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Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama...

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Verification of the Dose Verification of the Dose Distributions with Geant4 Distributions with Geant4 Simulation Simulation for Proton Therapy for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tec Tsukasa Aso (Toyama College of Maritime Tec h.) h.) A.Kimura (JST CREST) A.Kimura (JST CREST) S.Tanaka ( Ritsumeikan Univ.) S.Tanaka ( Ritsumeikan Univ.) H.Yoshida (Naruto Univ.) H.Yoshida (Naruto Univ.) N.Kanematsu (NIRS) N.Kanematsu (NIRS) T.Sasaki (KEK) T.Sasaki (KEK) T.Akagi (HIBMC) T.Akagi (HIBMC) This work This work is partly supported by Core Resea is partly supported by Core Resea rch rch for Evaluational Science and Technology (CRES for Evaluational Science and Technology (CRES T) of T) of the Japan Science and Technology (JST) the Japan Science and Technology (JST)
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Page 1: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

Verification of the Dose Verification of the Dose Distributions with Geant4 Distributions with Geant4

Simulation Simulation for Proton Therapyfor Proton Therapy

Tsukasa Aso (Toyama College of Maritime Tech.)Tsukasa Aso (Toyama College of Maritime Tech.)A.Kimura (JST CREST)A.Kimura (JST CREST)

S.Tanaka ( Ritsumeikan Univ.)S.Tanaka ( Ritsumeikan Univ.)H.Yoshida (Naruto Univ.)H.Yoshida (Naruto Univ.)

N.Kanematsu (NIRS)N.Kanematsu (NIRS)T.Sasaki (KEK)T.Sasaki (KEK)T.Akagi (HIBMC)T.Akagi (HIBMC)

This workThis work    is partly supported by Core Research is partly supported by Core Research for Evaluational Science and Technology (CREST) of for Evaluational Science and Technology (CREST) of

the Japan Science and Technology (JST)the Japan Science and Technology (JST)

Page 2: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 22

OutlineOutline Hadron therapy facilityHadron therapy facility

Bragg peak characteristics is suitable for the radio-therapeutic treatment of tumorBragg peak characteristics is suitable for the radio-therapeutic treatment of tumors.s.

NIRS, National Cancer Center, HIBMC, Tsukuba-U in JAPANNIRS, National Cancer Center, HIBMC, Tsukuba-U in JAPAN Request to develop simulation tools forRequest to develop simulation tools for

Designing beam delivery systemDesigning beam delivery system Validate or Proposing a treatment planningValidate or Proposing a treatment planning

These efforts are employed by the approaches, so far,These efforts are employed by the approaches, so far, Experimental measurements (Trustable but hard to do everything)Experimental measurements (Trustable but hard to do everything) Analytical calculations (Model limitation for simplicity )Analytical calculations (Model limitation for simplicity )

Simulation Tools is possible to includeSimulation Tools is possible to include Complex geometrical effectComplex geometrical effect Material varietyMaterial variety Different Physics processes for comparisonDifferent Physics processes for comparison

However, in order to apply simulation tools for the hadron therapy, However, in order to apply simulation tools for the hadron therapy, it has to reproduce the dose profiles for patient safety.it has to reproduce the dose profiles for patient safety.

=> Comparison of result is nesseary.=> Comparison of result is nesseary.

This talk gives a comparison of simulation with the measurement of proton bThis talk gives a comparison of simulation with the measurement of proton beams at HIBMC including the validation of the beam delivery system as well eams at HIBMC including the validation of the beam delivery system as well as the dose distributions.as the dose distributions.

Page 3: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 33

HIBMC: HIBMC: Hyogo Ion Beam Medical CenterHyogo Ion Beam Medical Center Hyogo Ion Beam Medical CenterHyogo Ion Beam Medical Center

located at Harima Science Garden City, Hyogo,located at Harima Science Garden City, Hyogo,JAPAN.JAPAN.

