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Preliminary estimates of nucleon fluxes in a water target exposed to solar-flare protons: BRYNTRN versus Monte Carlo code

A baryon transport code (BRYNTRN) has previously been verified using available Monte Carlo results for a solar-flare spectrum as the reference. Excellent results were obtained, but the comparisons were limited to the available data on dose and dose equivalent for moderate penetration studies that involve minor contributions from secondary neutrons. To further verify the code, the secondary energy spectra of protons and neutrons are calculated using BRYNTRN and LAHET (Los Alamos High-Energy Transport code, which is a Monte Carlo code). These calculations are compared for three locations within a water slab exposed to the February 1956 solar-proton spectrum. Reasonable agreement was obtained when various considerations related to the calculational techniques and their limitations were taken into account. Although the Monte Carlo results are preliminary, it appears that the neutron albedo, which is not currently treated in BRYNTRN, might be a cause for the large discrepancy seen at small penetration depths. It also appears that the nonelastic neutron production cross sections in BRYNTRN may underestimate the number of neutrons produced in proton collisions with energies below 200 MeV. The notion that the poor energy resolution in BRYNTRN may cause a large truncation error in neutron elastic scattering requires further study.

Shinn, Judy L.↗

A Comparison of GoldSim, RESRAD-Onsite, and NORMALYSA Modeling Tools at Radioactive Waste Sites - 19480

Radioactive waste disposal and associated decision making is a challenging problem around the world. A strong performance assessment model plays a crucial role in making good management and remediation decisions and in optimizing the performance of a site. The International Atomic Energy Agency (IAEA) MODARIA II Working Group 1 (WG1) is comparing the performance of various modeling platforms used at Naturally Occurring Radioactive Material (NORM) and legacy waste sites to support risk-informed decision making. Neptune and Company, Inc. (Neptune) has developed probabilistic performance assessment models using the GoldSim system modeling software at a variety of radioactive waste sites. This paper presents a comparison between GoldSim and two other tools used to evaluate radiation exposure and their associated risks: the NORM And Legacy Site Assessment (NORMALYSA) tool used to assess risk at the Zapadnoe mill tailings site, and the residual radioactivity (RESRAD-Onsite) computer program used to calculate Authorized Limits at the Los Alamos National Laboratory (LANL). The International Atomic Energy Agency (IAEA) supported development of NORMALYSA based off of Ecolego 6.0, in which the user connects several universal modules, representing various environmental transport and exposure pathways, and enters in site-specific data. Further work with NORMALYSA has continued under the MODARIA II WG 1. A radionuclide transport and dose calculation model of the Zapadnoe uranium mill tailings site at the Pridneprovsky Chemical Plant in the Ukraine has been configured by MODARIA II WG1 to test the capabilities of NORMALYSA. Under this test case, contaminant transport and effective dose calculations were performed for two exposure scenarios. The onsite worker is exposed via external ground irradiation and radon and radioactive dust inhalation. The offsite resident defines a residence established 300 years after institutional control has ended, 800 meters downstream from the site with exposure pathways including: ingestion of garden vegetables irrigated by contaminated ground water, ingestion of fish from the Konoplyanka River and agricultural activities in the contaminated garden. GoldSim modeling software is a dynamic probabilistic modeling platform that evaluates uncertainty in a robust and transparent manner. Although GoldSim provides contaminant and radionuclide transport modules to facilitate integrated modeling of radionuclide migration in the environment, these features are not embedded in an existing modeling framework, except as created by the user. Neptune developed a GoldSim model for the two exposure scenarios of the Zapadnoe test case. Neptune's Generic PA Model was used as a starting point for the Zapadnoe site. Input parameters for the GoldSim model include site-specific parameters from the MODARIA Working Group as well as parameters from the Generic PA Model and other PA models created by Neptune. For the other comparison, Version 7.0 of RESRAD-Onsite, developed by Argonne National Laboratory for the U.S. Department of Energy (DOE), was used to calculate Authorized Limits for LANL. Authorized Limits are concentrations of radionuclides in soil that support the evaluation process to clear land for release under different uses. The RESRAD-Onsite computer code was used to calculate Authorized Limits because this program was specifically designed to derive radionuclide soil guidelines corresponding to a specific dose criterion. The scope of the RESRAD dose or risk evaluation is constrained to the transport and exposure pathways that have been included in the computer code. To assist in illustrating the capability of GoldSim modeling software, a GoldSim model was created to replicate the calculation of LANL's Authorized Limits for soil. The main exposure pathways in this model are inhalation of dust and gas, plant ingestion, soil ingestion, and external ground irradiation. All of the processes and outputs of RESRAD-Onsite and NORMALYSA can be created in a GoldSim model, but the value of GoldSim lies in its flexibility for application to any of a wide variety of environmental modeling problems. GoldSim allows development of site-specific inventory, transport mechanisms and risk assessment scenarios. If all potentially complete release, transport, and exposure pathways are addressed in an existing dose and risk assessment computer code, and if the code's capabilities fulfill the project modeling objectives, then expending resources to create a GoldSim model may not be necessary. Site optimization and good decision making about site management are often best when supported with the flexibility of GoldSim as a modeling tool. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Radiation shielding properties of barite coated fabric by computer programme

