Linear Accelerator Research Articles

Does a peer review group consensus process for MR-Linac patients affect clinical care? Evaluation of impact and feasibility

Background and purposePeer review is an important component of quality assurance in radiotherapy. To our knowledge, there are no studies reporting on the feasibility and outcomes of the peer review process for magnetic resonance (MR) guided radiotherapy (MRgRT) on the MR linear accelerator (MR-Linac) despite the planning complexity involved and its evolving clinical indications. This study aimed to quantify the rate of change in treatment plans post-peer review and the time and resources required. Materials and methodsFifty-five cases presented at weekly MR-Linac peer review meetings across two centres from 8 June to 21September 2023 were prospectively collected. Cases were analysed to determine the rate and extent of plan changes based on the Peer Review Audit Tool for radiation oncology (PRAT) developed by the Royal Australian and New Zealand College of Radiologists (RANZCR). ResultsPeer review resulted in changes to 36.4 % of treatment plans (n = 20), with 3.6 % (n = 2) having major changes requiring deferment of treatment. The most frequent changes were to organs at risk (OAR) volumes involving both delineation and increased OAR sparing (16.4 %, n = 9), total dose and fractionation (10.9 %, n = 6) and target volume dose coverage (5.5 %, n = 3). Patients with SBRT plans (39.1 % cf 22.2 %), oligometastatic/oligoprogressive sites (38.1 % cf 30.7 %) and reirradiation cases (41.2 % cf 34.2 %) had higher rates of change. Cases took a mean of 7 min (range 2–15 minutes) to discuss. ConclusionThe high rates of plan changes support the value of peer review in MRgRT. We recommend, where possible that all MRgRT cases, particularly those involving SBRT plans, oligometastatic/oligoprogressive sites, and/or reirradiation, be subject to peer review.

Robustness of radiomics features on 0.35 T magnetic resonance imaging for magnetic resonance-guided radiotherapy

Background and purposeMR-guided radiotherapy adds the precision of magnetic resonance imaging (MRI) to the therapeutic benefits of a linear accelerator. Prior to each therapeutic session, an MRI generates a significant volume of imaging data ripe for analysis. Radiomics stands at the forefront of medical imaging and oncology research, dedicated to mining quantitative imaging attributes to forge predictive models. However, the robustness of these models is often challenged. Materials and methodsTo assess the robustness of feature extraction, we conducted reproducibility studies using a 0.35 T MR-linac system, employing both a specialized phantom and patient-derived images, focusing on cases of pancreatic cancer. We extracted shape-based, first-order and textural features from patient-derived images and only first-order and textural features from phantom-derived images. The impact of the delay between simulation and first fraction images was also assessed with an equivalence test. ResultsFrom 107 features evaluated, 58 (54 %) were considered as non-reproducible: 18 were uniformly inconsistent across both phantom and patient images, 9 were specific to phantom-based analysis, and 31 to patient-derived data. ConclusionOur findings show that a significant proportion of radiomic features extracted from this dual dataset were unreliable. It is essential to discard these non-reproducible elements to refine and enhance radiomic model development, particularly for MR-guided radiotherapy in pancreatic cancer.

Investigation of the neutron radiation fields inside the accelerator tunnel during operation of the Swiss Light Source (SLS)

The Swiss Light Source (SLS) is a third-generation synchrotron light source with an electron energy of 2.4 GeV. It consists of a linear accelerator, a booster and a storage ring providing light for various applications. As SLS is a high-energy accelerator, its operation is accompanied with production of ionizing radiation fields, including neutrons. This leads to additional challenges from a radiation protection point of view. The long-term investigation of the radiation fields at this accelerator facility can provide useful information for the residual activation studies and optimization of shielding. This work describes measurements of the neutron radiation fields inside the tunnel and results of this study.

