introduction intensity-modulated radiotherapy (imrt) is becoming an increasingly routine treatment method. imrt can be delivered by use of conventional multileaf collimators (mlcs) and/or physical compensators. one of the most important factors in selecting an appropriate imrt technique is integral dose. integral dose is equal to the mean energy deposited in the total irradiated volume of the p...

background: hdr brachytherapy is one of the commonest methods of nasopharyngeal cancer treatment. in this method, depending on how advanced one tumor is, 2 to 6 gy dose as intracavitary brachytherapy is prescribed. due to high dose rate and tumor location, accuracy evaluation of treatment planning system (tps) is particularly important. common methods used in tps dosimetry are based on computat...

introduction: breast conserving radiotherapy is one of the most common procedures performed in any radiation oncology department. a tangential parallel-opposed pair is usually used for this purpose. this technique is performed using 2d or 3d treatment planning systems. the aim of this study was to compare 2d treatment planning with 3d treatment planning in tangential irradiation in breast conse...

Background: The Monte Carlo (MC) method is not only used for dose calculations around brachytherapy sources but also for benchmarking treatment planning systems (TPS) calculations. Materials and Methods: Three 60Co sources of GZP6 brachytherapy unit were simulated using MCNP4C MC Code. The radial dose functions were calculated by MC method and GZP6 TPS and were compared. Results: There was a go...

PURPOSE Due to multiple Coulomb scattering in complex geometries, small field dosimetry in proton therapy is challenging. Our goal was to define an indicator for the accuracy of dose delivery based on analytical dose calculations in treatment planning systems for small (e.g. radiosurgery) proton therapy fields. METHODS Seven patients whose treatment involved one or more small fields (below ∼3...

Background: Accurate dose calculations in small beamlets and lung material have been a great challenge for most of treatment planning systems (TPS).  In the current study, the dose calculation accuracy of TiGRT TPS was evaluated for small beamlets in water and lung phantom by comparison to Monte Carlo (MC) calculations. Materials and Methods: The head of Siemens Oncor-impression linac...

Introduction: The quality of CT images used for treatment planning of cancer patients is an important issue in accurate outlining of the tumor volume and organs at risk. Different kernels in CT scanner systems are available for improving the image quality. Applying these kernels  on   CT  images  will  change   the   CT  numbers  and  electron   density   of   tissues, conse...