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Updated: May 22, 2026

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
Efficient voxel navigation for proton therapy dose calculation in TOPAS and Geant4.
J Schümann1, H Paganetti, J Shin
1Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. jschuemann@partners.org
Monte Carlo simulations for patient dose calculation require efficient navigation through voxelized CT data. G4VNestedParameterisation is recommended for its balanced speed and memory usage in Geant4, outperforming other parameterizations in tested patient geometries.
Area of Science:
- Medical Physics
- Computational Physics
- Radiotherapy Physics
Background:
- Monte Carlo (MC) particle transport codes are essential for accurate patient dose calculations.
- Efficient navigation through complex geometries, such as voxelized computed tomography (CT) data, is critical for MC simulation performance.
- Various voxel geometry parameterizations exist within MC simulation packages like Geant4, each with potential trade-offs in speed and memory usage.
Purpose of the Study:
- To evaluate and compare the efficiency of different Geant4 voxel geometry parameterizations for MC-based patient dose calculations.
- To identify the optimal parameterization for handling patient-specific CT data in terms of simulation speed and memory consumption.
- To assess the impact of parameterization choices on dose distribution accuracy.
Main Methods:
- Simulations were performed using the TOPAS (Tool for Particle Simulations) MC package, built upon Geant4.
- Four Geant4 parameterizations were investigated: G4VPVParameterisation, G4VNestedParameterisation, G4PhantomParameterisation (with and without boundary skipping), and an in-house MGHParameterization.
- Runtime and memory usage were analyzed across three patient CT datasets (head and neck, liver, prostate), including a modified dataset with uniform water density.
- Dose distributions were compared against a reference for accuracy assessment.
Main Results:
- G4VPVParameterisation showed significantly slower simulation speeds or substantially increased memory requirements.
- G4PhantomParameterisation without boundary skipping and MGHParameterization demonstrated comparable simulation speeds to G4VNestedParameterisation.
- G4PhantomParameterisation with boundary skipping showed a slight runtime improvement but resulted in dose calculation discrepancies for one patient case.
- Maximum memory usage was generally consistent across parameterizations, except for the high-memory option of G4VPVParameterisation.
Conclusions:
- G4VNestedParameterisation emerged as the preferred parameterization for the studied patient geometries and treatment plans due to its favorable balance of computational speed and memory efficiency.
- The choice of parameterization significantly impacts MC simulation performance and, in some cases, dose calculation accuracy.
- Further optimization of navigation algorithms is crucial for advancing MC-based radiotherapy dose calculations.
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