Radiochromic film EBT3 calibration for linear accelerator in 10 MV

Radiochromic film is used to applications in dosimetry have become increasingly significant for studies on radiotherapy. Due to sensitivity to exposure to ionizing radiation, radiochromic films are commonly used to obtain dose distribution maps and for calibration curves. The calibration curves in the radiochromic films can be use radiochromic films as a dosimetry method and then seek the generation of images with lower dose deposition and higher diagnostic quality. When ionizing radiation interacts with matter it generates energy deposition. Radiation dosimetry is important for medical applications of ionizing radiation due to the increasing demand for diagnostic radiology and radiotherapy. The film is a dose measurement method that records the energy deposition by the darkening of its emulsion. Radiochromic films have a little visible light sensitivity and respond better to ionizing radiation exposure. The aim of this study is to obtain the resulting calibration curve by the irradiation of radiochromic film strips, making it possible to relate the darkening of the film with the absorbed dose, to measure doses in experiments with X-ray beam of 10 MeV in Linear Accelerator. The objective of this study is to obtain the calibration curves of the radiographic film for exposure with X-ray beam in Linear Accelerator scanner for realize measures of typical doses found in radiotherapy. It was used Gafchromic EBT Radiochromic Film, which shows little sensitivity to visible light and a response in the range of 0.1 to 10 Gy for X-ray beam. In the experiments, a Solid Water Phantom, with a 30x30x2.0 cm³. The strips were scanned and processed using the ImageJ software to obtain the intensity values resulting from the absorbed radiation by grayscale. The darkening responses on film strips according to the doses were observed and they allowed obtaining the corresponding numeric values to the darkening for each specific dose value. From the numerical values of darkening, a calibration curve was obtained.

Submicrometer Particle Impact Dynamics and Chemistry.

Experimental studies of the collision phenomena of submicrometer particles is a developing field. This review examines the range of phenomena that can be observed with new experimental approaches. The primary focus is on single-particle impact studies enabled by charge detection mass spectrometry (CDMS) implemented using the Aerosol Impact Spectrometer (AIS) at the University of California, San Diego. The AIS combines electrospray ionization, aerodynamic lens techniques, CDMS, and an electrostatic linear accelerator to study the dynamics of particle impact over a wide range of incident velocities. The AIS has been used for single-particle impact experiments on positively charged particles of diverse composition, including polystyrene latex spheres, tin particles, and ice grains, over a wide range of impact velocities. Detection schemes based on induced charge measurements and time-of-flight mass spectrometry have enabled measurements of the impact inelasticity through the determination of the coefficient of restitution, measurements of the angular distributions of scattered submicrometer particles, and the chemical composition and dissociation of solute molecules in hypervelocity ice grain impacts.

Sparing the Hippocampus in Prophylactic Cranial Irradiation Using Three Different Linear Accelerators: A Comparative Study.

Hippocampus protection, as an organ at risk in brain radiotherapy, might protect patients' quality of life. Prophylactic cranial irradiation (PCI) has been used traditionally in small cell lung cancer (SCLC) patients as it increases survival. This study aimed to discover the contributing parameters for a successful PCI with simultaneous protection of the hippocampus by using three different treatment machines. For this purpose, treatment plans were generated for 45 SCLC patients using three half-arcs in three linear accelerators (LINACs; Elekta Infinity, Synergy, and Axesse; Elekta Ltd, Stockholm, Sweden) with different radiation field sizes and multileaf collimator (MLC) leaf thickness characteristics. The prescribed dose was 25 Gy in 10 fractions. Thresholds for the hippocampus were calculated based on the Radiation Therapy Oncology Group 0933 dose constraints. The planning and treatment system templates were common to all three LINACs. Plan evaluation was based on the dosimetric target coverage by the 95% isodose, the maximum dose of the plan, the conformity index (CI), the degree of plan modulation (MOD), and the patient-specific quality assurance (QA) pass rate. The mean target coverage was highest for Infinity (97.3%), followed by Axesse (96.6%) and Synergy (95.5%). The mean maximum dose was higher for Synergy (27.5 Gy), followed by Infinity (27.0 Gy) and Axesse (26.9 Gy). Axesse plans had the highest CI (0.93), followed by Infinity (0.91) and Synergy (0.88). Plan MOD was lower for Synergy (2.88) compared with Infinity (3.07) and Axesse (3.69). Finally, patient-specific QA was successful in all Infinity plans, in all but one Synergy plan, and in 17/45 Axesse plans, as was expected from the field size in that treatment unit. Based on overall performance, the most favorable combination of target coverage, hippocampus sparing, and plan deliverability was obtained with the LINAC, which has the largest field opening and thinnest MLC leaves.