Therapeutic beam is extracted from SynchrotronTherapeutic beam is extracted from Synchrotron 150,190,230 MeV proton150,190,230 MeV proton 250,320 MeV/u Carbon ion 250,320 MeV/u Carbon ion

Five treatment rooms, including two Gantry nozzles,Five treatment rooms, including two Gantry nozzles,those are up to 3.0 m in length, and 16 cm square irradithose are up to 3.0 m in length, and 16 cm square irradiation field.ation field.

Spring8

Hyogo Ion Beam Medical CenterTreatment Room ofisocentric rotating Gantry(Only for Protons)

Page 4: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 44

HIBMC Gantry Nozzle HIBMC Gantry Nozzle ConfigurationConfiguration

HIBMC Simulation Features

Based on GEANT4All beam line elements in HIBMC Gantry NozzleConfiguration param. in ASCII file Easy reconfiguration w/o recomplieWobbling magnetic field is set for each one of primary protonsMaterial parameters taken from NIST databaseIonization: Low Energy extension Bethe-Bloch + SRIM2000 swicthed at 10 MeV kinetic energy.hadronic: LHEP_PRECO_HP Pre-equilibrium decay model. Geant4 educational package

Wobbling field

Lead Scatter

Main Monitor

Secondary Monitor(SEC)

Ridge Filter

Flatness Monitor

Block Collimator (BLC)

Multi-Leaf Collimator (MLC)

Water Phantom

Spreading system: Wobbling magnets/scatterer =>Uniform irradiation fieldModulating system: Bar ridge filter => Spread Out Bragg Peak (SOBP)Monitor system: Ionization chamber / SECCollimator system: BLC/MLC

Page 5: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 55

Range (Stepping)Range (Stepping)200MeV Proton ICRU  259.6mm

G4hLowEnergyIonisation w/o ChmicalFormula  NuclearStoppingOff

BLK 3umRED from right      500 / 100 / 50 / 10 / 5 / 1 um

Replica dz=100um

GTWW500/503/504/505/506/507/510

Su

rviv

ed

Pro

ton

fra

cti

on

Depth in Water (mm)

Page 6: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 66

Proton Range in Water Proton Range in Water    --

Default-Default-

ICRU49 259.6mm

Depth in water (mm)

Num

ber

of s

urvi

ved

Pro

tons

(%

)

200 MeV proton

G4hIonisation

G4hLowEIonisationG4hLowEIonisationw/ NuclearStopping

Range in default settingsis shorter than ICRU value. MeanExcitationEnergy = 70.8926eV

Page 7: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 77

Proton Range in Water Proton Range in Water - ExcitationEnergy -- ExcitationEnergy -

defaultCutValue = 3um RED G4hIonisation BLK G4hLowEnergyIonisation

w/o ChemicalFormula(“H_2O”)NuclearStoppingOff

GTWW500/509

200 MeV proton

ICRU49 259.6mm

w/ MeanExcitationEnergy = 75eV (ICRU)

Page 8: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 88

Range of Protons in waterRange of Protons in water

(mm)

First of all, we have examined the range of proton in water. Our simulation uses G4hLowEnergyIonisation with low energy electro-magneticprocesses. In the low energy hadrons ionization process, the energy loss functionbelow the kinetic energy of 2 MeV is changed according to the setting of “ChemicalFormula”. If ChemicalFormula is set to “H_2O”, the energy loss is derived from the fit function of the ICRU, while it is not set, the energy loss is calculated from the sum of electronic stopping power of the elements in thematerial.

Pro

ton

rate

ChemicalFormula=“”

ChemicalFormula=“H_2O”

200MeV protons

ICRU 259.6mm

If we dose not set the ChemicalFormula, simulatedrange is consistent with ICRUvalue.

But with the setting ofChemicalFormula=“H_2O”,the simulated range becomeshorter.

Page 9: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 99

Range of in waterRange of in waterE

loss

(M

eV/m

m)

KinE (MeV)

2MeV G4hBetheBlochModelG4hICRU49p

(C

hem

-NoC

hem

)/N

oChe

m

KinE (MeV)

ChemicalFormula=“”

ChemicalFormula=“H_2O”

For smooth connection at 2 MeV,the BetheBloch value is multipliedby the factor (ParamB).

