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Updated: Feb 23, 2026

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
Fred: a GPU-accelerated fast-Monte Carlo code for rapid treatment plan recalculation in ion beam therapy
A Schiavi1,2, M Senzacqua1,2, S Pioli1,3
1Dipartimento SBAI, University of Rome 'La Sapienza', Rome, Italy.
A new Monte Carlo simulation platform, fred, accelerates ion beam therapy treatment planning. It uses GPU hardware for faster, accurate dose calculations, improving tumor radiation therapy.
Area of Science:
- Medical Physics
- Radiation Oncology
- Computational Science
Background:
- Ion beam therapy offers precise dose delivery for tumors, sparing healthy tissue.
- Accurate dose calculation is critical for treatment planning.
- Traditional treatment planning software uses simplified models; Monte Carlo (MC) simulations offer higher accuracy but are computationally intensive.
Purpose of the Study:
- To develop a novel Monte Carlo simulation platform, "fred", for ion beam therapy treatment planning.
- To enhance computational efficiency for MC simulations using GPU hardware.
- To improve the accuracy of dose and spatial distribution calculations in heterogeneous environments.
Main Methods:
- Developed "fred", a new MC simulation platform utilizing a class II MC algorithm for particle transport in a 3D voxel grid.
- Implemented effective models for particle-medium interactions, balancing accuracy and computational cost.
- Leveraged general-purpose GPU (GPGPU) programming for accelerated particle tracing.
Main Results:
- Fred's proton beam transport in water shows dose-depth distributions within 1-2% of standard MC codes at the Bragg peak.
- Lateral dose tails are reproduced within 2% compared to measurements, validated by field size factor tests.
- The GPU-accelerated tracing kernel achieves high performance (10 million primary particles/sec on a single card), enabling rapid treatment plan recalculations.
Conclusions:
- The "fred" platform provides a computationally efficient and accurate solution for ion beam therapy treatment planning.
- GPU acceleration significantly reduces simulation time, making advanced MC methods more accessible for clinical use.
- This advancement supports more precise radiation delivery, potentially improving patient outcomes in tumor radiation therapy.
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