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Updated: Jan 8, 2026

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
Assessing stray neutron dose variability across Monte Carlo codes in a proton therapy scenario
Maite Romero-Expósito1, Luka Pasariček2, Nicolas Arbor3
1The Skandion Clinic, von Kraemers allé 26, Uppsala 752 37, Sweden; Oncology Pathology Department, Karolinska Institute, Solnavägen 1, Solna 171 77, Sweden.
Neutron dose calculations in proton therapy vary significantly between Monte Carlo (MC) codes due to differences in nuclear data. This study quantifies these variations, offering a benchmark for accurate neutron dose predictions.
Area of Science:
- Medical Physics
- Radiation Dosimetry
- Computational Science
Background:
- Monte Carlo (MC) simulations are crucial for proton therapy dosimetry.
- Significant discrepancies exist in neutron dose estimates across various MC codes, nuclear models, and cross-section libraries.
Purpose of the Study:
- To compare neutron fluence and dose equivalent calculations across five MC codes (PHITS, MCNP, FLUKA, GATE, TOPAS).
- To evaluate the impact of different nuclear data libraries and models on these calculations for a clinical proton beam.
- To provide a reference for expected variations in neutron dose predictions.
Main Methods:
- Simulated a spread-out Bragg peak (SOBP) proton beam in a water phantom.
- Evaluated neutron fluence spectra and dose equivalents at out-of-field positions using default and alternative nuclear data.
- Investigated the influence of proton vs. neutron cross-sections and different cross-section libraries (JENDL-5, JEFF-3.3, TENDL-2021).
Main Results:
- Proton dose distributions showed high consistency (<2 mm spatial variation) across codes.
- Neutron fluences varied by up to 130% and dose equivalents by 88% based on nuclear data.
- Proton cross-sections significantly influenced neutron spectra more than neutron cross-sections.
Conclusions:
- Cross-section library selection is a primary driver of variability in MC neutron dose calculations.
- While default MC settings show internal consistency, experimental benchmarking is essential for accurate neutron dose predictions in proton therapy.
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