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Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
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The collapsed cone algorithm for (192)Ir dosimetry using phantom-size adaptive multiple-scatter point kernels.

Åsa Carlsson Tedgren1, Mathieu Plamondon, Luc Beaulieu

  • 1Department of Medical and Health Sciences (IMH) and Center for Medical Image Science and Visualization, Radiation Physics, Linköping University, SE-581 85 Linköping, Sweden and Department of Medical Physics, Karolinska University Hospital, SE 171 76 Stockholm, Sweden.

Physics in Medicine and Biology
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PubMed
Summary
This summary is machine-generated.

The collapsed cone (CC) algorithm

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Area of Science:

  • Medical Physics
  • Radiotherapy Dosimetry

Background:

  • The collapsed cone (CC) algorithm is widely used for dose calculation in radiotherapy.
  • Accurate dose distribution calculation is crucial for effective cancer treatment.
  • The accuracy of the CC algorithm depends on the parameters used in its underlying models.

Purpose of the Study:

  • To investigate the impact of water phantom size on dose distributions calculated by the CC algorithm.
  • To evaluate the dependence of CC algorithm accuracy on the dimensions of the phantom used for deriving multiple-scatter kernels.
  • To compare CC algorithm calculations with Monte Carlo (MC) simulations.

Main Methods:

  • A research version of the CC algorithm with selectable point kernels derived in spherical water phantoms of varying radii (5-50 cm) was employed.
  • Dose distributions were calculated using CC and compared to MC simulations (Geant4-based Algebra code) in water phantoms and a clinical breast geometry.
  • Agreement was assessed by comparing CC calculations with MC simulations.

Main Results:

  • Agreement with MC within 1% was achieved when the phantom size used for kernel derivation matched the calculation phantom size.
  • Dose overestimation (2-7%) occurred at phantom edges when kernels were derived in larger phantoms, and underestimation occurred with smaller phantoms.
  • The CC algorithm showed good agreement with MC in high-dose regions of breast implants and outperformed TG43 for skin dose calculations.

Conclusions:

  • The accuracy of the CC algorithm's multiple-scatter dose approximation is significantly influenced by the relationship between point kernel size and phantom dimensions.
  • Adapting the point kernel to patient/phantom dimensions can improve dose calculation accuracy, particularly in low-dose regions near phantom edges.
  • The current fixed point kernel in the CC algorithm can lead to dose overestimations (2-5%) at phantom edges in specific clinical scenarios.