Development of a Monte Carlo model for treatment planning dose verification of the Leksell Gamma Knife Perfexion radiosurgery system. (8th July 2016)

• Record Type: Journal Article
• Authors: Yuan, Jiankui; Lo, Simon S.; Zheng, Yiran; Sohn, Jason W.; Sloan, Andrew E.; Ellis, Rodney; Machtay, Mitchell; Wessels, Barry
• Is Part Of: Journal of applied clinical medical physics. Volume 17:Number 4(2016)
• Page Start: 190
• Page End: 201
• Publication Date: 2016-07-08
• Subjects: Gamma Knife -- radiosurgery -- Monte Carlo -- source model; Medical physics -- Periodicals; Clinical medicine -- Periodicals; Health Physics; Clinical Medicine; Electronic journals; Periodicals; Periodicals; Fulltext; Internet Resources; 610.153
• DOI: 10.1120/jacmp.v17i4.6196
• Languages: English
• ISSNs: 1526-9914

Abstract

Abstract : Detailed Monte Carlo (MC) modeling of the Leksell Gamma Knife (GK) Perfexion (PFX) collimator system is the only accurate ab initio approach appearing in the literature. As a different approach, in this work, we present a MC model based on film measurement. By adjusting the model parameters and fine‐tuning the derived fluence map for each individual source to match the manufacturer's ring output factors, we created a reasonable virtual source model for MC simulations to verify treatment planning dose for the GK PFX radiosurgery system. The MC simulation model was commissioned by simple single shots. Dose profiles and both ring and collimator output factors were compared with the treatment planning system (TPS). Good agreement was achieved for dose profiles especially for the region of plateau ( < 2 % ), while larger difference ( < 5 % ) came from the penumbra region. The maximum difference of the calculated output factor was within 0.7%. The model was further validated by a clinical test case. Good agreement was obtained. The DVHs for brainstem and the skull were almost identical and, for the target, the volume covered by the prescription (12.5 Gy to 50% isodose line) was 95.6% from MC calculation versus 100% from the TPS. PACS number(s): 87.55.dk