With the development of technology radiation started to be used in variety of different fields. As the radiation is hazardous for human health, it is important to keep radiation dose as low as possible. This is done mainly using shielding materials. Barite is one of the important materials in this purpose. As the barite is not used directly it can be used in some other materials such as fabric. For this purposes barite has been coated on fabric in order to improve radiation shielding properties of fabric. Determination of radiation shielding properties of coated fabric has been done by using computer program written C# language. With this program the images obtained from digital Rontgen films is used to determine radiation shielding properties in terms of image processing numerical values. Those values define radiation shielding and in this way the coated barite effect on radiation shielding properties of fabric has been obtained.

07 ISOTOPE AND RADIATION SOURCES↗

A computer aided treatment event recognition system in radiation therapy

Purpose: To develop an automated system to safeguard radiation therapy treatments by analyzing electronic treatment records and reporting treatment events. Methods: CATERS (Computer Aided Treatment Event Recognition System) was developed to detect treatment events by retrieving and analyzing electronic treatment records. CATERS is designed to make the treatment monitoring process more efficient by automating the search of the electronic record for possible deviations from physician's intention, such as logical inconsistencies as well as aberrant treatment parameters (e.g., beam energy, dose, table position, prescription change, treatment overrides, etc). Over a 5 month period (July 2012–November 2012), physicists were assisted by the CATERS software in conducting normal weekly chart checks with the aims of (a) determining the relative frequency of particular events in the authors’ clinic and (b) incorporating these checks into the CATERS. During this study period, 491 patients were treated at the University of Iowa Hospitals and Clinics for a total of 7692 fractions. Results: All treatment records from the 5 month analysis period were evaluated using all the checks incorporated into CATERS after the training period. About 553 events were detected as being exceptions, although none of them had significant dosimetric impact on patient treatments. These events included every known event type that was discovered during the trial period. A frequency analysis of the events showed that the top three types of detected events were couch position override (3.2%), extra cone beam imaging (1.85%), and significant couch position deviation (1.31%). The significant couch deviation is defined as the number of treatments where couch vertical exceeded two times standard deviation of all couch verticals, or couch lateral/longitudinal exceeded three times standard deviation of all couch laterals and longitudinals. On average, the application takes about 1 s per patient when executed on either a desktop computer or a mobile device. Conclusions: CATERS offers an effective tool to detect and report treatment events. Automation and rapid processing enables electronic record interrogation daily, alerting the medical physicist of deviations potentially days prior to performing weekly check. The output of CATERS could also be utilized as an important input to failure mode and effects analysis.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

SU-F-T-77: A Novel Test for Coincidence Between Light Fields and Electron Radiation Fields

Purpose: To validate a novel real time quality assurance device, as a means to test coincidence of light fields to electron radiation fields. Method and Materials: Use a Raven™ (LAP of America Laser Applications) detector, both light fields and electron radiation fields of various electron cones and cutouts from two Clinacs (Varian Medical) were sensed by the phosphor screen and registered by a CCD camera of the device. During measurements, the screen surface of Raven was placed at ISO center level facing the radiation field at any setup angle. Subsequently the light field and the electron radiation field (with 100 MU) were captured separately by the device. The measurements were then analyzed using the Raven software with a maximal 25 by 25 cm^2 field size and 0.25 mm resolution. The results were further compared against those using chromic graphic film (EBT3). To ensure consistence only the dimensions through the central axis were recorded. All the films were analyzed with Dose Lab Pro™ v6.70. Coincidence comparisons were done within the tests on one Clinac and between the two Clinacs. Results: The similar difference means of the field coincidence are indicated from the 18 samples by EBT films and 34 by the Raven as 1.33 ± 0.87 mm verses 1.06 ± 0.58 mm (p = 0.74). The mean differences of the field coincidence between the two Clinacs, 1.16 ± 0.68 mm (n=16) and 1.16 ± 0.48 mm (n=18) respectively, also suggest no statistical difference (p= 0.40). Conclusion: The Raven™ is a comparable quality verification device to the chromic graphic film (EBT3) in checking the coincidence between light and electron radiation fields. In this investigation, the Raven device provided highly reproducible results with real time analysis. Further improvements in its resolution and automatic analyzing capability are warranted.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Multicriteria optimization of the spatial dose distribution

