Evaluating Mobius3D Dose Calculation Accuracy for Small-Field Flattening- Filter-Free Photon Beams

Autor: Changhwan Kim PhD, Jihun Kim PhD, Young Kyu Lee PhD, Han-Back Shin PhD, Min Cheol Han PhD, Hojin Kim PhD, Jin Sung Kim PhD
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Technology in Cancer Research & Treatment, Vol 21 (2022)
Druh dokumentu: article
ISSN: 1533-0338
15330338
DOI: 10.1177/15330338221141542
Popis: Purpose: We aimed to investigate the dose calculation accuracy of Mobius3D for small-field flattening-filter-free x-rays, mainly utilized for stereotactic body radiation therapy (SBRT). The accuracy of beam modeling and multileaf collimator (MLC) modeling in Mobius3D, significantly affecting the dose calculation is investigated. Methods: The commissioning procedures of Mobius3D were performed for unflattened 6 MV and 10 MV x-ray beams of the linear accelerator, including beam model adjustment and dosimetric leaf gap (DLG) optimization. An experimental study with artificial plans was conducted to evaluate the accuracy of small-field modeling. The dose calculation accuracy of Mobius3D was also evaluated for retrospective SBRT plans with multiple targets. Results: Both studies evaluated the dose calculation accuracy through comparisons with the measured data. Relatively large differences were observed for off-axis distances over 5 cm and for small fields less than 1 cm field size. For the study with artificial plans, the maximum absolute error of 9.96% for unflattened 6 MV and 9.07% for unflattened 10 MV was observed when the field size was 1 cm. For the study with patient plans, the mean gamma passing rate with 3%/3 mm gamma criterion was 63.6% for unflattened 6 MV and 82.6% for unflattened 10 MV. The maximum of the average dose difference was −19.9% for unflattened 6MV and −10.1% for unflattened 10MV. Conclusions: The dose calculation accuracy uncertainties of Mobius3D for small-field flattening-filter-free photon beams were observed. The study results indicated that the beam and MLC modeling of Mobius3D must be improved for use in SBRT pretreatment QA in clinical practice.
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