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MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation Oncology, Tufts Medical Center, Boston, Massachusetts 02111 Med. Phys. 36 (2), February 2009

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Page 1: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY

COMPARISON OF THE MODEL 6711 AND 9011 125I BRACHYTHERAPY SOURCES

Mark J. Rivard

Department of Radiation Oncology, Tufts Medical Center, Boston, Massachusetts 02111

Med. Phys. 36 (2), February 2009

Page 2: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

BACKGROUND

• 6711125I seed model

• Smaller sources allows smaller diameter needles

• Lower incidence of healthy-tissue complications

Page 3: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

INTRODUCTION

• TRUS guided prostate implantation

• 125I seed (6711 Model)

• Sources placed with needles into prostate

• Results in swelling

• Minimized by small diameter needles

• New model 9011 125I seed – Oncura GE Healthcare (Arlington Heights, IL)

Page 4: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

PURPOSE OF THE STUDY

• Study and determine dosimetry parameters of the new 125I 9011 model

• Treatment planning

• Clinical implementation

Page 5: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

MATERIALS AND METHOD

A. Source Characteristics

Page 6: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

B. Radiation Transport code

125I spectrum from TG43U

Page 7: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

•MCNP 5 with EPDL97 (LLNL report)

•20 cm radius liquid water phantom

•Coordinate system origin located at the center of the capsule

•Photon transport MODE P

•Tallies Track length estimator (F6)

Cell energy fluence (*f4)

•1 keV energy cutoff

•2 x 109 photon histories

B. Radiation Transport code

Page 8: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

Coordinates system in MCNP

Page 9: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

TG 43U Dose Calculation Formalism

According to TG 43, the dose distribution around a cylindrical symmetric brachytherapy source is defined by the following equation.

Page 10: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

C. UNCERTAINITY ANALYIS

Page 11: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

III. RESULTS AND DISCUSSION

III. A. Dose rate constant

**Recommended value 0.965 cGy h−1 U−1

Page 12: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

III. B. Dose rate constant

Page 13: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

III. C. Anisotropy function

Page 14: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

III. C. Anisotropy function

Page 15: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

IV. D. DOSE RATE TABLE

Page 16: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation

CONCLUSION

•Monte Carlo simulations of dose rate distributions

•Model 6711 and 9011 125I sources

•Similar trends and dose falloff characteristics

•Determine the TG-43 brachytherapy dosimetry parameters

•Needed for clinical brachytherapy treatment planning

•Two source models dose rate difference are 2%

•Require separate data entry into treatment planning systems

Page 17: MONTE CARLO RADIATION DOSE SIMULATIONS AND DOSIMETRY COMPARISON OF THE MODEL 6711 AND 9011 125 I BRACHYTHERAPY SOURCES Mark J. Rivard Department of Radiation