Purpose: Treatment planning for radiation therapy involves trade-offs with respect to different clinical goals. Typically, the dose distribution is evaluated based on few statistics and dose–volume histograms. Particularly for stereotactic treatments, the spatial dose distribution represents further criteria, e.g., when considering the gradient between subregions of volumes of interest. The authors have studied how to consider the spatial dose distribution using a multicriteria optimization approach.Methods: The authors have extended a stepwise multicriteria optimization approach to include criteria with respect to the local dose distribution. Based on a three-dimensional visualization of the dose the authors use a software tool allowing interaction with the dose distribution to map objectives with respect to its shape to a constrained optimization problem. Similarly, conflicting criteria are highlighted and the planner decides if and where to relax the shape of the dose distribution.Results: To demonstrate the potential of spatial multicriteria optimization, the tool was applied to a prostate and meningioma case. For the prostate case, local sparing of the rectal wall and shaping of a boost volume are achieved through local relaxations and while maintaining the remaining dose distribution. For the meningioma, target coverage is improved by compromising low dose conformality toward noncritical structures. A comparison of dose–volume histograms illustrates the importance of spatial information for achieving the trade-offs.Conclusions: The results show that it is possible to consider the location of conflicting criteria during treatment planning. Particularly, it is possible to conserve already achieved goals with respect to the dose distribution, to visualize potential trade-offs, and to relax constraints locally. Hence, the proposed approach facilitates a systematic exploration of the optimal shape of the dose distribution.

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SU-C-BRD-04: Comparison of Shallow Fluence to Deep Point Dose Measurements for Spine VMAT SBRT Patient-Specific QA

Purpose: To investigate the sensitivity of traditional gamma-index-based fluence measurements for patient-specific measurements in VMAT delivered spine SBRT. Methods: The ten most recent cases for spine SBRT were selected. All cases were planned with Eclipse RapidArc for a TrueBeam STx. The delivery was verified using a point dose measurement with a Pinpoint 3D micro-ion chamber in a Standard Imaging Stereotactic Dose Verification Phantom. Two points were selected for each case, one within the target in a low dose-gradient region and one in the spinal cord. Measurements were localized using on-board CBCT. Cumulative and separate arc measurements were acquired with the ArcCheck and assessed using the SNC patient software with a 3%/3mm and 2%/2mm gamma analysis with global normalization and a 10% dose threshold. Correlations between data were determined using the Pearson Product-Moment Correlation. Results: For our cohort of patients, the measured doses were higher than calculated ranging from 2.2%–9.7% for the target and 1.0%–8.2% for the spinal cord. There was strong correlation between 3%/3mm and 2%/2mm passing rates (r=0.91). Moderate correlation was found between target and cord dose with a weak fit (r=0.67, R-Square=0.45). The cumulative ArcCheck measurements showed poor correlation with the measured point doses for both the target and cord (r=0.20, r=0.35). If the arcs are assessed separately with an acceptance criteria applied to the minimum passing rate between all arcs, a moderate negative correlation was found for the target and cord (r=−0.48, r= −0.71). The case with the highest dose difference (9.7%) received a passing rate of 97.2% for the cumulative arcs and 87.8% for the minimum with separate arcs. Conclusion: Our data suggest that traditional passing criteria using ArcCheck with cumulative measurements do not correlate well with dose errors. Separate arc analysis shows better correlation but may still miss large dose errors. Point dose verifications are recommended.

