PURPOSE This phantom study investigated variations of mucosal dose on photon beam energy, beam angle, multi-beam configuration and mucosal thickness, when using small photon fields in head-and-neck radiotherapy. METHODS Cylindrical mucosa phantoms with bone and air heterogeneities were created with mucosal thickness (normal tissue) equal to 1, 2 and 3 mm. For dosimetric comparison, correspond...

A new grid-based Boltzmann equation solver, Acuros, was developed specifically for performing accurate and rapid radiotherapy dose calculations. In this study we benchmarked its performance against Monte Carlo for 6 and 18 MV photon beams in heterogeneous media. Acuros solves the coupled Boltzmann transport equations for neutral and charged particles on a locally adaptive Cartesian grid. The Ac...

In treatment planning of brachytherapy, absorbed dose is calculated by superposing predetermined distributions of absorbed dose to water in water for the single source according to the irradiation pattern ͓i.e., placement of the source͑s͒ or dwelling position͑s͔͒. Single-source reference water data are derived from Monte Carlo ͑MC͒ simulations and/or experiments. For reasons of positional accuracy, exp...

Recent dosimetry protocols for clinical high-energy electron beams recommend measurements of absorbed dose-to-water with a plane-parallel or cylindrical ionization chamber. For well-guarded plane-parallel ionization chambers, the ionization chamber perturbation factor in water, p(Q), has a recommended value of unity in all protocols. This assumption was investigated in detail in this study for ...

Vascular access ports are used widely in the administering of drugs for radiation oncology patients. Their dosimetric effect on radiation therapy delivery in photon beams has not been rigorously established. In this work the effects on external beam fields when any of a variety of vascular access ports is included in the path of a high energy beam are studied. This medical physics study specifi...

A glass seed consisting of the β--emitting radionuclide 90Y incorporated with radionuclide 153Sm as SPECT marker is proposed for potential application in brachytherapy in order to reduce the undesirable dose to healthy adjacent organs. The aim of this work is to determine the dosimetric characteristics, as suggested in the AAPM TG-60/TG-149 reports, for this seed using Monte Carlo simulation. M...

Beam quality correction, kQQ0(r), for solid-state detectors diamond, LiF, Li2B4O7, Al2O3, and plastic scintillator are calculated as a function of distance, r, along the transverse axis of the 60Co and 192Ir brachytherapy sources using the Monte Carlo- based EGSnrc code system. This study also includes calculation of detector-specific phantom scatter correction, kphan(r), for solid phantoms suc...

The values of the replacement correction factors (P(repl), or in the IAEA's notation p(dis)p(cav)) used for cylindrical chambers in high-energy photon beams represent one of the most significant differences between the AAPM and the IAEA dosimetry protocols. In a previous study (Wang L L W and Rogers D W O 2008 Med. Phys. 35 1747-55), we found that the AAPM protocol adopted incorrect values of P...

Dosimetry in kilovoltage cone beam computed tomography (CBCT) is a challenge due to the limitation of physical measurements. To address this, we used a Monte Carlo (MC) method to estimate the CT dose index (CTDI) and the dose length product (DLP) for a commercial CBCT system. As Dixon and Boone showed that CTDI concept can be applicable to both CBCT and conventional CT, we evaluated weighted CT...

PURPOSE The exciting prospect of Spectral CT (SCT) using photon-counting detectors (PCD) will lead to new techniques in computed tomography (CT) that take advantage of the additional spectral information provided. We introduce a method to reduce metal artifact in X-ray tomography by incorporating knowledge obtained from SCT into a statistical iterative reconstruction scheme. We call our method ...