Dosimetry and Monte Carlo modelling of the Papillon+ contact X-ray brachytherapy device

Abstract

PurposeThis study aimed to develop and validate a Monte Carlo (MC) model for the Papillon+ contact x-ray brachytherapy (CXB) device, producing 50 kilovolt (kV) x-rays, specifically focusing on its application with a 25 mm diameter rectal applicator for contact therapy. Material and methodsThe validation process involved depth dose and transverse dose profile measurements using EBT3 gafchromic films positioned in a Plastic Water Low Energy Range phantom. The half-value layer (HVL) was further measured and derived from the simulated x-ray spectra. ResultsExcellent agreement within ± 2 % was achieved between the measured and simulated on-axis depth dose curves for the 25 mm rectal applicator. Transverse dose profile measurements showed a high level of agreement between the simulation and measurements, on average 3.1 % in contact with the applicator at the surface of the phantom and on average 1.7 % at 10 mm depth. A close agreement within 5.5 % was noticed concerning the HVL between the measurement and simulation. The simulated gamma spectra and 2D-dose distribution demonstrated a soft x-ray energy spectrum and a uniform dose distribution in contact with the applicator. ConclusionsAn MC model was successfully developed for the Papillon+ eBT device with a 25 mm diameter rectal applicator. The validated model, with its demonstrated accuracy in depth dose and transverse dose profile simulations, is a valuable tool for quality assurance and patient safety and, in a later phase, may be used for treatment planning, dose calculations and tissue inhomogeneity corrections.