TG 105 Flashcards

1
Q

What is TG-105 on?

A

TPS commissioning of Monte-Carlo photon and electron EBRT

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2
Q

what dose differences are clinically detectable?

A

-on the order of 7%
-5%changes in dose can result in 10%−20% changes in tumor control probabilityTCPor up to 20–30%changes in normal tissue complica-tion probabilitiesNCTPif the prescribed dose falls along the steepest region of the dose-effect curves

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3
Q

4 main steps in analog simulation of particle transport

A

1Select the distance to the next interaction.
2Transport the particle to the interaction site taking into account geometry constraints.
3Select the interaction type.
4Simulate the selected interaction.

Steps 1–4 are repeated until the original particle and allsecondary particles leave the geometry or are locally ab-sorbed. A particle is considered to be locally absorbed whenits energy falls below a specified threshold energy.

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4
Q

condensed history simulation

A

electrons undergo many small energy changes as they scatter
-group these into condensed history steps

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5
Q

class I condensed history

A

all collisions are subject to grouping. The effect of secondary particle creation above specified threshold energies are taken into account after the facti.e., independently of the energy actually lost during the stepby setting up and transporting the appropriate number of secondary particles. In this way the correlation between large energy losses and secondary particle creation is lost

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6
Q

class II condensed history

A

interactions are divided into “hard”sometimes also referred to as “cata-strophic”and “soft” collisions. Soft collisions are subject to grouping as in a class I scheme; hard collisions are explicitly simulated in an analog manner

-subject to analog simulation- but it is harder because the paths are not straight lines like they are for photons

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7
Q

step-size artifacts

A

Dependencies of the calculated re-sults on the step size

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8
Q

advantage of using phase space

A

calculation of electron as it exits linac, strikes head components etc is already done, speeding up calculations

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9
Q

virtual source model

A

-method for getting phase space that doesn’t use MC
-One class of virtual source models is based on characterizing the results of a MC simulation of the accel-erator head and another class is based solely on measured beam data such as depth-dose curves, profiles and output ratios. In either case, the patient-dependent componentse.g.,the MLCare simulated using either explicit transport meth-ods or approximate transport methods before detailed trans-port in the patient.

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10
Q

variance reduction technique

A

Techniques which improve the efficiency by changing the variance for a given N while not biasing the resulti.e., not changing the expectation value which is the value expected in an infinitely long run

Variance reduction techniques often in-crease the time to simulate a single history and are only useful if the overall efficiency is improved. A given tech-nique may increase the efficiency for some quantities being scored and decrease it for others

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11
Q

other options to reduce calc time outside of variance reduction techniques

A

-make an approximation which may or may not affect the result in a significant way

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12
Q

bremsstrahlung splitting

A

-variance reduction technique
-In the various forms of bremsstrahlung split-ting, each time an electron is about to produce a bremsstrah-lung secondary, a large number of secondary photons with lower weights are set in motion, the number possibly de-pending on a variety of factors related to the likelihood of them being in the field. If the number of photons created is selected to minimize those that are not directed toward the patient plane, then there is a further saving in time.

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13
Q

roussian roulette

A

-variance reduction technique
- The lowinterest particles are eliminated with a given probability, butto ensure an unbiased result, the weights of the survivingparticles are increased by the inverse of that probability

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14
Q

photon forcing

A

-variance reduction technique
-the parent photon is forced to interact in a given geometric region and the weights of the resulting particles are adjusted accordingly to maintain an unbiased result

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15
Q

range rejection

A

In range rejection, an electron’s history is terminated whenever its residual range is so short that it can-not escape from the current region or reach the region of interest. In most implementations this ignores the possible creation of bremsstrahlung photons while the electron loses energy which means this is an approximate technique. When applied to electrons below a certain energy threshold, this form of range rejection produces the same results in a re-duced computing time. It is also possible to implement range rejection in a manner which properly accounts for bremsstrahlung production and thus make it an unbiased variance reduction technique

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16
Q

energy cutoff

A

By stopping tracking of elec-trons at a higher energy, efficiency can be improved, but this may have an effect on the dose distribution if too high a threshold is used

17
Q

ICCR benchmark

A

series of tests to quantify speed and accuracy of different MC algorithms

18
Q

3 routes for accelerator beam modelling

A

-direct use of phase-space information from simulation of the accelerator treatment head
-multiplevirtualsource models derived from the phase-space information with or without enhancements from measured data
-development of other models derived from measurementsmeasurement-driven models

19
Q

issues with using direct phase space info

A

-requires MC expertise
-slow
-large storage requirements

20
Q

3 ways to model transport through the patient-dependent components

A

-explicit transport
-explicit approximate transport
-pseudo-explicit transport

21
Q

explicit transport

A

all particles with appropriate energy cutoff
values are transported using MC techniques through the
components

22
Q

explicit approximate transport

A

approximations are employed in the
MC photon/electron tracking scheme to improve the efficiency
of the calculation. An example is the approach
of Siebers et al.,83 in which only first Compton scattered
photons are transported through the MLC.

23
Q

pseudo explicit transport

A

beam fluence distributions are reconstructed
from the phase-space simulation to develop subsources for
characterizing components, such as the field defining
jaws, electron applicators,114 and the MLC

24
Q

primary source vs extrafocal sources

A

primary is narrow sharp source
extrafocal is broader and bell shaped

25
Q

denoising or smoothing techniques

A

-post-processing to reduce effects of statistical uncertainties
-can introduce systemic bias
-Denoising methods reduce the number of particles and,
hence, the calculation time required to achieve a given uncertainty
by a factor of 3–10.

26
Q

how does MC report dose?

A

dose to medium (not dose to water)

27
Q

arguments in favour of reporting dose to water

A

-tumours are more water-like than tissue like
-historically, dose to water is reported- facilitates comparison with other algorithms
-calibration is based on dose to water

28
Q

arguments in favor of reporting dose to medium

A

-Dm is inherence to MC- may be of more clinical relevance
-changing Dm to Dw introduces error
-differene between Dm and Dw is typically small and unlikely to be relevant

29
Q

voxel size for cases where MLC geometry is included in MC model

A

1-2 mm

30
Q

summary of validation tests required

A

-water depth doses and profiles
-2D planar dose perpendicular to beam CAX
-dose profiles under closed MLC leaves
-large and small field depth doses in low density media
-lateral dose spreading in lung
-depth doses in high density media over a range of field sizes
-point doses in tissue interfaces
-dose distribution for treatment plan

31
Q

does MC result in clinically significant changes?

A

-yes, in lung
-need further studies
-significant differences in plans without heterogeneity corrections vs MC, as expected