Hyperloop New Mode of Transportation

Today conventional mode of transportation is rail, road, water, and air. These modes of transport are relatively slow and expensive or a combination of relatively slow and expensive. Hyper loop is latest mode of transportation which is fast and inexpensive to change the pattern of transportation. Similar to Linux, hyper loop is also open and unique design concept. By bringing this concept to reality, it will help people to travel from one city to another city in a very small time and also at a low cost. The hyper loop capsule would accelerate with the help of linear electric motor and traverse through the tube at a high speed. By using passive magnetic levitation or air bearing, capsule will run above their track. Hyper loop consists of a low-pressure tube with capsules that are travelled at low and high speed throughout the length of the tube. The capsules are supported with the help of cushion of air. To accelerate the capsules the magnetic linear accelerator is fitted at various stations on the hyperloop tube. To enter and exit the passengers the passage may be left either at the end of the tube or branches along the tube length. Let's see how the hyperloop change mode of transportation.

Implementation of an ionization chamber array for linear accelerator monthly dosimetry QA.

The IC Profiler (ICP) manufactured by Sun Nuclear Corporation (SNC) is an ionization chamber (IC) array used for linear accelerator dosimetry measurements. Previous work characterized response of the ICP under various conditions, but there is limited work of its implementation into monthly QA measurement procedures. This work quantifies ICP accuracy and variables that affect accuracy for beam output measurements, and demonstrates feasibility of using the ICP for all recommended monthly dosimetry measurements. A total of 1985 output measurements on six Varian TrueBeam and Edge linear accelerators were performed using three ICP with quad wedges (QWs) and were compared with conventional IC measurements. The accuracy of the ICP for beam output was characterized as the difference between the ICP and IC. Variables that affect ICP accuracy, including gain settings, calibrations, and template baselining as well as machine or energy-specific bias were investigated. Measurements of profile constancy, energy, dose rate constancy, wedge factors, and gating were performed. The initially observed mean output difference between the ICP and IC was 0.16% (0.61%). When gain settings were optimized, the output difference accuracy improved to -0.02% (0.38%). The output accuracy of the ICP was not dependent on array, dose, temperature and pressure calibrations, or template baselining. Statistically, ICP output accuracy was dependent on machine and beam energy, but clinically, all measurements fell within 0.5% of unity. ICP measurements of energy, dose rate constancy, and wedge factors matched passing results with conventional IC in water measurements. Gating and beam profile constancy measurements demonstrated good stability using the ICP. Finally, monthly dosimetry QA using ICP was completed in an average of 33 min compared to 66 min using the IC. This work demonstrated the feasibility and efficiency of using the ICP, with specific considerations, as a measurement device for dosimetric linear accelerator monthly QA.

Preliminary study of a compact pulsed deuterium-deuterium neutron generator with a vacuum arc ion source and a linear induction accelerator

