Study of scattered photons from the collimator system of Leksell Gamma Knife using the EGS4 Monte Carlo code.

In the algorithm of Leksell GAMMAPLAN (the treatment planning software of Leksell Gamma Knife), scattered photons from the collimator system are presumed to have negligible effects on the Gamma Knife dosimetry. In this study, we used the EGS4 Monte Carlo (MC) technique to study the scattered photons coming out of the single beam channel of Leksell Gamma Knife. The PRESTA (Parameter Reduced Electron-Step Transport Algorithm) version of the EGS4 (Electron Gamma Shower version 4) MC computer code was employed. We simulated the single beam channel of Leksell Gamma Knife with the full geometry. Primary photons were sampled from within the 60Co source and radiated isotropically in a solid angle of 4pi. The percentages of scattered photons within all photons reaching the phantom space using different collimators were calculated with an average value of 15%. However, this significant amount of scattered photons contributes negligible effects to single beam dose profiles for different collimators. Output spectra were calculated for the four different collimators. To increase the efficiency of simulation by decreasing the semiaperture angle of the beam channel or the solid angle of the initial directions of primary photons will underestimate the scattered component of the photon fluence. The generated backscattered photons from within the 60Co source and the beam channel also contribute to the output spectra.