Commissioning a newly developed treatment planning system, VQA Plan, for fast-raster scanning of carbon-ion beams

In this study, we report our experience in commissioning a commercial treatment planning system (TPS) for fast-raster scanning of carbon-ion beams. This TPS uses an analytical dose calculation algorithm, a pencil-beam model with a triple Gaussian form for the lateral-dose distribution, and a beam sp...

Full description

Bibliographic Details
Main Authors: Masashi Yagi, Toshiro Tsubouchi, Noriaki Hamatani, Masaaki Takashina, Hiroyasu Maruo, Shinichiro Fujitaka, Hideaki Nihongi, Kazuhiko Ogawa, Tatsuaki Kanai
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9089877/?tool=EBI
_version_ 1818232195114860544
author Masashi Yagi
Toshiro Tsubouchi
Noriaki Hamatani
Masaaki Takashina
Hiroyasu Maruo
Shinichiro Fujitaka
Hideaki Nihongi
Kazuhiko Ogawa
Tatsuaki Kanai
author_facet Masashi Yagi
Toshiro Tsubouchi
Noriaki Hamatani
Masaaki Takashina
Hiroyasu Maruo
Shinichiro Fujitaka
Hideaki Nihongi
Kazuhiko Ogawa
Tatsuaki Kanai
author_sort Masashi Yagi
collection DOAJ
description In this study, we report our experience in commissioning a commercial treatment planning system (TPS) for fast-raster scanning of carbon-ion beams. This TPS uses an analytical dose calculation algorithm, a pencil-beam model with a triple Gaussian form for the lateral-dose distribution, and a beam splitting algorithm to consider lateral heterogeneity in a medium. We adopted the mixed beam model as the relative biological effectiveness (RBE) model for calculating the RBE values of the scanned carbon-ion beam. To validate the modeled physical dose, we compared the calculations with measurements of various relevant quantities as functions of the field size, range and width of the spread-out Bragg peak (SOBP), and depth–dose and lateral-dose profiles for a 6-mm SOBP in water. To model the biological dose, we compared the RBE calculated with the newly developed TPS to the RBE calculated with a previously validated TPS that is in clinical use and uses the same RBE model concept. We also performed patient-specific measurements to validate the dose model in clinical situations. The physical beam model reproduces the measured absolute dose at the center of the SOBP as a function of field size, range, and SOBP width and reproduces the dose profiles for a 6-mm SOBP in water. However, the profiles calculated for a heterogeneous phantom have some limitations in predicting the carbon-ion-beam dose, although the biological doses agreed well with the values calculated by the validated TPS. Using this dose model for fast-raster scanning, we successfully treated more than 900 patients from October 2018 to October 2020, with an acceptable agreement between the TPS-calculated and measured dose distributions. We conclude that the newly developed TPS can be used clinically with the understanding that it has limited accuracies for heterogeneous media.
first_indexed 2024-12-12T11:02:25Z
format Article
id doaj.art-01131c0845e74d48a6d00012e1dc0499
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-12T11:02:25Z
publishDate 2022-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-01131c0845e74d48a6d00012e1dc04992022-12-22T00:26:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01175Commissioning a newly developed treatment planning system, VQA Plan, for fast-raster scanning of carbon-ion beamsMasashi YagiToshiro TsubouchiNoriaki HamataniMasaaki TakashinaHiroyasu MaruoShinichiro FujitakaHideaki NihongiKazuhiko OgawaTatsuaki KanaiIn this study, we report our experience in commissioning a commercial treatment planning system (TPS) for fast-raster scanning of carbon-ion beams. This TPS uses an analytical dose calculation algorithm, a pencil-beam model with a triple Gaussian form for the lateral-dose distribution, and a beam splitting algorithm to consider lateral heterogeneity in a medium. We adopted the mixed beam model as the relative biological effectiveness (RBE) model for calculating the RBE values of the scanned carbon-ion beam. To validate the modeled physical dose, we compared the calculations with measurements of various relevant quantities as functions of the field size, range and width of the spread-out Bragg peak (SOBP), and depth–dose and lateral-dose profiles for a 6-mm SOBP in water. To model the biological dose, we compared the RBE calculated with the newly developed TPS to the RBE calculated with a previously validated TPS that is in clinical use and uses the same RBE model concept. We also performed patient-specific measurements to validate the dose model in clinical situations. The physical beam model reproduces the measured absolute dose at the center of the SOBP as a function of field size, range, and SOBP width and reproduces the dose profiles for a 6-mm SOBP in water. However, the profiles calculated for a heterogeneous phantom have some limitations in predicting the carbon-ion-beam dose, although the biological doses agreed well with the values calculated by the validated TPS. Using this dose model for fast-raster scanning, we successfully treated more than 900 patients from October 2018 to October 2020, with an acceptable agreement between the TPS-calculated and measured dose distributions. We conclude that the newly developed TPS can be used clinically with the understanding that it has limited accuracies for heterogeneous media.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9089877/?tool=EBI
spellingShingle Masashi Yagi
Toshiro Tsubouchi
Noriaki Hamatani
Masaaki Takashina
Hiroyasu Maruo
Shinichiro Fujitaka
Hideaki Nihongi
Kazuhiko Ogawa
Tatsuaki Kanai
Commissioning a newly developed treatment planning system, VQA Plan, for fast-raster scanning of carbon-ion beams
PLoS ONE
title Commissioning a newly developed treatment planning system, VQA Plan, for fast-raster scanning of carbon-ion beams
title_full Commissioning a newly developed treatment planning system, VQA Plan, for fast-raster scanning of carbon-ion beams
title_fullStr Commissioning a newly developed treatment planning system, VQA Plan, for fast-raster scanning of carbon-ion beams
title_full_unstemmed Commissioning a newly developed treatment planning system, VQA Plan, for fast-raster scanning of carbon-ion beams
title_short Commissioning a newly developed treatment planning system, VQA Plan, for fast-raster scanning of carbon-ion beams
title_sort commissioning a newly developed treatment planning system vqa plan for fast raster scanning of carbon ion beams
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9089877/?tool=EBI
work_keys_str_mv AT masashiyagi commissioninganewlydevelopedtreatmentplanningsystemvqaplanforfastrasterscanningofcarbonionbeams
AT toshirotsubouchi commissioninganewlydevelopedtreatmentplanningsystemvqaplanforfastrasterscanningofcarbonionbeams
AT noriakihamatani commissioninganewlydevelopedtreatmentplanningsystemvqaplanforfastrasterscanningofcarbonionbeams
AT masaakitakashina commissioninganewlydevelopedtreatmentplanningsystemvqaplanforfastrasterscanningofcarbonionbeams
AT hiroyasumaruo commissioninganewlydevelopedtreatmentplanningsystemvqaplanforfastrasterscanningofcarbonionbeams
AT shinichirofujitaka commissioninganewlydevelopedtreatmentplanningsystemvqaplanforfastrasterscanningofcarbonionbeams
AT hideakinihongi commissioninganewlydevelopedtreatmentplanningsystemvqaplanforfastrasterscanningofcarbonionbeams
AT kazuhikoogawa commissioninganewlydevelopedtreatmentplanningsystemvqaplanforfastrasterscanningofcarbonionbeams
AT tatsuakikanai commissioninganewlydevelopedtreatmentplanningsystemvqaplanforfastrasterscanningofcarbonionbeams