The pulsed neutron beam combined with the time-of-flight (TOF) technique has shown great value in many scientific research and application fields. Most of the neutron-based material identification and interrogation systems require an intense pulsed neutron beam. Time resolved prompt gamma neutron activation analysis (T-PGNAA) is an effective analytical method to greatly suppress interference from the other elements or the neutron shields of the detectors. To develop T-PGNAA method in a compact accelerator neutron source, a novel intense pulsed deuterium-deuterium (D-D) neutron generator based on a linear induction accelerator (LIA) was introduced. The generator has four major components: a vacuum arc ion source with deuterated electrode, a diode accelerator structure, a self-biased voltage secondary electron suppressed structure and a deuterated metal target. The present study characterizes the performance of the neutron generator with respect to neutron yield, the ionic current, beam profile, and beam composition as a function of the acceleration voltage at various discharge currents. Monoenergetic neutrons (2.5 MeV) are produced with a yield of ∼104 n/p and a pulse width of ∼100 ns using about 200 kV of induction acceleration voltage at 10−4 Pa vacuum environment. In this study, we will discuss various physical and technical issues related to the components of the neutron generator and the operation and merits of the novel neutron generator.

Design and thermal-hydraulic analysis of multi-target system with 100 MeV proton linear accelerator for the production of 67Cu and 68Ge radioisotopes

Radioisotopes are widely used in the fields of medicine, science, and industry. The growing demand for medical radioisotopes has driven research on alternative production methods. In particular, both isotopes of 67Cu and 68Ge play vital roles in the medical environment in many countries to be used in the radio-immunotherapy and the positron emission tomography imaging, respectively. This study designed a multi-target system consisting of two Zn and one Ga2O3 plates to enable simultaneous production of the medical radioisotopes 67Cu and 68Ge using 100 MeV proton beams. To understand the thermal effect on the multi-targets, we examined the distribution of energy absorbed in each solid plate target when exposed to an accelerated proton beam through the thermal-fluid analysis based on ANSYS simulation. For confirming thermal stability for two Zn targets and one Ga2O3 target, the modified water flow path inside the multi-target system was designed effectively with the controlled distribution of multiple sub-holes between main inlet and the following four channels. It was confirmed that the newly designed multi-target system of Zn and Ga2O3 solid plates shows higher thermal stability than the case of uniform distribution of water inlet, which means it could be exposed to a higher current beam of 7.57% to decrease the processing time.

Two-dimensional real-time dosimetry system using micro-and nano-(C44H38P2)MnCl4 radioluminescence coatings

This study investigates the impact of particle size on the radioluminescence (RL) response of (C44H38P2)MnCl4 coatings, which have been made with five crystal size fractions ranging from ≈200 nm to 75 μm. These coatings underwent testing using a bespoke 2D real time prototype system, comprising a camera affixed to the head of a linear accelerator and oriented towards the flexible RL coatings positioned at the beams' isocentre. Upon irradiation, a consistent RL peak at 525 nm was observed across all particle size fractions, albeit with varying light intensities. Minimum detectable dose-rate values were determined to be 0.05 Gy/min, and even for the coating exhibiting the lowest light intensity (Nano-01), individual pulses could be discerned, yielding a minimum detectable dose of 0.28 mGy. Basic dosimetric tests were conducted to characterize these coatings, evaluating their response with respect to dose-rate, dose, and small field relative responses. Subsequently, the coating demonstrating the most favorable dosimetric properties underwent further analysis to assess its suitability for machine quality assurance (QA). These tests included the standard alternating leaves, chair, and pyramid checks routinely employed for QA purposes.

Small field dosimetry employing the thermoluminescence technique using a 3D printed phantom

With the advent of new radiotherapy modalities, it has become necessary to apply relatively small fields that are dynamic or static. The use of these field sizes can cause uncertainty in dosimetry, requiring special attention in small field dosimetry. With these mentioned challenges, it is difficult to select a detector with good performance for dosimetry in small fields. TLDs have advantages because they have characteristics such as high spatial resolution and dose response, they offer a promising opportunity to measure the absorbed dose in a small field. The objective of this study is to evaluate the performance of CaSO4:Dy, LiF:Mg,Ti and μLiF:Mg,Ti thermoluminescent dosimeters for clinical photon beams in small field dosimetry using a 3D printed phantom. For clinical application the 6EX linear accelerator from Varian Medical System and the Multillif collimator from BrainLab were used. The 3D printed phantom was subjected to real treatment conditions. The dynamic arc 3D radiosurgery technique was adopted, with a dose of 7 Gy. To decrease statistical variation, the treatment simulation was repeated three times for each dosimeter. The results obtained demonstrated the viability of TLDs for clinical applications from photon beams to small fields. The values showed agreement in percentage terms below ±5% as recommended by the ICRU. The greatest percentage difference found was 1.2% (LiF:Mg;Ti) in relation to the planning system. All thermoluminescent dosimeters presented an uncertainty relatively low, with good stability and reproducibility in all measurements. The 3D printed phantom showed the possibility of achieving real treatment conditions.