60 APPLIED LIFE SCIENCES↗

SU-E-T-487: Impact of Geometric Uncertainties in Accelerated Partial Breast Irradiation Using the Strut-Adjusted Volume Implant (SAVI)

Purpose: Single-entry multi-catheter devices have been developed for accelerated partial breast irradiation (APBI). Rotational and translational uncertainties are usually mitigated by quality assurance, however its actual dosimetric impact has not been addressed, which is presented here for SAVI applicator. Methods: Under Institutional Review Board exemption status, we retrospectively analyzed 48 APBI treatment plans using SAVI applicator. For quick calculation of dose-volume histogram (DVH) considering geometric uncertainties, the coordinate of each voxel of critical organs after rotation or translation along the central catheter was calculated using an in-house software instead of rotating or translating the entire dose distribution. Results: For most cases, the skin doses increased with rotation to both directions. At 10 degree of rotation, the increase of Dmax (percent prescribed dose) at 50% (median), 75%, 90%, and 100% (maximum) percentile were 0.3%, 1.7%, 5.6% and 25.0%, respectively. The increase of chest wall Dmax at 50%, 75%, 90%, and 100% percentile were 0.1%, 1.0%, 10.3% and 38.8%, respectively. The increase of skin Dmax of the patients with the distance between skin surface and lumpectomy cavity surface ≤16 mm was significantly larger than those with the distance >16 mm. Similarly, patients with the distance between lung and lumpectomy cavity surface ≤20 mm showed higher sensitivity of chest wall Dmax against rotation than patients with the distance <20 mm. Translation of the applicator showed larger impact on the skin dose than rotation, although the effects on chest wall was less than 2% even at 10 mm displacement. At 5 mm of translation, increase of skin Dmax at 50%, 75%, 90%, and 100% percentile were 2.3%, 8.0%, 15.3% and 77.7%, respectively. Conclusion: The impacts of the geometric uncertainties (rotation and translation) of SAVI applicator were investigated. The skin-lumpectomy cavity and lung-lumpectomy cavity distances showed significant relationship with skin and chest wall doses, respectively.

60 APPLIED LIFE SCIENCES↗

MO-G-BRE-01: A Real-Time Virtual Delivery System for Photon Radiotherapy Delivery Monitoring

Purpose: Treatment delivery monitoring is important for radiotherapy, which enables catching dosimetric error at the earliest possible opportunity. This project develops a virtual delivery system to monitor the dose delivery process of photon radiotherapy in real-time using GPU-based Monte Carlo (MC) method. Methods: The simulation process consists of 3 parallel CPU threads. A thread T1 is responsible for communication with a linac, which acquires a set of linac status parameters, e.g. gantry angles, MLC configurations, and beam MUs every 20 ms. Since linac vendors currently do not offer interface to acquire data in real time, we mimic this process by fetching information from a linac dynalog file at the set frequency. Instantaneous beam fluence map (FM) is calculated. A FM buffer is also created in T1 and the instantaneous FM is accumulated to it. This process continues, until a ready signal is received from thread T2 on which an inhouse developed MC dose engine executes on GPU. At that moment, the accumulated FM is transferred to T2 for dose calculations, and the FM buffer in T1 is cleared. Once the calculation finishes, the resulting 3D dose distribution is directed to thread T3, which displays it in three orthogonal planes overlaid on the CT image for treatment monitoring. This process continues to monitor the 3D dose distribution in real-time. Results: An IMRT and a VMAT cases used in our patient-specific QA are studied. Maximum dose differences between our system and treatment planning system are 0.98% and 1.58% for the two cases, respectively. The average time per MC calculation is 0.1sec with <2% relative uncertainty. The update frequency of ∼10Hz is considered as real time. Conclusion: By embedding a GPU-based MC code in a novel data/work flow, it is possible to achieve real-time MC dose calculations to monitor delivery process.

60 APPLIED LIFE SCIENCES↗

Recent Improvements To CINDER2008 and Activation Analysis Tools

CINDER2008 is a transmutation code that calculates induced radioactivity for either reactor- or accelerator-driven radiation sources. Several Perl scripts have been developed to treat multi-cell problems in combination with either the radiation transport code MCNPX or a special version of MCNPX that writes residual nuclide tallies from model-based physics directly in the MCNPX output file. These scripts simplify the preparation of CINDER input, and can use CINDER output to prepare the source term for a subsequent MCNPX run to calculate dose rates due to activated material. In addition, these scripts support calculations with the transmutation codes SP-FISPACT and ORIHET-3. A number of improvements have been made to CINDER, its data libraries, and the Perl scripts, including (1) substantial corrections to the data libraries, (2) inclusion of recent revisions to USDOE HC-2/HC-3 thresholds and the corresponding thresholds for regulatory bodies in other countries, (3) the ability to run the CINDER accident analysis tool through the script input file, and (4) an easier way to write the script input file when treating a large number of cells. Some features of running CINDER and a number of example problems are discussed.

