Cross-engine transformation-based fast dose calculation for MRI-Linac online treatment planning

Med Phys. 2023 Apr;50(4):2429-2437. doi: 10.1002/mp.16077. Epub 2022 Nov 17.

Abstract

Purpose: To propose a novel magnetic field dose calculation method based on transformation from pencil beam (PB) to Monte Carlo (MC) distribution for MRI-Linac online treatment planning.

Methods: The novel magnetic field dose calculation algorithm was established by a PB dose engine and a magnetic field with tissue inhomogeneity influence correction network. The correction network was constructed with a Res-UNet framework, including residual modules and an encoding-decoding path, by inputting three-dimensional PB dose and patient electron density map, and outputting transformed dose distribution. The influences of magnetic fields and tissue heterogeneity were considered and corrected simultaneously in the correction model. A total of 110 clinically treated static beam IMRT plans were collected, including plans for brain, head-and-neck, lung, and rectum cases. A total of 90 cases were used and enhanced to train and validate the model, and the other 20 cases were for test. By comparing the proposed pipeline-generated dose distribution with original input PB dose and corresponding MC dose, the feasibility and effectiveness of the method was evaluated.

Results: Results on both beam dose and plan dose accuracy comparisons on all investigated four tumor sites show great consistency between the cross-dose-engine transformation generations and the MC results, with averaged plan mean absolute error of 0.90% ± 0.13% for the voxel-wise dose difference and 98.33% ± 1.07% gamma passing rate at the 2%/2 mm criteria. The whole PB calculation and transformation process can be completed within second.

Conclusions: We have successfully developed a fast novel magnetic field dose calculation pipeline based on transformation from PB distribution to MC distribution for MRI-Linac online treatment planning.

Keywords: MRI-Linac; cross-dose-engine transformation; online dose calculation.

MeSH terms

  • Algorithms
  • Humans
  • Monte Carlo Method
  • Radiotherapy Dosage
  • Radiotherapy Planning, Computer-Assisted* / methods
  • Radiotherapy, Intensity-Modulated* / methods