Commissioning a newly developed treatment planning system, VQA Plan, for fast-raster scanning of carbon-ion beams

In this study, we report our experience in commissioning a commercial treatment planning system (TPS) for fast-raster scanning of carbon-ion beams. This TPS uses an analytical dose calculation algorithm, a pencil-beam model with a triple Gaussian form for the lateral-dose distribution, and a beam sp...

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Veröffentlicht in:PloS one 2022-05, Vol.17 (5), p.e0268087-e0268087
Hauptverfasser: Yagi, Masashi, Tsubouchi, Toshiro, Hamatani, Noriaki, Takashina, Masaaki, Maruo, Hiroyasu, Fujitaka, Shinichiro, Nihongi, Hideaki, Ogawa, Kazuhiko, Kanai, Tatsuaki
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container_issue 5
container_start_page e0268087
container_title PloS one
container_volume 17
creator Yagi, Masashi
Tsubouchi, Toshiro
Hamatani, Noriaki
Takashina, Masaaki
Maruo, Hiroyasu
Fujitaka, Shinichiro
Nihongi, Hideaki
Ogawa, Kazuhiko
Kanai, Tatsuaki
description In this study, we report our experience in commissioning a commercial treatment planning system (TPS) for fast-raster scanning of carbon-ion beams. This TPS uses an analytical dose calculation algorithm, a pencil-beam model with a triple Gaussian form for the lateral-dose distribution, and a beam splitting algorithm to consider lateral heterogeneity in a medium. We adopted the mixed beam model as the relative biological effectiveness (RBE) model for calculating the RBE values of the scanned carbon-ion beam. To validate the modeled physical dose, we compared the calculations with measurements of various relevant quantities as functions of the field size, range and width of the spread-out Bragg peak (SOBP), and depth-dose and lateral-dose profiles for a 6-mm SOBP in water. To model the biological dose, we compared the RBE calculated with the newly developed TPS to the RBE calculated with a previously validated TPS that is in clinical use and uses the same RBE model concept. We also performed patient-specific measurements to validate the dose model in clinical situations. The physical beam model reproduces the measured absolute dose at the center of the SOBP as a function of field size, range, and SOBP width and reproduces the dose profiles for a 6-mm SOBP in water. However, the profiles calculated for a heterogeneous phantom have some limitations in predicting the carbon-ion-beam dose, although the biological doses agreed well with the values calculated by the validated TPS. Using this dose model for fast-raster scanning, we successfully treated more than 900 patients from October 2018 to October 2020, with an acceptable agreement between the TPS-calculated and measured dose distributions. We conclude that the newly developed TPS can be used clinically with the understanding that it has limited accuracies for heterogeneous media.
doi_str_mv 10.1371/journal.pone.0268087
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This TPS uses an analytical dose calculation algorithm, a pencil-beam model with a triple Gaussian form for the lateral-dose distribution, and a beam splitting algorithm to consider lateral heterogeneity in a medium. We adopted the mixed beam model as the relative biological effectiveness (RBE) model for calculating the RBE values of the scanned carbon-ion beam. To validate the modeled physical dose, we compared the calculations with measurements of various relevant quantities as functions of the field size, range and width of the spread-out Bragg peak (SOBP), and depth-dose and lateral-dose profiles for a 6-mm SOBP in water. To model the biological dose, we compared the RBE calculated with the newly developed TPS to the RBE calculated with a previously validated TPS that is in clinical use and uses the same RBE model concept. We also performed patient-specific measurements to validate the dose model in clinical situations. The physical beam model reproduces the measured absolute dose at the center of the SOBP as a function of field size, range, and SOBP width and reproduces the dose profiles for a 6-mm SOBP in water. However, the profiles calculated for a heterogeneous phantom have some limitations in predicting the carbon-ion-beam dose, although the biological doses agreed well with the values calculated by the validated TPS. Using this dose model for fast-raster scanning, we successfully treated more than 900 patients from October 2018 to October 2020, with an acceptable agreement between the TPS-calculated and measured dose distributions. 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This TPS uses an analytical dose calculation algorithm, a pencil-beam model with a triple Gaussian form for the lateral-dose distribution, and a beam splitting algorithm to consider lateral heterogeneity in a medium. We adopted the mixed beam model as the relative biological effectiveness (RBE) model for calculating the RBE values of the scanned carbon-ion beam. To validate the modeled physical dose, we compared the calculations with measurements of various relevant quantities as functions of the field size, range and width of the spread-out Bragg peak (SOBP), and depth-dose and lateral-dose profiles for a 6-mm SOBP in water. To model the biological dose, we compared the RBE calculated with the newly developed TPS to the RBE calculated with a previously validated TPS that is in clinical use and uses the same RBE model concept. We also performed patient-specific measurements to validate the dose model in clinical situations. The physical beam model reproduces the measured absolute dose at the center of the SOBP as a function of field size, range, and SOBP width and reproduces the dose profiles for a 6-mm SOBP in water. However, the profiles calculated for a heterogeneous phantom have some limitations in predicting the carbon-ion-beam dose, although the biological doses agreed well with the values calculated by the validated TPS. Using this dose model for fast-raster scanning, we successfully treated more than 900 patients from October 2018 to October 2020, with an acceptable agreement between the TPS-calculated and measured dose distributions. We conclude that the newly developed TPS can be used clinically with the understanding that it has limited accuracies for heterogeneous media.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>35536852</pmid><doi>10.1371/journal.pone.0268087</doi><tpages>e0268087</tpages><orcidid>https://orcid.org/0000-0002-2827-5407</orcidid><oa>free_for_read</oa></addata></record>
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subjects Algorithms
Analysis
Beam splitters
Biological effects
Biology and Life Sciences
Bragg curve
Calibration
Carbon
Charged particles
Clinical trials
Commissioning
Dosimetry
Engineering and Technology
Evaluation
Gaussian beams (optics)
Heterogeneity
Ion beams
Ions
Linear energy transfer
Mathematical models
Medicine and Health Sciences
Modelling
Patients
Physical Sciences
Planning
Radiation therapy
Raster
Raster scanning
Relative biological effectiveness (RBE)
Research and Analysis Methods
Scanners
Scanning
Tumors
Water depth
title Commissioning a newly developed treatment planning system, VQA Plan, for fast-raster scanning of carbon-ion beams
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