Micklich, Bradley J.↗

Dosimetric study of surface applicators of HDR brachytherapy GammaMed Plus equipment

The cone type surface applicators used in HDR brachytherapy for treatment of small skin lesions are an alternative to be used with both electron beams and orthovoltage X-ray equipment. For a good treatment planning is necessary to know the dose distribution of these applicators, which can be obtained by experimental measurement and Monte Carlo simulation as well. In this study the dose distribution of surface applicators of 3 and 3.5 cm diameter, respectively of HDR brachytherapy GammaMed Plus equipment has been estimated using the Monte Carlo method, MCNP code. The applicators simulated were placed on the surface of a water phantom of 20 × 20 × 20 cm and the dose was calculated at depths from 0 to 3 cm with increments of 0.25 mm. The dose profiles obtained at depth show the expected gradients for surface therapy.

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TH-AB-207A-05: A Fully-Automated Pipeline for Generating CT Images Across a Range of Doses and Reconstruction Methods

Purpose: To evaluate the robustness of CAD or Quantitative Imaging methods, they should be tested on a variety of cases and under a variety of image acquisition and reconstruction conditions that represent the heterogeneity encountered in clinical practice. The purpose of this work was to develop a fully-automated pipeline for generating CT images that represent a wide range of dose and reconstruction conditions. Methods: The pipeline consists of three main modules: reduced-dose simulation, image reconstruction, and quantitative analysis. The first two modules of the pipeline can be operated in a completely automated fashion, using configuration files and running the modules in a batch queue. The input to the pipeline is raw projection CT data; this data is used to simulate different levels of dose reduction using a previously-published algorithm. Filtered-backprojection reconstructions are then performed using FreeCT-wFBP, a freely-available reconstruction software for helical CT. We also added support for an in-house, model-based iterative reconstruction algorithm using iterative coordinate-descent optimization, which may be run in tandem with the more conventional recon methods. The reduced-dose simulations and image reconstructions are controlled automatically by a single script, and they can be run in parallel on our research cluster. The pipeline was tested on phantom and lung screening datasets from a clinical scanner (Definition AS, Siemens Healthcare). Results: The images generated from our test datasets appeared to represent a realistic range of acquisition and reconstruction conditions that we would expect to find clinically. The time to generate images was approximately 30 minutes per dose/reconstruction combination on a hybrid CPU/GPU architecture. Conclusion: The automated research pipeline promises to be a useful tool for either training or evaluating performance of quantitative imaging software such as classifiers and CAD algorithms across the range of acquisition and reconstruction parameters present in the clinical environment. Funding support: NIH U01 CA181156; Disclosures (McNitt-Gray): Institutional research agreement, Siemens Healthcare; Past recipient, research grant support, Siemens Healthcare; Consultant, Toshiba America Medical Systems; Consultant, Samsung Electronics.

60 APPLIED LIFE SCIENCES↗

Air Dispersion Modeling for Building 3026C/D Demolition

This report presents estimates of dispersion coefficients and effective dose for potential air dispersion scenarios of uncontrolled releases from Oak Ridge National Laboratory (ORNL) buildings 3026C, 3026D, and 3140 prior to or during the demolition of the 3026 Complex. The Environmental Protection Agency (EPA) AERMOD system1-6 was used to compute these estimates. AERMOD stands for AERMIC Model, where AERMIC is the American Meteorological Society-EPA Regulatory Model Improvement Committee. Five source locations (three in building 3026D and one each in building 3026C and the filter house 3140) and associated source characteristics were determined with the customer. In addition, the area of study was determined and building footprints and intake locations of air-handling systems were obtained. In addition to the air intakes, receptor sites consisting of ground level locations on four polar grids (50 m, 100 m, 200 m, and 500 m) and two intersecting lines of points (50 m separation), corresponding to sidewalks along Central Avenue and Fifth Street. Three years of meteorological data (2006 2008) were used each consisting of three datasets: 1) National Weather Service data; 2) upper air data for the Knoxville-Oak Ridge area; and 3) local weather data from Tower C (10 m, 30 m and 100 m) on the ORNL reservation. Annual average air concentration, highest 1 h average and highest 3 h average air concentrations were computed using AERMOD for the five source locations for the three years of meteorological data. The highest 1 h average air concentrations were converted to dispersion coefficients to characterize the atmospheric dispersion as the customer was interested in the most significant response and the highest 1 h average data reflects the best time-averaged values available from the AERMOD code. Results are presented in tabular and graphical form. The results for dose were obtained using radionuclide activities for each of the buildings provided by the customer.7 Radiation dose was calculated assuming complete release of the building inventory as information was lacking regarding the portion of the building inventory expected to be released. Thus the results are derived using an extremely conservative release as documented in the Preliminary Hazard Screening report.7 To more closely approximate the result of a release, one must estimate the fraction of the total inventory released and multiply the results described above by that fraction. An example of how this calculation is accomplished is provided. Should an actual uncontrolled release occur, the results of this modeling effort could only be used to establish a rough order-of-magnitude for the event.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

