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Monte Carlo Based Implementation of an Energy Modulation System for Proton Therapy. G.A.P. Cirrone Qualified Medical Physicist PhD. Laboratori Nazionali del Sud Istituto Nazionale Fisica Nucleare Catania, Sicily. What is the hadron-therapy?.
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Monte Carlo Based Implementation of an Energy Modulation System for Proton Therapy G.A.P. CirroneQualified Medical PhysicistPhD Laboratori Nazionali del SudIstituto Nazionale Fisica Nucleare Catania, Sicily
What is the hadron-therapy? Use of ions for the radiotherapeutic treatment of tumours
LNS Superconducting Cyclotron is the unique machine in in Italy and South Europe used for protontherapy Treatment of the choroidal and iris melanoma In Italy about 300 new cases for year
PRESENT TREATMENT ROOM • 0 ° respect the switching magnet • 80 meter after extraction • 3 m proton beam line LAYOUT OF LNS
Modulator & Range shifter Ligth field Scattering system Monitor chambers Laser
Patient Distribution 5 1 2 5 1 4 6 1 5 2 20 30 50 Total number of patients : 84 Mean age: 57.6 yrs
Hadrontherapy GEANT4 Example First release: june 2004 – GEANT4 6.2 • A generic hadron therapy beam line can be reconstructed with all its elements; • Each element can be changed in shape, size, position, material via idle; • A final collimator or a modulator can be inserted; • The Bragg curve as well as a lateral dose distribution can be obtained at the end of each run (two detectors are simulated);
Beam Line Simulation Scattering system Collimator system Monitor chamber system
GEANT4 simulation Real hadron-therapy beam line
RO Geometry for 3D dose collection Detector simulated as a 3D cube (RO Geometry Class) Energy collected in each voxel at the end of a run (End of Run Action) • The cube shape can be changed: • A plane for the GAF simulation • A small cylinder for the Markus simulation • The whole cube if all the informations are needed
Physics models: comparison with experimental data Standard + hadronic Standard Processes Low Energy + hadronic Low Energy
Lateral Distribution: comparison with experimental data Isodose curves comparison
TUMOUR Beam Line Simulation: THE MODULATION
MODULATOR WHEEL Pure Bragg Peak Spread Out Bragg Peak (SOBP) Modulator consists of four identical sectors It’s sufficient simulate only a wing Only G4Tubs Class The modulator needs to be rotated around its axis parallel to the proton beam direction
Starting angle Angular opening G4Tubs class permits to define a cylinder defining its height, material, a starting angle and an opening angle Each modulator wing consists of superimposition of many G4Tubs elements each having different angular openings and starting angles
Simulation example of the first slice Common parameters for all slices Particular parameters for this slice
The mother volume of the modulator is a simple air-box volume. It’s permits the rotation of modulator just changing its angle Modulator is included from a different file.icc to simplify the DetectorConstruction file
We delete and reconstruct only the part of geometry which contains the modulator not updating the entire geometry The modulator angle is modified calling the GeometryHasBeenModified function The only parameter (ModulatorAngle) describing the rotation is imported via Messenger class method from an user-defined input file, which contains the angle of the wheel as a function of the time
The Spread Out Bragg Peak Contribution from different modulator angles
Main dosimetric parameters (diff. Less than 5 %) The Spread Out Bragg Peak
Conclusion & developments • A proton therapy transport beam line can be easily reconstructed; • Depth and lateral dose distribution agree with experimental data; • A modulated (theraputhical) proton beam can be reproduced with the GEANT4 toolkit; FOLLOWING STEP Comparison of our Monte Carlo application with the output of the treatment planning system normally used in proton therapy