Upgrade and benchmarking of a 4D treatment planning system for scanned ion beam therapy

Abstract IntroductionWe present a mathematic method to adjust the leaf end position for dose calculation correction in carbon ion radiation therapy treatment planning system. Methods and MaterialsA struggling range algorism of 400 MeV/n carbon ion beam in nine different multi-leaf collimator (MLC) materials was conducted to calculate the dose 50% point in order to derive the offset corrections in carbon ion treatment planning system (ciPlan). The visualized light field edge position in treatment planning system is denoted as Xtang.p and MLC position (Xmlc.p) is defined as the source to leaf end mid-point projection on axis for monitor unit calculation. The virtual source position of an energy at 400 MeV/n and struggling range in MLC at different field sizes were used to calculate the dose 50% position on axis. On-axis MLC offset (correction) could then be obtained from the position corresponding to 50% of the central axis dose minus the Xmlc.p MLC position. ResultsThe precise MLC position in carbon ion treatment planning system can be used an offset to do the correction. The offset correction of pure tungsten is the smallest among the others due to its shortest struggling range of carbon ion beam in MLC. The positions of 50% dose of all MLC materials are always located in between Xtang.p and Xmlc.p under the largest field of 12 cm by 12 cm. ConclusionsMLC offset should be adjusted carefully at different field size in treatment planning system especially of its small penumbra characteristic in carbon ion beam. It is necessary to find out the dose 50% position for adjusting MLC leaf edge on-axis location in the treatment planning system to reduce dose calculation error.

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The Evolution of Lateral Dose Distributions of Helium Ion Beams in Air: From Measurement and Modeling to Their Impact on Treatment Planning

Frontiers in Physics ◽

10.3389/fphy.2021.797354 ◽

2022 ◽

Vol 9 ◽

Author(s):

Judith Besuglow ◽

Thomas Tessonnier ◽

Benedikt Kopp ◽

Stewart Mein ◽

Andrea Mairani

Keyword(s):

Treatment Planning ◽

Ion Beam ◽

Full Range ◽

Clinical Treatment ◽

Planning System ◽

Treatment Planning System ◽

Beam Model ◽

Water Tank ◽

Initial Beam ◽

Helium Ion

To start clinical trials with the first clinical treatment planning system supporting raster-scanned helium ion therapy, a comprehensive database of beam characteristics and parameters was required for treatment room-specific beam physics modeling at the Heidelberg Ion-Beam Therapy Center (HIT). At six different positions in the air gap along the beam axis, lateral beam profiles were systematically measured for 14 initial beam energies covering the full range of available energies at HIT. The 2D-array of liquid-filled ionization chambers OCTAVIUS from PTW was irradiated by a pencil beam focused at the central axis. With a full geometric representation of HIT’s monitoring chambers and beamline elements in FLUKA, our Monte Carlo beam model matches the measured lateral beam profiles. A second set of measurements with the detector placed in a water tank was used to validate the adjustments of the initial beam parameters assumed in the FLUKA simulation. With a deviation between simulated and measured profiles below ±0.8 mm for all investigated beam energies, the simulated profiles build part of the database for the first clinical treatment planning system for helium ions. The evolution of beamwidth was also compared to similar simulations of the clinically available proton and carbon beam. This allows a choice of treatment modality based on quantitative estimates of the physical beam properties. Finally, we investigated the influence of beamwidth variation on patient treatment plans in order to estimate the relevance and necessary precision limits for lateral beam width models.

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