TOPAS: An innovative proton Monte Carlo platform for research and clinical applications

Purpose: While Monte Carlo particle transport has proven useful in many areas (treatment head design, dose calculation, shielding design, and imaging studies) and has been particularly important for proton therapy (due to the conformal dose distributions and a finite beam range in the patient), the available general purpose Monte Carlo codes in proton therapy have been overly complex for most clinical medical physicists. The learning process has large costs not only in time but also in reliability. To address this issue, we developed an innovative proton Monte Carlo platform and tested the tool in a variety of proton therapy applications. Methods: Our approach was to take one of the already-established general purpose Monte Carlo codes and wrap and extend it to create a specialized user-friendly tool for proton therapy. The resulting tool, TOol for PArticle Simulation (TOPAS), should make Monte Carlo simulation more readily available for research and clinical physicists. TOPAS can model a passive scattering or scanning beam treatment head, model a patient geometry based on computed tomography (CT) images, score dose, fluence, etc., save and restart a phase space, provides advanced graphics, and is fully four-dimensional (4D) to handle variations in beam delivery and patient geometry during treatment. A custom-designed TOPAS parameter control system was placed at the heart of the code to meet requirements for ease of use, reliability, and repeatability without sacrificing flexibility. Results: We built and tested the TOPAS code. We have shown that the TOPAS parameter system provides easy yet flexible control over all key simulation areas such as geometry setup, particle source setup, scoring setup, etc. Through design consistency, we have insured that user experience gained in configuring one component, scorer or filter applies equally well to configuring any other component, scorer or filter. We have incorporated key lessons from safety management, proactively removing possible sources of user error such as line-ordering mistakes. We have modeled proton therapy treatment examples including the UCSF eye treatment head, the MGH stereotactic alignment in radiosurgery treatment head and the MGH gantry treatment heads in passive scattering and scanning modes, and we have demonstrated dose calculation based on patient-specific CT data. Initial validation results show agreement with measured data and demonstrate the capabilities of TOPAS in simulating beam delivery in 3D and 4D. Conclusions: We have demonstrated TOPAS accuracy and usability in a variety of proton therapy setups. As we are preparing to make this tool freely available for researchers in medical physics, we anticipate widespread use of this tool in the growing proton therapy community.

60 APPLIED LIFE SCIENCES↗

SU-C-BRB-05: Investigation of Conformal Arc Therapy Utilizing Newly Designed Cobalt 60 Machine

Purpose: A new modernized design for cobalt 60 (Co-60) machines is being developed with a ring type gantry. In this study we investigate the beneficial outcome of the new design for conformal arc therapy for various clinical sites. The new modality was evaluated based on isodose distributions and dose volume histograms as compared to 6MV photon beams from conventional linear accelerators. Methods: Computed tomographic images of seven different SBRT patients were selected from our patient database. All of these cases were previously planned on the Eclipse treatment planning system. New plans for these patients were generated with a modified conformal arc technique using both 6MV and Co-60 beams. The conformal arc was created by the delivery of treatment fields conformal to the target cross-section at every 5 or 10 degrees. The field shape was modified or turned off when it initially passed through a critical structure. Monte Carlo codes, MCBEAM and MCPLAN, were used for the machine head simulation and phantom/patient dose calculation, respectively. In the new Co-60 machine design, the source-to-isocenter distance was 60cm and the treatment head included the Co-60 source, primary collimator, jaws and MLC. Results: For all cases investigated, conformal arc plans utilizing Co-60 beams achieved similar conformity (mean conformity index=1.19) comparing to 6MV photon beams. Isodose distributions were tailored similarly around the PTV; both Co-60 and 6MV plans met our clinical acceptance criteria for the target coverage, and the maximum and minimum target doses. The DVH for the Co-60 plans showed slightly lower doses to the critical structures although the differences were small in most cases. Conclusion: There were no significant dosimetric differences between 6MV and Co-60 plans. Our results confirmed that this new Co-60 design could be a cost-effective machine for advanced radiotherapy due to its low cost, low maintenance and high up time.