Technical Notes: Robustness of three-dimensional treatment and imaging isocenter testing using a new gel dosimeter and kilovoltage CBCT.

Coincidence of the treatment and imaging isocenter coordinates is required to safely perform small-margin treatments, such as stereotactic radiosurgery of multiple brain metastases. A comprehensive and direct methodology for verifying concordance of kilovoltage cone-beam computed tomography (kV-CBCT) and treatment coordinates using an x-ray CT-based polymer gel dosimeter (dGEL) and onboard kV-CBCT was previously reported. Using this methodology, we tested the ability of a new commercially available x-ray CT-based polymer dGEL with a rapid response to provide efficient quality assurance (QA). The aim of this study was to evaluate the robustness of the three-dimensional geometric QA methodology using dGEL. The dGEL were commercially manufactured. The prescribed dose for each field was determined by visually identifying the 5, 10, and 20Gy isodose lines. A linear accelerator was used to irradiate the gels with seven non-coplanar beams. An in-house analysis program was used to identify the beam axes and treatment isocenter in kV-CBCT coordinates by processing the pre- and post-irradiation CBCT images. The impact of the radiation dose on the test reproducibility was examined, and the detectability of an intentional geometric error was assessed. The treatment isocenter was within 0.4mm of the imaging isocenter for all radiation doses. The residual error of the test with the intentional error was within 0.2mm. The analysis and image quality variations for a single dGEL introduced displacement errors less than 0.3mm. The test assessed the coincidence of treatment and kV-CBCT isocenter coordinates and detected errors with high robustness. Even for a 10Gy dose, the test yielded results comparable with those obtained using higher radiation doses owing to the rapid response of the dGEL dosimeter.

Accelerated Electron Ionization-Induced Changes in the Myenteric Plexus of the Rat Stomach.

The influence of accelerated electrons on neuronal structures is scarcely explored compared to gamma and X-rays. This study aims to investigate the effects of accelerated electron radiation on some pivotal neurotransmitter circuits (cholinergic and serotonergic) of rats' myenteric plexus. Male Wistar rats were irradiated with an electron beam (9 MeV, 5 Gy) generated by a multimodality linear accelerator. The contractile activity of isolated smooth muscle samples from the gastric corpus was measured. Furthermore, an electrical stimulation (200 μs, 20 Hz, 50 s, 60 V) was performed on the samples and an assessment of the cholinergic and serotonergic circuits was made. Five days after irradiation, the recorded mechanical responses were biphasic-contraction/relaxation in controls and contraction/contraction in irradiated samples. The nature of the contractile phase of control samples was cholinergic with serotonin involvement. The relaxation phase involved ACh-induced nitric oxide release from gastric neurons. There was a significant increase in serotonergic involvement during the first and second contractile phases of the irradiated samples, along with a diminished role of acetylcholine in the first phase. This study demonstrates an increased involvement of serotonergic neurotransmitter circuits in the gastric myenteric plexus caused by radiation with accelerated electrons.

