A Grid Intensity Map-Based Source Model for Monte Carlo Modeling of IMRT Field Irradiation - Paper 5

An accurate source model is important for TPS (Treatment Planning System) dose calculation and verification, especially for IMRT (Intensity Modulated Radiotherapy) irregular and inhomogeneous fields. Monte Carlo simulation is the most accurate way to calculate dose distributions in the heterogeneous media like human bodies. A full radiotherapy modeling generally includes Linac modeling and phantom dose calculation. Full Linac modeling is very time-consuming and requires highly detailed knowledge of the accelerator composition and structure, however, which is very difficult to obtain for commercial interests. Often all relevant parameters are not known with sufficient accuracy, and thus a time-consuming tuning of e.g. the electron beam spot size and energy must be performed. A multiple source model (MSM) regards particles coming from different parts of an accelerator as if they are coming from different virtual sources. MSM uses a set of virtual sources representing the treatment beam (e.g. primary photons, head scatter, electron contamination) by a set of analytic functions or histograms with parameters derived from dosimetric measurements or a full MC simulation. Tillikainen et al built a three sub-source model by matching with measurement data using an automatic process to optimize the free model parameters for a Varian 2100 C/D accelerator. Lin et al have built a convenient five-photon-sub-source model for Varian 2300C 6 MV-X beam based on Monte Carlo simulated Linac for ARTS (Accurate Radiotherapy System). The particle generation of MSM is very fast compared to full Linac simulation, and its sampling efficiency is not limited by the size of the phase space file (PSF). However, generally MSM is generated based on regular field PSF and needs an irregular component to form the beam shape meanwhile apt to bringing error Linac modeling and MSM producing from PSF analysis actually both are multi-freedom optimization process by adjusting several parameters (e.g. electron energy and angular divergence). Linac modeling adjusts its parameters from the beginning of electron hitting target through all components to fit the simulation to the measurement. MSM tunes its PSF-derived parameters by optimizing to minimize the deviations between the simulation and the measurement. Since the full Linac modeling and the MSM model both need to fine tune their parameters to match the simulation to the measurement, and sometimes maybe offsets the real accelerator for its multi-parameter optimization process. So, why not fine tune directly all source model parameters just behind all Linac components to fit the simulation to the measurement? A grid intensity-based surface source model was suggested here, which assumed the particle emitting from the bottom surface of Linac last beam trimmer MLC (Multi Leaf Collimator). The particle emitting position is sampled on the grid intensity map optimized by TPS, and the particle weight is adjusted by its original grid intensity. This source model not only takes advantage of the Monte Carlo method in the heterogeneous media, but also avoids effectively the transportation speed shortcoming of Monte Carlo simulation through Linac components. (authors)