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Updated: Mar 14, 2026

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
Recent developments and comprehensive evaluations of a GPU-based Monte Carlo package for proton therapy
Nan Qin1, Pablo Botas, Drosoula Giantsoudi
1Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
This study introduces gPMC v2.0, an updated Monte Carlo simulation tool for proton therapy, enhancing accuracy and speed. The new version improves dose calculation accuracy and efficiency, making it more suitable for clinical applications.
Area of Science:
- Medical Physics
- Computational Biology
- Radiotherapy Physics
Background:
- Monte Carlo (MC) simulation is the most accurate method for proton therapy dose calculation.
- Existing MC tools may lack the speed required for clinical applications.
- Previous development of a GPU-based MC tool, gPMC, aimed to address this speed limitation.
Purpose of the Study:
- To report updates on the gPMC tool, focusing on accuracy, portability, and functionality.
- To introduce gPMC v2.0, developed in OpenCL for cross-platform compatibility.
- To present comprehensive tests validating the performance of gPMC v2.0.
Main Methods:
- Developed gPMC v2.0 using the OpenCL environment for enhanced portability.
- Refined physics models for nuclear interactions to improve calculation accuracy.
- Expanded scoring functions to include particle fluence, dose by particle type, and dose-averaged linear energy transfer (LETd).
- Implemented a multiple counter approach to improve scoring efficiency.
Main Results:
- gPMC v2.0 demonstrated improved accuracy in both water phantom and patient cases compared to gPMC v1.0.
- Substantially reduced dose discrepancies in a prostate cancer case against TOPAS, improving gamma test passing rate to 93.1%.
- Achieved average relative differences of 1.7% for LETd and within 2.3% for dose by different particle types.
- Simulated 10^8 protons in 8-17 seconds on a GPU with <1% statistical uncertainty.
- The multiple counter approach significantly reduced performance impact from reduced beam size.
Conclusions:
- gPMC v2.0 offers enhanced accuracy, portability, and efficiency for proton therapy dose calculations.
- The OpenCL development enables successful execution across various CPUs and GPUs.
- The tool's performance improvements make it a viable option for faster clinical dose calculations in proton therapy.
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