Design and characterisation of a minibeam collimator utilising Monte Carlo simulation and a clinical linear accelerator

Objective. Spatially fractionated radiotherapy is showing promise as a treatment modality. Initial focus was on beams of photons at low energy produced from a synchrotron but more recently research has expanded to include applications in proton therapy. Interest in photon beams remains and this is the focus of this paper Approach. This study presents a 3D printed tungsten minibeam collimator intended to produce peak-to-valley dose ratios (PVDR) of between seven and ten with a 1 MV, bremsstrahlung generated, photon beam. The design of the collimator is motivated by a Monte Carlo study estimating the PVDR for different collimator designs at different energies. This collimator was characterised on a clinical linear accelerator (Elekta VersaHD) as well as an orthovoltage unit. Main results. The performance of the fabricated collimator was measured on Elekta VersaHD running in unflattened mode with a 6 MV beam. On the Elekta VersaHD units the PVDR was measured to be between approximately 1.5 and 2.0 at 3 cm deep. For measurements with the orthovoltage unit PVDRs of greater than 10 were observed at a depth of 4 cm. Significance. The results confirmed that the predictions from simulation could be reproduced on linear accelerators currently in clinical usage, producing PVDRs between 2–2.5. Using the model to predict PVDRs using 1 MV photon beams, the threshold considered to produce enhanced normal tissue dose tolerance ( > 7) was surpassed. This suggests the possibility of using such techniques with versions of existing Linac technology which have been modified to operate at low energy and high beam currents.

Exploring the combined impact of cisplatin and copper-cysteamine nanoparticles through Chemoradiation: An in-vitro study

Copper-Cysteamine nanoparticles (Cu-Cy NPs) have emerged as promising radiosensitizers in cancer treatment. This study aims to investigate the combined therapeutic effect of these nanoparticles and cisplatin using a clinical linear accelerator to enhance the efficacy of chemoradiation therapy for cervical cancer.Following successful synthesis and characterization of Cu-Cy NPs, the cytotoxicity effect of these nanoparticles and cisplatin in various concentrations was evaluated on HeLa cancer cells, individually and in combination. Additionally, the radiobiological effects of these agents were investigated under a 6MV linear accelerator.At a concentration of 25 mg/L, Cu-Cy NPs displayed no significant cytotoxicity toward HeLa cancer cells. However, when combined with 2Gy X-ray irradiation at this concentration, the nanoparticles demonstrated a potent radiosensitizing effect. Notably, cell viability and migration rate in the combination group (Cu-Cy NPs + cisplatin + radiation) were significantly reduced compared to the radiation-alone group. Additionally, the combination treatment induced a significantly higher rate of apoptosis compared to the radiation-alone group.Overall, Cu-Cy NPs exhibited a significant dose-dependent synergistic enhancement of radiation efficacy when combined with cisplatin under X-ray exposure, and may provide a promising approach to improve the therapeutic effect of conventional radiation therapy.

Extraction method for superimposed coherent transition radiation using Fresnel reflection in a ring-type resonator

To generate terahertz pulses with a high peak power, a pulse train of coherent transition radiation (CTR) is superimposed by circulating it in a ring-type resonator at an L-band electron linear accelerator facility at the Kyoto University Institute for Integrated Radiation and Nuclear Science. By extracting the superimposed CTR pulses from the ring-type resonator via Fresnel reflection on a low-loss parallel substrate, we show that the cavity loss can be suppressed without being affected by the wavenumber of the CTR pulses. The power of the superimposed CTR pulse is increased to approximately four times that of a CTR generated by plane mirrors in the resonator at a wavenumber of 8.5cm−1, where the diffraction loss of the resonator is lower. Using shorter electron bunches to generate CTR pulses with higher wavenumbers increases the amplification factor caused by superposition and allows CTR pulses with a higher peak power to be generated.

