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Title: A generalized 2D pencil beam scaling algorithm for proton dose calculation in heterogeneous slab geometries

Journal Article · · Medical Physics
DOI:https://doi.org/10.1118/1.4804055· OSTI ID:22121021
 [1]; ;  [2];  [3];  [4]
  1. Department of Radiation Oncology, University of Colorado School of Medicine, Aurora, Colorado 80045 (United States)
  2. Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin 53705 (United States)
  3. Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin 53705 and Institute of Onco-Physics, Albert Einstein College of Medicine and Division of Medical Physics, Department of Radiation Oncology, Montefiore Medical Center, Bronx, New York 10461 (United States)
  4. Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin 53705 and Department of Human Oncology, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin 53792 (United States)

Purpose: Pencil beam algorithms are commonly used for proton therapy dose calculations. Szymanowski and Oelfke ['Two-dimensional pencil beam scaling: An improved proton dose algorithm for heterogeneous media,' Phys. Med. Biol. 47, 3313-3330 (2002)] developed a two-dimensional (2D) scaling algorithm which accurately models the radial pencil beam width as a function of depth in heterogeneous slab geometries using a scaled expression for the radial kernel width in water as a function of depth and kinetic energy. However, an assumption made in the derivation of the technique limits its range of validity to cases where the input expression for the radial kernel width in water is derived from a local scattering power model. The goal of this work is to derive a generalized form of 2D pencil beam scaling that is independent of the scattering power model and appropriate for use with any expression for the radial kernel width in water as a function of depth. Methods: Using Fermi-Eyges transport theory, the authors derive an expression for the radial pencil beam width in heterogeneous slab geometries which is independent of the proton scattering power and related quantities. The authors then perform test calculations in homogeneous and heterogeneous slab phantoms using both the original 2D scaling model and the new model with expressions for the radial kernel width in water computed from both local and nonlocal scattering power models, as well as a nonlocal parameterization of Moliere scattering theory. In addition to kernel width calculations, dose calculations are also performed for a narrow Gaussian proton beam. Results: Pencil beam width calculations indicate that both 2D scaling formalisms perform well when the radial kernel width in water is derived from a local scattering power model. Computing the radial kernel width from a nonlocal scattering model results in the local 2D scaling formula under-predicting the pencil beam width by as much as 1.4 mm (21%) at the depth of the Bragg peak for a 220 MeV proton beam in homogeneous water. This translates into a 32% dose discrepancy for a 5 mm Gaussian proton beam. Similar trends were observed for calculations made in heterogeneous slab phantoms where it was also noted that errors tend to increase with greater beam penetration. The generalized 2D scaling model performs well in all situations, with a maximum dose error of 0.3% at the Bragg peak in a heterogeneous phantom containing 3 cm of hard bone. Conclusions: The authors have derived a generalized form of 2D pencil beam scaling which is independent of the proton scattering power model and robust to the functional form of the radial kernel width in water used for the calculations. Sample calculations made with this model show excellent agreement with expected values in both homogeneous water and heterogeneous phantoms.

OSTI ID:
22121021
Journal Information:
Medical Physics, Vol. 40, Issue 6; Other Information: (c) 2013 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA); ISSN 0094-2405
Country of Publication:
United States
Language:
English