Search arXivSearch

arXiv · 1308.0367

Monitor backscatter factors for the Varian 21EX and TrueBeam linear accelerators: measurements and Monte Carlo modeling

Abstract

Purpose/Objective: Backscattered radiation (BSR) into linac monitor chamber has to be accounted for in radiotherapy dose calculations. In Monte Carlo (MC) calculations, the BSR can be modeled explicitly, but only when treatment head geometry is available. In this study, monitor backscatter factors (MBSFs), defined as the ratio of the charge collected in the monitor chamber for a reference field to that of a given field, have been evaluated experimentally and incorporated into MC modelling of linacs with either known or unknown treatment head geometry. Materials and methods: A telescopic technique similar to that by Kubo (1989) was used. However, instead of lead slits, a 1.8 mm diameter collimator and a small (2 mm diameter) detector positioned at extended SDD were used. This setup provided a field of view to the source of less than 3.1 mm and allowed for MBSF measurements of open fields from 1 x 1 to 40 x 40 cm2. MBSFs were also explicitly modeled in MC calculations using BEAMnrc and DOSXYZnrc codes for 6MV and 18MV beams of a Varian 21EX linac. A method for deriving the Dchforward values that are used in MC absolute dose calculations was demonstrated. These values were derived from measured MBSFs for two 21EX and four TrueBeam energies. Results: MBSFs were measured for 6MV and 18MV beams from Varian 21EX, and for 6MV, 10MV-FFF, 10MV, and 15MV beams from Varian TrueBeam linacs. For the open field sizes modeled in this study for the 21EX, the measured MBSFs agreed with MC calculated values within combined statistical (0.4%) and experimental (0.2%) uncertainties. Variation of MBSFs across field sizes was about a factor of two smaller for the TrueBeam compared to 21EX Varian linacs. Conclusions: Measured MBSFs and the derived Dchforward factors allow for the incorporation of the BSR effect into accurate radiotherapy dose calculations without explicit backscatter modelling.

Explore related subjects

Keep this discovery

BibTeXRIS

Sergei Zavgorodni, Eyad Alhakeem, Reid Townson. 2013-08-01. Monitor backscatter factors for the Varian 21EX and TrueBeam linear accelerators: measurements and Monte Carlo modeling. https://doi.org/10.1088/0031-9155/59/4/911

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

Phase-contrast micro-CT for intra-operative breast tumour margin assessment using a microfocus x-ray source and photon-counting detector

Objective: Intra-operative tumour margin assessment during breast-conserving surgery requires rapid, high-resolution imaging of excised tissue, allowing the surgical team to take appropriate action within a single operation. This study evaluates a custom propagation-based phase-contrast micro-computed tomography (micro-CT) system designed to meet these clinical constraints without specialised optical elements. Methods: The experimental setup pairs a microfocus x-ray source with a photon-counting detector in a cone-beam geometry. We explore how the spatial coherence of the source can provide propagation-based phase contrast -- with no additional specialised optical elements -- and balance this against maximising the x-ray flux of the cone-beam geometry. System performance was evaluated across two anode target materials and filtration configurations at various tube power settings. Imaging capabilities were validated using anthropomorphic breast tissue phantoms and a formalin-fixed paraffin-embedded (FFPE) breast tissue specimen, with reconstructions compared against gold-standard histology. Results: An unfiltered tungsten target operated at 40 kVp yielded optimal image quality. The optimised system achieved high-resolution CT reconstructions of a 5 cm diameter sample with an isotropic voxel size of 40.7 $\upmu\text{m}$ in a scan time of 12 minutes. Reconstructed volumes demonstrated strong visual correlation with corresponding histology slides. Conclusion: Combining a microfocus source with a photon-counting detector enables high-resolution, phase-contrast micro-CT within a clinically viable timeframe, demonstrating strong potential for intra-operative margin assessment.

physics.med-ph

Understanding Search and Decision Errors in Liver Metastasis Detection and the Effects of Lower Radiation Dose

The detection performance of liver metastases decreases with the reduction of radiation dose, but misses are heterogeneous. Previous eye tracking work has characterized missed metastases into two categories: search errors i.e., the eyes never land on the lesion, and decision errors i.e., the lesion is seen but not recognized as malignant. We integrated three prior reader studies to answer this question. In all studies, radiologists interpreted the same set of 40 contrast enhanced abdominal CT exams containing 91 liver metastases whose locations had been previously marked. In two studies, the workstation recorded their gaze and eye movements. Using eye dwell times, metastases were classified as search-error-dominant (majority of misses had <2 sec gaze time) or decision-error-dominant (>2 sec gaze time). In the third study, exams were interpreted both at 120 and 200 quality reference mAs (QRM) by ten radiologists. The third study did not include eye tracking. Out of 91 liver metastases, we excluded 16 that were never missed in the eye tracking studies and used 75 liver metastases for the present study.

physics.med-ph

Develop and Optimize 5DCT Imaging Simulation and Reconstruction Methods

Purpose: To develop and optimize a 5DCT (3D + cardiac phase + respiratory phase) imaging simulation and reconstruction pipeline, and to compare two sinogram-space interpolation methods for reconstructing images at arbitrary combinations of cardiac and respiratory phase. Methods: Helical CT projections were simulated from the 4D XCAT phantom across a range of cardiac and respiratory motion states, with Poisson and electronic noise added. Ground-truth-matched volumes were generated at 5 cardiac phases and 10 respiratory amplitudes (50 total phase combinations). Because acquired projections are sparsely and unevenly distributed across this joint phase space, each target slice was reconstructed by interpolating rebinned sinogram rows to the target cardiac phase and respiratory amplitude, using either 2D scattered barycentric interpolation or 2D scattered local linear interpolation with a circular kernel for cardiac phase. Reconstructed volumes were compared to phantom ground truth using mean absolute error (MAE), and to conventional respiratory-gated 4DCT (r4DCT) reconstructed from the same simulated data. Results: Both interpolation methods eliminated the severe axial misalignment artifacts present when helical projections were reconstructed without phase-space interpolation. Local linear interpolation achieved lower MAE than barycentric interpolation across most tested conditions, with the largest improvement at low pitch. The 5DCT pipeline also produced respiratory-only volumes with fewer residual cardiac-motion artifacts than conventional r4DCT reconstructed from the same projection data, including at standard clinical pitch (0.1). Conclusions: 5DCT reconstruction using sinogram-space interpolation is feasible and can jointly resolve cardiac and respiratory motion with better accuracy than conventional 4DCT reconstruction.

physics.med-ph