The grid-dose-spreading algorithm for dose distribution calculation in heavy charged particle radiotherapy

Med Phys. 2008 Feb;35(2):602-7. doi: 10.1118/1.2829878.

Abstract

A new variant of the pencil-beam (PB) algorithm for dose distribution calculation for radiotherapy with protons and heavier ions, the grid-dose spreading (GDS) algorithm, is proposed. The GDS algorithm is intrinsically faster than conventional PB algorithms due to approximations in convolution integral, where physical calculations are decoupled from simple grid-to-grid energy transfer. It was effortlessly implemented to a carbon-ion radiotherapy treatment planning system to enable realistic beam blurring in the field, which was absent with the broad-beam (BB) algorithm. For a typical prostate treatment, the slowing factor of the GDS algorithm relative to the BB algorithm was 1.4, which is a great improvement over the conventional PB algorithms with a typical slowing factor of several tens. The GDS algorithm is mathematically equivalent to the PB algorithm for horizontal and vertical coplanar beams commonly used in carbon-ion radiotherapy while dose deformation within the size of the pristine spread occurs for angled beams, which was within 3 mm for a single 150-MeV proton pencil beam of 30 degrees incidence, and needs to be assessed against the clinical requirements and tolerances in practical situations.

Publication types

  • Evaluation Study

MeSH terms

  • Algorithms*
  • Body Burden
  • Heavy Ion Radiotherapy
  • Humans
  • Radiometry / methods*
  • Radiotherapy Dosage
  • Radiotherapy Planning, Computer-Assisted / methods*
  • Radiotherapy, High-Energy / methods*
  • Relative Biological Effectiveness
  • Reproducibility of Results
  • Scattering, Radiation
  • Sensitivity and Specificity