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arXiv 1809.09161physics.med-ph
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视网膜母细胞瘤外照射技术的研究

A study of the irradiation technique used for the external beam radiotherapy of retinoblastoma

L. Brualla, P. A. Mayorga, A. Flühs, A. M. Lallena, J. Sempau, W. Sauerwein

摘要:

目的:视网膜母细胞瘤(RB)是儿童眼部最常见的肿瘤,可采用体外放射治疗。这项工作的目的是通过实验测量来评估蒙特卡罗模拟的充分性和商业治疗计划系统的准确性。使用专用准直器在水中进行剂量测量。方法:采用6 MV Varian Clinac 2100 C/D和专用准直器进行RB治疗。准直器符合D形离轴场,其照射面积可以是5.2或3.1 cm $^2$。测量了深度剂量分布和横向分布,并与使用PENTAGE PE运行的蒙特卡罗模拟和使用伽马测试的分析各向异性算法(AAA)进行的计算进行了比较。结果如下:PENMENTAL PE模拟与实验数据吻合良好,剂量分布的差异小于3 mm的距离一致性和3%的剂量。AAA的计算结果与实验数据的误差分别为3 mm和6%。AAA和实验之间的半影区的一致性明显差于后者和PENNEPE之间。假设3 mm的一致性距离和3%的剂量差异,比较PENTHESPE(AAA)和实验时,通过伽马测试的体素百分比平均为99%(93%)。结论:虽然AAA和实验结果之间的差异是明显的,它是可能的,考虑该算法的RB患者的常规治疗计划,提供算法的局限性是已知的,并考虑到由医学物理学家。蒙特卡罗模拟对于了解这些限制是必不可少的。需要进行蒙特卡罗模拟以优化治疗技术和专用准直器。

英文摘要:

Purpose: Retinoblastoma (RB) is the most common eye tumor in childhood and can be treated external radiotherapy. The purpose of this work is to evaluate the adequacy of Monte Carlo simulations and the accuracy of a commercial treatment planning system by means of experimental measurements. Dose measurements in water were performed using a dedicated collimator. Methods: A 6MV Varian Clinac 2100 C/D and a dedicated collimator are used for RB treatment. The collimator conforms a D-shaped off-axis field whose irradiated area can be either 5.2 or 3.1cm$^2$. Depth dose distributions and lateral profiles were measured and compared with Monte Carlo simulations run with PENELOPE and with calculations performed with the analytical anisotropic algorithm (AAA) using the gamma test. Results: PENELOPE simulations agree well with the experimental data with discrepancies in the dose profiles less than 3mm of distance-to-agreement and 3% of dose. Discrepancies between the results of AAA and the experimental data reach 3mm and 6%. The agreement in the penumbra region between AAA and the experiment is noticeably worse than that between the latter and PENELOPE. The percentage of voxels passing the gamma test when comparing PENELOPE (AAA) and the experiment is on average 99% (93%) assuming a 3mm distance-to-agreement and a discrepancy of 3% of dose. Conclusions: Although the discrepancies between AAA and experimental results are noticeable, it is possible to consider this algorithm for routine treatment planning of RB patients, provided the limitations of the algorithm are known and taken into account by the medical physicist. Monte Carlo simulation is essential for knowing these limitations. Monte Carlo simulation is required for optimizing the treatment technique and the dedicated collimator.

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