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Uncertainties in the measurement of relative doses in radiotherapy

Buliński Krzysztof, Kuszewski Tomasz, Wnuk Katarzyna, Braziewicz Janusz, Ślosarek Krzysztof

Polish Journal of Medical Physics and Engineering

2021

Vol. 27, Iss. 1

1--9

Both the measurement of the dose and the measurement of its distribution, like any other measurements, are subject to measurement uncertainties. These uncertainties affect all dose calculations and dose distributions in a patient’s body during treatment planning in radiotherapy. Measurement uncertainty is not a medical physicist's error, but an inevitable element of their work. Planning the dose distribution in a patient’s body, we often try to reduce it in the volume of critical organs (OaR - Organ at Risk) or increase the minimum dose in the PTV region by a few percent. It is believed that the measurement uncertainty should be taken into account in these calculations at the stage of treatment planning. The paper presents the method of calculating the measurement uncertainty for different physical quantities in radiotherapy as percentage depth dose, profile function and output factor, due to the fact that these quantities have a particular impact on the calculated dose distributions in a patient’s body. The uncertainties that must be taken into account in planning treatment the planned dose per fraction and real in PTV, maybe different up to 4%.

Monte Carlo simulation approaches to dose distributions for 6 MV photon beams in clinical linear accelerator

Tartar A.

Biocybernetics and Biomedical Engineering

2014

Vol. 34, no. 2

90--100

Monte Carlo method is often used in radiation therapy as utilized in all the branches of science. For this purpose, various preset codes are used for the dose calculations in radiotherapy. In this study, a new Monte Carlo Simulation Program (MCSP) was developed for the dose distributions of a clinical linear accelerator (LINAC) in water phantom. MCSP was carried out by taking into account the interactions of photons with matter in MATLAB (The Mathworks, Inc.). In the study, 6 MeV (6 MV photon mode) energies of photons are examined. In order to validate the performance and accuracy of the simulation, the experimental measurements and MCSP calculations were compared for both percentage depth dose curves and beam profiles. The Monte Carlo results show good agreement with experimental results.