We changed the energy losscalculation at the region from0.8 to 2 MeV to use the sumof electronic stopping powerin G4hParamterisedLossModel.

G4 used the correction factor “paramB” in the G4hLowEnergyIonisation Class.But the correction factor becomes large in Water , so that the range become shorterthan the measured value.

ParamB = (Eloss_LowE)/(Eloss_Bethe-Bloch)

Our Tentative Patch

Page 10: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 1010

Range of proton in Water Range of proton in Water 150MeV

157.8mm

190MeV

237.8mm

230MeV

329.5mm

NIST PSTAR program calculation based on continuous-slowing-downapproximation, with ICRU Report49(1993) ICRU 150MeV - 157.7 mm 190MeV - 237.7 mm 230MeV - 329.1 mm

After the modification of the energy loss calculation, the G4hLowEnergyIonisationcan reproduce the range of proton in watergiven by the ICRU Report.

Geant4

Page 11: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 1111

Connection FactorConnection Factor

Correction Factor

0.0000000.0200000.0400000.0600000.0800000.1000000.1200000.1400000.160000

0 2 4 6 8 10 12

kinetic Enery (MeV)

Par

amB

SRIM2000ICRU49p

The paramB Problem had been reported to Geant4 Bugzilla.

After bug report, we got a comment to use SRIM2000 Model rather than default.

Page 12: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 1212

Ranges of proton are obtained in the simulationby switching off all processes except for ionization process.

As a reference, the PSTAR program (National Institute of Standards and Technology, NIST) was used for comparison.

The ranges obtained from Geant4 simulationare good agreement with reference values. The agreement is better than 0.1%, 0.3%, and 0.2%for water, lead, and aluminum, respectively.

Material Validation: Range of Material Validation: Range of protonsprotons

Lines : PSTAR NISTRed symbols: Simulation

Page 13: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 1313

Beam line elements Beam line elements tuning/validationtuning/validation Wobbling radiusWobbling radius

Standard Deviation ~ 14mm

Wobbling trace w/o scatter

190 MeV

Beam dispersion by scatterBeam dispersion by scatter

Wobbling radius ~ 99 mm

Beam dispersion w/o wobbling

The magnetic fields of a pair of wobbling magnets are adjusted to fit a radius of circular trace in the measurement. Then a set of wobbling fields is randomly changed for each one of primary protons in the simulation. The primary beam dispersion at the nozzle entrance is derived from the comparison with measurements and included in the simulation, where parallel beam and Gaussian shape intensity are assumed.

-1.5% -3%

Thickness in measurement1.6mm 150MeV2.5mm 190MeV3.5mm 230MeV

Page 14: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 1414

Beam line validation: Irradiation Beam line validation: Irradiation field field Proton flux at an isocenterProton flux at an isocenter

Uniform lateral irradiation field at an isocenter is obtained by the combination of a pair of wobbler magnets and scatterer.

In this case, the beam energy of 190 MeV with 99 mm wobbling radius and 2.5 mm lead scatter are selected.

Edges of Multi-Leaf Collimator

Simulation shows that 15 cm square field with +-2% uniformity is obtained, which follows the requirement in the measurement.

16cm diameter uniform filed

Page 15: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 1515

Dose verification(1): Bragg Dose verification(1): Bragg peakpeakIn order to compare two distributions,

the following procedure is performed.(1)Depth-dose distributions are normalizedat the peak position.(2) The Simulated distribution is fitted by the measured distributions with a displacement (a) and normalization (b) fitting parameters as f(z) = b D(z+a).

a = -1.02+-0.08 mmb = 0.96+-0.01

a = -1.22+-0.10 mmb = 0.97+-0.01

a = -1.86+-0.13 mmb = 0.97+-0.01

Difference is about 2~3%

The depth-dose distributions agree each other better than 4% accuracy.

