Comparing two radiotherapy techniques of whole central nervous system tumors, considering tumor and critical organs' dose provided by treatment planning system and direct measurement.

AIMS: In central nervous system (CNS) tumors, surgery combined with radiotherapy may cure many tumors. The basic technique in conventional radiotherapy is craniospinal radiotherapy; in this technique, spinal cord can be treated with electron or photon beams. This study was aimed to compare two radiotherapy techniques in craniospinal radiotherapy, (a) treatment of spine with a single photon beam and (b) with a combination of photon and electron beams. MATERIALS AND METHODS: The two techniques were planned. In the first technique, both brain and spine were irradiated with 6 MV photon beams. In the second technique, brain was irradiated with 6 MV photon and spine with 18 MeV electron beams. To compensate the dose deficiency in lumbar area, an anterior field of 15 MV photon beam was also applied in the second technique. The dose to target volume and organ at risks (OARs) were measured by thermoluminescent dosimeter and compared with the corresponding values calculated by Isogray treatment planning system. RESULTS: OARs including heart, mandible, thyroid, and lungs received lower dose from technique 2 compared with technique 1; kidneys were exceptions which received higher dose in the technique 2. CONCLUSIONS: The dose to thyroid, mandible, heart, and lungs were lower in technique 2, while kidneys received higher dose in technique 2. This was caused by using the anterior 15 MV photon beam. Based on these results, for children, instead of photon beam for treatment of spinal cord, it is wiser to use electron beam.

Monte Carlo Simulation of a 6 MV X-Ray Beam for Open and Wedge Radiation Fields, Using GATE Code.

The aim of this study is to provide a control software system, based on Monte Carlo simulation, and calculations of dosimetric parameters of standard and wedge radiation fields, using a Monte Carlo method. GATE version 6.1 (OpenGATE Collaboration), was used to simulate a compact 6 MV linear accelerator system. In order to accelerate the calculations, the phase-space technique and cluster computing (Condor version 7.2.4, Condor Team, University of Wisconsin-Madison) were used. Dosimetric parameters used in treatment planning systems for the standard and wedge radiation fields (10 cm × 10 cm to 30 cm × 30 cm and a 60° wedge), including the percentage depth dose and dose profiles, were measured by both computational and experimental methods. Gamma index was applied to compare calculated and measured results with 3%/3 mm criteria. Gamma index was applied to compare calculated and measured results. Almost all calculated data points have satisfied gamma index criteria of 3% to 3 mm. Based on the good agreement between calculated and measured results obtained for various radiation fields in this study, GATE may be used as a useful tool for quality control or pretreatment verification procedures in radiotherapy.