region. A system has been developed to calculate the MLC leaf positions in the model for any planned field size.