Commissioning of 6 MV medical linac for dynamic MLC-based IMRT on Monte Carlo code GEANT4

Monte Carlo simulation is the most accurate tool for calculating dose distributions. In particular, the Electron Gamma shower computer code has been widely used for multi-purpose research in radiotherapy, but Monte Carlo GEANT4 (GEometry ANd Tracking) is rare for radiotherapy with photon beams and needs to be verified further under various irradiation conditions, particularly multi-leaf collimator-based intensity-modulated radiation therapy (MLC-based IMRT). In this study, GEANT4 was used for modeling of a 6 MV linac for dynamic MLC-based IMRT. To verify the modeling of our linac, we compared the calculated data with the measured depth-dose for a 10 × 10 cm(2) field and the measured dose profile for a 35 × 35 cm(2) field. Moreover, 120 MLCs were modeled on the GEANT4. Five tests of MLC modeling were performed: (I) MLC transmission, (II) MLC transmission profile including intra- and inter-leaf leakage, (III) tongue-and-groove leakage, (IV) a simple field with different field sizes by use of MLC and (V) a dynamic MLC-based IMRT field. For all tests, the calculations were compared with measurements of an ionization chamber and radiographic film. The calculations agreed with the measurements: MLC transmissions by calculations and measurements were 1.76 ± 0.01 and 1.87 ± 0.01 %, respectively. In gamma evaluation method (3 %/3 mm), the pass rates of the (IV) and (V) tests were 98.5 and 97.0 %, respectively. Furthermore, tongue-and-groove leakage could be calculated by GEANT4, and it agreed with the film measurements. The procedure of commissioning of dynamic MLC-based IMRT for GEANT4 is proposed in this study.