60 APPLIED LIFE SCIENCES↗

Feasibility of a multigroup Boltzmann–Fokker–Planck solution for electron beam dose calculations

Legacy nuclear-reactor Boltzmann solvers start clinical deployment as an alternative to Monte Carlo (MC) codes and Fermi–Eyges semiemprical models in radiation oncology treatment planning. Today’s certified clinical solvers are limited to photon beams. In this paper, ELECTR, a state-of-the-art multigroup electron cross sections generation module in NJOY is presented and validated against Lockwood’s calorimetric measurements, EGS-nrc and GEANT-4 for 1–20 MeV unidirectional electron beams. The nuclear-reactor DRAGON-5 solver is upgraded to access the library and solve the Boltzmann–Fokker–Planck (BFP) equation. A variety of heterogeneous radiotherapy and radiosurgery phantom configurations were used for validation purpose. Case studies include a thorax benchmark, that of a typical breast Intra-Operative Radiotherapy and a high-heterogeneity patient-like benchmark. For all beams, 100% of the water voxels satisfied the American Association of Physicists in Medicine accuracy criterion for a BFP-MC dose error below 2%. At least, 97.0% of adipose, muscle, bone, lung, tumor and breast voxels satisfied the 2% criterion. The average BFP-MC relative error was about 0.56% for all voxels, beams and materials combined. By irradiating homogeneous slabs from Z = 1 (hydrogen) to Z = 99 (einsteinium), we reported performance and defects of the CEPXS mode [US. Sandia National Lab., SAND-89-1685] in ELECTR for the entire periodic table. For all Lockwood’s benchmarks, NJOY-DRAGON dose predictions are within the experimental data precision for 98% of voxels.

42 ENGINEERING↗

TH-A-19A-11: Validation of GPU-Based Monte Carlo Code (gPMC) Versus Fully Implemented Monte Carlo Code (TOPAS) for Proton Radiation Therapy: Clinical Cases Study

Purpose: For proton radiation therapy, Monte Carlo simulation (MCS) methods are recognized as the gold-standard dose calculation approach. Although previously unrealistic due to limitations in available computing power, GPU-based applications allow MCS of proton treatment fields to be performed in routine clinical use, on time scales comparable to that of conventional pencil-beam algorithms. This study focuses on validating the results of our GPU-based code (gPMC) versus fully implemented proton therapy based MCS code (TOPAS) for clinical patient cases. Methods: Two treatment sites were selected to provide clinical cases for this study: head-and-neck cases due to anatomical geometrical complexity (air cavities and density heterogeneities), making dose calculation very challenging, and prostate cases due to higher proton energies used and close proximity of the treatment target to sensitive organs at risk. Both gPMC and TOPAS methods were used to calculate 3-dimensional dose distributions for all patients in this study. Comparisons were performed based on target coverage indices (mean dose, V90 and D90) and gamma index distributions for 2% of the prescription dose and 2mm. Results: For seven out of eight studied cases, mean target dose, V90 and D90 differed less than 2% between TOPAS and gPMC dose distributions. Gamma index analysis for all prostate patients resulted in passing rate of more than 99% of voxels in the target. Four out of five head-neck-cases showed passing rate of gamma index for the target of more than 99%, the fifth having a gamma index passing rate of 93%. Conclusion: Our current work showed excellent agreement between our GPU-based MCS code and fully implemented proton therapy based MC code for a group of dosimetrically challenging patient cases.

60 APPLIED LIFE SCIENCES↗

Neutron dosimetry in solid water phantom

The neutron spectra, the Kerma and the absorbed dose due to neutrons were estimated along the incoming beam in a solid water phantom. Calculations were carried out with the MCNP5 code, where the bunker, the phantom and the model of the15 MV LINAC head were modeled. As the incoming beam goes into the phantom the neutron spectrum is modified and the dosimetric values are reduced.

61 RADIATION PROTECTION AND DOSIMETRY↗