Dot: Meas.Solid: G4

150MeV

190MeV 230MeV

Page 16: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 1616

Range modulation: Bar ridge filterRange modulation: Bar ridge filter Bar ridge filter is used as the range-modulating system in order to obtain Spread Out Bragg Peak (SOBP). The ridge filter made of aluminum has 24 bars with the pitch of 5mm. It is processed within an accuracy of 30 um by the micro fabrication technique. The ridge filters used to produce SOBP at Gantry Nozzle were designed and built for 150 MeV and 190 MeV beams, respectively.

The height of ridges is about 4cm and 6cm for 9cm width and 12cm width SOBP, respectively.

Proton Energy

w/o Ridge Filter

w/ Ridge Filterfor 9cm SOBP

Page 17: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

1717

Dose Verification(2): SOBPDose Verification(2): SOBPNormalization and fitting procedure are performed at the same manner with Bragg peak comparison.

a=-1.03+-0.51b=0.99+-0.02

a=-1.15+-0.50b=0.99+-0.02

a=-0.05+-0.36b=1.00+-0.02

a=-0.07+-0.35b=0.99+-0.02

The shape of the SOBP is similar to the measurements. For 12cm width SOBP, fan beam effect is clearly reproduced.There are some discrepancy, but those are less than 4 % at the maximum.

The small bump in the measurement isthought to be a fan beam effect which isnever seen at the analytical calculationwith the parallel beam approximation

Dot: MeasuredSolid: G4

150MeV

190MeV

SOBP 9cm SOBP 12cm

Page 18: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 1818

SummarySummary The GEANT4 based simulation for proton therapy has been developed.The GEANT4 based simulation for proton therapy has been developed. The obtained dose distributions are agree well better than 4 % The obtained dose distributions are agree well better than 4 %

difference with the measured value at HIBMC.difference with the measured value at HIBMC. The results are derived from only the simple assumption of beam spot The results are derived from only the simple assumption of beam spot

size at nozzle entrance. The use of realistic beam profile will improve size at nozzle entrance. The use of realistic beam profile will improve the simulation.the simulation.

Further development is processed.Further development is processed. DICOM interface has already available. DICOM interface has already available. The plastic phantom DICOM data will be simulated and compared The plastic phantom DICOM data will be simulated and compared

with the treatment system predictions.with the treatment system predictions.

Page 19: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 1919

DiscussionDiscussion Displacement of Bragg peak positionDisplacement of Bragg peak position

Measurement systematic error, Measurement systematic error, Not sure, but ~500um, by the comparison of w/ Not sure, but ~500um, by the comparison of w/

wobbling and w/o wobbling.wobbling and w/o wobbling.Simulation shows about 500um shift due to wobbling, Simulation shows about 500um shift due to wobbling, but measured data is not.but measured data is not.

Beam energy ambiguity,Beam energy ambiguity, Not sure. But peak shifts roughly 1mm/0.5MeV.Not sure. But peak shifts roughly 1mm/0.5MeV.

Energy resolution of the synchrotron is thought to be Energy resolution of the synchrotron is thought to be 0.1%.0.1%.If the beam energy shift about 0.3~0.5% higher, it is If the beam energy shift about 0.3~0.5% higher, it is consistent.consistent.

Page 20: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 2020

Ionization (Process Ionization (Process connection)connection)Correction Factor

0.0000000.0200000.0400000.0600000.0800000.1000000.1200000.1400000.160000

0 2 4 6 8 10 12

kinetic Enery (MeV)

Par

amB

SRIM2000ICRU49p

Ionization loss is scaled by ionloss*=(1.0+paramB*highEnergy/lowEdgeEnergy)

Page 21: Verification of the Dose Distributions with Geant4 Simulation for Proton Therapy Tsukasa Aso (Toyama College of Maritime Tech.) A.Kimura (JST CREST) S.Tanaka.

IEEE-NSS Rome 2004/OctoberIEEE-NSS Rome 2004/October 2121

w/o Wobblingw/o Wobbling

a=-0.29+-0.10b=0.96+-0.01

a=-0.47+-0.11b=0.96+-0.01

a=-1.42+-0.13b=0.98+-0.01


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