The effect of the magnetic fields from three different configurations of the MRIgRT systems on the dose deposition from lateral opposing photon beams in a laryngeal geometry – A Monte Carlo study

Objective: To investigate the impact of different magnetic field strengths and orientations on the dose deposition from lateral opposing photon beams irradiating a laryngeal geometry, with particular attention focused on the dose homogeneity of the area around the air cavity inside the larynx. Metho...

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Main Authors: Vivien W.S. Chu, Monica W.K. Kan, Louis K.Y. Lee, Kenneth C.W. Wong, Macy Tong, Anthony T.C. Chan
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Radiation Medicine and Protection
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666555721000447
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author Vivien W.S. Chu
Monica W.K. Kan
Louis K.Y. Lee
Kenneth C.W. Wong
Macy Tong
Anthony T.C. Chan
author_facet Vivien W.S. Chu
Monica W.K. Kan
Louis K.Y. Lee
Kenneth C.W. Wong
Macy Tong
Anthony T.C. Chan
author_sort Vivien W.S. Chu
collection DOAJ
description Objective: To investigate the impact of different magnetic field strengths and orientations on the dose deposition from lateral opposing photon beams irradiating a laryngeal geometry, with particular attention focused on the dose homogeneity of the area around the air cavity inside the larynx. Methods: Geant4 simulation toolkit was used to perform Monte Carlo simulations on a phantom resembling the larynx. The energy spectrum of a 6 ​MV photon beam from a Varian Clinac iX machine was used to provide the source of radiation. Three configurations of the Magnetic Resonance Image-Guided Radiation Therapy (MRIgRT) system were simulated: the Fixed Cylindrical (FC) geometry, the Longitudinal Rotating Biplanar (LRBP) geometry, and the Transverse Rotating Biplanar (TRBP) geometry. Uniform magnetic fields of different field strengths were applied. The relative dose maps and the homogeneity index (HI) were obtained for evaluations. Results: The LRBP geometry together with a magnetic field strength of 0.5 ​T produced the most homogeneous dose distribution with a HI of 0.139 for the region of interest around the air cavity, compared with a HI of 0.180 when the magnetic field was absent. For TRBP geometry, the dose distribution shifted towards the cranial direction, leading to a region of hot spots at the superior edge and a region of cold spots at the inferior edge of the irradiated volume. The HI around the air cavity was therefore worse. In addition, strong electron streaming effect (ESE) was observed. For the FC geometry, hot and cold spots were formed around the air cavity which increased the HI. Conclusions: Out of the three configurations of the MRIgRT systems, the LRBP geometry produced the most clinically beneficial dose distribution in which it provided a higher dose to the treatment area and a boost in dose to the tissue immediately adjacent to the air cavity.
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spelling doaj.art-302d6d28d4294de5bd15e0fba8f999502023-08-02T03:03:13ZengElsevierRadiation Medicine and Protection2666-55572021-09-0123103111The effect of the magnetic fields from three different configurations of the MRIgRT systems on the dose deposition from lateral opposing photon beams in a laryngeal geometry – A Monte Carlo studyVivien W.S. Chu0Monica W.K. Kan1Louis K.Y. Lee2Kenneth C.W. Wong3Macy Tong4Anthony T.C. Chan5Department of Clinical Oncology, Prince of Wales Hospital, Hong Kong, China; Department of Clinical Oncology, The Chinese University of Hong Kong, Hong Kong, China; Corresponding author. Medical Physics Unit, Department of Clinical Oncology, LG, LKS Specialist Clinic (North Wing), Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, Hong Kong, China.Department of Clinical Oncology, Prince of Wales Hospital, Hong Kong, China; Department of Clinical Oncology, The Chinese University of Hong Kong, Hong Kong, ChinaMedical Center, The Chinese University of Hong Kong, ChinaDepartment of Clinical Oncology, Prince of Wales Hospital, Hong Kong, China; Department of Clinical Oncology, The Chinese University of Hong Kong, Hong Kong, ChinaDepartment of Clinical Oncology, Prince of Wales Hospital, Hong Kong, China; Department