Evaluación de un sistema de planificación Monte Carlo de uso clínico para radioterapia

Résumé

The commissioning procedures of a Monte Carlo treatment planning system (MC) for photon beams from a dedicated stereotactic body radiosurgery (SBRT) unit has been reported in this document. XVMC has been the MC Code available in the treatment planning system evaluated (BrainLAB iPlan RT Dose) which is based on Virtual Source Models that simulate the primary and scattered radiation, besides the electronic contamination, using gaussian components for whose modelling are required measurements of dose profiles, percentage depth dose and output factors, performed both in water and in air. The dosimetric accuracy of the particle transport simulation has been analyzed by validating the calculations in homogeneous and heterogeneous media versus measurements made under the same conditions as the dose calculation, and checking the stochastic behaviour of Monte Carlo calculations when using different statistical variances. Likewise, it has been verified how the planning system performs the conversion from dose to medium to dose to water, applying the stopping power ratio water to medium, in the presence of heterogeneities where this phenomenon is relevant, such as high density media (cortical bone).