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I A Popescu

Publications and source records attributed to I A Popescu.

4 recordsLinked to original sources
PubMed2005

Absolute dose calculations for Monte Carlo simulations of radiotherapy beams.

Monte Carlo (MC) simulations have traditionally been used for single field relative comparisons with experimental data or commercial treatment planning systems (TPS). However, clinical treatment plans commonly involve more than one field. Since the contribution of each field must be accurately quantified, multiple field MC simulations are only possible by employing absolute dosimetry. Therefore, we have developed a rigorous calibration method that allows the incorporation of monitor units (MU) in MC simulations. This absolute dosimetry formalism can be easily implemented by any BEAMnrc/DOSXYZnrc user, and applies to any configuration of open and blocked fields, including intensity-modulated radiation therapy (IMRT) plans. Our approach involves the relationship between the dose scored in the monitor ionization chamber of a radiotherapy linear accelerator (linac), the number of initial particles incident on the target, and the field size. We found that for a 10 x 10 cm2 field of a 6 MV photon beam, 1 MU corresponds, in our model, to 8.129 x 10(13) +/- 1.0% electrons incident on the target and a total dose of 20.87 cGy +/- 1.0% in the monitor chambers of the virtual linac. We present an extensive experimental verification of our MC results for open and intensity-modulated fields, including a dynamic 7-field IMRT plan simulated on the CT data sets of a cylindrical phantom and of a Rando anthropomorphic phantom, which were validated by measurements using ionization chambers and thermoluminescent dosimeters (TLD). Our simulation results are in excellent agreement with experiment, with percentage differences of less than 2%, in general, demonstrating the accuracy of our Monte Carlo absolute dose calculations.

Algorithms↗
PubMed2005

Implementation of random set-up errors in Monte Carlo calculated dynamic IMRT treatment plans.

The fluence-convolution method for incorporating random set-up errors (RSE) into the Monte Carlo treatment planning dose calculations was previously proposed by Beckham et al, and it was validated for open field radiotherapy treatments. This study confirms the applicability of the fluence-convolution method for dynamic intensity modulated radiotherapy (IMRT) dose calculations and evaluates the impact of set-up uncertainties on a clinical IMRT dose distribution. BEAMnrc and DOSXYZnrc codes were used for Monte Carlo calculations. A sliding window IMRT delivery was simulated using a dynamic multi-leaf collimator (DMLC) transport model developed by Keall et al. The dose distributions were benchmarked for dynamic IMRT fields using extended dose range (EDR) film, accumulating the dose from 16 subsequent fractions shifted randomly. Agreement of calculated and measured relative dose values was well within statistical uncertainty. A clinical seven field sliding window IMRT head and neck treatment was then simulated and the effects of random set-up errors (standard deviation of 2 mm) were evaluated. The dose-volume histograms calculated in the PTV with and without corrections for RSE showed only small differences indicating a reduction of the volume of high dose region due to set-up errors. As well, it showed that adequate coverage of the PTV was maintained when RSE was incorporated. Slice-by-slice comparison of the dose distributions revealed differences of up to 5.6%. The incorporation of set-up errors altered the position of the hot spot in the plan. This work demonstrated validity of implementation of the fluence-convolution method to dynamic IMRT Monte Carlo dose calculations. It also showed that accounting for the set-up errors could be essential for correct identification of the value and position of the hot spot.

Algorithms↗
PubMed2004

Modelling an extreme water-lung interface using a single pencil beam algorithm and the Monte Carlo method.

The goal of this study was to quantify, in a heterogeneous phantom, the difference between experimentally measured beam profiles and those calculated using both a commercial convolution algorithm and the Monte Carlo (MC) method. This was done by arranging a phantom geometry that incorporated a vertical solid water-lung material interface parallel to the beam axis. At nominal x-ray energies of 6 and 18 MV, dose distributions were modelled for field sizes of 10 x 10 cm(2) and 4 x 4 cm(2) using the CadPlan 6.0 commercial treatment planning system (TPS) and the BEAMnrc-DOSXYZnrc Monte Carlo package. Beam profiles were found experimentally at various depths using film dosimetry. The results showed that within the lung region the TPS had a substantial problem modelling the dose distribution. The (film-TPS) profile difference was found to increase, in the lung region, as the field size decreased and the beam energy increased; in the worst case the difference was more than 15%. In contrast, (film-MC) profile differences were not found to be affected by the material density difference. BEAMnrc-DOSXYZnrc successfully modelled the material interface and dose profiles to within 2%.

Algorithms↗