of Clinical Oncology, The Chinese University of Hong Kong, Hong Kong, China; Medical Center, The Chinese University of Hong Kong, ChinaDepartment of Clinical Oncology, Prince of Wales Hospital, Hong Kong, China; Department of Clinical Oncology, The Chinese University of Hong Kong, Hong Kong, China; State Key Laboratory of Translational Oncology, Sir YK Pao Center for Cancer, Department of Clinical Oncology, Hong Kong Cancer Institute and Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, ChinaObjective: To investigate the impact of different magnetic field strengths and orientations on the dose deposition from lateral opposing photon beams irradiating a laryngeal geometry, with particular attention focused on the dose homogeneity of the area around the air cavity inside the larynx. Methods: Geant4 simulation toolkit was used to perform Monte Carlo simulations on a phantom resembling the larynx. The energy spectrum of a 6 ​MV photon beam from a Varian Clinac iX machine was used to provide the source of radiation. Three configurations of the Magnetic Resonance Image-Guided Radiation Therapy (MRIgRT) system were simulated: the Fixed Cylindrical (FC) geometry, the Longitudinal Rotating Biplanar (LRBP) geometry, and the Transverse Rotating Biplanar (TRBP) geometry. Uniform magnetic fields of different field strengths were applied. The relative dose maps and the homogeneity index (HI) were obtained for evaluations. Results: The LRBP geometry together with a magnetic field strength of 0.5 ​T produced the most homogeneous dose distribution with a HI of 0.139 for the region of interest around the air cavity, compared with a HI of 0.180 when the magnetic field was absent. For TRBP geometry, the dose distribution shifted towards the cranial direction, leading to a region of hot spots at the superior edge and a region of cold spots at the inferior edge of the irradiated volume. The HI around the air cavity was therefore worse. In addition, strong electron streaming effect (ESE) was observed. For the FC geometry, hot and cold spots were formed around the air cavity which increased the HI. Conclusions: Out of the three configurations of the MRIgRT systems, the LRBP geometry produced the most clinically beneficial dose distribution in which it provided a higher dose to the treatment area and a boost in dose to the tissue immediately adjacent to the air cavity.http://www.sciencedirect.com/science/article/pii/S2666555721000447Monte CarloMRIgRTMR-LinacMagnetic fieldAir cavity
spellingShingle Vivien W.S. Chu
Monica W.K. Kan
Louis K.Y. Lee
Kenneth C.W. Wong
Macy Tong
Anthony T.C. Chan
The effect of the magnetic fields from three different configurations of the MRIgRT systems on the dose deposition from lateral opposing photon beams in a laryngeal geometry – A Monte Carlo study
Radiation Medicine and Protection
Monte Carlo
MRIgRT
MR-Linac
Magnetic field
Air cavity
title The effect of the magnetic fields from three different configurations of the MRIgRT systems on the dose deposition from lateral opposing photon beams in a laryngeal geometry – A Monte Carlo study
title_full The effect of the magnetic fields from three different configurations of the MRIgRT systems on the dose deposition from lateral opposing photon beams in a laryngeal geometry – A Monte Carlo study
title_fullStr The effect of the magnetic fields from three different configurations of the MRIgRT systems on the dose deposition from lateral opposing photon beams in a laryngeal geometry – A Monte Carlo study
title_full_unstemmed The effect of the magnetic fields from three different configurations of the MRIgRT systems on the dose deposition from lateral opposing photon beams in a laryngeal geometry – A Monte Carlo study
title_short The effect of the magnetic fields from three different configurations of the MRIgRT systems on the dose deposition from lateral opposing photon beams in a laryngeal geometry – A Monte Carlo study
title_sort effect of the magnetic fields from three different configurations of the mrigrt systems on the dose deposition from lateral opposing photon beams in a laryngeal geometry a monte carlo study
topic Monte Carlo
MRIgRT
MR-Linac
Magnetic field
Air cavity
url http://www.sciencedirect.com/science/article/pii/S2666555721000447
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