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

Title: SU-F-T-79: Monte Carlo Investigation of Optimizing Parameters for Modulated Electron Arc Therapy

Journal Article · · Medical Physics
DOI:https://doi.org/10.1118/1.4956215· OSTI ID:22642327
; ;  [1]; ;  [2]
  1. Azhar university, Nasr City, Cairo (Egypt)
  2. Fox Chase Cancer Center, Philadelphia, PA (United States)

Purpose: Electron arc therapy provides excellent dose distributions for treating superficial tumors along curved surfaces. However this modality has not received widespread application due to the lack of needed advancement in electron beam delivery, accurate electron dose calculation and treatment plan optimization. The aim of the current work is to investigate possible parameters that can be optimized for electron arc (eARC) therapy. Methods: The MCBEAM code was used to generate phase space files for 6 and 12MeV electron beam energies from a Varian trilogy machine. An Electron Multi-leaf collimator eMLC of 2cm thickness positioned at 82 cm source collimated distance was used in the study. Dose distributions for electron arcs were calculated inside a cylindrical phantom using the MCSIM code. The Cylindrical phantom was constructed with 0.2cm voxels and a 15cm diameter. Electron arcs were delivered with two different approaches. The first approach was to deliver the arc as segments of very small field widths. In this approach we also tested the impact of the segment size and the arc increment angle. The second approach is to deliver the arc as a sum of large fields each covering the whole target as seen from the beam eye view. Results: In considering 90 % as the prescription isodose line, the first approach showed a region of buildup proceeding before the prescription zone. This build up is minimizing with the second approach neglecting need for bolus. The second approach also showed less x-ray contamination. In both approaches the variation of the segment size changed the size and location of the prescription isodose line. The optimization process for eARC could involve interplay between small and large segments to achieve desired coverage. Conclusion: An advanced modulation of eARCs will allow for tailored dose distribution for superficial curved target as with challenging scalp cases.

OSTI ID:
22642327
Journal Information:
Medical Physics, Vol. 43, Issue 6; Other Information: (c) 2016 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA); ISSN 0094-2405
Country of Publication:
United States
Language:
English