Оценка функционирования дозиметрического оборудования при проведении измерений в полях импульсного микросекундного фотонного излучения с известными характеристиками

This paper continues the series of articles [1,2,3] devoted to the determination of the main dosimetric characteristics of the fields of high-energy pulsed microsecond photon radiation generated by medical linear electron accelerator (LINAC for short) and assessment of the possibility of using LINAC as a source of reference radiation field for calibration of dosimetric equipment. This publication presents the results of evaluation of the portable dosimeter DKSAT1123 and detection unit BDKG-206 when measuring in such fields under different modes of LINAC operation. The possibility of this dosimetric equipment operation in the fields was assessed by comparing dosimeter readings with reference values of dosimetric characteristics of these fields, namely: average ambient dose equivalent rate H*(10), measured with the help of high-precision reference dosimeter DKS-AT5350. It was found that the deviation of H*(10) measurements conducted with the help of the DKS‑AT1123 and BDKG-206 from the reference values strongly depends on the radiation properties, namely the H*(10) value in the pulse. It is shown that at the H*(10) value in the pulse less than 0,2 mSv/s the deviation does not exceed 10%, at the H*(10) value in the pulse 0,2–0,4 mSv/s the deviation does not exceed 33%, and at the H*(10) value in the pulse more than 0,5 mSv/s the deviation can reach 72%.

Feasibility study of high-power electron linac for clinical X-ray ROAD-FLASH therapy system

Introduction: This study examines how a practical source of X-ray radiation, capable of delivering unprecedented X-ray of 100 Gy/s at 1 m for X-ray FLASH radiotherapy can be designed.Methods: We proposed the design of a linac, capable of accelerating 18 MeV 8 mA electron beam with further conversion to bremsstrahlung X-rays. The design is based on L-band traveling wave accelerating structures with high power efficiency, operating in a short-burst/long-pulse regime that allows operating power supply in a regime, beyond its specifications.Results: This study demonstrates the feasibility of a high-power linac for a clinical X-ray FLASH therapy system, using detailed analysis and simulations. Despite ∼500x higher output than a standard clinical linac, the design utilizes available accelerator components for maximal practicality.Discussion: Recent studies have demonstrated that the FLASH effect that allows to effectively kill tumor cells while sparing normal tissue occurs when large dose rates (≥40 Gy/s) are delivered in less than 1 s. Photons are very attractive since modest energies of several MeV are needed, which can be achieved with compact and cost-efficient accelerators. However, since the efficiency of electron-to-photon conversion is only a few percent, the required beam intensity must be an order of magnitude higher than that state-of-the-art accelerators can provide. The proposed ROAD-FLASH accelerator layout allows achieving both the FLASH dose rate and superior dose conformity, comparing to the similar projects. The current paper focuses on providing a technical roadmap for building an economical and practical linear accelerator for ROAD X-ray FLASH delivery.

An automation of Monte Carlo workflow for dosimetry study of an Elekta LINAC delivery system in radiotherapy

PurposeThis study aims to automate the Monte Carlo (MC) workflow utilized for radiotherapy dosimetry, focusing on an Elekta LINAC delivery system. It addresses the challenge of integrating MC simulations into routine clinical practice, making this accurate yet complex method more accessible and efficient for radiotherapy dosimetry. Methods and MaterialsWe developed a user-friendly software featuring a graphical user interface (GUI) that integrates EGSnrc for MC simulations. The software streamlines the process from retrieving Digital Imaging and Communications in Medicine (DICOM) data to executing dose calculations and comparing dose distributions. To validate our proposed tool, we compared its computed doses for IMRT and VMAT plans from the Pinnacle TPS for an Elekta Versa HD linear accelerator against MC simulation results. This comparison utilized our in-house software and GUI as the tool, covering various treatment sites and prescriptions. ResultsThe automated MC workflow demonstrated high accuracy in dose calculations and streamlined integration with clinical workflows. The comparison between the MC-simulated and TPS-calculated doses revealed excellent agreement, highlighting the reliability of MC for independent dose verification in complex treatment scenarios. ConclusionsThe automated MC workflow developed represents a substantial improvement in the practicality and efficiency of MC simulations in radiotherapy. This advancement not only simplifies the dosimetry process but also ensures high accuracy, establishing it as a valuable tool for routine patient-specific quality assurance and the development of specialized treatment procedures.