Accuracy and sources of error of out-of field dose calculations by a commercial treatment planning system for intensity-modulated radiation therapy treatments

Accuracy and sources of error of out‐of field dose calculations by a commercial treatment planning system for intensity‐modulated radiation therapy treatments

Although treatment planning systems are generally thought to have poor accuracy for out-of-field dose calculations, little work has been done to quantify this dose calculation inaccuracy for modern treatment techniques, such as intensity-modulated radiation therapy (IMRT), or to understand the sources of this inaccuracy. The aim of this work is to evaluate the accuracy of out-of-field dose calc...

Evaluation of treatment planning system monitor unit calculations for three intensity modulated radiotherapy delivery techniques

Background: We have validated the monitor unit calculations from a commercially available treatment planning system (TPS) for three intensity modulated radiotherapy (IMRT) planning techniques for tangential breast irradiation by using ionization chamber measurements. Materials and Methods: Treatment plans were generated for forty-two breast patients by a forward planned field in field ...

Assessment of out-of-field dose calculation algorithm by commercial treatment planning systems in IMRT and 3DCRT

Abstract Introduction: The accuracy an assessment of out- of- field dose due to secondary cancer risk is clinically important. Actually radiotherapy treatment planning systems are not commissioned for the out-of-field dose calculations, so the estimation of dose distributions by TPSs beyond the borders of treatment fields is not well calculate...

Dose calculations accuracy of TiGRT treatment planning system for small IMRT beamlets in heterogeneous lung phantom

Background: Accurate dose calculations in small beamlets and lung material have been a great challenge for most of treatment planning systems (TPS).  In the current study, the dose calculation accuracy of TiGRT TPS was evaluated for small beamlets in water and lung phantom by comparison to Monte Carlo (MC) calculations. Materials and Methods: The head of Siemens Oncor-impression linac...

Dose Calculation Accuracy of Radiotherapy Treatment Planning Systems in Out-of-Field Regions