skip to main content
OSTI.GOV title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: Monte Carlo Treatment Planning for Molecular Targeted Radiotherapy within the MINERVA System

Conference ·

The aim of this project is to extend accurate and patient-specific treatment planning to new treatment modalities, such as molecular targeted radiation therapy, incorporating previously crafted and proven Monte Carlo and deterministic computation methods. A flexible software environment is being created that allows planning radiation treatment for these new modalities and combining different forms of radiation treatment with consideration of biological effects. The system uses common input interfaces, medical image sets for definition of patient geometry, and dose reporting protocols. Previously, the Idaho National Engineering and Environmental Laboratory (INEEL), Montana State University (MSU), and Lawrence Livermore National Laboratory (LLNL) had accrued experience in the development and application of Monte Carlo-based, three-dimensional, computational dosimetry and treatment planning tools for radiotherapy in several specialized areas. In particular, INEEL and MSU have developed computational dosimetry systems for neutron radiotherapy and neutron capture therapy, while LLNL has developed the PEREGRINE computational system for external beam photon-electron therapy. Building on that experience, the INEEL and MSU are developing the MINERVA (Modality Inclusive Environment for Radiotherapeutic Variable Analysis) software system as a general framework for computational dosimetry and treatment planning for a variety of emerging forms of radiotherapy. In collaboration with this development, LLNL has extended its PEREGRINE code to accommodate internal sources for molecular targeted radiotherapy (MTR), and has interfaced it with the plug-in architecture of MINERVA. Results from the extended PEREGRINE code have been compared to published data from other codes, and found to be in general agreement (EGS4 - 2%, MCNP - 10%)(Descalle et al. 2003). The code is currently being benchmarked against experimental data. The interpatient variability of the drug pharmacokinetics in MTR can only be properly accounted for by image-based, patient-specific treatment planning as has been common in external beam radiation therapy for many years. MINERVA offers 3D Monte Carlo based MTR treatment planning as its first integrated operational capability. The new MINERVA system will ultimately incorporate capabilities for a comprehensive list of radiation therapies. In progress are modules for external beam photon-electron therapy and Boron Neutron Capture Therapy (BNCT). Brachytherapy and Protontherapy are planned. Through the open Application Programming Interface (API) other groups can add their own modules and share them with the community.

Research Organization:
Lawrence Livermore National Laboratory (LLNL), Livermore, CA (United States)
Sponsoring Organization:
USDOE
DOE Contract Number:
W-7405-ENG-48
OSTI ID:
15014816
Report Number(s):
UCRL-PROC-206764; TRN: US200807%%775
Resource Relation:
Journal Volume: 50; Journal Issue: 5; Conference: Presented at: Current Topics in Monte Carlo Treatment Planning Advanced Workshop, Montreal, Canada, May 03 - May 05, 2004
Country of Publication:
United States
Language:
English

References (21)

Options for Radionuclide Therapy: From Fixed Activity to Patient-Specific Treatment Planning journal February 2002
A Monte Carlo approach to patient-specific dosimetry journal September 1996
The clinical importance of dosimetry in radioimmunotherapy with tositumomab and iodine I 131 tositumomab journal April 2003
Combining Dosimetry for Targeted Radionuclide and External Beam Therapies Using the Biologically Effective Dose journal February 2003
Absorbed Dose Ratios for Repeated Therapy of Neuroblastoma with I-131 mIBG journal February 2003
MABDOSE . II: Validation of a general purpose dose estimation code journal July 1999
Implementation of a Monte Carlo dosimetry method for patient-specific internal emitter therapy journal July 1997
Computational dosimetry and treatment planning for Boron Neutron Capture Therapy journal January 1997
Treatment Planning for Molecular Targeted Radionuclide Therapy journal June 2002
On the possibility of ‘real-time’ Monte Carlo calculations for the estimation of absorbed dose in radioimmunotherapy journal July 1989
A Monte-Carlo Method for Interface Dosimetry of Beta Emitters journal June 2003
Requirements for a treatment planning system for radioimmunotherapy journal February 1985
Impact of Interpatient Pharmacokinetic Variability on Design Considerations for Therapy with Radiolabeled MAbs journal April 2003
A clinical and scientific overview of tositumomab and iodine I 131 tositumomab journal April 2003
MINERVA—a multi-modal radiation treatment planning system journal November 2004
Estimation and implications of random errors in whole-body dosimetry for targeted radionuclide therapy journal August 2002
Description and dosimetric verification of the PEREGRINE Monte Carlo dose calculation system for photon beams incident on a water phantom journal July 2001
Internal Dosimetry in the Use of Radiopharmaceuticals in Therapy-Science at a Crossroads? journal April 1999
Computational Dosimetry and Treatment Planning Considerations for Neutron Capture Therapy journal January 2003
Law and Order of Radiation Sensitivity book January 1990
Application of MINERVA Monte Carlo Simulations to Targeted Radionuclide Therapy journal February 2003